10-Q

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q

(Mark One)
ý	QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the Quarterly Period Ended March 31, 2012
Or
o	TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                             to

Commission File No. 1-6639

MAGELLAN HEALTH SERVICES, INC.
(Exact name of registrant as specified in its charter)

Delaware (State or other jurisdiction of incorporation or organization)	58-1076937 (IRS Employer Identification No.)
55 Nod Road, Avon, Connecticut (Address of principal executive offices)	06001 (Zip code)

(860) 507-1900
(Registrant's telephone number, including area code)

        Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding twelve months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ý    No o

        Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes ý    No o

        Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of "accelerated filer and large accelerated filer" in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer ý Accelerated filer o Non-accelerated filer o
(Do not check if a smaller
reporting company) Smaller reporting company o

        Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o    No ý

        The number of shares of the registrant's Ordinary Common Stock outstanding as of March 31, 2012 was 27,312,812.

FORM 10-Q

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

INDEX

		Page No.
PART I—Financial Information:
Item 1:	Financial Statements		3
	Consolidated Balance Sheets—December 31, 2011 and March 31, 2012		3
	Consolidated Statements of Comprehensive Income—For the Three Months Ended March 31, 2011 and 2012		4
	Consolidated Statements of Cash Flows—For the Three Months Ended March 31, 2011 and 2012		5
	Notes to Consolidated Financial Statements		6
Item 2:	Management's Discussion and Analysis of Financial Condition and Results of Operations		22
Item 3:	Quantitative and Qualitative Disclosures about Market Risk		36
Item 4:	Controls and Procedures		36
PART II—Other Information:
Item 1:	Legal Proceedings		37
Item 1A:	Risk Factors		37
Item 2:	Unregistered Sales of Equity Securities and Use of Proceeds		37
Item 3:	Defaults Upon Senior Securities		38
Item 4:	Submission of Matters to a Vote of Security Holders		38
Item 5:	Other Information		38
Item 6:	Exhibits		38
Signatures			39

2

PART I—FINANCIAL INFORMATION

Item 1.    Financial Statements.

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(In thousands, except per share amounts)

	December 31, 2011			March 31, 2012 (unaudited)
ASSETS
Current Assets:
Cash and cash equivalents	$	119,862		$	171,571
Restricted cash		185,794			184,942
Accounts receivable, less allowance for doubtful accounts of $3,336 and $3,729 at December 31, 2011 and March 31, 2012, respectively		121,606			133,712
Short-term investments (restricted investments of $129,599 and $130,666 at December 31, 2011 and March 31, 2012, respectively)		192,947			161,766
Deferred income taxes		35,138			34,926
Pharmaceutical inventory		39,567			43,069
Other current assets (restricted deposits of $20,453 and $22,322 at December 31, 2011 and March 31, 2012, respectively)		37,795			32,294
Total Current Assets		732,709			762,280
Property and equipment, net		118,022			120,220
Long-term investments (restricted investments of $7,956 and $2,471 at December 31, 2011 and March 31, 2012, respectively)		7,956			2,471
Other long-term assets		10,952			10,148
Goodwill		426,939			426,939
Other intangible assets, net		44,589			42,103
Total Assets	$	1,341,167		$	1,364,161
LIABILITIES AND STOCKHOLDERS' EQUITY
Current Liabilities:
Accounts payable	$	18,690		$	17,447
Accrued liabilities		106,809			81,328
Medical claims payable		137,973			166,232
Other medical liabilities		106,078			97,020
Total Current Liabilities		369,550			362,027
Deferred income taxes		18,509			20,702
Tax Contingencies		102,919			104,012
Deferred credits and other long-term liabilities		4,915			4,687
Total Liabilities		495,893			491,428
Preferred stock, par value $.01 per share
Authorized—10,000 shares—Issued and outstanding—none		—			—
Ordinary common stock, par value $.01 per share
Authorized—100,000 shares at December 31, 2011 and March 31, 2012—Issued and outstanding—45,285 shares and 27,173 shares at December 31, 2011, respectively, and 45,425 and 27,313 shares at March 31, 2012, respectively		453			454
Multi-Vote common stock, par value $.01 per share
Authorized—40,000 shares—Issued and outstanding—none		—			—
Other Stockholders' Equity:
Additional paid-in capital		804,035			810,530
Retained earnings		824,205			844,995
Accumulated other comprehensive (loss) income		(150	)		23
Ordinary common stock in treasury, at cost, 18,112 shares and 18,112 shares at December 31, 2011 and March 31, 2012, respectively		(783,269	)		(783,269	)
Total Stockholders' Equity		845,274			872,733
Total Liabilities and Stockholders' Equity	$	1,341,167		$	1,364,161

See accompanying notes to consolidated financial statements.

3

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

FOR THE THREE MONTHS ENDED MARCH 31,

(Unaudited)

(In thousands, except per share amounts)

	2011			2012
Net revenue	$	692,755		$	773,213
Cost and expenses:
Cost of care		433,700			505,293
Cost of goods sold		56,519			81,038
Direct service costs and other operating expenses(1)		131,567			136,589
Depreciation and amortization		13,952			14,781
Interest expense		471			600
Interest income		(815	)		(412	)
		635,394			737,889
Income before income taxes		57,361			35,324
Provision for income taxes		23,063			14,534
Net income	$	34,298			20,790
Net income per common share—basic (See Note B)	$	1.04		$	0.76
Net income per common share—diluted (See Note B)	$	1.02		$	0.75
Other comprehensive income
Unrealized gains on available-for-sale securities(2)		97			173
Comprehensive income	$	34,395		$	20,963

(1)

Includes stock compensation expense of $4,778 and $5,102 for the three months ended March 31, 2011 and 2012, respectively.

(2)

Net of income tax provision of $61 and $111 for the three months ended March 31, 2011 and 2012, respectively.

See accompanying notes to consolidated financial statements.

4

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

FOR THE THREE MONTHS ENDED MARCH 31,

(Unaudited)

(In thousands)

	2011			2012
Cash flows from operating activities:
Net income	$	34,298		$	20,790
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		13,952			14,781
Non-cash interest expense		107			177
Non-cash stock compensation expense		4,778			5,102
Non-cash income tax (benefit) expense		(472	)		3,017
Non-cash amortization on investments		3,228			1,760
Cash flows from changes in assets and liabilities, net of effects from acquisitions of businesses:
Restricted cash		15,623			852
Accounts receivable, net		(6,144	)		(12,106	)
Pharmaceutical inventory		(17,878	)		(3,502	)
Other assets		14,448			6,437
Accounts payable and accrued liabilities		(25,792	)		(26,724	)
Medical claims payable and other medical liabilities		(10,122	)		19,201
Other		3,242			(216	)
Net cash provided by operating activities		29,268			29,569
Cash flows from investing activities:
Capital expenditures		(10,090	)		(14,505	)
Purchase of investments		(179,772	)		(61,977	)
Maturity of investments		73,015			97,168
Acquisitions and investments in businesses, net of cash acquired		(274	)		—
Net cash (used in) provided by investing activities		(117,121	)		20,686
Cash flows from financing activities:
Proceeds from issuance of equity		20,000			—
Payments to acquire treasury stock		(122,071	)		—
Proceeds from exercise of stock options and warrants		8,016			2,197
Other		(563	)		(743	)
Net cash (used in) provided by financing activities		(94,618	)		1,454
Net (decrease) increase in cash and cash equivalents		(182,471	)		51,709
Cash and cash equivalents at beginning of period		337,179			119,862
Cash and cash equivalents at end of period	$	154,708		$	171,571

See accompanying notes to consolidated financial statements.

5

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

March 31, 2012

(Unaudited)

NOTE A—General

Basis of Presentation

        The accompanying unaudited consolidated financial statements of Magellan Health Services, Inc., a Delaware corporation ("Magellan"), include the accounts of Magellan, its majority owned subsidiaries, and all variable interest entities ("VIEs") for which Magellan is the primary beneficiary (together with Magellan, the "Company"). The financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the Securities and Exchange Commission's (the "SEC") instructions to Form 10-Q. Accordingly, the financial statements do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. In the opinion of management, all adjustments, consisting of normal recurring adjustments considered necessary for a fair presentation, have been included. The results of operations for the three months ended March 31, 2012 are not necessarily indicative of the results to be expected for the full year. All significant intercompany accounts and transactions have been eliminated in consolidation.

        The Company has evaluated subsequent events for recognition or disclosure in our consolidated financial statements filed on this Form 10-Q and no events have occurred that require disclosure.

        These unaudited consolidated financial statements should be read in conjunction with the Company's audited consolidated financial statements for the year ended December 31, 2011 and the notes thereto, which are included in the Company's Annual Report on Form 10-K filed with the SEC on February 28, 2012.

Business Overview

        The Company is engaged in the specialty managed healthcare business. Through 2005, the Company predominantly operated in the managed behavioral healthcare business. As a result of certain acquisitions, the Company expanded into radiology benefits management and specialty pharmaceutical management during 2006, and into Medicaid administration during 2009. The Company provides services to health plans, insurance companies, employers, labor unions and various governmental agencies. The Company's business is divided into the following six segments, based on the services it provides and/or the customers that it serves, as described below.

Managed Behavioral Healthcare

        Two of the Company's segments are in the managed behavioral healthcare business. This line of business generally reflects the Company's coordination and management of the delivery of behavioral healthcare treatment services that are provided through its contracted network of third-party treatment providers, which includes psychiatrists, psychologists, other behavioral health professionals, psychiatric hospitals, general medical facilities with psychiatric beds, residential treatment centers and other treatment facilities. The treatment services provided through the Company's provider network include outpatient programs (such as counseling or therapy), intermediate care programs (such as intensive outpatient programs and partial hospitalization services), inpatient treatment and crisis intervention services. The Company generally does not directly provide or own any provider of treatment services.

6

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE A—General (Continued)

        The Company provides its management services primarily through: (i) risk-based products, where the Company assumes all or a substantial portion of the responsibility for the cost of providing treatment services in exchange for a fixed per member per month fee, (ii) administrative services only ("ASO") products, where the Company provides services such as utilization review, claims administration and/or provider network management, but does not assume responsibility for the cost of the treatment services, and (iii) employee assistance programs ("EAPs") where the Company provides short-term outpatient behavioral counseling services.

        The managed behavioral healthcare business is managed based on the services provided and/or the customers served, through the following two segments:

        Commercial.    The Managed Behavioral Healthcare Commercial segment ("Commercial") generally reflects managed behavioral healthcare services and EAP services provided under contracts with health plans and insurance companies for some or all of their commercial, Medicaid and Medicare members, as well as with employers, including corporations, governmental agencies, and labor unions. Commercial's contracts encompass risk-based, ASO and EAP arrangements.

        Public Sector.    The Managed Behavioral Healthcare Public Sector segment ("Public Sector") generally reflects services provided to recipients under Medicaid and other state sponsored programs under contracts with state and local governmental agencies. Public Sector contracts encompass either risk-based or ASO arrangements.

Radiology Benefits Management

        The Radiology Benefits Management segment ("Radiology Benefits Management") generally reflects the management of the delivery of diagnostic imaging and other therapeutic services to ensure that such services are clinically appropriate and cost effective. The Company's radiology benefits management services currently are provided under contracts with health plans and insurance companies for some or all of their commercial, Medicaid and Medicare members. The Company also contracts with state and local governmental agencies for the provision of such services to Medicaid recipients. The Company offers its radiology benefits management services through risk-based contracts, where the Company assumes all or a substantial portion of the responsibility for the cost of providing diagnostic imaging services, and through ASO contracts, where the Company provides services such as utilization review and claims administration, but does not assume responsibility for the cost of the imaging services.

Drug Benefits Management

        Two of the Company's segments are in the drug benefits management business. This line of business generally reflects the Company's clinical management of drugs paid under medical and pharmacy benefit programs. The Company's services include the coordination and management of the specialty drug spending for health plans, employers, and governmental agencies, and the management

7

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE A—General (Continued)

of pharmacy programs for Medicaid and other state-sponsored programs. The two segments in this line of business are:

        Specialty Pharmaceutical Management.    The Specialty Pharmaceutical Management segment ("Specialty Pharmaceutical Management") comprises programs that manage specialty drugs used in the treatment of complex conditions such as, cancer, multiple sclerosis, hemophilia, infertility, rheumatoid arthritis, chronic forms of hepatitis and other diseases. Specialty pharmaceutical drugs represent high-cost injectible, infused, or oral drugs with sensitive handling or storage needs, many of which may be physician administered. Patients receiving these drugs require greater amounts of clinical support than those taking more traditional agents. Payors require clinical, financial and technological support to maximize the value delivered to their members using these expensive agents. The Company's specialty pharmaceutical management services are provided under contracts with health plans, insurance companies, employers, and governmental agencies for some or all of their commercial, Medicare and Medicaid members. The Company's specialty pharmaceutical services include: (i) contracting and formulary optimization programs; (ii) specialty pharmaceutical dispensing operations; and (iii) medical pharmacy management programs.

        Medicaid Administration.    The Medicaid Administration segment ("Medicaid Administration") generally reflects integrated clinical management services provided to the public sector to manage Medicaid pharmacy, mental health, and long-term care programs. The primary focus of the Company's Medicaid Administration unit involves providing pharmacy benefits administration ("PBA") and pharmacy benefits management ("PBM") services under contracts with health plans and public sector healthcare clients for Medicaid and other state sponsored program recipients. The Company's services include pharmacy point-of-sale claims processing systems and administration, drug utilization review, clinical prior authorization, utilization and formulary management services, Preferred Drug List programs, Maximum Allowable Cost programs, and drug rebate program services. Medicaid Administration's contracts encompass Fee-For-Service ("FFS") arrangements. In addition to Medicaid Administration's FFS contracts, effective September 1, 2010, Public Sector has subcontracted with Medicaid Administration to provide pharmacy benefits management services on a risk basis for one of Public Sector's customers.

Corporate

        This segment of the Company is comprised primarily of operational support functions such as sales and marketing and information technology, as well as corporate support functions such as executive, finance, human resources and legal.

Summary of Significant Accounting Policies

Recent Accounting Pronouncements

        In May 2011, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2011-04, "Fair Value Measurement (Topic 820): Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. GAAP and IFRSs", ("ASU 2011-04"). ASU 2011-04 amends ASC Topic 820, "Fair Value Measurements and Disclosures",

8

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE A—General (Continued)

to provide guidance on how fair value measurement should be applied where existing GAAP already requires or permits fair value measurements. In addition, ASU 2011-04 requires expanded disclosures regarding fair value measurements. ASU 2011-04 became effective for the Company on January 1, 2012. The adoption of ASU 2011-04 did not have a material impact on the Company's results of operations or financial position.

        In June 2011, the FASB issued ASU No. 2011-05, "Comprehensive Income (Topic 220): Presentation of Comprehensive Income" ("ASU 2011-05"). ASU 2011-05 requires an entity to present the total of comprehensive income, the components of net income, and the components of other comprehensive income either in a single continuous statement of comprehensive income or in two separate but consecutive statements and eliminates the option to present the components of other comprehensive income as part of the statement of equity. ASU 2011-05 is effective for fiscal years, and interim periods within those fiscal years, beginning on or after December 15, 2011, with early adoption permitted. While the adoption of this guidance impacts the Company's disclosures for annual and interim filings for the year ending December 31, 2012, it does not impact the Company's results of operations or financial position.

        In September 2011, the FASB issued ASU 2011-08, "Testing Goodwill for Impairment" ("ASU 2011-8"), which provides authoritative guidance to simplify how entities, both public and nonpublic, test goodwill for impairment. This accounting update permits an entity to first assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount as a basis for determining whether it is necessary to perform the two-step goodwill impairment test. This guidance was effective for the Company beginning on January 1, 2012. This guidance did not impact the Company's financial position, results of operations or cash flows.

        In December 2011, the FASB issued ASU 2011-12 "Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in ASU 2011-05" ("ASU 2011-12"), which defers the requirement that companies present reclassification adjustments for each component of accumulated other comprehensive income in both net income and other comprehensive income on the face of the financial statements. The effective dates for ASU 2011-12 are consistent with the effective dates for ASU 2011-05 and, similar to our expectations for the adoption of ASU 2011-05, while the adoption of this guidance impacts the Company's disclosures for annual and interim filings for the year ending December 31, 2012, it does not impact the Company's results of operations or financial position.

Use of Estimates

        The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Significant estimates of the Company include, among other things, accounts receivable realization, valuation allowances for deferred tax assets, valuation of goodwill and intangible assets, medical claims

9

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE A—General (Continued)

payable, other medical liabilities, stock compensation assumptions, tax contingencies and legal liabilities. Actual results could differ from those estimates.

Managed Care Revenue

        Managed care revenue, inclusive of revenue from the Company's risk, EAP and ASO contracts, is recognized over the applicable coverage period on a per member basis for covered members. The Company is paid a per member fee for all enrolled members, and this fee is recorded as revenue in the month in which members are entitled to service. The Company adjusts its revenue for retroactive membership terminations, additions and other changes, when such adjustments are identified, with the exception of retroactivity that can be reasonably estimated. The impact of retroactive rate amendments is generally recorded in the accounting period that terms to the amendment are finalized, and that the amendment is executed. Any fees paid prior to the month of service are recorded as deferred revenue. Managed care revenues approximated $550.0 million and $601.8 million for the three months ended March 31, 2011 and 2012, respectively.

Fee-For-Service and Cost-Plus Contracts

        The Company has certain FFS contracts, including cost-plus contracts, with customers under which the Company recognizes revenue as services are performed and as costs are incurred. Revenues from these contracts approximated $42.4 million and $36.0 million for the three months ended March 31, 2011 and 2012, respectively.

Block Grant Revenues

        Public Sector has a contract that is partially funded by federal, state and county block grant money, which represents annual appropriations. The Company recognizes revenue from block grant activity ratably over the period to which the block grant funding applies. Block grant revenues were approximately $26.2 million and $28.9 million for the three months ended March 31, 2011 and 2012, respectively.

Dispensing Revenue

        The Company recognizes dispensing revenue, which includes the co-payments received from members of the health plans the Company serves, when the specialty pharmaceutical drugs are shipped. At the time of shipment, the earnings process is complete; the obligation of the Company's customer to pay for the specialty pharmaceutical drugs is fixed, and, due to the nature of the product, the member may neither return the specialty pharmaceutical drugs nor receive a refund. Revenues from the dispensing of specialty pharmaceutical drugs on behalf of health plans were $60.4 million and $87.2 million for the three months ended March 31, 2011 and 2012, respectively.

Performance-Based Revenue

        The Company has the ability to earn performance-based revenue under certain risk and non-risk contracts. Performance-based revenue generally is based on either the ability of the Company to

10

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE A—General (Continued)

manage care for its clients below specified targets, or on other operating metrics. For each such contract, the Company estimates and records performance-based revenue after considering the relevant contractual terms and the data available for the performance-based revenue calculation. Pro-rata performance-based revenue is recognized on an interim basis pursuant to the rights and obligations of each party upon termination of the contracts. Performance-based revenues were $3.1 million and $8.0 million for the three months ended March 31, 2011 and 2012, respectively.

Rebate Revenue

        The Company administers a rebate program for certain clients through which the Company coordinates the achievement, calculation and collection of rebates and administrative fees from pharmaceutical manufacturers on behalf of clients. Each period, the Company estimates the total rebates earned based on actual volumes of pharmaceutical purchases by the Company's clients, as well as historical and/or anticipated sharing percentages. The Company earns fees based upon the volume of rebates generated for its clients. The Company does not record as rebate revenue any rebates that are passed through to its clients. Total rebate revenues were $6.8 million and $9.7 million for the three months ended March 31, 2011 and 2012, respectively.

Significant Customers

Consolidated Company

        The Company provides behavioral healthcare management and other related services to approximately 715,000 members in Maricopa County, Arizona, the ("Maricopa Contract").

        Under the Maricopa Contract, the Company is responsible for providing covered behavioral health services to persons eligible under Title XIX (Medicaid) and Title XXI (State Children's Health Insurance Program) of the Social Security Act, non-Title XIX and non-Title XXI eligible children and adults with a serious mental illness, and to certain non-Title XIX and non-Title XXI adults with behavioral health or substance abuse disorders. The Maricopa Contract began on September 1, 2007 and extends through September 30, 2013 unless sooner terminated by the parties. The State of Arizona has the right to terminate the Maricopa Contract for cause, as defined, upon ten days' notice with an opportunity to cure, and without cause immediately upon notice from the State. The Maricopa Contract generated net revenues of $191.0 million and $193.1 million for the three months ended March 31, 2011 and 2012, respectively.

