Attached files

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

Exhibit 99.1

 

Picture 1

 

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 Third Quarter 2017 Financial Results

Updates Full Year 2017 Guidance, Including Acquisition of Senior Whole Health

 

Scottsdale, Ariz. – November 1, 2017 – Magellan Health, Inc. (NASDAQ: MGLN) today announced financial results for the third quarter ended September 30, 2017, as summarized below:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Nine Months Ended

 

 

 

September 30

 

September 30

 

(In millions, except per share results)

    

2017

    

2016

    

Chg

    

2017

    

2016

    

Chg

 

Net revenue

 

$

1,419.4 

 

$

1,292.1 

 

9.9 

%  

$

4,144.2 

 

$

3,573.5 

 

16.0 

%

Net income

 

$

32.5 

 

$

25.5 

 

27.5 

%  

$

55.7 

 

$

42.7 

 

30.4 

%

Segment profit (1)

 

$

87.7 

 

$

82.8 

 

5.9 

%  

$

211.9 

 

$

199.6 

 

6.2 

%

Adjusted net income (1)

 

$

40.4 

 

$

33.3 

 

21.3 

%  

$

80.6 

 

$

67.1 

 

20.1 

%

Per share results:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings per share

 

$

1.32 

 

$

1.06 

 

24.5 

%  

$

2.30 

 

$

1.75 

 

31.4 

%

Adjusted earnings per share (1)

 

$

1.64 

 

$

1.39 

 

18.0 

%  

$

3.33 

 

$

2.76 

 

20.7 

%


(1)

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

 

Highlights Include: 

·

Net revenue increased 10 percent over the third quarter of 2016 to $1.4 billion. 

·

Net income increased 28 percent over the third quarter of 2016 to $32.5 million.

·

Segment profit increased 6 percent over the third quarter of 2016 to $87.7 million. 

·

Adjusted net income increased 21 percent over the third quarter of 2016 to $40.4 million. 

·

Unrestricted cash and investments were $480.5 million as of September 30, 2017. Approximately $125.6 million of the unrestricted cash and investments related to excess capital and undistributed earnings held at regulated entities.

·

On September 25, 2017, the Company announced that it had completed a $400 million public offering priced at 99.8 percent and bearing interest at 4.40 percent maturing in 2024. In addition, the Company also completed a new $750 million senior unsecured credit agreement.

·

Through October 1, 2017, the Company launched in three initial regions in the Commonwealth Coordinated Care Plus Program in Virginia, and will phase-in membership in the remaining regions through January 1, 2018.  

·

On October 31, 2017, the Company closed on its acquisition of Senior Whole Health. 

 


 

“I am pleased with the closing of our acquisition of Senior Whole Health, a company focused on serving complex, high-risk populations providing both Medicare and Medicaid dual-eligible benefits in New York and Massachusetts,” said Barry M. Smith chairman and chief executive officer of Magellan Health.  “For the balance of the year, we will remain focused on the implementation of our Virginia program and the integration of Senior Whole Health.  Success in these major initiatives fuels future growth and fulfills our mission in leading humanity to healthy vibrant lives.”

 

Net Revenue

Net revenue for the third quarter of 2017 was $1.4 billion, which represents an increase of 10 percent over the same period in 2016. This increase was mainly driven by net business growth and the annualization of revenue from prior year acquisitions.

 

Segment Profit

Segment profit was $87.7 million for the third quarter of 2017, compared to $82.8 million in the prior year quarter. 

·

Healthcare segment profit for the third quarter of 2017 was $57.6 million, which represents a decrease of 4 percent compared to the third quarter of 2016. This decrease is mainly due to the prior year quarter including $13 million of favorable out-of-period adjustments, partially off-set by improved results in the government healthcare business.

·

Pharmacy segment profit for the third quarter of 2017 was $38.7 million, which was an increase of 20 percent from the third quarter of 2016.  The increase was primarily due to PBM new business, improved margins, and earnings from the Veridicus acquisition which closed in December, 2016.

·

Corporate costs, inclusive of eliminations but excluding stock compensation expense, were $8.5 million versus $9.4 million during the third quarter of 2016. This decrease was the result of a decline in discretionary benefits.

