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8-K - 8-K - MAGELLAN HEALTH INCa14-17666_18k.htm

Exhibit 99.1

 

GRAPHIC

 

NEWS RELEASE

 

Media Contact: Colleen Flanagan Johnson, cefjohnson@magellanhealth.com, (860) 507-1923

Investor Contact: Renie Shapiro Silver, rshapiro@magellanhealth.com, (877) 645-6464

 

Magellan Health Reports Second Quarter 2014 Financial Results

Updates 2014 Guidance

 

Avon, Conn. — July 25, 2014 — Magellan Health, Inc. (NASDAQ: MGLN) today reported financial results for the second quarter 2014, as summarized below. For the quarter ended June 30, 2014, the company reported net revenue of $888 million, segment profit of $45 million and net income of $5 million, or $0.18 per diluted common share.

 

Second Quarter Financial Results(1)

 

 

 

Three Months Ended June 30, 2014

 

Six Months Ended June 30, 2014

 

(Millions, except per share results)

 

2014

 

2013

 

Increase/
(Decrease)

 

2014

 

2013

 

Increase/
(Decrease)

 

Revenue

 

$

888.0

 

$

842.7

 

5.4

%

$

1,854.5

 

$

1,664.5

 

11.4

%

Segment Profit(2)

 

45.0

 

75.0

 

(40.0

)%

121.5

 

144.3

 

(15.8

)%

Net Income

 

5.0

 

31.5

 

(84.1

)%

30.7

 

59.5

 

(48.4

)%

Adjusted Net Income(3)

 

11.0

 

31.5

 

(65.1

)%

38.3

 

59.5

 

(35.6

)%

Earnings per Share

 

0.18

 

1.15

 

(84.3

)%

1.10

 

2.17

 

(49.3

)%

Adjusted Earnings per Share(3)

 

0.39

 

1.15

 

(66.1

)%

1.37

 

2.17

 

(36.9

)%

 

·                  Revenue increased due to the inclusion of Partners Rx and CDMI in the current year quarter, new business and rate increases, partially offset by the loss of revenues associated with terminated contracts.

·                  Segment profit decreased mainly due to terminated contracts and unfavorable care trends in Public Sector and rate changes in Specialty Solutions. These decreases were partially offset by stronger results in the Commercial and Pharmacy Management segments.

·                  Adjusted Net Income and Adjusted Earnings per Share decreased mainly due to decreased segment profit, and a higher effective tax rate as a result of non-deductibility of the Health Insurer Fee and valuation allowances for certain deferred tax assets.

 


(1)  Included in the tables issued with this press release are the reconciliations from non-GAAP measures to the corresponding GAAP measures.

 

(2)  Segment profit is equal to net revenues less the sum of cost of care, cost of goods sold, direct service costs and other operating expenses, and includes income from unconsolidated subsidiaries, but excludes segment profit or loss from non-controlling interests held by other parties, as well as stock compensation expense.

 

(3) Adjusted net income and adjusted earnings per share (EPS) reflect certain adjustments made for acquisitions completed after January 1, 2013 to exclude non-cash stock compensation expense resulting from restricted stock purchases by sellers, as well as amortization of identified acquisition intangibles.

 



 

Year-to-date through Monday, July 21, 2014, the company repurchased approximately 1.4 million shares for a total cost of $81.3 million, at average price of $59.75, and to date has completed approximately 66 percent of the current $300 million authorization. As of June 30, 2014, the company had unrestricted cash and investments of $194.7 million.

 

The company also announced a new five-year $500 million credit facility, including a $250 million term loan, and a $250 million revolver and letter of credit facility.

 

“It’s a particularly exciting time for Magellan Health,” said Barry M. Smith, chairman and chief executive officer. “We are making great strides on our Magellan Complete Care of Florida and pharmacy management strategies, and taking the steps to ensure Magellan has the resources to aggressively grow in the future.

 

“I’m very pleased with the successful launch of our Magellan Complete Care of Florida plan in the first two regions, as we prepare to go-live in the remaining regions. This is a key milestone for our organization, and we are particularly proud of our operational success thus far, including our robust outreach and onboarding efforts. To provide exceptional service and care, MCC of Florida has grown to nearly 300 employees over the past few months, and we have expanded our network to more than 16,000 providers across the state.”

