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     122  0 Kommentare Magellan Health Reports Second Quarter 2020 Financial Results

    Magellan Health, Inc. (NASDAQ: MGLN) today announced financial results for the second quarter ended June 30, 2020, as summarized below:

     
    Three Months Ended Six Months Ended
    June 30 June 30
    (In millions, except per share amounts)
    Continuing Operations

     

    2020

     

    2019

    Chg

     

     

    2020

     

    2019

     

    Chg

    Net revenue

    $

    1,100.1

    $

    1,154.3

    -4.7

    %

    $

    2,222.5

    $

    2,273.3

     

    -2.2

    %

    Net income (loss)

    $

    47.1

    $

    7.2

    552.9

    %

    $

    46.0

    $

    (1.0

    )

    NM

     

    Segment profit [1]

    $

    57.0

    $

    53.6

    6.4

    %

    $

    98.6

    $

    84.3

     

    17.0

    %

    Adjusted net income [1]

    $

    21.3

    $

    12.9

    64.7

    %

    $

    27.3

    $

    10.4

     

    161.7

    %

    Earnings (loss) per share

    $

    1.86

    $

    0.30

    520.0

    %

    $

    1.84

    $

    (0.04

    )

    NM

     

    Adjusted earnings per share [1]

    $

    0.84

    $

    0.53

    58.5

    %

    $

    1.09

    $

    0.43

     

    153.5

    %

    [1] Refer to the Basis of Presentation for a discussion of non-GAAP financial measures.
    NM means not meaningful.

    Magellan Complete Care Business Reflected as Discontinued Operations

    As previously announced, on April 30, 2020, the Company and Molina Healthcare, Inc. (Molina) entered into a Stock and Asset Purchase Agreement in which the Company has agreed to sell its Magellan Complete Care (MCC) business to Molina. Therefore, the consolidated financial statements for all periods presented now reflect the MCC business as discontinued operations. In addition, the Company’s updated 2020 guidance now reflects its continuing operations, thereby excluding the MCC business from guidance for the full fiscal year 2020.

    Second Quarter 2020 Highlights (all percentage changes compare second quarter 2020 to second quarter 2019 for continuing operations unless otherwise noted):

    • Net revenue decreased 4.7 percent to $1.1 billion.
    • Net income increased 552.9 percent to $47.1 million.
    • Segment profit increased 6.4 percent to $57.0 million.
    • Adjusted net income increased 64.7 percent to $21.3 million.
    • Unrestricted cash and investments were $161.5 million as of June 30, 2020. Approximately $29 million of the unrestricted cash and investments at June 30, 2020 is related to excess capital and undistributed earnings held at regulated entities of continuing operations. In addition, the Company had approximately $160 million of excess capital and undistributed earnings held at regulated entities of discontinued operations at June 30, 2020.
    • On June 24, 2020, the Company announced the election of Christopher J. Chen, M.D., and Mural R. (Joe) Josephson to Magellan’s board of directors at the 2020 Annual Meeting of Stockholders.
    • On June 16, 2020, the Company announced the appointment of Dr. Caroline Carney as the chief medical officer.
    • On July 6, 2020, the Company announced the appointment of Darren Lehrich as the chief investor relations officer.

    “Throughout the COVID-19 pandemic, I continue to be inspired by the dedication and resilience of our organization,” said Kenneth Fasola, chief executive officer, Magellan Health.

    “As we look to the balance of 2020, our strategic priorities remain intact. We are resolute in delivering on our existing commitments, lowering our operating cost structure, strengthening our capabilities through innovation, and improving our ability to capitalize on growth opportunities. The culmination of these efforts will strengthen our competitive position and lead to stronger growth in the future,” continued Fasola.

    Net Revenue

    Net revenue for the second quarter of 2020, was $1.1 billion, representing a 4.7 percent decrease from the second quarter of 2019. This decrease was largely attributable to net contract losses within the healthcare segment.

    Segment Profit

    Segment profit was $57.0 million for the second quarter, compared to $53.6 million in the second quarter of 2019.

    • Healthcare segment profit was $60.8 million, representing an increase of $19.7 million from the second quarter of 2019. This year-over-year increase was primarily driven by lower utilization trends in the specialty healthcare reporting unit due to COVID-19.
    • Pharmacy Management segment profit was $13.2 million, representing a decrease of $17.6 million from the second quarter of 2019. This year-over-year decrease was primarily driven by losses in the Medicare Part D business, customer settlements related to prior periods, and start-up costs associated with the Medi-Cal contract implementation.
    • Corporate costs inclusive of eliminations, but excluding stock compensation expense, totaled $17.1 million, as compared to $18.3 million in the second quarter of 2019.

    Other Items

    The Company recorded a $38.9 million income tax benefit during the second quarter of 2020 associated with deferred tax assets in connection with the pending divestiture of MCC to Molina. The Company recorded a special charge of $8.3 million during the second quarter of 2020 associated with lease terminations and abandonments related to planned reductions to the Company’s real estate footprint. The non-recurring tax benefit and the special charge are reflected as reconciling items for the adjusted net income calculation.

    Income from discontinued operations, net of tax, for the second quarter of 2020 was $36.4 million, as compared to $6.4 million during the second quarter of 2019. This improvement was primarily driven by lower utilization trends due to COVID-19.

    Cash Flow & Balance Sheet

    Cash flow used in operations for the six months ended June 30, 2020, was $7.5 million, as compared to cash provided by operations of $45.9 million for the six months ended June 30, 2019. The year over year change is primarily attributable to timing of accounts receivable and other working capital.

