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

Exhibit 99.1

 

Picture 1

 

NEWS RELEASE

Media Contact: Kristen Durocher, kdurocher@magellanhealth.com, (860) 507-1983

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

 

Magellan Health Reports Fourth Quarter 2017 and Full Year Financial Results

Scottsdale, Ariz. – February 27, 2018  – Magellan Health, Inc. (NASDAQ: MGLN) today announced financial results for the fourth quarter and full year ended December 31, 2017, as summarized below:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Twelve Months Ended

 

 

 

December 31

 

December 31

 

(In millions, except per share results)

    

2017 

    

2016 

    

Chg

    

2017 

    

2016 

    

Chg

 

Net revenue

 

$

1,694.4 

 

$

1,263.4 

 

34.1 

%  

$

5,838.6 

 

$

4,836.9 

 

20.7 

%

Net income

 

$

54.5 

 

$

35.2 

 

54.8 

%  

$

110.2 

 

$

77.9 

 

41.5 

%

Segment profit [1]

 

$

99.0 

 

$

102.2 

 

-3.1 

%  

$

310.9 

 

$

301.8 

 

3.0 

%

Adjusted net income [1]

 

$

64.2 

 

$

42.4 

 

51.4 

%  

$

144.8 

 

$

109.5 

 

32.2 

%

Per share results:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings per share

 

$

2.17 

 

$

1.50 

 

44.7 

%  

$

4.51 

 

$

3.22 

 

40.1 

%

Adjusted earnings per share [1]

 

$

2.55 

 

$

1.80 

 

41.7 

%  

$

5.92 

 

$

4.53 

 

30.7 

%

 

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

Highlights Include:

·

Net revenue for the year ended December 31, 2017 increased 20.7 percent over 2016 to $5.8 billion.

·

Net income for the year ended December 31, 2017 increased 41.5 percent over 2016 to $110.2 million.

·

Segment profit for the year ended December 31, 2017 increased 3.0 percent over 2016 to $310.9 million.

·

Adjusted net income for the full year ended December 31, 2017 increased 32.2  percent over 2016 to $144.8 million.

·

Unrestricted cash and investments were $261.2 million as of December 31, 2017. Approximately $143.9 million of the unrestricted cash and investments related to excess capital and undistributed earnings held at regulated entities.

·

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

·

As of January 1, 2018 the Company completed the rollout in the remaining regions in the Commonwealth Coordinated Care Plus Program in Virginia.

 


 

 

“I am pleased with the execution and progress against our strategic initiatives during 2017.  We have made major strides against our stated growth objectives and have repositioned ourselves for long-term sustained growth with our two platforms – healthcare and pharmacy management,” said Barry M. Smith, chairman and chief executive officer of Magellan Health.  “As we move forward in 2018, we will continue to be the nation’s leader in addressing complex, high-cost special populations through the development of innovative products that demonstrate improved outcomes and reduce costs while empowering members within our communities to live healthy, vibrant lives.”

Net Revenue

Net revenue for the year ended December 31, 2017, was $5.8 billion, which represents an increase of 20.7 percent over the same period in 2016. This increase was mainly driven by net business growth and acquisition revenue.

Segment Profit

Segment profit was $310.9 million for the year ended December 31, 2017, compared to $301.8 million in the prior year.

·

Healthcare segment profit for the year ended December 31, 2017,  was $202.7 million, which represents an increase of 3.7 percent over 2016 excluding the impact of the Health Insurer Fee moratorium. This increase was driven by net growth, acquisitions and improved results for Magellan Complete Care of Florida, partially offset by start-up costs for Magellan Complete Care of Virginia and isolated costs pressure in two of our Commercial accounts in early 2017.

·

Pharmacy segment profit for the year ended December 31, 2017,  was $139.9 million, which was an increase of 14.0 percent from the 2016. The increase was primarily due to net growth within our PBM business and the full year inclusion of results from the Veridicus acquisition.

