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News Releases

Oct 30, 2009
Magellan Health Services Reports Third Quarter 2009 Financial Results

Secures National Behavioral Health Agreement with WellCare

AVON, Conn.--(BUSINESS WIRE)--Oct. 30, 2009-- Magellan Health Services, Inc. (Nasdaq:MGLN) today reported net income of $31.0 million, or $.88 per diluted common share, and segment profit of $64.5 million for the third quarter of 2009. The Company also increased guidance for the full year to the upper half of its previously disclosed range.


 

The Company attributed these results to strong revenue performance across all business segments and effective cost-of-care management. It also announced today that it has signed a binding letter of agreement with WellCare Health Plans, Inc. to expand management of behavioral health care for the plan’s entire book of business, resulting in total annualized WellCare revenues in excess of $100 million.

Financial Results

For the quarter ended September 30, 2009, the Company reported net revenue of $667.6 million and net income of $31.0 million, or $.88 per diluted common share. For the prior year quarter, net revenue was $656.5 million and net income was $23.5 million or $.58 per diluted common share. Segment profit (which represents income from continuing operations before stock compensation expense, depreciation and amortization, interest expense, interest income, gain on sale of assets, special charges or benefits, and income taxes) for the current year quarter was $64.5 million, compared with $57.6 million in the prior year quarter. The Company ended the quarter with unrestricted cash and investments of $220.1 million, including the impact of stock repurchases as well as net cash used for the acquisition of First Health Services.


 

For the nine months ended September 30, 2009, the Company reported net revenue of $1.92 billion and net income of $62.9 million, or $1.77 per diluted common share. For the prior year period, the Company reported net revenue of $1.96 billion and net income of $62.6 million, or $1.55

per diluted common share. Segment profit for the first nine months of 2009 was $150.3 million versus $164.6 million for the prior year period.

See the attached tables detailing the Company’s operating results, including results by segment.

René Lerer, M.D., chairman and chief executive officer, said, “Our financial performance in the third quarter was strong across all of our business segments, reflecting solid progress in maintaining and growing our customer relationships as well as our success in improving cost of care. By providing appropriate oversight and strong clinical care management, we have demonstrated success in achieving quality outcomes for our customers and their members while effectively controlling costs. This safeguarding of the quality and affordability of care is the foundation of our commitment. At the same time that we’re focusing on these fundamentals, we’re looking forward and investing in product development and innovation, expanding the depth and breadth of our service offerings and identifying new ways to deliver value to our customers.”


 

Karen S. Rohan, president, said that the quarter’s results demonstrated the progress and success of all businesses – behavioral health, radiology (NIA), specialty pharmacy (ICORE), and Medicaid administration (First Health Services).

“Our strategic focus on customer retention and business diversification is yielding results across all of our lines of business,” Rohan said. “This includes contributions from our newest business, First Health Services, which has further diversified and expanded the breadth of our service to Medicaid customers. In addition, we learned recently that our public sector behavioral health contract in Maricopa County has been extended for a fourth full year, through August 31, 2011. We are exceptionally pleased to have received this vote of confidence in our efforts and to have the opportunity to continue strengthening and transforming this system of care.”


 

WellCare Expansion

The Company also announced today the signing of a binding letter of agreement with WellCare Health Plans to manage behavioral health services for all WellCare markets. This three-year contract expands upon the Company’s current agreement with WellCare in the state of Georgia and will add approximately 900,000 Medicare and Medicaid beneficiaries and incremental annual revenue of $60 million. Pending regulatory approvals in each state, the Company expects all markets to be fully implemented by the end of the first quarter. The parties will enter into separate definitive agreements for each market to be served by the Company and the parties have agreed that implementation of such definitive agreements is contingent upon the approval of the definitive agreement for Florida business by the Medicaid agency in Florida. Total revenues from all regions, including Georgia, are projected to be approximately $100 million.


 

“As health care payors across the nation consider business solutions available to manage financial risk and provide high quality, affordable care to their customers and members, we have an emerging opportunity to introduce the services we can provide across all lines of business,” Lerer said. “This trend is highlighted by discussions with organizations that historically have in-sourced management of behavioral health benefits for their membership and who are once again considering the value of a focused, strategic, value-added partner.”