 

Results and Outlook

 

“Our segment profit for the second quarter reflects strong performance in our Pharmacy segment, solid results in Commercial and Specialty Solutions, and challenges in the Public Sector, as a result of higher-than-expected cost of care in behavioral health and investments in Magellan Complete Care,” said Jonathan N. Rubin, chief financial officer. “We have plans in place to address the cost of care issues over the balance of the year.

 

“Capitalizing on the current favorable credit markets, we have put in place a new five-year credit facility to provide capacity for future investments. This facility will allow Magellan to continue to grow its business, while efficiently deploying capital to maximize shareholder return.”

 

The company reaffirmed its 2014 guidance ranges for full-year net income of $53 million to $69 million, segment profit of $238 million to $258 million, and cash flow from operations of $204 million to $226 million, excluding the net shift of restricted funds between cash and investments. The company updated its guidance for diluted earnings per share to a range of $1.90 to $2.47 per share, based on updated fully diluted shares 27.9 million. This updated share amount reflects share repurchases and option exercises through the close of business on July 21, 2014, but excludes any potential activity that may occur during the remainder of the year. The company also reaffirmed its 2014 guidance range for full-year adjusted net income of $74.5 million to $92.5 million, which results in adjusted earnings per share of $2.67 to $3.32.

 

Earnings Conference Call

 

Management will host a conference call at 11 a.m. Eastern time on Friday, July 25, 2014. To participate in the conference call, interested parties should call 1-800-857-1812 and reference the pass code Second

 



 

Quarter Earnings Call 2014 approximately 15 minutes before the start of the call. The conference call will also be available via a live webcast at Magellan’s investor relations page at MagellanHealth.com.

 

About Magellan Health: Headquartered in Avon, Conn., Magellan Health, Inc. is a healthcare management company that focuses on fast-growing, complex and high-cost areas of healthcare, with an emphasis on special population management. Magellan delivers innovative solutions to improve quality outcomes and optimize the cost of care for those we serve. Magellan’s customers include health plans, managed care organizations, insurance companies, employers, labor unions, various military and government agencies, third party administrators, consultants and brokers. For more information, visit MagellanHealth.com.

 

Cautionary Statement

 

This release contains forward-looking statements within the meaning of the Securities Exchange Act of 1934 and the Securities Act of 1933, as amended, which involve a number of risks and uncertainties.  All statements, other than statements of historical information provided herein, may be deemed to be forward-looking statements including, without limitation, statements regarding estimates of 2014 net income, adjusted net income, segment profit, cash flow from operations, earnings per share, adjusted earnings per share, capital deployment, growth and strategy. These statements are based on management’s analysis, judgment, belief and expectation only as of the date hereof, and are subject to uncertainty and changes in circumstances. Without limiting the foregoing, the words “believes,” “anticipates,” “plans,” “expects,” “may,” “should,” “could,” “estimate,” “intend” and other similar expressions are intended to identify forward-looking statements. Actual results could differ materially due to, among other things, the possible election of certain of the company’s customers to manage the healthcare services of their members directly; changes in rates paid to and/or by the company by customers and/or providers; higher utilization of health care services by the company’s risk members; delays, higher costs or inability to implement new business or other company initiatives; the impact of changes in the contracting model for Medicaid contracts; termination or non-renewal of customer contracts; the impact of new or amended laws or regulations; governmental inquiries; litigation; competition; operational issues; health care reform; and general business conditions. Additional factors that could cause actual results to differ materially from those reflected in the forward-looking statements include, but are not limited to, the risks discussed in the “Risk Factors” section included within the company’s Annual Report on Form 10-K for the year ended December 31, 2013, filed with the Securities and Exchange Commission on March 3, 2014, and the company’s subsequent Quarterly Reports on Form 10-Q filed during 2014. Readers are cautioned not to place undue reliance on these forward-looking statements. The company undertakes no obligation to publicly revise these forward-looking statements to reflect events or circumstances that arise after the date of this release. Segment profit information referred to herein may be considered a non-GAAP financial measure. Further information regarding this measure, including the reasons management considers this information useful to investors, are included in the company’s most recent Annual Report on Form 10-K and on subsequent Form 10-Qs.

