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8-K - 8-K - MAGELLAN HEALTH INCf8-k.htm

Exhibit 99.1

 

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NEWS RELEASE

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

Investor Contact: Joe Bogdan, jbogdan@magellanhealth.com, (860) 507-1910

 

Magellan Health Reports Second Quarter 2017 Financial Results

 

 

Scottsdale, Ariz. – July 28, 2017 – Magellan Health, Inc. (NASDAQ: MGLN) today announced financial results for the second quarter ended June 30, 2017, as summarized below:

 

 

 

Three Months Ended
June 30

 

Six Months Ended
June 30

 

(In millions, except per share results)

 

2017

 

2016

 

Chg

 

2017

 

2016

 

Chg

 

Net revenue

    

$

1,419.1 

    

$

1,164.3 

    

22 

%  

$

2,724.8 

    

$

2,281.4 

    

19 

%

Net income

 

$

5.5 

 

$

4.0 

 

39 

%  

$

23.2 

 

$

17.2 

 

35 

%

Segment profit [1]

 

$

54.3 

 

$

56.9 

 

-5 

%  

$

124.2 

 

$

116.8 

 

%

Adjusted net income [1]

 

$

14.1 

 

$

14.4 

 

-2 

%  

$

40.2 

 

$

33.8 

 

19 

%

Per share results:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings per share

 

$

0.23 

 

$

0.16 

 

44 

%  

$

0.97 

 

$

0.70 

 

39 

%

Adjusted earnings per share [1]

 

$

0.59 

 

$

0.58 

 

%  

$

1.67 

 

$

1.38 

 

21 

%

 

[1]Refer to the Basis of Presentation for a discussion of non-GAAP financial measures.

 

Highlights Include:

·

Second quarter net revenue was $1.4 billion, a 22 percent increase over second quarter of 2016.

·

Segment profit was $54.3 million, a 5 percent decrease over the second quarter of 2016.

·

Net income was $5.5 million, an increase of 39 percent over the same quarter of 2016.

·

Adjusted net income was $14.1 million compared to $14.4 million in the second quarter of 2016.

·

Unrestricted cash and investments were $273.3 million as of June 30, 2017. Approximately $116.6 million of the unrestricted cash and investments related to excess capital and undistributed earnings held at regulated entities.

·

The Company repurchased approximately 90,000 shares of its common stock year to date through July 21, 2017 for approximately $6.4 million. The Company has $68.4 million

 


 

remaining in its share repurchase authorization program. On July 26, 2017, the Board of Directors extended this program for one year through October 26, 2018.

·

On July 13, 2017, the Company announced that it entered into a definitive agreement to acquire Senior Whole Health, a healthcare company focused on serving, complex, high-risk populations, providing both Medicare and Medicaid dual-eligible benefits in New York and Massachusetts. The Company anticipates the impact of this acquisition to be accretive in the twelve months following closing of approximately $0.60 earnings per share and $1.00 adjusted earnings per share. Beyond 2018, the Company anticipates synergies of approximately $10 million annually as a result of savings from insourcing pharmacy and behavioral health services, as well as administrative expense efficiencies. The acquisition is subject to certain state and federal regulatory approvals and is expected to close by the end of the first quarter 2018.

·

On August 1, 2017, the Company will begin serving members in the Tidewater region in Virginia, through the Commonwealth Coordinated Care Plus (CCC Plus) program. The CCC Plus program is Virginia's initiative around Managed Long Term Services and Supports (MLTSS), and will serve approximately 214,000 individuals with complex care needs. The CCC Plus program will phase in MLTSS members by region from August 2017 through January 2018.

 

“I’m pleased with the progress against our strategic initiatives and excited about the Senior Whole Health acquisition. This acquisition will strengthen our capabilities in dual-eligible long-term care programs, enhance our presence in New York and provide entry into the Massachusetts long-term care market,” said Barry M. Smith, chairman and chief executive officer of Magellan Health. “For the balance of the year, we are focused on the successful implementation of our Virginia program and actions to improve results for our commercial healthcare business.”

 

Net Revenue

Net revenue for the second quarter of 2017 increased 22 percent to $1.4 billion versus $1.2 billion in the second quarter of 2016. The year-over-year increase is primarily due to net business growth and the annualization of revenue from prior year acquisitions.

