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News Releases

Jul 27, 2015
Magellan Health Reports Second Quarter 2015 Financial Results

SCOTTSDALE, Ariz.--(BUSINESS WIRE)-- Magellan Health, Inc. (NASDAQ:MGLN) today reported financial results for the second quarter of 2015, as summarized below. The company reported net revenue of $1,157.6 million, segment profit of $53.2 million, and net income of $4.6 million, or $0.17 per diluted share. In addition, the company reported adjusted net income of $14.7 million and adjusted earnings per share of $0.56.

Second Quarter Financial Results*

         
   

Three Months Ended
June 30

 

Six Months Ended
June 30

 

(Millions, except per share results)

      2015     2014  

Increase/
(Decrease)

    2015     2014  

Increase/
(Decrease)

               
  Net Revenue     $ 1,157.6   $ 888.0   30.4 %   $ 2,138.6   $ 1,854.5   15.3 %
 

Segment Profit*

      53.2     45.0   18.2 %     118.1     121.5   (2.8 )%
 

Adjusted Net Income*

      14.7     11.8   24.6 %     39.1     39.1   0.0 %
  Net Income       4.6     5.0   (8.0 )%     11.9     30.7   (61.2 )%
 

Per Share Results:

      Adjusted Earnings per Share*

      0.56     0.42   33.3 %     1.47     1.39   5.8 %
  Earnings per Share       0.17     0.18   (5.6 )%     0.45     1.10   (59.1 )%
                             
                             
 

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

                             
 

Variances for three months ended June 30, 2015 vs. June 30, 2014:

  • The increase in revenue between periods resulted primarily from the inclusion of revenues from acquired entities, the impact of new business, and same store growth and rate increases, which were partially offset by the loss of revenues associated with previously announced contract terminations.
  • The increase in segment profit between periods is primarily due to new business, same store growth, and the impact of acquisitions, which were partially offset by previously announced contract terminations.
  • The increase in adjusted net income between periods is mainly due to increased segment profit.
  • The decrease in net income between periods is primarily due to higher non-cash expenses relating to acquisitions, partially offset by higher segment profit.

As of June 30, 2015, the company had unrestricted cash and investments of $270.6 million.

"Our results for this quarter reflect strong performance from our Pharmacy segment, solid results in Specialty Solutions, and some weakness in care results in the Commercial and Public Sector segments. We have plans in place to address these issues, and expect that the results will improve in the second half of the year," said Barry M. Smith, chairman and chief executive officer of Magellan Health.

"The recent reorganization of the company into two business units - Magellan Healthcare and Magellan Rx Management - provides a unified approach to customers for our entire suite of healthcare products. This improved alignment will help drive enhanced services and solutions, as well as administrative efficiencies. This enables us to better align our resources across the enterprise in support of our health plan, employer and government clients."

Results and Outlook

"Relative to full year 2015, we are maintaining our guidance, with the exception of updating our EPS guidance to reflect the impact of recent share repurchase activity. We now expect fully diluted EPS to be between $1.69 and $2.28, and fully diluted adjusted EPS between $3.45 and $3.90, based on average fully diluted shares of 26.7 million. This updated fully diluted share count reflects share repurchases and option exercises through July 22,2015, but excludes any potential future activity.

"Compared to the first half of 2015, we expect the second half of the year to produce stronger earnings due to improved results in Magellan Complete Care, mainly driven by care management initiatives, network recontracting, and rates; the impact of business growth, primarily in our Pharmacy Management segment; and the seasonality and timing of care results and customer settlements across our businesses. We expect an increasing pattern of earnings over each of the last two quarters of the year."

Earnings Conference Call

Management will host a conference call at 10 a.m. Eastern on Monday, July 27, 2015. To participate in the conference call, interested parties should call 1-800-857-1812 and reference the pass code Second Quarter 2015 Earnings Call approximately 15 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.

About Magellan Health: Headquartered in Scottsdale, Ariz., 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 develops innovative solutions that combine advanced analytics, agile technology and clinical excellence to drive better decision making, positively impact health outcomes and optimize the cost of care for the members we serve — all within a customer-first culture. Magellan's customers include health plans and other managed care organizations, employers, labor unions, various military and governmental agencies, third party administrators, consultants and brokers. For more information, visit MagellanHealth.com.

Basis of Presentation

In addition to results determined under 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, 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, as well as amortization of identified acquisition intangibles and changes in the fair value of contingent consideration recorded in relation to acquisitions.