 

###

 



 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(Unaudited)

(In thousands, except per share amounts)

 

 

 

Three Months Ended June 30,

 

Six Months Ended June 30,

 

 

 

2013

 

2014 (1)

 

2013

 

2014 (1)

 

 

 

 

 

 

 

 

 

 

 

Net revenue:

 

 

 

 

 

 

 

 

 

Managed care and other

 

$

746,720

 

$

682,274

 

$

1,469,309

 

$

1,511,865

 

PBM and dispensing

 

96,028

 

205,740

 

195,200

 

342,624

 

Total net revenue

 

842,748

 

888,014

 

1,664,509

 

1,854,489

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

Cost of care

 

537,630

 

481,617

 

1,062,657

 

1,087,325

 

Cost of goods sold

 

90,175

 

192,566

 

183,687

 

317,864

 

Direct service costs and other operating expenses (2)

 

144,497

 

179,034

 

284,124

 

343,756

 

Depreciation and amortization

 

16,946

 

22,480

 

33,116

 

42,709

 

Interest expense

 

792

 

2,004

 

1,402

 

2,840

 

Interest income

 

(358

)

(275

)

(711

)

(586

)

Total costs and expenses

 

789,682

 

877,426

 

1,564,275

 

1,793,908

 

Income before income taxes

 

53,066

 

10,588

 

100,234

 

60,581

 

Provision for income taxes

 

21,586

 

6,261

 

40,696

 

31,874

 

Net income

 

31,480

 

4,327

 

59,538

 

28,707

 

Less: net income (loss) attributable to non-controlling interest

 

 

(659

)

 

(1,999

)

Net income attributable to Magellan Health, Inc.

 

$

31,480

 

$

4,986

 

$

59,538

 

$

30,706

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares outstanding — basic

 

26,829

 

27,144

 

26,968

 

27,257

 

Weighted average number of common shares outstanding — diluted

 

27,338

 

27,765

 

27,492

 

27,908

 

 

 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan Health, Inc. - basic

 

$

1.17

 

$

0.18

 

$

2.21

 

$

1.13

 

Net income per common share attributable to Magellan Health, Inc. - diluted

 

$

1.15

 

$

0.18

 

$

2.17

 

$

1.10

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

31,480

 

$

4,327

 

$

59,538

 

$

28,707

 

Other comprehensive income:

 

 

 

 

 

 

 

 

 

Unrealized (losses) gains on available-for-sale securities (3)

 

(70

)

70

 

(147

)

113

 

Comprehensive income

 

31,410

 

4,397

 

59,391

 

28,820

 

Less: comprehensive income (loss) attributable to non-controlling interest

 

 

(659

)

 

(1,999

)

Comprehensive income attributable to Magellan Health, Inc.

 

$

31,410

 

$

5,056

 

$

59,391

 

$

30,819

 

 


(1) For a more detailed discussion of Magellan Health’s results for the quarterly period ended June 30, 2014, refer to the Company’s Quarterly Report on Form 10-Q, which will be filed with the SEC on, or shortly after, Friday, July 25, 2014, and the live broadcast or taped replay of the Company’s earnings conference call on Friday, July 25, 2014, which will be available at www.MagellanHealth.com.

 

(2) Includes stock compensation expense of $4,602 and $9,550 for the three months ended June 30, 2013 and 2014, respectively, and $10,240 and $14,022 for the six months ended June 30, 2013 and 2014, respectively.

 

(3) Net of income tax (benefit) provision of $(47) and $46 for the three months ended June 30, 2013 and 2014, respectively, and $(99) and $75 for the six months ended June 30, 2013 and 2014, respectively.

 



 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NON-GAAP MEASURES

(Unaudited)

(In thousands, except per share amounts)

 

 

 

Three Months Ended June 30,

 

Six Months Ended June 30,

 

 

 

2013

 

2014 (1)

 

2013

 

2014 (1)

 

 

 

 

 

 

 

 

 

 

 

Adjusted Net Income

 

$

31,480

 

$

11,030

 

$

59,538

 

$

38,336

 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

Amortization of acquired intangibles

 

 

(3,426

)

 

(5,059

)

Stock compensation relating to acquisitions

 

 

(6,373

)

 

(7,311

)

Tax impact

 

 

3,755

 

 

4,740

 

Net income attributable to Magellan Health, Inc.

 

$

31,480

 

$

4,986

 

$

59,538

 

$

30,706

 

 

 

 

 

 

 

 

 

 

 

Adjusted EPS

 

$

1.15

 

$

0.39

 

$

2.17

 

$

1.37

 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

Amortization of acquired intangibles

 

 

(0.12

)

 

(0.18

)

Stock compensation relating to acquisitions

 

 

(0.23

)

 

(0.26

)

Tax impact

 

 

0.14

 

 

0.17

 

Net income per common share attributable to Magellan Health, Inc. - diluted

 

$

1.15

 

$

0.18

 

$

2.17

 

$

1.10

 

 


(1) The Company’s Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2014 will be filed with the SEC on, or shortly after, Friday, July 25, 2014.

