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News Releases

Oct 24, 2014
Magellan Health Reports Third Quarter 2014 Financial Results
Authorizes $200 Million Share Repurchase Program; Updates Guidance

SCOTTSDALE, Ariz.--(BUSINESS WIRE)-- Magellan Health, Inc. (NASDAQ:MGLN) today reported financial results for the third quarter 2014, as summarized below. For the quarter ended September 30, 2014, the company reported net revenue of $923.2 million, segment profit of $62.2 million and net income of $27.1 million, or $1.00 per diluted common share.

Third Quarter Financial Results1

     
   

 

   

Three Months Ended

September 30, 2014

    Nine Months Ended

September 30, 2014

 
 

(Millions, except per share results)

      2014     2013  

Increase/

      2014     2013   Increase/  
          (Decrease)         (Decrease)  
  Revenue     $ 923.2   $ 873.6   5.7 %     $ 2,777.7   $ 2,538.1   9.4 %  
 

Segment Profit2

      62.2     59.2   5.1 %       183.7     203.5   (9.7 )%  
  Net Income       27.1     47.2   (42.6 )%       57.8     106.8   (45.9 )%  
 

Adjusted Net Income3

      35.2     47.2   (25.4 )%       73.4     106.8   (31.3 )%  
  Earnings per Share       1.00     1.70   (41.2 )%       2.09     3.87   (46.0 )%  
  Adjusted Earnings per Share3       1.30     1.70   (23.5 )%       2.66     3.87   (31.3 )%  
     
 
  • Revenue increased due to the inclusion of Partners Rx and CDMI in the current year quarter, new business, same store growth and rate increases, partially offset by the loss of revenues associated with terminated contracts.
  • Third quarter segment profit increased mainly due to stronger results in the Commercial and Pharmacy Management segments, partially offset by terminated contracts, as well as administrative start-up costs and estimated operating losses for Magellan Complete Care.
  • Net income, earnings per share, adjusted net income and adjusted earnings per share decreased mainly due to a higher effective tax rate resulting from the non-deductibility of Health Insurer Fees, lower reversals of tax contingencies, and increased valuation allowances in the current year for certain deferred tax assets, offset by an increase in segment profit. Reversals of tax contingencies affecting the tax provision were $15.6 million in the current year quarter, and $22.7 million in the prior year quarter.

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

2 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.

3 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.

As of September 30, 2014, the company had unrestricted cash and investments of $390.8 million, which includes proceeds from the drawdown of the $250 million term loan under the company's new credit facility.

"This has been a transitional year for Magellan," said Barry M. Smith, chairman and chief executive officer of Magellan Health. "We stabilized our business, made important acquisitions, and continued to advance our growth strategies. As we approach the end of the year, we remain firmly focused on the work necessary to achieve our aggressive long-term growth targets as the leader in special population management.

"Our three core businesses - including Magellan Complete Care - provide a broad range of next generation solutions to address today's healthcare challenges and tomorrow's healthcare opportunities. I am extremely pleased that we are anticipating solid growth next year, and are well positioned for continued growth in the future."

Share Repurchase Program

Year-to-date through Tuesday, October 21, 2014, the company repurchased approximately 2.8 million shares for a total cost of $161.8 million, at average price of $57.54, and has completed approximately $277.7 million of the current $300 million authorization. The Board of Directors has authorized a new share repurchase program of up to $200 million over a two year period until October 22, 2016. The shares may be purchased from time-to-time on the open market, under 10b5-1 plans, or in privately negotiated transactions. There are a number of factors that impact the timing and pace of purchases, such as stock price, capital needs, acquisitions and determination of open and closed trading windows.

Results and Outlook

"The third quarter of 2014 was a strong one for Magellan, particularly in our Commercial, Specialty Solutions and Pharmacy Management segments," said Jonathan N. Rubin, chief financial officer. "We resolved the cost of care issues that we experienced on one of our risk behavioral health contracts. The care costs recorded in the quarter for Magellan Complete Care of Florida resulted in an estimated Medical Loss Ratio of approximately 100 percent, which is within the range of our expectations for the start-up phase of the program. It's important to note, however, that these estimates are based on limited data, as we only have leading indicators of drug costs and inpatient pre-authorizations. We expect to have a more complete view of full claims data in early 2015.