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

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 2015 guidance, estimates of 2015 earnings per share and adjusted earnings per share, anticipated stronger financial performance for the second half of 2015, 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, 2014, filed with the Securities and Exchange Commission on February 26, 2015, and the company's subsequent Quarterly Reports on Form 10‐Q filed during 2015. Readers are cautioned not to place undue reliance on these forward‐looking statements. The company undertakes no obligation to publicly revise these forward‐looking statements to reflect events or circumstances that arise after the date of this release. Segment profit, adjusted net income and adjusted earnings per share information referred to herein may be considered to be non‐GAAP financial measures. Further information regarding these measures, including the reasons management considers this information useful to investors, are included in the company's most recent Annual Report on Form 10‐K and on subsequent Form 10‐Qs.

                       
  MAGELLAN HEALTH, INC. AND SUBSIDIARIES
  CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
  (Unaudited)
  (In thousands, except per share amounts)
                       
                       
      Three Months Ended June 30,   Six Months Ended June 30,
        2014      

 

2015 (1)

 

    2014        

2015 (1)

 

                       
  Net revenue:                    
  Managed care and other   $ 682,274       $ 776,240     $ 1,511,865       $ 1,524,890  
  PBM and dispensing     205,740         381,367       342,624         613,685  
  Total net revenue     888,014         1,157,607       1,854,489         2,138,575  
                       
  Costs and expenses:                    
  Cost of care     481,617         568,288       1,087,325         1,090,616  
  Cost of goods sold     192,566         361,409       317,864         579,616  
  Direct service costs and other operating expenses (2)(3)     179,034         191,455       343,756         395,905  
  Depreciation and amortization     22,480         25,022       42,709         48,518  
  Interest expense     2,004         1,653       2,840         3,279  
  Interest income     (275 )       (500 )     (586 )       (966 )
  Total costs and expenses     877,426         1,147,327       1,793,908         2,116,968  
  Income before income taxes     10,588         10,280       60,581         21,607  
  Provision for income taxes     6,261         5,987       31,874         10,120  
  Net income     4,327         4,293       28,707         11,487  
  Less: net income (loss) attributable to non-controlling interest     (659 )       (350 )     (1,999 )       (444 )
  Net income attributable to Magellan Health, Inc.   $ 4,986       $ 4,643     $ 30,706       $ 11,931  
                       
  Weighted average number of common shares outstanding — basic     27,144         25,684       27,257         25,502  
  Weighted average number of common shares outstanding — diluted     27,765         26,776       27,908         26,588  
                       
  Net income per common share attributable to Magellan Health, Inc. - basic   $ 0.18       $ 0.18     $ 1.13       $ 0.47  
  Net income per common share attributable to Magellan Health, Inc. - diluted   $ 0.18       $ 0.17     $ 1.10       $ 0.45  
                       
  Net income   $ 4,327       $ 4,293     $ 28,707       $ 11,487  
  Other comprehensive income:                    
  Unrealized gains (losses) on available-for-sale securities (4)     70         (93 )     113         (24 )
  Comprehensive income     4,397         4,200       28,820         11,463  
  Less: comprehensive income (loss) attributable to non-controlling interest     (659 )       (350 )     (1,999 )       (444 )
  Comprehensive income attributable to Magellan Health, Inc.   $ 5,056       $ 4,550     $ 30,819       $ 11,907  
                       
 
  (1)   For a more detailed discussion of Magellan Health's results for the quarterly period ended June 30, 2015, refer to the Company's Quarterly
      Report on Form 10-Q, which will be filed with the SEC on, or shortly after, Monday, July 27, 2015, and the live broadcast or taped replay of the
     

Company's earnings conference call on Monday, July 27, 2015, which will be available at  www.MagellanHealth.com.

       
  (2)   Includes stock compensation expense of $9,550 and $13,795 for the three months ended June 30, 2014 and 2015, respectively,
      and $14,022 and $27,696 for the six months ended June 30, 2014 and 2015, respectively.
       
  (3)   Includes changes in fair value of contingent consideration of $2,567 and $17,536 for the three and six months ended June 30, 2015, respectively.
       
  (4)   Net of income tax provision (benefit) of $46 and $(48) for the three months ended June 30, 2014 and 2015, respectively, and
      $75 and $(2) for the six months ended June 30, 2014 and 2015, respectively.
       
