EX-99.1 2 ex-99d1.htm EX-99.1 mgln_Ex99_1

Exhibit 99.1

 

 

 

Picture 1

 

 

NEWS RELEASE

Media Contact: Lilly Ackley, ackleyl@magellanhealth.com, (860) 507-1923

Investor Contact: Joe Bogdan, jbogdan@magellanhealth.com, (860) 507-1910

 

 

 

 

Magellan Health Reports Third Quarter 2019 Financial Results

Lowers 2019 Earnings Guidance

 

Phoenix, Ariz. – November 1, 2019  – Magellan Health, Inc. (NASDAQ: MGLN) today announced financial results for the third quarter ended September 30, 2019, as summarized below:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

Year to date

 

 

 

September 30

 

September 30

 

(In millions, except per share amounts)

    

 

2019 

    

 

2018 

    

Chg

    

 

2019 

    

 

2018 

    

Chg

 

Net revenue

 

$

1,828.9 

 

$

1,853.5 

 

-1.3 

%  

$

5,356.8 

 

$

5,469.5 

 

-2.1 

%

Net income

 

$

21.3 

 

$

27.1 

 

-21.6 

%  

$

35.3 

 

$

52.1 

 

-32.3 

%

Segment profit [1]

 

$

72.2 

 

$

88.3 

 

-18.3 

%  

$

179.8 

 

$

211.9 

 

-15.2 

%

Adjusted net income [1]

 

$

30.2 

 

$

36.2 

 

-16.3 

%  

$

60.9 

 

$

80.2 

 

-24.1 

%

Earnings per share

 

$

0.86 

 

$

1.09 

 

-21.1 

%  

$

1.44 

 

$

2.06 

 

-30.1 

%

Adjusted earnings per share [1]

 

$

1.23 

 

$

1.45 

 

-15.2 

%  

$

2.49 

 

$

3.17 

 

-21.5 

%


[1] Refer to the Basis of Presentation for a discussion of non‐GAAP financial measures.

 

Highlights Include:

Net revenue decreased 1.3 percent over the third quarter of 2018 to $1.8  billion.

Net income decreased 21.6 percent over the third quarter of 2018 to $21.3 million.

Segment profit decreased 18.3 percent over the third quarter of 2018 to $72.2 million.

Adjusted net income decreased 16.3 percent over the third quarter of 2018 to $30.2 million.

Unrestricted cash and investments were $220.3 million as of September 30, 2019. Approximately $105.4 million of the unrestricted cash and investments at September 30, 2019 is related to excess capital and undistributed earnings held at regulated entities.

The Company is revising its full year 2019 earnings guidance.

On October 31, 2019, the Company’s Board of Directors announced the appointment of Kenneth J. Fasola as Chief Executive Officer, effective November 14, 2019.

“I am delighted to introduce Ken Fasola as Magellan’s new Chief Executive Officer to succeed me, effective November 14, 2019. The Board and I are pleased that we have been able to attract someone of Ken’s caliber, who has broad healthcare experience and a proven leadership track record,” said Barry M. Smith, chief executive officer of Magellan Health. “Over the past seven years, the Company experienced a period of expansion through organic growth and strategic acquisitions. Magellan’s portfolio of businesses—Magellan Complete Care, Magellan Behavioral and Specialty Health and Magellan Rx Management are poised for future success.”

Net Revenue

For the quarter, revenue was $1.8 billion, which represents a decrease of 1.3 percent over the same period in 2018. Growth in MCC Virginia and new business was essentially offset by MCC Florida and Medicare Part D footprint reductions as well as the previously discussed PBM health plan contract loss due to an acquisition.

 

Segment Profit

Segment profit was $72.2 million for the third quarter, compared to $88.3 million in the prior year quarter.

 

Healthcare segment profit for the third quarter of 2019 was $44.7 million versus $61.7 million in the third quarter of 2018. Healthcare results for the current quarter include net favorable out of period adjustments of approximately $4 million, compared to $22 million of net favorable out of period adjustments in the prior year quarter. Adjusting for these out of period items, segment profit was $1 million higher than the prior year quarter. This net increase in segment profit is driven by the progress against the cost of care initiatives in Virginia, offset by care pressure in the Behavioral and Specialty Healthcare business and lower discretionary benefits in 2018.