11

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE A—General (Continued)

By Segment

        In addition to the Maricopa Contract previously discussed, the following customers generated in excess of ten percent of net revenues for the respective segment for the three months ended March 31, 2011 and 2012 (in thousands):

Segment	Term Date	2011			2012
Commercial
Customer A	December 31, 2012	$	50,438		$	49,743
Customer B	June 30, 2014		17,008			16,085
Customer C	December 31, 2012 to December 14, 2013(1)		27,552			29,326
Customer D	December 31, 2019		—			33,727
Public Sector
Customer E	June 30, 2013(2)		40,318			55,236
Radiology Benefits Management
Customer F	December 31, 2015		33,247			26,556
Customer G	June 30, 2011 to November 30, 2011(1)(3)		16,663			—
Customer H	June 30, 2014		13,340			14,378
Customer I	March 31, 2013		7,990	*		12,253
Customer J	January 31, 2014		6,508	*		9,104
Specialty Pharmaceutical Management
Customer K	April 30, 2012 to December 31, 2013(1)		22,004			31,044
Customer L	April 29, 2012 to September 1, 2012(1)		14,760			15,626
Customer B	December 31, 2012 to September 27, 2013(1)		3,709	*		14,647
Medicaid Administration
Customer M	December 4, 2011(3)		7,221			—
Customer N	September 30, 2013(4)		20,531			21,108
Customer O	March 31, 2015 to June 30, 2017(1)		6,019			6,803
Customer P	June 30, 2013 to September 30, 2014(1)		4,169	*		4,914

*

Revenue amount did not exceed ten percent of net revenues for the respective segment for the period presented. Amount is shown for comparative purposes only.

(1)

The customer has more than one contract. The individual contracts are scheduled to terminate at various points during the time period indicated above.

(2)

Contract has options for the customer to extend the term for two additional one-year periods.

(3)

The contract has terminated.

(4)

This customer represents a subcontract with a Public Sector customer and is eliminated in consolidation.

12

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE A—General (Continued)

Concentration of Business

        The Company also has a significant concentration of business with various counties in the State of Pennsylvania (the "Pennsylvania Counties") which are part of the Pennsylvania Medicaid program, and with various areas in the State of Florida (the "Florida Areas") which are part of the Florida Medicaid program. Net revenues from the Pennsylvania Counties in the aggregate totaled $84.6 million and $92.3 million for the three months ended March 31, 2011 and 2012, respectively. Net revenues from the Florida Areas in the aggregate totaled $33.4 million and $34.1 million for the three months ended March 31, 2011 and 2012, respectively.

        The Company's contracts with customers typically have terms of one to three years, and in certain cases contain renewal provisions (at the customer's option) for successive terms of between one and two years (unless terminated earlier). Substantially all of these contracts may be immediately terminated with cause and many of the Company's contracts are terminable without cause by the customer or the Company either upon the giving of requisite notice and the passage of a specified period of time (typically between 60 and 180 days) or upon the occurrence of other specified events. In addition, the Company's contracts with federal, state and local governmental agencies generally are conditioned on legislative appropriations. These contracts generally can be terminated or modified by the customer if such appropriations are not made.

Fair Value Measurements

        The Company currently does not have non-financial assets and non-financial liabilities that are required to be measured at fair value on a recurring basis. Financial assets and liabilities are to be measured using inputs from the three levels of the fair value hierarchy, which are as follows:

        Level 1—Inputs are unadjusted quoted prices in active markets for identical assets or liabilities that the Company has the ability to access at the measurement date.

        Level 2—Inputs include quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets or liabilities in markets that are not active, inputs other than quoted prices that are observable for the asset or liability (i.e., interest rates, yield curves, etc.), and inputs that are derived principally from or corroborated by observable market data by correlation or other means (market corroborated inputs).

        Level 3—Unobservable inputs that reflect the Company's assumptions about the assumptions that market participants would use in pricing the asset or liability. The Company develops these inputs based on the best information available, including the Company's data.

13

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE A—General (Continued)

        In accordance with the fair value hierarchy described above, the following table shows the fair value of the Company's financial assets and liabilities that are required to be measured at fair value as of December 31, 2011 and March 31, 2012 (in thousands):

	December 31, 2011
	Level 1		Level 2		Level 3		Total
Cash and Cash Equivalents(1)	$	—	$	1,296	$	—	$	1,296
Restricted Cash(2)		—		47,972		—		47,972
Investments:
U.S. Government and agency securities		697		—		—		697
Obligations of government-sponsored enterprises(3)		—		8,293		—		8,293
Corporate debt securities		—		191,813		—		191,813
Taxable municipal bonds		—		—		—		—
Certificates of deposit		—		100		—		100
December 31, 2011	$	697	$	249,474	$	—	$	250,171

	March 31, 2012
	Level 1		Level 2		Level 3		Total
Cash and Cash Equivalents(4)	$	—	$	31,735	$	—	$	31,735
Restricted Cash(5)		—		70,017		—		70,017
Investments:
U.S. Government and agency securities		696		—		—		696
Obligations of government-sponsored enterprises(6)		—		8,259		—		8,259
Corporate debt securities		—		155,182		—		155,182
Taxable municipal bonds		—		—		—		—
Certificates of deposit		—		100		—		100
March 31, 2012	$	696	$	265,293	$	—	$	265,989

(1)

Excludes $118.6 million of cash held in bank accounts by the Company.

(2)

Excludes $137.8 million of restricted cash held in bank accounts by the Company.

(3)

Includes investments in notes issued by the Federal Home Loan Bank.

(4)

Excludes $139.9 million of cash held in bank accounts by the Company.

(5)

Excludes $114.9 million of restricted cash held in bank accounts by the Company.

(6)

Includes investments in notes issued by the Federal Home Loan Bank.

        For the three months ended March 31, 2012, the Company has not transferred any assets between fair value measurement levels.

14

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE A—General (Continued)

        All of the Company's investments are classified as "available-for-sale" and are carried at fair value.

        If a debt security is in an unrealized loss position and the Company has the intent to sell the debt security, or it is more likely than not that the Company will have to sell the debt security before recovery of its amortized cost basis, the decline in value is deemed to be other-than-temporary and is recorded to other-than-temporary impairment losses recognized in income in the consolidated statements of comprehensive income. For impaired debt securities that the Company does not intend to sell or it is more likely than not that the Company will not have to sell such securities, but the Company expects that it will not fully recover the amortized cost basis, the credit component of the other-than-temporary impairment is recognized in other-than-temporary impairment losses recognized in income in the consolidated statements of comprehensive income and the non-credit component of the other-than-temporary impairment is recognized in other comprehensive income.

        As of December 31, 2011 and March 31, 2012, there were no unrealized losses that the Company believed to be other-than-temporary. No realized gains or losses were recorded for the three months ended March 31, 2011 or 2012. The following is a summary of short-term and long-term investments at December 31, 2011 and March 31, 2012 (in thousands):

	December 31, 2011
	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Estimated Fair Value
U.S. Government and agency securities	$	697	$	—	$	—		$	697
Obligations of government-sponsored enterprises(1)		8,293		3		(3	)		8,293
Corporate debt securities		192,059		31		(277	)		191,813
Certificates of deposit		100		—		—			100
Total investments at December 31, 2011	$	201,149	$	34	$	(280	)	$	200,903

	March 31, 2012
	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Estimated Fair Value
U.S. Government and agency securities	$	696	$	—	$	—		$	696
Obligations of government-sponsored enterprises(1)		8,256		3		—			8,259
Corporate debt securities		155,147		97		(62	)		155,182
Certificates of deposit		100		—		—			100
Total investments at March 31, 2012	$	164,199	$	100	$	(62	)	$	164,237

(1)

Includes investments in notes issued by the Federal Home Loan Bank.

15

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE A—General (Continued)

        The maturity dates of the Company's investments as of March 31, 2012 are summarized below (in thousands):

	Amortized Cost		Estimated Fair Value
2012	$	144,574	$	144,602
2013		19,625		19,635
Total investments at March 31, 2012	$	164,199	$	164,237

Income Taxes

        The Company's effective income tax rates were 40.2 percent and 41.1 percent for the three months ended March 31, 2011 and 2012, respectively. These rates differ from the federal statutory income tax rate primarily due to state income taxes and permanent differences between book and tax income. The Company also accrues interest and penalties related to unrecognized tax benefits in its provision for income taxes. The effective income tax rate for the three months ended March 31, 2012 is higher than the effective rate for the three months ended March 31, 2011 mainly due to an increase in effective state tax rates.

Stock Compensation

        At December 31, 2011 and March 31, 2012, the Company had equity-based employee incentive plans, which are described more fully in Note 6 in the Company's Annual Report on Form 10-K for the year ended December 31, 2011. The Company recorded stock compensation expense of $4.8 million and $5.1 million for the three months ended March 31, 2011 and 2012, respectively. Stock compensation expense recognized in the consolidated statements of comprehensive income for the three months ended March 31, 2011 and 2012 has been reduced for estimated forfeitures, estimated at four percent for both periods.

        The weighted average grant date fair value of all stock options granted during the three months ended March 31, 2012 was $11.80 as estimated using the Black-Scholes-Merton option pricing model, which also assumed an expected volatility of 30.3 percent based on the historical volatility of the Company's stock price.

        The benefits of tax deductions in excess of recognized stock compensation expense are reported as a financing cash flow, rather than as an operating cash flow. In the three months ended March 31, 2011 and 2012, $0.5 million and $0.4 million, respectively, of benefits of such tax deductions related to stock compensation expense were realized and as such were reported as financing cash flows. For the quarter ended March 31, 2011 the change to additional paid in capital related to tax benefits (deficiencies) was $0.5 million which includes the $0.6 million of excess tax benefits offset by $(0.1) million of tax deficiencies. For the three months ended March 31, 2012, the change to additional paid in capital related to tax benefits (deficiencies) was $0.3 million which includes the $0.4 million of excess tax benefits offset by $(0.1) million of tax deficiencies.

16

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE A—General (Continued)

        Summarized information related to the Company's stock options for the three months ended March 31, 2012 is as follows:

	Options			Weighted Average Exercise Price
Outstanding, beginning of period		3,841,233		$	42.65
Granted		1,344,268			47.49
Forfeited		(7,927	)		45.23
Exercised		(60,939	)		36.06
Outstanding, end of period		5,116,635		$	43.99
Vested and expected to vest at end of period		4,955,937		$	43.88
Exercisable, end of period		2,523,713		$	40.72

        All of the Company's options granted during the three months ended March 31, 2012 vest ratably on each anniversary date over the three years subsequent to grant, and all have a ten year life.

        Summarized information related to the Company's nonvested restricted stock awards for the three months ended March 31, 2012 is as follows:

	Shares		Weighted Average Grant Date Fair Value
Outstanding, beginning of period		18,748	$	52.11
Awarded		—		—
Vested		—		—
Forfeited		—		—
Outstanding, ending of period		18,748	$	52.11

        Summarized information related to the Company's nonvested restricted stock units for the three months ended March 31, 2012 is as follows:

	Shares			Weighted Average Grant Date Fair Value
Outstanding, beginning of period		206,338		$	44.63
Awarded		127,913			47.46
Vested		(99,976	)		41.81
Forfeited		(775	)		44.16
Outstanding, ending of period		233,500		$	47.38

17

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE A—General (Continued)

        In general, grants of restricted stock awards and restricted stock units vest ratably on each anniversary date over the three years subsequent to grant.

Long Term Debt and Capital Lease Obligations

        On December 9, 2011, the Company entered into a Senior Secured Revolving Credit Facility Credit Agreement with Citibank, N.A., Wells Fargo Bank, N.A., Bank of America, N.A., and U.S. Bank, N.A. that provides for up to $230.0 million of revolving loans with a sublimit of up to $70.0 million for the issuance of letters of credit for the account of the Company (the "2011 Credit Facility"). At such point, the previous credit facility was terminated. The 2011 Credit Facility is guaranteed by substantially all of the subsidiaries of the Company and is secured by substantially all of the assets of the Company and the subsidiary guarantors. The 2011 Credit Facility will mature on December 9, 2014.

        Under the 2011 Credit Facility, the annual interest rate on Revolving Loan borrowings is equal to (i) in the case of U.S. dollar denominated loans, the sum of a borrowing margin of 1.00 percent plus the higher of the prime rate, one-half of one percent in excess of the overnight "federal funds" rate, or the Eurodollar rate for one month plus 1.00%, or (ii) in the case of Eurodollar denominated loans, the sum of a borrowing margin of 2.00 percent plus the Eurodollar rate for the selected interest period. The Company has the option to borrow in U.S. dollar denominated loans or Eurodollar denominated loans at its discretion. Letters of Credit issued under the Revolving Loan Commitment bear interest at the rate of 2.125 percent. The commitment commission on the 2011 Credit Facility is 0.375 percent of the unused Revolving Loan Commitment.

        There were no material capital lease obligations at December 31, 2011 or March 31, 2012. The Company had $68.1 million and $58.1 million of letters of credit outstanding at December 31, 2011 and March 31, 2012, respectively, and no Revolving Loan borrowings at December 31, 2011 or March 31, 2012.

Reclassifications

        Certain prior year amounts have been reclassified to conform with the current year presentation.

18

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE B—Net Income per Common Share

        The following tables reconcile income (numerator) and shares (denominator) used in the computations of net income per common share (in thousands, except per share data):

	Three Months Ended March 31,
	2011		2012
Numerator:
Net income	$	34,298	$	20,790
Denominator:
Weighted average number of common shares outstanding—basic		33,051		27,199
Common stock equivalents—stock options		493		432
Common stock equivalents—restricted stock awards		15		13
Common stock equivalents—restricted stock units		97		102
Common stock equivalents—employee stock purchase plan		—		1
Weighted average number of common shares outstanding—diluted		33,656		27,747
Net income per common share—basic	$	1.04	$	0.76
Net income per common share—diluted	$	1.02	$	0.75

        The weighted average number of common shares outstanding for the three months ended March 31, 2011 and 2012 were calculated using outstanding shares of the Company's common stock. Common stock equivalents included in the calculation of diluted weighted average common shares outstanding for the three months ended March 31, 2011 and 2012 represent stock options to purchase shares of the Company's common stock, restricted stock awards and restricted stock units, and stock purchased under the Employee Stock Purchase Plan.

        The Company had additional potential dilutive securities outstanding representing 1.3 million and 1.6 million options for the three months ended March 31, 2011 and 2012, respectively, that were not included in the computation of dilutive securities because they were anti-dilutive for such periods. Had these shares not been anti-dilutive, all of these shares would not have been included in the net income per common share calculation as the Company uses the treasury stock method of calculating diluted shares.

NOTE C—Business Segment Information

        The accounting policies of the Company's segments are the same as those described in Note A—"General." The Company evaluates performance of its segments based on profit or loss from operations before stock compensation expense, depreciation and amortization, interest expense, interest income, gain on sale of assets, special charges or benefits, and income taxes ("Segment Profit"). Management uses Segment Profit information for internal reporting and control purposes and considers it important in making decisions regarding the allocation of capital and other resources, risk assessment and employee compensation, among other matters. Effective September 1, 2010, Public Sector has subcontracted with Medicaid Administration to provide pharmacy benefits management services on a

19

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE C—Business Segment Information (Continued)

risk basis for one of Public Sector's customers. As such, revenue and cost of care related to this intersegment arrangement are eliminated. The Company's segments are defined above.

        The following tables summarize, for the periods indicated, operating results by business segment (in thousands):

Three Months Ended March 31, 2011	Commercial			Public Sector			Radiology Benefits Management			Specialty Pharmaceutical Management			Medicaid Administration			Corporate and Elimination			Consolidated
Net revenue	$	150,035		$	350,516		$	89,212		$	70,230		$	53,293		$	(20,531	)	$	692,755
Cost of care		(75,313	)		(304,921	)		(54,717	)		—			(19,280	)		20,531			(433,700	)
Cost of goods sold		—			—			—			(56,519	)		—			—			(56,519	)
Direct service costs		(37,807	)		(16,976	)		(16,705	)		(6,012	)		(25,986	)		—			(103,486	)
Other operating expenses		—			—			—			—			—			(28,081	)		(28,081	)
Stock compensation expense(1)		250			222			482			126			23			3,675			4,778
Segment profit (loss)	$	37,165		$	28,841		$	18,272		$	7,825		$	8,050		$	(24,406	)	$	75,747

Three Months Ended March 31, 2012	Commercial			Public Sector			Radiology Benefits Management			Specialty Pharmaceutical Management			Medicaid Administration			Corporate and Elimination			Consolidated
Net revenue	$	180,524		$	388,888		$	76,857		$	100,198		$	47,854		$	(21,108	)	$	773,213
Cost of care		(112,172	)		(344,312	)		(50,410	)		—			(19,507	)		21,108			(505,293	)
Cost of goods sold		—			—			—			(81,038	)		—			—			(81,038	)
Direct service costs		(42,362	)		(20,597	)		(13,486	)		(6,467	)		(22,552	)		—			(105,464	)
Other operating expenses		—			—			—			—			—			(31,125	)		(31,125	)
Stock compensation expense(1)		267			287			400			172			58			3,918			5,102
Segment profit (loss)	$	26,257		$	24,266		$	13,361		$	12,865		$	5,853		$	(27,207	)	$	55,395

(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.

        The following table reconciles Segment Profit to income before income taxes (in thousands):

	Three Months Ended March 31,
	2011			2012
Segment profit	$	75,747		$	55,395
Stock compensation expense		(4,778	)		(5,102	)
Depreciation and amortization		(13,952	)		(14,781	)
Interest expense		(471	)		(600	)
Interest income		815			412
Income before income taxes	$	57,361		$	35,324

20

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

March 31, 2012

(Unaudited)

NOTE D—Commitments and Contingencies

Legal

        The management and administration of the delivery of specialty managed healthcare entails significant risks of liability. From time to time, the Company is subject to various actions and claims arising from the acts or omissions of its employees, network providers or other parties. In the normal course of business, the Company receives reports relating to deaths and other serious incidents involving patients whose care is being managed by the Company. Such incidents occasionally give rise to malpractice, professional negligence and other related actions and claims against the Company or its network providers. Many of these actions and claims received by the Company seek substantial damages and therefore require the Company to incur significant fees and costs related to their defense. The Company is also subject to or party to certain class actions, litigation and claims relating to its operations and business practices. In the opinion of management, the Company has recorded reserves that are adequate to cover litigation, claims or assessments that have been or may be asserted against the Company, and for which the outcome is probable and reasonably estimable. Management believes that the resolution of such litigation and claims will not have a material adverse effect on the Company's financial condition or results of operations; however, there can be no assurance in this regard.

Stock Repurchases

        On October 25, 2011 the Company's board of directors approved a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 25, 2013.

        Stock repurchases under the program may be executed through open market repurchases, privately negotiated transactions, accelerated share repurchases or other means. The board of directors authorized management to execute stock repurchase transactions from time to time and in such amounts and via such methods as management deems appropriate. The stock repurchase program may be limited or terminated at any time without prior notice. Pursuant to this program, the Company made open market purchases of 671,776 shares of the Company's common stock at an average price of $48.72 per share for an aggregate cost of $32.7 million (excluding broker commissions) during the period from November 11, 2011 through December 31, 2011.

        The Company made no open market purchases during the three months ended March 31, 2012, or for the period from April 1, 2012 through April 24, 2012.

21

Item 2.    Management's Discussion and Analysis of Financial Condition and Results of Operations.

        The following discussion and analysis of the financial condition and results of operations of Magellan and its majority-owned subsidiaries and all VIEs for which Magellan is the primary beneficiary should be read together with the Consolidated Financial Statements and the notes to the Consolidated Financial Statements included elsewhere in this Quarterly Report on Form 10-Q and the Company's Annual Report on Form 10-K for the year ended December 31, 2011, which was filed with the SEC on February 28, 2012.