    As of June 30, 2020, the Company’s unrestricted cash and investments totaled $161.5 million, an increase of $80.5 million from the balance at December 31, 2019. Approximately $29 million of the unrestricted cash and investments at June 30, 2020 is related to excess capital and undistributed earnings held at regulated entities of continuing operations. In addition, the Company had approximately $160 million of excess capital and undistributed earnings held at regulated entities of discontinued operations at June 30, 2020. At June 30, 2020, the Company had $320 million of undrawn capacity on the Company’s $400 million revolving credit facility.

    “We were pleased with solid second quarter results, and believe our key initiatives for the balance of 2020 should establish a stronger foundation for future growth. We will also have significant financial flexibility to add shareholder value following the completion of the MCC sale, and we will remain disciplined as we evaluate opportunities to deploy capital,” said Jonathan N. Rubin, chief financial officer, Magellan Health.

    Updated 2020 Guidance

    The Company announced its updated 2020 fiscal year guidance parameters for continuing operations. This updated guidance excludes the MCC business, which is now reflected as discontinued operations retrospective to January 1, 2020.

     
    Updated 2020 Guidance
    (In millions, except per share results) Low High
    Net revenue

    $

    4,400.0

     

    $

    4,600.0

     

    Income (loss) before income taxes

    $

    (22.0

    )

    $

    (2.0

    )

    Net income

    $

    15.0

     

    $

    27.0

     

    Segment Profit[1]

    $

    145.0

     

    $

    165.0

     

    Adjusted net income[1]

    $

    16.0

     

    $

    28.0

     

     
    Diluted per share results:
    Earnings per share[2]

    $

    0.59

     

    $

    1.06

     

    Adjusted earnings per share[1][2]

    $

    0.63

     

    $

    1.10

     

    [1] Refer to the Basis of Presentation for a discussion of non-GAAP financial measures.
    [2] 2020 EPS and Adjusted EPS guidance includes share repurchases and option exercises through the close of business July 24, 2020, but excludes the impact of any potential future activity. Based on average fully diluted shares of 25.4 million.

    The Company expects net revenue in the range of $4.4 billion to $4.6 billion. Net income is expected to be in the range of $15 million to $27 million, which equates to a diluted earnings per share range of $0.59 to $1.06. Adjusted net income is expected to be in the range of $16 million to $28 million, which equates to an adjusted EPS range of $0.63 to $1.10. Segment profit for the full year 2020 is expected to be in the range of $145 million to $165 million. This updated segment profit guidance includes $25 million to $30 million of stranded overhead costs that were previously allocated to the MCC business, but are required to be reclassified to continuing operations in accordance with GAAP. Following the closing of the MCC transaction, the Company expects approximately half of the stranded overhead costs to be mitigated through planned cost reductions, while the remaining amount is expected to be largely offset in 2021 by payments under a transition services agreement with Molina.

    Earnings Conference Call

    Management will discuss the Company’s second quarter 2020 results on a conference call scheduled for Wednesday, July 29, 2020 at 9:30 a.m. Eastern. The conference call may be accessed by dialing (877) 269-7756 (Domestic) and (201) 689-7817 (International) using conference ID code 13707398. A telephonic replay will be available shortly after the conclusion of the call through August 28, 2020. This replay may be accessed by dialing (877) 660-6853 (Domestic) or (201) 612-7415 (International) using the same conference ID code. The conference call will also be available live via webcast at Magellan's investor relations page at MagellanHealth.com. 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, special charges, and any impact related to the sale of MCC.

    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 press release, and oral statements made in connection with this release, include statements which may constitute forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, the accuracy of which are necessarily subject to risks, uncertainties, and assumptions as to future events that may not prove to be accurate. 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. These statements include, but are not limited to, express or implied forward-looking statements relating to 2020 guidance for net revenue, income (loss) before income taxes, net income, segment profit, adjusted net income, earnings per share and adjusted earnings per share; growth and margin opportunities and initiatives; business environment, long term opportunities and strategy; transformation, process improvement and innovation initiatives; new product offerings, digital tools and advanced analytics capabilities; our expectations regarding the benefits to the Company of the transaction to sell the Magellan Complete Care business (the “transaction”), the ability of the Company to obtain regulatory approvals for the transaction and to satisfy other closing conditions, the anticipated timing of the closing of the transaction, the benefits to the Company of the commercial agreements entered into in connection with the transaction, the ability of the Company to use the proceeds of the transaction to fund future growth initiatives or otherwise create value for the Company, the ability of the Company to offset stranded overhead costs associated with the transaction, the ability of the Company to strategically focus on enhancing its behavioral and specialty health business, as well as the continued growth of its pharmacy business, and the ability of the Company to achieve our strategic and growth goals. These statements are neither promises nor guarantees, but are subject to a variety of risks and uncertainties, many of which are beyond our control, which could cause actual results to differ materially from those contemplated in these forward-looking statements. Existing and prospective investors are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. Factors that could cause actual results to differ materially from those expressed or implied include the effectiveness of business continuity plans during, and the risks associated with, the COVID-19 pandemic; termination or non-renewal of customer contracts; changes in rates paid to and/or by the Company by customers and/or providers; our ability to develop and maintain satisfactory relationships with providers; higher utilization of healthcare services by the Company’s members; risks and uncertainties associated with the pharmacy benefits management industry; costs to maintain or upgrade our information technology and other business systems and the effectiveness and security of such systems; cyberattacks, other privacy/data security incidents, and/or our failure to comply with related regulations; delays, higher costs or inability to implement new business or other Company initiatives; the impact of changes in the contracting model for Medicaid contracts; impairment of our goodwill and intangible assets; the impact of new or amended laws or regulations; costs and other liabilities associated with litigation, government investigations, audits or reviews; 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 most recent Annual Report on Form 10-K, Quarterly Report on Form 10-Q for the quarter ended June 30, 2020, to be filed with the Securities and Exchange Commission later today, and subsequent reports on Forms 10-Q and 8-K. The Company undertakes no obligation to update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise, except as may be required under applicable securities law.