Pharmacy Management segment profit was $35.4 million for the quarter ended September 30, 2019, which was an increase of 5.2 percent from the third quarter of 2018. This year over year increase was primarily driven by growth and improved profitability in Magellan Rx Specialty.

Corporate costs inclusive of eliminations, but excluding stock compensation expense, totaled $8.0 million,  compared to $7.0 million in the prior year’s quarter.

Cash Flow & Balance Sheet

Cash flow from operations for the nine months ended September 30, 2019 was $144.4 million. This year over year change is primarily related to favorable working capital changes and lower tax payments.

 

As of September 30, 2019, the Company’s unrestricted cash and investments totaled $220.3 million compared to $130.4 million at December 31, 2018. Approximately $105.4 million of the unrestricted cash and investments at September 30, 2019 is related to excess capital and undistributed earnings held at regulated entities.

 

Restricted cash and investments at September 30, 2019 decreased to $500 million from $527.7 million at December 31, 2018. This decrease was primarily due to changes in working capital of the Company’s regulated subsidiaries.

 

“Our results for the quarter in MCC and Pharmacy were solid,” said Jonathan N. Rubin, chief financial officer of Magellan Health.  “Despite the short term pressure we’re seeing in our Behavioral and Specialty Healthcare business, we are making good progress on our profitability improvement initiatives and are well positioned to achieve earnings growth in 2020 and beyond.”

Outlook

The Company is lowering its 2019  full year earnings guidance ranges.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2019 Guidance

 

 

 

 

 

 

 

 

 

(In millions, except per share amounts)

 

Nov 1, 2019

 

July 30, 2019

 

 

 

Low

 

High

 

Low

 

High

 

Net revenue

    

$

7,000.0 

    

$

7,200.0 

    

$

7,000.0 

    

$

7,200.0 

 

Income before income taxes

 

$

66.0 

 

$

94.0 

 

$

75.0 

 

$

117.0 

 

Net income

 

$

47.0 

 

$

65.0 

 

$

52.0 

 

$

79.0 

 

Segment profit[1]

 

$

245.0 

 

$

260.0 

 

$

270.0 

 

$

290.0 

 

Adjusted net income[1]

 

$

82.0 

 

$

98.0 

 

$

90.0 

 

$

114.0 

 

Earnings per share[2]

 

$

1.92 

 

$

2.65 

 

$

2.14 

 

$

3.25 

 

Adjusted earnings per share[1][2]

 

$

3.35 

 

$

4.00 

 

$

3.70 

 

$

4.69 

 


[1]  Refer to the Basis of Presentation for a discussion of nonGAAP financial measures.

[2]  2019 EPS and Adjusted EPS guidance includes share repurchases and option exercises through the close of business October 25, 2019, but excludes the impact of any potential future activity.

 

The reduction in earnings guidance reflects the following:

Pressure in Behavioral and Specialty Healthcare business, primarily related to higher than anticipated demand for behavioral inpatient services, and

an estimate of severance and other costs that the  Company expects to recognize later in 2019.

 

Earnings Conference Call

Management will discuss the Company’s third quarter results on a conference call scheduled for November 1, 2019  at 8:00 a.m. Eastern. To participate in the conference call, dial 1-800-857-1812 and use passcode “3rd Quarter 2019 Earnings Call” approximately 10 minutes before the start of the call. The conference call will also be available live via webcast at Magellan's investor relations page at IR.MagellanHealth.com. A telephonic replay will be available shortly after the conclusion of the call through December 1, 2019. This replay may be accessed by dialing 1-800-570-8791 (Domestic) or 1-402-344-6824 (International). A replay of the webcast will also be available at the site listed above for 30 days, beginning approximately two hours after its conclusion.

 

Basis of Presentation

In addition to results determined under Generally Accepted Accounting Principles (GAAP), Magellan provides certain non-GAAP financial measures that management believes are useful in assessing the Company’s performance. Following is a description of these important non-GAAP measures.