 



 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(In thousands)

 

 

 

Six Months Ended June 30,

 

 

 

2013

 

2014 (1)

 

 

 

 

 

 

 

Cash flows from operating activities:

 

 

 

 

 

Net income

 

$

59,538

 

$

28,707

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

 

Depreciation and amortization

 

33,116

 

42,709

 

Non-cash interest expense

 

368

 

1,572

 

Non-cash stock compensation expense

 

10,240

 

14,022

 

Non-cash income tax expense (benefit)

 

1,335

 

(1,558

)

Non-cash amortization on investments

 

4,884

 

2,653

 

Realized loss on sale of investments

 

 

50

 

Cash flows from changes in assets and liabilities, net of effects from acquisitions of businesses:

 

 

 

 

 

Restricted cash (2) 

 

37,086

 

69,383

 

Accounts receivable, net

 

(27,361

)

(15,752

)

Pharmaceutical inventory

 

(4,150

)

5,332

 

Other assets

 

(8,281

)

(27,675

)

Accounts payable and accrued liabilities

 

(29,643

)

(5,434

)

Medical claims payable and other medical liabilities

 

6,384

 

18,657

 

Tax contingencies

 

1,349

 

1,164

 

Deferred credits and other long-term liabilities

 

373

 

3,366

 

Other

 

1,671

 

(145

)

Net cash provided by operating activities

 

86,909

 

137,051

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

Capital expenditures

 

(27,035

)

(32,007

)

Acquisitions and investments in businesses, net of cash acquired

 

(7,900

)

(124,995

)

Purchase of investments

 

(165,372

)

(112,088

)

Maturity of investments

 

139,068

 

146,532

 

Net cash used in investing activities

 

(61,239

)

(122,558

)

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

Payments to acquire treasury stock

 

(49,462

)

(65,254

)

Proceeds from exercise of stock options and warrants

 

16,110

 

34,197

 

Payments on capital lease obligations

 

(1,816

)

(2,087

)

Other

 

(747

)

1,241

 

Net cash used in financing activities

 

(35,915

)

(31,903

)

 

 

 

 

 

 

Net decrease in cash and cash equivalents

 

(10,245

)

(17,410

)

Cash and cash equivalents at beginning of period

 

189,464

 

203,187

 

Cash and cash equivalents at end of period

 

$

179,219

 

$

185,777

 

 


(1) The Company’s Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2014 will be filed with the SEC on, or shortly after, Friday, July 25, 2014.

 

(2)  Includes the net shift of restricted funds between cash and investments that results in an operating cash flow change that is directly offset by an investing cash flow change.  During the six months ended June 30, 2013 and 2014, restricted cash of $31,249 and $12,319, respectively, was shifted to restricted investments that resulted in an operating cash flow source.

 



 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED OPERATING RESULTS BY BUSINESS SEGMENT

(Unaudited)

(In thousands)

 

 

 

Three Months Ended June 30,

 

Six Months Ended June 30,

 

 

 

2013

 

2014 (1)

 

2013

 

2014 (1)

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

 

 

 

 

 

 

 

- Commercial

 

$

199,538

 

$

198,025

 

$

387,375

 

$

386,916

 

- Public Sector

 

414,859

 

319,954

 

821,479

 

817,897

 

- Specialty Solutions

 

92,715

 

119,326

 

182,993

 

224,760

 

- Pharmacy Management (2)

 

55,829

 

44,969

 

108,928

 

100,347

 

- Elimination (2)

 

(16,221

)

 

(31,466

)

(18,055

)

Total managed care and other revenue

 

746,720

 

682,274

 

1,469,309

 

1,511,865

 

 

 

 

 

 

 

 

 

 

 

PBM and dispensing revenue

 

 

 

 

 

 

 

 

 

- Pharmacy Management (2)

 

96,028

 

209,265

 

195,200

 

348,889

 

- Elimination (2)

 

 

(3,525

)

 

(6,265

)

Total PBM and dispensing revenue

 

96,028

 

205,740

 

195,200

 

342,624

 

 

 

 

 

 

 

 

 

 

 

Cost of care

 

 

 

 

 

 

 

 

 

- Commercial

 