 

Cash Flow & Balance Sheet

Cash flow from operations for the nine months ended September 30, 2017 was $112.7 million, as compared to cash flow used by operations of $7.6 million for the nine months ended September 30, 2016.  The prior year was impacted by the portion of the contingent consideration payments related to the CDMI acquisition that were recorded in cash flow from operations, and the initial build-up of Medicare Part D receivables. 

 

As of September 30, 2017, the Company’s unrestricted cash and investments totaled $480.5 million versus $293.9 million at December 31, 2016. Approximately $125.6 million of the unrestricted cash and investments at September 30, 2017 related to excess capital and undistributed earnings held at regulated entities.

 

Restricted cash and investments as of September 30, 2017 increased to $347.7 million versus $315.9 million at December 31, 2016. This variance was primarily due to growth in Magellan Complete Care of Florida and Magellan Complete Care of Virginia.

 

Outlook

The Company revised its 2017 full year guidance, including the impact of the acquisition of Senior Whole Health which closed on October 31, 2017.

 

The Company now estimates revenue in the range of $5.75 billion to $5.85 billion. Net Income for the full year 2017 is expected to be in the range of $100 million to $110 million with adjusted net income in the range of $133 million to $143 million. The full year 2017 segment profit guidance is expected to be in the range of $320 million to $330 million.

 

The Company now estimates cash flow from operations in the range of $210 million to $230 million.

 


 

The Company now expects fully diluted EPS to be between $4.10 and $4.51 and fully diluted adjusted EPS to be between $5.45 and $5.86, based on average fully diluted shares of 24.4 million. This updated fully diluted share count reflects share repurchases and option exercises through October 27, but excludes any potential future activity.

 

“We are updating our full year 2017 guidance to reflect the closing of the Senior Whole Health acquisition, lower segment profit in the Healthcare business and an improved effective tax rate,” said Jonathan N. Rubin, chief financial officer of Magellan Health. “The change in the segment profit outlook reflects an updated view on the timing of corrective actions in commercial healthcare and delays in new business sales.”

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2017 Guidance

 

2017 Guidance

 

 

Current

 

Prior (2)

(In millions, except per share results)

    

Low

    

High

    

Low

    

High

Net revenue

 

$

5,750.0 

 

$

5,850.0 

 

$

5,795.0 

 

$

6,095.0 

Net income

 

$

100.0 

 

$

110.0 

 

$

90.0 

 

$

114.0 

Segment profit (1)

 

$

320.0 

 

$

330.0 

 

$

329.0 

 

$

349.0 

Adjusted net income (1)

 

$

133.0 

 

$

143.0 

 

$

123.0 

 

$

145.0 

Cash flow from operations

 

$

210.0 

 

$

230.0 

 

$

150.0 

 

$

182.0 

Per share results:

 

 

 

 

 

 

 

 

 

 

 

 

Earnings per share

 

$

4.10 

 

$

4.51 

 

$

3.72 

 

$

4.71 

Adjusted earnings per share (1)

 

$

5.45 

 

$

5.86 

 

$

5.08 

 

$

5.99 


(1)

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

(2)

The Company noted in the second quarter earnings release that it expected to be at the lower end of its guidance ranges.

 

Earnings Conference Call

Management will discuss the Company’s third quarter results on a conference call scheduled for Wednesday, November 1, 2017 at 10 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 December 1, 2017. This replay may be accessed by dialing 1-800-704-0516 (domestic) or 1-203-369-3323 (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, income before income taxes, net income, earnings per share, segment profit, adjusted net income, adjusted earnings per share, cash flow from operations, 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

 

 

September 30, 2017

 

    

 

 

  

  

(unaudited)

ASSETS

 

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

304,508 

 

 

$

504,764 

Accounts receivable, net

 

 

606,764 

 

 

 

622,431 

Short-term investments

 

 

297,493 

 

 

 

312,902 

Pharmaceutical inventory

 

 

58,995 

 

 

 

48,941 

Other current assets

 

 

51,507 

 

 

 

52,896 

Total Current Assets

 

 

1,319,267 

 

 

 

1,541,934 

Property and equipment, net

 

 

172,524 

 

 

 

161,437 

Long-term investments

 

 

7,760 

 

 

 

10,575 

Deferred income taxes

 

 

3,125 

 

 

 

5,249 

Other long-term assets

 

