UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-K/A
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15 (D) OF THE
SECURITIES EXCHANGE ACT OF 1934
Date of report (Date of earliest event reported):
April 30, 2014
MAGELLAN HEALTH, INC.
(Exact Name of Registrant as Specified in Charter)
DELAWARE |
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1-6639 |
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58-1076937 |
(State or Other Jurisdiction |
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(Commission File |
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(IRS Employer |
of Incorporation) |
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Number) |
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Identification No.) |
55 NOD ROAD |
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AVON, CONNECTICUT |
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06001 |
(Address of Principal Executive Offices) |
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(Zip Code) |
Registrants telephone number, including area code: (860) 507-1900
N/A
(Former Name or Former Address, if Changed Since Last Report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
o Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Item 2.01. Completion of Acquisition or Disposition of Assets.
On April 30, 2014, Magellan Health, Inc. (Magellan) filed a Current Report on Form 8-K (the Original Filing) in connection with the completion on April 30, 2014 of the acquisition of CDMI, LLC (CDMI). Pursuant to the Purchase Agreement (the Purchase Agreement), dated as of March 31, 2014, as amended by Amendment No. 1 to the Purchase Agreement, dated April 30, 2014, by and among Magellan, CDMI, George N. Petrovas, Susan C. Petrovas and The Susan C. Petrovas Qualified Annuity Trust 2011, as holders of the outstanding equity interests in CDMI (collectively, the Sellers) and George N. Petrovas in his capacity as the Seller Representative. As a result of the Acquisition, CDMI will operate as a wholly-owned subsidiary of Magellan Rx Management, Inc.
This Current Report on Form 8-K/A amends the Original Filing to include the financial statements and pro forma information required by Item 9.01 of Form 8-K. Except for the filing of such financial statements and pro forma information, this Form 8-K/A does not modify or update other disclosures in, or exhibits to, the Original Filing.
Item 9.01. Financial Statements, Pro Forma Financial Information and Exhibits
(a) Financial Statements of Business Acquired.
The audited balance sheet of CDMI, LLC as of December 31, 2013, and the related statement of income, statement of changes in members equity and statement of cash flows for the year ended December, 31, 2013, together with the report thereon of Mayer Hoffman McCann P.C., are attached hereto as Exhibit 99.1.
(b) Pro Forma Financial Information.
The unaudited pro forma condensed combined balance sheet as of March 31, 2014 and unaudited pro forma condensed combined statements of comprehensive income for the three months ended March 31, 2014 and the year ended December 31, 2013 are attached hereto as Exhibit 99.2.
(d) Exhibits.
Exhibit |
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Description |
23.1 |
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Consent of Mayer Hoffman McCann P.C. |
99.1 |
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Audited balance sheet of CDMI, LLC as of December 31, 2013, and the related statement of income, statement of changes in members equity and statement of cash flows for the year ended December 31, 2013, together with the report thereon of Mayer Hoffman McCann P.C. |
99.2 |
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Unaudited pro forma condensed combined balance sheet as of March 31, 2014 and unaudited pro forma condensed combined statements of comprehensive income for the three months ended March 31, 2014 and the year ended December 31, 2013. |
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 hereunto duly authorized.
MAGELLAN HEALTH, INC.
Date: July 7, 2014 |
By: |
/s/ Jonathan N. Rubin |
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Name: Jonathan N. Rubin |
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Title: Executive Vice President and |
Exhibit 23.1
CONSENT OF INDEPENDENT ACCOUNTANTS
We hereby consent to the inclusion in this Current Report on Form 8-K/A and the incorporation by reference in the Registration Statements on Form S-8 (No. 333-196497, No. 333-174315, No. 333-174314, No. 333-151059, No. 333-141056, No. 333-134202, No. 333-134201, No. 333-134199, and No. 333-123222), of Magellan Health, Inc. of our report dated June 20, 2014, with respect to the financial statements of CDMI, LLC as of and for the year ended December 31, 2013, appearing in this Form 8-K/A.
/s/ Mayer Hoffman McCann P.C. |
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Providence, Rhode Island |
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July 7, 2014 |
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Exhibit 99.1
Financial Statements
CDMI, LLC
December 31, 2013
CDMI, LLC
Financial Statements
Table of Contents
Financial Statements: |
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Independent Auditors Report |
1 |
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Balance Sheet |
2 |
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Statement of Income |
3 |
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Statement of Changes in Members Equity |
4 |
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Statement of Cash Flows |
5 |
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Notes to Financial Statements |
6 11 |
Independent Auditors Report
To the Members
CDMI, LLC
Newport, Rhode Island
We have audited the accompanying financial statements of CDMI, LLC (the Company), which comprise the balance sheet as of December 31, 2013, and the related statements of income, changes in members equity, and cash flows for the year then ended, and the related notes to the financial statements.
Managements Responsibility for the Financial Statements
Management is responsible for the preparation and fair presentation of these financial statements in accordance with accounting principles generally accepted in the United States of America; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error.
Auditors Responsibility
Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement.
An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditors judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entitys preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entitys internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the financial statements.
We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.
Opinion
In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of CDMI, LLC as of December 31, 2013, and the results of its operations and its cash flows for the year then ended in accordance with accounting principles generally accepted in the United States of America.
