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8-K - 8-K - MAGELLAN HEALTH INCa15-5339_18k.htm

Exhibit 99.1

 

 

GRAPHIC

 

NEWS RELEASE

Media Contact: Laura Schuntermann, lgschuntermann@magellanhealth.com, (860) 507-1822

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

 

Magellan Health Reports Fourth Quarter and Full Year 2014 Financial Results

 

Scottsdale, Ariz. — February 26, 2015 — Magellan Health, Inc. (NASDAQ: MGLN) today reported financial results for the fourth quarter and full year 2014, as summarized below. For the year ended December 31, 2014, the company reported net revenue of $3.76 billion, segment profit of $266.9 million, and net income of $79.4 million, or $2.90 per diluted common share.

 

Financial Results (1)

 

 

 

Three Months Ended
 December 31, 2014

 

Year Ended
December 31, 2014

 

 

 

 

 

 

 

Increase/

 

 

 

 

 

Increase/

 

(Millions, except per share results)

 

2014

 

2013

 

(Decrease)

 

2014

 

2013

 

(Decrease)

 

Revenue

 

$

982.5

 

$

1,008.2

 

(2.5

)%

$

3,760.1

 

$

3,546.3

 

6.0

%

Segment Profit(3)

 

83.2

 

55.9

 

48.8

%

266.9

 

259.4

 

2.9

%

Net Income

 

21.6

 

18.5

 

16.8

%

79.4

 

125.3

 

(36.6

)%

Adjusted Net Income(2)

 

35.0

 

19.9

 

75.9

%

110.6

 

126.7

 

(12.7

)%

Earnings per Share

 

0.82

 

0.67

 

22.4

%

2.90

 

4.53

 

(36.0

)%

Adjusted Earnings per Share(2)

 

1.32

 

0.72

 

83.3

%

4.04

 

4.58

 

(11.8

)%

 

·                  Fourth quarter revenue decreased primarily from the loss of revenues associated with terminated contracts, partially offset by new business, same store growth and rate increases, the impact of Health Insurer Fee revenues, and the inclusion of revenues from CDMI.

·                  Fourth quarter segment profit increased mainly due to stronger results in the Pharmacy Management and Commercial segments. Fourth quarter results include approximately $20 million of favorable out-of-period items, of which approximately $15 million was in the Public Sector segment.

·                  Fourth quarter net income, earnings per share, adjusted net income and adjusted earnings per share increased mainly due to segment profit, offset by a higher effective tax rate resulting from the non-deductibility of Health Insurer Fees,  and increased valuation allowances in the current year for certain deferred tax assets.

 


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

 

(2) 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, as well as amortization of identified acquisition intangibles and changes in the fair value of contingent consideration recorded in relation to acquisitions.

 

(3) 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 and changes in the fair value of contingent consideration recorded in relation to acquisitions.

 



 

As of December 31, 2014, the company had unrestricted cash and investments of $346.9 million.

 

“2014 was an important year for Magellan,” said Barry M. Smith, chairman and chief executive officer of Magellan Health. “We continued to innovate in products and services for special populations. At the same time, we achieved growth as a whole and across our business units, with significant progress made in Magellan Complete Care and Magellan Rx Management.”

 

“I am pleased with our accomplishments and the unique set of capabilities we have brought to the marketplace. We offer meaningful solutions that address challenges faced by our members and customers, while helping individuals navigate the complex healthcare system.”

 

Results and Outlook

 

“Magellan posted strong financial results in 2014, particularly in our Commercial and Pharmacy Management segments,” said Jonathan N. Rubin, chief financial officer. “The pipeline of opportunities for 2015 and 2016 is strong across all market segments, and we continue to see interest in both our traditional and new products. Additionally, with the growth we achieved this year, our pharmacy business, with product lines comprising a full-service PBM, generated over a billion dollars of revenue and over $100 million of segment profit in 2014.”

 

“Relative to 2015, we are maintaining the ranges discussed in our December guidance call for net revenue in the range of $4.25 billion to $4.49 billion, net income of $51 million to $67 million, adjusted net income of $88 million to $100 million, and segment profit of $265 million to $285 million. We are also maintaining our guidance for cash flow from operations in the range of $171 million to $195 million. Taking into account the impact of share repurchase activity through February 23, 2015, but not considering any potential future share repurchases, our guidance range for fully diluted EPS is estimated to be $1.93 to $2.54 and for fully diluted adjusted EPS of $3.33 to $3.79. These EPS ranges are based on 26.4 million average fully diluted shares.”