 

12,725 

 

 

 

40,621 

Goodwill

 

 

742,054 

 

 

 

745,947 

Other intangible assets, net

 

 

186,232 

 

 

 

156,351 

Total Assets

 

$

2,443,687 

 

 

$

2,662,114 

 

 

 

 

 

 

 

 

LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST AND STOCKHOLDERS' EQUITY

 

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

 

Accounts payable

 

$

95,635 

 

 

$

66,530 

Accrued liabilities

 

 

202,176 

 

 

 

173,701 

Short-term contingent consideration

 

 

9,354 

 

 

 

8,875 

Medical claims payable

 

 

184,136 

 

 

 

213,692 

Other medical liabilities

 

 

197,856 

 

 

 

193,881 

Current debt and capital lease obligations

 

 

403,693 

 

 

 

19,231 

Total Current Liabilities

 

 

1,092,850 

 

 

 

675,910 

Long-term debt and capital lease obligations

 

 

214,686 

 

 

 

745,543 

Tax contingencies

 

 

13,981 

 

 

 

14,348 

Long-term contingent consideration

 

 

1,799 

 

 

 

615 

Deferred credits and other long-term liabilities

 

 

15,882 

 

 

 

18,290 

Total Liabilities

 

 

1,339,198 

 

 

 

1,454,706 

 

 

 

 

 

 

 

 

Redeemable non-controlling interest

 

 

4,770 

 

 

 

4,704 

Stockholders’ Equity:

 

 

 

 

 

 

 

Ordinary common stock

 

 

520 

 

 

 

527 

Additional paid-in capital

 

 

1,186,283 

 

 

 

1,248,993 

Retained earnings

 

 

1,289,288 

 

 

 

1,344,986 

Accumulated other comprehensive loss

 

 

(175)

 

 

 

(148)

Ordinary common stock in treasury, at cost

 

 

(1,376,197)

 

 

 

(1,391,654)

Total Stockholders’ Equity

 

 

1,099,719 

 

 

 

1,202,704 

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

 

$

2,443,687 

 

 

$

2,662,114 

 


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(In thousands, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Nine Months Ended

 

 

September 30,

 

September 30,

 

 

2016

 

 

2017

 

2016

 

 

2017

 

    

(unaudited)

  

  

(unaudited)

    

(unaudited)

  

  

(unaudited)

Net revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other

 

$

751,589 

 

 

$

834,358 

 

$

2,127,911 

 

 

$

2,385,397 

PBM and dispensing

 

 

540,543 

 

 

 

585,048 

 

 

1,445,588 

 

 

 

1,758,771 

Total net revenue

 

 

1,292,132 

 

 

 

1,419,406 

 

 

3,573,499 

 

 

 

4,144,168 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of care

 

 

480,243 

 

 

 

569,306 

 

 

1,410,403 

 

 

 

1,634,624 

Cost of goods sold

 

 

509,673 

 

 

 

543,682 

 

 

1,362,062 

 

 

 

1,648,670 

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

 

 

229,094 

 

 

 

227,372 

 

 

635,627 

 

 

 

680,230 

Depreciation and amortization

 

 

26,885 

 

 

 

28,189 

 

 

77,472 

 

 

 

82,896 

Interest expense

 

 

3,038 

 

 

 

7,663 

 

 

6,780 

 

 

 

16,711 

Interest and other income

 

 

(741)

 

 

 

(1,781)

 

 

(2,116)

 

 

 

(3,801)

Total costs and expenses

 

 

1,248,192 

 

 

 

1,374,431 

 

 

3,490,228 

 

 

 

4,059,330 

Income before income taxes

 

 

43,940 

 

 

 

44,975 

 

 

83,271 

 

 

 

84,838 

Provision for income taxes

 

 

18,631 

 

 

 

11,739 

 

 

43,259 

 

 

 

29,206 

Net income

 

 

25,309 

 

 

 

33,236 

 

 

40,012 

 

 

 

55,632 

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

 

 

(200)

 

 

 

785 

 

 

(2,692)

 

 

 

(66)

Net income attributable to Magellan

 

$

25,509 

 

 

$

32,451 

 

$

42,704 

 

 

$

55,698 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares outstanding — basic

 

 

23,052 

 

 

 