/s/ Mayer Hoffman McCann P.C. |
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June 20, 2014 |
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Providence, Rhode Island |
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CDMI, LLC
Balance Sheet
December 31, 2013
Assets |
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Current assets: |
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Cash |
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$ |
4,691,539 |
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Accounts receivable, net of allowance of $88,840 |
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48,904,959 |
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Prepaid expenses |
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52,900 |
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Total current assets |
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53,649,398 |
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Property and equipment, net |
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564,446 |
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Security deposit |
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9,000 |
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Total assets |
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$ |
54,222,844 |
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Liabilities and Members Equity |
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Current liabilities: |
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Rebates payable |
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$ |
30,396,695 |
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Accounts payable |
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266,438 |
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Accrued expenses |
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184,810 |
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Deferred revenue |
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300,000 |
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Current portion of deferred rent |
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8,018 |
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Total current liabilities |
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31,155,961 |
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Deferred rent |
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38,454 |
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Total liabilities |
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31,194,415 |
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Total members equity |
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23,028,429 |
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Total liabilities and members equity |
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$ |
54,222,844 |
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See accompanying notes to the financial statements.
CDMI, LLC
Statement of Income
Year Ended December 31, 2013
Revenue |
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Rebate income |
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$ |
28,031,321 |
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Clinical initiatives income |
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12,936,635 |
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Managed market income |
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1,689,590 |
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Total revenue |
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42,657,546 |
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General and administrative expenses |
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(6,678,637 |
) | |
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Net income |
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$ |
35,978,909 |
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See accompanying notes to the financial statements.
CDMI, LLC
Statement of Changes in Members Equity
Year Ended December 31, 2013
Balance at January 1, 2013 |
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$ |
15,341,851 |
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Member distributions |
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(28,292,331 |
) | |
Net income |
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35,978,909 |
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Balance at December 31, 2013 |
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$ |
23,028,429 |
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See accompanying notes to the financial statements.
CDMI, LLC
Statement of Cash Flows
Year Ended December 31, 2013
Cash flows from operating activities: |
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Net income |
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$ |
35,978,909 |
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Adjustments to reconcile net income to net cash |
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provided by operating activities: |
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Depreciation and amortization |
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202,377 |
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Deferred rent |
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21,982 |
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Changes in operating assets and liabilities: |
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Accounts receivable |
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(20,434,801 |
) | |
Prepaid expenses and other assets |
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(38,675 |
) | |
Rebates payable |
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15,334,128 |
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Accounts payable |
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213,077 |
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Accrued expenses |
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89,895 |
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Deferred revenue |
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150,000 |
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Total adjustments |
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(4,462,017 |
) | |
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Net cash provided by operating activities |
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31,516,892 |
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Cash flows from investing activities: |
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Purchases of property and equipment |
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(192,767 |
) | |
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Cash flows from financing activities: |
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Member distributions |
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(28,292,331 |
) | |
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Net increase in cash |
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3,031,794 |
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Cash, beginning |
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1,659,745 |
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Cash, ending |
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$ |
4,691,539 |
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See accompanying notes to the financial statements.
CDMI, LLC
Notes to Financial Statements
Note 1 - Nature of Operations and Summary of Significant Accounting Policies
CDMI, LLC (the Company or CDMI), was organized in the State of Rhode Island as a limited liability company on July 1, 2009. The Company was originally founded under the name Pharma Promo LLC in November 2005; in July 2009 the Companys name was officially amended to CDMI, LLC.
CDMI is a premier Medical and Pharmacy Benefit Management company that manages roughly 35 health plans representing approximately 45 million lives as of December 31, 2013. CDMI supports its clients (both health plans and manufacturers) through comprehensive and integrated offerings, providing innovative solutions and services. CDMI supports its clients with rebate contracting management and formulary compliance to improve preferred product utilization and offers a variety of comprehensive clinical programs managed by a certified clinical team.
A summary of the accounting policies consistently applied in the financial statements follows:
Financial Statement Presentation
The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Significant estimates include the allowance for doubtful accounts for accounts receivable, useful lives of property and equipment and accrued expenses. Actual results could differ from those estimates.
Cash
The Company maintains its cash in bank deposit accounts that, at times, may exceed federally insured limits. The Company monitors its exposure associated with cash balances and has not experienced any losses in such accounts.
Revenue Recognition and Accounts Receivable
General
The Company has four sources of revenue: (1) rebates generated from contracts with pharmaceutical manufacturers, a portion of which are remitted to the Companys health plan customers; this revenue is typically driven by formulary compliance and/or market share position; (2) clinical initiatives performed for health plans under contractual arrangements or statements of work; (3) market research as defined in negotiated contracts or statements of work; and (4) advertising revenue generated from the publication of a tri-annual magazine. Market research revenue and advertising sales are reported in Managed Market Income on the income statement. Revenue is recognized when persuasive evidence of an arrangement exists, the services have been provided, pricing is fixed and determinable and collection is reasonably assured.