     
    MAGELLAN HEALTH, INC. AND SUBSIDIARIES
    CONSOLIDATED BALANCE SHEETS
    (Unaudited)
    (In thousands)
     
     
    December 31, 2019 June 30, 2020
    ASSETS
     
    Current Assets:
    Cash and cash equivalents

    $

    115,752

     

    $

    160,419

     

    Accounts receivable, net

     

    680,569

     

     

    753,065

     

    Short-term investments

     

    98,797

     

     

    75,671

     

    Pharmaceutical inventory

     

    44,962

     

     

    36,694

     

    Other current assets

     

    69,687

     

     

    80,375

     

    Current portion of assets held for sale

     

    663,276

     

     

    1,145,904

     

    Total Current Assets

     

    1,673,043

     

     

    2,252,128

     

    Property and equipment, net

     

    131,712

     

     

    141,035

     

    Long-term investments

     

    2,864

     

     

    -

     

    Deferred income taxes

     

    1,840

     

     

    28,519

     

    Other long-term assets

     

    58,905

     

     

    60,770

     

    Goodwill

     

    806,421

     

     

    806,421

     

    Other intangible assets, net

     

    81,675

     

     

    62,330

     

    Assets held for sale, less current portion

     

    335,713

     

     

    -

     

    Total Assets

    $

    3,092,173

     

    $

    3,351,203

     

     
    LIABILITIES AND STOCKHOLDERS' EQUITY
     
    Current Liabilities:
    Accounts payable

    $

    83,790

     

    $

    99,199

     

    Accrued liabilities

     

    191,854

     

     

    187,286

     

    Medical claims payable

     

    128,114

     

     

    112,077

     

    Other medical liabilities

     

    92,915

     

     

    110,268

     

    Current debt, finance lease and deferred financing obligations

     

    3,491

     

     

    84,942

     

    Current portion of liabilities held for sale

     

    409,983

     

     

    504,459

     

    Total Current Liabilities

     

    910,147

     

     

    1,098,231

     

    Long-term debt, finance lease and deferred financing obligations

     

    679,125

     

     

    641,950

     

    Deferred income taxes

     

    1,971

     

     

    -

     

    Tax contingencies

     

    9,453

     

     

    11,097

     

    Deferred credits and other long-term liabilities

     

    56,393

     

     

    56,956

     

    Liabilities held for sale, less current portion

     

    37,301

     

     

    -

     

    Total Liabilities

     

    1,694,390

     

     

    1,808,234

     

     
    Stockholders’ Equity:
    Ordinary common stock

     

    543

     

     

    550

     

    Additional paid-in capital

     

    1,386,616

     

     

    1,429,995

     

    Retained earnings

     

    1,475,207

     

     

    1,576,549

     

    Accumulated other comprehensive income

     

    144

     

     

    602

     

    Ordinary common stock in treasury, at cost

     

    (1,464,727

    )

     

    (1,464,727

    )

    Total Stockholders’ Equity

     

    1,397,783

     

     

    1,542,969

     

    Total Liabilities and Stockholders’ Equity

    $

    3,092,173

     

    $

    3,351,203

     

    MAGELLAN HEALTH, INC. AND SUBSIDIARIES
    CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
    (Unaudited)
    (In thousands, except per share amounts)
     
     

    Three Months Ended

     

    Six Months Ended

    June 30,

     

    June 30,

    2019

     

     

    2020

     

    2019

     

     

    2020

    Net revenue:
    Managed care and other

    $

    608,614

     

    $

    548,711

     

    $

    1,175,162

     

    $

    1,101,879

     

    PBM

     

    545,675

     

     

    551,364

     

     

    1,098,133

     

     

    1,120,575

     

    Total net revenue

     

    1,154,289

     

     

    1,100,075

     

     

    2,273,295

     

     

    2,222,454

     

     
    Costs and expenses:
    Cost of care

     

    408,911

     

     

    321,831

     

     

    778,008

     

     

    670,939

     

    Cost of goods sold

     

    501,081

     

     

    528,067

     

     

    1,027,395

     

     

    1,061,308

     

    Direct service costs and other operating expenses (1)

     

    195,907

     

     

    199,756

     

     

    398,207

     

     

    403,997

     

    Depreciation and amortization

     

    28,191

     

     

    23,888

     

     

    53,608

     

     

    47,246

     

    Interest expense

     

    9,070

     

     

    7,995

     

     

    18,107

     

     

    16,953

     

    Interest and other income

     

    (1,821

    )

     

    (551

    )

     

    (3,580

    )

     

    (1,770

    )

    Special charges

     

    -

     

     

    8,309

     

     

    -

     

     

    8,309

     

    Total costs and expenses

     

    1,141,339

     

     

    1,089,295

     

     

    2,271,745

     

     

    2,206,982

     

    Income from continuing operations before income taxes

     

    12,950

     

     

    10,780

     

     

    1,550

     

     

    15,472

     

    Provision (benefit) for income taxes

     

    5,735

     

     

    (36,328

    )

     

    2,526

     

     

    (30,566

    )