"Given the results to date, we are now expecting our full year 2014 guidance for net revenue in the range of $3.6 to $3.8 billion, net income of $63 to $77 million, segment profit in the range of $243 million to $258 million, and cash flow from operations of $207 million to $226 million. Taking into account the impact of share repurchase activity through October 21, 2014, but not considering any potential future share repurchases, our guidance range for fully diluted EPS is estimated to be $2.30 to $2.81, based on a fully diluted share count of 27.4 million. We are also revising our 2014 guidance range for full-year adjusted net income of $88.0 million to $102.0 million. We have updated our guidance for adjusted earnings per share to a range of $3.21 to $3.72, based on the updated fully diluted share count.

"Looking ahead, we expect to have solid segment profit growth in 2015. We will provide detailed 2015 guidance during our December call."

Earnings Conference Call

Management will host a conference call at 10 a.m. Eastern time on Friday, October 24, 2014. To participate in the conference call, interested parties should call 1-800-857-1812 and reference the pass code Third 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 2014 net revenue, net income, adjusted net income, segment profit, cash flow from operations, earnings per share, adjusted earnings per share, capital deployment, 2015 segment profit 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, and the company's subsequent Quarterly Reports on Form 10-Q filed during 2014. 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, 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  
  (Unaudited)  
  (In thousands, except per share amounts)  
                         
                         
      Three Months Ended   Nine Months Ended  
      September 30,   September 30,  
        2013        

2014 (1

)

   

2013

       

2014 (1

)

 
                         
  Net revenue:                      
  Managed care and other   $ 770,113       $ 703,020     $ 2,239,422       $ 2,214,885    
  PBM and dispensing     103,485         220,150       298,685         562,774    
  Total net revenue     873,598         923,170       2,538,107         2,777,659    
                         
  Costs and expenses:                      
  Cost of care     564,537         495,180       1,627,194         1,582,505    
  Cost of goods sold     97,503         202,180       281,190         520,044    
  Direct service costs and other operating expenses (2)     156,834         176,928       440,958         520,684    
  Depreciation and amortization     17,654         23,956       50,770         66,665    
  Interest expense     789         2,879       2,191         5,719    
  Interest income     (291 )       (241 )     (1,002 )       (827 )  
  Total costs and expenses     837,026         900,882       2,401,301         2,694,790    
  Income before income taxes     36,572         22,288       136,806         82,869    
  (Benefit) provision for income taxes     (10,660 )       (3,490 )     30,036         28,384    
  Net income     47,232         25,778       106,770         54,485    
  Less: net income (loss) attributable to non-controlling interest     -         (1,355 )     -         (3,354 )  
  Net income attributable to Magellan Health, Inc.   $ 47,232       $ 27,133     $ 106,770       $ 57,839    
                         
  Weighted average number of common shares outstanding — Basic     26,990         26,703       26,976         27,070    
  Weighted average number of common shares outstanding — Diluted     27,704         27,242       27,563         27,684    
                         
  Net income per common share attributable to Magellan Health, Inc. - Basic   $ 1.75       $ 1.02     $ 3.96       $ 2.14    
  Net income per common share attributable to Magellan Health, Inc. - Diluted   $ 1.70       $ 1.00     $ 3.87       $ 2.09    
                         
  Net income   $ 47,232       $ 25,778     $ 106,770       $ 54,485    
  Other comprehensive income:                      
  Unrealized gains (losses) on available-for-sale securities (3)     110         (111 )     (37 )       2    
  Comprehensive income     47,342         25,667       106,733         54,487    
  Less: comprehensive income (loss) attributable to non-controlling interest     -         (1,355 )     -         (3,354 )  
  Comprehensive income attributable to Magellan Health, Inc.   $ 47,342       $ 27,022     $ 106,733       $ 57,841    
                         
                         
 

(1) For a more detailed discussion of Magellan Health's results for the quarterly period ended September 30, 2014, refer to the Company's Quarterly

 
  Report on Form 10-Q, which will be filed with the SEC on, or shortly after, Friday, October 24, 2014, and the live broadcast or taped replay of the  
  Company's earnings conference call on Friday, October 24, 2014, which will be available at www.MagellanHealth.com.          
                         