 
                       
  MAGELLAN HEALTH, INC. AND SUBSIDIARIES
  NON-GAAP MEASURES
  (Unaudited)
  (In thousands, except per share amounts)
                       
                       
      Three Months Ended June 30,   Six Months Ended June 30,
        2014        

2015 (1)

 

    2014        

2015 (1)

 

                       
  Adjusted Net Income   $ 11,773       $ 14,722     $ 39,078       $ 39,106  
  Adjusted for acquisitions starting in 2013                    
  Stock compensation relating to acquisitions     (6,373 )       (8,498 )     (7,311 )       (16,836 )
  Changes in fair value of contingent consideration     (1,204 )       (2,567 )     (1,204 )       (17,536 )
  Amortization of acquired intangibles     (3,426 )       (5,260 )     (5,059 )       (9,643 )
  Tax impact     4,216         6,246       5,202         16,840  
  Net income attributable to Magellan Health, Inc.   $ 4,986       $ 4,643     $ 30,706       $ 11,931  
                       
                       
  Adjusted EPS   $ 0.42       $ 0.56     $ 1.39       $ 1.47  
  Adjusted for acquisitions starting in 2013                    
  Stock compensation relating to acquisitions     (0.23 )       (0.32 )     (0.26 )       (0.63 )
  Changes in fair value of contingent consideration     (0.04 )       (0.10 )     (0.04 )       (0.66 )
  Amortization of acquired intangibles     (0.12 )       (0.20 )     (0.18 )       (0.36 )
  Tax impact     0.15         0.23       0.19         0.63  
  Net income per common share attributable to Magellan Health, Inc. - diluted   $ 0.18       $ 0.17     $ 1.10       $ 0.45  
                       
 
  (1)   The Company's Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2015 will be filed with the SEC on, or shortly after, Monday, July 27, 2015.
       
 
             
  MAGELLAN HEALTH, INC. AND SUBSIDIARIES
  CONSOLIDATED STATEMENTS OF CASH FLOWS
  (Unaudited)
  (In thousands)
             
             
      Six Months Ended June 30,
        2014        

2015 (1)

 

             
  Cash flows from operating activities:          
  Net income   $ 28,707       $ 11,487  
  Adjustments to reconcile net income to net cash provided by          
  operating activities:          
  Depreciation and amortization     42,709         48,518  
  Non-cash interest expense     1,572         197  
  Non-cash stock compensation expense     14,022         27,696  
  Non-cash income tax benefit     (1,558 )       (3,323 )
  Non-cash amortization on investments     2,653         2,966  
  Cash flows from changes in assets and liabilities, net of effects          
  from acquisitions of businesses:          
  Restricted cash (2)     69,383         84,004  
  Accounts receivable, net     (15,752 )       (32,064 )
  Pharmaceutical inventory     5,332         (2,919 )
  Other assets     (27,675 )       (31,551 )
  Accounts payable and accrued liabilities     (5,434 )       (49,898 )
  Medical claims payable and other medical liabilities     18,657         45,544  
  Tax contingencies     1,164         (578 )
  Deferred credits and other long-term liabilities     3,366         12,645  
  Other     (95 )       (48 )
  Net cash provided by operating activities     137,051         112,676  
             
  Cash flows from investing activities:          
  Capital expenditures     (32,007 )       (37,653 )
  Acquisitions and investments in businesses, net of cash acquired     (124,995 )       (55,943 )
  Purchase of investments     (112,088 )       (293,348 )
  Maturity of investments     146,532         215,984  
  Net cash used in investing activities     (122,558 )       (170,960 )
             
  Cash flows from financing activities:          
  Payments to acquire treasury stock     (65,254 )       (68,783 )
  Proceeds from exercise of stock options and warrants     34,197         49,170  
  Payments on long-term debt and capital lease obligations     (2,087 )       (8,299 )
  Payments on contingent consideration     -         (4,439 )
  Tax benefit from exercise of stock options and vesting of stock awards     2,384         3,774  
  Other     (1,143 )       (616 )
  Net cash used in financing activities     (31,903 )       (29,193 )
             
  Net decrease in cash and cash equivalents     (17,410 )       (87,477 )
  Cash and cash equivalents at beginning of period     203,187         255,303  
  Cash and cash equivalents at end of period   $ 185,777       $ 167,826  
             
 
  (1)   The Company's Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2015 will be filed with the SEC on,
      or shortly after, Monday, July 27, 2015.
       
  (2)   Includes the net shift of restricted funds between cash and investments that results in an operating cash flow change that
      is directly offset by an investing cash flow change. During the six months ended June 30, 2014 and 2015, restricted cash
      of $12,319 and $63,167, 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 June 30,   Six Months Ended June 30,
        2014        

2015 (1)

 

    2014        

2015 (1)

 

                       
  Managed care and other revenue                    
  - Commercial   $ 198,025       $ 150,658     $ 386,916       $ 303,183  
  - Public Sector     319,954         439,858       817,897         862,835  
  - Specialty Solutions     119,326         132,227       224,760         256,569  
  - Pharmacy Management (2)     44,969         53,782       100,347         102,850  
  - Elimination (2)     -         (285 )     (18,055 )       (547 )
  Total managed care and other revenue     682,274         776,240       1,511,865         1,524,890  
                       