 

Segment profit is equal to net revenue less the sum of cost of care, cost of goods sold, direct service costs and other operating expenses, and includes income from unconsolidated subsidiaries, but excludes segment profit or loss from non-controlling interests held by other parties, stock compensation expense, special charges or benefits, as well as changes in the fair value of contingent consideration recorded in relation to acquisitions.

 

Adjusted net income and adjusted earnings per share reflect certain adjustments made for acquisitions completed after January 1, 2013, to exclude non‑cash stock compensation expense resulting from restricted stock purchases by sellers, changes in the fair value of contingent consideration, amortization of identified acquisition intangibles, as well as impairment of identified acquisition intangibles.

 

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

 

About Magellan Health: Magellan Health, Inc., a Fortune 500 company, is a leader in managing the fastest growing, most complex areas of health, including special populations, complete pharmacy benefits and other specialty areas of healthcare. Magellan supports innovative ways of accessing better health through technology, while remaining focused on the critical personal relationships that are necessary to achieve a healthy, vibrant life. Magellan's customers include health plans and other managed care organizations, employers, labor unions, various military and governmental agencies and third-party administrators. For more information, visit MagellanHealth.com.

 

Forward-Looking Statements

This release is intended to be disclosure through methods reasonably designed to provide broad, non-exclusionary distribution to the public in compliance with the Securities and Exchange Commission’s Fair Disclosure Regulation. This release contains forward-looking statements within the meaning of the Securities Exchange Act of 1934 and the Securities Act of 1933, as amended, which involve a number of risks and uncertainties, many of which are out of our control. All statements, other than statements of historical information provided herein, may be deemed to be forward-looking statements including, without limitation, statements regarding 2019 guidance for net revenue, income before income taxes, net income, earnings per share, segment profit, adjusted net income, adjusted earnings per share; and multi-year margin improvement plan, growth opportunities, business environment, long term opportunities and strategy. These statements are based on management’s analysis, judgment, belief and expectation only as of the date hereof, and are subject to uncertainty and changes in circumstances. Without limiting the foregoing, the words “believes,” “anticipates,” “plans,” “expects,” “may,” “should,” “could,” “estimate,” “intend” and other similar expressions are intended to identify forward-looking statements. Actual results could differ materially due to, among other things, the possible election of certain of the Company’s customers to manage the healthcare services of their members directly; changes in rates paid to and/or by the Company by customers and/or providers; higher utilization of healthcare services by the Company’s risk members; delays, higher costs or inability to implement new business or other Company initiatives; the impact of changes in

the contracting model for Medicaid contracts; termination or non-renewal of customer contracts; the impact of new or amended laws or regulations; governmental inquiries; litigation; competition; operational issues; healthcare reform; and general business conditions. Additional factors that could cause actual results to differ materially from those reflected in the forward-looking statements include, but are not limited to, the risks discussed in the “Risk Factors” section included within the Company’s Annual Report on Form 10-K for the year ended December 31, 2018, filed with the Securities and Exchange Commission on February 28, 2019, and the Company’s subsequent Quarterly Reports on Form 10-Q filed during 2019. Readers are cautioned not to place undue reliance on these forward-looking statements. The Company undertakes no obligation to publicly revise these forward-looking statements to reflect events or circumstances that arise after the date of this release. Segment profit, adjusted net income, and adjusted EPS information referred to herein may be considered a non-GAAP financial measure. Further information regarding these measures, including the reasons management considers this information useful to investors, are included in the Company’s most recent Annual Report on Form 10-K and on subsequent Form 10-Qs.