Forward-Looking Statements

        This Form 10-Q includes "forward-looking statements" within the meaning of Section 27A of the Securities Act and Section 21E of the Exchange Act. Although the Company believes that its plans, intentions and expectations as reflected in such forward-looking statements are reasonable, it can give no assurance that such plans, intentions or expectations will be achieved. Prospective investors are cautioned that any such forward-looking statements are not guarantees of future performance and involve risks and uncertainties, and that actual results may differ materially from those contemplated by such forward-looking statements. Important factors currently known to management that could cause actual results to differ materially from those in forward-looking statements include:

•

the Company's inability to renegotiate or extend expiring customer contracts, or the termination of customer contracts;

•

the Company's inability to integrate acquisitions in a timely and effective manner;

•

changes in business practices of the industry, including the possibility that certain of the Company's managed care customers could seek to provide managed healthcare services directly to their subscribers, instead of contracting with the Company for such services, particularly as a result of further consolidation in the managed care industry and especially regarding managed healthcare customers that have already done so with a portion of their membership;

•

the impact of changes in the contracting model for Medicaid contracts, including certain changes in the contracting model used by states for managed healthcare services contracts relating to Medicaid lives;

•

the Company's ability to accurately predict and control healthcare costs, and to properly price the Company's services;

•

Fluctuation in quarterly operating results due to seasonal and other factors;

•

the Company's dependence on government spending for managed healthcare, including changes in federal, state and local healthcare policies;

•

restrictive covenants in the Company's debt instruments;

•

present or future state regulations and contractual requirements that the Company provide financial assurance of its ability to meet its obligations;

•

the impact of the competitive environment in the managed healthcare services industry which may limit the Company's ability to maintain or obtain contracts, as well as its ability to maintain or increase its rates;

•

the impact of healthcare reform legislation;

•

the Mental and Substance Abuse Benefit Parity Law and Regulations;

•

government regulation;

22

•

the possible impact of additional regulatory scrutiny and liability associated with the Company's Specialty Pharmaceutical Management segment;

•

the inability to realize the value of goodwill and intangible assets;

•

pending or future actions or claims for professional liability;

•

claims brought against the Company that either exceed the scope of the Company's liability coverage or result in denial of coverage;

•

class action suits and other legal proceedings;

•

the impact of governmental investigations;

•

the impact of varying economic and market conditions on the Company's investment portfolio; and

•

the state of the national economy and adverse changes in economic conditions.

        Further discussion of factors currently known to management that could cause actual results to differ materially from those in forward-looking statements is set forth under the heading "Risk Factors" in Item 1A of Magellan's Annual Report on Form 10-K for the year ended December 31, 2011. When used in this Quarterly Report on Form 10-Q, the words "estimate," "anticipate," "expect," "believe," "should," and similar expressions are intended to be forward-looking statements. Magellan undertakes no obligation to update or revise forward-looking statements to reflect changed assumptions, the occurrence of unanticipated events or changes to future operating results over time, except as required by law.

Business Overview

        The Company is engaged in the specialty managed healthcare business. Through 2005, the Company predominantly operated in the managed behavioral healthcare business. As a result of certain acquisitions, the Company expanded into radiology benefits management and specialty pharmaceutical management during 2006, and into Medicaid administration during 2009. The Company provides services to health plans, insurance companies, employers, labor unions and various governmental agencies. The Company's business is divided into the following six segments, based on the services it provides and/or the customers that it serves, as described below.

Managed Behavioral Healthcare

        Two of the Company's segments are in the managed behavioral healthcare business. This line of business generally reflects the Company's coordination and management of the delivery of behavioral healthcare treatment services that are provided through its contracted network of third-party treatment providers, which includes psychiatrists, psychologists, other behavioral health professionals, psychiatric hospitals, general medical facilities with psychiatric beds, residential treatment centers and other treatment facilities. The treatment services provided through the Company's provider network include outpatient programs (such as counseling or therapy), intermediate care programs (such as intensive outpatient programs and partial hospitalization services), inpatient treatment and crisis intervention services. The Company generally does not directly provide or own any provider of treatment services.

        The Company provides its management services primarily through: (i) risk-based products, where the Company assumes all or a substantial portion of the responsibility for the cost of providing treatment services in exchange for a fixed per member per month fee, (ii) ASO products, where the Company provides services such as utilization review, claims administration and/or provider network management, but does not assume responsibility for the cost of the treatment services, and (iii) EAPs where the Company provides short-term outpatient behavioral counseling services.

23

        The managed behavioral healthcare business is managed based on the services provided and/or the customers served, through the following two segments:

        Commercial.    The Commercial segment generally reflects managed behavioral healthcare services and EAP services provided under contracts with health plans and insurance companies for some or all of their commercial, Medicaid and Medicare members, as well as with employers, including corporations, governmental agencies, and labor unions. Commercial's contracts encompass risk-based, ASO and EAP arrangements. As of March 31, 2012, Commercial's covered lives were 5.4 million, 13.2 million and 12.3 million for risk-based, ASO and EAP products, respectively. For the three months ended March 31, 2012, Commercial's revenue was $127.2 million, $32.7 million and $20.6 million for risk-based, ASO and EAP products, respectively.

        Public Sector.    The Public Sector segment generally reflects services provided to recipients under Medicaid and other state sponsored programs under contracts with state and local governmental agencies. Public Sector contracts encompass either risk-based or ASO arrangements. As of March 31, 2012, Public Sector's covered lives were 1.9 million and 1.0 million for risk-based and ASO products, respectively. For the three months ended March 31, 2012, Public Sector's revenue was $385.1 million and $3.8 million for risk-based and ASO products, respectively.

Radiology Benefits Management

        The Radiology Benefits Management segment generally reflects the management of the delivery of diagnostic imaging and other therapeutic services to ensure that such services are clinically appropriate and cost effective. The Company's radiology benefits management services currently are provided under contracts with health plans and insurance companies for some or all of their commercial, Medicaid and Medicare members. The Company also contracts with state and local governmental agencies for the provision of such services to Medicaid recipients. The Company offers its radiology benefits management services through risk-based contracts, where the Company assumes all or a substantial portion of the responsibility for the cost of providing diagnostic imaging services, and through ASO contracts, where the Company provides services such as utilization review and claims administration, but does not assume responsibility for the cost of the imaging services. As of March 31, 2012, covered lives for Radiology Benefits Management were 3.8 million and 12.3 million for risk-based and ASO products, respectively. For the three months ended March 31, 2012, revenue for Radiology Benefits Management was $66.4 million and $10.4 million for risk-based and ASO products, respectively.

Drug Benefits Management

        Two of the Company's segments are in the drug benefits management business. This line of business generally reflects the Company's clinical management of drugs paid under medical and pharmacy benefit programs. The Company's services include the coordination and management of the specialty drug spending for health plans, employers, and governmental agencies, and the management of pharmacy programs for Medicaid and other state-sponsored programs. The two segments in this business line are:

        Specialty Pharmaceutical Management.    The Specialty Pharmaceutical Management segment comprises programs that manage specialty drugs used in the treatment of complex conditions such as, cancer, multiple sclerosis, hemophilia, infertility, rheumatoid arthritis, chronic forms of hepatitis and other diseases. Specialty pharmaceutical drugs represent high-cost injectible, infused, or oral drugs with sensitive handling or storage needs, many of which may be physician administered. Patients receiving these drugs require greater amounts of clinical support than those taking more traditional agents. Payors require clinical, financial and technological support to maximize the value delivered to their members using these expensive agents. The Company's specialty pharmaceutical management services are provided under contracts with health plans, insurance companies, employers, and governmental

24

agencies for some or all of their commercial, Medicare and Medicaid members. The Company's specialty pharmaceutical services include: (i) contracting and formulary optimization programs; (ii) specialty pharmaceutical dispensing operations; and (iii) medical pharmacy management programs. The Company's Specialty Pharmaceutical Management segment had contracts with 41 health plans and several pharmaceutical manufacturers and state Medicaid programs as of March 31, 2012.

        Medicaid Administration.    The Medicaid Administration segment generally reflects integrated clinical management services provided to the public sector to manage Medicaid pharmacy, mental health, and long-term care programs. The primary focus of the Company's Medicaid Administration unit involves providing pharmacy benefits administration ("PBA") and pharmacy benefits management ("PBM") services under contracts with health plans and public sector healthcare clients for Medicaid and other state sponsored program recipients. The Company's services include pharmacy point-of-sale claims processing systems and administration, drug utilization review, clinical prior authorization, utilization and formulary management services, Preferred Drug List programs, Maximum Allowable Cost programs, and drug rebate program services. Medicaid Administration's contracts encompass Fee-For-Service ("FFS") arrangements. In addition to Medicaid Administration's FFS contracts, effective September 1, 2010, Public Sector has subcontracted with Medicaid Administration to provide pharmacy benefits management services on a risk basis for one of Public Sector's customers.

Corporate

        This segment of the Company is comprised primarily of operational support functions such as sales and marketing and information technology, as well as corporate support functions such as executive, finance, human resources and legal.

Significant Customers

Consolidated Company

        The Company provides behavioral healthcare management and other related services to approximately 715,000 members in Maricopa County, Arizona, the ("Maricopa Contract").

        Under the Maricopa Contract, the Company is responsible for providing covered behavioral health services to persons eligible under Title XIX (Medicaid) and Title XXI (State Children's Health Insurance Program) of the Social Security Act, non-Title XIX and non-Title XXI eligible children and adults with a serious mental illness, and to certain non-Title XIX and non-Title XXI adults with behavioral health or substance abuse disorders. The Maricopa Contract began on September 1, 2007 and extends through September 30, 2013 unless sooner terminated by the parties. The State of Arizona has the right to terminate the Maricopa Contract for cause, as defined, upon ten days' notice with an opportunity to cure, and without cause immediately upon notice from the State. The Maricopa Contract generated net revenues of $191.0 million and $193.1 million for the three months ended March 31, 2011 and 2012, respectively.

25

By Segment

        In addition to the Maricopa Contract previously discussed, the following customers generated in excess of ten percent of net revenues for the respective segment for the three months ended March 31, 2011 and 2012 (in thousands):

Segment	Term Date	2011			2012
Commercial
Customer A	December 31, 2012	$	50,438		$	49,743
Customer B	June 30, 2014		17,008			16,085
Customer C	December 31, 2012 to December 14, 2013(1)		27,552			29,326
Customer D	December 31, 2019		—			33,727
Public Sector
Customer E	June 30, 2013(2)		40,318			55,236
Radiology Benefits Management
Customer F	December 31, 2015		33,247			26,556
Customer G	June 30, 2011 to November 30, 2011(1)(3)		16,663			—
Customer H	June 30, 2014		13,340			14,378
Customer I	March 31, 2013		7,990	*		12,253
Customer J	January 31, 2014		6,508	*		9,104
Specialty Pharmaceutical Management
Customer K	April 30, 2012 to December 31, 2013(1)		22,004			31,044
Customer L	April 29, 2012 to September 1, 2012(1)		14,760			15,626
Customer B	December 31, 2012 to September 27, 2013(1)		3,709	*		14,647
Medicaid Administration
Customer M	December 4, 2011(3)		7,221			—
Customer N	September 30, 2013(4)		20,531			21,108
Customer O	March 31, 2015 to June 30, 2017(1)		6,019			6,803
Customer P	June 30, 2013 to September 30, 2014(1)		4,169	*		4,914

*

Revenue amount did not exceed ten percent of net revenues for the respective segment for the period presented. Amount is shown for comparative purposes only.

(1)

The customer has more than one contract. The individual contracts are scheduled to terminate at various points during the time period indicated above.

(2)

Contract has options for the customer to extend the term for two additional one-year periods.

(3)

The contract has terminated.

(4)

This customer represents a subcontract with a Public Sector customer and is eliminated in consolidation.

Concentration of Business

        The Company also has a significant concentration of business with the Pennsylvania Counties which are part of the Pennsylvania Medicaid program, and with the Florida Areas which are part of the Florida Medicaid program. Net revenues from the Pennsylvania Counties in the aggregate totaled $84.6 million and $92.3 million for the three months ended March 31, 2011 and 2012, respectively. Net

26

revenues from the Florida Areas in the aggregate totaled $33.4 million and $34.1 million for the three months ended March 31, 2011 and 2012, respectively.

        The Company's contracts with customers typically have terms of one to three years, and in certain cases contain renewal provisions (at the customer's option) for successive terms of between one and two years (unless terminated earlier). Substantially all of these contracts may be immediately terminated with cause and many of the Company's contracts are terminable without cause by the customer or the Company either upon the giving of requisite notice and the passage of a specified period of time (typically between 60 and 180 days) or upon the occurrence of other specified events. In addition, the Company's contracts with federal, state and local governmental agencies generally are conditioned on legislative appropriations. These contracts generally can be terminated or modified by the customer if such appropriations are not made.

Critical Accounting Policies and Estimates

        The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Significant estimates of the Company include, among other things, accounts receivable realization, valuation allowances for deferred tax assets, valuation of goodwill and intangible assets, medical claims payable, other medical liabilities, stock compensation assumptions, tax contingencies and legal liabilities. Actual results could differ from those estimates. Except as noted below, the Company's critical accounting policies are summarized in the Company's Annual Report on Form 10-K, filed with the SEC on February 28, 2012.

Income Taxes

        The Company's effective income tax rates were 40.2 percent and 41.1 percent for the three months ended March 31, 2011 and 2012, respectively. These rates differ from the federal statutory income tax rate primarily due to state income taxes and permanent differences between book and tax income. The Company also accrues interest and penalties related to unrecognized tax benefits in its provision for income taxes. The effective income tax rate for the three months ended March 31, 2012 is higher than the effective rate for the three months ended March 31, 2011 mainly due to an increase in effective state tax rates.

        The Company files a consolidated federal income tax return for the Company and its eighty percent or more owned subsidiaries, and the Company and its subsidiaries file income tax returns in various states and local jurisdictions. With few exceptions, the Company is no longer subject to state or local income tax assessments by tax authorities for years ended prior 2008. Further, it is reasonably possible the statutes of limitation regarding the assessment of federal and certain state and local income taxes for 2008 will expire during 2012.

Results of Operations

        The accounting policies of the Company's segments are the same as those described in Note A—"General." The Company evaluates performance of its segments based on Segment Profit. Management uses Segment Profit information for internal reporting and control purposes and considers it important in making decisions regarding the allocation of capital and other resources, risk assessment and employee compensation, among other matters. Effective September 1, 2010, Public Sector has subcontracted with Medicaid Administration to provide pharmacy benefits management services on a risk basis for one of Public Sector's customers. As such, revenue and cost of care related to this

27

intersegment arrangement are eliminated. The Company's segments are defined above. The following tables summarize, for the periods indicated, operating results by business segment (in thousands):

Three Months Ended March 31, 2011	Commercial			Public Sector			Radiology Benefits Management			Specialty Pharmaceutical Management			Medicaid Administration			Corporate and Elimination			Consolidated
Net revenue	$	150,035		$	350,516		$	89,212		$	70,230		$	53,293		$	(20,531	)	$	692,755
Cost of care		(75,313	)		(304,921	)		(54,717	)		—			(19,280	)		20,531			(433,700	)
Cost of goods sold		—			—			—			(56,519	)		—			—			(56,519	)
Direct service costs		(37,807	)		(16,976	)		(16,705	)		(6,012	)		(25,986	)		—			(103,486	)
Other operating expenses		—			—			—			—			—			(28,081	)		(28,081	)
Stock compensation expense(1)		250			222			482			126			23			3,675			4,778
Segment profit (loss)	$	37,165		$	28,841		$	18,272		$	7,825		$	8,050		$	(24,406	)	$	75,747

Three Months Ended March 31, 2012	Commercial			Public Sector			Radiology Benefits Management			Specialty Pharmaceutical Management			Medicaid Administration			Corporate and Elimination			Consolidated
Net revenue	$	180,524		$	388,888		$	76,857		$	100,198		$	47,854		$	(21,108	)	$	773,213
Cost of care		(112,172	)		(344,312	)		(50,410	)		—			(19,507	)		21,108			(505,293	)
Cost of goods sold		—			—			—			(81,038	)		—			—			(81,038	)
Direct service costs		(42,362	)		(20,597	)		(13,486	)		(6,467	)		(22,552	)		—			(105,464	)
Other operating expenses		—			—			—			—			—			(31,125	)		(31,125	)
Stock compensation expense(1)		267			287			400			172			58			3,918			5,102
Segment profit (loss)	$	26,257		$	24,266		$	13,361		$	12,865		$	5,853		$	(27,207	)	$	55,395

(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.

        The following table reconciles Segment Profit to income before income taxes (in thousands):

	March 31,
	2011			2012
Segment profit	$	75,747		$	55,395
Stock compensation expense		(4,778	)		(5,102	)
Depreciation and amortization		(13,952	)		(14,781	)
Interest expense		(471	)		(600	)
Interest income		815			412
Income before income taxes	$	57,361		$	35,324

Quarter ended March 31, 2012 ("Current Year Quarter"), compared to the quarter ended March 31, 2011 ("Prior Year Quarter")

Commercial

Net Revenue

        Net revenue related to Commercial increased by 20.3 percent or $30.5 million from the Prior Year Quarter to the Current Year Quarter. The increase in revenue is mainly due to new business of $34.5 million, recognition in the Current Year Quarter of performance-based revenue relating to the

28

prior year of $6.6 million, and favorable rate changes of $4.9 million, which increases were partially offset by favorable retroactive membership and rate adjustments of $8.6 million recorded in the Prior Year Quarter, program changes of $3.1 million, decreased membership from existing customers of $2.3 million, terminated contracts of $1.0 million, and other net decreases of $0.5 million.

Cost of Care

        Cost of care increased by 48.9 percent or $36.9 million from the Prior Year Quarter to the Current Year Quarter. The increase in cost of care is primarily due to new business of $30.1 million and unfavorable care trends and other net variances of $13.4 million, which increases were partially offset by program changes of $2.8 million, favorable prior period care development recorded in the Current Year Quarter of $2.0 million and decreased membership from existing customers of $1.8 million. Cost of care increased as a percentage of risk revenue (excluding EAP business) from 66.8 percent in the Prior Year Quarter to 82.9 percent in the Current Year Quarter, mainly due to the impact of retroactive rate adjustments in the Prior Year Quarter, unfavorable care trends in excess of rate changes, and changes in business mix.

Direct Service Costs

        Direct service costs increased by 12.0 percent or $4.6 million from the Prior Year Quarter to the Current Year Quarter, mainly due to costs to support new business. Direct service costs decreased as a percentage of revenue from 25.2 percent in the Prior Year Quarter to 23.5 percent in the Current Year Quarter, mainly due to changes in business mix.

Public Sector

Net Revenue

        Net revenue related to Public Sector increased by 10.9 percent or $38.4 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to new business of $29.1 million, increased membership from existing customers of $13.5 million, the revenue impact for out of period care development recorded in the Prior Year Quarter of $3.6 million, and other net favorable variances of $3.9 million, which increases were partially offset by unfavorable rate changes of $11.7 million.

Cost of Care

        Cost of care increased by 12.9 percent or $39.4 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to new business of $25.2 million, increased membership from existing customers of $13.3 million, favorable prior period medical claims development recorded in the Prior Year Quarter of $3.7 million, and unfavorable care trends and other net variances of $7.8 million, which increases were partially offset by care associated with rate changes for contracts with minimum care requirements of $10.6 million. Cost of care increased as a percentage of risk revenue from 87.4 percent in the Prior Year Quarter to 89.4 percent in the Current Year Quarter mainly due to unfavorable rate changes, unfavorable care trends, and changes in business mix.

Direct Service Costs

        Direct service costs increased by 21.3 percent or $3.6 million from the Prior Year Quarter to the Current Year Quarter, mainly due to costs to support new business. Direct service costs increased as a percentage of revenue from 4.8 percent for the Prior Year Quarter to 5.3 percent in the Current Year Quarter mainly due to business mix.

29

Radiology Benefits Management

Net Revenue

        Net revenue related to Radiology Benefits Management decreased by 13.8 percent or $12.4 million from the Prior Year Quarter to the Current Year Quarter. This decrease is primarily due to the impact of net decreased membership from existing customers and terminated contracts of $16.7 million, unfavorable rate changes of $5.7 million, and other net unfavorable variances of $1.4 million, which decreases were partially offset by new business of $8.3 million and program changes of $3.1 million.