23,282 

 

 

23,394 

 

 

 

23,135 

Weighted average number of common shares outstanding — diluted (4)

 

 

24,009 

 

 

 

24,563 

 

 

24,382 

 

 

 

24,241 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan — basic

 

$

1.11 

 

 

$

1.39 

 

$

1.83 

 

 

$

2.41 

Net income per common share attributable to Magellan — diluted

 

$

1.06 

 

 

$

1.32 

 

$

1.75 

 

 

$

2.30 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

25,309 

 

 

$

33,236 

 

$

40,012 

 

 

$

55,632 

Other comprehensive income:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unrealized (loss) gains on available-for-sale securities (5)

 

 

(127)

 

 

 

26 

 

 

109 

 

 

 

27 

Comprehensive income

 

 

25,182 

 

 

 

33,262 

 

 

40,121 

 

 

 

55,659 

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

 

 

(200)

 

 

 

785 

 

 

(2,692)

 

 

 

(66)

Comprehensive income attributable to Magellan

 

$

25,382 

 

 

$

32,477 

 

$

42,813 

 

 

$

55,725 


(1)

Includes stock compensation expense of $9,176 and $10,323 for the three months ended September 30, 2016 and 2017, respectively, and $27,573 and $31,834 for the nine months ended September 30, 2016 and 2017, respectively.

(2)

Includes changes in fair value of contingent consideration of $313 and $(834) for the three months ended September 30, 2016 and 2017, respectively, and $510 and $(631) for the nine months ended September 30, 2016 and 2017, respectively.

(3)

Includes impairment of intangible assets of $0 and $4,800 for the three and nine months ended September 30, 2016.

(4)

During 2016, the Company early adopted ASU 2016-09. As a result, the common stock equivalents and diluted weighted average common shares outstanding as of September 30, 2016 have been adjusted. There was no impact to net income per common share – diluted.

(5)

Net of income tax (benefit) provision of $(78) and $16 for the three months ended September 30, 2016 and 2017, respectively, and $68 and $18 for the nine months ended September 30, 2016 and 2017, respectively.


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

 

 

 

 

 

 

 

 

 

 

 

Nine Months Ended

 

 

September 30,

 

 

2016

 

 

2017

 

    

(Unaudited)

  

  

(Unaudited)

Cash flows from operating activities:

 

 

 

 

 

 

 

Net income

 

$

40,012 

 

 

$

55,632 

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

 

 

 

 

 

 

 

Depreciation and amortization

 

 

77,472 

 

 

 

82,896 

Non-cash impairment of intangible assets

 

 

4,800 

 

 

 

-

Non-cash interest expense

 

 

385 

 

 

 

3,120 

Non-cash stock compensation expense

 

 

27,573 

 

 

 

31,834 

Non-cash income tax provision (benefit)

 

 

2,998 

 

 

 

(2,160)

Non-cash amortization on investments

 

 

4,224 

 

 

 

3,052 

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

 

 

 

 

 

 

 

Accounts receivable, net

 

 

(31,926)

 

 

 

(13,539)

Pharmaceutical inventory

 

 

(10,425)

 

 

 

9,609 

Other assets

 

 

(72,374)

 

 

 

(15,481)

Accounts payable and accrued liabilities

 

 

23,870 

 

 

 

(70,006)

Medical claims payable and other medical liabilities

 

 

(18,017)

 

 

 

25,578 

Contingent consideration

 

 

(50,591)

 

 

 

(631)

Tax contingencies

 

 

(111)

 

 

 

158 

Deferred credits and other long-term liabilities

 

 

(5,393)

 

 

 

2,408 

Other

 

 

(57)

 

 

 

210 

Net cash (used in) provided by operating activities

 

 

(7,560)

 

 

 

112,680 

 

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

 

 

Capital expenditures

 

 

(44,345)

 

 

 

(42,703)

Acquisitions and investments in businesses, net of cash acquired

 

 

(126,931)

 

 

 

(3,200)

Purchase of investments

 

 

(365,521)

 

 

 

(341,280)

Maturity of investments

 

 

373,694 

 

 

 

320,045 

Net cash used in investing activities

 

 

(163,103)

 

 

 

(67,138)

 

 

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

 

 

Proceeds from issuance of debt

 

 

290,000 

 

