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May 11, 2020
Magellan Health Reports First Quarter 2020 Financial Results

PHOENIX--(BUSINESS WIRE)--May 11, 2020-- Magellan Health, Inc. (NASDAQ: MGLN) today announced financial results for the first quarter ended March 31, 2020, as summarized below:

    Three Months Ended
    March 31
(In millions, except per share amounts)            
   

 

2020

 

 

2019

 

Chg

Net revenue  

$

1,794.3

 

$

1,739.5

 

3.2%

Net income  

$

18.3

 

$

0.4

 

4134.3%

Segment profit [1]  

$

74.8

 

$

45.6

 

64.3%

Adjusted net income [1]  

$

28.6

 

$

9.6

 

199.3%

Earnings per share  

$

0.73

 

$

0.02

 

3550.0%

Adjusted earnings per share [1]  

$

1.15

 

$

0.40

 

187.5%

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

Highlights:

  • Net revenue increased 3.2 percent over the first quarter of 2019 to $1.8 billion.
  • Net income increased 4134.3 percent over the first quarter of 2019 to $18.3 million.
  • Segment profit increased 64.3 percent over the first quarter of 2019 to $74.8 million.
  • Adjusted net income increased 199.3 percent over the first quarter of 2019 to $28.6 million.
  • Unrestricted cash and investments were $281.2 million as of March 31, 2020. Approximately $123.3 million of the unrestricted cash and investments at March 31, 2020 is related to excess capital and undistributed earnings held at regulated entities.
  • The Company is maintaining its full year 2020 earnings guidance.
  • On March 18, 2020, the Company announced the offering of several services and resources in response to the spread of the novel coronavirus (COVID-19) including the digital cognitive behavioral therapy (DCBT) app, RESTORE®, at no cost for individuals experiencing sleep difficulty and insomnia.
  • On March 20, 2020, the Company expanded telehealth services and implemented additional initiatives to help support clients during the COVID-19 pandemic.
  • On April 10, 2020, the Company opened a free national 24-hour crisis line for all first responders and healthcare workers who are serving on the front lines battling the coronavirus pandemic.
  • On April 30, 2020, the Company and Molina Healthcare, Inc. entered into definitive agreements to divest Magellan Complete Care.

“Magellan Health has a vital, ongoing and shared responsibility in protecting the mental and physical health of millions of people,” said Kenneth Fasola, chief executive officer of Magellan Health. “In fact, the coronavirus pandemic has made abundantly clear what we already knew – the behavioral health of individuals remains a critical societal need, presenting challenges for health plans, employers and government payors – a challenge and opportunity Magellan is well positioned to address.”

Divestiture of Magellan Complete Care

On April 30, 2020, the Company announced that it entered into a definitive agreement with Molina Healthcare, Inc. to sell its Magellan Complete Care (MCC) business to Molina for a cash purchase price of $850 million, subject to regulatory approvals and other customary closing conditions. MCC, with revenue of over $2.7 billion in 2019, manages full-service Medicaid and Medicare health plans including Magellan Complete Care in Arizona, Florida and Virginia; Senior Whole Health in Massachusetts and New York; and TMG by Magellan in Wisconsin. The transaction is expected to be completed by the end of the first quarter of 2021.

“The sale of Magellan Complete Care tightens our focus, strengthens our balance sheet and creates a new, multi-faceted strategic relationship with Molina Healthcare, a Fortune 500 company with a strong reputation for serving states and their beneficiaries’ health care needs,” said Fasola. “This divestiture will provide Magellan with additional financial flexibility to invest in our remaining businesses and supports our vision to become the leading independent payor services company offering behavioral health, specialty health, and pharmacy management solutions for high cost, chronic populations on a carve-out or integrated basis.”

Net Revenue

Net revenue for the first quarter ended March 31, 2020, was $1.8 billion, which represents an increase of three percent over the same period in 2019. This increase was mainly driven by growth within Magellan Complete Care.

Segment Profit

Segment profit was $74.8 million for the first quarter, compared to $45.6 million in the prior year quarter, including approximately $12 million of favorable out-of-period items, primarily related to MCC reserve development.

  • Healthcare segment profit was $62.1 million, which represents an increase of $17.1 million versus the first quarter of 2019. This increase is driven by favorable prior period development and utilization results, particularly in MCC of Virginia and New York, as well as reinstatement of the Health Insurer Fee.
  • Pharmacy Management segment profit was $20.9 million, which was an increase of $12.6 million from the first quarter of 2019. This year-over-year increase was primarily driven by improved gross margins from our PBM business as well strong performance within our specialty drug management portfolio.
  • Corporate costs inclusive of eliminations, but excluding stock compensation expense, totaled $8.2 million, compared to $7.7 million in the prior year’s quarter.

Cash Flow & Balance Sheet

Cash flow from operations for the quarter ended March 31, 2020, was $31.7 million, as compared to $35.4 million in the first quarter of 2019.

As of March 31, 2020, the Company’s unrestricted cash and investments totaled $281.2 million, an increase of $85.8 million from the balance at December 31, 2019. Approximately $123 million of the unrestricted cash and investments at March 31, 2020 is related to excess capital and undistributed earnings held at regulated entities, including $94 million at MCC entities. Thus, the Company had over $150 million in unrestricted cash at the parent as of March 31, 2020.

