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8-K - 8-K - HMS HOLDINGS CORPa13-23877_18k.htm
EX-99.2 - EX-99.2 - HMS HOLDINGS CORPa13-23877_1ex99d2.htm

Exhibit 99.1

 

Contacts:

 

Francesca Marraro (media relations)

 

 

(212) 857-5442

 

 

fmarraro@hms.com

 

HMS HOLDINGS CORP. ANNOUNCES THIRD QUARTER 2013

FINANCIAL AND OPERATING RESULTS

 

·                        Q3 revenue of $127.8 million; GAAP EPS of $0.13; Adjusted EPS of $0.20

·                        Nine-month revenue of $370.2 million; GAAP EPS of $0.32; Adjusted EPS of $0.55

·                        Revises 2013 Guidance

·                        Non-recurring charges result in EPS reduction of ($0.03) in Q3

 

IRVING, TX., November 8, 2013—HMS Holdings Corp. (NASDAQ: HMSY) today announced financial and operating results for the third quarter of 2013.

 

Q3 2013 Financial Summary

 

For the quarter ended September 30, 2013, HMS reported revenue of $127.8 million, an increase of 12.8% compared to revenue of $113.2 million for the same period a year ago. Net income for the quarter was $11.5 million or $0.13 per fully diluted share compared to net income of $10.5 million or $0.12 per fully diluted share for the same period a year ago. Adjusted EPS for both the current and prior year quarter was $0.20.  The company also incurred $4.2 million in non-recurring legal and restructuring charges in the quarter, which has a $0.03 negative impact on both GAAP and adjusted EPS.

 

For the nine months ended September 30, 2013, HMS reported revenue of $370.2 million, an increase of 8.7% compared to revenue of $340.6 million for the same period a year ago. Net income for the nine months ended September 30, 2013 was $28.9 million or $0.32 per fully diluted share compared to net income of $30.5 million or $0.35 per fully diluted share for the same period a year ago. Adjusted EPS decreased 5.2% year over year to $0.55.

 

“Our third quarter results demonstrate a continued resumption of growth across our products and markets as we and our clients prepare for full implementation of the ACA in 2014,” said Bill Lucia, Chief Executive Officer. “While this translates to year over year improvements in our performance, it is clear that our full year growth will not be as strong as we had anticipated. As a result, we are tightening 2013 revenue guidance to the lower end of our original guidance of $495.0 to $525.0 million to a range of $495.0 to $510.0 million. Due to lower than anticipated revenues and certain one-time charges in the quarter, we are also revising fully diluted GAAP EPS to $0.44-$0.51 from $0.57-$0.63 and adjusted EPS to $0.75- $0.82 from $0.89-$0.95.”

 

Lucia added, “HMS would typically provide initial 2014 guidance this quarter. However, the impending Medicare RAC procurement and the ongoing audit scope and rule changes by CMS create a wide range of negative outcomes with probabilities that are so varied that we cannot provide meaningful guidance for 2014 until CMS has clarified its intentions related to the Medicare RAC procurement and program.  We now expect to provide full year guidance at the time of our February 2014 earnings call.”

 

“The Medicare RAC contract aside, we expect that 2014 will bring sizeable and long-term opportunities to our business,” remarked Lucia. “We believe that the ACA-driven growth in Medicaid and managed care programs, as well as our increasing presence in the commercial market, position us for a return to robust growth and enhanced profitability across the core of our business.”

 

Webcast and Conference Call Information

 

HMS will report its third quarter 2013 financial and operating results at 9:00 a.m. ET on Friday, November 8, 2013.  Individuals can access the webcast at http://investor.hms.com/events.cfm or listen to the call at (877) 303-7208.  International participants can listen to the call at (224) 357-2389.

 

The webcast will be archived on the website at http://investor.hms.com/events.cfm. Individuals can listen to the replay at (855) 859-2056.  International participants can listen to the replay at (404) 537-3406.  The passcode is 75822320. The replay will be available at Noon ET on November 8 through 11:59 p.m. ET on November 15, 2013.

 

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The HMS Form 10-Q for the quarter ended September 30, 2013 will be filed and available on our website at http://investor.hms.com on or about November 12, 2013, and will contain additional information about our results of operations for the fiscal year-to-date. This press release and the interim financial statements herein will be available at http://investor.hms.com for at least a 12-month period. Shareholders and interested investors are welcome to contact Investor Relations at 212-857-5100.

