News Releases
| Three Months Ended | Nine Months Ended | |||||||||||||||||
| September 30 | September 30 | |||||||||||||||||
| (In millions, except per share amounts) | ||||||||||||||||||
| 2018 | 2017 | Chg | 2018 | 2017 | Chg | |||||||||||||
| Net revenue | $ | 1,853.5 | $ | 1,419.4 | 30.6 | % | $ | 5,469.5 | $ | 4,144.2 | 32.0 | % | ||||||
| Net income | $ | 27.1 | $ | 32.5 | -16.4 | % | $ | 52.1 | $ | 55.7 | -6.4 | % | ||||||
| Segment profit [1] | $ | 88.3 | $ | 87.7 | 0.7 | % | $ | 211.9 | $ | 211.9 | 0.0 | % | ||||||
| Adjusted net income [1] | $ | 36.2 | $ | 40.4 | -10.5 | % | $ | 80.2 | $ | 80.6 | -0.5 | % | ||||||
| Per share results: | ||||||||||||||||||
| Earnings per share | $ | 1.09 | $ | 1.32 | -17.4 | % | $ | 2.06 | $ | 2.30 | -10.4 | % | ||||||
| Adjusted earnings per share [1] | $ | 1.45 | $ | 1.64 | -11.6 | % | $ | 3.17 | $ | 3.33 | -4.8 | % | ||||||
| [1] Refer to the Basis of Presentation for a discussion of non-GAAP financial measures. | ||||||||||||||||||
Highlights Include:
- Net revenue increased 31 percent over the third quarter of 2017 to
$1.9 billion . - Net income decreased 16 percent over the third quarter of 2017 to
$27.1 million . - Segment profit was
$88.3 million compared to$87.7 million in the third quarter of 2017. - Adjusted net income decreased 11 percent from the third quarter of 2017 to
$36.2 million . - Unrestricted cash and investments were
$232.2 million as ofSeptember 30, 2018 . Approximately$134.2 million of the unrestricted cash and investments atSeptember 30, 2018 related to excess capital and undistributed earnings held at regulated entities. - The Company is lowering its full year 2018 earnings guidance.
“In light of our recent performance and lowering of guidance, we acknowledge that our financial results have been below our expectations. In the short-term, we expect the environment to remain challenging, but we see significant long-term opportunity in both our Healthcare and Pharmacy businesses,” said
Net Revenue
Net revenue for the third quarter ended
Segment Profit
Segment profit was
- Healthcare segment profit was
$61.7 million , which represents an increase of 7 percent compared to the third quarter of 2017. Healthcare results for the quarter include net favorable out of period adjustments of approximately$22 million , largely driven by favorable client settlements. Other material drivers of the quarterly change in segment profit included the incremental losses inVirginia and the impact of theOctober 2017 rate reduction inFlorida , partially offset by the incremental earnings contribution from theSenior Whole Health acquisition that closed onOctober 31, 2017 . - Pharmacy management segment profit was
$33.6 million , which was a decrease of 13 percent compared to the third quarter of 2017. This year over year decrease was primarily driven by a decline in earnings in our specialty carve-out business resulting from lost formulary management contracts. - Corporate costs inclusive of eliminations, but excluding stock compensation expense, totaled
$7.0 million , compared to$8.5 million in the third quarter of 2017. This change was due to costs in the prior year quarter related to theSenior Whole Health acquisition.
Cash Flow & Balance Sheet
Cash flow from operations for the nine months ended
As of
Restricted cash and investments at
Year to date through
Outlook
The Company is lowering its 2018 full year earnings guidance ranges.