  (2) Includes stock compensation expense of $4,524 and $11,961 for the three months ended September 30, 2013 and 2014, respectively,      
  and $14,764 and $25,983 for the nine months ended September 30, 2013 and 2014, respectively.              
                         
  (3) Net of income tax provision (benefit) of $74 and $(74) for the three months ended September 30, 2013 and 2014, respectively, and        
  $(25) and $1 for the nine months ended September 30, 2013 and 2014, respectively.                  
                     
 
     
  MAGELLAN HEALTH, INC. AND SUBSIDIARIES  
  NON-GAAP MEASURES  
  (Unaudited)  
  (In thousands, except per share amounts)  
                         
                         
      Three Months Ended   Nine Months Ended  
      September 30,   September 30,  
        2013      

2014 (1

)

    2013      

2014 (1

)

 
                         
  Adjusted Net Income   $ 47,232     $ 35,192     $ 106,770     $ 73,448    
  Adjusted for acquisitions starting in 2013                      
  Amortization of acquired intangibles     -       (4,317 )     -       (9,376 )  
  Stock compensation relating to acquisitions     -       (8,885 )     -       (16,196 )  
  Tax impact     -       5,143       -       9,963    
  Net income attributable to Magellan Health, Inc.   $ 47,232     $ 27,133     $ 106,770     $ 57,839    
                         
                         
  Adjusted EPS   $ 1.70     $ 1.30     $ 3.87     $ 2.66    
  Adjusted for acquisitions starting in 2013                      
  Amortization of acquired intangibles     -       (0.16 )     -       (0.34 )  
  Stock compensation relating to acquisitions     -       (0.33 )     -       (0.59 )  
  Tax impact     -       0.19       -       0.36    
  Net income per common share attributable to Magellan Health, Inc. - Diluted   $ 1.70     $ 1.00     $ 3.87     $ 2.09    
                         
                         
  (1) The Company's Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2014 will be filed with the SEC on, or shortly  
  after, Friday, October 24, 2014.                      
                         
 
     
  MAGELLAN HEALTH, INC. AND SUBSIDIARIES  
  CONSOLIDATED STATEMENTS OF CASH FLOWS  
  (Unaudited)  
  (In thousands)  
               
               
      Nine Months Ended  
      September 30,  
      2013    

2014 (1)

 
               
  Cash flows from operating activities:            
  Net income   $ 106,770     $ 54,485  
  Adjustments to reconcile net income to net cash provided by            
  operating activities:            
  Depreciation and amortization     50,770

 

    66,665  
  Non-cash interest expense     552       3,888  
  Non-cash stock compensation expense     14,764       25,983  
  Non-cash income tax (benefit) expense     (164)       813  
  Non-cash amortization on investments     7,273       3,620  
  Realized loss on sale of investments     -       40  
  Cash flows from changes in assets and liabilities, net of            
  effects            
  from acquisitions of businesses:            
  Restricted cash (2)     17,987       71,530  
  Accounts receivable, net     (19,231)       (19,492)  
  Pharmaceutical inventory     (1,680)       8,710  
  Other assets     (9,781)       (22,378)  
  Accounts payable and accrued liabilities     6,685       (28,461)  
  Medical claims payable and other medical liabilities     16,144       39,940  
  Tax contingencies     (22,981)       (15,179)  
  Deferred credits and other long-term liabilities     2,221       3,940  
  Other     1,953       138  
  Net cash provided by operating activities     171,282       194,242  
               
  Cash flows from investing activities:            
  Capital expenditures     (42,091)       (50,597)  
  Acquisitions and investments in businesses, net of cash acquired     -       (132,210)  
  Purchase of investments     (235,946)       (216,958)  
  Maturity of investments     233,723       220,191  
  Other     (7,900)       -  
  Net cash used in investing activities     (52,214)       (179,574)  
               
  Cash flows from financing activities:            
  Proceeds from issuance of debt     -       250,000  
  Payments to acquire treasury stock     (49,462)       (139,316)  
  Proceeds from exercise of stock options and warrants     24,548       41,685  
  Payments on capital lease obligations     (2,310)       (2,606)  
  Other     484       655  
  Net cash (used in) provided by financing activities     (26,740)       150,418  
               
  Net increase in cash and cash equivalents     92,328       165,086  
  Cash and cash equivalents at beginning of period     189,464       203,187  
  Cash and cash equivalents at end of period   $ 281,792     $ 368,273  
               
               
  (1) The Company's Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2014 will be filed with the SEC on,  
  or shortly after, Friday, October 24, 2014.            
               