CDMI, LLC
Notes to Financial Statements
Note 1 - Nature of Operations and Summary of Significant Accounting Policies (Continued)
Revenue Recognition and Accounts Receivable (Continued)
Rebate Revenue
The Company recognizes revenue for rebate transactions in the period in which the related prescription is dispensed and meets the eligible utilization criteria as defined by the contract with the Companys pharmaceutical customers and as evidenced by the utilization data that is provided by the health plans. Utilization data is generally available subsequent to the end of a fiscal quarter. At times, estimates are made to account for utilization adjustments that are made upon final reconciliation of the related data among the health plans and pharmaceutical customers. These estimates are based on managements assessment of the related contracts and historical experience.
The rebate revenue that is earned is based on various metrics and utilization data such as wholesale acquisition cost and market share. In all cases, persuasive evidence of the arrangement exists, the rebate percent is fixed or determinable and collection is reasonably assured. The Company does not record as rebate revenue any rebates that are contractually obligated to be passed through to its health plan customers; as such, rebate revenue is recorded on a net basis.
Clinical Initiatives, Market Research and Advertising Revenue
The Company generally recognizes non-rebate revenue under the completed performance method. Under the completed performance method, revenue is not recognized before the final act is executed, as the final act is significant to the arrangement as a whole. The customer does not receive any value from the service until the final act is completed.
In some cases, the Company will recognize revenue before the final act is completed, but only when: (1) the performance milestone payments are specifically called out in the contract; (2) specific services are easily separated from the final act; and (3) the delivered items have stand-alone value to the customer.
The Company allocates a portion of net rebate revenues to clinical initiatives income for health plans where clinical support is provided. While this does not affect the overall reporting of revenue, it allows the Company to more accurately evaluate the financial return of its clinical initiatives. The Company has estimated that for plans where they provide these services, 50% of the net revenue relates to clinical support.
Accounts receivable allowances are maintained for the Companys estimated differences in payments from its customers compared to the amount invoiced and reported as reductions of rebate revenue. As a common practice, pharmaceutical manufacturers will deduct prescriptions that have been submitted for rebates due to various exclusions, and in turn, will pay an amount that is less than invoiced. The Company establishes its reserve based upon historical experience, and current trends. These deductions have historically been less than 1% of total rebates invoiced. Accounts are considered past due based on payment terms. The Company writes off accounts receivable only after all reasonable collection efforts have been exhausted. Since the Companys inception, there has not been an instance where the pharmaceutical manufacturer has not paid the amounts due under the provisions of the contracts. The allowance for these deductions was $88,840 at December 31, 2013.
CDMI, LLC
Notes to Financial Statements
Note 1 - Nature of Operations and Summary of Significant Accounting Policies (Continued)
Deferred Revenue
Deferred revenue represents advance payments for revenue for advertisements that will appear in the Companys 2014 magazines and deferred market research revenue for services to be provided during 2014.
Advertising Costs
Advertising costs are expensed as incurred and totaled approximately $290,000 for the year ended December 31, 2013.
Property and Equipment
Property and equipment are recorded at cost and are depreciated/amortized over the estimated useful lives of the related assets. Expenditures for repairs and maintenance are expensed as incurred. Depreciation/amortization is computed on the straight-line method. Estimated useful lives are as follows:
Assets |
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Years |
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Computer and office equipment |
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3 |
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Furniture and fixtures |
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7 |
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Motor vehicles |
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5 |
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Software |
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3 |
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Capitalized Software Development Costs
Certain costs of software, developed for internal use, are capitalized during the development stage. Costs incurred for maintenance and support are charged to expense as incurred. The capitalized costs of computer software developed or obtained for internal use are amortized on a straight-line basis unless another systematic and rational basis is more representative of the softwares use, not to exceed five years. The Company had capitalized software development in process of $103,029 at December 31, 2013.
Deferred Rent
The Company records rent expense on a straight-line basis over the term of the lease. The difference between the lease payments and the related expense for the year is recorded as deferred rent.
Income Taxes
The Company is treated as a manager-managed limited liability company for Federal and state income tax purposes. Consequently, members are taxed individually on their proportionate share of the Companys income or losses. The Companys net income or loss is allocated among the members in accordance with the Companys operating agreement. Accordingly, the financial statements do not reflect a provision for income taxes.
CDMI, LLC
Notes to Financial Statements
Note 1 - Nature of Operations and Summary of Significant Accounting Policies (Continued)
Uncertain Tax Positions
The Company accounts for the effect of any uncertain tax positions based on a more likely than not threshold to the recognition of the tax positions being sustained based on the technical merits of the position under scrutiny by the applicable taxing authority. If a tax position or positions are deemed to result in uncertainties of those positions, the unrecognized tax benefit is estimated based on a cumulative probability assessment that aggregates the estimated tax liability for all uncertain tax positions. Interest and penalties assessed, if any, are accrued as income tax expense.
The Company has identified its tax status as a limited liability company electing to be taxed as a pass through entity as a tax position; however, the Company has determined that such tax position does not result in an uncertainty requiring recognition. In addition to its tax status, the Company has other tax positions that have been determined to be highly certain and, therefore, no reserve for unrecognized tax liabilities is deemed necessary. The Company is not currently under examination by any taxing jurisdiction. Its Federal and state partnership returns are generally open for examination for 3 years from the date filed.