Cost of Care

        Cost of care decreased by 7.9 percent or $4.3 million from the Prior Year Quarter to the Current Year Quarter. This decrease is primarily attributed to the impact of care associated with decreased membership from existing customers and terminated contracts of $9.9 million, favorable medical claims development for the Prior Year Quarter which was recorded after the Prior Year Quarter of $4.0 million, favorable prior period medical claims development recorded in the Current Year Quarter of $0.7 million, and favorable care trends and other net variances of $1.4 million, which decreases were partially offset by new business of $7.0 million, programs changes of $2.9 million and favorable prior period medical claims development recorded in the Prior Year Quarter of $1.8 million. Cost of care increased as a percentage of risk revenue from 71.5 percent in the Prior Year Quarter to 75.9 percent in the Current Year Quarter mainly due to unfavorable rate changes in excess of care trends and changes in business mix.

Direct Service Costs

        Direct service costs decreased by 19.3 percent or $3.2 million from the Prior Year Quarter to the Current Year Quarter. The decrease in direct service costs is mainly attributable to terminated contracts. As a percentage of revenue, direct service costs decreased from 18.7 percent in the Prior Year Quarter to 17.5 percent in the Current Year Quarter, mainly due to business mix.

Specialty Pharmaceutical Management

Net Revenue

        Net revenue related to Specialty Pharmaceutical Management increased by 42.7 percent or $30.0 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to net increased specialty pharmacy revenue of $26.7 million, increased formulary optimization business revenue of $1.7 million, increased medical pharmacy management revenue of $1.5 million, and other net increases of $0.1 million.

Cost of Goods Sold

        Cost of goods sold increased by 43.4 percent or $24.5 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to increased specialty pharmacy business. As a percentage of the portion of net revenue that relates to dispensing activity, cost of goods sold decreased from 93.6 percent in the Prior Year Quarter to 93.0 percent in the Current Year Quarter, mainly due to business mix.

Direct Service Costs

        Direct service costs increased by 7.6 percent or $0.5 million from the Prior Year Quarter to the Current Year Quarter, mainly due to costs to support increased business. As a percentage of revenue, direct service costs decreased from 8.6 percent in the Prior Year Quarter to 6.5 percent in the Current Year Quarter, mainly due to business mix.

30

Medicaid Administration

Net Revenue

        Net revenue related to Medicaid Administration decreased by 10.2 percent or $5.4 million. This decrease is primarily due to terminated contracts of $7.4 million, partially offset by other net favorable variances of $2.0 million.

Cost of Care

        Cost of care increased by 1.2 percent or $0.2 million from the Prior Year Quarter to the Current Year Quarter. Cost of care decreased as a percentage of risk revenue from 93.9 percent in the Prior Year Quarter to 92.4 percent in the Current Year Quarter mainly due to rate changes in excess of care trends.

Direct Service Costs

        Direct service costs decreased by 13.2 percent or $3.4 million. This decrease was primarily due to terminated contracts and operating efficiencies. As a percentage of revenue, direct service costs decreased from 48.8 percent in the Prior Year Quarter to 47.1 percent in the Current Year Quarter, mainly due to changes in business mix.

Corporate and Other

Other Operating Expenses

        Other operating expenses related to the Corporate and Other Segment increased by 10.8 percent or $3.0 million from the Prior Year Quarter to the Current Year Quarter. The increase results primarily from current year investments related to our growth initiatives. As a percentage of total net revenue, other operating expenses were 4.1 percent for the Prior Year Quarter compared to 4.0 percent for the Current Year Quarter.

Depreciation and Amortization

        Depreciation and amortization expense increased by 5.9 percent or $0.8 million from the Prior Year Quarter to the Current Year Quarter, primarily due to asset additions after the Prior Year Quarter.

Interest Expense

        Interest expense increased by $0.1 million from the Prior Year Quarter to the Current Year Quarter, mainly due to higher costs associated with the 2011 Credit Facility.

Interest Income

        Interest income decreased by $0.4 million from the Prior Year Quarter to the Current Year Quarter, mainly due to lower yields.

Income Taxes

        The Company's effective income tax rates were 40.2 percent and 41.1 percent for the Prior Year Quarter and Current Year Quarter, respectively. These rates differ from the federal statutory income tax rate primarily due to state income taxes and permanent differences between book and tax income. The Company also accrues interest and penalties related to unrecognized tax benefits in its provision for income taxes. The effective income tax rate for the Current Year Quarter is higher than the effective rate for the Prior Year Quarter mainly due to an increase in effective state tax rates.

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Outlook—Results of Operations

        The Company's Segment Profit and net income are subject to significant fluctuations from period to period. These fluctuations may result from a variety of factors such as those set forth under Item 2—"Forward-Looking Statements" as well as a variety of other factors including: (i) changes in utilization levels by enrolled members of the Company's risk-based contracts, including seasonal utilization patterns; (ii) contractual adjustments and settlements; (iii) retrospective membership adjustments; (iv) timing of implementation of new contracts, enrollment changes and contract terminations; (v) pricing adjustments upon contract renewals (and price competition in general); and (vi) changes in estimates regarding medical costs and IBNR.

        A portion of the Company's business is subject to rising care costs due to an increase in the number and frequency of covered members seeking behavioral healthcare or radiology services, and higher costs per inpatient day or outpatient visit for behavioral services, and higher costs per scan for radiology services. Many of these factors are beyond the Company's control. Future results of operations will be heavily dependent on management's ability to obtain customer rate increases that are consistent with care cost increases and/or to reduce operating expenses.

        In relation to the managed behavioral healthcare business, the Company is a market leader in a mature market with many viable competitors. The Company is continuing its attempts to grow its business in the managed behavioral healthcare industry through aggressive marketing and development of new products; however, due to the maturity of the market, the Company believes that the ability to grow its current business lines may be limited. In addition, as previously discussed, substantially all of the Company's Commercial segment revenues are derived from Blue Cross Blue Shield health plans and other managed care companies, health insurers and health plans. Certain of the managed care customers of the Company have decided not to renew all or part of their contracts with the Company, and to instead manage the behavioral healthcare services directly for their subscribers.

        Care Trends.    The Company expects that same-store normalized cost of care trend for the 12-month forward outlook to be approximately 7 to 9 percent, 1 to 3 percent and 4 to 6 percent for Commercial, Public Sector and Radiology Benefits Management, respectively.

        Interest Rate Risk.    Changes in interest rates affect interest income earned on the Company's cash equivalents and investments, as well as interest expense on variable interest rate borrowings under the Company's 2011 Credit Facility. Based on the amount of cash equivalents and investments and the borrowing levels under the 2011 Credit Facility as of March 31, 2012, a hypothetical 10 percent increase or decrease in the interest rate associated with these instruments, with all other variables held constant, would not materially affect the Company's future earnings and cash outflows.

Historical—Liquidity and Capital Resources

        Operating Activities.    The Company reported net cash provided by operating activities of $29.3 million and $29.6 million for the Prior Year Quarter and Current Year Quarter, respectively. The $0.3 million increase in operating cash flows from the Prior Year Quarter to the Current Year Quarter is primarily attributable to net favorable working capital changes between periods and the net shift of restricted funds between cash and investments, which results in an operating cash flow change that is directly offset by an investing cash flow change. Partially offseting these items is the decrease in Segment Profit between periods.

        During the Prior Year Quarter and Current Year Quarter, restricted investments of $13.2 million and $4.4 million, respectively, were shifted to restricted cash that reduced operating cash flows, resulting in a net increase in operating cash flows between periods of $8.8 million. Operating cash flows for the Prior Year Period and Current Year Period were impacted by net unfavorable working capital

32

changes of $33.3 million and $21.4 million, respectively. Segment Profit for the Current Year Quarter decreased $20.4 million from the Prior Year Quarter.

        During the Current Year Quarter, the Company's restricted cash decreased $0.9 million. The change in restricted cash is attributable to a reduction in restricted cash of $5.5 million associated with the Company's regulated entities, partially offset by the net shift of restricted investments to restricted cash of $4.4 million and other net increases of $0.2 million. The net change in restricted cash for the Company's regulated entities is attributable to a reduction in restricted cash of $6.6 million that is offset by changes in other assets and liabilities, primarily accounts receivable, accrued liabilities, medical claims payable and other medical liabilities, thus having no impact on operating cash flows, partially offset by a net increase of $1.1 million in restricted cash requirements that resulted in an operating cash flow use.

        Investing Activities.    The Company utilized $10.1 million and $14.5 million during the Prior Year Quarter and Current Year Quarter, respectively, for capital expenditures. The additions related to hard assets (equipment, furniture, leaseholds) and capitalized software for the Prior Year Quarter were $3.1 million and $7.0 million, respectively, as compared to additions for the Current Year Quarter related to hard assets and capitalized software of $6.9 million and $7.6 million, respectively. In addition, during the Prior Year Quarter, the Company used net cash of $106.7 million for the net purchase of "available for sale" securities, with the Company receiving net cash of $35.2 million during the Current Year Quarter from the net maturity of "available for sale" investments.

        During the Prior Year Quarter, the Company purchased certain provider network contracts from a third party for $1.2 million, which resulted in the establishment of an intangible asset. In addition, during the Prior Year Quarter, the Company received the final working capital settlement of $0.9 million from Coventry in regards to the Company's acquisition of First Health, Inc.

        Financing Activities.    During the Prior Year Quarter, the Company paid $122.1 million for the repurchase of treasury stock under the Company's share repurchase program. In addition, the Company received $20.0 million under a share purchase agreement pursuant to which Blue Shield of California purchased shares of the Company's common stock, received $8.0 million from the exercise of stock options and warrants and had other net unfavorable items of $0.6 million.

        During the Current Year Quarter, the Company received $2.2 million from the exercise of stock options and had other net unfavorable items of $0.7 million.

Outlook—Liquidity and Capital Resources

        Liquidity.    During the remainder of 2012, the Company expects to fund its estimated capital expenditures of $46.5 to $56.5 million with cash from operations. The Company does not anticipate that it will need to draw on amounts available under the 2011 Credit Facility for cash flow needs related to its operations, capital needs or debt service in 2012. The Company also currently expects to have adequate liquidity to satisfy its existing financial commitments over the periods in which they will become due. The Company plans to maintain its current investment strategy of investing in a diversified, high quality, liquid portfolio of investments and continues to closely monitor the situation in the financial markets. The Company estimates that it has no risk of any material permanent loss on its investment portfolio; however, there can be no assurance that the Company will not experience any such losses in the future.

Stock Repurchases

        On October 25, 2011 the Company's board of directors approved a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 25, 2013.

33

        Stock repurchases under the program may be executed through open market repurchases, privately negotiated transactions, accelerated share repurchases or other means. The board of directors authorized management to execute stock repurchase transactions from time to time and in such amounts and via such methods as management deems appropriate. The stock repurchase program may be limited or terminated at any time without prior notice. Pursuant to this program, the Company made open market purchases of 671,776 shares of the Company's common stock at an average price of $48.72 per share for an aggregate cost of $32.7 million (excluding broker commissions) during the period from November 11, 2011 through December 31, 2011.

        The Company made no open market purchases during the three months ended March 31, 2012, or for the period from April 1, 2012 through April 24, 2012.

        Off-Balance Sheet Arrangements.    As of March 31, 2012, the Company has no material off-balance sheet arrangements.

        2011 Credit Facility.    On December 9, 2011, the Company entered into the 2011 Credit Facility that provides for up to $230.0 million of revolving loans with a sublimit of up to $70.0 million for the issuance of letters of credit for the account of the Company. The 2011 Credit Facility is guaranteed by substantially all of the subsidiaries of the Company and is secured by substantially all of the assets of the Company and the subsidiary guarantors. The 2011 Credit Facility will mature on December 9, 2014.

        Under the 2011 Credit Facility, the annual interest rate on Revolving Loan borrowings is equal to (i) in the case of U.S. dollar denominated loans, the sum of a borrowing margin of 1.00 percent plus the higher of the prime rate, one-half of one percent in excess of the overnight "federal funds" rate, or the Eurodollar rate for one month plus 1.00%, or (ii) in the case of Eurodollar denominated loans, the sum of a borrowing margin of 2.00 percent plus the Eurodollar rate for the selected interest period. The Company has the option to borrow in U.S. dollar denominated loans or Eurodollar denominated loans at its discretion. Letters of Credit issued under the Revolving Loan Commitment bear interest at the rate of 2.125 percent. The commitment commission on the 2011 Credit Facility is 0.375 percent of the unused Revolving Loan Commitment.

        Restrictive Covenants in Debt Agreements.    The 2011 Credit Facility contains covenants that limit management's discretion in operating the Company's business by restricting or limiting the Company's ability, among other things, to:

•

incur or guarantee additional indebtedness or issue preferred or redeemable stock;

•

pay dividends and make other distributions;

•

repurchase equity interests;

•

make certain advances, investments and loans;

•

enter into sale and leaseback transactions;

•

create liens;

•

sell and otherwise dispose of assets;

•

acquire or merge or consolidate with another company; and

•

enter into some types of transactions with affiliates.

        These restrictions could adversely affect the Company's ability to finance future operations or capital needs or engage in other business activities that may be in the Company's interest.

        The 2011 Credit Facility also requires the Company to comply with specified financial ratios and tests. Failure to do so, unless waived by the lenders under the 2011 Credit Facility pursuant to its

34

terms, would result in an event of default under the 2011 Credit Facility. As of March 31, 2012, the Company was in compliance with all covenants, including financial covenants, under the 2011 Credit Facility.

        Although the 2011 Credit Facility expires on December 9, 2014, the Company believes it will be able to obtain a new facility or, if not, to use cash on hand to fund letters of credit and other liquidity needs.

        Net Operating Loss Carryforwards.    The Company has federal net operating loss carryforwards ("NOLs") as of December 31, 2011 of approximately $4.8 million available to reduce future federal taxable income. These NOLs, if not used, expire in 2017 through 2019 and are subject to examination and adjustment by the IRS. In addition, the Company's utilization of such NOLs is subject to limitation under Section 382, which affects the timing of the use of these NOLs. At this time, the Company does not believe these limitations will limit its ability to use any federal NOLs before they expire.

        As of December 31, 2011, the Company's valuation allowances against deferred tax assets were $3.4 million, mostly relating to uncertainties regarding the eventual realization of certain state NOLs. Determination of the amount of deferred tax assets considered realizable requires significant judgment and estimation regarding the forecasts of future taxable income which are consistent with the plans and estimates the Company uses to manage the underlying businesses. Changes in these estimates in the future could materially affect the Company's financial condition and results of operations.

Recent Accounting Pronouncements

        In May 2011, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2011-04, "Fair Value Measurement (Topic 820): Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. GAAP and IFRSs", ("ASU 2011-04"). ASU 2011-04 amends ASC Topic 820, "Fair Value Measurements and Disclosures", to provide guidance on how fair value measurement should be applied where existing GAAP already requires or permits fair value measurements. In addition, ASU 2011-04 requires expanded disclosures regarding fair value measurements. ASU 2011-04 became effective for the Company on January 1, 2012. The adoption of ASU 2011-04 did not have a material impact on the Company's results of operations or financial position.

        In June 2011, the FASB issued ASU No. 2011-05, "Comprehensive Income (Topic 220): Presentation of Comprehensive Income" ("ASU 2011-05"). ASU 2011-05 requires an entity to present the total of comprehensive income, the components of net income, and the components of other comprehensive income either in a single continuous statement of comprehensive income or in two separate but consecutive statements and eliminates the option to present the components of other comprehensive income as part of the statement of equity. ASU 2011-05 is effective for fiscal years, and interim periods within those fiscal years, beginning on or after December 15, 2011, with early adoption permitted. While the adoption of this guidance impacts the Company's disclosures for annual and interim filings for the year ending December 31, 2012, it does not impact the Company's results of operations or financial position.

        In September 2011, the FASB issued ASU 2011-08, "Testing Goodwill for Impairment" ("ASU 2011-8"), which provides authoritative guidance to simplify how entities, both public and nonpublic, test goodwill for impairment. This accounting update permits an entity to first assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount as a basis for determining whether it is necessary to perform the two-step goodwill impairment test. This guidance was effective for the Company beginning on January 1, 2012. This guidance did not impact the Company's financial position, results of operations or cash flows.

35

        In December 2011, the FASB issued ASU 2011-12 "Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in ASU 2011-05" ("ASU 2011-12"), which defers the requirement that companies present reclassification adjustments for each component of accumulated other comprehensive income in both net income and other comprehensive income on the face of the financial statements. The effective dates for ASU 2011-12 are consistent with the effective dates for ASU 2011-05 and, similar to our expectations for the adoption of ASU 2011-05, while the adoption of this guidance impacts the Company's disclosures for annual and interim filings for the year ending December 31, 2012, it does not impact the Company's results of operations or financial position.

Item 3.    Quantitative and Qualitative Disclosures about Market Risk.

        Changes in interest rates affect interest income earned on the Company's cash equivalents and restricted cash and investments, as well as interest expense on variable interest rate borrowings under the 2011 Credit Facility. Based on the Company's investment balances, and the borrowing levels under the 2011 Credit Facility as of March 31, 2012, a hypothetical 10 percent increase or decrease in the interest rate associated with these instruments, with all other variables held constant, would not materially affect the Company's future earnings and cash outflows.

Item 4.    Controls and Procedures.

        a)    The Company's management evaluated, with the participation of the Company's principal executive and principal financial officers, the effectiveness of the Company's disclosure controls and procedures (as defined in Rules 13a-15(e) under the Exchange Act), as of March 31, 2012. Based on their evaluation, the Company's principal executive and principal financial officers concluded that the Company's disclosure controls and procedures were effective as of March 31, 2012.

        b)    Under the supervision and with the participation of management, including the Company's principal executive and principal financial officers, the Company has determined that there has been no change in the Company's internal control over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act) that occurred during the Company's quarter ended March 31, 2012 that has materially affected, or is reasonably likely to materially affect, the Company's internal control over financial reporting.

36

PART II—OTHER INFORMATION

Item 1.    Legal Proceedings.

        The management and administration of the delivery of specialty managed healthcare entails significant risks of liability. From time to time, the Company is subject to various actions and claims arising from the acts or omissions of its employees, network providers or other parties. In the normal course of business, the Company receives reports relating to deaths and other serious incidents involving patients whose care is being managed by the Company. Such incidents occasionally give rise to malpractice, professional negligence and other related actions and claims against the Company or its network providers. Many of these actions and claims received by the Company seek substantial damages and therefore require the Company to incur significant fees and costs related to their defense. The Company is also subject to or party to certain class actions, litigation and claims relating to its operations or business practices. In the opinion of management, the Company has recorded reserves that are adequate to cover litigation, claims or assessments that have been or may be asserted against the Company, and for which the outcome is probable and reasonably estimable. Management believes that the resolution of such litigation and claims will not have a material adverse effect on the Company's financial condition or results of operations; however, there can be no assurance in this regard.

Item 1A.    Risk Factors.

        None.

Item 2.    Unregistered Sales of Equity Securities and Use of Proceeds.

        On July 27, 2010 the Company's board of directors approved a stock repurchase plan which authorized the Company to purchase up to $350 million of its outstanding common stock through July 28, 2012. On February 18, 2011, the Company's board of directors increased the stock repurchase program by an additional $100 million, to a total of $450 million. Stock repurchases under the program may be executed through open market repurchases, privately negotiated transactions, accelerated share repurchases or other means. The board of directors authorized management to execute stock repurchase transactions from time to time and in such amounts and via such methods as management deems appropriate. The stock repurchase program may be limited or terminated at any time without prior notice. Pursuant to this program, the Company made open market purchases of 1,684,510 shares of the Company's common stock at an average price of $48.36 per share for an aggregate cost of $81.5 million (excluding broker commissions) during the period from November 3, 2010 through December 31, 2010. Pursuant to this program, the Company made open market purchases of 7,534,766 shares of the Company's common stock at an average price of $48.91 per share for an aggregate cost of $368.5 million (excluding broker commissions) during the period January 1, 2011 through November 10, 2011, which was the date the repurchase program was completed.

        On October 25, 2011 the Company's board of directors approved a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 25, 2013. Stock repurchases under the program may be executed through open market repurchases, privately negotiated transactions, accelerated share repurchases or other means. The board of directors authorized management to execute stock repurchase transactions from time to time and in such amounts and via such methods as management deems appropriate. The stock repurchase program may be limited or terminated at any time without prior notice. Pursuant to this program, the Company made open market purchases of 671,776 shares of the Company's common stock at an average price of $48.72 per share for an aggregate cost of $32.7 million (excluding broker commissions) during the period from November 11, 2011 through December 31, 2011.

