Lowers 2018 Earnings Guidance
Magellan Health, Inc. (NASDAQ: MGLN) today announced financial
results for the third quarter ended September 30, 2018, as
summarized below:
Three Months Ended Nine Months
Ended September 30 September 30 (In millions,
except per share amounts)
2018 2017
Chg 2018
2017 Chg Net revenue $
1,853.5 $ 1,419.4 30.6 % $ 5,469.5 $ 4,144.2 32.0 % Net income $
27.1 $ 32.5 -16.4 % $ 52.1 $ 55.7 -6.4 % Segment profit [1] $ 88.3
$ 87.7 0.7 % $ 211.9 $ 211.9 0.0 % Adjusted net income [1] $ 36.2 $
40.4 -10.5 % $ 80.2 $ 80.6 -0.5 % Per share results: Earnings per
share $ 1.09 $ 1.32 -17.4 % $ 2.06 $ 2.30 -10.4 % Adjusted earnings
per share [1] $ 1.45 $ 1.64 -11.6 % $ 3.17 $ 3.33 -4.8 % [1]
Refer to the Basis of Presentation for a discussion of non-GAAP
financial measures.
Highlights Include:
- Net revenue increased 31 percent over
the third quarter of 2017 to $1.9 billion.
- Net income decreased 16 percent over
the third quarter of 2017 to $27.1 million.
- Segment profit was $88.3 million
compared to $87.7 million in the third quarter of 2017.
- Adjusted net income decreased 11
percent from the third quarter of 2017 to $36.2 million.
- Unrestricted cash and investments were
$232.2 million as of September 30, 2018. Approximately $134.2
million of the unrestricted cash and investments at September 30,
2018 related to excess capital and undistributed earnings held at
regulated entities.
- The Company is lowering its full year
2018 earnings guidance.
“In light of our recent performance and lowering of guidance, we
acknowledge that our financial results have been below our
expectations. In the short-term, we expect the environment to
remain challenging, but we see significant long-term opportunity in
both our Healthcare and Pharmacy businesses,” said Barry M. Smith,
chairman and chief executive officer of Magellan Health. “We are
focused on partnering with our customers to increase the quality of
healthcare for our members while effectively managing both the cost
of care and administrative expenses.”
Net Revenue
Net revenue for the third quarter ended September 30, 2018, was
$1.9 billion, an increase of 31 percent over the same period in
2017. This increase was mainly driven by net business growth and
the annualization of revenue from prior year acquisitions.
Segment Profit
Segment profit was $88.3 million for the third quarter, compared
to $87.7 million in the prior year quarter.
- Healthcare segment profit was $61.7
million, which represents an increase of 7 percent compared to the
third quarter of 2017. Healthcare results for the quarter include
net favorable out of period adjustments of approximately $22
million, largely driven by favorable client settlements. Other
material drivers of the quarterly change in segment profit included
the incremental losses in Virginia and the impact of the October
2017 rate reduction in Florida, partially offset by the incremental
earnings contribution from the Senior Whole Health acquisition that
closed on October 31, 2017.
- Pharmacy management segment profit was
$33.6 million, which was a decrease of 13 percent compared to the
third quarter of 2017. This year over year decrease was primarily
driven by a decline in earnings in our specialty carve-out business
resulting from lost formulary management contracts.
- Corporate costs inclusive of
eliminations, but excluding stock compensation expense, totaled
$7.0 million, compared to $8.5 million in the third quarter of
2017. This change was due to costs in the prior year quarter
related to the Senior Whole Health acquisition.
Cash Flow & Balance Sheet
Cash flow from operations for the nine months ended September
30, 2018, was $34.0 million versus $112.7 million in the nine
months ended September 30, 2017. This year over year change is
primarily related to the timing of receivable collections from
states in the Company’s MCC businesses.
As of September 30, 2018, the Company’s unrestricted cash and
investments totaled $232.2 million versus $261.2 million from the
balance at December 31, 2017. Approximately $134.2 million of the
unrestricted cash and investments at September 30, 2018, is related
to excess capital and undistributed earnings held at regulated
entities.
Restricted cash and investments at September 30, 2018, was
$380.8 million versus the balance at December 31, 2017 of $465.4
million. This decrease was primarily due to accounts receivable
increases as well as improved capital efficiency through
substituting a letter of credit for statutory surplus in one of the
Company’s MCC markets.