 

 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(In thousands)

 

 

    

December 31, 2018

  

  

 September 30, 2019

 

 

 

 

 

 

(unaudited)

 

ASSETS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

272,308 

 

 

$

376,703 

 

Accounts receivable, net

 

 

756,059 

 

 

 

812,741 

 

Short-term investments

 

 

382,582 

 

 

 

336,057 

 

Pharmaceutical inventory

 

 

40,818 

 

 

 

48,373 

 

Other current assets

 

 

95,400 

 

 

 

87,098 

 

Total Current Assets

 

 

1,547,167 

 

 

 

1,660,972 

 

Property and equipment, net

 

 

150,748 

 

 

 

141,506 

 

Long-term investments

 

 

3,161 

 

 

 

7,606 

 

Deferred income taxes

 

 

3,411 

 

 

 

2,618 

 

Other long-term assets

 

 

24,530 

 

 

 

129,086 

 

Goodwill

 

 

1,018,156 

 

 

 

1,018,156 

 

Other intangible assets, net

 

 

231,883 

 

 

 

181,777 

 

Total Assets

 

$

2,979,056 

 

 

$

3,141,721 

 

 

 

 

 

 

 

 

 

 

LIABILITIES AND STOCKHOLDERS' EQUITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

 

 

Accounts payable

 

$

72,077 

 

 

$

92,362 

 

Accrued liabilities

 

 

231,356 

 

 

 

307,210 

 

Short-term contingent consideration

 

 

8,000 

 

 

 

123 

 

Medical claims payable

 

 

393,547 

 

 

 

430,345 

 

Other medical liabilities

 

 

169,639 

 

 

 

144,838 

 

Current debt, finance lease and deferred financing obligations

 

 

24,274 

 

 

 

3,546 

 

Total Current Liabilities

 

 

898,893 

 

 

 

978,424 

 

Long-term debt, finance lease and deferred financing obligations

 

 

728,608 

 

 

 

695,164 

 

Deferred income taxes

 

 

11,167 

 

 

 

15,088 

 

Tax contingencies

 

 

16,478 

 

 

 

16,228 

 

Long-term contingent consideration

 

 

2,124 

 

 

 

 

Deferred credits and other long-term liabilities

 

 

36,483 

 

 

 

74,345 

 

Total Liabilities

 

 

1,693,753 

 

 

 

1,779,249 

 

 

 

 

 

 

 

 

 

 

Stockholders’ Equity:

 

 

 

 

 

 

 

 

Ordinary common stock

 

 

535 

 

 

 

541 

 

Additional paid-in capital

 

 

1,326,645 

 

 

 

1,371,718 

 

Retained earnings

 

 

1,419,449 

 

 

 

1,454,623 

 

Accumulated other comprehensive (loss) income

 

 

(324)

 

 

 

317 

 

Ordinary common stock in treasury, at cost

 

 

(1,461,002)

 

 

 

(1,464,727)

 

Total Stockholders’ Equity

 

 

1,285,303 

 

 

 

1,362,472 

 

Total Liabilities and Stockholders’ Equity

 

$

2,979,056 

 

 

$

3,141,721 

 

 

 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(Unaudited)

(In thousands, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Nine Months Ended

 

 

 

September 30,

 

September 30,

 

 

    

2018 

  

  

2019 

    

2018 

  

  

2019 

 

Net revenue:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other

 

$

1,235,787 

 

 

$

1,303,936 

 

$

3,670,890 

 

 

$

3,811,058 

 

PBM

 

 

617,719 

 

 

 

525,005 

 

 

1,798,616 

 

 

 

1,545,708 

 

Total net revenue

 

 

1,853,506 

 

 

 

1,828,941 

 

 

5,469,506 

 

 

 

5,356,766 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost of care

 

 

938,031 

 

 

 

1,013,006 

 

 

2,802,506 

 

 

 

2,956,853 

 

Cost of goods sold

 

 

571,145 

 

 

 

482,277 

 

 

1,689,229 

 

 

 

1,433,257 

 

Direct service costs and other operating expenses (1)(2)

 

 

265,471 

 

 

 

266,322 

 

 

793,700 

 

 

 

804,680 

 

Depreciation and amortization

 

 

33,047 

 

 

 

34,157 

 

 

97,302 

 

 

 

98,355 

 

Interest expense

 

 

8,990 

 

 

 

9,007 

 

 

26,034 

 

 

 

27,255 

 

Interest and other income

 

 

(4,139)

 

 

 

(4,970)

 

 