| 2018 Guidance | Nov 7, 2018 | July 27, 2018 | ||||||||||
|
Low |
High |
Low |
High |
|||||||||
| Net revenue | $ | 7,300.0 | $ | 7,500.0 | $ | 7,300.0 | $ | 7,500.0 | ||||
| Income before income taxes | $ | 97.0 | $ | 131.0 | $ | 132.0 | $ | 170.0 | ||||
| Net income | $ | 68.0 | $ | 88.0 | $ | 93.0 | $ | 117.0 | ||||
| Segment Profit[1] | $ | 290.0 | $ | 310.0 | $ | 330.0 | $ | 350.0 | ||||
| Adjusted net income[1] | $ | 107.0 | $ | 123.0 | $ | 132.0 | $ | 152.0 | ||||
| Per share results: | ||||||||||||
| Earnings per share[2] | $ | 2.71 | $ | 3.51 | $ | 3.65 | $ | 4.59 | ||||
| Adjusted earnings per share[1][2] | $ | 4.26 | $ | 4.90 | $ | 5.18 | $ | 5.96 | ||||
| [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 |
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The reduction in earnings guidance reflects the following:
- Utilization pressures in our Healthcare business;
- In MCC of
Virginia , the unfavorable update to the Company’s expected risk scores for 2018; - Modestly lower margins in the Pharmacy business as a result of delayed timing of network rate improvement actions; and,
- As result of operating efficiency initiatives, an initial estimate of severance and other costs that the Company anticipates to recognize in 2018.
The Company now estimates net income for the full year 2018 to be in the range of
“After transforming our business and achieving strong top line growth over the past few years, we have significant earnings power in our current portfolio as we work to increase our margins to industry competitive levels,” said
Earnings Conference Call
Management will discuss the Company’s third quarter results on a conference call scheduled for
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 revenue 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
Included in the tables issued with this press release are the reconciliations from GAAP measures to the corresponding non-GAAP measures.
About
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, an initial estimate of severance and other costs that we anticipate to recognize in 2018, growth opportunities, business environment, long term 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 healthcare 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
| MAGELLAN HEALTH, INC. AND SUBSIDIARIES | |||||||||
| CONSOLIDATED BALANCE SHEETS | |||||||||
| (In thousands) | |||||||||
| December 31, 2017 | September 30, 2018 | ||||||||
| (unaudited) | |||||||||
| ASSETS | |||||||||
| Current Assets: | |||||||||
| Cash and cash equivalents | $ | 398,732 | $ | 234,264 | |||||
| Accounts receivable, net | 660,775 | 820,748 | |||||||
| Short-term investments | 310,578 | 374,669 | |||||||
| Pharmaceutical inventory | 40,945 | 44,035 | |||||||
| Other current assets | 72,323 | 102,829 | |||||||
| Total Current Assets | 1,483,353 | 1,576,545 | |||||||
| Property and equipment, net | 158,638 | 154,826 | |||||||
| Long-term investments | 17,287 | 4,090 | |||||||
| Deferred income taxes | 813 | 1,071 | |||||||
| Other long-term assets | 22,567 | 51,391 | |||||||
| Goodwill | 1,006,288 | 1,015,076 | |||||||
| Other intangible assets, net | 268,288 | 245,516 | |||||||
| Total Assets | $ | 2,957,234 | $ | 3,048,515 | |||||
| LIABILITIES AND STOCKHOLDERS' EQUITY | |||||||||
| Current Liabilities: | |||||||||