·

Corporate costs, inclusive of eliminations but excluding stock compensation expense, were $31.8 million for the year ended December 31, 2017, versus $33.9 million for the prior year.  This decrease was mainly due to the lower discretionary benefits in 2017.

Cash Flow & Balance Sheet

Cash flow from operations for the year ended December 31, 2017, was $162.3 million, as compared to cash flow from operations of $66.7 million for the year ended December 31, 2016.  The prior year was impacted by the initial build-up of Medicare Part D receivables.

As of December 31, 2017, the Company’s unrestricted cash and investments totaled $261.2 million versus $293.9 million at December 31, 2016. Approximately $143.9 million of the unrestricted cash and investments at December 31, 2017, related to excess capital and undistributed earnings held at regulated entities.

Restricted cash and investments as of December 31, 2017, increased to $465.4 million versus $315.9 million at December 31, 2016. This increase was primarily attributable to the acquisition of Senior Whole Health.

 


 

 

Outlook

The Company revised its 2018 full year guidance, including the impact of the Tax Cuts and Jobs Act.

The Company now estimates net income to be in the range of $125 million to $149 million with adjusted net income in the range of $163 million to $183 million. The full year 2018 segment profit guidance is expected to be in the range of $390 million to $410 million. The Company is maintaining its revenue range at $7.5 billion to $7.8 billion.

The Company now expects fully diluted EPS to be between $4.88 and $5.82 and fully diluted adjusted EPS to be between $6.37 and $7.15, based on average fully diluted shares of 25.6 million. This updated fully diluted share count reflects share repurchases and option exercises through February 23rd, but excludes any potential future activity.

“We are updating our 2018 guidance due to the lower corporate tax rate, the corresponding impact on the Health Insurer Fee revenue,  and additional investments within our businesses,” said Jonathan N. Rubin, chief financial officer of Magellan Health. “We are also updating guidance to reflect the final amortization of the Senior Whole Health intangible assets as well as our final analysis of the impact of the new revenue recognition rules under ASU 606 going into effect in 2018.”

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2018 Guidance

 

Current

 

Prior

 

 

 

Low

 

High

 

Low

 

High

 

Net revenue

 

$

7,500.0 

 

$

7,800.0 

 

$

7,500.0 

 

$

7,800.0 

 

Income before income taxes

 

$

186.0 

 

$

224.0 

 

$

215.0 

 

$

255.0 

 

Net income

 

$

125.0 

 

$

149.0 

 

$

114.0 

 

$

138.0 

 

Segment Profit[1]

 

$

390.0 

 

$

410.0 

 

$

414.0 

 

$

436.0 

 

Adjusted net income[1]

 

$

163.0 

 

$

183.0 

 

$

143.0 

 

$

163.0 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Per share results:

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings per share[2]

 

$

4.88 

 

$

5.82 

 

$

4.52 

 

$

5.48 

 

Adjusted earnings per share[1][2]

 

$

6.37 

 

$

7.15 

 

$

5.68 

 

$

6.47 

 

 

[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 February 23, 2018, but excludes the impact of any potential future activity.

Earnings Conference Call

Management will discuss the Company’s fourth quarter results on a conference call scheduled for Tuesday, February 27, 2018 at 8:30 a.m. Eastern. To participate in the conference call, dial 1-800-857-1812 approximately 10 minutes before the start of the call. The conference call will also be available live

via webcast at Magellan's investor relations page at MagellanHealth.com. A telephonic replay will be available shortly after the conclusion of the call through March 29, 2018. This replay may be accessed by dialing 1-888-566-0478 (domestic) or 1-203-369-3051 (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 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 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

  

  

December 31, 2017

 

ASSETS

 

 

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

304,508 

 

 

$

398,732 

 

Accounts receivable, net

 

 

606,764 

 

 

 

660,775 

 

Short-term investments

 

 

297,493 

 

 

 

310,578 

 

Pharmaceutical inventory

 

 

58,995 

 

 

 

40,945 

 

Other current assets

 

 

51,507 

 

 

 

72,323 

 

Total Current Assets

 

 

1,319,267 

 

 

 

1,483,353 

 