 

Earnings Conference Call

 

Management will host a conference call at 10 a.m. Eastern time on Thursday, February 26, 2015. To participate in the conference call, interested parties should call 1-800-857-1812 and reference the pass code Fourth Quarter 2014 Earnings Call 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 Scottsdale, Ariz., 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 2015 net revenue, net income, adjusted net income, segment profit, cash flow from operations, earnings per share, adjusted earnings per share, and 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, the company’s subsequent Quarterly Reports on Form 10-Q filed during 2014, and the company’s Annual Report on Form 10-K for the year ended December 31, 2014, expected to be filed with the Securities and Exchange Commission and posted on the company’s website later today. 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 earnings per share information referred to herein may be considered to be non-GAAP financial measures. 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 STATEMENTS OF COMPREHENSIVE INCOME

(In thousands, except per share amounts)

 

 

 

Three Months Ended December 31,

 

Year Ended December 31,

 

 

 

2013

 

2014 (1)

 

2013

 

2014 (1)

 

 

 

(unaudited)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenue:

 

 

 

 

 

 

 

 

 

Managed care and other

 

$

823,627

 

$

753,489

 

$

3,063,049

 

$

2,968,374

 

PBM and dispensing

 

184,583

 

228,970

 

483,268

 

791,744

 

Total net revenue

 

1,008,210

 

982,459

 

3,546,317

 

3,760,118

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

Cost of care

 

605,782

 

506,090

 

2,232,976

 

2,088,595

 

Cost of goods sold

 

174,411

 

212,905

 

455,601

 

732,949

 

Direct service costs and other operating expenses (2) 

 

178,588

 

202,814

 

619,546

 

723,498

 

Depreciation and amortization

 

21,224

 

24,405

 

71,994

 

91,070

 

Interest expense

 

809

 

1,668

 

3,000

 

7,387

 

Interest and other income

 

(983

)

(474

)

(1,985

)

(1,301

)

Total costs and expenses

 

979,831

 

947,408

 

3,381,132

 

3,642,198

 

Income before income taxes

 

28,379

 

35,051

 

165,185

 

117,920

 

Provision for income taxes

 

9,888

 

15,305

 

39,924

 

43,689

 

Net income

 

18,491

 

19,746

 

125,261

 

74,231

 

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

 

 

(1,819

)

 

(5,173

)

Net income attributable to Magellan Health, Inc.

 

$

18,491

 

$

21,565

 

$

125,261

 

$

79,404

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares outstanding — Basic

 

27,285

 

25,558

 

27,054

 

26,689

 

Weighted average number of common shares outstanding — Diluted

 

28,008

 

26,382

 

27,675

 

27,355

 

 

 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan Health, Inc. — Basic

 

$

0.68

 

$

0.84

 

$

4.63

 

$

2.98

 

Net income per common share attributable to Magellan Health, Inc. — Diluted

 

$

0.67

 

$

0.82

 

$

4.53

 

$

2.90

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

18,491

 

$

19,746

 

$

125,261

 

$

74,231

 

Other comprehensive income (loss):

 

 

 

 

 

 

 

 

 

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

 

(21

)

(52

)

(58

)

(50

)

Comprehensive income

 

18,470

 

19,694

 

125,203

 

74,181

 

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

 

 

(1,819

)

 

(5,173

)

Comprehensive income attributable to Magellan Health, Inc.

 

$

18,470

 

$

21,513

 

$

125,203

 

$

79,354

 

 


(1)              For a more detailed discussion of Magellan Health’s results for the year ended December 31, 2014, refer to the Company’s Annual Report on Form 10-K, which will be filed with the SEC on, or shortly after, Thursday, February 26, 2015, and the live broadcast or taped replay of the Company’s earnings conference call on Thursday, February 26, 2015, which will be available at www.MagellanHealth.com.

 

(2)              Includes stock compensation expense of $6,488 and $14,601 for the three months ended December 31, 2013 and 2014, respectively, and $21,252 and $40,584 for the years ended December 31, 2013 and  2014, respectively.

 

(3)              Net of income tax benefit of $13 and $34 for the three months ended December 31, 2013 and 2014, respectively, and $38 and $33 for the years ended December 31, 2013 and 2014, respectively.

 



 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NON-GAAP MEASURES

(In thousands, except per share amounts)

 

 

 

Three Months Ended December 31,

 

Year Ended December 31,

 

 

 

2013

 

2014 (1)

 

2013

 

2014 (1)

 

 

 

(unaudited)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted Net Income

 

$

19,913

 

$

35,043

 

$

126,683

 

$

110,555

 

Adjusted for acquisitions starting in 2013 Amortization of acquired intangibles

 

(1,453

)

(4,320

)

(1,453

)

(13,696

)

Stock compensation relating to acquisitions

 

(831

)

(11,398

)

(831

)

(27,594

)

Changes in fair value of contingent consideration

 

 

(6,172

)

 

(9,304

)

Tax impact

 

862

 

8,412

 

862

 

19,443

 

Net income attributable to Magellan Health, Inc

 

