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

Exhibit 99.1

 

 

 

 

Picture 1

 

NEWS RELEASE

Media Contact: Lilly Ackley, ackleyl@magellanhealth.com, (860) 507-1923

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

 

Magellan Health Reports Second Quarter 2018 Financial Results

Lowers 2018  Guidance

 

Scottsdale, Ariz. – July 27, 2018 – Magellan Health, Inc. (NASDAQ: MGLN) today announced financial results for the second quarter ended June 30, 2018, as summarized below:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended 

 

Six Months Ended 

 

 

 

June 30

 

June 30

 

(In millions, except per share amounts)

 

2018

 

2017

 

Chg

 

2018

 

2017

 

Chg

 

Net revenue

    

$

1,810.9 

    

$

1,419.1 

    

27.6 

%  

$

3,616.0 

    

$

2,724.8 

    

32.7 

%

Net income

 

$

13.6 

 

$

5.5 

 

146.4 

%  

$

25.0 

 

$

23.2 

 

7.6 

%

Segment profit [1]

 

$

68.0 

 

$

54.3 

 

25.2 

%  

$

123.6 

 

$

124.2 

 

-0.5 

%

Adjusted net income [1]

 

$

23.3 

 

$

14.1 

 

65.2 

%  

$

44.1 

 

$

40.2 

 

9.7 

%

Per share results:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings per share

 

$

0.53 

 

$

0.23 

 

130.4 

%  

$

0.98 

 

$

0.97 

 

1.0 

%

Adjusted earnings per share [1]

 

$

0.92 

 

$

0.59 

 

55.9 

%  

$

1.73 

 

$

1.67 

 

3.6 

%

 


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

 

Highlights Include:

·

Net revenue increased 27.6 percent over the second quarter of 2017 to $1.8 billion.

·

Net income increased 146.4 percent over the second quarter of 2017 to $13.6 million.

·

Segment profit increased 25.2 percent over the second quarter of 2017 to $68.0 million.

·

Adjusted net income increased 65.2 percent from the second quarter of 2017 to $23.3 million.


 

·

Unrestricted cash and investments were $244.4 million as of June 30, 2018. Approximately $115.8 million of the unrestricted cash and investments as of June 30, 2018, is related to excess capital and undistributed earnings held at regulated entities.

·

On May 24, 2018, the Company’s board of directors approved an additional $200 million to the current $200 million stock repurchase plan which will now authorize the Company to purchase up to $400 million. The board also extended the end date for an additional two years until October 22, 2020.

·

In May, the Company was named to the annual Fortune 500 list of America’s largest corporations by revenue for the first time in the Company’s history.

 

Net Revenue

Net revenue for the second quarter ended June 30, 2018, was $1.8 billion, an increase of 27.6 percent over the same period in 2017. This increase was mainly driven by net business growth and the annualization of revenue from the prior year acquisition of Senior Whole Health.

 

Segment Profit

Segment profit was $68.0 million for the second quarter, compared to $54.3 million in the prior year quarter.

 

·

Healthcare segment profit was $43.9 million, which represents an increase of 46.2 percent over the second quarter of 2017. The increase was mainly due to several factors, including:  the incremental contribution of the Senior Whole Health acquisition; $8 million of favorable out of period development in the current quarter, the majority of which relates to the first quarter 2018;  and net improvements in our Commercial business; partially off-set by a rate reduction in Florida and operating losses in Virginia.

 

·

Pharmacy management segment profit was $29.9 million, which was a  decrease of 11.7 percent from the second quarter of 2017. This decrease was primarily driven by a decline in earnings in our specialty carve-out business resulting from lost formulary management contracts.

 

·

Corporate costs inclusive of eliminations,  but excluding stock compensation expense, totaled $5.8 million, compared to $9.6 million in the second quarter of 2017. This decrease was largely due to lower discretionary benefit expenses.

 

Cash Flow & Balance Sheet

Cash flow from operations for the six months ended June 30, 2018, was $21.1 million versus $3.8 million in the six months ended June 30, 2017. The improved cash flow in the current year is mainly attributable to a decrease in tax payments and other net favorable working capital changes.

