0001104659-14-050329.txt : 20140707 0001104659-14-050329.hdr.sgml : 20140707 20140707172849 ACCESSION NUMBER: 0001104659-14-050329 CONFORMED SUBMISSION TYPE: 8-K/A PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 20140430 ITEM INFORMATION: Completion of Acquisition or Disposition of Assets ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20140707 DATE AS OF CHANGE: 20140707 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MAGELLAN HEALTH INC CENTRAL INDEX KEY: 0000019411 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 581076937 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-06639 FILM NUMBER: 14963688 BUSINESS ADDRESS: STREET 1: 55 NOD ROAD CITY: AVON STATE: CT ZIP: 06001 BUSINESS PHONE: 4109531000 MAIL ADDRESS: STREET 1: 55 NOD ROAD CITY: AVON STATE: CT ZIP: 06001 FORMER COMPANY: FORMER CONFORMED NAME: MAGELLAN HEALTH SERVICES INC DATE OF NAME CHANGE: 19960226 FORMER COMPANY: FORMER CONFORMED NAME: CHARTER MEDICAL CORP DATE OF NAME CHANGE: 19920703 8-K/A 1 a14-16298_18ka.htm 8-K/A

 

 

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

 

1-6639

 

58-1076937

(State or Other Jurisdiction

 

(Commission File

 

(IRS Employer

of Incorporation)

 

Number)

 

Identification No.)

 

55 NOD ROAD

 

 

AVON, CONNECTICUT

 

06001

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s 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
Number

 

Description

23.1

 

Consent of Mayer Hoffman McCann P.C.

99.1

 

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

 

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.

 

2



 

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

 

 

Name: Jonathan N. Rubin

 

 

Title: Executive Vice President and
Chief Financial Officer

 

3


EX-23.1 2 a14-16298_1ex23d1.htm EX-23.1

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.

 

 

 

Providence, Rhode Island

 

July 7, 2014

 

 


EX-99.1 3 a14-16298_1ex99d1.htm EX-99.1

Exhibit 99.1

 

Financial Statements

 

CDMI, LLC

 

December 31, 2013

 



 

CDMI, LLC

 

Financial Statements

 

Table of Contents

 

Financial Statements:

 

 

 

Independent Auditors’ Report

1

 

 

Balance Sheet

2

 

 

Statement of Income

3

 

 

Statement of Changes in Members’ Equity

4

 

 

Statement of Cash Flows

5

 

 

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.

 

Management’s 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 entity’s 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 entity’s 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.

 

 

 

June 20, 2014

 

Providence, Rhode Island

 

 



 

CDMI, LLC

 

Balance Sheet

 

December 31, 2013

 

Assets

 

 

 

 

 

 

 

Current assets:

 

 

 

Cash

 

$

4,691,539

 

Accounts receivable, net of allowance of $88,840

 

48,904,959

 

Prepaid expenses

 

52,900

 

 

 

 

 

Total current assets

 

53,649,398

 

 

 

 

 

Property and equipment, net

 

564,446

 

 

 

 

 

Security deposit

 

9,000

 

 

 

 

 

Total assets

 

$

54,222,844

 

 

 

 

 

Liabilities and Members’ Equity

 

 

 

 

 

 

 

Current liabilities:

 

 

 

Rebates payable

 

$

30,396,695

 

Accounts payable

 

266,438

 

Accrued expenses

 

184,810

 

Deferred revenue

 

300,000

 

Current portion of deferred rent

 

8,018

 

 

 

 

 

Total current liabilities

 

31,155,961

 

 

 

 

 

Deferred rent

 

38,454

 

 

 

 

 

Total liabilities

 

31,194,415

 

 

 

 

 

Total members’ equity

 

23,028,429

 

 

 

 

 

Total liabilities and members’ equity

 

$

54,222,844

 

 

See accompanying notes to the financial statements.