(9,978)

 

 

 

(14,965)

 

Total costs and expenses

 

 

1,812,545 

 

 

 

1,799,799 

 

 

5,398,793 

 

 

 

5,305,435 

 

Income before income taxes

 

 

40,961 

 

 

 

29,142 

 

 

70,713 

 

 

 

51,331 

 

Provision for income taxes

 

 

13,816 

 

 

 

7,868 

 

 

18,565 

 

 

 

16,013 

 

Net income

 

$

27,145 

 

 

$

21,274 

 

$

52,148 

 

 

$

35,318 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares outstanding — basic

 

 

24,433 

 

 

 

24,426 

 

 

24,451 

 

 

 

24,159 

 

Weighted average number of common shares outstanding — diluted

 

 

24,928 

 

 

 

24,708 

 

 

25,316 

 

 

 

24,447 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per common share — basic

 

$

1.11 

 

 

$

0.87 

 

$

2.13 

 

 

$

1.46 

 

Net income per common share — diluted

 

$

1.09 

 

 

$

0.86 

 

$

2.06 

 

 

$

1.44 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

 

$

27,145 

 

 

$

21,274 

 

$

52,148 

 

 

$

35,318 

 

Other comprehensive income:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unrealized gains (losses) on available-for-sale securities (3)

 

 

194 

 

 

 

(98)

 

 

 

 

 

641 

 

Comprehensive income

 

$

27,339 

 

 

$

21,176 

 

$

52,155 

 

 

$

35,959 

 


(1)  Includes stock compensation expense of $9,320 and $4,811 for the three months ended September 30, 2018 and 2019, respectively, and $27,405 and $19,832 for the nine months ended September 30, 2018 and 2019, respectively.

(2)  Includes changes in fair value of contingent consideration of $148 and $4 for the three months ended September 30, 2018 and 2019, respectively, and $451 and $(2,001) for the nine months ended September 30, 2018 and 2019, respectively.

(3)  Net of income tax provision (benefit) of $61 and $(31) for the three months ended September 30, 2018 and 2019, respectively, and $3 and $201 for the nine months ended September 30, 2018 and 2019, respectively.

 

 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(In thousands)

 

 

 

 

 

 

 

 

 

 

 

Nine Months Ended

 

 

 

September 30,

 

 

    

2018 

  

  

2019 

 

Cash flows from operating activities:

 

 

 

 

 

 

 

 

Net income

 

$

52,148 

 

 

$

35,318 

 

Adjustments to reconcile net income to net cash from operating activities:

 

 

 

 

 

 

 

 

Depreciation and amortization

 

 

97,302 

 

 

 

98,355 

 

Non-cash interest expense

 

 

919 

 

 

 

1,069 

 

Non-cash stock compensation expense

 

 

27,405 

 

 

 

19,832 

 

Non-cash income tax provision

 

 

1,814 

 

 

 

4,567 

 

Non-cash amortization on investments

 

 

1,404 

 

 

 

(509)

 

Changes in assets and liabilities, net of effects from acquisitions of businesses:

 

 

 

 

 

 

 

 

Accounts receivable, net

 

 

(160,904)

 

 

 

(54,261)

 

Pharmaceutical inventory

 

 

(3,090)

 

 

 

(7,555)

 

Other assets

 

 

(60,008)

 

 

 

(35,714)

 

Accounts payable and accrued liabilities

 

 

(13,781)

 

 

 

83,976 

 

Medical claims payable and other medical liabilities

 

 

73,667 

 

 

 

11,997 

 

Contingent consideration

 

 

451 

 

 

 

(3,754)

 

Tax contingencies

 

 

100 

 

 

 

(251)

 

Deferred credits and other long-term liabilities

 

 

16,497 

 

 

 

(9,566)

 

Other

 

 

93 

 

 

 

919 

 

Net cash provided by operating activities

 

 

34,017 

 

 

 

144,423 

 

 

 

 

 

 

 

 

 

 

Cash flows from investing activities:

 

 

 

 

 

 

 

 

Capital expenditures

 

 

(51,244)

 

 