 


 

As of June 30, 2018, the Company’s unrestricted cash and investments totaled $244.4 million, which represents a decrease of $16.8 million from the balance at December 31, 2017. Approximately $115.8 million of the unrestricted cash and investments at June 30, 2018, is related to excess capital and undistributed earnings held at regulated entities.

 

Restricted cash and investments at June 30, 2018, was $435.0 million versus the balance at December 31, 2017 of  $465.4 million.

 

On May 24, 2018, the Company’s board of directors approved an additional $200 million to the current $200 million stock repurchase plan which now authorizes the Company to purchase up to $400 million. The board also extended the end date for an additional two years until October 22, 2020. As of July 20, 2018, the total remaining under this increased authorization was $234.6 million.

 

Outlook

The Company is lowering its 2018 full year earnings guidance.

 

“We are updating our guidance ranges to reflect the following: the impact of lost contracts and delays in closing on pipeline opportunities in our pharmacy specialty carve-out business; the impact of our continued cost of care pressure in Virginia; and in New York, the impact of lower than expected membership growth as well as lower than anticipated capitation rates, partially offset by improvements in care management,” said Jonathan N. Rubin, chief financial officer of Magellan Health.

 

The Company now anticipates segment profit in the range of $330 million to $350 million. In addition, the Company expects revenue in the range of $7.3 billion to $7.5 billion, net income in the range of $93 million to $117 million, adjusted net income in the range of $132 million to $152 million, EPS in the range of $3.65 to $4.59 and adjusted EPS in the range of $5.18 to $5.96.

 

“Compared to the first half of 2018, we expect the segment profit to sequentially increase for the remainder of the year due to the following three factors: earnings seasonality in both our healthcare and pharmacy businesses, margin expansion due to initiatives in our healthcare segment, and new business and same store growth,” said Rubin. “While we expect these items to have a favorable impact in the third quarter, we anticipate a greater impact in the fourth quarter.”

 


 

“I am confident in our strategy and optimistic about our continued growth trajectory,” said Barry M. Smith, chairman and chief executive officer of Magellan Health. “2018 will continue to be a year of focused execution for Magellan, and our strategy remains unchanged.”

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

July 27, 2018

 

April 26, 2018

 

2018 Guidance

 

Low

 

High

 

Low

 

High

 

Net revenue

    

$

7,300.0 

    

$

7,500.0 

    

$

7,500.0 

    

$

7,800.0 

 

Income before income taxes

 

$

132.0 

 

$

170.0 

 

$

165.0 

 

$

203.0 

 

Net income

 

$

93.0 

 

$

117.0 

 

$

113.0 

 

$

137.0 

 

Segment Profit[1]

 

$

330.0 

 

$

350.0 

 

$

365.0 

 

$

385.0 

 

Adjusted net income[1]

 

$

132.0 

 

$

152.0 

 

$

151.0 

 

$

171.0 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Per share results:

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings per share[2]

 

$

3.65 

 

$

4.59 

 

$

4.41 

 

$

5.35 

 

Adjusted earnings per share[1][2]

 

$

5.18 

 

$

5.96 

 

$

5.90 

 

$

6.68 

 

 


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

[2] 2018 EPS and Adjusted EPS guidance includes share repurchases and option exercises through the close of business July 20, 2018,  but excludes the impact of any potential future activity.

 

Earnings Conference Call

Management will discuss the Company’s second quarter results on a conference call scheduled for Friday, July 27, 2018 at 8:00 a.m. Eastern. To participate in the conference call, dial 1-800-857-1812 and use passcode “2nd Quarter 2018” 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 26, 2018. This replay may be accessed by dialing 1-866-501-5116 (Domestic) or 1-203-369-1840 (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 revenue 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., a Fortune 500 company, 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 2018 guidance for net revenue, income before income taxes, net income, earnings per share, segment profit, adjusted net income, adjusted earnings per share, 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 healthcare 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; healthcare 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, 2017, filed with the Securities and Exchange Commission on March 1, 2018, and the Company’s subsequent Quarterly Reports on Form 10-Q filed during 2018. 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, 2017

  

  

June 30, 2018

 

 

 

 

 

 

(unaudited)