 

Healthcare Segment Profit

Healthcare segment profit for the quarter ended June 30, 2017 decreased 13 percent to $30.0 million versus $34.4 million in the second quarter of 2016. The year over year decrease was primarily due to the moratorium on the Health Insurer Fee, cost pressures in two of our commercial healthcare accounts, contract implementation costs and net unfavorable out-of-period items, partially offset by improved results in our government healthcare business and contributions from AFSC, which was acquired in July 2016.

 

Pharmacy Management Segment Profit

Pharmacy segment profit for the quarter ended June 30, 2017 increased 5 percent to $33.9 million versus $32.3 million for the second quarter of 2016. This year-over-year increase was driven by net business growth and earnings from the Veridicus acquisition, partially offset by higher investments to support growth initiatives.


 

Corporate

Corporate costs, inclusive of eliminations but excluding stock compensation expense, were $9.6 million, versus $9.8 million during the second quarter of 2016.

 

Cash Flow & Balance Sheet

Cash flow provided by operations for the six months ended June 30, 2017 was $3.8 million, as compared to cash flow used by operations of $119.2 million for the six months ended June 30, 2016. The prior year operating cash flow was impacted by several factors, including a contingent consideration payment related to the CDMI acquisition, the initial build-up of Part D receivables, and the run-out of claims related to our former contract with the state of Iowa.

 

As of June 30, 2017, the Company’s unrestricted cash and investments totaled $273.3 million, which represents a decrease of $20.6 million from the balance at December 31, 2016. Approximately $116.6 million of the unrestricted cash and investments at June 30, 2017 is related to excess capital and undistributed earnings held at regulated entities.

 

Restricted cash and investments at June 30, 2017 of $316.9 million is comparable to the balance at December 31, 2016 of $315.9 million.

 

Outlook

“While we are reiterating our guidance for 2017, we now expect our results to be approximately at the lower end of the ranges,” said Jonathan N. Rubin, chief financial officer. “Compared to the first half of 2017, we expect an increased segment profit run rate for the remainder of the year due to the following factors: the implementation of actions to improve results in commercial healthcare, business growth, rate increases, normal earnings seasonality in our Part D plan and timing of customer settlements across our businesses.”

 

 

 

 

 

 

 

 

 

 

2017 Guidance Ranges

(In millions, except per share results)

    

Low

    

High

Net revenue

 

$

5,795.0 

 

$

6,095.0 

Net income

 

$

90.0 

 

$

114.0 

Segment profit [1]

 

$

329.0 

 

$

349.0 

Adjusted net income [1]

 

$

123.0 

 

$

145.0 

Cash flow from operations

 

$

150.0 

 

$

182.0 

Per share results:

 

 

 

 

 

 

Earnings per share

 

$

3.72 

 

$

4.71 

Adjusted earnings per share [1]

 

$

5.08 

 

$

5.99 

 

[1]Refer to the Basis of Presentation for a discussion of non-GAAP financial measures.

 


 

Earnings Conference Call

Management will discuss the Company’s second quarter results on a conference call scheduled for Friday, July 28, 2017 at 8:30 a.m. Eastern. To participate in the conference call, dial 1-800-857-1812 approximately 10 minutes before the start of the call. The conference call will also be available live via webcast at Magellan's investor relations page at MagellanHealth.com. A telephonic replay will be available shortly after the conclusion of the call through August 28, 2017. This replay may be accessed by dialing 1-866-467-2412 (domestic) or 1-203-369-1448 (international). A replay of the webcast will also be available at the site listed above for 30 days, beginning approximately two hours after its conclusion.

 

Basis of Presentation

In addition to results determined under Generally Accepted Accounting Principles (GAAP), Magellan provides certain non-GAAP financial measures that management believes are useful in assessing the Company’s performance. Following is a description of these important non-GAAP measures.

 

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, stock compensation expense, special charges or benefits, as well as changes in the fair value of contingent consideration recorded in relation to acquisitions.

 

Adjusted net income and adjusted earnings per share 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, changes in the fair value of contingent consideration, amortization of identified acquisition intangibles, as well as impairment of identified acquisition intangibles.