Outlook

Jonathan N. Rubin, the Company’s chief financial officer, said that the strong financial results through September 30, 2009 have led the Company to increase guidance for the full year to the upper half of its previously disclosed range. This guidance, including estimates for First Health Services, projects full-year segment profit in the range of $207.5 million to $217.5 million and net income of $85.3 million to $95.5 million. This equates to diluted EPS of $2.41 to $2.70. The Company’s EPS guidance reflects the impact of the repurchase of 431,000 shares through close of business yesterday, but excludes any impact from repurchases that may occur during the remainder of the fourth quarter.


 

Rubin noted, “Looking ahead to next year, we are in the process of developing business plans and will provide 2010 guidance in December. In the meantime, we currently expect segment profit growth in 2010, which reflects the recognition of a full year’s revenues from First Health Services and newly contracted businesses, offset by projected membership declines within our commercial behavioral health and radiology customer base and continued margin compression as a result of economic pressures faced by health plan and public sector clients in particular.”

Earnings Results Conference Call

Management will host a conference call at 10:30 a.m. Eastern time on Friday, October 30. To participate in the conference call, interested parties should call 1-888-566-8408 and reference the passcode Third Quarter Earnings approximately 15 minutes before the start of the call.


 

The conference call also will be available via a live Webcast at Magellan's investor relations page at www.MagellanHealth.com.

A taped replay of the conference call will be available for one week following the call. Interested parties should call 800-229-6227 or 402-220-9679 (from outside the U.S.) to listen.

Those who plan to access the call or Webcast are encouraged to read Magellan's Annual Report on Form 10-K for the year ended December 31, 2008, filed with the Securities and Exchange Commission on February 27, 2009, and subsequent Quarterly Reports on Form 10-Q, for material information regarding Magellan's operational and financial results, including the section entitled “Risk Factors.”


 

About Magellan: Headquartered in Avon, Conn., Magellan Health Services, Inc. (Nasdaq:MGLN) is a leading specialty health care management organization. Its customers include health plans, corporations and government agencies.

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, that 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 2009 segment profit, net income, earnings per share, care trends, estimates of revenue and market implementation timing related to the WellCare letter of agreement, future share repurchases pursuant to the announced $100 million share repurchase, and directional guidance regarding segment profit for 2010. 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 health care 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; the impact of varying economic and market conditions on the Company’s investment portfolio; the state of the national economy and adverse changes in economic conditions; 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 most recent Annual Report on Form 10-K and subsequent Quarterly Reports on Form 10-Q filed with the SEC. 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 information referred to herein may be considered a non-GAAP financial measure. Further information regarding this measure, including the reasons management considers this information useful to investors, is included in the Company’s most recent Annual Report on Form 10-K and subsequent reports on Form 10-Q filed with the SEC.


 

 
 
 
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(Unaudited)
(In thousands, except per share amounts)

 
     
 
           

 
     
 
 
        Three Months Ended September 30,
 
    Nine Months Ended September 30,
     
 
2008     2009 (1)       2008    

2009 (1)
   
 
               
 
     
Net revenue    
 
$ 656,462  
 
  $ 667,589
 
      $ 1,963,610       $ 1,922,905  
       
 
               
 
 
Cost and expenses:        
 
               
 
Cost of care  
 
    456,584
 
      435,007        
 
1,368,748    
 
  1,309,773  
Cost of goods sold    
 
  44,281  
 
    50,139
 
        134,518         151,497  
Direct service costs and other operating expenses (2)         105,879         122,034          

322,110
     
 
328,032  


Depreciation and amortization
     
 
16,086    
 
  12,154  
 
      44,983        

33,713
 
Interest expense
 
      592        

650
     
 
  2,824  
 
    1,734
 
Interest income  
 
    (4,127 )      
 
(1,215 )  
 
    (13,336 )      
 
(5,260 )

 
       
 
619,295         618,769

 
     

 
1,859,847  
 
    1,819,489  
           
 
               
Income from continuing operations before income taxes         37,167         48,820        
 
103,763    
 
  103,416  
Provision for income taxes    
 
  13,678  
 
     

17,833
          41,142

 
      40,470  


Net income
     
 
23,489    
 
  30,987  
 
      62,621        

62,946
 
Other comprehensive (loss) income
 
     

(1,590
)    

 
52  
 
     

(1,866
)    

 
(168 )
Comprehensive income       $ 21,899  
 
  $ 31,039

 
     