Property and equipment, net

 

 

172,524 

 

 

 

158,638 

 

Long-term investments

 

 

7,760 

 

 

 

17,287 

 

Deferred income taxes

 

 

3,125 

 

 

 

813 

 

Other long-term assets

 

 

12,725 

 

 

 

22,567 

 

Goodwill

 

 

742,054 

 

 

 

1,006,288 

 

Other intangible assets, net

 

 

186,232 

 

 

 

268,288 

 

Total Assets

 

$

2,443,687 

 

 

$

2,957,234 

 

LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST

 

 

 

 

 

 

 

 

AND STOCKHOLDERS' EQUITY

 

 

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

 

 

Accounts payable

 

$

95,635 

 

 

$

74,300 

 

Accrued liabilities

 

 

202,176 

 

 

 

193,635 

 

Short-term contingent consideration

 

 

9,354 

 

 

 

6,892 

 

Medical claims payable

 

 

184,136 

 

 

 

327,625 

 

Other medical liabilities

 

 

197,856 

 

 

 

177,002 

 

Current debt and capital lease obligations

 

 

403,693 

 

 

 

112,849 

 

Total Current Liabilities

 

 

1,092,850 

 

 

 

892,303 

 

Long-term debt and capital lease obligations

 

 

214,686 

 

 

 

740,888 

 

Deferred income taxes

 

 

 

 

 

12,298 

 

Tax contingencies

 

 

13,981 

 

 

 

14,226 

 

Long-term contingent consideration

 

 

1,799 

 

 

 

1,925 

 

Deferred credits and other long-term liabilities

 

 

15,882 

 

 

 

19,100 

 

Total Liabilities

 

 

1,339,198 

 

 

 

1,680,740 

 

 

 

 

 

 

 

 

 

 

Redeemable non-controlling interest

 

 

4,770 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stockholders’ Equity:

 

 

 

 

 

 

 

 

Ordinary common stock

 

 

520 

 

 

 

530 

 

Additional paid-in capital

 

 

1,186,283 

 

 

 

1,274,811 

 

Retained earnings

 

 

1,289,288 

 

 

 

1,399,495 

 

Accumulated other comprehensive loss

 

 

(175)

 

 

 

(380)

 

Ordinary common stock in treasury, at cost

 

 

(1,376,197)

 

 

 

(1,397,962)

 

Total Stockholders’ Equity

 

 

1,099,719 

 

 

 

1,276,494 

 

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

 

$

2,443,687 

 

 

$

2,957,234 

 

 

 


 

 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(In thousands, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Years Ended

 

 

December 31,

 

December 31,

 

    

2016 

  

  

2017 

    

2016 

  

  

2017 

 

 

(unaudited)

 

 

(unaudited)

 

 

 

 

 

 

Net revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other

 

$

775,031 

 

 

$

1,093,785 

 

$

2,902,942 

 

 

$

3,479,182 

PBM and dispensing

 

 

488,354 

 

 

 

600,630 

 

 

1,933,942 

 

 

 

2,359,401 

Total net revenue

 

 

1,263,385 

 

 

 

1,694,415 

 

 

4,836,884 

 

 

 

5,838,583 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of care

 

 

472,211 

 

 

 

779,146 

 

 

1,882,614 

 

 

 

2,413,770 

Cost of goods sold

 

 

456,658 

 

 

 

563,240 

 

 

1,818,720 

 

 

 

2,211,910 

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

 

 

240,985 

 

 

 

261,653 

 

 

876,612 

 

 

 

941,883 

Depreciation and amortization

 

 

28,574 

 

 

 

32,810 

 

 

106,046 

 

 

 

115,706 

Interest expense

 

 

3,413 

 

 

 

9,266 

 

 

10,193 

 

 

 

25,977 

Interest and other income

 

 

(702)

 

 

 

(2,086)

 

 

(2,818)

 

 

 

(5,887)

Total costs and expenses

 

 

1,201,139 

 

 

 

1,644,029 

 

 

4,691,367 

 

 

 