| Accounts payable | $ | 74,300 | $ | 73,144 | |||||
| Accrued liabilities | 193,635 | 209,012 | |||||||
| Short-term contingent consideration | 6,892 | 7,131 | |||||||
| Medical claims payable | 327,625 | 402,497 | |||||||
| Other medical liabilities | 177,002 | 162,009 | |||||||
| Current debt, capital lease and deferred financing obligations | 112,849 | 64,778 | |||||||
| Total Current Liabilities | 892,303 | 918,571 | |||||||
| Long-term debt, capital lease and deferred financing obligations | 740,888 | 733,969 | |||||||
| Deferred income taxes | 12,298 | 12,802 | |||||||
| Tax contingencies | 14,226 | 14,326 | |||||||
| Long-term contingent consideration | 1,925 | 2,137 | |||||||
| Deferred credits and other long-term liabilities | 19,100 | 34,959 | |||||||
| Total Liabilities | 1,680,740 | 1,716,764 | |||||||
| Stockholders’ Equity: | |||||||||
| Ordinary common stock | 530 | 535 | |||||||
| Additional paid-in capital | 1,274,811 | 1,324,176 | |||||||
| Retained earnings | 1,399,495 | 1,447,416 | |||||||
| Accumulated other comprehensive loss | (380 | ) | (373 | ) | |||||
| Ordinary common stock in treasury, at cost | (1,397,962 | ) | (1,440,003 | ) | |||||
| Total Stockholders’ Equity | 1,276,494 | 1,331,751 | |||||||
| Total Liabilities and Stockholders’ Equity | $ | 2,957,234 | $ | 3,048,515 | |||||
| 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, | |||||||||
| 2017 | 2018 | 2017 | 2018 | |||||||
| Net revenue: | ||||||||||
| Managed care and other | $ 834,358 | $ 1,235,787 | $ 2,385,397 | $ 3,670,890 | ||||||
| PBM | 585,048 | 617,719 | 1,758,771 | 1,798,616 | ||||||
| Total net revenue | 1,419,406 | 1,853,506 | 4,144,168 | 5,469,506 | ||||||
| Costs and expenses: | ||||||||||
| Cost of care | 569,306 | 938,031 | 1,634,624 | 2,802,506 | ||||||
| Cost of goods sold | 543,682 | 571,145 | 1,648,670 | 1,689,229 | ||||||
| Direct service costs and other operating expenses (1)(2) | 227,372 | 265,471 | 680,230 | 793,700 | ||||||
| Depreciation and amortization | 28,189 | 33,047 | 82,896 | 97,302 | ||||||
| Interest expense | 7,663 | 8,990 | 16,711 | 26,034 | ||||||
| Interest and other income | (1,781) | (4,139) | (3,801) | (9,978) | ||||||
| Total costs and expenses | 1,374,431 | 1,812,545 | 4,059,330 | 5,398,793 | ||||||
| Income before income taxes | 44,975 | 40,961 | 84,838 | 70,713 | ||||||
| Provision for income taxes | 11,739 | 13,816 | 29,206 | 18,565 | ||||||
| Net income | 33,236 | 27,145 | 55,632 | 52,148 | ||||||
| Less: net income (loss) attributable to non-controlling interest | 785 | - | (66) | - | ||||||
| Net income attributable to Magellan | $ 32,451 | $ 27,145 | $ 55,698 | $ 52,148 | ||||||
| Weighted average number of common shares outstanding — basic | 23,282 | 24,433 | 23,135 | 24,451 | ||||||
| Weighted average number of common shares outstanding — diluted | 24,563 | 24,928 | 24,241 | 25,316 | ||||||
| Net income attributable to Magellan per common share — basic | $ 1.39 | $ 1.11 | $ 2.41 | $ 2.13 | ||||||
| Net income attributable to Magellan per common share — diluted | $ 1.32 | $ 1.09 | $ 2.30 | $ 2.06 | ||||||
| Net income | $ 33,236 | $ 27,145 | $ 55,632 | $ 52,148 | ||||||
| Other comprehensive income: | ||||||||||
| Unrealized gain on available-for-sale securities (3) | 26 | 194 | 27 | 7 | ||||||
| Comprehensive income | 33,262 | 27,339 | 55,659 | 52,155 | ||||||