    Net income (loss) from continuing operations

     

    7,215

     

     

    47,108

     

     

    (976

    )

     

    46,038

     

    Income from discontinued operations, net of tax

     

    6,398

     

     

    36,397

     

     

    15,020

     

     

    55,717

     

    Net Income

    $

    13,613

     

    $

    83,505

     

    $

    14,044

     

    $

    101,755

     

     
    Weighted average number of common shares outstanding — basic

     

    24,101

     

     

    25,054

     

     

    24,024

     

     

    24,891

     

    Weighted average number of common shares outstanding — diluted

     

    24,416

     

     

    25,278

     

     

    24,315

     

     

    25,074

     

     
    Net income (loss) per common share — basic
    Continuing operations

    $

    0.30

     

    $

    1.88

     

    $

    (0.04

    )

    $

    1.85

     

    Discountinued operations

     

    0.26

     

     

    1.45

     

     

    0.62

     

     

    2.24

     

    Consolidated operations

    $

    0.56

     

    $

    3.33

     

    $

    0.58

     

    $

    4.09

     

    Net income (loss) per common share — diluted
    Continuing operations

    $

    0.30

     

    $

    1.86

     

    $

    (0.04

    )

    $

    1.84

     

    Discountinued operations

     

    0.26

     

     

    1.44

     

     

    0.62

     

     

    2.22

     

    Consolidated operations

    $

    0.56

     

    $

    3.30

     

    $

    0.58

     

    $

    4.06

     

     
    Net income

    $

    13,613

     

    $

    83,505

     

    $

    14,044

     

    $

    101,755

     

    Other comprehensive income:
    Unrealized gains on available-for-sale securities (2)

     

    419

     

     

    659

     

     

    739

     

     

    458

     

    Comprehensive income

    $

    14,032

     

    $

    84,164

     

    $

    14,783

     

    $

    102,213

     

    (1) Includes stock compensation expense of $5,207 and $6,592 for the three months ended June 30, 2019 and 2020, respectively, and $14,607 and $12,389 for the six months ended June 30, 2019 and 2020, respectively.
     
    (2) Net of income tax provision of $131 and $219 for the three months ended June 30, 2019 and 2020, respectively, and $231 and $152 for the six months ended June 30, 2019 and 2020, respectively.
    MAGELLAN HEALTH, INC. AND SUBSIDIARIES
    CONSOLIDATED STATEMENTS OF CASH FLOWS
    (Unaudited)
    (In thousands)
     

    Six Months Ended

    June 30,

    2019

     

     

    2020

    Cash flows from operating activities:
    Net income

    $

    14,044

     

    $

    101,755

     

    Adjustments to reconcile net income to net cash from operating activities:
    Depreciation and amortization

     

    64,198

     

     

    57,951

     

    Special charges

     

    -

     

     

    8,309

     

    Non-cash interest expense

     

    679

     

     

    941

     

    Non-cash stock compensation expense

     

    15,021

     

     

    13,015

     

    Non-cash income tax provision (benefit)

     

    1,026

     

     

    (29,443

    )

    Non-cash (amortization) accretion on investments

     

    (327

    )

     

    907

     

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

     

    (51,544

    )

     

    (24,535

    )

    Pharmaceutical inventory

     

    (4,793

    )

     

    8,268

     

    Other assets

     

    (23,890

    )

     

    (38,322

    )

    Accounts payable and accrued liabilities

     

    20,821

     

     

    62,970

     

    Medical claims payable and other medical liabilities

     

    4,329

     

     

    10,510

     

    Contingent consideration

     

    (3,758

    )

     

    -

     

    Tax contingencies

     

    610

     

     

    1,343

     

    Deferred credits and other long-term liabilities

     

    (7,429

    )

     

    (2,537

    )

    Other

     

    372

     

     

    (289

    )

    Net cash provided by operating activities

     

    29,359

     

     

    170,843

     

    Net cash (used in) provided by operating activities from discontinued operations

     

    (16,574

    )

     

    178,326

     

    Net cash provided by (used in) operating activities from continuing operations

     

    45,933

     

     

    (7,483

    )

     
    Cash flows from investing activities:
    Capital expenditures

     

    (27,804

    )

     

    (38,305

    )

    Acquisitions and investments in businesses, net of cash acquired

     

    (320

    )

     

    (369

    )

    Purchases of investments

     

    (295,768

    )

     

    (417,688

    )

    Proceeds from maturities and sales of investments

     

    288,290

     

     

    288,137

     

    Net cash used in investing activities

     

    (35,602

    )

     

    (168,225

    )

    Net cash used in investing activities from discontinued operations

     

    (3,210

    )

     

    (156,800

    )

    Net cash used in investing activities from continuing operations

     

    (32,392

    )

     

    (11,425

    )

     
    Cash flows from financing activities:
    Proceeds from borrowings on revolving line of credit

     

    -

     

     

    80,000

     

    Payments to acquire treasury stock

     

    (4,124

    )

     

    -

     

    Proceeds from exercise of stock options

     

    20,647

     

     

    29,825

     

    Payments on debt, finance lease and deferred financing obligations

     

    (15,543

    )

     

    (40,264

    )

    Payments on contingent consideration

     

    (6,247

    )

     

    -

     

    Other

     

    (446

    )

     

    (1,136

    )

    Net cash (used in) provided by financing activities

     

    (5,713

    )

     

    68,425

     

    Net cash provided by financing activities from discontinued operations

     

    -

     

     

    4,850

     

    Net cash (used in) provided by financing activities from continuing operations

     

    (5,713

    )

     

    63,575

     