Fair Value Measurements
The Company measures fair value in accordance with Accounting Standards Codification (ASC) No. 820, Fair Value Measurements and Disclosures, which provides a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value. The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs (Level 3 measurements). The carrying amounts reported in the Companys balance sheet for cash, accounts receivable, rebates payable, accounts payable and accrued expenses approximate fair value due to the short-term maturity of those financial instruments. The fair value of such instruments has been derived, in part, by managements assumptions, utilizing Level 2 inputs.
Subsequent Events
The Company has evaluated subsequent events through June 20, 2014, the date that the financial statements were available to be issued and has concluded that, other than the matters discussed in Note 6, there were no events that require adjustment to or disclosure in the financial statements.
CDMI, LLC
Notes to Financial Statements
Note 2 - Property and Equipment
Property and equipment consist of the following at December 31, 2013:
Furniture and fixtures |
|
$ |
343,012 |
|
Motor vehicles |
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163,581 |
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Computer and office equipment |
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238,160 |
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Software |
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229,836 |
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Subtotal |
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974,589 |
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Accumulated depreciation and amortization |
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(410,143 |
) | |
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|
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Property and equipment, net |
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$ |
564,446 |
|
Note 3 - Members Equity
In accordance with the Companys Operating Agreement (the Operating Agreement), the Company has two classes of members voting and non-voting members. Additional members may be admitted based on approval of the voting members. The following is a summary of the membership units issued and outstanding and the economic rights of each class of units:
Voting and Non-Voting Members
Voting members hold 0.25% of the member interests and non-voting members hold 99.75% of the member interests at December 31, 2013.
Allocation of Profit and Loss and Distributions
Profits and losses and distributions are allocated to the members in proportion to their member interests.
Note 4 - Commitments and Contingencies
Operating Leases
The Company leases certain copiers and office space under various non-cancelable operating leases. The leases expire at various times through June 2017 and require monthly payments varying from $333 to $10,600. Rent expense for the year ended December 31, 2013 was $140,747.
CDMI, LLC
Notes to Financial Statements
Note 4 - Commitments and Contingencies (Continued)
Operating Leases (Continued)
Future minimum rental payments under the leases are as follows:
Years |
|
Amount |
| |
|
|
|
| |
2014 |
|
$ |
121,000 |
|
2015 |
|
125,800 |
| |
2016 |
|
129,400 |
| |
2017 |
|
65,700 |
| |
|
|
|
| |
Total |
|
$ |
441,900 |
|
Contingencies
The Company is involved in legal proceedings generally incidental to its businesses. While it is not feasible to predict or determine the outcome of such proceedings, management, under the advice of counsel, believes that they will not result in a materially adverse effect on the Companys financial position, results of operations or liquidity based on the nature of the claims.
Note 5 - Concentrations
For the year ended December 31, 2013, two health plan customers accounted for 62% of the Companys revenues. At December 31, 2013, four pharmaceutical manufacturers accounted for 69% of the Companys accounts receivable balance. At December 31, 2013, three health plans accounted for 71% of the Companys rebates payable.
Note 6 - Subsequent Events
On April 30, 2014, Magellan Health Services acquired all of the outstanding equity interests of the Company. Under the terms of the Agreement, the base purchase price is $205 million plus potential contingent consideration up to a maximum aggregate amount of $165 million primarily depending on future performance.
During 2013, one of the Companys health plans terminated its contract with the Company. The Company initially disputed this termination. Subsequent to year end, the Company and the health plan settled this matter, which resulted in the Company receiving a payment in the amount of $1,000,000. This gain will be reported during 2014. This health plan accounted for 47% of the total revenue in 2013.
Exhibit 99.2
UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL INFORMATION INTRODUCTORY NOTE
On April 30, 2014, Magellan Health, Inc., a Delaware corporation (Magellan), consummated and closed (the Closing) the previously announced acquisition of CDMI, LLC, a Rhode Island limited liability company (CDMI) (such acquisition, the Acquisition), pursuant to the Purchase Agreement (the Purchase Agreement), dated as of March 31, 2014, as amended by Amendment No.1 to the Purchase Agreement (the Amendment), dated April 30, 2014, by and among Magellan, CDMI, George N. Petrovas, Susan C. Petrovas and The Susan C. Petrovas Qualified Annuity Trust 2011, as holders of the outstanding equity interests in CDMI (collectively, the Sellers) and George N. Petrovas in his capacity as the Seller Representative. Magellan recorded the business combination using the purchase method of accounting. As a result of the Acquisition, CDMI will operate as a wholly-owned subsidiary of Magellan Rx Management, Inc. (Magellan Rx Management).
As consideration for the Acquisition, Magellan Rx Management paid $205.0 million in cash (the Base Price) for all of the outstanding equity interests in CDMI, subject to working capital adjustments as provided in the Purchase Agreement. Pursuant to the Purchase Agreement, the Sellers and certain key management of CDMI purchased a total of $80.0 million in Magellan restricted common stock, which will generally vest over a 42-month period, conditioned upon certain employment and performance targets. In addition to the Base Price, the Purchase Agreement provides for potential contingent payments up to a maximum aggregate amount of $165.0 million. The contingent payment provisions provide for (i) cash payments of up to $65.0 million based on the amount of rebates retained in respect of 2015 by CDMI and Magellans ICORE specialty pharmacy management business, (ii) cash payments of up to $65.0 million based on the number of CDMI customers that become full service PBM clients of Magellan during 2015 and 2016 and (iii) cash payments of up to $35.0 million based on the gross profit performance of CDMI and ICOREs rebates business during 2014 and 2015. Of the $205.0 million paid by Magellan Rx Management at the Closing, $15.0 million was deposited in an escrow account in connection with the Sellers indemnification obligations under the Purchase Agreement. To the extent Magellans claims for indemnification do not exceed this amount, the holdback will be released to Sellers on the fifteen-month anniversary of the Closing.