 

(44,234)

 

Acquisitions and investments in businesses, net of cash acquired

 

 

(402)

 

 

 

(320)

 

Purchases of investments

 

 

(453,007)

 

 

 

(391,062)

 

Proceeds from maturities and sales of investments

 

 

400,683 

 

 

 

434,493 

 

Net cash used in investing activities

 

 

(103,970)

 

 

 

(1,123)

 

 

 

 

 

 

 

 

 

 

Cash flows from financing activities:

 

 

 

 

 

 

 

 

Payments to acquire treasury stock

 

 

(41,039)

 

 

 

(4,124)

 

Proceeds from exercise of stock options

 

 

22,587 

 

 

 

20,653 

 

Payments on debt, finance lease and deferred financing obligations

 

 

(75,043)

 

 

 

(50,950)

 

Payments on contingent consideration

 

 

 

 

 

(6,247)

 

Other

 

 

(1,020)

 

 

 

1,763 

 

Net cash used in financing activities

 

 

(94,515)

 

 

 

(38,905)

 

 

 

 

 

 

 

 

 

 

Net (decrease) increase in cash and cash equivalents

 

 

(164,468)

 

 

 

104,395 

 

Cash and cash equivalents at beginning of period

 

 

398,732 

 

 

 

272,308 

 

Cash and cash equivalents at end of period

 

$

234,264 

 

 

$

376,703 

 

 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED OPERATING RESULTS BY BUSINESS SEGMENT

(Unaudited)

(In thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Nine Months Ended

 

 

 

September 30,

 

September 30,

 

 

 

2018

 

 

2019

 

2018

 

 

2019

 

Healthcare

    

 

 

  

  

 

 

    

 

 

  

  

 

 

 

Managed care and other revenue

 

$

1,176,439 

 

 

$

1,234,086 

 

$

3,488,928 

 

 

$

3,618,981 

 

Cost of care

 

 

(938,031)

 

 

 

(1,013,006)

 

 

(2,802,506)

 

 

 

(2,956,853)

 

Direct service costs and other

 

 

(179,022)

 

 

 

(178,538)

 

 

(543,258)

 

 

 

(535,676)

 

Stock compensation expense (1)

 

 

2,165 

 

 

 

2,202 

 

 

7,857 

 

 

 

6,396 

 

Changes in fair value of contingent consideration (1)

 

 

148 

 

 

 

 

 

451 

 

 

 

(2,001)

 

Healthcare segment profit

 

 

61,699 

 

 

 

44,748 

 

 

151,472 

 

 

 

130,847 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pharmacy Management

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

59,500 

 

 

 

69,968 

 

 

182,410 

 

 

 

192,511 

 

PBM revenue

 

 

665,734 

 

 

 

572,086 

 

 

1,940,726 

 

 

 

1,678,661 

 

Cost of goods sold

 

 

(618,463)

 

 

 

(528,500)

 

 

(1,827,327)

 

 

 

(1,563,910)

 

Direct service costs and other

 

 

(74,491)

 

 

 

(79,842)

 

 

(221,018)

 

 

 

(238,253)

 

Stock compensation expense (1)

 

 

1,359 

 

 

 

1,669 

 

 

4,252 

 

 

 

5,465 

 

Pharmacy Management segment profit

 

 

33,639 

 

 

 

35,381 

 

 

79,043 

 

 

 

74,474 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corporate and Elimination (2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

(152)

 

 

 

(118)

 

 

(448)

 

 

 

(434)

 

PBM revenue

 

 

(48,015)

 

 

 

(47,081)

 

 

(142,110)

 

 

 

(132,953)

 

Cost of goods sold

 

 

47,318 

 

 

 

46,223 

 

 

138,098 

 

 

 

130,653 

 

Direct service costs and other

 

 

(11,958)

 

 

 

(7,942)

 

 

(29,424)

 

 

 

(30,751)

 

Stock compensation expense (1)

 

 

5,796 

 

 

 

940 

 

 

15,296 

 

 

 

7,971 

 

Corporate and Elimination

 

 

(7,011)

 

 

 