Year to date through October 31, 2018, we repurchased
approximately 680,000 shares for $53.2 million. We have
approximately $200 million remaining in our share repurchase
authorization program which runs through October 22, 2020.
Outlook
The Company is lowering its 2018 full year earnings guidance
ranges.
2018 Guidance Nov 7, 2018 July 27,
2018
Low
High
Low
High
Net revenue $ 7,300.0 $ 7,500.0 $ 7,300.0 $ 7,500.0 Income before
income taxes $ 97.0 $ 131.0 $ 132.0 $ 170.0 Net income $ 68.0 $
88.0 $ 93.0 $ 117.0 Segment Profit[1] $ 290.0 $ 310.0 $ 330.0 $
350.0 Adjusted net income[1] $ 107.0 $ 123.0 $ 132.0 $ 152.0
Per share results: Earnings per share[2] $ 2.71 $ 3.51 $ 3.65 $
4.59 Adjusted earnings per share[1][2] $ 4.26 $ 4.90 $ 5.18 $ 5.96
[1] Refer to the Basis of Presentation for a discussion of
non-GAAP financial measures.
[2] 2018 EPS and Adjusted EPS guidance
includes share repurchases and option exercises through theclose of
business October 31, 2018, but excludes the impact of any potential
future activity.
The reduction in earnings guidance reflects the following:
- Utilization pressures in our Healthcare
business;
- In MCC of Virginia, the unfavorable
update to the Company’s expected risk scores for 2018;
- Modestly lower margins in the Pharmacy
business as a result of delayed timing of network rate improvement
actions; and,
- As result of operating efficiency
initiatives, an initial estimate of severance and other costs that
the Company anticipates to recognize in 2018.
The Company now estimates net income for the full year 2018 to
be in the range of $68 million to $88 million, adjusted net income
in the range of $107 million to $123 million, EPS in the range of
$2.71 to $3.51 and adjusted EPS in the range of $4.26 to $4.90. The
full year segment profit guidance is expected to be in the range of
$290 million to $310 million. The Company is maintaining its
revenue range of $7.3 billion to $7.5 billion.
“After transforming our business and achieving strong top
line growth over the past few years, we have significant
earnings power in our current portfolio as we work to increase our
margins to industry competitive levels,” said Jonathan N. Rubin,
chief financial officer of Magellan Health.
Earnings Conference Call
Management will discuss the Company’s third quarter results on a
conference call scheduled for Wednesday, November 7, 2018
at 8:00 a.m. Eastern. To participate in the conference call,
dial 1-800-857-1812 and use passcode “3rd Quarter 2018”
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 MagellanHealth.com. A
telephonic replay will be available shortly after the conclusion of
the call through December 7, 2018. This replay may be accessed
by dialing 1-866-501-2962 (Domestic) or 1-203-369-1830
(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 2018 guidance for net revenue, income before
income taxes, net income, earnings per share, segment profit,
adjusted net income, adjusted earnings per share, an initial
estimate of severance and other costs that we anticipate to
recognize in 2018, 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, 2017, filed
with the Securities and Exchange Commission on March 1, 2018, and
the Company’s subsequent Quarterly Reports on Form 10-Q filed
during 2018. 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, 2017
September 30, 2018 (unaudited) ASSETS
Current Assets: Cash and cash equivalents $ 398,732 $ 234,264
Accounts receivable, net 660,775 820,748 Short-term investments
310,578 374,669 Pharmaceutical inventory 40,945 44,035 Other
current assets 72,323 102,829 Total
Current Assets 1,483,353 1,576,545 Property and equipment, net