| Less: comprehensive income (loss) attributable to non-controlling interest | 785 | - | (66) | - | ||||||
| Comprehensive income attributable to Magellan | $ 32,477 | $ 27,339 | $ 55,725 | $ 52,155 | ||||||
|
(1) Includes stock compensation expense of $10,323 and $9,320 for the three months ended September 30, 2017 and 2018, respectively, and $31,834 |
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|
(2) Includes changes in fair value of contingent consideration of $(834) and $148 for the three months ended September 30, 2017 and 2018, |
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|
(3) Net of income tax provision of $16 and $61 for the three months ended September 30, 2017 and 2018, respectively, and $18 and $3 for the nine |
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| MAGELLAN HEALTH, INC. AND SUBSIDIARIES | |||||||||
| CONSOLIDATED STATEMENTS OF CASH FLOWS | |||||||||
| (Unaudited) | |||||||||
| (In thousands) | |||||||||
| Nine Months Ended | |||||||||
| September 30, | |||||||||
| 2017 | 2018 | ||||||||
| Cash flows from operating activities: | |||||||||
| Net income | $ | 55,632 | $ | 52,148 | |||||
| Adjustments to reconcile net income to net cash from operating activities: | |||||||||
| Depreciation and amortization | 82,896 | 97,302 | |||||||
| Non-cash interest expense | 3,120 | 919 | |||||||
| Non-cash stock compensation expense | 31,834 | 27,405 | |||||||
| Non-cash income tax (benefit) provision | (2,160 | ) | 1,814 | ||||||
| Non-cash amortization on investments | 3,052 | 1,404 | |||||||
| Changes in assets and liabilities, net of effects from acquisitions of businesses: | |||||||||
| Accounts receivable, net | (13,539 | ) | (160,904 | ) | |||||
| Pharmaceutical inventory | 9,609 | (3,090 | ) | ||||||
| Other assets | (15,481 | ) | (60,008 | ) | |||||
| Accounts payable and accrued liabilities | (70,006 | ) | (13,781 | ) | |||||
| Medical claims payable and other medical liabilities | 25,578 | 73,667 | |||||||
| Contingent consideration | (631 | ) | 451 | ||||||
| Tax contingencies | 158 | 100 | |||||||
| Deferred credits and other long-term liabilities | 2,408 | 16,497 | |||||||
| Other | 210 | 93 | |||||||
| Net cash provided by operating activities | 112,680 | 34,017 | |||||||
| Cash flows from investing activities: | |||||||||
| Capital expenditures | (42,703 | ) | (51,244 | ) | |||||
| Acquisitions and investments in businesses, net of cash acquired | (3,200 | ) | (402 | ) | |||||
| Purchases of investments | (341,280 | ) | (453,007 | ) | |||||
| Proceeds from maturities and sales of investments | 320,045 | 400,683 | |||||||
| Net cash used in investing activities | (67,138 | ) | (103,970 | ) | |||||
| Cash flows from financing activities: | |||||||||
| Proceeds from issuance of debt | 949,239 | - | |||||||
| Payments to acquire treasury stock | (15,457 | ) | (41,039 | ) | |||||
| Proceeds from exercise of stock options | 28,328 | 22,587 | |||||||
| Payments on debt, capital lease and deferred financing obligations | (798,359 | ) | (75,043 | ) | |||||
| Payments on contingent consideration | (1,032 | ) | - | ||||||
| Other | (8,005 | ) | (1,020 | ) | |||||
| Net cash provided by (used in) financing activities | 154,714 | (94,515 | ) | ||||||
| Net increase (decrease) in cash and cash equivalents | 200,256 | (164,468 | ) | ||||||