 

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

 

About Magellan Health

Magellan Health, Inc. is a leader in managing the fastest growing, most complex areas of health, including special populations, complete pharmacy benefits and other specialty areas of healthcare. Magellan supports innovative ways of accessing better health through technology, while remaining focused on the critical personal relationships that are necessary to achieve a healthy, vibrant life. Magellan's customers include health plans and other managed care organizations, employers, labor unions, various military and governmental agencies and third-party administrators. For more information, visit MagellanHealth.com.

 

Forward-Looking Statements

This release is intended to be disclosure through methods reasonably designed to provide broad, non-exclusionary distribution to the public in compliance with the Securities and Exchange Commission’s Fair Disclosure Regulation. 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, many of which are out of our control. All statements, other than statements of historical information provided herein, may be deemed to be forward-looking statements including,


 

without limitation, statements regarding 2017 guidance for net revenue, net income, earnings per share, segment profit, adjusted net income, adjusted earnings per share, cash flow from operations, segment profit run rate, anticipated accretion and synergies from the Senior Whole Health acquisition, growth opportunities 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, 2016, filed with the Securities and Exchange Commission on February 24, 2017, and the Company’s subsequent Quarterly Reports on Form 10-Q filed during 2017. 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, adjusted net income, and adjusted EPS information referred to herein may be considered a non-GAAP financial measure. Further information regarding these measures, 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 BALANCE SHEETS

(In thousands)

 

 

 

 

 

 

 

 

 

 

    

December 31, 2016

    

    

Jun30, 2017

 

 

 

 

 

(unaudited)

ASSETS

 

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

304,508 

 

 

$

281,333 

Accounts receivable, net

 

 

606,764 

 

 

 

628,539 

Short-term investments

 

 

297,493 

 

 

 

300,436 

Pharmaceutical inventory

 

 

58,995 

 

 

 

59,738 

Other current assets

 

 

51,507 

 

 

 

73,259 

Total Current Assets

 

 

1,319,267 

 

 

 

1,343,305 

Property and equipment, net

 

 

172,524 

 

 

 

165,088 

Long-term investments

 

 

7,760 

 

 

 

8,395 

Deferred income taxes

 

 

3,125 

 

 

 

4,911 

Other long-term assets

 

 

12,725 

 

 

 

26,845 

Goodwill

 

 

742,054 

 

 

 

745,997 

Other intangible assets, net

 

 

186,232 

 

 

 

165,102 

Total Assets

 

$

2,443,687 

 

 

$

2,459,643 

 

 

 

 

 

 

 

 

LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST AND STOCKHOLDERS' EQUITY

 

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

 

Accounts payable

 

$

95,635 

 

 

$

70,735 

Accrued liabilities

 

 

202,176 

 

 

 

179,053 

Short-term contingent consideration

 

 

9,354 

 

 

 

9,769 

Medical claims payable

 

 

184,136 

 

 

 

198,343 

Other medical liabilities

 

 

197,856 

 

 

 

189,628 

Current debt and capital lease obligations

 

 

403,693 

 

 

 

428,791 

Total Current Liabilities

 

 

1,092,850 

 

 

 

1,076,319 

Long-term debt and capital lease obligations

 

 

214,686 

 

 

 

201,148 

Tax contingencies

 

 

13,981 

 

 

 

15,168 

Long-term contingent consideration

 

 

1,799 

 

 

 

1,587 

Deferred credits and other long-term liabilities

 

 

15,882 

 

 

 

17,764 

Total Liabilities

 

 

1,339,198 

 

 

 

1,311,986 

 

 

 

 

 

 

 

 

Redeemable non-controlling interest

 

 

4,770 

 

 

 

3,919 

Stockholders' Equity:

 

 

 

 

 

 

 

Ordinary common stock

 

 

520 

 

 

 

522 

Additional paid-in capital

 

 

1,186,283 

 

 

 

1,212,427 

Retained earnings

 

 

1,289,288 

 

 

 

1,312,535 

Accumulated other comprehensive loss

 

 

(175)

 

 

 

(174)

Ordinary common stock in treasury, at cost

 

 

(1,376,197)

 

 

 

(1,381,572)

Total Stockholders' Equity

 

 

1,099,719 

 

 

 

1,143,738 

Total Liabilities, Redeemable Non-Controlling Interest and Stockholders' Equity

 

$

2,443,687 

 

 

$

2,459,643 

 


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(In thousands, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended
June 30,

 

Six Months Ended
June 30,

 

 

2016

 

 

2017

 

2016

 

 

2017

 

    

(unaudited)