158,638 154,826 Long-term investments 17,287 4,090 Deferred income
taxes 813 1,071 Other long-term assets 22,567 51,391 Goodwill
1,006,288 1,015,076 Other intangible assets, net 268,288
245,516 Total Assets $ 2,957,234 $
3,048,515
LIABILITIES AND STOCKHOLDERS' EQUITY
Current Liabilities: Accounts payable $ 74,300 $ 73,144
Accrued liabilities 193,635 209,012 Short-term contingent
consideration 6,892 7,131 Medical claims payable 327,625 402,497
Other medical liabilities 177,002 162,009 Current debt, capital
lease and deferred financing obligations 112,849
64,778 Total Current Liabilities 892,303 918,571
Long-term debt, capital lease and deferred financing obligations
740,888 733,969 Deferred income taxes 12,298 12,802 Tax
contingencies 14,226 14,326 Long-term contingent consideration
1,925 2,137 Deferred credits and other long-term liabilities
19,100 34,959 Total Liabilities
1,680,740 1,716,764 Stockholders’
Equity: Ordinary common stock 530 535 Additional paid-in capital
1,274,811 1,324,176 Retained earnings 1,399,495 1,447,416
Accumulated other comprehensive loss (380 ) (373 ) Ordinary common
stock in treasury, at cost (1,397,962 ) (1,440,003 )
Total Stockholders’ Equity 1,276,494 1,331,751
Total Liabilities and Stockholders’ Equity $ 2,957,234
$ 3,048,515
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, 2017 2018 2017
2018 Net revenue: Managed care and other $ 834,358 $
1,235,787 $ 2,385,397 $ 3,670,890 PBM 585,048 617,719 1,758,771
1,798,616 Total net revenue 1,419,406 1,853,506 4,144,168 5,469,506
Costs and expenses: Cost of care 569,306 938,031 1,634,624
2,802,506 Cost of goods sold 543,682 571,145 1,648,670 1,689,229
Direct service costs and other operating expenses (1)(2) 227,372
265,471 680,230 793,700 Depreciation and amortization 28,189 33,047
82,896 97,302 Interest expense 7,663 8,990 16,711 26,034 Interest
and other income (1,781) (4,139) (3,801) (9,978) Total costs and
expenses 1,374,431 1,812,545 4,059,330 5,398,793 Income before
income taxes 44,975 40,961 84,838 70,713 Provision for income taxes
11,739 13,816 29,206 18,565 Net income 33,236 27,145 55,632 52,148
Less: net income (loss) attributable to non-controlling interest
785 - (66) - Net income attributable to Magellan $ 32,451 $ 27,145
$ 55,698 $ 52,148 Weighted average number of common shares
outstanding — basic 23,282 24,433 23,135 24,451 Weighted average
number of common shares outstanding — diluted 24,563 24,928 24,241
25,316 Net income attributable to Magellan per common share
— basic $ 1.39 $ 1.11 $ 2.41 $ 2.13 Net income attributable to
Magellan per common share — diluted $ 1.32 $ 1.09 $ 2.30 $ 2.06
Net income $ 33,236 $ 27,145 $ 55,632 $ 52,148 Other
comprehensive income: Unrealized gain on available-for-sale
securities (3) 26 194 27 7 Comprehensive income 33,262 27,339
55,659 52,155 Less: comprehensive income (loss) attributable to
non-controlling interest 785 - (66) - Comprehensive income
attributable to Magellan $ 32,477 $ 27,339 $ 55,725 $ 52,155
(1) Includes stock compensation expense of
$10,323 and $9,320 for the three months ended September 30, 2017
and 2018, respectively, and $31,834and $27,405 for the nine months
ended September 30, 2017 and 2018, respectively.
(2) Includes changes in fair value of
contingent consideration of $(834) and $148 for the three months
ended September 30, 2017 and 2018,respectively, and $(631) and $451
for the nine months ended September 30, 2017 and 2018,
respectively.
(3) Net of income tax provision of $16 and
$61 for the three months ended September 30, 2017 and 2018,
respectively, and $18 and $3 for the ninemonths ended September 30,
2017 and 2018, respectively.