Based in Newport, Rhode Island, CDMI is a provider of a range of clinical consulting programs and negotiates and administers drug rebates for managed care organizations and other customers. CDMI works with over 30 health plans, and in 2013 had net revenues of approximately $43 million, primarily derived from rebate management.
The purchase price of CDMI was initially reported on a Current Report on Form 8-K dated and filed on April 30, 2014, and is being amended hereby to include the financial statements required by Item 9.01.
The transaction will be accounted for as a purchase of CDMI by Magellan under the purchase method of accounting in accordance with Accounting Standards Codification Topic 805, Business Combinations. Under the purchase method of accounting, the total purchase price is allocated to the net tangible and intangible assets acquired by Magellan in connection with the transaction, based on their fair values as of the completion of the transaction. The excess cost over the net tangible and identifiable intangible assets is allocated to goodwill.
The unaudited pro forma condensed combined financial statements present the purchase of CDMI under the purchase method of accounting. The unaudited pro forma condensed combined financial statements reflect the preliminary purchase price allocation based on Magellans estimate of the fair value of the assets acquired and liabilities assumed. The preliminary purchase allocation is subject to finalization of the valuation of intangible assets, and other assets acquired and liabilities assumed.
The unaudited pro forma condensed combined balance sheet of Magellan gives effect to the transaction as if it occurred on March 31, 2014. The unaudited pro forma condensed combined statements of comprehensive income for the three months ended March 31, 2014 and the year ended December 31, 2013 give effect to the transaction as if it had occurred on January 1, 2013.
The preliminary pro forma acquisition adjustments are based on available information and certain assumptions made by Magellans management and may be revised as additional information becomes available. The unaudited pro forma condensed combined financial information is not intended to represent what Magellans financial position was or results of operations would have been if the acquisition had occurred on those dates or to project Magellans financial position or results of operations for any future period. Since Magellan and CDMI were not under common control or management for any period presented, the unaudited pro forma condensed combined financial results may not be comparable to, or indicative of, future performance.
The pro forma adjustments are based upon information and assumptions available at the time of the filing of this Form 8-K/A and results of the preliminary allocation of the purchase price based on estimates of the fair value of the assets acquired and liabilities assumed. The unaudited pro forma statements do not reflect synergies, if any, expected from the combination of the two entities. The unaudited pro forma condensed combined financial statements and the accompanying notes thereto should be read in conjunction with and are qualified by the historical financial statements and notes thereto of Magellan and CDMI. Magellans historical financial statements are included in Magellans Annual Report on Form 10-K for the year ended December 31, 2013 and Magellans Quarterly Report on Form 10-Q for the three months ended March 31, 2014. The historical financial statements and related notes thereto for CDMI for the year ended December 31, 2013 are attached as Exhibit 99.1 to this Form 8-K/A. The historical financial information of CDMI as of and, for the three months ended March 31, 2014 included in the pro forma condensed combined financial statements has been derived from the underlying accounting records.