37

        The Company made no open market purchases during the three months ended March 31, 2012, or for the period from April 1, 2012 through April 24, 2012.

Item 3.    Defaults Upon Senior Securities.

        None.

Item 4.    Submission of Matters to a Vote of Security Holders.

        None.

Item 5.    Other Information.

        None.

Item 6.    Exhibits.

Exhibit No.		Description
	31.1	Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes Oxley Act of 2002.
	31.2	Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
	32.1	Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (furnished).
	32.2	Certification of Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (furnished).
	101	The following materials from the Company's Annual Report on Form 10-Q for the quarter ended March 31, 2012 formatted in Extensible Business Reporting Language (XBRL): (i) the Consolidated Statements of Comprehensive Income, (ii) the Consolidated Balance Sheets, (iii) the Consolidated Statements of Cash Flows and (iv) related notes.

38

SIGNATURES

        Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

Date: April 27, 2012	MAGELLAN HEALTH SERVICES, INC. (Registrant)
	By:	/s/ JONATHAN N. RUBIN Jonathan N. Rubin Executive Vice President and Chief Financial Officer (Principal Financial Officer and Duly Authorized Officer)

39

EX-31.1

Exhibit 31.1

CERTIFICATIONS

I, Rene Lerer, certify that:

1.I have reviewed this quarterly report on Form 10-Q of Magellan Health Services, Inc.;

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a)Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b)Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external reporting purposes in accordance with generally accepted accounting principles;

(c)Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d)Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a)All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b)Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

	/s/ RENE LERER
	Rene Lerer
Date: April 27, 2012	Chief Executive Officer

EX-31.2

Exhibit 31.2

CERTIFICATIONS

I, Jonathan N. Rubin, certify that:

1.I have reviewed this quarterly report on Form 10-Q of Magellan Health Services, Inc.;

2.Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a)Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b)Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external reporting purposes in accordance with generally accepted accounting principles;

(c)Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d)Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a)All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b)Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

	/s/ JONATHAN N. RUBIN
	Jonathan N. Rubin
Date: April 27, 2012	Chief Financial Officer

EX-32.1

Exhibit 32.1

Certification Required by Rule 13a-14(b) and 18 U.S.C. Section 1350

(as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002)

I, Rene Lerer, as Chief Executive Officer of Magellan Health Services, Inc (the “Company”), certify, pursuant to 18 U.S.C. Section 1350 (as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002), that to my knowledge:

(1)the accompanying Quarterly Report on Form 10-Q of the Company for the quarterly period ended March 31, 2012 (the “Report”), fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

(2)the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

	/s/ RENE LERER
	Rene Lerer
Date: April 27, 2012	Chief Executive Officer

EX-32.2

Exhibit 32.2

Certification Required by Rule 13a-14(b) and 18 U.S.C. Section 1350

(as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002)

I, Jonathan N. Rubin, as Chief Financial Officer of Magellan Health Services, Inc (the “Company”), certify, pursuant to 18 U.S.C. Section 1350 (as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002), that to my knowledge:

(1)the accompanying Quarterly Report on Form 10-Q of the Company for the quarterly period ended March 31, 2012 (the “Report”), fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

(2)the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

	/s/ JONATHAN N. RUBIN
	Jonathan N. Rubin
Date: April 27, 2012	Chief Financial Officer

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Commitments and Contingencies (Details) (USD $) In Millions, except Share data, unless otherwise specified	1 Months Ended	2 Months Ended
	Oct. 31, 2011	Dec. 31, 2011
Stock Repurchases
Amount authorized under stock repurchase plan	$ 200
Number of shares repurchased		671,776
Average price of shares repurchased (in dollars per share)		$ 48.72
Aggregate cost of shares repurchased		$ 32.7

XML

Business Segment Information

3 Months Ended

Mar. 31, 2012

Business Segment Information

Business Segment Information

NOTE C—Business Segment Information

        The accounting policies of the Company's segments are the same as those described in Note A—"General." The Company evaluates performance of its segments based on profit or loss from operations before stock compensation expense, depreciation and amortization, interest expense, interest income, gain on sale of assets, special charges or benefits, and income taxes ("Segment Profit"). Management uses Segment Profit information for internal reporting and control purposes and considers it important in making decisions regarding the allocation of capital and other resources, risk assessment and employee compensation, among other matters. Effective September 1, 2010, Public Sector has subcontracted with Medicaid Administration to provide pharmacy benefits management services on a risk basis for one of Public Sector's customers. As such, revenue and cost of care related to this intersegment arrangement are eliminated. The Company's segments are defined above.

        The following tables summarize, for the periods indicated, operating results by business segment (in thousands):

Three Months Ended March 31, 2011	Commercial			Public Sector			Radiology Benefits Management			Specialty Pharmaceutical Management			Medicaid Administration			Corporate and Elimination			Consolidated
Net revenue	$	150,035		$	350,516		$	89,212		$	70,230		$	53,293		$	(20,531	)	$	692,755
Cost of care		(75,313	)		(304,921	)		(54,717	)		—			(19,280	)		20,531			(433,700	)
Cost of goods sold		—			—			—			(56,519	)		—			—			(56,519	)
Direct service costs		(37,807	)		(16,976	)		(16,705	)		(6,012	)		(25,986	)		—			(103,486	)
Other operating expenses		—			—			—			—			—			(28,081	)		(28,081	)
Stock compensation expense(1)		250			222			482			126			23			3,675			4,778
Segment profit (loss)	$	37,165		$	28,841		$	18,272		$	7,825		$	8,050		$	(24,406	)	$	75,747

Three Months Ended March 31, 2012	Commercial			Public Sector			Radiology Benefits Management			Specialty Pharmaceutical Management			Medicaid Administration			Corporate and Elimination			Consolidated
Net revenue	$	180,524		$	388,888		$	76,857		$	100,198		$	47,854		$	(21,108	)	$	773,213
Cost of care		(112,172	)		(344,312	)		(50,410	)		—			(19,507	)		21,108			(505,293	)
Cost of goods sold		—			—			—			(81,038	)		—			—			(81,038	)
Direct service costs		(42,362	)		(20,597	)		(13,486	)		(6,467	)		(22,552	)		—			(105,464	)
Other operating expenses		—			—			—			—			—			(31,125	)		(31,125	)
Stock compensation expense(1)		267			287			400			172			58			3,918			5,102
Segment profit (loss)	$	26,257		$	24,266		$	13,361		$	12,865		$	5,853		$	(27,207	)	$	55,395

(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.

        The following table reconciles Segment Profit to income before income taxes (in thousands):

	Three Months Ended March 31,
	2011			2012
Segment profit	$	75,747		$	55,395
Stock compensation expense		(4,778	)		(5,102	)
Depreciation and amortization		(13,952	)		(14,781	)
Interest expense		(471	)		(600	)
Interest income		815			412
Income before income taxes	$	57,361		$	35,324

XML

Net Income per Common Share

3 Months Ended

Mar. 31, 2012

Net Income per Common Share

Net Income per Common Share

NOTE B—Net Income per Common Share

        The following tables reconcile income (numerator) and shares (denominator) used in the computations of net income per common share (in thousands, except per share data):

	Three Months Ended March 31,
	2011		2012
Numerator:
Net income	$	34,298	$	20,790
Denominator:
Weighted average number of common shares outstanding—basic		33,051		27,199
Common stock equivalents—stock options		493		432
Common stock equivalents—restricted stock awards		15		13
Common stock equivalents—restricted stock units		97		102
Common stock equivalents—employee stock purchase plan		—		1
Weighted average number of common shares outstanding—diluted		33,656		27,747
Net income per common share—basic	$	1.04	$	0.76
Net income per common share—diluted	$	1.02	$	0.75

        The weighted average number of common shares outstanding for the three months ended March 31, 2011 and 2012 were calculated using outstanding shares of the Company's common stock. Common stock equivalents included in the calculation of diluted weighted average common shares outstanding for the three months ended March 31, 2011 and 2012 represent stock options to purchase shares of the Company's common stock, restricted stock awards and restricted stock units, and stock purchased under the Employee Stock Purchase Plan.

        The Company had additional potential dilutive securities outstanding representing 1.3 million and 1.6 million options for the three months ended March 31, 2011 and 2012, respectively, that were not included in the computation of dilutive securities because they were anti-dilutive for such periods. Had these shares not been anti-dilutive, all of these shares would not have been included in the net income per common share calculation as the Company uses the treasury stock method of calculating diluted shares.

XML

CONSOLIDATED BALANCE SHEETS (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Current Assets:
Cash and cash equivalents	$ 171,571	$ 119,862
Restricted cash	184,942	185,794
Accounts receivable, less allowance for doubtful accounts of $3,336 and $3,729 at December 31, 2011 and March 31, 2012, respectively	133,712	121,606
Short-term investments (restricted investments of $129,599 and $130,666 at December 31, 2011 and March 31, 2012, respectively)	161,766	192,947
Deferred income taxes	34,926	35,138
Pharmaceutical inventory	43,069	39,567
Other current assets (restricted deposits of $20,453 and $22,322 at December 31, 2011 and March 31, 2012, respectively)	32,294	37,795
Total Current Assets	762,280	732,709
Property and equipment, net	120,220	118,022
Long-term investments (restricted investments of $7,956 and $2,471 at December 31, 2011 and March 31, 2012, respectively)	2,471	7,956
Other long-term assets	10,148	10,952
Goodwill	426,939	426,939
Other intangible assets, net	42,103	44,589
Total Assets	1,364,161	1,341,167
Current Liabilities:
Accounts payable	17,447	18,690
Accrued liabilities	81,328	106,809
Medical claims payable	166,232	137,973
Other medical liabilities	97,020	106,078
Total Current Liabilities	362,027	369,550
Deferred income taxes	20,702	18,509
Tax Contingencies	104,012	102,919
Deferred credits and other long-term liabilities	4,687	4,915
Total Liabilities	491,428	495,893
Preferred stock, par value $.01 per share Authorized - 10,000 shares - Issued and outstanding - none
Other Stockholders' Equity:
Additional paid-in capital	810,530	804,035
Retained earnings	844,995	824,205
Accumulated other comprehensive (loss) income	23	(150)
Ordinary common stock in treasury, at cost, 18,112 shares and 18,112 shares at December 31, 2011 and March 31, 2012, respectively	(783,269)	(783,269)
Total Stockholders' Equity	872,733	845,274
Total Liabilities and Stockholders' Equity	1,364,161	1,341,167
Ordinary common stock
Current Liabilities:
Common stock	454	453
Multi-Vote common stock
Current Liabilities:
Common stock

XML

CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Cash flows from operating activities:
Net income	$ 20,790	$ 34,298
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	14,781	13,952
Non-cash interest expense	177	107
Non-cash stock compensation expense	5,102	4,778
Non-cash income tax (benefit) expense	3,017	(472)
Non-cash amortization on investments	1,760	3,228
Cash flows from changes in assets and liabilities, net of effects from acquisitions of businesses:
Restricted cash	852	15,623
Accounts receivable, net	(12,106)	(6,144)
Pharmaceutical inventory	(3,502)	(17,878)
Other assets	6,437	14,448
Accounts payable and accrued liabilities	(26,724)	(25,792)
Medical claims payable and other medical liabilities	19,201	(10,122)
Other	(216)	3,242
Net cash provided by operating activities	29,569	29,268
Cash flows from investing activities:
Capital expenditures	(14,505)	(10,090)
Purchase of investments	(61,977)	(179,772)
Maturity of investments	97,168	73,015
Acquisitions and investments in businesses, net of cash acquired		(274)
Net cash (used in) provided by investing activities	20,686	(117,121)
Cash flows from financing activities:
Proceeds from issuance of equity		20,000
Payments to acquire treasury stock		(122,071)
Proceeds from exercise of stock options and warrants	2,197	8,016
Other	(743)	(563)
Net cash (used in) provided by financing activities	1,454	(94,618)
Net (decrease) increase in cash and cash equivalents	51,709	(182,471)
Cash and cash equivalents at beginning of period	119,862	337,179
Cash and cash equivalents at end of period	$ 171,571	$ 154,708

XML

Net Income per Common Share (Details) (USD $) In Thousands, except Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Numerator:
Net income	$ 20,790	$ 34,298
Denominator:
Weighted average number of common shares outstanding-basic	27,199,000	33,051,000
Common stock equivalents-stock options (in shares)	432,000	493,000
Common stock equivalents-restricted stock (in shares)	13,000	15,000
Common stock equivalents-restricted stock units (in shares)	102,000	97,000
Common stock equivalents-employee stock purchase plan (in shares)	1,000
Weighted average number of common shares outstanding-diluted	27,747,000	33,656,000
Net income per common share-basic	$ 0.76	$ 1.04
Net income per common share-diluted	$ 0.75	$ 1.02
Potential dilutive securities excluded from computation of dilutive securities (in shares)	1,600,000	1,300,000

XML

Business Segment Information (Details 2) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Reconciliation of segment profit to income before income taxes
Segment profit	$ 55,395	$ 75,747
Stock compensation expense	(5,102)	(4,778)
Depreciation and amortization	(14,781)	(13,952)
Interest expense	(600)	(471)
Interest income	412	815
Income before income taxes	$ 35,324	$ 57,361

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General

3 Months Ended

Mar. 31, 2012

General

General

NOTE A—General

Basis of Presentation

        The accompanying unaudited consolidated financial statements of Magellan Health Services, Inc., a Delaware corporation ("Magellan"), include the accounts of Magellan, its majority owned subsidiaries, and all variable interest entities ("VIEs") for which Magellan is the primary beneficiary (together with Magellan, the "Company"). The financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the Securities and Exchange Commission's (the "SEC") instructions to Form 10-Q. Accordingly, the financial statements do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. In the opinion of management, all adjustments, consisting of normal recurring adjustments considered necessary for a fair presentation, have been included. The results of operations for the three months ended March 31, 2012 are not necessarily indicative of the results to be expected for the full year. All significant intercompany accounts and transactions have been eliminated in consolidation.

        The Company has evaluated subsequent events for recognition or disclosure in our consolidated financial statements filed on this Form 10-Q and no events have occurred that require disclosure.

        These unaudited consolidated financial statements should be read in conjunction with the Company's audited consolidated financial statements for the year ended December 31, 2011 and the notes thereto, which are included in the Company's Annual Report on Form 10-K filed with the SEC on February 28, 2012.

Business Overview

        The Company is engaged in the specialty managed healthcare business. Through 2005, the Company predominantly operated in the managed behavioral healthcare business. As a result of certain acquisitions, the Company expanded into radiology benefits management and specialty pharmaceutical management during 2006, and into Medicaid administration during 2009. The Company provides services to health plans, insurance companies, employers, labor unions and various governmental agencies. The Company's business is divided into the following six segments, based on the services it provides and/or the customers that it serves, as described below.

Managed Behavioral Healthcare

        Two of the Company's segments are in the managed behavioral healthcare business. This line of business generally reflects the Company's coordination and management of the delivery of behavioral healthcare treatment services that are provided through its contracted network of third-party treatment providers, which includes psychiatrists, psychologists, other behavioral health professionals, psychiatric hospitals, general medical facilities with psychiatric beds, residential treatment centers and other treatment facilities. The treatment services provided through the Company's provider network include outpatient programs (such as counseling or therapy), intermediate care programs (such as intensive outpatient programs and partial hospitalization services), inpatient treatment and crisis intervention services. The Company generally does not directly provide or own any provider of treatment services.

        The Company provides its management services primarily through: (i) risk-based products, where the Company assumes all or a substantial portion of the responsibility for the cost of providing treatment services in exchange for a fixed per member per month fee, (ii) administrative services only ("ASO") products, where the Company provides services such as utilization review, claims administration and/or provider network management, but does not assume responsibility for the cost of the treatment services, and (iii) employee assistance programs ("EAPs") where the Company provides short-term outpatient behavioral counseling services.

        The managed behavioral healthcare business is managed based on the services provided and/or the customers served, through the following two segments:

        Commercial.    The Managed Behavioral Healthcare Commercial segment ("Commercial") generally reflects managed behavioral healthcare services and EAP services provided under contracts with health plans and insurance companies for some or all of their commercial, Medicaid and Medicare members, as well as with employers, including corporations, governmental agencies, and labor unions. Commercial's contracts encompass risk-based, ASO and EAP arrangements.

        Public Sector.    The Managed Behavioral Healthcare Public Sector segment ("Public Sector") generally reflects services provided to recipients under Medicaid and other state sponsored programs under contracts with state and local governmental agencies. Public Sector contracts encompass either risk-based or ASO arrangements.

Radiology Benefits Management

        The Radiology Benefits Management segment ("Radiology Benefits Management") generally reflects the management of the delivery of diagnostic imaging and other therapeutic services to ensure that such services are clinically appropriate and cost effective. The Company's radiology benefits management services currently are provided under contracts with health plans and insurance companies for some or all of their commercial, Medicaid and Medicare members. The Company also contracts with state and local governmental agencies for the provision of such services to Medicaid recipients. The Company offers its radiology benefits management services through risk-based contracts, where the Company assumes all or a substantial portion of the responsibility for the cost of providing diagnostic imaging services, and through ASO contracts, where the Company provides services such as utilization review and claims administration, but does not assume responsibility for the cost of the imaging services.

Drug Benefits Management

        Two of the Company's segments are in the drug benefits management business. This line of business generally reflects the Company's clinical management of drugs paid under medical and pharmacy benefit programs. The Company's services include the coordination and management of the specialty drug spending for health plans, employers, and governmental agencies, and the management of pharmacy programs for Medicaid and other state-sponsored programs. The two segments in this line of business are:

        Specialty Pharmaceutical Management.    The Specialty Pharmaceutical Management segment ("Specialty Pharmaceutical Management") comprises programs that manage specialty drugs used in the treatment of complex conditions such as, cancer, multiple sclerosis, hemophilia, infertility, rheumatoid arthritis, chronic forms of hepatitis and other diseases. Specialty pharmaceutical drugs represent high-cost injectible, infused, or oral drugs with sensitive handling or storage needs, many of which may be physician administered. Patients receiving these drugs require greater amounts of clinical support than those taking more traditional agents. Payors require clinical, financial and technological support to maximize the value delivered to their members using these expensive agents. The Company's specialty pharmaceutical management services are provided under contracts with health plans, insurance companies, employers, and governmental agencies for some or all of their commercial, Medicare and Medicaid members. The Company's specialty pharmaceutical services include: (i) contracting and formulary optimization programs; (ii) specialty pharmaceutical dispensing operations; and (iii) medical pharmacy management programs.

        Medicaid Administration.    The Medicaid Administration segment ("Medicaid Administration") generally reflects integrated clinical management services provided to the public sector to manage Medicaid pharmacy, mental health, and long-term care programs. The primary focus of the Company's Medicaid Administration unit involves providing pharmacy benefits administration ("PBA") and pharmacy benefits management ("PBM") services under contracts with health plans and public sector healthcare clients for Medicaid and other state sponsored program recipients. The Company's services include pharmacy point-of-sale claims processing systems and administration, drug utilization review, clinical prior authorization, utilization and formulary management services, Preferred Drug List programs, Maximum Allowable Cost programs, and drug rebate program services. Medicaid Administration's contracts encompass Fee-For-Service ("FFS") arrangements. In addition to Medicaid Administration's FFS contracts, effective September 1, 2010, Public Sector has subcontracted with Medicaid Administration to provide pharmacy benefits management services on a risk basis for one of Public Sector's customers.

Corporate

        This segment of the Company is comprised primarily of operational support functions such as sales and marketing and information technology, as well as corporate support functions such as executive, finance, human resources and legal.

Summary of Significant Accounting Policies

Recent Accounting Pronouncements

        In May 2011, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2011-04, "Fair Value Measurement (Topic 820): Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. GAAP and IFRSs", ("ASU 2011-04"). ASU 2011-04 amends ASC Topic 820, "Fair Value Measurements and Disclosures", to provide guidance on how fair value measurement should be applied where existing GAAP already requires or permits fair value measurements. In addition, ASU 2011-04 requires expanded disclosures regarding fair value measurements. ASU 2011-04 became effective for the Company on January 1, 2012. The adoption of ASU 2011-04 did not have a material impact on the Company's results of operations or financial position.