   

  

(unaudited)

    

(unaudited)

   

  

(unaudited)

Net revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other

 

$

699,861 

 

 

$

821,699 

 

$

1,376,322 

 

 

$

1,551,039 

PBM and dispensing

 

 

464,484 

 

 

 

597,440 

 

 

905,045 

 

 

 

1,173,723 

Total net revenue

 

 

1,164,345 

 

 

 

1,419,139 

 

 

2,281,367 

 

 

 

2,724,762 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of care

 

 

472,529 

 

 

 

583,264 

 

 

930,160 

 

 

 

1,065,318 

Cost of goods sold

 

 

436,930 

 

 

 

562,355 

 

 

852,389 

 

 

 

1,104,988 

Direct service costs and other operating expenses (1)(2)(3)

 

 

214,077 

 

 

 

231,372 

 

 

406,533 

 

 

 

452,858 

Depreciation and amortization

 

 

25,580 

 

 

 

27,731 

 

 

50,587 

 

 

 

54,707 

Interest expense

 

 

1,994 

 

 

 

4,900 

 

 

3,742 

 

 

 

9,048 

Interest and other income

 

 

(692)

 

 

 

(1,071)

 

 

(1,375)

 

 

 

(2,020)

Total costs and expenses

 

 

1,150,418 

 

 

 

1,408,551 

 

 

2,242,036 

 

 

 

2,684,899 

Income before income taxes

 

 

13,927 

 

 

 

10,588 

 

 

39,331 

 

 

 

39,863 

Provision for income taxes

 

 

12,615 

 

 

 

5,661 

 

 

24,628 

 

 

 

17,467 

Net income

 

 

1,312 

 

 

 

4,927 

 

 

14,703 

 

 

 

22,396 

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

 

 

(2,646)

 

 

 

(573)

 

 

(2,492)

 

 

 

(851)

Net income attributable to Magellan

 

$

3,958 

 

 

$

5,500 

 

$

17,195 

 

 

$

23,247 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares outstanding — basic

 

 

23,516 

 

 

 

23,108 

 

 

23,570 

 

 

 

23,060 

Weighted average number of common shares outstanding — diluted

 

 

24,643 

 

 

 

24,038 

 

 

24,574 

 

 

 

24,037 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan — basic

 

$

0.17 

 

 

$

0.24 

 

$

0.73 

 

 

$

1.01 

Net income per common share attributable to Magellan — diluted

 

$

0.16 

 

 

$

0.23 

 

$

0.70 

 

 

$

0.97 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

1,312 

 

 

$

4,927 

 

$

14,703 

 

 

$

22,396 

Other comprehensive income:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unrealized (losses) gains on available-for-sale securities (4)

 

 

(2)

 

 

 

22 

 

 

236 

 

 

 

Comprehensive income

 

 

1,310 

 

 

 

4,949 

 

 

14,939 

 

 

 

22,397 

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

 

 

(2,646)

 

 

 

(573)

 

 

(2,492)

 

 

 

(851)

Comprehensive income attributable to Magellan

 

$

3,956 

 

 

$

5,522 

 

$

17,431 

 

 

$

23,248 

 

(1)

Includes stock compensation expense of $9,510 and $11,371 for the three months ended June 30. 2016 and 2017. respectively, and $18,397 and $21,511 for the six months ended June 30,2016 and 2017, respectively.

(2)

Includes changes in fair value of contingent consideration of $463 and $252 for the three months ended June 30, 2016 and 2017, respectively, and $197 and $203 for the six months ended June 30. 2016 and 2017, respectively

(3)

Includes impairment of intangible assets of $4,800 for the three and six months ended June 30, 2016.

(4)

Net of income tax provision of $1 and $14 for the three months ended June 30, 2016 and 2017, respectively, and $147 and $2 for the six months ended June 30, 2016 and 2017, respectively


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

 

 

 

 

 

 

 

 

 

    

Six Months Ended
June 30,

 

 

2016

    

    

2017

 

 

(Unaudited)

 

 

(Unaudited)

Cash flows from operating activities:

 

 

 

 

 

 

 

Net income

 

$

14,703 

 

 

$

22,396 

Adjustments to reconcile net income to net cash from operating activities:

 

 

 

 

 

 

 

Depreciation and amortization

 

 

50,587 

 

 

 