There can be no assurance that Magellan will be successful in its efforts to integrate the operations of the companies.
UNAUDITED PRO FORMA CONDENSED COMBINED BALANCE SHEET
MARCH 31, 2014
(in thousands)
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Historical |
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Pro Forma |
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Pro Forma |
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|
|
Magellan |
|
CDMI |
|
Adjustments |
|
|
|
Combined |
| ||||
|
|
|
|
|
|
|
|
|
|
|
| ||||
ASSETS |
|
|
|
|
|
|
|
|
|
|
| ||||
Current Assets: |
|
|
|
|
|
|
|
|
|
|
| ||||
Cash and cash equivalents |
|
$ |
261,300 |
|
$ |
2,595 |
|
$ |
(125,000 |
) |
(A) |
|
$ |
138,895 |
|
Restricted cash |
|
264,566 |
|
|
|
|
|
|
|
264,566 |
| ||||
Accounts receivable, net |
|
202,767 |
|
52,994 |
|
|
|
|
|
255,761 |
| ||||
Short-term investments |
|
181,788 |
|
|
|
|
|
|
|
181,788 |
| ||||
Deferred income taxes |
|
37,044 |
|
|
|
|
|
|
|
37,044 |
| ||||
Pharmaceutical inventory |
|
47,105 |
|
|
|
|
|
|
|
47,105 |
| ||||
Other current assets |
|
62,656 |
|
265 |
|
|
|
|
|
62,921 |
| ||||
Total Current Assets |
|
1,057,226 |
|
55,854 |
|
(125,000 |
) |
|
|
988,080 |
| ||||
Property and equipment, net |
|
167,110 |
|
519 |
|
|
|
|
|
167,629 |
| ||||
Restricted long-term investments |
|
27,060 |
|
|
|
|
|
|
|
27,060 |
| ||||
Other long-term assets |
|
9,888 |
|
9 |
|
|
|
|
|
9,897 |
| ||||
Goodwill |
|
488,203 |
|
|
|
68,998 |
|
(C) |
|
557,201 |
| ||||
Other intangible assets, net |
|
68,386 |
|
|
|
84,300 |
|
(C) |
|
152,686 |
| ||||
Total Assets |
|
$ |
1,817,873 |
|
$ |
56,382 |
|
$ |
28,298 |
|
|
|
$ |
1,902,553 |
|
LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST AND STOCKHOLDERS EQUITY |
|
|
|
|
|
|
|
|
|
|
| ||||
Current Liabilities: |
|
|
|
|
|
|
|
|
|
|
| ||||
Accounts payable |
|
$ |
35,742 |
|
$ |
34,445 |
|
$ |
|
|
|
|
$ |
70,187 |
|
Accrued liabilities |
|
173,372 |
|
235 |
|
4,200 |
|
(A) |
|
177,807 |
| ||||
Medical claims payable |
|
240,046 |
|
|
|
|
|
|
|
240,046 |
| ||||
Other medical liabilities |
|
65,288 |
|
|
|
|
|
|
|
65,288 |
| ||||
Current maturities of long-term capital lease obligations |
|
3,040 |
|
|
|
|
|
|
|
3,040 |
| ||||
Total Current Liabilities |
|
517,488 |
|
34,680 |
|
4,200 |
|
|
|
556,368 |
| ||||
Long-term capital lease obligations |
|
22,568 |
|
|
|
|
|
|
|
22,568 |
| ||||
Deferred income taxes |
|
38,445 |
|
|
|
|
|
|
|
38,445 |
| ||||
Tax contingencies |
|
33,593 |
|
|
|
|
|
|
|
33,593 |
| ||||
Deferred credits and other long-term liabilities |
|
20,336 |
|
|
|
45,800 |
|
(B) |
|
66,136 |
| ||||
Total Liabilities |
|
632,430 |
|
34,680 |
|
50,000 |
|
|
|
717,110 |
| ||||
|
|
|
|
|
|
|
|
|
|
|
| ||||
Redeemable non-controlling interest |
|
9,214 |
|
|
|
|
|
|
|
9,214 |
| ||||
|
|
|
|
|
|
|
|
|
|
|
| ||||
Preferred stock |
|
|
|
|
|
|
|
|
|
|
| ||||
Ordinary common stock |
|
476 |
|
|
|
|
|
|
|
476 |
| ||||
Multi-Vote common stock |
|
|
|
|
|
|
|
|
|
|
| ||||
Additional paid-in capital |
|
933,274 |
|
|
|
|
|
|
|
933,274 |
| ||||
Members equity |
|
|
|
21,702 |
|
(21,702 |
) |
(D) |
|
|
| ||||
Retained earnings |
|
1,126,213 |
|
|
|
|
|
|
|
1,126,213 |
| ||||
Accumulated other comprehensive loss |
|
(50 |
) |
|
|
|
|
|
|
(50 |
) | ||||
Ordinary common stock in treasury, at cost |
|
(883,684 |
) |
|
|
|
|
|
|
(883,684 |
) | ||||
Total Stockholders Equity |
|
1,176,229 |
|
21,702 |
|
(21,702 |
) |
|
|
1,176,229 |
| ||||
Total Liabilities, Redeemable Non-Controlling Interest and Stockholders Equity |
|
$ |
1,817,873 |
|
$ |
56,382 |
|
$ |
28,298 |
|
|
|
$ |
1,902,553 |
|
See accompanying notes to unaudited pro forma condensed financial statements.