        In June 2011, the FASB issued ASU No. 2011-05, "Comprehensive Income (Topic 220): Presentation of Comprehensive Income" ("ASU 2011-05"). ASU 2011-05 requires an entity to present the total of comprehensive income, the components of net income, and the components of other comprehensive income either in a single continuous statement of comprehensive income or in two separate but consecutive statements and eliminates the option to present the components of other comprehensive income as part of the statement of equity. ASU 2011-05 is effective for fiscal years, and interim periods within those fiscal years, beginning on or after December 15, 2011, with early adoption permitted. While the adoption of this guidance impacts the Company's disclosures for annual and interim filings for the year ending December 31, 2012, it does not impact the Company's results of operations or financial position.

        In September 2011, the FASB issued ASU 2011-08, "Testing Goodwill for Impairment" ("ASU 2011-8"), which provides authoritative guidance to simplify how entities, both public and nonpublic, test goodwill for impairment. This accounting update permits an entity to first assess qualitative factors to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount as a basis for determining whether it is necessary to perform the two-step goodwill impairment test. This guidance was effective for the Company beginning on January 1, 2012. This guidance did not impact the Company's financial position, results of operations or cash flows.

        In December 2011, the FASB issued ASU 2011-12 "Deferral of the Effective Date for Amendments to the Presentation of Reclassifications of Items Out of Accumulated Other Comprehensive Income in ASU 2011-05" ("ASU 2011-12"), which defers the requirement that companies present reclassification adjustments for each component of accumulated other comprehensive income in both net income and other comprehensive income on the face of the financial statements. The effective dates for ASU 2011-12 are consistent with the effective dates for ASU 2011-05 and, similar to our expectations for the adoption of ASU 2011-05, while the adoption of this guidance impacts the Company's disclosures for annual and interim filings for the year ending December 31, 2012, it does not impact the Company's results of operations or financial position.

Use of Estimates

        The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Significant estimates of the Company include, among other things, accounts receivable realization, valuation allowances for deferred tax assets, valuation of goodwill and intangible assets, medical claims payable, other medical liabilities, stock compensation assumptions, tax contingencies and legal liabilities. Actual results could differ from those estimates.

Managed Care Revenue

        Managed care revenue, inclusive of revenue from the Company's risk, EAP and ASO contracts, is recognized over the applicable coverage period on a per member basis for covered members. The Company is paid a per member fee for all enrolled members, and this fee is recorded as revenue in the month in which members are entitled to service. The Company adjusts its revenue for retroactive membership terminations, additions and other changes, when such adjustments are identified, with the exception of retroactivity that can be reasonably estimated. The impact of retroactive rate amendments is generally recorded in the accounting period that terms to the amendment are finalized, and that the amendment is executed. Any fees paid prior to the month of service are recorded as deferred revenue. Managed care revenues approximated $550.0 million and $601.8 million for the three months ended March 31, 2011 and 2012, respectively.

Fee-For-Service and Cost-Plus Contracts

        The Company has certain FFS contracts, including cost-plus contracts, with customers under which the Company recognizes revenue as services are performed and as costs are incurred. Revenues from these contracts approximated $42.4 million and $36.0 million for the three months ended March 31, 2011 and 2012, respectively.

Block Grant Revenues

        Public Sector has a contract that is partially funded by federal, state and county block grant money, which represents annual appropriations. The Company recognizes revenue from block grant activity ratably over the period to which the block grant funding applies. Block grant revenues were approximately $26.2 million and $28.9 million for the three months ended March 31, 2011 and 2012, respectively.

Dispensing Revenue

        The Company recognizes dispensing revenue, which includes the co-payments received from members of the health plans the Company serves, when the specialty pharmaceutical drugs are shipped. At the time of shipment, the earnings process is complete; the obligation of the Company's customer to pay for the specialty pharmaceutical drugs is fixed, and, due to the nature of the product, the member may neither return the specialty pharmaceutical drugs nor receive a refund. Revenues from the dispensing of specialty pharmaceutical drugs on behalf of health plans were $60.4 million and $87.2 million for the three months ended March 31, 2011 and 2012, respectively.

Performance-Based Revenue

        The Company has the ability to earn performance-based revenue under certain risk and non-risk contracts. Performance-based revenue generally is based on either the ability of the Company to manage care for its clients below specified targets, or on other operating metrics. For each such contract, the Company estimates and records performance-based revenue after considering the relevant contractual terms and the data available for the performance-based revenue calculation. Pro-rata performance-based revenue is recognized on an interim basis pursuant to the rights and obligations of each party upon termination of the contracts. Performance-based revenues were $3.1 million and $8.0 million for the three months ended March 31, 2011 and 2012, respectively.

Rebate Revenue

        The Company administers a rebate program for certain clients through which the Company coordinates the achievement, calculation and collection of rebates and administrative fees from pharmaceutical manufacturers on behalf of clients. Each period, the Company estimates the total rebates earned based on actual volumes of pharmaceutical purchases by the Company's clients, as well as historical and/or anticipated sharing percentages. The Company earns fees based upon the volume of rebates generated for its clients. The Company does not record as rebate revenue any rebates that are passed through to its clients. Total rebate revenues were $6.8 million and $9.7 million for the three months ended March 31, 2011 and 2012, respectively.

Significant Customers

• Consolidated Company

        The Company provides behavioral healthcare management and other related services to approximately 715,000 members in Maricopa County, Arizona, the ("Maricopa Contract").

        Under the Maricopa Contract, the Company is responsible for providing covered behavioral health services to persons eligible under Title XIX (Medicaid) and Title XXI (State Children's Health Insurance Program) of the Social Security Act, non-Title XIX and non-Title XXI eligible children and adults with a serious mental illness, and to certain non-Title XIX and non-Title XXI adults with behavioral health or substance abuse disorders. The Maricopa Contract began on September 1, 2007 and extends through September 30, 2013 unless sooner terminated by the parties. The State of Arizona has the right to terminate the Maricopa Contract for cause, as defined, upon ten days' notice with an opportunity to cure, and without cause immediately upon notice from the State. The Maricopa Contract generated net revenues of $191.0 million and $193.1 million for the three months ended March 31, 2011 and 2012, respectively.

• By Segment

        In addition to the Maricopa Contract previously discussed, the following customers generated in excess of ten percent of net revenues for the respective segment for the three months ended March 31, 2011 and 2012 (in thousands):

Segment	Term Date	2011			2012
Commercial
Customer A	December 31, 2012	$	50,438		$	49,743
Customer B	June 30, 2014		17,008			16,085
Customer C	December 31, 2012 to December 14, 2013(1)		27,552			29,326
Customer D	December 31, 2019		—			33,727
Public Sector
Customer E	June 30, 2013(2)		40,318			55,236
Radiology Benefits Management
Customer F	December 31, 2015		33,247			26,556
Customer G	June 30, 2011 to November 30, 2011(1)(3)		16,663			—
Customer H	June 30, 2014		13,340			14,378
Customer I	March 31, 2013		7,990	*		12,253
Customer J	January 31, 2014		6,508	*		9,104
Specialty Pharmaceutical Management
Customer K	April 30, 2012 to December 31, 2013(1)		22,004			31,044
Customer L	April 29, 2012 to September 1, 2012(1)		14,760			15,626
Customer B	December 31, 2012 to September 27, 2013(1)		3,709	*		14,647
Medicaid Administration
Customer M	December 4, 2011(3)		7,221			—
Customer N	September 30, 2013(4)		20,531			21,108
Customer O	March 31, 2015 to June 30, 2017(1)		6,019			6,803
Customer P	June 30, 2013 to September 30, 2014(1)		4,169	*		4,914

*

Revenue amount did not exceed ten percent of net revenues for the respective segment for the period presented. Amount is shown for comparative purposes only.

(1)

The customer has more than one contract. The individual contracts are scheduled to terminate at various points during the time period indicated above.

(2)

Contract has options for the customer to extend the term for two additional one-year periods.

(3)

The contract has terminated.

(4)

This customer represents a subcontract with a Public Sector customer and is eliminated in consolidation.

• Concentration of Business

        The Company also has a significant concentration of business with various counties in the State of Pennsylvania (the "Pennsylvania Counties") which are part of the Pennsylvania Medicaid program, and with various areas in the State of Florida (the "Florida Areas") which are part of the Florida Medicaid program. Net revenues from the Pennsylvania Counties in the aggregate totaled $84.6 million and $92.3 million for the three months ended March 31, 2011 and 2012, respectively. Net revenues from the Florida Areas in the aggregate totaled $33.4 million and $34.1 million for the three months ended March 31, 2011 and 2012, respectively.

        The Company's contracts with customers typically have terms of one to three years, and in certain cases contain renewal provisions (at the customer's option) for successive terms of between one and two years (unless terminated earlier). Substantially all of these contracts may be immediately terminated with cause and many of the Company's contracts are terminable without cause by the customer or the Company either upon the giving of requisite notice and the passage of a specified period of time (typically between 60 and 180 days) or upon the occurrence of other specified events. In addition, the Company's contracts with federal, state and local governmental agencies generally are conditioned on legislative appropriations. These contracts generally can be terminated or modified by the customer if such appropriations are not made.

Fair Value Measurements

        The Company currently does not have non-financial assets and non-financial liabilities that are required to be measured at fair value on a recurring basis. Financial assets and liabilities are to be measured using inputs from the three levels of the fair value hierarchy, which are as follows:

•         Level 1—Inputs are unadjusted quoted prices in active markets for identical assets or liabilities that the Company has the ability to access at the measurement date.

          Level 2—Inputs include quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets or liabilities in markets that are not active, inputs other than quoted prices that are observable for the asset or liability (i.e., interest rates, yield curves, etc.), and inputs that are derived principally from or corroborated by observable market data by correlation or other means (market corroborated inputs).

          Level 3—Unobservable inputs that reflect the Company's assumptions about the assumptions that market participants would use in pricing the asset or liability. The Company develops these inputs based on the best information available, including the Company's data.

        In accordance with the fair value hierarchy described above, the following table shows the fair value of the Company's financial assets and liabilities that are required to be measured at fair value as of December 31, 2011 and March 31, 2012 (in thousands):

	December 31, 2011
	Level 1		Level 2		Level 3		Total
Cash and Cash Equivalents(1)	$	—	$	1,296	$	—	$	1,296
Restricted Cash(2)		—		47,972		—		47,972
Investments:
U.S. Government and agency securities		697		—		—		697
Obligations of government-sponsored enterprises(3)		—		8,293		—		8,293
Corporate debt securities		—		191,813		—		191,813
Taxable municipal bonds		—		—		—		—
Certificates of deposit		—		100		—		100
December 31, 2011	$	697	$	249,474	$	—	$	250,171

	March 31, 2012
	Level 1		Level 2		Level 3		Total
Cash and Cash Equivalents(4)	$	—	$	31,735	$	—	$	31,735
Restricted Cash(5)		—		70,017		—		70,017
Investments:
U.S. Government and agency securities		696		—		—		696
Obligations of government-sponsored enterprises(6)		—		8,259		—		8,259
Corporate debt securities		—		155,182		—		155,182
Taxable municipal bonds		—		—		—		—
Certificates of deposit		—		100		—		100
March 31, 2012	$	696	$	265,293	$	—	$	265,989

(1)

Excludes $118.6 million of cash held in bank accounts by the Company.

(2)

Excludes $137.8 million of restricted cash held in bank accounts by the Company.

(3)

Includes investments in notes issued by the Federal Home Loan Bank.

(4)

Excludes $139.9 million of cash held in bank accounts by the Company.

(5)

Excludes $114.9 million of restricted cash held in bank accounts by the Company.

(6)

Includes investments in notes issued by the Federal Home Loan Bank.

        For the three months ended March 31, 2012, the Company has not transferred any assets between fair value measurement levels.

        All of the Company's investments are classified as "available-for-sale" and are carried at fair value.

        If a debt security is in an unrealized loss position and the Company has the intent to sell the debt security, or it is more likely than not that the Company will have to sell the debt security before recovery of its amortized cost basis, the decline in value is deemed to be other-than-temporary and is recorded to other-than-temporary impairment losses recognized in income in the consolidated statements of comprehensive income. For impaired debt securities that the Company does not intend to sell or it is more likely than not that the Company will not have to sell such securities, but the Company expects that it will not fully recover the amortized cost basis, the credit component of the other-than-temporary impairment is recognized in other-than-temporary impairment losses recognized in income in the consolidated statements of comprehensive income and the non-credit component of the other-than-temporary impairment is recognized in other comprehensive income.

        As of December 31, 2011 and March 31, 2012, there were no unrealized losses that the Company believed to be other-than-temporary. No realized gains or losses were recorded for the three months ended March 31, 2011 or 2012. The following is a summary of short-term and long-term investments at December 31, 2011 and March 31, 2012 (in thousands):

	December 31, 2011
	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Estimated Fair Value
U.S. Government and agency securities	$	697	$	—	$	—		$	697
Obligations of government-sponsored enterprises(1)		8,293		3		(3	)		8,293
Corporate debt securities		192,059		31		(277	)		191,813
Certificates of deposit		100		—		—			100
Total investments at December 31, 2011	$	201,149	$	34	$	(280	)	$	200,903

	March 31, 2012
	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Estimated Fair Value
U.S. Government and agency securities	$	696	$	—	$	—		$	696
Obligations of government-sponsored enterprises(1)		8,256		3		—			8,259
Corporate debt securities		155,147		97		(62	)		155,182
Certificates of deposit		100		—		—			100
Total investments at March 31, 2012	$	164,199	$	100	$	(62	)	$	164,237

(1)

Includes investments in notes issued by the Federal Home Loan Bank.

        The maturity dates of the Company's investments as of March 31, 2012 are summarized below (in thousands):

	Amortized Cost		Estimated Fair Value
2012	$	144,574	$	144,602
2013		19,625		19,635
Total investments at March 31, 2012	$	164,199	$	164,237

Income Taxes

        The Company's effective income tax rates were 40.2 percent and 41.1 percent for the three months ended March 31, 2011 and 2012, respectively. These rates differ from the federal statutory income tax rate primarily due to state income taxes and permanent differences between book and tax income. The Company also accrues interest and penalties related to unrecognized tax benefits in its provision for income taxes. The effective income tax rate for the three months ended March 31, 2012 is higher than the effective rate for the three months ended March 31, 2011 mainly due to an increase in effective state tax rates.

Stock Compensation

        At December 31, 2011 and March 31, 2012, the Company had equity-based employee incentive plans, which are described more fully in Note 6 in the Company's Annual Report on Form 10-K for the year ended December 31, 2011. The Company recorded stock compensation expense of $4.8 million and $5.1 million for the three months ended March 31, 2011 and 2012, respectively. Stock compensation expense recognized in the consolidated statements of comprehensive income for the three months ended March 31, 2011 and 2012 has been reduced for estimated forfeitures, estimated at four percent for both periods.

        The weighted average grant date fair value of all stock options granted during the three months ended March 31, 2012 was $11.80 as estimated using the Black-Scholes-Merton option pricing model, which also assumed an expected volatility of 30.3 percent based on the historical volatility of the Company's stock price.

        The benefits of tax deductions in excess of recognized stock compensation expense are reported as a financing cash flow, rather than as an operating cash flow. In the three months ended March 31, 2011 and 2012, $0.5 million and $0.4 million, respectively, of benefits of such tax deductions related to stock compensation expense were realized and as such were reported as financing cash flows. For the quarter ended March 31, 2011 the change to additional paid in capital related to tax benefits (deficiencies) was $0.5 million which includes the $0.6 million of excess tax benefits offset by $(0.1) million of tax deficiencies. For the three months ended March 31, 2012, the change to additional paid in capital related to tax benefits (deficiencies) was $0.3 million which includes the $0.4 million of excess tax benefits offset by $(0.1) million of tax deficiencies.

        Summarized information related to the Company's stock options for the three months ended March 31, 2012 is as follows:

	Options			Weighted Average Exercise Price
Outstanding, beginning of period		3,841,233		$	42.65
Granted		1,344,268			47.49
Forfeited		(7,927	)		45.23
Exercised		(60,939	)		36.06
Outstanding, end of period		5,116,635		$	43.99
Vested and expected to vest at end of period		4,955,937		$	43.88
Exercisable, end of period		2,523,713		$	40.72

        All of the Company's options granted during the three months ended March 31, 2012 vest ratably on each anniversary date over the three years subsequent to grant, and all have a ten year life.

        Summarized information related to the Company's nonvested restricted stock awards for the three months ended March 31, 2012 is as follows:

	Shares		Weighted Average Grant Date Fair Value
Outstanding, beginning of period		18,748	$	52.11
Awarded		—		—
Vested		—		—
Forfeited		—		—
Outstanding, ending of period		18,748	$	52.11

        Summarized information related to the Company's nonvested restricted stock units for the three months ended March 31, 2012 is as follows:

	Shares			Weighted Average Grant Date Fair Value
Outstanding, beginning of period		206,338		$	44.63
Awarded		127,913			47.46
Vested		(99,976	)		41.81
Forfeited		(775	)		44.16
Outstanding, ending of period		233,500		$	47.38

        In general, grants of restricted stock awards and restricted stock units vest ratably on each anniversary date over the three years subsequent to grant.

Long Term Debt and Capital Lease Obligations

        On December 9, 2011, the Company entered into a Senior Secured Revolving Credit Facility Credit Agreement with Citibank, N.A., Wells Fargo Bank, N.A., Bank of America, N.A., and U.S. Bank, N.A. that provides for up to $230.0 million of revolving loans with a sublimit of up to $70.0 million for the issuance of letters of credit for the account of the Company (the "2011 Credit Facility"). At such point, the previous credit facility was terminated. The 2011 Credit Facility is guaranteed by substantially all of the subsidiaries of the Company and is secured by substantially all of the assets of the Company and the subsidiary guarantors. The 2011 Credit Facility will mature on December 9, 2014.

        Under the 2011 Credit Facility, the annual interest rate on Revolving Loan borrowings is equal to (i) in the case of U.S. dollar denominated loans, the sum of a borrowing margin of 1.00 percent plus the higher of the prime rate, one-half of one percent in excess of the overnight "federal funds" rate, or the Eurodollar rate for one month plus 1.00%, or (ii) in the case of Eurodollar denominated loans, the sum of a borrowing margin of 2.00 percent plus the Eurodollar rate for the selected interest period. The Company has the option to borrow in U.S. dollar denominated loans or Eurodollar denominated loans at its discretion. Letters of Credit issued under the Revolving Loan Commitment bear interest at the rate of 2.125 percent. The commitment commission on the 2011 Credit Facility is 0.375 percent of the unused Revolving Loan Commitment.

        There were no material capital lease obligations at December 31, 2011 or March 31, 2012. The Company had $68.1 million and $58.1 million of letters of credit outstanding at December 31, 2011 and March 31, 2012, respectively, and no Revolving Loan borrowings at December 31, 2011 or March 31, 2012.

Reclassifications

        Certain prior year amounts have been reclassified to conform with the current year presentation.