(7,978)

 

 

(18,588)

 

 

 

(25,514)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Consolidated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

 

1,235,787 

 

 

 

1,303,936 

 

 

3,670,890 

 

 

 

3,811,058 

 

PBM revenue

 

 

617,719 

 

 

 

525,005 

 

 

1,798,616 

 

 

 

1,545,708 

 

Cost of care

 

 

(938,031)

 

 

 

(1,013,006)

 

 

(2,802,506)

 

 

 

(2,956,853)

 

Cost of goods sold

 

 

(571,145)

 

 

 

(482,277)

 

 

(1,689,229)

 

 

 

(1,433,257)

 

Direct service costs and other

 

 

(265,471)

 

 

 

(266,322)

 

 

(793,700)

 

 

 

(804,680)

 

Stock compensation expense (1)

 

 

9,320 

 

 

 

4,811 

 

 

27,405 

 

 

 

19,832 

 

Changes in fair value of contingent consideration (1)

 

 

148 

 

 

 

 

 

451 

 

 

 

(2,001)

 

Consolidated segment profit

 

$

88,327 

 

 

$

72,151 

 

$

211,927 

 

 

$

179,807 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of income before income taxes to segment profit:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

$

40,961 

 

 

$

29,142 

 

$

70,713 

 

 

$

51,331 

 

Stock compensation expense

 

 

9,320 

 

 

 

4,811 

 

 

27,405 

 

 

 

19,832 

 

Changes in fair value of contingent consideration

 

 

148 

 

 

 

 

 

451 

 

 

 

(2,001)

 

Depreciation and amortization

 

 

33,047 

 

 

 

34,157 

 

 

97,302 

 

 

 

98,355 

 

Interest expense

 

 

8,990 

 

 

 

9,007 

 

 

26,034 

 

 

 

27,255 

 

Interest and other income

 

 

(4,139)

 

 

 

(4,970)

 

 

(9,978)

 

 

 

(14,965)

 

Segment profit

 

$

88,327 

 

 

$

72,151 

 

$

211,927 

 

 

$

179,807 

 


(1)  Stock compensation expense, changes in the fair value of contingent consideration recorded in relation to acquisitions and impairment of intangible assets are included in direct service costs and other operating expenses; however, these amounts are excluded from the computation of segment profit.

(2)  Healthcare subcontracts with Pharmacy Management to provide pharmacy benefits management services for certain of Healthcare’s customers. In addition, Pharmacy Management provides pharmacy benefits management for the Company’s employees covered under its medical plan. As such, revenue, cost of goods sold and direct service costs and other related to these arrangements are eliminated.

 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NON-GAAP MEASURES

(Unaudited)

(In thousands, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Nine Months Ended

 

 

 

September 30,

 

September 30,

 

 

 

2018

 

 

2019

 

2018

 

 

2019

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income

    

$

27,145 

  

  

$

21,274 

    

$

52,148 

  

  

$

35,318 

 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense

 

 

 

 

 

 

 

530 

 

 

 

 

Changes in fair value of contingent consideration

 

 

148 

 

 

 

 

 

451 

 

 

 

(2,001)

 

Amortization of acquired intangibles

 

 

12,079 

 

 

 

12,272 

 

 

36,676 

 

 

 

36,817 

 

Tax impact

 

 

(3,220)

 

 

 

(3,304)

 

 

(9,577)

 

 

 

(9,261)

 

Adjusted net income

 

$

36,152 

 

 

$

30,246 

 

$

80,228 

 

 

$

60,873 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per common share—diluted

 

$

1.09 

 

 

$

0.86 

 

$

2.06 

 

 

$

1.44 

 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense

 

 

 

 

 

 

 

0.02 

 

 

 

 

Changes in fair value of contingent consideration

 

 

0.01 

 

 

 

 

 

0.02 

 

 

 

(0.08)

 

Amortization of acquired intangibles

 

 

0.48 

 

 

 

0.50 

 

 

1.45 

 

 

 

1.51 

 

Tax impact

 

 

(0.13)

 

 

 

(0.13)

 

 