| Cash and cash equivalents at beginning of period | 304,508 | 398,732 | |||||||
| Cash and cash equivalents at end of period | $ | 504,764 | $ | 234,264 | |||||
| MAGELLAN HEALTH, INC. AND SUBSIDIARIES | ||||||||||||||||||
| CONSOLIDATED OPERATING RESULTS BY BUSINESS SEGMENT | ||||||||||||||||||
| (Unaudited) | ||||||||||||||||||
| (In thousands) | ||||||||||||||||||
| Three Months Ended | Nine Months Ended | |||||||||||||||||
| September 30, | September 30, | |||||||||||||||||
| 2017 | 2018 | 2017 | 2018 | |||||||||||||||
|
Healthcare |
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| Managed care and other revenue | $ | 769,451 | $ | 1,176,439 | $ | 2,190,097 | $ | 3,488,928 | ||||||||||
| Cost of care | (569,306 | ) | (938,031 | ) | (1,634,624 | ) | (2,802,506 | ) | ||||||||||
| Direct service costs and other | (143,550 | ) | (179,022 | ) | (428,432 | ) | (543,258 | ) | ||||||||||
| Stock compensation expense (1) | 2,623 | 2,165 | 8,388 | 7,857 | ||||||||||||||
| Changes in fair value of contingent consideration (1) | (834 | ) | 148 | (631 | ) | 451 | ||||||||||||
| Less: non-controlling interest segment profit (loss) (2) | 789 | - | (56 | ) | - | |||||||||||||
| Healthcare segment profit | 57,595 | 61,699 | 134,854 | 151,472 | ||||||||||||||
|
Pharmacy Management |
||||||||||||||||||
| Managed care and other revenue | 65,131 | 59,500 | 195,970 | 182,410 | ||||||||||||||
| PBM revenue | 618,178 | 665,734 | 1,856,856 | 1,940,726 | ||||||||||||||
| Cost of goods sold | (575,327 | ) | (618,463 | ) | (1,742,610 | ) | (1,827,327 | ) | ||||||||||
| Direct service costs and other | (74,976 | ) | (74,491 | ) | (225,782 | ) | (221,018 | ) | ||||||||||
| Stock compensation expense (1) | 5,680 | 1,359 | 17,094 | 4,252 | ||||||||||||||
| Pharmacy Management segment profit | 38,686 | 33,639 | 101,528 | 79,043 | ||||||||||||||
|
Corporate and Elimination (3) |
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| Managed care and other revenue | (224 | ) | (152 | ) | (670 | ) | (448 | ) | ||||||||||
| PBM revenue | (33,130 | ) | (48,015 | ) | (98,085 | ) | (142,110 | ) | ||||||||||
| Cost of goods sold | 31,645 | 47,318 | 93,940 | 138,098 | ||||||||||||||
| Direct service costs and other | (8,846 | ) | (11,958 | ) | (26,016 | ) | (29,424 | ) | ||||||||||
| Stock compensation expense (1) | 2,020 | 5,796 | 6,352 | 15,296 | ||||||||||||||
| Less: non-controlling interest segment profit (loss) (2) | (1 | ) | - | (3 | ) | - | ||||||||||||
| Corporate and Elimination | (8,534 | ) | (7,011 | ) | (24,476 | ) | (18,588 | ) | ||||||||||
|
Consolidated |
||||||||||||||||||
| Managed care and other revenue | 834,358 | 1,235,787 | 2,385,397 | 3,670,890 | ||||||||||||||
| PBM revenue | 585,048 | 617,719 | 1,758,771 | 1,798,616 | ||||||||||||||
| Cost of care | (569,306 | ) | (938,031 | ) | (1,634,624 | ) | (2,802,506 | ) | ||||||||||
| Cost of goods sold | (543,682 | ) | (571,145 | ) | (1,648,670 | ) | (1,689,229 | ) | ||||||||||
| Direct service costs and other | (227,372 | ) | (265,471 | ) | (680,230 | ) | (793,700 | ) | ||||||||||
| Stock compensation expense (1) | 10,323 | 9,320 | 31,834 | 27,405 | ||||||||||||||
| Changes in fair value of contingent consideration (1) | (834 | ) | 148 | (631 | ) | 451 | ||||||||||||
| Less: non-controlling interest segment profit (loss) (2) | 788 | - | (59 | ) | - | |||||||||||||