XML

CONSOLIDATED BALANCE SHEETS (Parenthetical) (USD $) In Thousands, except Per Share data, unless otherwise specified	Mar. 31, 2012	Dec. 31, 2011
Accounts receivable, allowance for doubtful accounts (in dollars)	$ 3,729	$ 3,336
Short-term restricted investments (in dollars)	130,666	129,599
Other current assets, restricted deposits (in dollars)	22,322	20,453
Long-term restricted investments (in dollars)	$ 2,471	$ 7,956
Preferred stock, par value (in dollars per share)	$ 0.01	$ 0.01
Preferred stock, Authorized shares	10,000	10,000
Preferred stock, Issued shares	0	0
Preferred stock, outstanding shares	0	0
Ordinary common stock in treasury, shares	18,112	18,112
Ordinary common stock
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, Authorized shares	100,000	100,000
Common stock, Issued shares	45,425	45,285
Common stock, outstanding shares	27,313	27,173
Multi-Vote common stock
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, Authorized shares	40,000	40,000
Common stock, Issued shares	0	0
Common stock, outstanding shares	0	0

XML

General (Details 3) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Concentration of Business
Net revenue	$ 773,213	$ 692,755
Maximum
Concentration of Business
Term of Contract (in years)	3
Term of renewed contract (in years)	2
Notice period for termination of contract (in days)	180
Minimum
Concentration of Business
Term of Contract (in years)	1
Term of renewed contract (in years)	1
Notice period for termination of contract (in days)	60
Pennsylvania Counties
Concentration of Business
Net revenue	92,300	84,600
Florida Areas
Concentration of Business
Net revenue	$ 34,100	$ 33,400

XML

Document and Entity Information	3 Months Ended
	Mar. 31, 2012
Document and Entity Information
Entity Registrant Name	MAGELLAN HEALTH SERVICES INC
Entity Central Index Key	0000019411
Document Type	10-Q
Document Period End Date	Mar. 31, 2012
Amendment Flag	false
Current Fiscal Year End Date	--12-31
Entity Current Reporting Status	Yes
Entity Filer Category	Large Accelerated Filer
Entity Common Stock, Shares Outstanding	27,312,812
Document Fiscal Year Focus	2012
Document Fiscal Period Focus	Q1

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General (Details 4) (USD $)	Mar. 31, 2012	Dec. 31, 2011
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Restricted Cash	$ 184,942,000	$ 185,794,000
Investments	164,237,000	200,903,000
Cash held in bank accounts by the Company, unrestricted	139,900,000	118,600,000
Cash held in bank accounts by the Company, restricted	114,900,000	137,800,000
Level 1
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Total assets measured at fair value on a recurring basis	696,000	697,000
Level 2
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Total assets measured at fair value on a recurring basis	265,293,000	249,474,000
Total
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Total assets measured at fair value on a recurring basis	265,989,000	250,171,000
Fair value measured on recurring basis | Level 1 | U.S. Government and agency securities.
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Investments	696,000	697,000
Fair value measured on recurring basis | Level 2 | Other than cash held in bank accounts by Company
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Cash and Cash Equivalents	31,735,000	1,296,000
Restricted Cash	70,017,000	47,972,000
Fair value measured on recurring basis | Level 2 | Obligations of government-sponsored enterprises
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Investments	8,259,000	8,293,000
Fair value measured on recurring basis | Level 2 | Corporate debt securities
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Investments	155,182,000	191,813,000
Fair value measured on recurring basis | Level 2 | Certificates of deposit
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Investments	100,000	100,000
Fair value measured on recurring basis | Total | Other than cash held in bank accounts by Company
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Cash and Cash Equivalents	31,735,000	1,296,000
Restricted Cash	70,017,000	47,972,000
Fair value measured on recurring basis | Total | U.S. Government and agency securities.
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Investments	696,000	697,000
Fair value measured on recurring basis | Total | Obligations of government-sponsored enterprises
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Investments	8,259,000	8,293,000
Fair value measured on recurring basis | Total | Corporate debt securities
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Investments	155,182,000	191,813,000
Fair value measured on recurring basis | Total | Certificates of deposit
Fair value of financial assets and liabilities required to be measured at fair value on a recurring basis
Investments	$ 100,000	$ 100,000

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CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended
	Mar. 31, 2012		Mar. 31, 2011
Net revenue	$ 773,213		$ 692,755
Cost and expenses:
Cost of care	505,293		433,700
Cost of goods sold	81,038		56,519
Direct service costs and other operating expenses	136,589	[1]	131,567	[1]
Depreciation and amortization	14,781		13,952
Interest expense	600		471
Interest income	(412)		(815)
Total cost and expenses	737,889		635,394
Income before income taxes	35,324		57,361
Provision for income taxes	14,534		23,063
Net income	20,790		34,298
Net income per common share - basic (See Note B) (in dollars per share)	$ 0.76		$ 1.04
Net income per common share - diluted (See Note B) (in dollars per share)	$ 0.75		$ 1.02
Other comprehensive income
Unrealized gains on available-for-sale securities	173	[2]	97	[2]
Comprehensive income	$ 20,963		$ 34,395

[1] Includes stock compensation expense of $4,778 and $5,102 for the three months ended March 31, 2011 and 2012, respectively.

[2] Net of income tax provision of $61 and $111 for the three months ended March 31, 2011 and 2012, respectively.

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General (Tables)

3 Months Ended

Mar. 31, 2012

General

Schedule of customers generating in excess of ten percent of net revenues for respective segment

Segment	Term Date	2011			2012
Commercial
Customer A	December 31, 2012	$	50,438		$	49,743
Customer B	June 30, 2014		17,008			16,085
Customer C	December 31, 2012 to December 14, 2013(1)		27,552			29,326
Customer D	December 31, 2019		—			33,727
Public Sector
Customer E	June 30, 2013(2)		40,318			55,236
Radiology Benefits Management
Customer F	December 31, 2015		33,247			26,556
Customer G	June 30, 2011 to November 30, 2011(1)(3)		16,663			—
Customer H	June 30, 2014		13,340			14,378
Customer I	March 31, 2013		7,990	*		12,253
Customer J	January 31, 2014		6,508	*		9,104
Specialty Pharmaceutical Management
Customer K	April 30, 2012 to December 31, 2013(1)		22,004			31,044
Customer L	April 29, 2012 to September 1, 2012(1)		14,760			15,626
Customer B	December 31, 2012 to September 27, 2013(1)		3,709	*		14,647
Medicaid Administration
Customer M	December 4, 2011(3)		7,221			—
Customer N	September 30, 2013(4)		20,531			21,108
Customer O	March 31, 2015 to June 30, 2017(1)		6,019			6,803
Customer P	June 30, 2013 to September 30, 2014(1)		4,169	*		4,914

*

Revenue amount did not exceed ten percent of net revenues for the respective segment for the period presented. Amount is shown for comparative purposes only.

(1)

The customer has more than one contract. The individual contracts are scheduled to terminate at various points during the time period indicated above.

(2)

Contract has options for the customer to extend the term for two additional one-year periods.

(3)

The contract has terminated.

(4)

This customer represents a subcontract with a Public Sector customer and is eliminated in consolidation.

Schedule of fair value of financial assets and liabilities

	December 31, 2011
	Level 1		Level 2		Level 3		Total
Cash and Cash Equivalents(1)	$	—	$	1,296	$	—	$	1,296
Restricted Cash(2)		—		47,972		—		47,972
Investments:
U.S. Government and agency securities		697		—		—		697
Obligations of government-sponsored enterprises(3)		—		8,293		—		8,293
Corporate debt securities		—		191,813		—		191,813
Taxable municipal bonds		—		—		—		—
Certificates of deposit		—		100		—		100
December 31, 2011	$	697	$	249,474	$	—	$	250,171

	March 31, 2012
	Level 1		Level 2		Level 3		Total
Cash and Cash Equivalents(4)	$	—	$	31,735	$	—	$	31,735
Restricted Cash(5)		—		70,017		—		70,017
Investments:
U.S. Government and agency securities		696		—		—		696
Obligations of government-sponsored enterprises(6)		—		8,259		—		8,259
Corporate debt securities		—		155,182		—		155,182
Taxable municipal bonds		—		—		—		—
Certificates of deposit		—		100		—		100
March 31, 2012	$	696	$	265,293	$	—	$	265,989

(1)

Excludes $118.6 million of cash held in bank accounts by the Company.

(2)

Excludes $137.8 million of restricted cash held in bank accounts by the Company.

(3)

Includes investments in notes issued by the Federal Home Loan Bank.

(4)

Excludes $139.9 million of cash held in bank accounts by the Company.

(5)

Excludes $114.9 million of restricted cash held in bank accounts by the Company.

(6)

Includes investments in notes issued by the Federal Home Loan Bank.

Summary of short-term and long-term "available-for-sale" investments

	December 31, 2011
	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Estimated Fair Value
U.S. Government and agency securities	$	697	$	—	$	—		$	697
Obligations of government-sponsored enterprises(1)		8,293		3		(3	)		8,293
Corporate debt securities		192,059		31		(277	)		191,813
Certificates of deposit		100		—		—			100
Total investments at December 31, 2011	$	201,149	$	34	$	(280	)	$	200,903

	March 31, 2012
	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Estimated Fair Value
U.S. Government and agency securities	$	696	$	—	$	—		$	696
Obligations of government-sponsored enterprises(1)		8,256		3		—			8,259
Corporate debt securities		155,147		97		(62	)		155,182
Certificates of deposit		100		—		—			100
Total investments at March 31, 2012	$	164,199	$	100	$	(62	)	$	164,237

(1)

Includes investments in notes issued by the Federal Home Loan Bank.

Summary of maturity dates of investments

	Amortized Cost		Estimated Fair Value
2012	$	144,574	$	144,602
2013		19,625		19,635
Total investments at March 31, 2012	$	164,199	$	164,237

Schedule of stock option activity

	Options			Weighted Average Exercise Price
Outstanding, beginning of period		3,841,233		$	42.65
Granted		1,344,268			47.49
Forfeited		(7,927	)		45.23
Exercised		(60,939	)		36.06
Outstanding, end of period		5,116,635		$	43.99
Vested and expected to vest at end of period		4,955,937		$	43.88
Exercisable, end of period		2,523,713		$	40.72

Schedule of nonvested restricted stock award activity

	Shares		Weighted Average Grant Date Fair Value
Outstanding, beginning of period		18,748	$	52.11
Awarded		—		—
Vested		—		—
Forfeited		—		—
Outstanding, ending of period		18,748	$	52.11

Schedule of nonvested restricted stock units

	Shares			Weighted Average Grant Date Fair Value
Outstanding, beginning of period		206,338		$	44.63
Awarded		127,913			47.46
Vested		(99,976	)		41.81
Forfeited		(775	)		44.16
Outstanding, ending of period		233,500		$	47.38

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General (Policies)

3 Months Ended

Mar. 31, 2012

General

Use of Estimates

Use of Estimates

        The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Significant estimates of the Company include, among other things, accounts receivable realization, valuation allowances for deferred tax assets, valuation of goodwill and intangible assets, medical claims payable, other medical liabilities, stock compensation assumptions, tax contingencies and legal liabilities. Actual results could differ from those estimates.

Revenue recognition

Managed Care Revenue

        Managed care revenue, inclusive of revenue from the Company's risk, EAP and ASO contracts, is recognized over the applicable coverage period on a per member basis for covered members. The Company is paid a per member fee for all enrolled members, and this fee is recorded as revenue in the month in which members are entitled to service. The Company adjusts its revenue for retroactive membership terminations, additions and other changes, when such adjustments are identified, with the exception of retroactivity that can be reasonably estimated. The impact of retroactive rate amendments is generally recorded in the accounting period that terms to the amendment are finalized, and that the amendment is executed. Any fees paid prior to the month of service are recorded as deferred revenue. Managed care revenues approximated $550.0 million and $601.8 million for the three months ended March 31, 2011 and 2012, respectively.

Fee-For-Service and Cost-Plus Contracts

        The Company has certain FFS contracts, including cost-plus contracts, with customers under which the Company recognizes revenue as services are performed and as costs are incurred. Revenues from these contracts approximated $42.4 million and $36.0 million for the three months ended March 31, 2011 and 2012, respectively.

Block Grant Revenues

        Public Sector has a contract that is partially funded by federal, state and county block grant money, which represents annual appropriations. The Company recognizes revenue from block grant activity ratably over the period to which the block grant funding applies. Block grant revenues were approximately $26.2 million and $28.9 million for the three months ended March 31, 2011 and 2012, respectively.

Dispensing Revenue

        The Company recognizes dispensing revenue, which includes the co-payments received from members of the health plans the Company serves, when the specialty pharmaceutical drugs are shipped. At the time of shipment, the earnings process is complete; the obligation of the Company's customer to pay for the specialty pharmaceutical drugs is fixed, and, due to the nature of the product, the member may neither return the specialty pharmaceutical drugs nor receive a refund. Revenues from the dispensing of specialty pharmaceutical drugs on behalf of health plans were $60.4 million and $87.2 million for the three months ended March 31, 2011 and 2012, respectively.

Performance-Based Revenue

        The Company has the ability to earn performance-based revenue under certain risk and non-risk contracts. Performance-based revenue generally is based on either the ability of the Company to manage care for its clients below specified targets, or on other operating metrics. For each such contract, the Company estimates and records performance-based revenue after considering the relevant contractual terms and the data available for the performance-based revenue calculation. Pro-rata performance-based revenue is recognized on an interim basis pursuant to the rights and obligations of each party upon termination of the contracts. Performance-based revenues were $3.1 million and $8.0 million for the three months ended March 31, 2011 and 2012, respectively.

Rebate Revenue

        The Company administers a rebate program for certain clients through which the Company coordinates the achievement, calculation and collection of rebates and administrative fees from pharmaceutical manufacturers on behalf of clients. Each period, the Company estimates the total rebates earned based on actual volumes of pharmaceutical purchases by the Company's clients, as well as historical and/or anticipated sharing percentages. The Company earns fees based upon the volume of rebates generated for its clients. The Company does not record as rebate revenue any rebates that are passed through to its clients. Total rebate revenues were $6.8 million and $9.7 million for the three months ended March 31, 2011 and 2012, respectively.

Significant Customers

• Consolidated Company

        The Company provides behavioral healthcare management and other related services to approximately 715,000 members in Maricopa County, Arizona, the ("Maricopa Contract").

        Under the Maricopa Contract, the Company is responsible for providing covered behavioral health services to persons eligible under Title XIX (Medicaid) and Title XXI (State Children's Health Insurance Program) of the Social Security Act, non-Title XIX and non-Title XXI eligible children and adults with a serious mental illness, and to certain non-Title XIX and non-Title XXI adults with behavioral health or substance abuse disorders. The Maricopa Contract began on September 1, 2007 and extends through September 30, 2013 unless sooner terminated by the parties. The State of Arizona has the right to terminate the Maricopa Contract for cause, as defined, upon ten days' notice with an opportunity to cure, and without cause immediately upon notice from the State. The Maricopa Contract generated net revenues of $191.0 million and $193.1 million for the three months ended March 31, 2011 and 2012, respectively.

• By Segment

        In addition to the Maricopa Contract previously discussed, the following customers generated in excess of ten percent of net revenues for the respective segment for the three months ended March 31, 2011 and 2012 (in thousands):

Segment	Term Date	2011			2012
Commercial
Customer A	December 31, 2012	$	50,438		$	49,743
Customer B	June 30, 2014		17,008			16,085
Customer C	December 31, 2012 to December 14, 2013(1)		27,552			29,326
Customer D	December 31, 2019		—			33,727
Public Sector
Customer E	June 30, 2013(2)		40,318			55,236
Radiology Benefits Management
Customer F	December 31, 2015		33,247			26,556
Customer G	June 30, 2011 to November 30, 2011(1)(3)		16,663			—
Customer H	June 30, 2014		13,340			14,378
Customer I	March 31, 2013		7,990	*		12,253
Customer J	January 31, 2014		6,508	*		9,104
Specialty Pharmaceutical Management
Customer K	April 30, 2012 to December 31, 2013(1)		22,004			31,044
Customer L	April 29, 2012 to September 1, 2012(1)		14,760			15,626
Customer B	December 31, 2012 to September 27, 2013(1)		3,709	*		14,647
Medicaid Administration
Customer M	December 4, 2011(3)		7,221			—
Customer N	September 30, 2013(4)		20,531			21,108
Customer O	March 31, 2015 to June 30, 2017(1)		6,019			6,803
Customer P	June 30, 2013 to September 30, 2014(1)		4,169	*		4,914

*

Revenue amount did not exceed ten percent of net revenues for the respective segment for the period presented. Amount is shown for comparative purposes only.

(1)

The customer has more than one contract. The individual contracts are scheduled to terminate at various points during the time period indicated above.

(2)

Contract has options for the customer to extend the term for two additional one-year periods.

(3)

The contract has terminated.

(4)

This customer represents a subcontract with a Public Sector customer and is eliminated in consolidation.

• Concentration of Business

        The Company also has a significant concentration of business with various counties in the State of Pennsylvania (the "Pennsylvania Counties") which are part of the Pennsylvania Medicaid program, and with various areas in the State of Florida (the "Florida Areas") which are part of the Florida Medicaid program. Net revenues from the Pennsylvania Counties in the aggregate totaled $84.6 million and $92.3 million for the three months ended March 31, 2011 and 2012, respectively. Net revenues from the Florida Areas in the aggregate totaled $33.4 million and $34.1 million for the three months ended March 31, 2011 and 2012, respectively.

        The Company's contracts with customers typically have terms of one to three years, and in certain cases contain renewal provisions (at the customer's option) for successive terms of between one and two years (unless terminated earlier). Substantially all of these contracts may be immediately terminated with cause and many of the Company's contracts are terminable without cause by the customer or the Company either upon the giving of requisite notice and the passage of a specified period of time (typically between 60 and 180 days) or upon the occurrence of other specified events. In addition, the Company's contracts with federal, state and local governmental agencies generally are conditioned on legislative appropriations. These contracts generally can be terminated or modified by the customer if such appropriations are not made.

Fair Value Measurements

Fair Value Measurements

        The Company currently does not have non-financial assets and non-financial liabilities that are required to be measured at fair value on a recurring basis. Financial assets and liabilities are to be measured using inputs from the three levels of the fair value hierarchy, which are as follows:

•         Level 1—Inputs are unadjusted quoted prices in active markets for identical assets or liabilities that the Company has the ability to access at the measurement date.

          Level 2—Inputs include quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets or liabilities in markets that are not active, inputs other than quoted prices that are observable for the asset or liability (i.e., interest rates, yield curves, etc.), and inputs that are derived principally from or corroborated by observable market data by correlation or other means (market corroborated inputs).

          Level 3—Unobservable inputs that reflect the Company's assumptions about the assumptions that market participants would use in pricing the asset or liability. The Company develops these inputs based on the best information available, including the Company's data.

        In accordance with the fair value hierarchy described above, the following table shows the fair value of the Company's financial assets and liabilities that are required to be measured at fair value as of December 31, 2011 and March 31, 2012 (in thousands):

	December 31, 2011
	Level 1		Level 2		Level 3		Total
Cash and Cash Equivalents(1)	$	—	$	1,296	$	—	$	1,296
Restricted Cash(2)		—		47,972		—		47,972
Investments:
U.S. Government and agency securities		697		—		—		697
Obligations of government-sponsored enterprises(3)		—		8,293		—		8,293
Corporate debt securities		—		191,813		—		191,813
Taxable municipal bonds		—		—		—		—
Certificates of deposit		—		100		—		100
December 31, 2011	$	697	$	249,474	$	—	$	250,171

	March 31, 2012
	Level 1		Level 2		Level 3		Total
Cash and Cash Equivalents(4)	$	—	$	31,735	$	—	$	31,735
Restricted Cash(5)		—		70,017		—		70,017
Investments:
U.S. Government and agency securities		696		—		—		696
Obligations of government-sponsored enterprises(6)		—		8,259		—		8,259
Corporate debt securities		—		155,182		—		155,182
Taxable municipal bonds		—		—		—		—
Certificates of deposit		—		100		—		100
March 31, 2012	$	696	$	265,293	$	—	$	265,989

(1)

Excludes $118.6 million of cash held in bank accounts by the Company.

(2)

Excludes $137.8 million of restricted cash held in bank accounts by the Company.

(3)

Includes investments in notes issued by the Federal Home Loan Bank.

(4)

Excludes $139.9 million of cash held in bank accounts by the Company.

(5)

Excludes $114.9 million of restricted cash held in bank accounts by the Company.

(6)

Includes investments in notes issued by the Federal Home Loan Bank.

        For the three months ended March 31, 2012, the Company has not transferred any assets between fair value measurement levels.

        All of the Company's investments are classified as "available-for-sale" and are carried at fair value.

        If a debt security is in an unrealized loss position and the Company has the intent to sell the debt security, or it is more likely than not that the Company will have to sell the debt security before recovery of its amortized cost basis, the decline in value is deemed to be other-than-temporary and is recorded to other-than-temporary impairment losses recognized in income in the consolidated statements of comprehensive income. For impaired debt securities that the Company does not intend to sell or it is more likely than not that the Company will not have to sell such securities, but the Company expects that it will not fully recover the amortized cost basis, the credit component of the other-than-temporary impairment is recognized in other-than-temporary impairment losses recognized in income in the consolidated statements of comprehensive income and the non-credit component of the other-than-temporary impairment is recognized in other comprehensive income.