 

About HMS Holdings Corp.

 

HMS Holdings Corp., through its subsidiaries, is the nation’s leader in coordination of benefits and program integrity services for healthcare payers. HMS’s clients include health and human services programs in more than 40 states; commercial payers, including group health plans, Medicare Advantage Plans, more than 150 Medicaid managed care plans, and employers; the Centers for Medicare and Medicaid Services (CMS); and Veterans Administration facilities. As a result of the company’s services, clients recovered $3.2 billion in 2012, and saved billions more through the prevention of erroneous payments.

 

Use of Non-GAAP Financials

 

This press release includes presentations of earnings before interest, taxes, depreciation and amortization (EBITDA) and adjusted EBITDA.  Adjusted EBITDA represents EBITDA adjusted for stock-based compensation expense.  EBITDA is a measure commonly used by the capital markets to value enterprises.  EBITDA is a non-GAAP financial measure and is reconciled to income before income taxes, which the Company’s management believes to be the most comparable generally accepted accounting principles (“GAAP”) measure.  Adjusted EBITDA results are calculated by adjusting GAAP income before income taxes to exclude the effects of depreciation, amortization of intangible assets, stock-based compensation expense, and net interest expense.

 

This press release also includes presentations of adjusted EPS. Adjusted EPS represents EPS adjusted for stock-based compensation expense and amortization of intangibles and for the related taxes for these adjustments. Adjusted EPS is a non-GAAP financial measure and is reconciled to EPS, which the Company’s management believes to be the most comparable GAAP measure.

 

The Company uses these non-GAAP financial measures for internal management purposes, when publicly providing guidance on possible future results, and as a means to evaluate period-to-period comparisons.  The Company’s management believes that these non-GAAP financial measures are a common measure used by investors and analysts to evaluate its performance.  These non-GAAP financial measures are used in addition to and in conjunction with results presented in accordance with GAAP and reflect an additional way of viewing aspects of the Company’s operations that, when viewed with GAAP results and the accompanying reconciliations to corresponding GAAP financial measures, provides a more complete understanding of the results of operations and trends affecting the Company’s business.  These non-GAAP financial measures should be considered as a supplement to, and not as a substitute for, or superior to, income before income taxes in accordance with GAAP.

 

Safe Harbor Statement

 

This press release contains “forward-looking statements” within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. These forward-looking statements are based on current expectations, estimates, assumptions and projections that are subject to change.  Should known or unknown risks or uncertainties materialize, or should underlying assumptions prove inaccurate, our actual results could differ materially from past results and those anticipated, estimated or projected. Forward-looking statements can be identified by words such as “anticipates,” “estimates,” “expects,” “projects,” “intends,” “plans,” “believes,” “will,” “target,” “seeks,” “forecast” and similar expressions and references to guidance.  In particular, these include statements relating to future actions, business plans, objects and prospects, and future operating or financial performance.  We caution you therefore against relying on any of these forward-looking statements.

 

Factors that could cause or contribute to such differences include, but are not limited to:  variations in our results of operations; changes in the U.S. healthcare environment and steps we take in anticipation of such changes; regulatory, budgetary or political actions that affect procurement practices; the loss of one or more major clients, including through our failure to reprocure a contract or the reduction in scope or early termination of one or more of our significant contracts; our ability to effectively manage our growth to execute on our business plans; the growth rate of spending on Medicaid/Medicare, simplification of the healthcare payment process or programmatic changes that diminish the scope of benefits; our ability to retain clients or the loss of one or more major clients; client dissatisfaction or early termination of contracts triggering significant costs or liabilities; the development by competitors of new or superior products or services; the emergence of new competitors, or the development by our clients of in-house capacity to perform the services we offer; all the risks inherent in the development, introduction, and implementation of new products and services; our failure to comply with laws and regulations governing health data or to protect such data from theft and misuse; our ability to maintain effective information systems and protect them from damage or interruption; restrictions on our ability to bid on/perform certain work due to other work we currently perform; our ability to successfully integrate our acquisitions; our ability to continue to secure contracts through the competitive bidding process and to

 