5,703,359 

Income before income taxes

 

 

62,246 

 

 

 

50,386 

 

 

145,517 

 

 

 

135,224 

Provision for income taxes

 

 

26,469 

 

 

 

(4,123)

 

 

69,728 

 

 

 

25,083 

Net income

 

 

35,777 

 

 

 

54,509 

 

 

75,789 

 

 

 

110,141 

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

 

 

602 

 

 

 

-  

 

 

(2,090)

 

 

 

(66)

Net income attributable to Magellan

 

$

35,175 

 

 

$

54,509 

 

$

77,879 

 

 

$

110,207 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares outstanding — basic

 

 

22,556 

 

 

 

23,921 

 

 

23,181 

 

 

 

23,333 

Weighted average number of common shares outstanding — diluted

 

 

23,493 

 

 

 

25,113 

 

 

24,156 

 

 

 

24,440 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to Magellan per common share — basic

 

$

1.56 

 

 

$

2.28 

 

$

3.36 

 

 

$

4.72 

Net income attributable to Magellan per common share — diluted

 

$

1.50 

 

 

$

2.17 

 

$

3.22 

 

 

$

4.51 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

35,777 

 

 

$

54,509 

 

$

75,789 

 

 

$

110,141 

Other comprehensive income:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unrealized (loss) gain on available-for-sale securities (4)

 

 

(22)  

 

 

 

(232)

 

 

87 

 

 

 

(205)

Comprehensive income

 

 

35,755 

 

 

 

54,277 

 

 

75,876 

 

 

 

109,936 

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

 

 

602 

 

 

 

 

 

(2,090)

 

 

 

(66)

Comprehensive income attributable to Magellan

 

$

35,153 

 

 

$

54,277 

 

$

77,966 

 

 

$

110,002 

 

(1) Includes stock compensation expense of $9,849 and $7,282 for the three months ended December 31, 2016 and 2017, respectively, and $37,422 and $39,116 for the years ended December 31, 2016 and 2017, respectively.

 

(2) Includes changes in fair value of contingent consideration of $(614) and $1,327 for the three months ended December 31, 2016 and 2017, respectively, and $(104) and $696 for the years ended December 31, 2016 and 2017, respectively.

 

(3) Includes impairment of intangible assets of $0 and $4,800 for the three and twelve months ended December 31, 2016.

 

(4) Net of income tax (benefit) expense of $(17) and $(26) for the three months ended December 31, 2016 and 2017, respectively, and $51 and $(8) for the years ended December 31, 2016 and 2017, respectively.

 

 


 

 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

 

 

 

 

 

 

 

 

 

 

Years Ended

 

 

December 31,

 

    

2016 

  

  

2017 

Cash flows from operating activities:

 

 

 

 

 

 

 

Net income

 

$

75,789 

 

 

$

110,141 

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

 

 

 

 

 

 

 

Depreciation and amortization

 

 

106,046 

 

 

 

115,706 

Non-cash impairment of intangible assets

 

 

4,800 

 

 

 

Non-cash interest expense

 

 

565 

 

 

 

4,757 

Non-cash stock compensation expense

 

 

37,422 

 

 

 

39,116 

Non-cash income tax provision (benefit)

 

 

4,710 

 

 

 

(30,981)

Non-cash amortization on investments

 

 

5,238 

 

 

 

3,924 

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

 

 

 

 

 

 

 

Accounts receivable, net

 

 

(134,089)

 

 

 

(40,910)

Pharmaceutical inventory

 

 

(8,246)

 

 

 

17,605 

Other assets

 

 

(13,900)

 

 

 

(4,565)

Accounts payable and accrued liabilities

 

 

52,470 

 

 

 

(84,445)

Medical claims payable and other medical liabilities

 

 

(8,042)

 

 

 

26,235 

Contingent consideration

 

 

(51,205)

 

 

 

696 

Tax contingencies

 

 

673 

 

 

 

1,681 

Deferred credits and other long-term liabilities

 

 

(5,584)

 

 

 

3,218 

Other

 

 