        As of December 31, 2011 and March 31, 2012, there were no unrealized losses that the Company believed to be other-than-temporary. No realized gains or losses were recorded for the three months ended March 31, 2011 or 2012. The following is a summary of short-term and long-term investments at December 31, 2011 and March 31, 2012 (in thousands):

	December 31, 2011
	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Estimated Fair Value
U.S. Government and agency securities	$	697	$	—	$	—		$	697
Obligations of government-sponsored enterprises(1)		8,293		3		(3	)		8,293
Corporate debt securities		192,059		31		(277	)		191,813
Certificates of deposit		100		—		—			100
Total investments at December 31, 2011	$	201,149	$	34	$	(280	)	$	200,903

	March 31, 2012
	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Estimated Fair Value
U.S. Government and agency securities	$	696	$	—	$	—		$	696
Obligations of government-sponsored enterprises(1)		8,256		3		—			8,259
Corporate debt securities		155,147		97		(62	)		155,182
Certificates of deposit		100		—		—			100
Total investments at March 31, 2012	$	164,199	$	100	$	(62	)	$	164,237

(1)

Includes investments in notes issued by the Federal Home Loan Bank.

        The maturity dates of the Company's investments as of March 31, 2012 are summarized below (in thousands):

	Amortized Cost		Estimated Fair Value
2012	$	144,574	$	144,602
2013		19,625		19,635
Total investments at March 31, 2012	$	164,199	$	164,237

Income Taxes

Income Taxes

        The Company's effective income tax rates were 40.2 percent and 41.1 percent for the three months ended March 31, 2011 and 2012, respectively. These rates differ from the federal statutory income tax rate primarily due to state income taxes and permanent differences between book and tax income. The Company also accrues interest and penalties related to unrecognized tax benefits in its provision for income taxes. The effective income tax rate for the three months ended March 31, 2012 is higher than the effective rate for the three months ended March 31, 2011 mainly due to an increase in effective state tax rates.

Stock Compensation

Stock Compensation

        At December 31, 2011 and March 31, 2012, the Company had equity-based employee incentive plans, which are described more fully in Note 6 in the Company's Annual Report on Form 10-K for the year ended December 31, 2011. The Company recorded stock compensation expense of $4.8 million and $5.1 million for the three months ended March 31, 2011 and 2012, respectively. Stock compensation expense recognized in the consolidated statements of comprehensive income for the three months ended March 31, 2011 and 2012 has been reduced for estimated forfeitures, estimated at four percent for both periods.

        The weighted average grant date fair value of all stock options granted during the three months ended March 31, 2012 was $11.80 as estimated using the Black-Scholes-Merton option pricing model, which also assumed an expected volatility of 30.3 percent based on the historical volatility of the Company's stock price.

        The benefits of tax deductions in excess of recognized stock compensation expense are reported as a financing cash flow, rather than as an operating cash flow. In the three months ended March 31, 2011 and 2012, $0.5 million and $0.4 million, respectively, of benefits of such tax deductions related to stock compensation expense were realized and as such were reported as financing cash flows. For the quarter ended March 31, 2011 the change to additional paid in capital related to tax benefits (deficiencies) was $0.5 million which includes the $0.6 million of excess tax benefits offset by $(0.1) million of tax deficiencies. For the three months ended March 31, 2012, the change to additional paid in capital related to tax benefits (deficiencies) was $0.3 million which includes the $0.4 million of excess tax benefits offset by $(0.1) million of tax deficiencies.

Long Term Debt and Capital Lease Obligations

Long Term Debt and Capital Lease Obligations

        On December 9, 2011, the Company entered into a Senior Secured Revolving Credit Facility Credit Agreement with Citibank, N.A., Wells Fargo Bank, N.A., Bank of America, N.A., and U.S. Bank, N.A. that provides for up to $230.0 million of revolving loans with a sublimit of up to $70.0 million for the issuance of letters of credit for the account of the Company (the "2011 Credit Facility"). At such point, the previous credit facility was terminated. The 2011 Credit Facility is guaranteed by substantially all of the subsidiaries of the Company and is secured by substantially all of the assets of the Company and the subsidiary guarantors. The 2011 Credit Facility will mature on December 9, 2014.

        Under the 2011 Credit Facility, the annual interest rate on Revolving Loan borrowings is equal to (i) in the case of U.S. dollar denominated loans, the sum of a borrowing margin of 1.00 percent plus the higher of the prime rate, one-half of one percent in excess of the overnight "federal funds" rate, or the Eurodollar rate for one month plus 1.00%, or (ii) in the case of Eurodollar denominated loans, the sum of a borrowing margin of 2.00 percent plus the Eurodollar rate for the selected interest period. The Company has the option to borrow in U.S. dollar denominated loans or Eurodollar denominated loans at its discretion. Letters of Credit issued under the Revolving Loan Commitment bear interest at the rate of 2.125 percent. The commitment commission on the 2011 Credit Facility is 0.375 percent of the unused Revolving Loan Commitment.

        There were no material capital lease obligations at December 31, 2011 or March 31, 2012. The Company had $68.1 million and $58.1 million of letters of credit outstanding at December 31, 2011 and March 31, 2012, respectively, and no Revolving Loan borrowings at December 31, 2011 or March 31, 2012.

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Business Segment Information (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012 customer	Mar. 31, 2011
Operating results by business segment
Net revenue	$ 773,213	$ 692,755
Cost of care	(505,293)	(433,700)
Cost of goods sold	(81,038)	(56,519)
Direct service costs	(105,464)	(103,486)
Other operating expenses	(31,125)	(28,081)
Stock compensation expense	(5,102)	(4,778)
Segment profit (loss)	55,395	75,747
Number of customers subcontracted by Public Sector with Medicaid Administration	1
Commercial
Operating results by business segment
Net revenue	180,524	150,035
Cost of care	(112,172)	(75,313)
Direct service costs	(42,362)	(37,807)
Stock compensation expense	267	250
Segment profit (loss)	26,257	37,165
Public Sector
Operating results by business segment
Net revenue	388,888	350,516
Cost of care	(344,312)	(304,921)
Direct service costs	(20,597)	(16,976)
Stock compensation expense	287	222
Segment profit (loss)	24,266	28,841
Radiology Benefits Management
Operating results by business segment
Net revenue	76,857	89,212
Cost of care	(50,410)	(54,717)
Direct service costs	(13,486)	(16,705)
Stock compensation expense	400	482
Segment profit (loss)	13,361	18,272
Specialty Pharmaceutical Management
Operating results by business segment
Net revenue	100,198	70,230
Cost of goods sold	(81,038)	(56,519)
Direct service costs	(6,467)	(6,012)
Stock compensation expense	172	126
Segment profit (loss)	12,865	7,825
Medicaid Administration
Operating results by business segment
Net revenue	47,854	53,293
Cost of care	(19,507)	(19,280)
Direct service costs	(22,552)	(25,986)
Stock compensation expense	58	23
Segment profit (loss)	5,853	8,050
Corporate and Elimination
Operating results by business segment
Net revenue	(21,108)	(20,531)
Cost of care	21,108	20,531
Other operating expenses	(31,125)	(28,081)
Stock compensation expense	3,918	3,675
Segment profit (loss)	$ (27,207)	$ (24,406)

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General (Details 5) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011	Dec. 31, 2011
Short-term and long-term investments
Amortized Cost	$ 164,199		$ 201,149
Gross Unrealized Gains	100		34
Gross Unrealized Losses	(62)		(280)
Estimated Fair Value	164,237		200,903
Amortized Cost
Maturity dates, investments, 2012	144,574
Maturity dates, investments, 2013	19,625
Total, Amortized Cost	164,199
Estimated Fair Value
Maturity dates, investments, 2012	144,602
Maturity dates, investments, 2013	19,635
Total, Estimated Fair Value	164,237		200,903
Income taxes
Effective income tax rates (as a percent)	41.10%	40.20%
U.S. Government and agency securities
Short-term and long-term investments
Amortized Cost	696		697
Estimated Fair Value	696		697
Estimated Fair Value
Total, Estimated Fair Value	696		697
Obligations of government-sponsored enterprises
Short-term and long-term investments
Amortized Cost	8,256		8,293
Gross Unrealized Gains	3		3
Gross Unrealized Losses			(3)
Estimated Fair Value	8,259		8,293
Estimated Fair Value
Total, Estimated Fair Value	8,259		8,293
Corporate debt securities
Short-term and long-term investments
Amortized Cost	155,147		192,059
Gross Unrealized Gains	97		31
Gross Unrealized Losses	(62)		(277)
Estimated Fair Value	155,182		191,813
Estimated Fair Value
Total, Estimated Fair Value	155,182		191,813
Certificates of deposit
Short-term and long-term investments
Amortized Cost	100		100
Estimated Fair Value	100		100
Estimated Fair Value
Total, Estimated Fair Value	$ 100		$ 100

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General (Details)	3 Months Ended
	Mar. 31, 2012 customer segment
Operating results by business segment
Number of Business segments	6
Number of customers subcontracted by Public Sector with Medicaid Administration	1
Managed Behavioral Healthcare
Operating results by business segment
Number of Business segments	2
Drug Management
Operating results by business segment
Number of Business segments	2

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Net Income per Common Share (Tables)

3 Months Ended

Mar. 31, 2012

Net Income per Common Share

Computation of basic and diluted earnings per share

	Three Months Ended March 31,
	2011		2012
Numerator:
Net income	$	34,298	$	20,790
Denominator:
Weighted average number of common shares outstanding—basic		33,051		27,199
Common stock equivalents—stock options		493		432
Common stock equivalents—restricted stock awards		15		13
Common stock equivalents—restricted stock units		97		102
Common stock equivalents—employee stock purchase plan		—		1
Weighted average number of common shares outstanding—diluted		33,656		27,747
Net income per common share—basic	$	1.04	$	0.76
Net income per common share—diluted	$	1.02	$	0.75

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Business Segment Information (Tables)

3 Months Ended

Mar. 31, 2012

Business Segment Information

Schedule of operating results by business segment

Three Months Ended March 31, 2011	Commercial			Public Sector			Radiology Benefits Management			Specialty Pharmaceutical Management			Medicaid Administration			Corporate and Elimination			Consolidated
Net revenue	$	150,035		$	350,516		$	89,212		$	70,230		$	53,293		$	(20,531	)	$	692,755
Cost of care		(75,313	)		(304,921	)		(54,717	)		—			(19,280	)		20,531			(433,700	)
Cost of goods sold		—			—			—			(56,519	)		—			—			(56,519	)
Direct service costs		(37,807	)		(16,976	)		(16,705	)		(6,012	)		(25,986	)		—			(103,486	)
Other operating expenses		—			—			—			—			—			(28,081	)		(28,081	)
Stock compensation expense(1)		250			222			482			126			23			3,675			4,778
Segment profit (loss)	$	37,165		$	28,841		$	18,272		$	7,825		$	8,050		$	(24,406	)	$	75,747

Three Months Ended March 31, 2012	Commercial			Public Sector			Radiology Benefits Management			Specialty Pharmaceutical Management			Medicaid Administration			Corporate and Elimination			Consolidated
Net revenue	$	180,524		$	388,888		$	76,857		$	100,198		$	47,854		$	(21,108	)	$	773,213
Cost of care		(112,172	)		(344,312	)		(50,410	)		—			(19,507	)		21,108			(505,293	)
Cost of goods sold		—			—			—			(81,038	)		—			—			(81,038	)
Direct service costs		(42,362	)		(20,597	)		(13,486	)		(6,467	)		(22,552	)		—			(105,464	)
Other operating expenses		—			—			—			—			—			(31,125	)		(31,125	)
Stock compensation expense(1)		267			287			400			172			58			3,918			5,102
Segment profit (loss)	$	26,257		$	24,266		$	13,361		$	12,865		$	5,853		$	(27,207	)	$	55,395

(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.

Reconciliation of segment profit to income before income taxes

	Three Months Ended March 31,
	2011			2012
Segment profit	$	75,747		$	55,395
Stock compensation expense		(4,778	)		(5,102	)
Depreciation and amortization		(13,952	)		(14,781	)
Interest expense		(471	)		(600	)
Interest income		815			412
Income before income taxes	$	57,361		$	35,324

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General (Details 2) (USD $)	3 Months Ended
	Mar. 31, 2012 contract Y	Mar. 31, 2011
Net revenues
Managed Care Revenue	$ 601,800,000	$ 550,000,000
Fee-For-Service and Cost-Plus Contracts Revenue	36,000,000	42,400,000
Block Grant Revenues	28,900,000	26,200,000
Dispensing Revenue	87,200,000	60,400,000
Performance-Based Revenue	8,000,000	3,100,000
Rebate revenues	9,700,000	6,800,000
Significant customers
Revenues generated	773,213,000	692,755,000
Number of contract extensions available under option	2
Contract extension period available under option (in years)	1
Minimum number of contracts per customer	1
Maricopa County Regional Behavioral Health Authority
Significant customers
Revenues generated	193,100,000	191,000,000
Number of members receiving behavioral healthcare management and other related services	715,000
Termination notice (in days)	10
Commercial
Significant customers
Revenues generated	180,524,000	150,035,000
Commercial | Customer A | Service
Significant customers
Revenues generated	49,743,000	50,438,000
Commercial | Customer B | Service
Significant customers
Revenues generated	16,085,000	17,008,000
Commercial | Customer C | Service
Significant customers
Revenues generated	29,326,000	27,552,000
Commercial | Customer D | Service
Significant customers
Revenues generated	33,727,000
Public Sector
Significant customers
Revenues generated	388,888,000	350,516,000
Public Sector | Customer E | Service
Significant customers
Revenues generated	55,236,000	40,318,000
Radiology Benefits Management
Significant customers
Revenues generated	76,857,000	89,212,000
Radiology Benefits Management | Customer F | Service
Significant customers
Revenues generated	26,556,000	33,247,000
Radiology Benefits Management | Customer G | Service
Significant customers
Revenues generated		16,663,000
Radiology Benefits Management | Customer H | Service
Significant customers
Revenues generated	14,378,000	13,340,000
Radiology Benefits Management | Customer I | Service
Significant customers
Revenues generated	12,253,000	7,990,000
Radiology Benefits Management | Customer J | Service
Significant customers
Revenues generated	9,104,000	6,508,000
Specialty Pharmaceutical Management
Significant customers
Revenues generated	100,198,000	70,230,000
Specialty Pharmaceutical Management | Customer B | Service
Significant customers
Revenues generated	14,647,000	3,709,000
Specialty Pharmaceutical Management | Customer K | Service
Significant customers
Revenues generated	31,044,000	22,004,000
Specialty Pharmaceutical Management | Customer L | Service
Significant customers
Revenues generated	15,626,000	14,760,000
Medicaid Administration
Significant customers
Revenues generated	47,854,000	53,293,000
Medicaid Administration | Customer P | Service
Significant customers
Revenues generated	4,914,000	4,169,000
Medicaid Administration | Customer M | Service
Significant customers
Revenues generated		7,221,000
Medicaid Administration | Customer N | Service
Significant customers
Revenues generated	21,108,000	20,531,000
Medicaid Administration | Customer O | Service
Significant customers
Revenues generated	$ 6,803,000	$ 6,019,000

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General (Details 7) (USD $) In Millions, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Dec. 31, 2011	Dec. 09, 2011
Credit Facility
Sublimit on the amount of revolving loans			$ 70.0
Maximum available for the issuance of letters of credit			230.0
Interest rate on letters of credit issued (as a percent)	2.125%
Commitment commission (as a percent)	0.375%
Long Term Debt and Capital Lease Obligations
Letters of credit outstanding	$ 58.1	$ 68.1
U.S. dollar denominated loans
Interest rate on Revolving Loan borrowings
Borrowing margin (as a percent)	1.00%
Base interest rate (as a percent)	The higher of the prime rate, one-half of one percent in excess of the overnight "federal funds" rate
Eurodollar denominated loans
Interest rate on Revolving Loan borrowings
Borrowing margin (as a percent)	2.00%
Base interest rate (as a percent)	Eurodollar rate

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CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (Parenthetical) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
Stock compensation expense	$ 5,102	$ 4,778
Net of income tax provision	$ 111	$ 61

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Commitments and Contingencies

3 Months Ended

Mar. 31, 2012

Commitments and Contingencies

Commitments and Contingencies

NOTE D—Commitments and Contingencies

Legal

        The management and administration of the delivery of specialty managed healthcare entails significant risks of liability. From time to time, the Company is subject to various actions and claims arising from the acts or omissions of its employees, network providers or other parties. In the normal course of business, the Company receives reports relating to deaths and other serious incidents involving patients whose care is being managed by the Company. Such incidents occasionally give rise to malpractice, professional negligence and other related actions and claims against the Company or its network providers. Many of these actions and claims received by the Company seek substantial damages and therefore require the Company to incur significant fees and costs related to their defense. The Company is also subject to or party to certain class actions, litigation and claims relating to its operations and business practices. In the opinion of management, the Company has recorded reserves that are adequate to cover litigation, claims or assessments that have been or may be asserted against the Company, and for which the outcome is probable and reasonably estimable. Management believes that the resolution of such litigation and claims will not have a material adverse effect on the Company's financial condition or results of operations; however, there can be no assurance in this regard.

Stock Repurchases

        On October 25, 2011 the Company's board of directors approved a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 25, 2013.

        Stock repurchases under the program may be executed through open market repurchases, privately negotiated transactions, accelerated share repurchases or other means. The board of directors authorized management to execute stock repurchase transactions from time to time and in such amounts and via such methods as management deems appropriate. The stock repurchase program may be limited or terminated at any time without prior notice. Pursuant to this program, the Company made open market purchases of 671,776 shares of the Company's common stock at an average price of $48.72 per share for an aggregate cost of $32.7 million (excluding broker commissions) during the period from November 11, 2011 through December 31, 2011.

        The Company made no open market purchases during the three months ended March 31, 2012, or for the period from April 1, 2012 through April 24, 2012.

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General (Details 6) (USD $)	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Share-based compensation
Stock compensation expense	$ 5,102,000	$ 4,778,000
Estimated forfeitures (as a percent)	4.00%	4.00%
Benefits of tax deductions in excess of recognized stock compensation expenses	400,000	500,000
Change to additional paid in capital related to tax net benefits (deficiencies)	300,000	500,000
Deficiency of tax deductions offset by tax benefits in recognized stock compensation expenses	400,000	600,000
Benefit of tax deductions offset by tax deficiency in recognized stock compensation expenses	$ (100,000)	$ (100,000)
Stock options
Stock options, nonvested restricted stock awards and nonvested restricted stock units
Grants in period, weighted average grant date fair value (in dollars per share)	$ 11.80
Expected volatility (as a percent)	30.30%
Stock option activity
Outstanding, beginning of period (in shares)	3,841,233
Granted (in shares)	1,344,268
Forfeited (in shares)	(7,927)
Exercised (in shares)	(60,939)
Outstanding, end of period (in shares)	5,116,635
Vested and expected to vest end of period (in shares)	4,955,937
Exercisable, end of period (in shares)	2,523,713
Weighted average exercise price of stock options
Outstanding, beginning of period (in dollars per share)	$ 42.65
Granted (in dollars per share)	$ 47.49
Forfeited (in dollars per share)	$ 45.23
Exercised (in dollars per share)	$ 36.06
Outstanding, end of period (in dollars per share)	$ 43.99
Vested and expected to vest end of period (in dollars per share)	$ 43.88
Exercisable, end of period (in dollars per share)	$ 40.72
Tenure of award (in years)	P10Y
Additional disclosures
Vesting period (in years)	3 years
Nonvested restricted stock units
Nonvested restricted stock awards and units
Outstanding, beginning of period (in shares)	206,338
Awarded (in shares)	127,913
Vested (in shares)	(99,976)
Forfeited (in shares)	(775)
Outstanding, ending of period (in shares)	233,500
Weighted average exercise price of nonvested restricted stock award and units
Outstanding, beginning of period (in dollars per share)	$ 44.63
Awarded (in dollars per share)	$ 47.46
Vested (in dollars per share)	$ 41.81
Forfeited (in dollars per share)	$ 44.16
Outstanding, ending of period (in dollars per share)	$ 47.38
Additional disclosures
Vesting period (in years)	3 years
Nonvested restricted stock awards
Nonvested restricted stock awards and units
Outstanding, beginning of period (in shares)	18,748
Outstanding, ending of period (in shares)	18,748
Weighted average exercise price of nonvested restricted stock award and units
Outstanding, beginning of period (in dollars per share)	$ 52.11
Outstanding, ending of period (in dollars per share)	$ 52.11
Additional disclosures
Vesting period (in years)	3 years