$

18,491

 

$

21,565

 

$

125,261

 

$

79,404

 

 

 

 

 

 

 

 

 

 

 

Adjusted EPS

 

$

0.72

 

$

1.33

 

$

4.58

 

$

4.04

 

Adjusted for acquisitions starting in 2013 Amortization of acquired intangibles

 

(0.05

)

(0.16

)

(0.05

)

(0.50

)

Stock compensation relating to acquisitions

 

(0.03

)

(0.43

)

(0.03

)

(1.01

)

Changes in fair value of contingent consideration

 

 

(0.24

)

 

(0.34

)

Tax impact

 

0.03

 

0.32

 

0.03

 

0.71

 

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

 

$

0.67

 

$

0.82

 

$

4.53

 

$

2.90

 

 


(1)              The Company’s Annual Report on Form 10-K for the year ended December 31, 2014 will be filed with the SEC on, or shortly after, Thursday, February 26, 2015.

 



 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

 

 

 

Year Ended December 31,

 

 

 

2013

 

2014 (1)

 

 

 

 

 

 

 

Cash flows from operating activities:

 

 

 

 

 

Net income

 

$

125,261

 

$

74,231

 

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

 

 

 

 

 

Depreciation and amortization

 

71,994

 

91,070

 

Non-cash interest expense

 

736

 

3,987

 

Non-cash stock compensation expense

 

21,252

 

40,584

 

Non-cash income tax benefit

 

(1,212

)

(4,291

)

Non-cash amortization on investments

 

9,107

 

5,050

 

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

 

 

 

 

 

Restricted cash (2) 

 

(2,242

)

21,371

 

Accounts receivable, net

 

(40,804

)

(74,604

)

Pharmaceutical inventory

 

(3,882

)

10,234

 

Other assets

 

(9,293

)

(7,557

)

Accounts payable and accrued liabilities

 

3,593

 

5,887

 

Medical claims payable and other medical liabilities

 

17,866

 

55,670

 

Tax contingencies

 

(22,960

)

(14,955

)

Deferred credits and other long-term liabilities

 

10,988

 

4,045

 

Other

 

2,757

 

322

 

Net cash provided by operating activities

 

183,161

 

211,044

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

Capital expenditures

 

(64,542

)

(62,337

)

Acquisitions and investments in businesses, net of cash acquired

 

(107,541

)

(128,277

)

Purchase of investments

 

(323,253

)

(340,961

)

Maturity of investments

 

339,428

 

276,446

 

Other

 

 

 

Net cash used in investing activities

 

(155,908

)

(255,129

)

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

Proceeds from issuance of debt

 

 

250,000

 

Payments to acquire treasury stock

 

(60,677

)

(197,533

)

Proceeds from exercise of stock options and warrants

 

47,529

 

52,994

 

Tax benefit from exercise of stock options and vesting of stock awards

 

3,212

 

3,218

 

Payments on long-term debt and capital lease obligations

 

(3,001

)

(8,045

)

Other

 

(593

)

(4,433

)

Net cash (used in) provided by financing activities

 

(13,530

)

96,201

 

 

 

 

 

 

 

Net increase in cash and cash equivalents

 

13,723

 

52,116

 

Cash and cash equivalents at beginning of period

 

189,464

 

203,187

 

Cash and cash equivalents at end of period

 

$

203,187

 

$

255,303

 

 


(1)              The Company’s Annual Report on Form 10-K for the year ended December 31, 2014 will be filed with the SEC on, or shortly after, Thursday, February 26, 2015. 

 

(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 years ended December 31, 2013 and 2014, restricted cash of $29,208 and $25,997, 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

(In thousands)

 

 

 

Three Months Ended December 31,

 

Year Ended December 31,

 

 

 

2013

 

2014 (1)

 

2013

 

2014 (1)

 

 

 

(unaudited)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

 

 

 

 

 

 

 

- Commercial

 

$

188,811

 

$

142,823

 

$

766,841

 

$

673,996

 

- Public Sector

 

491,194

 

429,030

 

1,757,933

 

1,635,609

 

- Specialty Solutions

 

98,700

 

125,732

 

375,818

 

471,300

 

- Pharmacy Management (2)

 

62,613

 

55,904

 

228,705

 

205,524

 

- Elimination (2) 

 

(17,691

)

 

(66,248

)

(18,055

)

Total managed care and other revenue

 

823,627

 

753,489

 

3,063,049

 

2,968,374

 

 

 

 

 

 

 

 

 

 

 

PBM and dispensing revenue

 

 

 

 

 

 

 

 

 

- Pharmacy Management (2)

 

184,583

 

254,397

 

483,268

 

844,512

 

- Elimination (2) 

 

 

(25,427

)

 

(52,768

)

Total PBM and dispensing revenue

 