| Consolidated segment profit | $ | 87,747 | $ | 88,327 | $ | 211,906 | $ | 211,927 | ||||||||||
| Reconciliation of income before income taxes to segment profit: | ||||||||||||||||||
| Income before income taxes | $ | 44,975 | $ | 40,961 | $ | 84,838 | $ | 70,713 | ||||||||||
| Stock compensation expense | 10,323 | 9,320 | 31,834 | 27,405 | ||||||||||||||
| Changes in fair value of contingent consideration | (834 | ) | 148 | (631 | ) | 451 | ||||||||||||
| Non-controlling interest segment (profit) loss | (788 | ) | - | 59 | - | |||||||||||||
| Depreciation and amortization | 28,189 | 33,047 | 82,896 | 97,302 | ||||||||||||||
| Interest expense | 7,663 | 8,990 | 16,711 | 26,034 | ||||||||||||||
| Interest and other income | (1,781 | ) | (4,139 | ) | (3,801 | ) | (9,978 | ) | ||||||||||
| Segment profit | $ | 87,747 | $ | 88,327 | $ | 211,906 | $ | 211,927 | ||||||||||
|
(1) Stock compensation expense, changes in the fair value of contingent consideration recorded in relation to acquisitions and impairment of |
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|
(2) The non-controlling portion of AlphaCare's segment profit (loss) is excluded from the computation of segment profit. |
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|
(3) Healthcare subcontracts with Pharmacy Management to provide pharmacy benefits management services for certain of Healthcare’s customers. |
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| 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, | |||||||||||||||||
| 2017 | 2018 | 2017 | 2018 | |||||||||||||||
| Net income attributable to Magellan | $ | 32,451 | $ | 27,145 | $ | 55,698 | $ | 52,148 | ||||||||||
| Adjusted for acquisitions starting in 2013 | ||||||||||||||||||
| Stock compensation expense | 4,960 | - | 14,718 | 530 | ||||||||||||||
| Changes in fair value of contingent consideration | (834 | ) | 148 | (631 | ) | 451 | ||||||||||||
| Amortization of acquired intangibles | 8,424 | 12,079 | 25,189 | 36,676 | ||||||||||||||
| Tax impact | (4,605 | ) | (3,220 | ) | (14,372 | ) | (9,577 | ) | ||||||||||
| Adjusted net income | $ | 40,396 | $ | 36,152 | $ | 80,602 | $ | 80,228 | ||||||||||
| Net income per common share attributable to Magellan —diluted | $ | 1.32 | $ | 1.09 | $ | 2.30 | $ | 2.06 | ||||||||||
| Adjusted for acquisitions starting in 2013 | ||||||||||||||||||
| Stock compensation expense | 0.20 | - | 0.61 | 0.02 | ||||||||||||||
| Changes in fair value of contingent consideration | (0.03 | ) | 0.01 | (0.03 | ) | 0.02 | ||||||||||||
| Amortization of acquired intangibles | 0.34 | 0.48 | 1.04 | 1.45 | ||||||||||||||
| Tax impact | (0.19 | ) | (0.13 | ) | (0.59 | ) | (0.38 | ) | ||||||||||
| Adjusted earnings per share | $ | 1.64 | $ | 1.45 | $ | 3.33 | $ | 3.17 | ||||||||||
| MAGELLAN HEALTH, INC. AND SUBSIDIARIES | ||||||||||||||
| FISCAL 2018 GUIDANCE | ||||||||||||||
| (In millions, except per share amounts) | ||||||||||||||
| July 27, 2018 | November 7, 2018 | |||||||||||||
| Low | High | Low | High | |||||||||||
| Net revenue | $ | 7,300.0 | $ | 7,500.0 | $ | 7,300.0 | $ | 7,500.0 | ||||||
| Income before income taxes | 132.0 | 170.0 | 97.0 | 131.0 | ||||||||||
| Net income | 93.0 | 117.0 | 68.0 | 88.0 | ||||||||||
| Segment profit (1) | 330.0 | 350.0 | 290.0 | 310.0 | ||||||||||