     
    Net increase in cash and cash equivalents

     

    7,828

     

     

    44,667

     

    Cash and cash equivalents at beginning of period

     

    86,923

     

     

    115,752

     

    Cash and cash equivalents at end of period

    $

    94,751

     

    $

    160,419

     

    MAGELLAN HEALTH, INC. AND SUBSIDIARIES
    CONTINUING OPERATIONS RESULTS BY BUSINESS SEGMENT
    (Unaudited)
    (In thousands)
     
     

    Three Months Ended

     

    Six Months Ended

    June 30,

     

    June 30,

    2019

     

     

    2020

     

    2019

     

     

    2020

    Healthcare
    Managed care and other revenue

    $

    546,113

     

    $

    481,021

     

    $

    1,052,935

     

    $

    969,927

     

    Cost of care

     

    (408,911

    )

     

    (321,831

    )

     

    (778,008

    )

     

    (670,939

    )

    Direct service costs and other

     

    (98,314

    )

     

    (100,450

    )

     

    (198,424

    )

     

    (206,386

    )

    Stock compensation expense (1)

     

    2,237

     

     

    2,102

     

     

    3,780

     

     

    3,863

     

    Healthcare segment profit

     

    41,125

     

     

    60,842

     

     

    80,283

     

     

    96,465

     

     
    Pharmacy Management
    Managed care and other revenue

     

    62,648

     

     

    67,867

     

     

    122,543

     

     

    132,302

     

    PBM revenue

     

    550,010

     

     

    556,195

     

     

    1,106,575

     

     

    1,129,973

     

    Cost of goods sold

     

    (505,203

    )

     

    (532,685

    )

     

    (1,035,410

    )

     

    (1,070,259

    )

    Direct service costs and other

     

    (78,776

    )

     

    (80,082

    )

     

    (158,411

    )

     

    (161,948

    )

    Stock compensation expense (1)

     

    2,124

     

     

    1,939

     

     

    3,796

     

     

    4,046

     

    Pharmacy Management segment profit

     

    30,803

     

     

    13,234

     

     

    39,093

     

     

    34,114

     

     
    Corporate and Elimination (2)
    Managed care and other revenue

     

    (147

    )

     

    (177

    )

     

    (316

    )

     

    (350

    )

    PBM revenue

     

    (4,335

    )

     

    (4,831

    )

     

    (8,442

    )

     

    (9,398

    )

    Cost of goods sold

     

    4,122

     

     

    4,618

     

     

    8,015

     

     

    8,951

     

    Direct service costs and other

     

    (18,817

    )

     

    (19,224

    )

     

    (41,372

    )

     

    (35,663

    )

    Stock compensation expense (1)

     

    846

     

     

    2,551

     

     

    7,031

     

     

    4,480

     

    Corporate and Elimination

     

    (18,331

    )

     

    (17,063

    )

     

    (35,084

    )

     

    (31,980

    )

     
    Consolidated
    Managed care and other revenue

     

    608,614

     

     

    548,711

     

     

    1,175,162

     

     

    1,101,879

     

    PBM revenue

     

    545,675

     

     

    551,364

     

     

    1,098,133

     

     

    1,120,575

     

    Cost of care

     

    (408,911

    )

     

    (321,831

    )

     

    (778,008

    )

     

    (670,939

    )

    Cost of goods sold

     

    (501,081

    )

     

    (528,067

    )

     

    (1,027,395

    )

     

    (1,061,308

    )

    Direct service costs and other

     

    (195,907

    )

     

    (199,756

    )

     

    (398,207

    )

     

    (403,997

    )

    Stock compensation expense (1)

     

    5,207

     

     

    6,592

     

     

    14,607

     

     

    12,389

     

    Segment profit from continuing operations

    $

    53,597

     

    $

    57,013

     

    $

    84,292

     

    $

    98,599

     

     
     
    Reconciliation of income from continuing before income taxes (GAAP) to segment profit (non-GAAP):
    Income from continuing operations before income taxes

    $

    12,950

     

    $

    10,780

     

    $

    1,550

     

    $

    15,472

     

    Stock compensation expense

     

    5,207

     

     

    6,592

     

     

    14,607

     

     

    12,389

     

    Depreciation and amortization

     

    28,191

     

     

    23,888

     

     

    53,608

     

     

    47,246

     

    Interest expense

     

    9,070

     

     

    7,995

     

     

    18,107

     

     

    16,953

     

    Interest and other income

     

    (1,821

    )

     

    (551

    )

     

    (3,580

    )

     

    (1,770

    )

    Special charges

     

    -

     

     

    8,309

     

     

    -

     

     

    8,309

     

    Segment profit from continuing operations

    $

    53,597

     

    $

    57,013

     

    $

    84,292

     

    $

    98,599

     

    (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) Pharmacy Management provides pharmacy benefits management for certain Healthcare customers, and 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
    RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
    (Unaudited)
    (In thousands, except per share amounts)
     
     

    Three Months Ended

     

    Six Months Ended

    June 30,

     

    June 30,

    2019

     

     

    2020

     

    2019

     

     

    2020

     
    Net income (loss) from continuing operations

    $

    7,215

     

    $

    47,108

     

    $

    (976

    )

    $

    46,038

     

    Adjustments
    Amortization of acquired intangibles

     

    7,749

     

     

    9,573

     

     

    15,501

     

     

    19,259

     

    Special charges

     

    -

     

     

    8,309

     

     

    -

     

     

    8,309

     

    Tax impact

     

    (2,047

    )

     

    (4,808

    )

     

    (4,097

    )