  (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 nine months ended September 30, 2013 and 2014, restricted cash  
  of $33,610 and $28,806, 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  
  (Unaudited)  
  (In thousands)  
                         
                         
      Three Months Ended   Nine Months Ended  
      September 30,   September 30,  
        2013      

2014 (1)

    2013      

2014 (1)

 
                         
  Managed care and other revenue                      
  - Commercial   $ 190,655     $ 144,257   $ 578,030     $ 531,173  
  - Public Sector     445,260       388,682     1,266,739       1,206,579  
  - Specialty Solutions     94,125       120,808     277,118       345,568  
  - Pharmacy Management (2)     57,164       49,273     166,092       149,620  
  - Elimination (2)     (17,091)       -     (48,557)       (18,055)  
  Total managed care and other revenue     770,113       703,020     2,239,422       2,214,885  
                         
  PBM and dispensing revenue                      
  - Pharmacy Management (2)     103,485       241,226     298,685       590,115  
  - Elimination (2)     -       (21,076)     -       (27,341)  
  Total PBM and dispensing revenue     103,485       220,150     298,685       562,774  
                         
  Cost of care                      
  - Commercial     118,022       71,264     354,520       299,318  
  - Public Sector (2)     382,913       337,128     1,095,694       1,034,754  
  - Specialty Solutions     65,403       86,787     182,212       250,192  
  - Pharmacy Management     15,290       1     43,325       16,296  
  - Elimination (2)     (17,091)       -     (48,557)       (18,055)  
  Total cost of care     564,537       495,180     1,627,194       1,582,505  
                         
  Cost of goods sold                      
  - Pharmacy Management (2)     97,503       223,251     281,190       547,362  
  - Elimination (2)     -       (21,071)     -       (27,318)  
  Total cost of goods sold     97,503       202,180     281,190       520,044  
                         
  Direct service costs and other operating expenses                      
  - Commercial     47,032       37,513     129,823       120,319  
  - Public Sector     27,826       45,789     82,403       134,138  
  - Specialty Solutions     13,990       17,843     41,224       50,881  
  - Pharmacy Management     32,281       45,535     93,216       122,691  
  - Corporate     35,705       30,248     94,292       92,655  
  Total direct service costs and other operating expenses     156,834       176,928     440,958       520,684  
                         
  Stock compensation expense (3)                      
  - Commercial     (124)       (164)     (390)       (476)  
  - Public Sector     (259)       (225)     (833)       (729)  
  - Specialty Solutions     (384)       (269)     (1,275)       (1,037)  
  - Pharmacy Management     (198)       (8,122)     (898)       (13,981)  
  - Corporate     (3,559)       (3,181)     (11,368)       (9,760)  
  Total stock compensation expense     (4,524)       (11,961)     (14,764)       (25,983)  
                         
  Less: non-controlling interest segment profit (loss) - Public Sector (4)     -       (1,323)     -       (3,301)  
                         
  Segment profit (loss)                      
  - Commercial     25,725       35,644     94,077       112,012  
  - Public Sector     34,780       7,313     89,475       41,717  
  - Specialty Solutions     15,116       16,447     54,957       45,532  
  - Pharmacy Management     15,773       29,834     47,944       67,367  
  - Corporate and Elimination     (32,146)       (27,072)     (82,924)       (82,918)  
  Total segment profit   $ 59,248     $ 62,166   $ 203,529     $ 183,710  
                         
                         
  Reconciliation of segment profit to income                      
  before income taxes:                      
  Segment profit   $ 59,248     $ 62,166   $ 203,529     $ 183,710  
  Stock compensation expense     (4,524)       (11,961)     (14,764)       (25,983)  
  Non-controlling interest segment profit (loss)     -       (1,323)     -       (3,301)  
  Depreciation and amortization     (17,654)       (23,956)     (50,770)       (66,665)  
  Interest expense     (789)       (2,879)     (2,191)       (5,719)  
  Interest income     291       241     1,002       827  
  Income before income taxes   $ 36,572     $ 22,288   $ 136,806     $ 82,869  
                         
                         
  (1) The Company's Quarterly Report on Form 10-Q for the quarterly period ended September 30, 2014 will be filed with the SEC on, or shortly after, Friday, October 24, 2014.  
                         
  (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 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.                      
                         
  (4) The non-controlling portion of AlphaCare's segment profit (loss) is excluded from the computation of segment profit.        
           
 

 

Media:
Colleen Flanagan Johnson, 860-507-1923
cefjohnson@magellanhealth.com
or
Investor:
Renie Shapiro Silver, 877-645-6464
rshapiro@magellanhealth.com

Source: Magellan Health, Inc.

 

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