54,707 

Non-cash impairment of intangible assets

 

 

4,800 

 

 

 

Non-cash interest expense

 

 

204 

 

 

 

578 

Non-cash stock compensation expense

 

 

18,397 

 

 

 

21,511 

Non-cash income tax expense (benefit)

 

 

1,570 

 

 

 

(1,520)

Non-cash amortization on investments

 

 

3,147 

 

 

 

2,094 

Changes in assets and liabilities, net of effects from acquisitions of businesses:

 

 

 

 

 

 

 

Accounts receivable, net

 

 

(74,430)

 

 

 

(21,859)

Pharmaceutical inventory

 

 

(12,246)

 

 

 

(1,188)

Other assets

 

 

(56,460)

 

 

 

(21,974)

Accounts payable and accrued liabilities

 

 

14,522 

 

 

 

(59,372)

Medical claims payable and other medical liabilities

 

 

(34,460)

 

 

 

5,978 

Contingent consideration

 

 

(50,904)

 

 

 

203 

Tax contingencies

 

 

647 

 

 

 

764 

Deferred credits and other long-term liabilities

 

 

663 

 

 

 

1,882 

Other

 

 

23 

 

 

 

(364)

Net cash (used in) provided by operating activities

 

 

(119,237)

 

 

 

3,836 

 

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

 

 

Capital expenditures

 

 

(30,522)

 

 

 

(26,797)

Acquisitions and investments in businesses, net of cash acquired

 

 

(15,477)

 

 

 

(3,200)

Purchase of investments

 

 

(211,061)

 

 

 

(238,814)

Maturity of investments

 

 

246,786 

 

 

 

233,143 

Net cash used in investing activities

 

 

(10,274)

 

 

 

(35,668)

 

 

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

 

 

Proceeds from issuance of debt

 

 

225,000 

 

 

 

200,000 

Payments to acquire treasury stock

 

 

(25,458)

 

 

 

(5,000)

Proceeds from exercise of stock options and warrants

 

 

9,691 

 

 

 

5,946 

Payments on debt and capital lease obligations

 

 

(9,401)

 

 

 

(190,978)

Payments on contingent consideration

 

 

(39,958)

 

 

 

Other

 

 

(94)

 

 

 

(1,311)

Net cash provided by financing activities

 

 

159,780 

 

 

 

8,657 

 

 

 

 

 

 

 

 

Net increase (decrease) in cash and cash equivalents

 

 

30,269 

 

 

 

(23,175)

Cash and cash equivalents at beginning of period

 

 

249,029 

 

 

 

304,508 

Cash and cash equivalents at end of period

 

$

279,298 

 

 

$

281,333 

 


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED OPERATING RESULTS BY BUSINESS SEGMENT

(In thousands)

 

 

 

Three Months Ended

 

Six Months Ended

 

 

June 30,

 

June 30,

 

 

2016

 

 

2017

 

2016

 

 

2017

 

    

(unaudited)

  

  

(unaudited)

    

(unaudited)

  

  

(unaudited)

Healthcare

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

637,970 

 

 

$

755,270 

 

$

1,256,898 

 

 

$

1,420,646 

Cost of care

 

 

(472,529)

 

 

 

(583,264)

 

 

(930,160)

 

 

 

(1,065,318)

Direct service costs and other

 

 

(139,965)

 

 

 

(145,914)

 

 

(265,582)

 

 

 

(284,882)

Stock compensation expense (1)

 

 

2,451 

 

 

 

3,106 

 

 

4,470 

 

 

 

5,765 

Changes in fair value of contingent consideration (1)

 

 

390 

 

 

 

252 

 

 

70 

 

 

 

203 

Impairment of intangible assets (1)

 

 

4,800 

 

 

 

 

 

4,800 

 

 

 

Less: non-controlling interest segment profit (loss) (2)

 

 

(1,305)

 

 

 

(568)

 

 

(1,136)

 

 

 

(845)

Healthcare segment profit

 

 

34,422 

 

 

 

30,018 

 

 

71,632 

 

 

 

77,259 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pharmacy Management

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

61,975 

 

 

 

66,659 

 

 

119,552 

 

 

 

130,839 

PBM and dispensing revenue

 

 

495,399 

 

 

 

631,932 

 

 

965,633 

 

 

 

1,238,678 

Cost of goods sold

 

 

(466,637)