 

ASSETS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

398,732 

 

 

$

246,109 

 

Accounts receivable, net

 

 

660,775 

 

 

 

839,773 

 

Short-term investments

 

 

310,578 

 

 

 

412,770 

 

Pharmaceutical inventory

 

 

40,945 

 

 

 

50,333 

 

Other current assets

 

 

72,323 

 

 

 

119,164 

 

Total Current Assets

 

 

1,483,353 

 

 

 

1,668,149 

 

Property and equipment, net

 

 

158,638 

 

 

 

160,702 

 

Long-term investments

 

 

17,287 

 

 

 

20,478 

 

Deferred income taxes

 

 

813 

 

 

 

1,554 

 

Other long-term assets

 

 

22,567 

 

 

 

30,909 

 

Goodwill

 

 

1,006,288 

 

 

 

1,014,321 

 

Other intangible assets, net

 

 

268,288 

 

 

 

243,646 

 

Total Assets

 

$

2,957,234 

 

 

$

3,139,759 

 

 

 

 

 

 

 

 

 

 

LIABILITIES AND STOCKHOLDERS' EQUITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

 

 

Accounts payable

 

$

74,300 

 

 

$

76,458 

 

Accrued liabilities

 

 

193,635 

 

 

 

268,258 

 

Short-term contingent consideration

 

 

6,892 

 

 

 

7,062 

 

Medical claims payable

 

 

327,625 

 

 

 

397,550 

 

Other medical liabilities

 

 

177,002 

 

 

 

183,222 

 

Current debt and capital lease obligations

 

 

112,849 

 

 

 

90,546 

 

Total Current Liabilities

 

 

892,303 

 

 

 

1,023,096 

 

Long-term debt and capital lease obligations

 

 

740,888 

 

 

 

734,503 

 

Deferred income taxes

 

 

12,298 

 

 

 

10,928 

 

Tax contingencies

 

 

14,226 

 

 

 

15,058 

 

Long-term contingent consideration

 

 

1,925 

 

 

 

2,058 

 

Deferred credits and other long-term liabilities

 

 

19,100 

 

 

 

35,346 

 

Total Liabilities

 

 

1,680,740 

 

 

 

1,820,989 

 

 

 

 

 

 

 

 

 

 

Stockholders’ Equity:

 

 

 

 

 

 

 

 

Ordinary common stock

 

 

530 

 

 

 

535 

 

Additional paid-in capital

 

 

1,274,811 

 

 

 

1,311,316 

 

Retained earnings

 

 

1,399,495 

 

 

 

1,420,271 

 

Accumulated other comprehensive loss

 

 

(380)

 

 

 

(567)

 

Ordinary common stock in treasury, at cost

 

 

(1,397,962)

 

 

 

(1,412,785)

 

Total Stockholders’ Equity

 

 

1,276,494 

 

 

 

1,318,770 

 

Total Liabilities and Stockholders’ Equity

 

$

2,957,234 

 

 

$

3,139,759 

 

 


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(Unaudited)

(In thousands, except per share amounts)

 

 

 

Three Months Ended

 

Six Months Ended

 

 

 

June 30,

 

June 30,

 

 

 

2017

 

 

2018

 

2017

 

 

2018

 

Net revenue:

    

 

    

  

  

 

    

    

 

    

  

  

 

    

 

Managed care and other

 

$

821,699 

 

 

$

1,215,340 

 

$

1,551,039 

 

 

$

2,435,103 

 

PBM

 

 

597,440 

 

 

 

595,583 

 

 

1,173,723 

 

 

 

1,180,897 

 

Total net revenue

 

 

1,419,139 

 

 

 

1,810,923 

 

 

2,724,762 

 

 

 

3,616,000 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of care

 

 

583,264 

 

 

 

935,814 

 

 

1,065,318 

 

 

 

1,864,475 

 

Cost of goods sold

 

 

562,355 

 

 

 

558,419 

 

 

1,104,988 

 

 

 

1,118,084 

 

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

 

 

231,372 

 

 

 

259,152 

 

 

452,858 

 

 

 

528,229 

 

Depreciation and amortization

 

 

27,731 

 

 

 