 

 

949,239 

Payments to acquire treasury stock

 

 

(106,806)

 

 

 

(15,457)

Proceeds from exercise of stock options and warrants

 

 

10,933 

 

 

 

28,328 

Payments on debt and capital lease obligations

 

 

(13,569)

 

 

 

(798,359)

Payments on contingent consideration

 

 

(40,559)

 

 

 

(1,032)

Other

 

 

1,274 

 

 

 

(8,005)

Net cash provided by financing activities

 

 

141,273 

 

 

 

154,714 

 

 

 

 

 

 

 

 

Net (decrease) increase in cash and cash equivalents

 

 

(29,390)

 

 

 

200,256 

Cash and cash equivalents at beginning of period

 

 

249,029 

 

 

 

304,508 

Cash and cash equivalents at end of period

 

$

219,639 

 

 

$

504,764 

 


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED OPERATING RESULTS BY BUSINESS SEGMENT

(In thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Nine Months Ended

 

 

September 30,

 

September 30,

 

 

2016

 

 

2017

 

2016

 

 

2017

 

    

(unaudited)

  

  

(unaudited)

    

(unaudited)

  

  

(unaudited)

Healthcare

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

690,572 

 

 

$

769,451 

 

$

1,947,470 

 

 

$

2,190,097 

Cost of care

 

 

(480,243)

 

 

 

(569,306)

 

 

(1,410,403)

 

 

 

(1,634,624)

Direct service costs and other

 

 

(152,992)

 

 

 

(143,550)

 

 

(418,574)

 

 

 

(428,432)

Stock compensation expense (1)

 

 

2,267 

 

 

 

2,623 

 

 

6,737 

 

 

 

8,388 

Changes in fair value of contingent consideration (1)

 

 

313 

 

 

 

(834)

 

 

383 

 

 

 

(631)

Impairment of intangible assets (1)

 

 

-

 

 

 

-

 

 

4,800 

 

 

 

-

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

 

 

(189)

 

 

 

789 

 

 

(1,325)

 

 

 

(56)

Healthcare segment profit

 

 

60,106 

 

 

 

57,595 

 

 

131,738 

 

 

 

134,854 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pharmacy Management

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

61,106 

 

 

 

65,131 

 

 

180,658 

 

 

 

195,970 

PBM and dispensing revenue

 

 

570,231 

 

 

 

618,178 

 

 

1,535,864 

 

 

 

1,856,856 

Cost of goods sold

 

 

(538,113)

 

 

 

(575,327)

 

 

(1,448,699)

 

 

 

(1,742,610)

Direct service costs and other

 

 

(66,475)

 

 

 

(74,976)

 

 

(191,402)

 

 

 

(225,782)

Stock compensation expense (1)

 

 

5,368 

 

 

 

5,680 

 

 

16,338 

 

 

 

17,094 

Changes in fair value of contingent consideration (1)

 

 

-

 

 

 

-

 

 

127 

 

 

 

-

Pharmacy Management segment profit

 

 

32,117 

 

 

 

38,686 

 

 

92,886 

 

 

 

101,528 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate and Elimination (3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

(89)

 

 

 

(224)

 

 

(217)

 

 

 

(670)

PBM and dispensing revenue

 

 

(29,688)

 

 

 

(33,130)

 

 

(90,276)

 

 

 

(98,085)

Cost of goods sold

 

 

28,440 

 

 

 

31,645 

 

 

86,637 

 

 

 

93,940 

Direct service costs and other

 

 

(9,627)

 

 

 

(8,846)

 

 

(25,651)

 

 

 

(26,016)

Stock compensation expense (1)

 

 

1,541 

 

 

 

2,020 

 

 

4,498 

 

 

 

6,352 

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

 

 

(5)

 

 

 

(1)

 

 

(16)

 

 

 

(3)

Corporate and Elimination

 

 

(9,418)

 

 

 

(8,534)

 

 

(24,993)

 

 

 

(24,476)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

751,589 

 

 

 

834,358 

 

 

2,127,911 

 

 

 

2,385,397 

PBM and dispensing revenue

 

 

540,543 

 

 

 

585,048 

 

 

1,445,588 

 

 

 

1,758,771 

Cost of care

 

 

(480,243)

 

 

 

(569,306)