     

    (7,413

    )

    Nonrecurring tax benefit - divestiture

     

    -

     

     

    (38,907

    )

     

    -

     

     

    (38,907

    )

    Adjusted net income from continuing operations

    $

    12,917

     

    $

    21,275

     

    $

    10,428

     

    $

    27,286

     

     
     
    Net income (loss) per common share — Diluted

    $

    0.30

     

    $

    1.86

     

    $

    (0.04

    )

    $

    1.84

     

    Adjustments
    Amortization of acquired intangibles

     

    0.32

     

     

    0.38

     

     

    0.64

     

     

    0.77

     

    Special charges

     

    -

     

     

    0.33

     

     

    -

     

     

    0.33

     

    Tax impact

     

    (0.09

    )

     

    (0.19

    )

     

    (0.17

    )

     

    (0.30

    )

    Nonrecurring tax benefit - divestiture

     

    -

     

     

    (1.54

    )

     

    -

     

     

    (1.55

    )

    Adjusted earnings per share

    $

    0.53

     

    $

    0.84

     

    $

    0.43

     

    $

    1.09

     

    MAGELLAN HEALTH, INC. AND SUBSIDIARIES
    FISCAL 2020 CONTINUING OPERATIONS GUIDANCE
    RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
    (In millions, except per share amounts)
     
     
    July 29, 2020
    Low High
     
    Net income

    $

    15.0

     

    $

    27.0

     

    Adjusted for acquisitions starting in 2013
    Amortization of acquired intangibles ~39.0
    Special charges ~15.0
    Tax impact ~(14.0)
    Nonrecurring tax benefit - divestiture ~(39.0)
    Adjusted net income

    $

    16.0

     

    $

    28.0

     

     
     
     
    Net income per common share —Diluted

    $

    0.59

     

    $

    1.06

     

    Adjusted for acquisitions starting in 2013
    Amortization of acquired intangibles ~1.54
    Special charges ~0.59
    Tax impact ~(0.55)
    Nonrecurring tax benefit - divestiture ~(1.54)
    Adjusted earnings per share

    $

    0.63

     

    $

    1.10

     

     
     
     
    Reconciliation of income (loss) before income taxes to segment profit:
    Income (loss) before income taxes

    $

    (22.0

    )

    $

    (2.0

    )

    Stock compensation expense ~25.0
    Depreciation and amortization ~98.0
    Interest expense ~31.0
    Interest income ~(2.0)
    Special charges ~15.0
    Segment profit

    $

    145.0

     

    $

    165.0

     

     
    MAGELLAN HEALTH, INC. AND SUBSIDIARIES
    CONSOLIDATED STATEMENTS OF INCOME
    (Unaudited)
    (In thousands, except per share amounts)
     
     

    Year Ended

     

    Three Months Ended

     

    Year Ended

     

    Three Months Ended

    December 31,

     

    March 31,

     

    June 30,

     

    September 30,

     

    December 31,

     

    December 31,

     

    March 31,

     

    June 30,

    2018

     

    2019

     

    2019

     

    2019

     

    2019

     

    2019

     

    2020

     

    2020

    Net revenue:
    Managed care and other

    $

    2,350,576

     

    $

    566,548

     

    $

    608,614

     

    $

    591,229

     

    $

    580,544

     

    $

    2,346,935

     

    $

    553,168

     

    $

    548,711

     

    PBM

     

    2,606,946

     

     

    552,458

     

     

    545,675

     

     

    567,314

     

     

    553,231

     

     

    2,218,678

     

     

    569,211

     

     

    551,364

     

    Total net revenue

     

    4,957,522

     

     

    1,119,006

     

     

    1,154,289

     

     

    1,158,543

     

     

    1,133,775

     

     

    4,565,613

     

     

    1,122,379

     

     

    1,100,075

     

     
    Costs and expenses:
    Cost of care

     

    1,554,691

     

     

    369,097

     

     

    408,911

     

     

    397,697

     

     

    367,819

     

     

    1,543,524

     

     

    349,108

     

     

    321,831

     

    Cost of goods sold

     

    2,452,703

     

     

    526,314

     

     

    501,081

     

     

    523,973

     

     

    507,917

     

     

    2,059,285

     

     

    533,241

     

     

    528,067

     

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

     

    773,915

     

     

    202,300

     

     

    195,907

     

     

    195,844

     

     

    207,616

     

     

    801,667

     

     

    204,241

     

     

    199,756

     

    Depreciation and amortization

     

    112,284

     

     

    25,417

     

     

    28,191

     

     

    28,890

     

     

    27,869

     

     

    110,367

     

     

    23,358

     

     

    23,888

     

    Interest expense

     

    35,180

     

     

    9,037

     

     

    9,070

     

     

    8,935

     

     

    8,826

     

     

    35,868

     

     

    8,958

     

     

    7,995

     

    Interest and other income

     

    (4,884

    )

     

    (1,759

    )

     

    (1,821

    )

     

    (1,699

    )

     

    (1,578

    )

     

    (6,857

    )

     

    (1,219

    )

     

    (551

    )

    Special charges

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    8,309

     

    Total costs and expenses

     

    4,923,889

     

     

    1,130,406

     

     

    1,141,339

     

     

    1,153,640

     

     

    1,118,469

     

     

    4,543,854

     

     

    1,117,687

     

     

    1,089,295

     

    Income (loss) from continuing operations before income taxes

     

    33,633

     

     

    (11,400

    )

     

    12,950

     

     

    4,903

     

     

    15,306

     

     

    21,759

     

     

    4,692

     