UNAUDITED PRO FORMA CONDENSED COMBINED STATEMENT OF COMPREHENSIVE INCOME
FOR THE THREE MONTHS ENDED MARCH 31, 2014
(in thousands)
|
|
Historical |
|
Pro Forma |
|
|
|
Pro Forma |
| ||||||
|
|
Magellan |
|
CDMI |
|
Adjustments |
|
|
|
Combined |
| ||||
|
|
|
|
|
|
|
|
|
|
|
| ||||
Net revenue: |
|
|
|
|
|
|
|
|
|
|
| ||||
Managed care and other |
|
$ |
829,591 |
|
$ |
8,367 |
|
$ |
|
|
|
|
$ |
837,958 |
|
PBM and dispensing |
|
136,884 |
|
|
|
|
|
|
|
136,884 |
| ||||
Total net revenue |
|
966,475 |
|
8,367 |
|
|
|
|
|
974,842 |
| ||||
Cost and expenses: |
|
|
|
|
|
|
|
|
|
|
| ||||
Cost of care |
|
605,708 |
|
|
|
|
|
|
|
605,708 |
| ||||
Cost of goods sold |
|
125,298 |
|
|
|
|
|
|
|
125,298 |
| ||||
Direct service costs and other operating expenses |
|
164,722 |
|
1,538 |
|
7,800 |
|
(E) |
|
174,060 |
| ||||
Depreciation and amortization |
|
20,229 |
|
55 |
|
2,700 |
|
(C) |
|
22,984 |
| ||||
Interest expense |
|
836 |
|
|
|
1,800 |
|
(B) |
|
2,636 |
| ||||
Interest and other income |
|
(311 |
) |
(1,000 |
) |
50 |
|
(F) |
|
(1,261 |
) | ||||
Total costs and expenses |
|
916,482 |
|
593 |
|
12,350 |
|
|
|
929,425 |
| ||||
Income before income taxes |
|
49,993 |
|
7,774 |
|
(12,350 |
) |
|
|
45,417 |
| ||||
Provision for income taxes |
|
25,613 |
|
|
|
(1,850 |
) |
(G) |
|
23,763 |
| ||||
Net income |
|
24,380 |
|
7,774 |
|
(10,500 |
) |
|
|
21,654 |
| ||||
Non-controlling interest |
|
1,340 |
|
|
|
|
|
|
|
1,340 |
| ||||
Net income attributable to Magellan Health, Inc. |
|
25,720 |
|
7,774 |
|
(10,500 |
) |
|
|
22,994 |
| ||||
|
|
|
|
|
|
|
|
|
|
|
| ||||
Weighted average number of common shares outstanding - basic |
|
27,370 |
|
|
|
|
|
|
|
27,370 |
| ||||
Weighted average number of common shares outstanding - diluted |
|
28,051 |
|
|
|
405 |
|
(H) |
|
28,456 |
| ||||
|
|
|
|
|
|
|
|
|
|
|
| ||||
Net income per common share attributable to Magellan Health, Inc.: |
|
|
|
|
|
|
|
|
|
|
| ||||
Basic |
|
$ |
0.94 |
|
|
|
|
|
|
|
$ |
0.84 |
| ||
Diluted |
|
$ |
0.92 |
|
|
|
|
|
|
|
$ |
0.81 |
| ||
|
|
|
|
|
|
|
|
|
|
|
| ||||
Other comprehensive income: |
|
|
|
|
|
|
|
|
|
|
| ||||
Unrealized gains on available-for-sale securities |
|
43 |
|
|
|
|
|
|
|
43 |
| ||||
Comprehensive income |
|
24,423 |
|
7,774 |
|
(10,500 |
) |
|
|
21,697 |
| ||||
Less: Comprehensive income (loss) attributable to non-controlling interest |
|
(1,340 |
) |
|
|
|
|
|
|
(1,340 |
) | ||||
Comprehensive income attributable to Magellan Health, Inc. |
|
$ |
25,763 |
|
$ |
7,774 |
|
$ |
(10,500 |
) |
|
|
$ |
23,037 |
|
See accompanying notes to unaudited pro forma condensed financial statements.
UNAUDITED PRO FORMA CONDENSED COMBINED STATEMENT OF COMPREHENSIVE INCOME
FOR THE YEAR ENDED DECEMBER 31, 2013
(in thousands)
|
|
Historical |
|
Pro Forma |
|
|
|
Pro Forma |
| ||||||
|
|
Magellan |
|
CDMI |
|
Adjustments |
|
|
|
Combined |
| ||||
|
|
|
|
|
|
|
|
|
|
|
| ||||
Net revenue: |
|
|
|
|
|
|
|
|
|
|
| ||||
Managed care and other |
|
$ |
3,063,049 |
|
$ |
42,658 |
|
$ |
|
|
|
|
$ |
3,105,707 |
|
PBM and dispensing |
|
483,268 |
|
|
|
|
|
|
|
483,268 |
| ||||
Total net revenue |
|
3,546,317 |
|
42,658 |
|
|
|
|
|
3,588,975 |
| ||||
Cost and expenses: |
|
|
|
|
|
|
|
|
|
|
| ||||
Cost of care |
|
2,232,976 |
|
|
|
|
|
|
|
2,232,976 |
| ||||
Cost of goods sold |
|
455,601 |
|
|
|
|
|
|
|
455,601 |
| ||||
Direct service costs and other operating expenses |
|
619,546 |
|
6,477 |
|
31,000 |
|
(E) |
|
657,023 |
| ||||
Depreciation and amortization |
|
71,994 |
|
202 |
|
10,800 |
|
(C) |
|
82,996 |
| ||||
Interest expense |
|
3,000 |
|
|
|
7,200 |
|
(B) |
|
10,200 |
| ||||
Interest and other income |
|
(1,985 |
) |
|
|
200 |
|
(F) |
|
(1,785 |
) | ||||
Total costs and expenses |
|
3,381,132 |
|
6,679 |
|
49,200 |
|
|
|
3,437,011 |
| ||||
Income before income taxes |
|
165,185 |
|
35,979 |
|
(49,200 |
) |
|
|
151,964 |
| ||||
Provision for income taxes |
|
39,924 |
|
|
|
(5,400 |
) |
(G) |
|
34,524 |
| ||||
Net income |
|
125,261 |
|
35,979 |
|
(43,800 |
) |
|
|
117,440 |
| ||||
|
|
|
|
|
|
|
|
|
|
|
| ||||
Weighted average number of common shares outstanding - basic |
|
27,054 |
|
|
|
|
|
|
|
27,054 |
| ||||
Weighted average number of common shares outstanding - diluted |
|
27,675 |
|
|
|
156 |
|
(H) |
|
27,831 |
| ||||
|
|
|
|
|
|
|
|
|
|
|
| ||||
Net income per common share attributable to Magellan Health, Inc.: |
|
|
|
|
|
|
|
|
|
|
| ||||
Basic |
|
$ |
4.63 |
|
|
|
|
|
|
|
$ |
4.34 |
| ||
Diluted |
|
$ |
4.53 |
|
|
|
|
|
|
|
$ |
4.22 |
| ||
|
|
|
|
|
|
|
|
|
|
|
| ||||
Other comprehensive income: |
|
|
|
|
|
|
|
|
|
|
| ||||
Unrealized losses on available-for-sale securities |
|
(58 |
) |
|
|
|
|
|
|
(58 |
) | ||||
Comprehensive income |
|
$ |
125,203 |
|
$ |
35,979 |
|
$ |
(43,800 |
) |
|
|
$ |
117,382 |
|
See accompanying notes to unaudited pro forma condensed financial statements.