  PBM and dispensing revenue                    
  - Pharmacy Management (2)     209,265         408,924       348,889         667,717  
  - Elimination (2)     (3,525 )       (27,557 )     (6,265 )       (54,032 )
  Total PBM and dispensing revenue     205,740         381,367       342,624         613,685  
                       
  Cost of care                    
  - Commercial     116,852         88,200       228,054         170,330  
  - Public Sector (2)     275,108         380,580       697,626         727,510  
  - Specialty Solutions     89,753         99,508       163,405         192,781  
  - Pharmacy Management     (96 )       -       16,295         (5 )
  - Elimination (2)     -         -       (18,055 )       -  
  Total cost of care     481,617         568,288       1,087,325         1,090,616  
                       
  Cost of goods sold                    
  - Pharmacy Management (2)     196,080         387,828       324,111         631,366  
  - Elimination (2)     (3,514 )       (26,419 )     (6,247 )       (51,750 )
  Total cost of goods sold     192,566         361,409       317,864         579,616  
                       
  Direct service costs and other                    
  - Commercial     42,530         37,915       82,806         77,125  
  - Public Sector     45,391         49,944       88,349         101,331  
  - Specialty Solutions     17,897         19,913       33,038         40,087  
  - Pharmacy Management     41,605         56,430       77,156         119,978  
  - Corporate     31,622         28,676       62,425         60,213  
  - Elimination (2)     (11 )       (1,423 )     (18 )       (2,829 )
  Total direct service costs and other     179,034         191,455       343,756         395,905  
                       
  Stock compensation expense (3)                    
  - Commercial     (157 )       (233 )     (312 )       (404 )
  - Public Sector     (230 )       (240 )     (504 )       (549 )
  - Specialty Solutions     (354 )       (21 )     (768 )       (530 )
  - Pharmacy Management     (5,556 )       (10,016 )     (5,859 )       (18,872 )
  - Corporate     (3,253 )       (3,285 )     (6,579 )       (7,341 )
  Total stock compensation expense     (9,550 )       (13,795 )     (14,022 )       (27,696 )
                       
  Changes in fair value of contingent consideration (3)                    
  - Commercial     -         (71 )     -         (171 )
  - Pharmacy Management     -         (2,496 )     -         (17,365 )
  Total changes in fair value of contingent consideration     -         (2,567 )     -         (17,536 )
                       
  Less: non-controlling interest segment profit (loss) (4)                    
  - Public Sector     (648 )       (273 )     (1,978 )       (393 )
  - Corporate     -         (77 )     -         (51 )
  Total non-controlling interest segment profit (loss)     (648 )       (350 )     (1,978 )       (444 )
                       
                       
  Segment profit (loss)                    
  - Commercial     38,800         24,847       76,368         56,303  
  - Public Sector     333         9,847       34,404         34,936  
  - Specialty Solutions     12,030         12,827       29,085         24,231  
  - Pharmacy Management     22,201         30,960       37,533         55,465  
  - Corporate and Elimination     (28,369 )       (25,314 )     (55,846 )       (52,821 )
  Total segment profit   $ 44,995       $ 53,167     $ 121,544       $ 118,114  
                       
                       
  Reconciliation of segment profit to income                    
  before income taxes:                    
  Segment profit   $ 44,995       $ 53,167     $ 121,544       $ 118,114  
  Stock compensation expense     (9,550 )       (13,795 )     (14,022 )       (27,696 )
  Changes in fair value of contingent consideration     -         (2,567 )     -         (17,536 )
  Non-controlling interest segment profit (loss)     (648 )       (350 )     (1,978 )       (444 )
  Depreciation and amortization     (22,480 )       (25,022 )     (42,709 )       (48,518 )
  Interest expense     (2,004 )       (1,653 )     (2,840 )       (3,279 )
  Interest income     275         500       586         966  
  Income before income taxes   $ 10,588       $ 10,280     $ 60,581       $ 21,607  
                       
 
  (1)   The Company's Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2015 will be filed with the SEC on, or shortly after, Monday, July 27, 2015.
       
  (2)   Public Sector subcontracts with Pharmacy Management and Specialty Solutions to provide pharmacy benefits management services and radiology benefits
      management services for certain of Public Sector'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 care, cost of goods sold, direct service costs, and other costs related to these
      arrangements are eliminated.
       
  (3)   Stock compensation expense, as well as changes in the fair value of contingent consideration recorded in relation to the acquisitions, are included in direct
      service costs and other operating expenses; however, these amounts are excluded from the computation of Segment Profit.
       
  (4)   The non-controlling portion of AlphaCare's segment profit (loss) is excluded from the computation of segment profit.
 

 

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

 

Source: Magellan Health, Inc.

 

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