MAGELLAN HEALTH, INC. AND
SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited) (In thousands) Nine
Months Ended September 30, 2017 2018
Cash flows from operating activities: Net income $ 55,632 $
52,148 Adjustments to reconcile net income to net cash from
operating activities: Depreciation and amortization 82,896 97,302
Non-cash interest expense 3,120 919 Non-cash stock compensation
expense 31,834 27,405 Non-cash income tax (benefit) provision
(2,160 ) 1,814 Non-cash amortization on investments 3,052 1,404
Changes in assets and liabilities, net of effects from acquisitions
of businesses: Accounts receivable, net (13,539 ) (160,904 )
Pharmaceutical inventory 9,609 (3,090 ) Other assets (15,481 )
(60,008 ) Accounts payable and accrued liabilities (70,006 )
(13,781 ) Medical claims payable and other medical liabilities
25,578 73,667 Contingent consideration (631 ) 451 Tax contingencies
158 100 Deferred credits and other long-term liabilities 2,408
16,497 Other 210 93 Net cash provided
by operating activities 112,680 34,017
Cash flows from investing activities: Capital
expenditures (42,703 ) (51,244 ) Acquisitions and investments in
businesses, net of cash acquired (3,200 ) (402 ) Purchases of
investments (341,280 ) (453,007 ) Proceeds from maturities and
sales of investments 320,045 400,683
Net cash used in investing activities (67,138 )
(103,970 )
Cash flows from financing activities:
Proceeds from issuance of debt 949,239 - Payments to acquire
treasury stock (15,457 ) (41,039 ) Proceeds from exercise of stock
options 28,328 22,587 Payments on debt, capital lease and deferred
financing obligations (798,359 ) (75,043 ) Payments on contingent
consideration (1,032 ) - Other (8,005 ) (1,020 ) Net
cash provided by (used in) financing activities 154,714
(94,515 ) Net increase (decrease) in cash and
cash equivalents 200,256 (164,468 ) Cash and cash equivalents at
beginning of period 304,508 398,732
Cash and cash equivalents at end of period $ 504,764 $
234,264
MAGELLAN HEALTH, INC. AND SUBSIDIARIES CONSOLIDATED
OPERATING RESULTS BY BUSINESS SEGMENT (Unaudited) (In
thousands) Three Months Ended Nine
Months Ended September 30, September 30,
2017 2018 2017 2018
Healthcare
Managed care and other revenue $ 769,451 $ 1,176,439 $ 2,190,097 $
3,488,928 Cost of care (569,306 ) (938,031 ) (1,634,624 )
(2,802,506 ) Direct service costs and other (143,550 ) (179,022 )
(428,432 ) (543,258 ) Stock compensation expense (1) 2,623 2,165
8,388 7,857 Changes in fair value of contingent consideration (1)
(834 ) 148 (631 ) 451 Less: non-controlling interest segment profit
(loss) (2) 789 - (56 ) -
Healthcare segment profit 57,595 61,699 134,854 151,472
Pharmacy
Management
Managed care and other revenue 65,131 59,500 195,970 182,410 PBM
revenue 618,178 665,734 1,856,856 1,940,726 Cost of goods sold
(575,327 ) (618,463 ) (1,742,610 ) (1,827,327 ) Direct service
costs and other (74,976 ) (74,491 ) (225,782 ) (221,018 ) Stock
compensation expense (1) 5,680 1,359
17,094 4,252 Pharmacy Management
segment profit 38,686 33,639 101,528 79,043
Corporate and
Elimination (3)
Managed care and other revenue (224 ) (152 ) (670 ) (448 ) PBM
revenue (33,130 ) (48,015 ) (98,085 ) (142,110 ) Cost of goods sold
31,645 47,318 93,940 138,098 Direct service costs and other (8,846
) (11,958 ) (26,016 ) (29,424 ) Stock compensation expense (1)
2,020 5,796 6,352 15,296 Less: non-controlling interest segment
profit (loss) (2) (1 ) - (3 ) -
Corporate and Elimination (8,534 ) (7,011 ) (24,476 )
(18,588 )
Consolidated
Managed care and other revenue 834,358 1,235,787 2,385,397
3,670,890 PBM revenue 585,048 617,719 1,758,771 1,798,616 Cost of
care (569,306 ) (938,031 ) (1,634,624 ) (2,802,506 ) Cost of goods
sold (543,682 ) (571,145 ) (1,648,670 ) (1,689,229 ) Direct service
costs and other (227,372 ) (265,471 ) (680,230 ) (793,700 ) Stock
compensation expense (1) 10,323 9,320 31,834 27,405 Changes in fair
value of contingent consideration (1) (834 ) 148 (631 ) 451 Less:
non-controlling interest segment profit (loss) (2) 788
- (59 ) - Consolidated
segment profit $ 87,747 $ 88,327 $ 211,906 $
211,927
Reconciliation of income before
income taxes to segment profit: Income before income taxes $
44,975 $ 40,961 $ 84,838 $ 70,713 Stock compensation expense 10,323
9,320 31,834 27,405 Changes in fair value of contingent
consideration (834 ) 148 (631 ) 451 Non-controlling interest
segment (profit) loss (788 ) - 59 - Depreciation and amortization
28,189 33,047 82,896 97,302 Interest expense 7,663 8,990 16,711
26,034 Interest and other income (1,781 ) (4,139 )
(3,801 ) (9,978 ) Segment profit $ 87,747 $
88,327 $ 211,906 $ 211,927
(1) Stock compensation expense, changes in
the fair value of contingent consideration recorded in relation to
acquisitions and impairment ofintangible assets are included in
direct service costs and other operating expenses; however, these
amounts are excluded from the computation of segment profit.