52 

 

 

 

95 

Net cash provided by operating activities

 

 

66,699 

 

 

 

162,273 

 

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

 

 

Capital expenditures

 

 

(60,881)

 

 

 

(57,232)

Acquisitions and investments in businesses, net of cash acquired

 

 

(199,237)

 

 

 

(232,403)

Purchase of investments

 

 

(478,477)

 

 

 

(449,873)

Maturity of investments

 

 

494,256 

 

 

 

423,118 

Net cash used in investing activities

 

 

(244,339)

 

 

 

(316,390)

 

 

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

 

 

Proceeds from issuance of debt

 

 

375,000 

 

 

 

1,041,736 

Payments to acquire treasury stock

 

 

(106,806)

 

 

 

(21,765)

Proceeds from exercise of stock options and warrants

 

 

25,145 

 

 

 

44,355 

Payments on debt and capital lease obligations

 

 

(20,891)

 

 

 

(803,393)

Payments on contingent consideration

 

 

(40,559)

 

 

 

(3,032)

Other

 

 

1,230 

 

 

 

(9,560)

Net cash provided by financing activities

 

 

233,119 

 

 

 

248,341 

 

 

 

 

 

 

 

 

Net increase in cash and cash equivalents

 

 

55,479 

 

 

 

94,224 

Cash and cash equivalents at beginning of period

 

 

249,029 

 

 

 

304,508 

Cash and cash equivalents at end of period

 

$

304,508 

 

 

$

398,732 

 

 


 

 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED OPERATING RESULTS BY BUSINESS SEGMENT

(In thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

 

Years Ended

 

 

December 31,

 

 

December 31,

 

 

2016

 

 

2017

 

2016

 

 

2017

 

    

(unaudited)

 

 

(unaudited)

 

 

 

 

 

 

 

Healthcare

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

712,215 

 

 

$

1,016,180 

 

$

2,659,685 

 

 

$

3,206,277 

Cost of care

 

 

(472,211)

 

 

 

(779,146)

 

 

(1,882,614)

 

 

 

(2,413,770)

Direct service costs and other

 

 

(155,132)

 

 

 

(172,769)

 

 

(573,706)

 

 

 

(601,201)

Stock compensation expense (1)

 

 

(2,297)

 

 

 

2,301 

 

 

4,440 

 

 

 

10,689 

Changes in fair value of contingent consideration (1)

 

 

(614)

 

 

 

1,327 

 

 

(231)

 

 

 

696 

Impairment of intangible assets (1)

 

 

 

 

 

 

 

4,800 

 

 

 

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

 

 

758 

 

 

 

 

 

(567)

 

 

 

(56)

Healthcare segment profit

 

 

81,203 

 

 

 

67,893 

 

 

212,941 

 

 

 

202,747 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pharmacy Management

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

62,903 

 

 

 

77,519 

 

 

243,561 

 

 

 

273,489 

PBM and dispensing revenue

 

 

517,324 

 

 

 

634,188 

 

 

2,053,188 

 

 

 

2,491,044 

Cost of goods sold

 

 

(484,387)

 

 

 

(599,369)

 

 

(1,933,086)

 

 

 

(2,341,979)

Direct service costs and other

 

 

(70,168)

 

 

 

(76,743)

 

 

(261,570)

 

 

 

(302,525)

Stock compensation expense (1)

 

 

4,171 

 

 

 

2,787 

 

 

20,509 

 

 

 

19,881 

Changes in fair value of contingent consideration (1)

 

 

 

 

 

 

 

127 

 

 

 

Pharmacy Management segment profit

 

 

29,843 

 

 

 

38,382 

 

 

122,729 

 

 

 

139,910 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate and Elimination (3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

(87)  

 

 

 

86 

 

 

(304)

 

 

 

(584)

PBM and dispensing revenue

 

 

(28,970)

 

 

 

(33,558)

 

 

(119,246)

 

 

 

(131,643)

Cost of goods sold

 

 

27,729 

 

 

 

36,129 

 

 

114,366 

 

 