 

 

 

(595,446)

 

 

(910,586)

 

 

 

(1,167,283)

Direct service costs and other

 

 

(64,086)

 

 

 

(74,953)

 

 

(124,927)

 

 

 

(150,806)

Stock compensation expense (1)

 

 

5,548 

 

 

 

5,684 

 

 

10,970 

 

 

 

11,414 

Changes in fair value of contingent consideration (1)

 

 

73 

 

 

 

 

 

127 

 

 

 

Pharmacy Management segment profit

 

 

32,272 

 

 

 

33,876 

 

 

60,769 

 

 

 

62,842 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate and Elimination (3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

(84)

 

 

 

(230)

 

 

(128)

 

 

 

(446)

PBM and dispensing revenue

 

 

(30,915)

 

 

 

(34,492)

 

 

(60,588)

 

 

 

(64,955)

Cost of goods sold

 

 

29,707 

 

 

 

33,091 

 

 

58,197 

 

 

 

62,295 

Direct service costs and other

 

 

(10,026)

 

 

 

(10,505)

 

 

(16,024)

 

 

 

(17,170)

Stock compensation expense (1)

 

 

1,511 

 

 

 

2,581 

 

 

2,957 

 

 

 

4,332 

Less: non-controlling interest segment profit (loss) (2)

 

 

(7)

 

 

 

(1)

 

 

(11)

 

 

 

(2)

Corporate and Elimination

 

 

(9,800)

 

 

 

(9,554)

 

 

(15,575)

 

 

 

(15,942)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

699,861 

 

 

 

821,699 

 

 

1,376,322 

 

 

 

1,551,039 

PBM and dispensing revenue

 

 

464,484 

 

 

 

597,440 

 

 

905,045 

 

 

 

1,173,723 

Cost of care

 

 

(472,529)

 

 

 

(583,264)

 

 

(930,160)

 

 

 

(1,065,318)

Cost of goods sold

 

 

(436,930)

 

 

 

(562,355)

 

 

(852,389)

 

 

 

(1,104,988)

Direct service costs and other

 

 

(214,077)

 

 

 

(231,372)

 

 

(406,533)

 

 

 

(452,858)

Stock compensation expense (1)

 

 

9,510 

 

 

 

11,371 

 

 

18,397 

 

 

 

21,511 

Changes in fair value of contingent consideration (1)

 

 

463 

 

 

 

252 

 

 

197 

 

 

 

203 

Impairment of intangible assets (1)

 

 

4,800 

 

 

 

 

 

4,800 

 

 

 

Less: non-controlling interest segment profit (loss) (2)

 

 

(1,312)

 

 

 

(569)

 

 

(1,147)

 

 

 

(847)

Consolidated segment profit

 

$

56,894 

 

 

$

54,340 

 

$

116,826 

 

 

$

124,159 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of income before taxes to segment profit:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

$

13,927 

 

 

$

10,588 

 

$

39,331 

 

 

$

39,863 

Stock compensation expense

 

 

9,510 

 

 

 

11,371 

 

 

18,397 

 

 

 

21,511 

Changes in fair value of contingent consideration

 

 

463 

 

 

 

252 

 

 

197 

 

 

 

203 

Impairment of intangible assets

 

 

4,800 

 

 

 

 

 

4,800 

 

 

 

Non-controlling interest segment (profit) loss

 

 

1,312 

 

 

 

569 

 

 

1,147 

 

 

 

847 

Depreciation and amortization

 

 

25,580 

 

 

 

27,731 

 

 

50,587 

 

 

 

54,707 

Interest expense

 

 

1,994 

 

 

 

4,900 

 

 

3,742 

 

 

 

9,048 

Interest and other income

 

 

(692)

 

 

 

(1,071)

 

 

(1,375)

 

 

 

(2,020)

Segment profit

 

$

56,894 

 

 

$

54,340 

 

$

116,826 

 

 

$

124,159 

 

(1)

Stock compensation expense changes in the fair value of contingent consideration recoded in relation to acquisitions and impairment of intangible assets are included indirect service costs and other operating expenses; however, these amounts are excluded from the computation of segment profit

(2)

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

(3)

Healthcare subcontracts with Pharmacy Management to provide pharmacy benefits management services for certain of Healthcare’s customers. ln addition, Pharmacy Management provides pharmacy benefits management for the Company’s employees covered under its medical plan. As such revenue cost of goods sold and direct service cost and other related to these arrangements are eliminated.