(2) The non-controlling portion of
AlphaCare's segment profit (loss) is excluded from the computation
of segment profit.
(3) 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. Assuch, 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, 2017 2018
2017 2018 Net income attributable to Magellan
$ 32,451 $ 27,145 $ 55,698 $ 52,148 Adjusted for acquisitions
starting in 2013 Stock compensation expense 4,960 - 14,718 530
Changes in fair value of contingent consideration (834 ) 148 (631 )
451 Amortization of acquired intangibles 8,424 12,079 25,189 36,676
Tax impact (4,605 ) (3,220 ) (14,372 )
(9,577 ) Adjusted net income $ 40,396 $ 36,152 $
80,602 $ 80,228 Net income per common
share attributable to Magellan —diluted $ 1.32 $ 1.09 $ 2.30 $ 2.06
Adjusted for acquisitions starting in 2013 Stock compensation
expense 0.20 - 0.61 0.02 Changes in fair value of contingent
consideration (0.03 ) 0.01 (0.03 ) 0.02 Amortization of acquired
intangibles 0.34 0.48 1.04 1.45 Tax impact (0.19 )
(0.13 ) (0.59 ) (0.38 ) Adjusted earnings per share $
1.64 $ 1.45 $ 3.33 $ 3.17
MAGELLAN HEALTH, INC. AND
SUBSIDIARIES FISCAL 2018 GUIDANCE (In millions,
except per share amounts) July 27, 2018
November 7, 2018 Low High
Low High Net revenue $ 7,300.0 $
7,500.0 $ 7,300.0 $ 7,500.0 Income before income taxes 132.0 170.0
97.0 131.0 Net income 93.0 117.0 68.0 88.0 Segment profit (1) 330.0
350.0 290.0 310.0 Adjusted net income (1) 132.0 152.0 107.0 123.0
Per share results: Earnings per share (2) 3.65 4.59 2.71 3.51
Adjusted earnings per share (1)(2) 5.18 5.96 4.26 4.90
(1) Refer to the Reconciliation of GAAP to Non-GAAP measures
table.
(2) Based on average fully diluted shares
of 25.5 million and 25.1 million for July 27, 2018 guidance and
November 7,2018 guidance, respectively.