(0.38)

 

 

 

(0.38)

 

Adjusted earnings per share

 

$

1.45 

 

 

$

1.23 

 

$

3.17 

 

 

$

2.49 

 

 

 

 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

FISCAL 2019 GUIDANCE

(In millions, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

July 30, 2019

 

November 1, 2019

 

 

 

Low

 

 

High

 

Low

 

 

High

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenue

    

$

7,000.0 

  

  

$

7,200.0 

    

$

7,000.0 

  

  

$

7,200.0 

 

Income before income taxes

 

 

75.0 

 

 

 

117.0 

 

 

66.0 

 

 

 

94.0 

 

Net income

 

 

52.0 

 

 

 

79.0 

 

 

47.0 

 

 

 

65.0 

 

Segment profit (1)

 

 

270.0 

 

 

 

290.0 

 

 

245.0 

 

 

 

260.0 

 

Adjusted net income (1)

 

 

90.0 

 

 

 

114.0 

 

 

82.0 

 

 

 

98.0 

 

Per share results:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Earnings per share (2)

 

 

2.14 

 

 

 

3.25 

 

 

1.92 

 

 

 

2.65 

 

Adjusted earnings per share (1)(2)

 

 

3.70 

 

 

 

4.69 

 

 

3.35 

 

 

 

4.00 

 


(1)  Refer to the Reconciliation of GAAP to Non-GAAP measures table.

(2)  Based on average fully diluted shares of 24.3 million and 24.5 million for July 30, 2019 guidance and November 1, 2019 guidance, respectively.

 

 

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

FISCAL 2019 GUIDANCE

RECONCILIATION OF GAAP TO NON-GAAP MEASURES

(In millions, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

July 30, 2019

 

November 1, 2019

 

 

    

Low

  

  

High

    

Low

  

  

High

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to Magellan

 

$

52.0 

 

 

$

79.0 

 

$

47.0 

 

 

$

65.0 

 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Changes in fair value of contingent consideration

 

 

 

 

 

 

 

(2.0)

 

 

 

(2.0)

 

Amortization of acquired intangibles

 

 

52.0 

 

 

 

47.0 

 

 

51.0 

 

 

 

48.0 

 

Tax impact

 

 

(14.0)

 

 

 

(12.0)

 

 

(14.0)

 

 

 

(13.0)

 

Adjusted net income

 

$

90.0 

 

 

$

114.0 

 

$

82.0 

 

 

$

98.0 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income per common share attributable to Magellan —Diluted

 

$

2.14 

 

 

$

3.25 

 

$

1.92 

 

 

$

2.65 

 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Changes in fair value of contingent consideration

 

 

 

 

 

 

 

(0.08)

 

 

 

(0.08)

 

Amortization of acquired intangibles

 

 

2.14 

 

 

 

1.93 

 

 

2.08 

 

 

 

1.96 

 

Tax impact

 

 

(0.58)

 

 

 

(0.49)

 

 

(0.57)

 

 

 

(0.53)

 

Adjusted earnings per share

 

$

3.70 

 

 

$

4.69 

 

$

3.35 

 

 

$

4.00 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reconciliation of income before income taxes to segment profit:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income before income taxes

 

$

75.0 

 

 

$

117.0 

 

$

66.0 

 

 

$

94.0 

 

Stock compensation expense

 

 

33.0 

 

 

 

29.0 

 

 

27.0 

 

 

 

25.0 

 

Changes in fair value of contingent consideration

 

 

 

 

 

 

 

(2.0)

 

 

 

(2.0)

 

Depreciation and amortization

 

 

136.0 

 

 

 

126.0 

 

 

134.0 

 

 

 

130.0 

 

Interest expense

 

 

38.0 

 

 

 

34.0 

 

 

38.0 

 

 

 

34.0 

 

Interest income

 

 

(12.0)

 

 

 

(16.0)

 

 

(18.0)

 

 

 

(21.0)

 

Segment profit

 

$

270.0 

 

 

$

290.0 

 

$

245.0 

 

 

$

260.0 

 

 

(MGLN-GEN)

 

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