2



 

accurately predict the cost and time to complete such contracts; our compliance with the covenants and obligations under the terms of our credit facility and our ability to generate sufficient cash to cover our interest and principal payments thereunder; and negative results of government or client reviews, audits or investigations to verify our compliance with contracts and applicable laws and regulations.  A further description of these and other risks, uncertainties, and related matters can be found in our Annual Report on Form 10-K for the fiscal year ended December 31, 2012, which is available at www.hms.com under the “Investor Relations” tab.  Factors or events that could cause actual results to differ may emerge from time to time and it is not possible for us to predict all of them.  Any forward-looking statements are made as of the date of this press release and we do not undertake an obligation to publicly update forward-looking statements, whether as a result of new information, future events or otherwise, except as may be required by law.

 

3



 

HMS HOLDINGS CORP. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

( in thousands, except per share amounts)

( unaudited)

 

 

 

Three months ended September 30,

 

Nine months ended September 30,

 

 

 

2013

 

2012

 

2013

 

2012

 

 

 

 

 

 

 

 

 

 

 

Revenue

 

$

127,754

 

$

113,217

 

$

370,170

 

$

340,600

 

 

 

 

 

 

 

 

 

 

 

Cost of services:

 

 

 

 

 

 

 

 

 

Compensation

 

48,007

 

40,170

 

138,023

 

119,489

 

Data processing

 

9,688

 

7,871

 

27,974

 

22,791

 

Occupancy

 

4,363

 

4,428

 

13,766

 

12,742

 

Direct project costs

 

10,790

 

14,530

 

36,329

 

40,573

 

Other operating costs

 

6,035

 

3,198

 

20,325

 

14,311

 

Amortization of acquisition related software and intangibles

 

7,899

 

8,149

 

24,587

 

24,447

 

Total cost of services

 

86,782

 

78,346

 

261,004

 

234,353

 

 

 

 

 

 

 

 

 

 

 

Selling, general & administrative expenses

 

19,689

 

14,158

 

52,249

 

43,897

 

Total operating expenses

 

106,471

 

92,504

 

313,253

 

278,250

 

Operating income

 

21,283

 

20,713

 

56,917

 

62,350

 

 

 

 

 

 

 

 

 

 

 

Interest expense

 

(2,318

)

(4,125

)

(10,097

)

(12,488

)

Other income, net

 

 

27

 

799

 

346

 

Interest income

 

18

 

13

 

36

 

17

 

Income before income taxes

 

18,983

 

16,628

 

47,655

 

50,225

 

Income taxes

 

7,475

 

6,121

 

18,751

 

19,695

 

 

 

 

 

 

 

 

 

 

 

Net income and comprehensive income

 

$

11,508

 

$

10,507

 

$

28,904

 

$

30,530

 

 

 

 

 

 

 

 

 

 

 

Basic income per common share:

 

 

 

 

 

 

 

 

 

Net income per share -basic

 

$

0.13

 

$

0.12

 

$

0.33

 

$

0.35

 

 

 

 

 

 

 

 

 

 

 

Weighted average common shares outstanding, basic

 

87,830

 

86,405

 

87,551

 

86,010

 

 

 

 

 

 

 

 

 

 

 

Diluted income per share:

 

 

 

 

 

 

 

 

 

Net income per share- diluted

 

$

0.13

 

$

0.12

 

$

0.32

 

$

0.35

 

 

 

 

 

 

 

 

 

 

 

Weighted average common shares outstanding, diluted

 

89,167

 

88,744

 

88,998

 

88,399

 

 



 

HMS HOLDINGS CORP. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

( in thousands, except per share and per share  amounts)

( unaudited)

 

 

 

September 30,

 

December 31,

 

 

 

2013

 

2012

 

 

 

 

 

 

 

Assets

 

 

 

 

 

Current assets:

 

 

 

 

 

Cash and cash equivalents

 

$

109,375

 

$

135,227

 

Short-term investments

 

21,460

 

 

Accounts receivable, net of allowance for doubtful accounts of $1,172 and $830, respectively and estimated allowance for appeals of $12,518 and $6,985 at September 30, 2013 and December 31, 2012, respectively

 

168,011

 

153,014

 

Prepaid expenses

 

13,108

 

14,283

 

Prepaid income taxes

 

994

 