33,848 

 

 

54,707 

 

 

 

64,255 

 

Interest expense

 

 

4,900 

 

 

 

8,678 

 

 

9,048 

 

 

 

17,044 

 

Interest and other income

 

 

(1,071)

 

 

 

(3,363)

 

 

(2,020)

 

 

 

(5,839)

 

Total costs and expenses

 

 

1,408,551 

 

 

 

1,792,548 

 

 

2,684,899 

 

 

 

3,586,248 

 

Income before income taxes

 

 

10,588 

 

 

 

18,375 

 

 

39,863 

 

 

 

29,752 

 

Provision for income taxes

 

 

5,661 

 

 

 

4,824 

 

 

17,467 

 

 

 

4,749 

 

Net income

 

 

4,927 

 

 

 

13,551 

 

 

22,396 

 

 

 

25,003 

 

Less: net loss attributable to non-controlling interest

 

 

(573)

 

 

 

 

 

(851)

 

 

 

 

Net income attributable to Magellan

 

$

5,500 

 

 

$

13,551 

 

$

23,247 

 

 

$

25,003 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares outstanding — basic

 

 

23,108 

 

 

 

24,569 

 

 

23,060 

 

 

 

24,460 

 

Weighted average number of common shares outstanding — diluted

 

 

24,038 

 

 

 

25,407 

 

 

24,037 

 

 

 

25,510 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to Magellan per common share — basic

 

$

0.24 

 

 

$

0.55 

 

$

1.01 

 

 

$

1.02 

 

Net income attributable to Magellan per common share — diluted

 

$

0.23 

 

 

$

0.53 

 

$

0.97 

 

 

$

0.98 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

4,927 

 

 

$

13,551 

 

$

22,396 

 

 

$

25,003 

 

Other comprehensive income:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unrealized gain (loss) on available-for-sale securities (3)

 

 

22 

 

 

 

132 

 

 

 

 

 

(187)

 

Comprehensive income

 

 

4,949 

 

 

 

13,683 

 

 

22,397 

 

 

 

24,816 

 

Less: comprehensive loss attributable to non-controlling interest

 

 

(573)

 

 

 

 

 

(851)

 

 

 

 

Comprehensive income attributable to Magellan

 

$

5,522 

 

 

$

13,683 

 

$

23,248 

 

 

$

24,816 

 


(1)

Includes stock compensation expense of $11,371 and $10,439 for the three months ended June 30, 2017 and 2018, respectively, and $21,511 and $18,085 for the six months ended June 30, 2017 and 2018, respectively.

 

(2)

Includes changes in fair value of contingent consideration of $252 and $70 for the three months ended June 30, 2017 and 2018, respectively, and $203 and $303 for the six months ended June 30, 2017 and 2018, respectively.

 

(3)

Net of income tax provision (benefit) of $14 and $42 for the three months ended June 30, 2017 and 2018, respectively, and $2 and $(59) for the six months ended June 30, 2017 and 2018, respectively.

 


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(In thousands)

 

 

 

 

 

 

 

 

 

 

 

 

Six Months Ended

 

 

 

June 30,

 

 

    

2017 

  

  

2018 

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

Net income

 

$

22,396 

 

 

$

25,003 

 

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

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

54,707 

 

 

 

64,255 

 

Non-cash interest expense

 

 

578 

 

 

 

614 

 

Non-cash stock compensation expense

 

 

21,511 

 

 

 

18,085 

 

Non-cash income tax benefit

 

 

(1,520)

 

 

 

(100)

 

Non-cash amortization on investments

 

 

2,094 

 

 

 

1,171 

 

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

 

 

 

 

 

 

 

 

Accounts receivable, net

 

 

(21,859)

 

 

 

(179,350)

 

Pharmaceutical inventory

 

 

(1,188)

 

 

 

(9,388)

 

Other assets

 

 

(21,974)

 

 

 

(57,398)

 

Accounts payable and accrued liabilities

 

 

(59,372)

 

 

 

50,322 

 

Medical claims payable and other medical liabilities

 

 

5,978 

 

 

 

89,932 

 

Contingent consideration

 

 

203 

 

 

 

303 

 