 

 

(1,410,403)

 

 

 

(1,634,624)

Cost of goods sold

 

 

(509,673)

 

 

 

(543,682)

 

 

(1,362,062)

 

 

 

(1,648,670)

Direct service costs and other

 

 

(229,094)

 

 

 

(227,372)

 

 

(635,627)

 

 

 

(680,230)

Stock compensation expense (1)

 

 

9,176 

 

 

 

10,323 

 

 

27,573 

 

 

 

31,834 

Changes in fair value of contingent consideration (1)

 

 

313 

 

 

 

(834)

 

 

510 

 

 

 

(631)

Impairment of intangible assets (1)

 

 

-

 

 

 

-

 

 

4,800 

 

 

 

-

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

 

 

(194)

 

 

 

788 

 

 

(1,341)

 

 

 

(59)

Consolidated segment profit

 

$

82,805 

 

 

$

87,747 

 

$

199,631 

 

 

$

211,906 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of income before income taxes to segment profit:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

$

43,940 

 

 

$

44,975 

 

$

83,271 

 

 

$

84,838 

Stock compensation expense

 

 

9,176 

 

 

 

10,323 

 

 

27,573 

 

 

 

31,834 

Changes in fair value of contingent consideration

 

 

313 

 

 

 

(834)

 

 

510 

 

 

 

(631)

Impairment of intangible assets

 

 

-

 

 

 

-

 

 

4,800 

 

 

 

-

Non-controlling interest segment (profit) loss

 

 

194 

 

 

 

(788)

 

 

1,341 

 

 

 

59 

Depreciation and amortization

 

 

26,885 

 

 

 

28,189 

 

 

77,472 

 

 

 

82,896 

Interest expense

 

 

3,038 

 

 

 

7,663 

 

 

6,780 

 

 

 

16,711 

Interest and other income

 

 

(741)

 

 

 

(1,781)

 

 

(2,116)

 

 

 

(3,801)

Segment profit

 

$

82,805 

 

 

$

87,747 

 

$

199,631 

 

 

$

211,906 


(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 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. 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

(In thousands, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Nine Months Ended

 

 

September 30,

 

September 30,

 

 

 

2016

 

 

 

2017

 

 

2016

 

 

 

2017

 

    

 

(unaudited)

  

  

 

(unaudited)

    

 

(unaudited)

  

  

 

(unaudited)

Net income attributable to Magellan

 

$

25,509 

 

 

$

32,451 

 

$

42,704 

 

 

$

55,698 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

5,105 

 

 

 

4,960 

 

 

14,217 

 

 

 

14,718 

Changes in fair value of contingent consideration

 

 

313 

 

 

 

(834)

 

 

510 

 

 

 

(631)

Amortization of acquired intangibles

 

 

6,649 

 

 

 

8,424 

 

 

17,938 

 

 

 

25,189 

Impairment of intangible assets, net of non-controlling interest

 

 

-

 

 

 

-

 

 

3,936 

 

 

 

-

Tax impact

 

 

(4,254)

 

 

 

(4,605)

 

 

(12,203)

 

 

 

(14,372)

Adjusted net income

 

$

33,322 

 

 

$

40,396 

 

$

67,102 

 

 

$

80,602 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan —Diluted

 

$

1.06 

 

 

$

1.32 

 

$

1.75 

 

 

$

2.30 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

0.22 

 

 

 

0.20 

 

 

0.59 

 

 

 

0.61 

Changes in fair value of contingent consideration

 

 

0.01 

 

 

 

(0.03)

 

 

0.02 

 

 

 

(0.03)

Amortization of acquired intangibles

 

 

0.28 

 

 

 

0.34 

 

 

0.74 

 

 

 

1.04 

Impairment of intangible assets, net of non-controlling interest

 

 

-

 

 

 

-

 

 

0.16 

 

 

 

-

Tax impact

 

 

(0.18)

 

 

 

(0.19)

 

 

(0.50)

 

 

 

(0.59)

Adjusted earnings per share

 

$

1.39 

 

 

$

1.64 

 

$

2.76 

 

 

$

3.33 

 


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

FISCAL 2017 GUIDANCE

(In millions, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVIOUS GUIDANCE

 

CURRENT GUIDANCE (1)

 

    

Low

  