$
60,755       $ 62,778  
 
             
 
             
Weighted average number of common shares outstanding — basic         40,272         35,128           39,991         35,426  
Weighted average number of common shares outstanding — diluted
 
     

40,722
        35,331           40,457    
 
  35,566  
 
             
 
             
Net income per common share — basic       $ 0.58  
 
  $ 0.88

 
     

$
1.57       $ 1.78  
 
Net income per common share — diluted  
 
  $ 0.58

 
    $ 0.88    
 
  $ 1.55

 
    $ 1.77  

 
               
 
               
 
       
 
 

(1)

 

For a more detailed discussion of Magellan's results for the period ended September 30, 2009, refer to the Company's Quarterly Report on

    Form 10-Q which will be filed with the SEC on October 30, 2009, and the live broadcast or taped replay of the Company's earnings conference
   

call on October 30, 2009, which will be available at www.MagellanHealth.com.


 
     
 

(2)


 

Includes stock compensation expense of $7,832 and $4,124 for the three months ended September 30, 2008 and 2009, respectively, and


 
  $26,349 and $16,724 for the nine months ended September 30, 2008 and 2009, respectively.
 
     

 
     
 
   

 
               
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES


CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In thousands)
         
 
     
          Nine Months Ended September 30,

 
        2008    

2009
           
 
   


Cash flows from operating activities:
             
 
Net income  
 
    $

62,621
     

$
62,946  

 
               
Adjustments to reconcile net income to net cash provided by operating activities:            
 
 
Depreciation and amortization
 
        44,983         33,713  
Non-cash interest expense           1,730         675  
Non-cash stock compensation expense          

26,349
     
 
16,724  


Non-cash income tax expense
     
 
  32,339  
 
    28,696
 

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


 
             


Restricted cash
     
 
  103,604  
 
    10,702
 
Accounts receivable, net  
 
      (24,960 )       (7,139 )
Other assets        
 
(6,012 )  
 
  (22,945 )
Accounts payable and accrued liabilities    
 
    3,752
 
      (18,466 )
Medical claims payable and other medical liabilities          

(7,571
)    
 
(6,669 )


Other
     
 
  (68 )       2,386  
Net cash provided by operating activities
 
       
 
236,767         100,623

 

 

       
 
     
Cash flows from investing activities:    
 
         
Capital expenditures          

(23,955
)    
 
(25,808 )


Acquisitions and investments in businesses, net of cash acquired
     
 
  (425 )
 
    (115,438

)
Purchase of investments  
 
      (345,702 )       (213,377 )
Maturity of investments        

 
92,992  
 
    247,631  
Net cash used in investing activities
 
       
 
(277,090 )  
 
  (106,992 )
     
 
         
Cash flows from financing activities:        
 
     
Payments on long-term debt and capital lease obligations           (12,686 )       (3 )
Payments to acquire treasury stock          

(13,523
)    
 
(67,070 )


Proceeds from exercise of stock options and warrants
     
 
  12,587  
 
    1,101
 
Tax benefit from exercise of stock options  
 
      5,443        

2,980
 
Other
 
       
 
(1,365 )  
 
  (259 )
Net cash used in financing activities           (9,544 )      
 
(63,251 )


Net decrease in cash and cash equivalents
     
 
  (49,867 )
 
    (69,620

)
Cash and cash equivalents at beginning of period  
 
     

312,372
        211,825  
Cash and cash equivalents at end of period         $ 262,505       $ 142,205  

 
               
 
 
 
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME


(Unaudited)
(In thousands, except membership amounts in millions)
           

 
     
 
         
        Three Months Ended September 30,
 
      Nine Months Ended September 30,
 
        2008  
 
2009       2008  
 
2009
         
 
               

 
Net revenue          
 
               
- Commercial    
 
$ 163,240  
 
  $ 162,060
 
      $ 486,792       $ 481,003  
- Public Sector         363,798         336,327          

1,084,808
     
 
1,001,368  


- Radiology Benefits Management
     
 
72,692    
 
  78,279  
 
      223,890        

222,403
 
- Specialty Pharmaceutical Management
 
      56,732        

65,111
     
 
  168,120  
 
    192,319
 
- Medicaid Administration  
 
    -        
 
25,812           -        
 
25,812  
Total net revenue         656,462         667,589           1,963,610         1,922,905  
           