184,583

 

228,970

 

483,268

 

791,744

 

 

 

 

 

 

 

 

 

 

 

Cost of care

 

 

 

 

 

 

 

 

 

- Commercial

 

114,958

 

65,462

 

469,478

 

364,780

 

- Public Sector (2) 

 

427,329

 

351,104

 

1,523,023

 

1,385,858

 

- Specialty Solutions

 

65,284

 

89,522

 

247,496

 

339,714

 

- Pharmacy Management

 

15,902

 

2

 

59,227

 

16,298

 

- Elimination (2) 

 

(17,691

)

 

(66,248

)

(18,055

)

Total cost of care

 

605,782

 

506,090

 

2,232,976

 

2,088,595

 

 

 

 

 

 

 

 

 

 

 

Cost of goods sold

 

 

 

 

 

 

 

 

 

- Pharmacy Management (2)

 

174,411

 

237,396

 

455,601

 

784,758

 

- Elimination (2) 

 

 

(24,491

)

 

(51,809

)

Total cost of goods sold

 

174,411

 

212,905

 

455,601

 

732,949

 

 

 

 

 

 

 

 

 

 

 

Direct service costs and other operating expenses

 

 

 

 

 

 

 

 

 

- Commercial

 

42,668

 

40,022

 

172,491

 

160,341

 

- Public Sector

 

40,416

 

53,828

 

122,819

 

187,966

 

- Specialty Solutions

 

16,110

 

20,904

 

57,334

 

71,785

 

- Pharmacy Management

 

35,211

 

60,142

 

128,427

 

182,833

 

- Corporate

 

44,183

 

28,854

 

138,475

 

121,532

 

- Elimination (2) 

 

 

(936

)

 

(959

)

Total direct service costs and other operating expenses

 

178,588

 

202,814

 

619,546

 

723,498

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense (3)

 

 

 

 

 

 

 

 

 

- Commercial

 

(113

)

(142

)

(503

)

(618

)

- Public Sector

 

(205

)

(165

)

(1,038

)

(894

)

- Specialty Solutions

 

(355

)

(350

)

(1,630

)

(1,387

)

- Pharmacy Management

 

(274

)

(14,848

)

(1,172

)

(28,829

)

- Corporate

 

(5,541

)

904

 

(16,909

)

(8,856

)

Total stock compensation expense

 

(6,488

)

(14,601

)

(21,252

)

(40,584

)

 

 

 

 

 

 

 

 

 

 

Changes in fair value of contingent liabilities (3)

 

 

 

 

 

 

 

 

 

- Commercial

 

 

(38

)

 

(38

)

- Pharmacy Management

 

 

(6,134

)

 

(6,134

)

Total changes in fair value of contingent liabilities

 

 

(6,172

)

 

(6,172

)

 

 

 

 

 

 

 

 

 

 

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

 

 

(1,786

)

 

(5,087

)

 

 

 

 

 

 

 

 

 

 

Segment profit (loss)

 

 

 

 

 

 

 

 

 

- Commercial

 

31,298

 

37,519

 

125,375

 

149,531

 

- Public Sector

 

23,654

 

26,049

 

113,129

 

67,766

 

- Specialty Solutions

 

17,661

 

15,656

 

72,618

 

61,188

 

- Pharmacy Management

 

21,946

 

33,743

 

69,890

 

101,110

 

- Corporate and Elimination

 

(38,642

)

(29,758

)

(121,566

)

(112,676

)

Total segment profit

 

$

55,917

 

$

83,209

 

$

259,446

 

$

266,919

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of segment profit to income before income taxes:

 

 

 

 

 

 

 

 

 

Segment profit

 

$

55,917

 

$

83,209

 

$

259,446

 

$

266,919

 

Stock compensation expense

 

(6,488

)

(14,601

)

(21,252

)

(40,584

)

Changes in fair value of contingent liabilities

 

 

(6,172

)

 

(6,172

)

Non-controlling interest segment profit (loss)

 

 

(1,786

)

 

(5,087

)

Depreciation and amortization

 

(21,224

)

(24,405

)

(71,994

)

(91,070

)

Interest expense

 

(809

)

(1,668

)

(3,000

)

(7,387

)

Interest and other income

 

983

 

474

 

1,985

 

1,301

 

Income before income taxes

 

$

28,379

 

$

35,051

 

$

165,185

 

$

117,920

 

 


(1)              The Company’s Annual Report on Form 10-K for the year ended December 31, 2014 will be filed with the SEC on, or shortly after, Thursday, February 26, 2015.

 

(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 operating expenses related to these arrangements are eliminated.

 

(3)              Stock compensation expense and changes in present value of contingent consideration are included in direct service costs and other operating expenses; however, these amounts are excluded from the computation of segment profit.

 

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