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NON-GAAP MEASURES

(In thousands, except per share amounts)

 

 

 

Three Months Ended
June 30,

 

Six Months Ended
June 30,

 

    

2016

   

   

2017

    

2016

   

   

2017

 

 

(unaudited)

 

 

(unaudited)

 

(unaudited)

 

 

(unaudited)

Net income attributable to Magellan

 

$

3,958 

 

 

$

5,500 

 

$

17,195 

 

 

$

23,247 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

4,556 

 

 

 

4,906 

 

 

9,112 

 

 

 

9,758 

Changes in fair value of contingent consideration

 

 

463 

 

 

 

252 

 

 

197 

 

 

 

203 

Amortization of acquired intangibles

 

 

5,509 

 

 

 

8,315 

 

 

11,289 

 

 

 

16,766 

Impairment of intangible assets, net of non-controlling interest

 

 

3,936 

 

 

 

 

 

3,936 

 

 

 

Tax impact

 

 

(4,071)

 

 

 

(4,888)

 

 

(7,949)

 

 

 

(9,767)

Adjusted net income

 

$

14,351 

 

 

$

14,085 

 

$

33,780 

 

 

$

40,207 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan —Diluted

 

$

0.16 

 

 

$

0.23 

 

$

0.70 

 

 

$

0.97 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

0.19 

 

 

 

0.20 

 

 

0.37 

 

 

 

0.40 

Changes in fair value of contingent consideration

 

 

0.02 

 

 

 

0.01 

 

 

0.01 

 

 

 

0.01 

Amortization of acquired intangibles

 

 

0.22 

 

 

 

0.35 

 

 

0.46 

 

 

 

0.70 

Impairment of intangible assets, net of non-controlling interest

 

 

0.16 

 

 

 

 

 

0.16 

 

 

 

Tax impact

 

 

(0.17)

 

 

 

(0.20)

 

 

(0.32)

 

 

 

(0.41)

Adjusted earnings per share

 

$

0.58 

 

 

$

0.59 

 

$

1.38 

 

 

$

1.67 


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

FISCAL 2017 GUIDANCE

RECONCILIATION OF GAAP TO NON-GAAP MEASURES

(ln millions, except per share amounts)

 

 

 

 

 

 

 

 

 

 

    

Low

    

    

High

Net income attributable to Magellan

 

$

90.0 

 

 

$

114.0 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

16.7 

 

 

 

16.7 

Changes in fair value of contingent consideration

 

 

2.0 

 

 

 

‑ 

Amortization of acquired intangibles

 

 

34.0 

 

 

 

34.0 

Tax impact

 

 

(19.7)

 

 

 

(19.7)

Adjusted net income

 

$

123.0 

 

 

$

145.0 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan  —Diluted

 

$

3.72 

 

 

$

4.71 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

0.69 

 

 

 

0.69 

Changes in fair value of contingent consideration

 

 

0.08 

 

 

 

Amortization of acquired intangibles

 

 

1.40 

 

 

 

1.40 

Tax impact

 

 

(0.81)

 

 

 

(0.81)

Adjusted earnings per share

 

$

5.08 

 

 

$

5.99 

 

 

 

 

 

 

 

 

Reconciliation of income before income taxes to segment profit:

 

 

 

 

 

 

 

Income before income taxes

 

$

149.0 

 

 

$

189.0 

Stock compensation expense

 

 

40.0 

 

 

 

36.0 

Changes in fair value of contingent consideration

 

 

2.0 

 

 

 

Depreciation and amortization

 

 

117.0 

 

 

 

113.0 

Interest expense

 

 

23.0 

 

 

 

13.0 

Interest income

 

 

(2.0)

 

 

 

(2.0)

Segment profit

 

$

329.0 

 

 

$

349.0 

 


 

SENIOR WHOLE HEALTH ACCRETION

RECONCILIATION OF GAAP TO NON-GAAP MEASURES

(12 month accretion from acquisition date)

 

 

 

Accretion

Net income per common share —Diluted

 

$

0.60 

Adjusted for acquisition

 

 

 

Amortization of acquired intangibles

 

 

0.67 

Tax impact

 

 

(0.27)

Adjusted earnings per share

 

$

1.00 

 

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