     

    10,780

     

    Provision (benefit) for income taxes

     

    11,457

     

     

    (3,209

    )

     

    5,735

     

     

    782

     

     

    5,854

     

     

    9,162

     

     

    5,762

     

     

    (36,328

    )

    Net income (loss) from continuing operations

     

    22,176

     

     

    (8,191

    )

     

    7,215

     

     

    4,121

     

     

    9,452

     

     

    12,597

     

     

    (1,070

    )

     

    47,108

     

    Income from discontinued operations, net of tax

     

    2,005

     

     

    8,622

     

     

    6,398

     

     

    17,153

     

     

    11,132

     

     

    43,305

     

     

    19,320

     

     

    36,397

     

    Net Income

    $

    24,181

     

    $

    431

     

    $

    13,613

     

    $

    21,274

     

    $

    20,584

     

    $

    55,902

     

    $

    18,250

     

    $

    83,505

     

     
    Weighted average number of common shares outstanding — basic

     

    24,349

     

     

    23,946

     

     

    24,101

     

     

    24,426

     

     

    24,491

     

     

    24,243

     

     

    24,728

     

     

    25,054

     

    Weighted average number of common shares outstanding — diluted

     

    25,035

     

     

    24,213

     

     

    24,416

     

     

    24,708

     

     

    24,905

     

     

    24,563

     

     

    24,869

     

     

    25,278

     

     
    Net income (loss) per common share — basic
    Continuing operations

    $

    0.91

     

    $

    (0.34

    )

    $

    0.30

     

    $

    0.17

     

    $

    0.39

     

    $

    0.52

     

    $

    (0.04

    )

    $

    1.88

     

    Discontinued operations

     

    0.08

     

     

    0.36

     

     

    0.26

     

     

    0.70

     

     

    0.45

     

     

    1.79

     

     

    0.78

     

     

    1.45

     

    Consolidated operations

    $

    0.99

     

    $

    0.02

     

    $

    0.56

     

    $

    0.87

     

    $

    0.84

     

    $

    2.31

     

    $

    0.74

     

    $

    3.33

     

    Net income (loss) per common share — diluted
    Continuing operations

    $

    0.89

     

    $

    (0.34

    )

    $

    0.30

     

    $

    0.17

     

    $

    0.38

     

    $

    0.52

     

    $

    (0.04

    )

    $

    1.86

     

    Discontinued operations

     

    0.08

     

     

    0.36

     

     

    0.26

     

     

    0.69

     

     

    0.45

     

     

    1.76

     

     

    0.78

     

     

    1.44

     

    Consolidated operations

    $

    0.97

     

    $

    0.02

     

    $

    0.56

     

    $

    0.86

     

    $

    0.83

     

    $

    2.28

     

    $

    0.74

     

    $

    3.30

     

    (1) Includes stock compensation expense of $28,936 and $24,673 for the years ended December 31, 2018 and 2019, respectively, and $9,400, $5,207, $4,604, $5,462, $5,797 and $6,592 for the three months ended March 31, June 30, September 30 and December 31, 2019 and March 31 and June 30, 2020, respectively.
     
    (2) Includes changes in fair value of contingent consideration of $1,108 for the year ended December 31, 2018.
    MAGELLAN HEALTH, INC. AND SUBSIDIARIES
    CONTINUING OPERATIONS RESULTS BY BUSINESS SEGMENT
    (Unaudited)
    (In thousands)
     
     

    Year Ended

    Three Months Ended

     

    Year Ended

     

    Three Months Ended

    December 31,

     

    March 31,

     

    June 30,

     

    September 30,

     

    December 31,

     

    December 31,

     

    March 31,

     

    June 30,

    2018

     

    2019

     

    2019

     

    2019

     

    2019

     

    2019

     

    2020

     

    2020

    Healthcare
    Managed care and other revenue

    $

    2,110,756

     

    $

    506,822

     

    $

    546,113

     

    $

    521,379

     

    $

    507,774

     

    $

    2,082,088

     

    $

    488,906

     

    $

    481,021

     

    Cost of care

     

    (1,554,691

    )

     

    (369,097

    )

     

    (408,911

    )

     

    (397,697

    )

     

    (367,819

    )

     

    (1,543,524

    )

     

    (349,108

    )

     

    (321,831

    )

    Direct service costs and other

     

    (401,083

    )

     

    (100,110

    )

     

    (98,314

    )

     

    (99,416

    )

     

    (104,166

    )

     

    (402,006

    )

     

    (105,936

    )

     

    (100,450

    )

    Stock compensation expense (1)

     

    6,446

     

     

    1,543

     

     

    2,237

     

     

    1,995

     

     

    1,864

     

     

    7,639

     

     

    1,761

     

     

    2,102

     

    Changes in fair value of contingent consideration (1)

     

    1,108

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

    Healthcare segment profit

     

    162,536

     

     

    39,158

     

     

    41,125

     

     

    26,261

     

     

    37,653

     

     

    144,197

     

     

    35,623

     

     

    60,842

     

     
    Pharmacy Management
    Managed care and other revenue

     

    240,427

     

     

    59,895

     

     

    62,648

     

     

    69,968

     

     

    72,928

     

     

    265,439

     

     

    64,435

     

     

    67,867

     

    PBM revenue

     

    2,625,417

     

     

    556,565

     

     

    550,010

     

     

    572,086

     

     

    558,168

     

     

    2,236,829

     

     

    573,778

     

     

    556,195

     

    Cost of goods sold

     

    (2,468,170

    )

     

    (530,207

    )

     

    (505,203

    )