 

130,069 

Direct service costs and other

 

 

(15,685)

 

 

 

(12,141)

 

 

(41,336)

 

 

 

(38,157)

Stock compensation expense (1)

 

 

7,975 

 

 

 

2,194 

 

 

12,473 

 

 

 

8,546 

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

 

 

(154)

 

 

 

 

 

(170)

 

 

 

(3)

Corporate and Elimination

 

 

(8,884)

 

 

 

(7,290)

 

 

(33,877)

 

 

 

(31,766)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

775,031 

 

 

 

1,093,785 

 

 

2,902,942 

 

 

 

3,479,182 

PBM and dispensing revenue

 

 

488,354 

 

 

 

600,630 

 

 

1,933,942 

 

 

 

2,359,401 

Cost of care

 

 

(472,211)

 

 

 

(779,146)

 

 

(1,882,614)

 

 

 

(2,413,770)

Cost of goods sold

 

 

(456,658)

 

 

 

(563,240)

 

 

(1,818,720)

 

 

 

(2,211,910)

Direct service costs and other

 

 

(240,985)

 

 

 

(261,653)

 

 

(876,612)

 

 

 

(941,883)

Stock compensation expense (1)

 

 

9,849 

 

 

 

7,282 

 

 

37,422 

 

 

 

39,116 

Changes in fair value of contingent consideration (1)

 

 

(614)

 

 

 

1,327 

 

 

(104)

 

 

 

696 

Impairment of intangible assets (1)

 

 

 

 

 

 

 

4,800 

 

 

 

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

 

 

604 

 

 

 

 

 

(737)

 

 

 

(59)

Consolidated segment profit

 

$

102,162 

 

 

$

98,985 

 

$

301,793 

 

 

$

310,891 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of income before income taxes to segment profit:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

$

62,246 

 

 

$

50,386 

 

$

145,517 

 

 

$

135,224 

Stock compensation expense

 

 

9,849 

 

 

 

7,282 

 

 

37,422 

 

 

 

39,116 

Changes in fair value of contingent consideration

 

 

(614)

 

 

 

1,327 

 

 

(104)

 

 

 

696 

Impairment of intangible assets

 

 

 

 

 

 

 

4,800 

 

 

 

Non-controlling interest segment (profit) loss

 

 

(604)

 

 

 

 

 

737 

 

 

 

59 

Depreciation and amortization

 

 

28,574 

 

 

 

32,810 

 

 

106,046 

 

 

 

115,706 

Interest expense

 

 

3,413 

 

 

 

9,266 

 

 

10,193 

 

 

 

25,977 

Interest and other income

 

 

(702)

 

 

 

(2,086)

 

 

(2,818)

 

 

 

(5,887)

Segment profit

 

$

102,162 

 

 

$

98,985 

 

$

301,793 

 

 

$

310,891 

 

(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

 

Years Ended

 

 

December 31,

 

December 31,

 

    

2016 

   

  

 

2017 

    

 

2016 

  

  

2017 

 

 

(unaudited)

 

 

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to Magellan

 

$

35,175 

 

 

$

54,509 

 

$

77,879 

 

 

$

110,207 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

4,964 

 

 

 

1,497 

 

 

19,181 

 

 

 

16,215 

Changes in fair value of contingent consideration

 

 

(614)

 

 

 

1,327 

 

 

(104)

 

 

 

696 

Amortization of acquired intangibles

 

 

7,386 

 

 

 

12,076 

 

 

25,324 

 

 

 

37,265 

Impairment of intangible assets, net of non-controlling interest

 

 

 

 

 

 

 

3,936 

 

 

 

Tax impact

 

 

(4,473)

 

 

 

(5,186)

 

 

(16,676)

 

 

 

(19,558)

Adjusted net income

 

$

42,438 

 

 

$

64,223 

 

$

109,540 

 

 

$

144,825 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan —diluted

 

$

1.50 

 

 

 

$2.17 

 

 

$3.22 

 

 

$

4.51 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

0.21 

 

 

 

0.05 

 