123,227

 

116,852

 

236,498

 

228,054

 

- Public Sector (2)

 

357,402

 

275,108

 

712,781

 

697,626

 

- Specialty Solutions

 

58,742

 

89,753

 

116,809

 

163,405

 

- Pharmacy Management

 

14,480

 

(96

)

28,035

 

16,295

 

- Elimination (2)

 

(16,221

)

 

(31,466

)

(18,055

)

Total cost of care

 

537,630

 

481,617

 

1,062,657

 

1,087,325

 

 

 

 

 

 

 

 

 

 

 

Cost of goods sold

 

 

 

 

 

 

 

 

 

- Pharmacy Management (2)

 

90,175

 

196,080

 

183,687

 

324,111

 

- Elimination (2)

 

 

(3,514

)

 

(6,247

)

Total cost of goods sold

 

90,175

 

192,566

 

183,687

 

317,864

 

 

 

 

 

 

 

 

 

 

 

Direct service costs and other

 

 

 

 

 

 

 

 

 

- Commercial

 

41,399

 

42,530

 

82,791

 

82,806

 

- Public Sector

 

28,934

 

45,391

 

54,577

 

88,349

 

- Specialty Solutions

 

13,863

 

17,897

 

27,234

 

33,038

 

- Pharmacy Management

 

31,374

 

41,605

 

60,935

 

77,156

 

- Corporate

 

28,927

 

31,622

 

58,587

 

62,425

 

- Elimination (2)

 

 

(11

)

 

(18

)

Total direct service costs and other

 

144,497

 

179,034

 

284,124

 

343,756

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense (3)

 

 

 

 

 

 

 

 

 

- Commercial

 

(133

)

(157

)

(266

)

(312

)

- Public Sector

 

(267

)

(230

)

(574

)

(504

)

- Specialty Solutions

 

(457

)

(354

)

(891

)

(768

)

- Pharmacy Management

 

(380

)

(5,556

)

(700

)

(5,859

)

- Corporate

 

(3,365

)

(3,253

)

(7,809

)

(6,579

)

Total stock compensation expense

 

(4,602

)

(9,550

)

(10,240

)

(14,022

)

 

 

 

 

 

 

 

 

 

 

Less: non-controlling interest segment profit (loss) - Public Sector (4)

 

 

(648

)

 

(1,978

)

 

 

 

 

 

 

 

 

 

 

Segment profit (loss)

 

 

 

 

 

 

 

 

 

- Commercial

 

35,045

 

38,800

 

68,352

 

76,368

 

- Public Sector

 

28,790

 

333

 

54,695

 

34,404

 

- Specialty Solutions

 

20,567

 

12,030

 

39,841

 

29,085

 

- Pharmacy Management

 

16,208

 

22,201

 

32,171

 

37,533

 

- Corporate and Elimination

 

(25,562

)

(28,369

)

(50,778

)

(55,846

)

Total segment profit

 

$

75,048

 

$

44,995

 

$

144,281

 

$

121,544

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of segment profit to income before income taxes:

 

 

 

 

 

 

 

 

 

Segment profit

 

$

75,048

 

$

44,995

 

$

144,281

 

$

121,544

 

Stock compensation expense

 

(4,602

)

(9,550

)

(10,240

)

(14,022

)

Non-controlling interest segment profit (loss)

 

 

(648

)

 

(1,978

)

Depreciation and amortization

 

(16,946

)

(22,480

)

(33,116

)

(42,709

)

Interest expense

 

(792

)

(2,004

)

(1,402

)

(2,840

)

Interest income

 

358

 

275

 

711

 

586

 

Income before income taxes

 

$

53,066

 

$

10,588

 

$

100,234

 

$

60,581

 

 


(1) The Company’s Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2014 will be filed with the SEC on, or shortly after, Friday, July 25, 2014.

 

(2) Public Sector subcontracts with Pharmacy Management to provide pharmacy benefits management services for certain of Public Sector’s customers. In addition, Pharmacy Management provides pharmacy benefits management for Magellan’s employees covered under its medical plan.  As such, revenue, cost of care, cost of goods sold, and direct service costs and other related to these arrangements are eliminated.

 

(3) Stock compensation expense is included in direct service costs and other operating expenses; however, this amount is excluded from the computation of segment profit since it is managed on a consolidated basis.

 

(4) The non-controlling portion of AlphaCare’s segment profit (loss) is excluded from the computation of segment profit.