| Adjusted net income (1) | 132.0 | 152.0 | 107.0 | 123.0 | ||||||||||
| Per share results: | ||||||||||||||
| Earnings per share (2) | 3.65 | 4.59 | 2.71 | 3.51 | ||||||||||
| Adjusted earnings per share (1)(2) | 5.18 | 5.96 | 4.26 | 4.90 | ||||||||||
| (1) Refer to the Reconciliation of GAAP to Non-GAAP measures table. | ||||||||||||||
|
(2) Based on average fully diluted shares of 25.5 million and 25.1 million for July 27, 2018 guidance and November 7, |
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| MAGELLAN HEALTH, INC. AND SUBSIDIARIES | ||||||||||||||||||
| FISCAL 2018 GUIDANCE | ||||||||||||||||||
| RECONCILIATION OF GAAP TO NON-GAAP MEASURES | ||||||||||||||||||
| (In millions, except per share amounts) | ||||||||||||||||||
| July 27, 2018 | November 7, 2018 | |||||||||||||||||
| Low | High | Low | High | |||||||||||||||
| Net income attributable to Magellan | $ | 93.0 | $ | 117.0 | $ | 68.0 | $ | 88.0 | ||||||||||
| Adjusted for acquisitions starting in 2013 | ||||||||||||||||||
| Stock compensation expense | 1.0 | 1.0 | 1.0 | 1.0 | ||||||||||||||
| Changes in fair value of contingent consideration | - | - | - | - | ||||||||||||||
| Amortization of acquired intangibles | 52.0 | 47.0 | 52.0 | 47.0 | ||||||||||||||
| Tax impact | (14.0 | ) | (13.0 | ) | (14.0 | ) | (13.0 | ) | ||||||||||
| Adjusted net income | $ | 132.0 | $ | 152.0 | $ | 107.0 | $ | 123.0 | ||||||||||
| Net income per common share attributable to Magellan —Diluted | $ | 3.65 | $ | 4.59 | $ | 2.71 | $ | 3.51 | ||||||||||
| Adjusted for acquisitions starting in 2013 | ||||||||||||||||||
| Stock compensation expense | 0.04 | 0.04 | 0.04 | 0.04 | ||||||||||||||
| Changes in fair value of contingent consideration | - | - | - | - | ||||||||||||||
| Amortization of acquired intangibles | 2.04 | 1.84 | 2.07 | 1.87 | ||||||||||||||
| Tax impact | (0.55 | ) | (0.51 | ) | (0.56 | ) | (0.52 | ) | ||||||||||
| Adjusted earnings per share | $ | 5.18 | $ | 5.96 | $ | 4.26 | $ | 4.90 | ||||||||||
| Reconciliation of income before income taxes to segment profit: | ||||||||||||||||||
| Income before income taxes | $ | 132.0 | $ | 170.0 | $ | 97.0 | $ | 131.0 | ||||||||||
| Stock compensation expense | 35.0 | 33.0 | 35.0 | 31.0 | ||||||||||||||
| Changes in fair value of contingent consideration | - | - | - | - | ||||||||||||||
| Depreciation and amortization | 137.0 | 127.0 | 135.0 | 129.0 | ||||||||||||||
| Interest expense | 37.0 | 33.0 | 36.0 | 34.0 | ||||||||||||||
| Interest income | (11.0 | ) | (13.0 | ) | (13.0 | ) | (15.0 | ) | ||||||||||
| Segment profit | $ | 330.0 | $ | 350.0 | $ | 290.0 | $ | 310.0 | ||||||||||
| MAGELLAN HEALTH, INC. AND SUBSIDIARIES | |||||||||||||||||||||
| HEALTHCARE SEGMENT HISTORICAL RECLASSIFICATION (1) | |||||||||||||||||||||
| (Unaudited) | |||||||||||||||||||||
| (In thousands) | |||||||||||||||||||||
| For the Quarter Ended | Year Ended | ||||||||||||||||||||
|
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March 31, |
June 30, |
September | December 31, | December 31, | |||||||||||||||||
| Healthcare Segment Results |
2017 |
2017 | 30, 2017 | 2017 | 2017 | ||||||||||||||||
| Behavioral & Specialty Health revenue | |||||||||||||||||||||
|
Risk-based, non-EAP |
$ | 315,344 | $ | 385,042 | $ | 372,755 | $ | 388,018 | $ | 1,461,159 | |||||||||||
| EAP risk-based | 97,920 | 100,009 | 90,000 | 94,118 | 382,047 | ||||||||||||||||