MAGELLAN
HEALTH, INC. AND SUBSIDIARIES FISCAL 2018 GUIDANCE
RECONCILIATION OF GAAP TO NON-GAAP MEASURES (In millions,
except per share amounts) July 27, 2018
November 7, 2018 Low High
Low High Net income attributable
to Magellan $ 93.0 $ 117.0 $ 68.0 $ 88.0 Adjusted for acquisitions
starting in 2013 Stock compensation expense 1.0 1.0 1.0 1.0 Changes
in fair value of contingent consideration - - - - Amortization of
acquired intangibles 52.0 47.0 52.0 47.0 Tax impact (14.0 )
(13.0 ) (14.0 ) (13.0 ) Adjusted net income $
132.0 $ 152.0 $ 107.0 $ 123.0
Net income per common share attributable to Magellan
—Diluted $ 3.65 $ 4.59 $ 2.71 $ 3.51 Adjusted for acquisitions
starting in 2013 Stock compensation expense 0.04 0.04 0.04 0.04
Changes in fair value of contingent consideration - - - -
Amortization of acquired intangibles 2.04 1.84 2.07 1.87 Tax impact
(0.55 ) (0.51 ) (0.56 ) (0.52 )
Adjusted earnings per share $ 5.18 $ 5.96 $ 4.26
$ 4.90 Reconciliation of income
before income taxes to segment profit: Income before income taxes $
132.0 $ 170.0 $ 97.0 $ 131.0 Stock compensation expense 35.0 33.0
35.0 31.0 Changes in fair value of contingent consideration - - - -
Depreciation and amortization 137.0 127.0 135.0 129.0 Interest
expense 37.0 33.0 36.0 34.0 Interest income (11.0 )
(13.0 ) (13.0 ) (15.0 ) Segment profit $ 330.0
$ 350.0 $ 290.0 $ 310.0
MAGELLAN HEALTH, INC. AND SUBSIDIARIES HEALTHCARE SEGMENT
HISTORICAL RECLASSIFICATION (1) (Unaudited) (In
thousands) For the Quarter
Ended Year Ended
March 31,
June 30,
September December 31, December 31,
Healthcare Segment Results
2017
2017 30, 2017 2017
2017 Behavioral & Specialty Health revenue
Risk-based, non-EAP
$ 315,344 $ 385,042 $ 372,755 $ 388,018 $ 1,461,159 EAP risk-based
97,920 100,009 90,000 94,118 382,047 ASO 56,291 61,080 66,785
73,154 257,310 Magellan Complete Care revenue Risk-based, non-EAP
183,076 196,281 226,905 447,654 1,053,916 ASO 12,745
12,858 13,006
13,236 51,845 Managed care and other
revenue $ 665,376
$
755,270 $ 769,451 $ 1,016,180 $ 3,206,277 MLR Behavioral
& Specialty Health risk 87.5 % 91.4 % 89.3 % 85.7 % 88.5 % MLR
Behavioral & Specialty Health EAP risk 71.7 % 69.5 % 65.8 %
67.0 % 68.6 % MLR Magellan Complete Care risk 74.3 % 82.4 % 78.1 %
85.7 % 81.5 %
Membership Behavioral & Specialty
Health Risk (2) 12,000 12,771 13,232 13,029 EAP risk 14,533 14,144
14,228 14,472 ASO 26,983 28,475 28,337 27,824 Magellan Complete
Care Risk 72 73 77 120 ASO 20 20 20 21
53,608 55,483 55,894 55,466
For the Quarter
Ended
March 31,
June 30,
September Healthcare Segment Results 2018
2018 30, 2018 Behavioral &
Specialty Health revenue Risk-based, non-EAP $ 373,052 $ 378,076 $
377,615 EAP risk-based 94,658 91,275 79,854 ASO 62,639 61,276
65,326 Magellan Complete Care revenue Risk-based, non-EAP 613,829
610,358 639,584 ASO 13,423 13,903
14,060 Managed care and other revenue $
1,157,601 $ 1,154,888 $ 1,176,439 MLR Behavioral &
Specialty Health risk 86.8 % 86.7 % 87.7 % MLR Behavioral &
Specialty Health EAP risk 68.9 % 69.2 % 68.2 % MLR Magellan
Complete Care risk 87.9 % 89.3 % 86.4 %
Membership
Behavioral & Specialty Health Risk (2) 12,334 12,258 12,325 EAP
risk 15,343 14,890 15,140 ASO 29,533 27,064 26,551 Magellan
Complete Care Risk 131 132 144 ASO 21 22 22
57,362 54,366 54,182
(1) During the third quarter of 2018, the
Company re-evaluated how it was managing the Healthcare business
segmentand decided a reorganization was necessary to effectively
manage the business going forward. As a result of thisbusiness
reorganization, the Company concluded that changes to Healthcare’s
reporting units were warranted.Healthcare now consists of two
reporting units – Behavioral & Specialty Health and Magellan
Complete Care (“MCC”).
(2) May include some duplicate count of
membership for customers that contract with Magellan for both
behavioral andother specialty management services.
(MGLN-GEN)
View source
version on businesswire.com: https://www.businesswire.com/news/home/20181107005301/en/
For Magellan Health, Inc.Media:Lilly Ackley,
860-507-1923ackleyl@magellanhealth.comorInvestors:Joe
Bogdan, 860-507-1910jbogdan@magellanhealth.com
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