 
               
Cost of care            
 
             


- Commercial
     
 
85,867    
 
  86,031  
 
      252,569        

264,668
 
- Public Sector
 
      320,479        

294,233
     
 
  963,374  
 
    896,149
 
- Radiology Benefits Management  
 
    50,238        
 
54,743           152,805        
 
148,956  
Total cost of care         456,584         435,007           1,368,748         1,309,773  
           
 
               
Cost of goods sold - Specialty Pharmaceutical Management         44,281

 
      50,139    
 
    134,518        
 
151,497  
       
 
               
 
 
Direct service costs and other operating expenses        
 
               
 
- Commercial  
 
    38,018
 
      37,843        
 
113,588    
 
  114,376  
- Public Sector    
 
  17,668  
 
    16,440
 
        51,135         50,646  
- Radiology Benefits Management         14,104         12,880          

41,408
     
 
38,387  


- Specialty Pharmaceutical Management
     
 
6,713    
 
  5,516  
 
      18,764        

18,780
 
- Medicaid Administration
 
      -        

22,138
     
 
  -  
 
    22,138
 
- Corporate & Other         29,376        
 
27,217           97,215        
 
83,705  
Total direct services costs and other operating expenses         105,879         122,034           322,110         328,032  
           
 
               
Stock compensation expense (1)            
 
             


- Commercial
     
 
(424 )  
 
  (211 )
 
      (1,097 )       (731 )
- Public Sector        

(231
)    
 
(112 )  
 
    (598

)
     

(556
)
- Radiology Benefits Management        

(452
)    
 
(152 )  
 
    (1,096

)
     

(946
)
- Specialty Pharmaceutical Management        

(2,325
)    
 
(429 )  
 
    (6,445

)
     

(4,647
)
- Medicaid Administration        

-
     
 
(358 )  
 
    -
 
      (358 )
- Corporate & Other
 
     

(4,400
)    

 
(2,862 )         (17,113 )      
 
(9,486 )


Total stock compensation expense
     

 
(7,832 )       (4,124

)
     

 
(26,349 )       (16,724

)
   
 
               
 
     
Segment profit (loss)    
 
               
 
   
- Commercial        

39,779
     
 
38,397    
 
    121,732
 
      102,690  
- Public Sector         25,882        

25,766
     
 
  70,897  
 
    55,129
 
- Radiology Benefits Management  
 
    8,802
 
      10,808        
 
30,773    
 
  36,006  
- Specialty Pharmaceutical Management    
 
  8,063  
 
    9,885
 
        21,283         26,689  
- Medicaid Administration         -         4,032          

-
     
 
4,032  


- Corporate & Other
        (24,976 )
 
    (24,355 )         (80,102 )
 
    (74,219 )
Total segment profit       $ 57,550       $ 64,533    
 
  $ 164,583

 
    $ 150,327  

 
               
 
         
           
 
               

Reconciliation of segment profit to income from continuing

  operations before income taxes:
 

     
 
               
 
 
Segment profit
 
    $

57,550
     

$
64,533    
 
  $ 164,583
 
    $

150,327
 
Stock compensation expense
 
      (7,832 )       (4,124 )         (26,349 )       (16,724 )
Depreciation and amortization         (16,086 )       (12,154 )         (44,983 )       (33,713 )
Interest expense         (592 )       (650 )         (2,824 )       (1,734 )
Interest income         4,127        
 
1,215           13,336        
 
5,260  
Income from continuing operations before income taxes       $ 37,167  
 
  $ 48,820

 
     

$
103,763       $ 103,416  
 
             
 
             
       
 
               
 
 
Membership
 
               
 
         
- Commercial          
 
               

37.7
 
- Public Sector
 
               
 
        1.8  
- Radiology Benefits Management        
 
               

 
17.7  
Total membership    
 
               
 
    57.2  
           
 
               
 
 
 
 

(1)

 



Stock compensation expense is included in direct service costs and other operating expenses; however, this

   

amount is excluded from the computation of segment profit since it is managed on a consolidated basis.

 

 

 


 

Source: Magellan Health Services, Inc.

Magellan Health Services, Inc.
Investors:
Renie Shapiro, 877-645-6464
or
Media:
Mike Fleming, 410-953-2408 / 602-790-9612 (cell)

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