 

Current portion of deferred financing costs

 

 

3,336

 

Other current assets

 

406

 

317

 

Total current assets

 

313,354

 

306,177

 

 

 

 

 

 

 

Property and equipment, net

 

126,093

 

129,327

 

Goodwill

 

361,468

 

361,468

 

Intangible assets, net

 

100,502

 

119,119

 

Deferred financing costs

 

9,562

 

5,867

 

Other assets

 

4,472

 

3,988

 

Total assets

 

$

915,451

 

$

925,946

 

 

 

 

 

 

 

Liabilities and Shareholders’ Equity

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Accounts payable, accrued expenses and other liabilities

 

$

45,426

 

$

40,867

 

Acquisition related contingent consideration

 

435

 

425

 

Current portion of term loan

 

 

35,000

 

Deferred tax liabilities

 

2,310

 

2,398

 

Estimated liability for appeals

 

27,484

 

21,787

 

Total current liabilities

 

75,655

 

100,477

 

 

 

 

 

 

 

Long-term liabilities:

 

 

 

 

 

Deferred rent

 

754

 

500

 

Acquisition related contingent consideration

 

498

 

485

 

Term loan

 

 

297,500

 

Revolving debt

 

267,796

 

 

Other liabilities

 

4,469

 

3,305

 

Deferred tax liabilities

 

54,715

 

60,805

 

Total long-term liabilities

 

328,232

 

362,595

 

Total liabilities

 

403,887

 

463,072

 

 

 

 

 

 

 

Shareholders’ equity:

 

 

 

 

 

Preferred stock - $.01 par value; 5,000,000 shares authorized; none issued

 

 

 

Common stock - $.01 par value; 125,000,000 shares authorized; 93,358,890 shares issued and 87,934,043 shares outstanding at September 30, 2013; 92,374,539 shares issued and 86,949,692 shares outstanding at December 31, 2012

 

932

 

923

 

Capital in excess of par value

 

291,739

 

271,962

 

Retained earnings

 

238,907

 

210,003

 

Treasury stock, at cost; 5,424,847 shares at September 30, 2013 and at December 31, 2012

 

(20,014

)

(20,014

)

Total shareholders’ equity

 

511,564

 

462,874

 

Total liabilities and shareholders’ equity

 

$

915,451

 

$

925,946

 

 



 

HMS HOLDINGS CORP. AND SUBSIDIARIES

CONSOLIDATED STATEMENT OF CASH FLOWS

( in thousands)

( unaudited)

 

 

 

Nine months ended September 30,

 

 

 

2013

 

2012

 

Operating activities:

 

 

 

 

 

Net income

 

$

28,904

 

$

30,530

 

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

 

 

 

 

 

Depreciation and amortization expense

 

44,315

 

40,840

 

Stock-based compensation expense

 

8,749

 

10,194

 

Excess tax benefit from exercised stock options

 

(5,154

)

(11,859

)

Deferred income taxes

 

(6,178

)

(5,772

)

Increase in allowance for doubtful debts

 

5,876

 

2,174

 

Change in fair value of contingent consideration

 

23

 

(2,300

)

Loss on disposal of fixed assets

 

186

 

62

 

Changes in operating assets and liabilities:

 

 

 

 

 

Accounts receivable

 

(20,873

)

(16,136

)

Prepaid expenses

 

1,175

 

(4,926

)

Prepaid income taxes

 

4,160

 

4,810

 

Other current assets

 

(89

)

550

 

Other assets

 

16

 

(88

)

Accounts payable, accrued expenses and other liabilities

 

8,397

 

(4,862

)

Estimated liability for appeals

 

5,697

 

10,613

 

Net cash provided by operating activities

 

75,204

 

53,830

 

 

 

 

 

 

 

Investing activities:

 

 

 

 

 

Proceeds from redemption of certificate of deposit

 

 

4,809

 

Purchase of short-term investments

 

(21,460

)

 

Purchases of property and equipment

 

(18,272

)

(18,541

)

Investment in common stock

 

(500

)

(3,024

)

Acquisitions, net

 

 

(1,605

)

Investment in capitalized software

 

(2,951

)

(1,559

)

Net cash used in investing activities

 

(43,183

)

(19,920

)

 

 

 

 

 

 

Financing activities:

 

 

 

 

 

Financing related to revolving debt

 

(7,619

)

 

Repayment of term loan

 

 

(13,125

)

Repayment of revolving debt

 

(60,000

)

 

Purchases of treasury stock

 

 

(10,617

)

Payments on contingent consideration

 

 

(250

)

Payments on capital lease obligations

 

(1,291

)

(692

)

Proceeds from exercise of stock options

 

7,381

 

10,991

 

Payments of tax withholdings on behalf of employees for net-share settlement for stock-based compensation

 

(1,498

)

(1,127

)

Excess tax benefit from exercised stock options

 

5,154

 

11,859

 

Net cash used in financing activities

 

(57,873

)

(2,961

)

Net (decrease)/increase in cash and cash equivalents

 

(25,852

)

30,949

 

Cash and cash equivalents at beginning of period

 

135,227

 

97,003

 

Cash and cash equivalents at the end of period

 

109,375

 

127,952

 

 

 

 

 

 

 

Supplemental disclosure of cash flow information:

 

 

 

 

 

Cash paid for income taxes

 

$

24,090

 

$

20,145

 

Cash paid for interest

 

$

7,666

 

$

10,093

 

Supplemental disclosure of noncash investing activities:

 

 

 

 

 

Accrued property and equipment purchases

 

$

1,040

 

$

267

 

Equipment purchased through capital leases

 

$

2,401

 

$

1,693

 

 



 

HMS HOLDINGS CORP. AND SUBSIDIARIES

( in thousands, except per share amounts)

( unaudited)

 

Reconciliation of Net income to EBITDA  and adjusted EBITDA

 

As summarized in the following table, earnings before interest, taxes, depreciation and amortization, and stock-based compensation expense (adjusted EBITDA) was $37.8 million for the third quarter of 2013, a increase of 2.5% over the same period a year ago. Adjusted EBITDA for the first nine months of 2013 was 108.2 million, a decrease of 2.4% over the same period a year ago.

 

 

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

 

 

2013

 

2012

 

2013

 

2012

 

Net income

 

$

11,508

 

$

10,507

 

$

28,904

 

$

30,530

 

 

 

 

 

 

 

 

 

 

 

Net interest expense

 

2,300

 

4,112

 

10,061

 

12,471

 

Income taxes

 

7,475

 

6,121

 

18,751

 

19,695

 

Depreciation and amortization, net of deferred financing costs, included in net interest expense

 

13,916

 

13,060

 

41,759

 

38,047

 

Earnings before interest, taxes, depreciation and amortization (EBITDA)

 

35,199

 

33,800

 

99,475

 

100,743

 

Stock-based compensation expense

 

2,627

 

3,099

 

8,749

 

10,194

 

Adjusted EBITDA

 

$

37,826

 

$

36,899

 

$

108,224

 

$

110,937

 

 

Reconciliation of Net income to GAAP EPS and Adjusted EPS

 

As summarized in the following table, earnings per share adjusted for stock-based compensation expense and amortization of intangibles and for the related taxes (adjusted EPS) was $0.20 for the third quarter of 2013, no change over the same period a year ago. Adjusted EPS for the first nine months of 2013 was $0.55, a decrease of 5.2% over the first nine months of 2012.

 

 

 

Three Months Ended
September 30,

 

Nine Months Ended
September 30,

 

 

 

2013

 

2012

 

2013

 

2012

 

Net income

 

$

11,508

 

$

10,507

 

$

28,904

 

$

30,530

 

 

 

 

 

 

 

 

 

 

 

Stock-based compensation expense, net of tax

 

1,592

 

1,959

 

5,311

 

6,198

 

Amortization of intangibles, net of tax

 

4,787

 

5,150

 

14,924

 

14,864

 

Subtotal

 

$

17,887

 

$

17,616

 

$

49,139

 

$

51,592

 

 

 

 

 

 

 

 

 

 

 

Weighted average common shares, diluted

 

89,167

 

88,744

 

88,998

 

88,399

 

 

 

 

 

 

 

 

 

 

 

Diluted GAAP EPS

 

$

0.13

 

$

0.12

 

$

0.32

 

$

0.35

 

Diluted adjusted EPS

 

$

0.20

 

$

0.20

 

$

0.55

 

$

0.58