  

High

    

Low

  

  

High

Net revenue

 

$

5,795.0 

 

 

$

6,095.0 

 

$

5,750.0 

 

 

$

5,850.0 

Income before income taxes

 

 

149.0 

 

 

 

189.0 

 

 

143.0 

 

 

 

157.0 

Net income

 

 

90.0 

 

 

 

114.0 

 

 

100.0 

 

 

 

110.0 

Segment profit (2)

 

 

329.0 

 

 

 

349.0 

 

 

320.0 

 

 

 

330.0 

Adjusted net income (2)

 

 

123.0 

 

 

 

145.0 

 

 

133.0 

 

 

 

143.0 

Cash flow from operations

 

 

150.0 

 

 

 

182.0 

 

 

210.0 

 

 

 

230.0 

Per share results:

 

 

  

 

 

 

  

 

 

  

 

 

 

  

Earnings per share (3)

 

 

3.72 

 

 

 

4.71 

 

 

4.10 

 

 

 

4.51 

Adjusted earnings per share (2)(3)

 

 

5.08 

 

 

 

5.99 

 

 

5.45 

 

 

 

5.86 


(1)

Includes two months of Senior Whole Health's results.

(2)

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

(3)

Based on average fully diluted shares of 24.2 million and 24.4 million for previous guidance and current guidance, respectively.


 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

FISCAL 2017 GUIDANCE

RECONCILIATION OF GAAP TO NON-GAAP MEASURES

(In millions, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVIOUS GUIDANCE

 

CURRENT GUIDANCE (1)

 

    

Low

  

  

High

    

Low

  

  

High

Net income attributable to Magellan

 

$

90.0 

 

 

$

114.0 

 

$

100.0 

 

 

$

110.0 

Adjusted for acquisitions starting in 2013

 

 

  

 

 

 

  

 

 

  

 

 

 

  

Stock compensation expense relating to acquisitions

 

 

16.7 

 

 

 

16.7 

 

 

16.5 

 

 

 

16.5 

Changes in fair value of contingent consideration

 

 

2.0 

 

 

 

 

 

 

 

 

Amortization of acquired intangibles

 

 

34.0 

 

 

 

34.0 

 

 

35.5 

 

 

 

35.5 

Tax impact

 

 

(19.7)

 

 

 

(19.7)

 

 

(19.0)

 

 

 

(19.0)

Adjusted net income

 

$

123.0 

 

 

$

145.0 

 

$

133.0 

 

 

$

143.0 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan —Diluted

 

$

3.72 

 

 

$

4.71 

 

$

4.10 

 

 

$

4.51 

Adjusted for acquisitions starting in 2013

 

 

  

 

 

 

  

 

 

  

 

 

 

  

Stock compensation expense relating to acquisitions

 

 

0.69 

 

 

 

0.69 

 

 

0.68 

 

 

 

0.68 

Changes in fair value of contingent consideration

 

 

0.08 

 

 

 

 

 

 

 

 

Amortization of acquired intangibles

 

 

1.40 

 

 

 

1.40 

 

 

1.45 

 

 

 

1.45 

Tax impact

 

 

(0.81)

 

 

 

(0.81)

 

 

(0.78)

 

 

 

(0.78)

Adjusted earnings per share

 

$

5.08 

 

 

$

5.99 

 

$

5.45 

 

 

$

5.86 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of income before income taxes to segment profit:

 

 

  

 

 

 

  

 

 

  

 

 

 

  

Income before income taxes

 

$

149.0 

 

 

$

189.0 

 

$

143.0 

 

 

$

157.0 

Stock compensation expense

 

 

40.0 

 

 

 

36.0 

 

 

41.0 

 

 

 

39.0 

Changes in fair value of contingent consideration

 

 

2.0 

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

117.0 

 

 

 

113.0 

 

 

115.0 

 

 

 

113.0 

Interest expense

 

 

23.0 

 

 

 

13.0 

 

 

26.0 

 

 

 

26.0 

Interest income

 

 

(2.0)

 

 

 

(2.0)

 

 

(5.0)

 

 

 

(5.0)

Segment profit

 

$

329.0 

 

 

$

349.0 

 

$

320.0 

 

 

$

330.0 


(1)

Includes two months of Senior Whole Health's results.