     

    (528,500

    )

     

    (512,599

    )

     

    (2,076,509

    )

     

    (537,574

    )

     

    (532,685

    )

    Direct service costs and other

     

    (298,713

    )

     

    (79,635

    )

     

    (78,776

    )

     

    (79,842

    )

     

    (84,909

    )

     

    (323,162

    )

     

    (81,866

    )

     

    (80,082

    )

    Stock compensation expense (1)

     

    5,458

     

     

    1,672

     

     

    2,124

     

     

    1,669

     

     

    2,369

     

     

    7,834

     

     

    2,107

     

     

    1,939

     

    Pharmacy Management segment profit

     

    104,419

     

     

    8,290

     

     

    30,803

     

     

    35,381

     

     

    35,957

     

     

    110,431

     

     

    20,880

     

     

    13,234

     

     
    Corporate and Elimination (2)
    Managed care and other revenue

     

    (607

    )

     

    (169

    )

     

    (147

    )

     

    (118

    )

     

    (158

    )

     

    (592

    )

     

    (173

    )

     

    (177

    )

    PBM revenue

     

    (18,471

    )

     

    (4,107

    )

     

    (4,335

    )

     

    (4,772

    )

     

    (4,937

    )

     

    (18,151

    )

     

    (4,567

    )

     

    (4,831

    )

    Cost of goods sold

     

    15,467

     

     

    3,893

     

     

    4,122

     

     

    4,527

     

     

    4,682

     

     

    17,224

     

     

    4,333

     

     

    4,618

     

    Direct service costs and other

     

    (74,119

    )

     

    (22,555

    )

     

    (18,817

    )

     

    (16,586

    )

     

    (18,541

    )

     

    (76,499

    )

     

    (16,439

    )

     

    (19,224

    )

    Stock compensation expense (1)

     

    17,032

     

     

    6,185

     

     

    846

     

     

    940

     

     

    1,229

     

     

    9,200

     

     

    1,929

     

     

    2,551

     

    Corporate and Elimination

     

    (60,698

    )

     

    (16,753

    )

     

    (18,331

    )

     

    (16,009

    )

     

    (17,725

    )

     

    (68,818

    )

     

    (14,917

    )

     

    (17,063

    )

     
    Consolidated
    Managed care and other revenue

     

    2,350,576

     

     

    566,548

     

     

    608,614

     

     

    591,229

     

     

    580,544

     

     

    2,346,935

     

     

    553,168

     

     

    548,711

     

    PBM revenue

     

    2,606,946

     

     

    552,458

     

     

    545,675

     

     

    567,314

     

     

    553,231

     

     

    2,218,678

     

     

    569,211

     

     

    551,364

     

    Cost of care

     

    (1,554,691

    )

     

    (369,097

    )

     

    (408,911

    )

     

    (397,697

    )

     

    (367,819

    )

     

    (1,543,524

    )

     

    (349,108

    )

     

    (321,831

    )

    Cost of goods sold

     

    (2,452,703

    )

     

    (526,314

    )

     

    (501,081

    )

     

    (523,973

    )

     

    (507,917

    )

     

    (2,059,285

    )

     

    (533,241

    )

     

    (528,067

    )

    Direct service costs and other

     

    (773,915

    )

     

    (202,300

    )

     

    (195,907

    )

     

    (195,844

    )

     

    (207,616

    )

     

    (801,667

    )

     

    (204,241

    )

     

    (199,756

    )

    Stock compensation expense (1)

     

    28,936

     

     

    9,400

     

     

    5,207

     

     

    4,604

     

     

    5,462

     

     

    24,673

     

     

    5,797

     

     

    6,592

     

    Changes in fair value of contingent consideration (1)

     

    1,108

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

    Segment profit from continuing operations

    $

    206,257

     

    $

    30,695

     

    $

    53,597

     

    $

    45,633

     

    $

    55,885

     

    $

    185,810

     

    $

    41,586

     

    $

    57,013

     

     
     
    Reconciliation of income from continuing before income taxes (GAAP) to segment profit (non-GAAP):
    Income (loss) from continuing operations before income taxes

    $

    33,633

     

    $

    (11,400

    )

    $

    12,950

     

    $

    4,903

     

    $

    15,306

     

    $

    21,759

     

    $

    4,692

     

    $

    10,780

     

    Stock compensation expense

     

    28,936

     

     

    9,400

     

     

    5,207

     

     

    4,604

     

     

    5,462

     

     

    24,673

     

     

    5,797

     

     

    6,592

     

    Changes in fair value of contingent consideration

     

    1,108

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

    Depreciation and amortization

     

    112,284

     

     

    25,417

     

     

    28,191

     

     

    28,890

     

     

    27,869

     

     

    110,367

     

     

    23,358

     

     

    23,888

     

    Interest expense

     

    35,180

     

     

    9,037

     

     

    9,070

     

     

    8,935

     

     

    8,826

     

     

    35,868

     

     

    8,958

     

     

    7,995

     

    Interest and other income

     

    (4,884

    )

     

    (1,759

    )

     

    (1,821

    )

     

    (1,699

    )

     

    (1,578

    )

     

    (6,857

    )

     

    (1,219

    )

     

    (551

    )

    Special charges

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    -

     

     

    8,309

     

    Segment profit from continuing operations

    $

    206,257

     

    $

    30,695

     

    $

    53,597

     

    $

    45,633

     

    $

    55,885

     

    $

    185,810

     

    $

    41,586

     

    $

    57,013

     

    (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) 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 this arrangements are eliminated.

    (MGLN-GEN)




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