Tax contingencies

 

 

764 

 

 

 

721 

 

Deferred credits and other long-term liabilities

 

 

1,882 

 

 

 

16,884 

 

Other

 

 

(364)

 

 

 

69 

 

Net cash provided by operating activities

 

 

3,836 

 

 

 

21,123 

 

 

 

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

Capital expenditures

 

 

(26,797)

 

 

 

(37,132)

 

Acquisitions and investments in businesses, net of cash acquired

 

 

(3,200)

 

 

 

 

Purchase of investments

 

 

(238,814)

 

 

 

(334,250)

 

Maturity of investments

 

 

233,143 

 

 

 

227,446 

 

Net cash used in investing activities

 

 

(35,668)

 

 

 

(143,936)

 

 

 

 

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

 

 

 

Proceeds from issuance of debt

 

 

200,000 

 

 

 

 

Payments to acquire treasury stock

 

 

(5,000)

 

 

 

(14,323)

 

Proceeds from exercise of stock options

 

 

5,946 

 

 

 

21,476 

 

Payments on debt and capital lease obligations

 

 

(190,978)

 

 

 

(33,912)

 

Other

 

 

(1,311)

 

 

 

(3,051)

 

Net cash provided by (used in) financing activities

 

 

8,657 

 

 

 

(29,810)

 

 

 

 

 

 

 

 

 

 

Net decrease in cash and cash equivalents

 

 

(23,175)

 

 

 

(152,623)

 

Cash and cash equivalents at beginning of period

 

 

304,508 

 

 

 

398,732 

 

Cash and cash equivalents at end of period

 

$

281,333 

 

 

$

246,109 

 

 


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED OPERATING RESULTS BY BUSINESS SEGMENT

(Unaudited)

(In thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Six Months Ended

 

 

 

June 30,

 

June 30,

 

 

    

2017 

  

  

2018 

    

2017 

  

  

2018 

 

Healthcare

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

755,270 

 

 

$

1,154,888 

 

$

1,420,646 

 

 

$

2,312,489 

 

Cost of care

 

 

(583,264)

 

 

 

(935,814)

 

 

(1,065,318)

 

 

 

(1,864,475)

 

Direct service costs and other

 

 

(145,914)

 

 

 

(177,990)

 

 

(284,882)

 

 

 

(364,236)

 

Stock compensation expense (1)

 

 

3,106 

 

 

 

2,742 

 

 

5,765 

 

 

 

5,692 

 

Changes in fair value of contingent consideration (1)

 

 

252 

 

 

 

70 

 

 

203 

 

 

 

303 

 

Less: non-controlling interest segment loss (2)

 

 

(568)

 

 

 

 

 

(845)

 

 

 

 

Healthcare segment profit

 

 

30,018 

 

 

 

43,896 

 

 

77,259 

 

 

 

89,773 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pharmacy Management

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

66,659 

 

 

 

60,603 

 

 

130,839 

 

 

 

122,910 

 

PBM revenue

 

 

631,932 

 

 

 

642,794 

 

 

1,238,678 

 

 

 

1,274,992 

 

Cost of goods sold

 

 

(595,446)

 

 

 

(603,951)

 

 

(1,167,283)

 

 

 

(1,208,864)

 

Direct service costs and other

 

 

(74,953)

 

 

 

(70,941)

 

 

(150,806)

 

 

 

(146,527)

 

Stock compensation expense (1)

 

 

5,684 

 

 

 

1,408 

 

 

11,414 

 

 

 

2,893 

 

Pharmacy Management segment profit

 

 

33,876 

 

 

 

29,913 

 

 

62,842 

 

 

 

45,404 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate and Elimination (3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

(230)

 

 

 

(151)

 

 

(446)

 

 

 

(296)

 

PBM revenue

 

 

(34,492)

 

 

 

(47,211)

 

 

(64,955)

 

 

 

(94,095)

 

Cost of goods sold

 

 

33,091 

 

 

 

45,532 

 

 

62,295 

 

 

 

90,780 

 

Direct service costs and other

 

 

(10,505)

 

 

 

(10,221)

 

 

(17,170)

 

 

 

(17,466)

 