 

0.79 

 

 

 

0.66 

Changes in fair value of contingent consideration

 

 

(0.03)

 

 

 

0.06 

 

 

 

 

 

0.03 

Amortization of acquired intangibles

 

 

0.31 

 

 

 

0.48 

 

 

1.05 

 

 

 

1.52 

Impairment of intangible assets, net of non-controlling interest

 

 

 

 

 

 

 

0.16 

 

 

 

Tax impact

 

 

(0.19)

 

 

 

(0.21)

 

 

(0.69)

 

 

 

(0.80)

Adjusted earnings per share

 

$

1.80 

 

 

$

2.55 

 

$

4.53 

 

 

$

5.92 

 

 


 

 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

FISCAL 2018 GUIDANCE

(In millions, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVIOUS GUIDANCE

 

CURRENT GUIDANCE

 

    

Low

 

 

High

    

Low

 

 

High

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenue

 

$

7,500.0 

 

 

$

7,800.0 

 

$

7,500.0 

 

 

$

7,800.0 

Income before income taxes

 

 

215.0 

 

 

 

255.0 

 

 

186.0 

 

 

 

224.0 

Net income

 

 

114.0 

 

 

 

138.0 

 

 

125.0 

 

 

 

149.0 

Segment profit (1)

 

 

414.0 

 

 

 

436.0 

 

 

390.0 

 

 

 

410.0 

Adjusted net income (1)

 

 

143.0 

 

 

 

163.0 

 

 

163.0 

 

 

 

183.0 

Per share results:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings per share (2)

 

 

4.52 

 

 

 

5.48 

 

 

4.88 

 

 

 

5.82 

Adjusted earnings per share (1)(2)

 

 

5.68 

 

 

 

6.47 

 

 

6.37 

 

 

 

7.15 

 

(1) Refer to the Reconciliation of GAAP to Non-GAAP measures table.

 

(2) Based on average fully diluted shares of 25.2 million and 25.6 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)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVIOUS GUIDANCE

 

CURRENT GUIDANCE

 

 

Low

 

 

High

 

Low

 

 

High

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to Magellan

    

$

114.0 

  

  

$

138.0 

    

$

125.0 

  

  

$

149.0 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

1.0 

 

 

 

1.0 

 

 

1.0 

 

 

 

1.0 

Amortization of acquired intangibles

 

 

46.0 

 

 

 

40.0 

 

 

51.0 

 

 

 

45.0 

Tax impact

 

 

(18.0)

 

 

 

(16.0)

 

 

(14.0)

 

 

 

(12.0)

Adjusted net income

 

$

143.0 

 

 

$

163.0 

 

$

163.0 

 

 

$

183.0 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan —Diluted

 

$

4.52 

 

 

$

5.48 

 

$

4.88 

 

 

$

5.82 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

0.04 

 

 

 

0.04 

 

 

0.04 

 

 

 

0.04 

Amortization of acquired intangibles

 

 

1.83 

 

 

 

1.59 

 

 

1.99 

 

 

 

1.76 

Tax impact

 

 

(0.71)

 

 

 

(0.64)

 

 

(0.54)

 

 

 

(0.47)

Adjusted earnings per share

 

$

5.68 

 

 

$

6.47 

 

$

6.37 

 

 

$

7.15 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of income before income taxes to segment profit:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

$

215.0 

 

 

$

255.0 

 

$

186.0 

 

 

$

224.0 

Stock compensation expense

 

 

34.0 

 

 

 

30.0 

 

 

34.0 

 

 

 

30.0 

Depreciation and amortization

 

 

132.0 

 

 

 

122.0 

 

 

137.0 

 

 

 

127.0 

Interest expense

 

 

37.0 

 

 

 

33.0 

 

 

37.0 

 

 

 

33.0 

Interest income

 

 

(4.0)

 

 

 

(4.0)

 

 

(4.0)

 

 

 

(4.0)

Segment profit

 

$

414.0 

 

 

$

436.0 

 

$

390.0 

 

 

$

410.0 

 

 

###