| ASO | 56,291 | 61,080 | 66,785 | 73,154 | 257,310 | ||||||||||||||||
| Magellan Complete Care revenue | |||||||||||||||||||||
| Risk-based, non-EAP | 183,076 | 196,281 | 226,905 | 447,654 | 1,053,916 | ||||||||||||||||
| ASO | 12,745 | 12,858 | 13,006 | 13,236 | 51,845 | ||||||||||||||||
| Managed care and other revenue | $ | 665,376 |
$ |
755,270 | $ | 769,451 | $ | 1,016,180 | $ | 3,206,277 | |||||||||||
| MLR Behavioral & Specialty Health risk | 87.5 | % | 91.4 | % | 89.3 | % | 85.7 | % | 88.5 | % | |||||||||||
| MLR Behavioral & Specialty Health EAP risk | 71.7 | % | 69.5 | % | 65.8 | % | 67.0 | % | 68.6 | % | |||||||||||
| MLR Magellan Complete Care risk | 74.3 | % | 82.4 | % | 78.1 | % | 85.7 | % | 81.5 | % | |||||||||||
| Membership | |||||||||||||||||||||
| Behavioral & Specialty Health | |||||||||||||||||||||
| Risk (2) | 12,000 | 12,771 | 13,232 | 13,029 | |||||||||||||||||
| EAP risk | 14,533 | 14,144 | 14,228 | 14,472 | |||||||||||||||||
| ASO | 26,983 | 28,475 | 28,337 | 27,824 | |||||||||||||||||
| Magellan Complete Care | |||||||||||||||||||||
| Risk | 72 | 73 | 77 | 120 | |||||||||||||||||
| ASO | 20 | 20 | 20 | 21 | |||||||||||||||||
| 53,608 | 55,483 | 55,894 | 55,466 | ||||||||||||||||||
| For the Quarter Ended | |||||||||||||||||||||
|
|
|||||||||||||||||||||
| March 31, |
June 30, |
September | |||||||||||||||||||
| Healthcare Segment Results | 2018 | 2018 | 30, 2018 | ||||||||||||||||||
| Behavioral & Specialty Health revenue | |||||||||||||||||||||
| Risk-based, non-EAP | $ | 373,052 | $ | 378,076 | $ | 377,615 | |||||||||||||||
| EAP risk-based | 94,658 | 91,275 | 79,854 | ||||||||||||||||||
| ASO | 62,639 | 61,276 | 65,326 | ||||||||||||||||||
| Magellan Complete Care revenue | |||||||||||||||||||||
| Risk-based, non-EAP | 613,829 | 610,358 | 639,584 | ||||||||||||||||||
| ASO | 13,423 | 13,903 | 14,060 | ||||||||||||||||||
| Managed care and other revenue | $ | 1,157,601 | $ | 1,154,888 | $ | 1,176,439 | |||||||||||||||
| MLR Behavioral & Specialty Health risk | 86.8 | % | 86.7 | % | 87.7 | % | |||||||||||||||
| MLR Behavioral & Specialty Health EAP risk | 68.9 | % | 69.2 | % | 68.2 | % | |||||||||||||||
| MLR Magellan Complete Care risk | 87.9 | % | 89.3 | % | 86.4 | % | |||||||||||||||
| Membership | |||||||||||||||||||||
| Behavioral & Specialty Health | |||||||||||||||||||||
| Risk (2) | 12,334 | 12,258 | 12,325 | ||||||||||||||||||
| EAP risk | 15,343 | 14,890 | 15,140 | ||||||||||||||||||
| ASO | 29,533 | 27,064 | 26,551 | ||||||||||||||||||
| Magellan Complete Care | |||||||||||||||||||||
| Risk | 131 | 132 | 144 | ||||||||||||||||||
| ASO | 21 | 22 | 22 | ||||||||||||||||||
| 57,362 | 54,366 | 54,182 | |||||||||||||||||||
|
(1) During the third quarter of 2018, the Company re-evaluated how it was managing the Healthcare business segment |
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(2) May include some duplicate count of membership for customers that contract with Magellan for both behavioral and |
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(MGLN-GEN)
View source version on businesswire.com: https://www.businesswire.com/news/home/20181107005301/en/
Source:
For Magellan Health, Inc.
Media:
Lilly Ackley, 860-507-1923
ackleyl@magellanhealth.com
or
Investors:
Joe Bogdan, 860-507-1910
jbogdan@magellanhealth.com