Stock compensation expense (1)

 

 

2,581 

 

 

 

6,289 

 

 

4,332 

 

 

 

9,500 

 

Less: non-controlling interest segment loss (2)

 

 

(1)

 

 

 

 

 

(2)

 

 

 

 

Corporate and Elimination

 

 

(9,554)

 

 

 

(5,762)

 

 

(15,942)

 

 

 

(11,577)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

821,699 

 

 

 

1,215,340 

 

 

1,551,039 

 

 

 

2,435,103 

 

PBM revenue

 

 

597,440 

 

 

 

595,583 

 

 

1,173,723 

 

 

 

1,180,897 

 

Cost of care

 

 

(583,264)

 

 

 

(935,814)

 

 

(1,065,318)

 

 

 

(1,864,475)

 

Cost of goods sold

 

 

(562,355)

 

 

 

(558,419)

 

 

(1,104,988)

 

 

 

(1,118,084)

 

Direct service costs and other

 

 

(231,372)

 

 

 

(259,152)

 

 

(452,858)

 

 

 

(528,229)

 

Stock compensation expense (1)

 

 

11,371 

 

 

 

10,439 

 

 

21,511 

 

 

 

18,085 

 

Changes in fair value of contingent consideration (1)

 

 

252 

 

 

 

70 

 

 

203 

 

 

 

303 

 

Less: non-controlling interest segment loss (2)

 

 

(569)

 

 

 

 

 

(847)

 

 

 

 

Consolidated segment profit

 

$

54,340 

 

 

$

68,047 

 

$

124,159 

 

 

$

123,600 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of income before income taxes to segment profit:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

$

10,588 

 

 

$

18,375 

 

$

39,863 

 

 

$

29,752 

 

Stock compensation expense

 

 

11,371 

 

 

 

10,439 

 

 

21,511 

 

 

 

18,085 

 

Changes in fair value of contingent consideration

 

 

252 

 

 

 

70 

 

 

203 

 

 

 

303 

 

Non-controlling interest segment loss

 

 

569 

 

 

 

 

 

847 

 

 

 

 

Depreciation and amortization

 

 

27,731 

 

 

 

33,848 

 

 

54,707 

 

 

 

64,255 

 

Interest expense

 

 

4,900 

 

 

 

8,678 

 

 

9,048 

 

 

 

17,044 

 

Interest and other income

 

 

(1,071)

 

 

 

(3,363)

 

 

(2,020)

 

 

 

(5,839)

 

Segment profit

 

$

54,340 

 

 

$

68,047 

 

$

124,159 

 

 

$

123,600 

 

 


 


(1)

Stock compensation expense, changes in the fair value of contingent consideration recorded in relation to acquisitions and impairment of intangible assets are included in direct 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 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. In 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 costs and other related to these arrangements are eliminated.


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NON-GAAP MEASURES

(Unaudited)

(In thousands, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Six Months Ended 

 

 

 

June 30, 

 

June 30, 

 

 

    

2017 

  

  

2018 

    

2017 

  

  

2018 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to Magellan

 

$

5,500 

 

 

$

13,551 

 

$

23,247 

 

 

$

25,003 

 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

4,906 

 

 

 

268 

 

 

9,758 

 

 

 

530 

 

Changes in fair value of contingent consideration

 

 

252 

 

 

 

70 

 

 

203 

 

 

 

303 

 

Amortization of acquired intangibles

 

 

8,315 

 

 

 

12,726 

 

 

16,766 

 

 

 

24,597 

 

Tax impact

 

 

(4,888)

 

 

 

(3,344)

 

 

(9,767)

 

 

 

(6,357)

 

Adjusted net income

 

$

14,085 

 

 

$

23,271 

 

$

40,207 

 

 

$

44,076 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan —diluted

 

$

0.23 

 

 

$

0.53 

 

$

0.97 

 

 

$

0.98 

 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

0.20 

 

 

 

0.01 

 

 

0.40 

 

 

 

0.02 

 

Changes in fair value of contingent consideration

 

 

0.01 

 

 

 

 

 

0.01 

 

 

 

0.01 

 

Amortization of acquired intangibles

 

 

0.35 

 

 