NOTES TO UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL STATEMENTS
The following unaudited pro forma adjustments relate to the Acquisition as if it had occurred as of March 31, 2014 for the unaudited pro forma condensed combined balance sheet, and as of January 1, 2013 for the unaudited pro forma condensed combined statements of comprehensive income. The pro forma adjustments are based on preliminary estimates that may change as additional information is obtained. Dollar amounts are in thousands, unless otherwise noted.
(A) Purchase Price
The purchase price and related adjustments reflect the cash payment made for the purchase of CDMI, as follows:
Base purchase price |
|
$ |
205,000 |
|
Estimated contingent payments |
|
45,800 |
| |
Estimated working capital payable |
|
4,200 |
| |
Cash received for reinvestment in Magellan restricted stock |
|
(80,000 |
) | |
Total purchase price |
|
175,000 |
| |
Less estimated contingent payments |
|
(45,800 |
) | |
Less estimated working capital payable |
|
(4,200 |
) | |
Net cash paid at closing |
|
$ |
125,000 |
|
The estimated working capital payable represents the difference in CDMI working capital at March 31, 2014 of approximately $21.2 million less the working capital target per the Purchase Agreement of $17.0 million.
(B) Deferred Payments Related to the Acquisition of CDMI
The Purchase Agreement provides for potential contingent payments up to a maximum aggregate amount of $165.0 million. This adjustment of $45.8 million represents Magellans estimate as of the Closing Date of the discounted present value of the contingent payments that will be earned by the Sellers. It is estimated that the gross amount of contingent payments is approximately $61.7 million, and that such payments will be made at various dates from Mid 2015 through Mid 2017.
The discount from the estimated gross potential contingent payments will be recorded as interest expense by Magellan. Such estimated interest expense is $1.8 million and $7.2 million for the three months ended March 31, 2014 and the year ended December 31, 2013, respectively.
(C) Purchase Price Allocation
The following represents the preliminary allocation of the purchase price to the acquired assets and assumed liabilities of CDMI and is based on March 31, 2014 balances for pro forma purposes only. These amounts differ from the preliminary allocation of purchase price based on the April 30, 2014 closing date balances.
Net tangible assets acquired |
|
$ |
21,702 |
|
Identified intangible assets |
|
84,300 |
| |
Goodwill |
|
68,998 |
| |
Total purchase price |
|
$ |
175,000 |
|
The purchase price has been allocated based upon the estimated fair value of net assets acquired at the date of acquisition. A portion of the excess purchase price over tangible net assets acquired has been allocated to identified intangible assets totaling $84.3 million, mainly consisting of customer contracts which are being amortized over 8 years. In addition, the excess of purchase price over tangible net assets and identified intangible assets acquired resulted in $69.0 million of goodwill. All of the excess purchase price over tangible net assets is amortizable for tax purposes, although the Companys effective rate will not be impacted by the tax amortization.
The pro forma adjustments for amortization expense are estimated to be $2.7 million and $10.8 million for the three months ended March 31, 2014 and the year ended December 31, 2013, respectively.
(D) This adjustment represents the elimination of CDMIs stockholders equity accounts.
(E) This adjustment represents stock compensation expense related to the purchase price of CDMI. A portion of the base purchase price was payable through a reinvestment in the restricted stock of Magellan valued at $80 million. Of this amount, $20.0 million vests over an 18-month period, and is conditional upon
certain employment and performance targets. The remaining $60.0 million vests over a 42-month period based upon continuing employment. The stock compensation expense that would have been recognized for the three months ended March 31, 2014 and the year ended December 31, 2013 is estimated to be approximately $7.8 million and $31.0 million, respectively.
(F) This adjustment represents a reduction in interest income as a result of the reduction of cash balances used to fund the direct purchase of CDMI.
(G) This adjustment represents the effect on income tax provision resulting from the application of Magellans statutory tax rate for the income before income taxes pertaining to CDMI and the pro forma adjustments, which differs from the treatment of income taxes in CDMIs historical financial statements, since CDMI formerly operated as a limited liability company and elected to be taxed as a partnership.
(H) This adjustment represents an increase in common stock equivalents for restricted stock awards attributable to the shares of restricted stock issued for the Acquisition. See further discussion in Note (E).