 

2



 

CDMI, LLC

 

Statement of Income

 

Year Ended December 31, 2013

 

Revenue

 

 

 

Rebate income

 

$

28,031,321

 

Clinical initiatives income

 

12,936,635

 

Managed market income

 

1,689,590

 

 

 

 

 

Total revenue

 

42,657,546

 

 

 

 

 

General and administrative expenses

 

(6,678,637

)

 

 

 

 

Net income

 

$

35,978,909

 

 

See accompanying notes to the financial statements.

 

3



 

CDMI, LLC

 

Statement of Changes in Members’ Equity

 

Year Ended December 31, 2013

 

Balance at January 1, 2013

 

$

15,341,851

 

 

 

 

 

Member distributions

 

(28,292,331

)

Net income

 

35,978,909

 

 

 

 

 

Balance at December 31, 2013

 

$

23,028,429

 

 

See accompanying notes to the financial statements.

 

4



 

CDMI, LLC

 

Statement of Cash Flows

 

Year Ended December 31, 2013

 

Cash flows from operating activities:

 

 

 

Net income

 

$

35,978,909

 

Adjustments to reconcile net income to net cash

 

 

 

provided by operating activities:

 

 

 

Depreciation and amortization

 

202,377

 

Deferred rent

 

21,982

 

Changes in operating assets and liabilities:

 

 

 

Accounts receivable

 

(20,434,801

)

Prepaid expenses and other assets

 

(38,675

)

Rebates payable

 

15,334,128

 

Accounts payable

 

213,077

 

Accrued expenses

 

89,895

 

Deferred revenue

 

150,000

 

 

 

 

 

Total adjustments

 

(4,462,017

)

 

 

 

 

Net cash provided by operating activities

 

31,516,892

 

 

 

 

 

Cash flows from investing activities:

 

 

 

Purchases of property and equipment

 

(192,767

)

 

 

 

 

Cash flows from financing activities:

 

 

 

Member distributions

 

(28,292,331

)

 

 

 

 

Net increase in cash

 

3,031,794

 

 

 

 

 

Cash, beginning

 

1,659,745

 

 

 

 

 

Cash, ending

 

$

4,691,539

 

 

See accompanying notes to the financial statements.

 

5



 

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 Company’s 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 Company’s 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.

 

6



 

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 Company’s 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 management’s 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 Company’s 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 Company’s 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.

 

7



 

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 Company’s 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

 

Years

 

 

 

 

 

Computer and office equipment

 

3

 

Furniture and fixtures

 

7

 

Motor vehicles

 

5

 

Software

 

3

 

 

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 software’s 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 Company’s income or losses. The Company’s net income or loss is allocated among the members in accordance with the Company’s operating agreement. Accordingly, the financial statements do not reflect a provision for income taxes.

 

8



 

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 Company’s 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 management’s 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.

 

9



 

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

 

163,581

 

Computer and office equipment

 

238,160

 

Software

 

229,836

 

Subtotal

 

974,589

 

 

 

 

 

Accumulated depreciation and amortization

 

(410,143

)

 

 

 

 

Property and equipment, net

 

$

564,446

 

 

Note 3 - Members’ Equity

 

In accordance with the Company’s 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.

 

10



 

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 Company’s 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 Company’s revenues. At December 31, 2013, four pharmaceutical manufacturers accounted for 69% of the Company’s accounts receivable balance. At December 31, 2013, three health plans accounted for 71% of the Company’s 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 Company’s 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.

 

11


EX-99.2 4 a14-16298_1ex99d2.htm EX-99.2

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 Magellan’s 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 ICORE’s 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 Magellan’s 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 Magellan’s 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 Magellan’s management and may be revised as additional information becomes available. The unaudited pro forma condensed combined financial information is not intended to represent what Magellan’s financial position was or results of operations would have been if the acquisition had occurred on those dates or to project Magellan’s 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. Magellan’s historical financial statements are included in Magellan’s Annual Report on Form 10-K for the year ended December 31, 2013 and Magellan’s 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)

 

 

 

Historical

 

Pro Forma

 

 

 

Pro Forma

 

 

 

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 Magellan’s 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 Company’s 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 CDMI’s 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 Magellan’s 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 CDMI’s 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).