 

0.51 

 

 

0.70 

 

 

 

0.97 

 

Tax impact

 

 

(0.20)

 

 

 

(0.13)

 

 

(0.41)

 

 

 

(0.25)

 

Adjusted earnings per share

 

$

0.59 

 

 

$

0.92 

 

$

1.67 

 

 

$

1.73 

 

 


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

FISCAL 2018 GUIDANCE

(In millions, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

April 26, 2018

 

July 27, 2018

 

 

    

Low

  

  

High

    

Low

  

  

High

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenue

 

$

7,500.0 

 

 

$

7,800.0 

 

$

7,300.0 

 

 

$

7,500.0 

 

Income before income taxes

 

 

165.0 

 

 

 

203.0 

 

 

132.0 

 

 

 

170.0 

 

Net income

 

 

113.0 

 

 

 

137.0 

 

 

93.0 

 

 

 

117.0 

 

Segment profit (1)

 

 

365.0 

 

 

 

385.0 

 

 

330.0 

 

 

 

350.0 

 

Adjusted net income (1)

 

 

151.0 

 

 

 

171.0 

 

 

132.0 

 

 

 

152.0 

 

Per share results:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings per share (2)

 

 

4.41 

 

 

 

5.35 

 

 

3.65 

 

 

 

4.59 

 

Adjusted earnings per share (1)(2)

 

 

5.90 

 

 

 

6.68 

 

 

5.18 

 

 

 

5.96 

 

 


(1)

Refer to the Reconciliation of GAAP to Non-GAAP measures table.

 

(2)

Based on average fully diluted shares of 25.6 million and 25.5 million for previous guidance and current guidance, respectively.

 


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

FISCAL 2018 GUIDANCE

RECONCILIATION OF GAAP TO NON-GAAP MEASURES

(In millions, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

April 26, 2018

 

July 27, 2018

 

 

    

Low

  

  

High

    

Low

  

  

High

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to Magellan

 

$

113.0 

 

 

$

137.0 

 

$

93.0 

 

 

$

117.0 

 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

1.0 

 

 

 

1.0 

 

 

1.0 

 

 

 

1.0 

 

Changes in fair value of contingent consideration

 

 

 

 

 

 

 

 

 

 

 

Amortization of acquired intangibles

 

 

51.0 

 

 

 

45.0 

 

 

52.0 

 

 

 

47.0 

 

Tax impact

 

 

(14.0)

 

 

 

(12.0)

 

 

(14.0)

 

 

 

(13.0)

 

Adjusted net income

 

$

151.0 

 

 

$

171.0 

 

$

132.0 

 

 

$

152.0 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan —Diluted

 

$

4.41 

 

 

$

5.35 

 

$

3.65 

 

 

$

4.59 

 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

0.04 

 

 

 

0.04 

 

 

0.04 

 

 

 

0.04 

 

Changes in fair value of contingent consideration

 

 

 

 

 

 

 

 

 

 

 

Amortization of acquired intangibles

 

 

1.99 

 

 

 

1.76 

 

 

2.04 

 

 

 

1.84 

 

Tax impact

 

 

(0.54)

 

 

 

(0.47)

 

 

(0.55)

 

 

 

(0.51)

 

Adjusted earnings per share

 

$

5.90 

 

 

$

6.68 

 

$

5.18 

 

 

$

5.96 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of income before income taxes to segment profit:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

$

165.0 

 

 

$

203.0 

 

$

132.0 

 

 

$

170.0 

 

Stock compensation expense

 

 

37.0 

 

 

 

33.0 

 

 

35.0 

 

 

 

33.0 

 

Changes in fair value of contingent consideration

 

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

136.0 

 

 

 

126.0 

 

 

137.0 

 

 

 

127.0 

 

Interest expense

 

 

37.0 

 

 

 

33.0 

 

 

37.0 

 

 

 

33.0 

 

Interest income

 

 

(10.0)

 

 

 

(10.0)

 

 

(11.0)

 

 

 

(13.0)

 

Segment profit

 

$

365.0 

 

 

$

385.0 

 

$

330.0 

 

 

$

350.0 

 

 

(MGLN-GEN)

 

###