“Magellan posted strong first quarter results and while COVID-19 presents uncertainties, our business fundamentals are on track,” said Jonathan N. Rubin, chief financial officer, Magellan Health. “We’ve taken bold steps to refine our strategy, lock in value, and provide financial flexibility to the company moving forward.”

Earnings Conference Call

Management will discuss the Company’s first quarter results on a conference call scheduled for Monday, May 11, 2020 at 8:00 a.m. Eastern. To participate in the conference call, dial 1-888-566-5773 and use passcode “1st Quarter 2020 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 MagellanHealth.com. A telephonic replay will be available shortly after the conclusion of the call through June 10, 2020. This replay may be accessed by dialing 1-800-374-1820 (Domestic) or 1-402-998-0909 (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 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 before income taxes, net income, earnings per share, segment profit, adjusted net income, and adjusted earnings per share; growth and margin opportunities and initiatives; business environment, long term opportunities and strategy; transformation, process improvement and innovation initiatives; 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 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 the COVID-19 pandemic, 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 members; risks and uncertainties associated with the pharmacy benefits management industry; 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 most recent Annual Report on Form 10-K, its Quarterly Report on Form 10-Q for the quarter ended March 31, 2020, to be filed with the Securities and Exchange Commission later today which contains updated or supplemental risk factors on information security and cyber-security matters, and extraordinary events including the COVID-19 pandemic, 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
(In thousands)
           
     
    December 31, 2019     March 31, 2020
          (unaudited)
ASSETS          
           
Current Assets:          
Cash and cash equivalents  

$

325,249

 

   

$

383,963

 

Accounts receivable, net  

 

890,065

 

   

 

923,716

 

Short-term investments  

 

334,489

 

   

 

350,192

 

Pharmaceutical inventory  

 

44,962

 

   

 

42,333

 

Other current assets  

 

78,278

 

   

 

106,820

 

Total Current Assets  

 

1,673,043

 

   

 

1,807,024

 

Property and equipment, net  

 

138,422

 

   

 

143,260

 

Long-term investments  

 

10,668

 

   

 

6,289

 

Deferred income taxes  

 

1,840

 

   

 

698

 

Other long-term assets  

 

82,700

 

   

 

96,389

 

Goodwill  

 

1,018,156

 

   

 

1,018,156

 

Other intangible assets, net  

 

167,344

 

   

 

153,095

 

Total Assets  

$

3,092,173

 

   

$

3,224,911

 

           
LIABILITIES AND STOCKHOLDERS' EQUITY          
           
Current Liabilities:          
Accounts payable  

$

88,415

 

   

$

104,359

 

Accrued liabilities  

 

284,024

 

   

 

320,826

 

Medical claims payable  

 

409,533

 

   

 

392,141

 

Other medical liabilities  

 

124,684

 

   

 

128,454

 

Current debt, finance lease and deferred financing obligations  

 

3,491

 

   

 

84,402

 

Total Current Liabilities  

 

910,147

 

   

 

1,030,182

 

Long-term debt, finance lease and deferred financing obligations  

 

679,125

 

   

 

647,624

 

Deferred income taxes  

 

17,034

 

   

 

23,235

 

Tax contingencies  

 

14,841

 

   

 

16,021

 

Deferred credits and other long-term liabilities  

 

73,243

 

   

 

76,246

 

Total Liabilities  

 

1,694,390

 

   

 

1,793,308

 

           
Stockholders’ Equity:          
Ordinary common stock  

 

543

 

   

 

546

 

Additional paid-in capital  

 

1,386,616

 

   

 

1,402,797

 

Retained earnings  

 

1,475,207

 

   

 

1,493,044

 

Accumulated other comprehensive income (loss)  

 

144

 

   

 

(57

)

Ordinary common stock in treasury, at cost  

 

(1,464,727

)

   

 

(1,464,727

)

Total Stockholders’ Equity  

 

1,397,783

 

   

 

1,431,603

 

Total Liabilities and Stockholders’ Equity  

$

3,092,173

 

   

$

3,224,911

 

           
MAGELLAN HEALTH, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(Unaudited)
(In thousands, except per share amounts)
             
             
             
    Three Months Ended  
    March 31,  
   

 

2019

 

   

 

2020

 

 
Net revenue:            
Managed care and other  

$

1,223,979

 

   

$

1,272,936

 

 
PBM  

 

515,510

 

   

 

521,371

 

 
Total net revenue  

 

1,739,489

 

   

 

1,794,307

 

 
             
Costs and expenses:            
Cost of care  

 

941,961

 

   

 

951,642

 

 
Cost of goods sold  

 

489,793

 

   

 

486,142

 

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

 

271,924

 

   

 

287,731

 

 
Depreciation and amortization  

 

30,708

 

   

 

28,684

 

 
Interest expense  

 

9,107

 

   

 

9,029

 

 
Interest and other income  

 

(4,974

)

   

 

(3,759

)

 
Total costs and expenses  

 

1,738,519

 

   

 

1,759,469

 

 
Income before income taxes  

 

970

 

   

 

34,838

 

 
Provision for income taxes  

 

539

 

   

 

16,588

 

 
Net income  

$

431

 

   

$

18,250

 

 
             
Weighted average number of common shares outstanding — basic  

 

23,946

 

   

 

24,728

 

 
Weighted average number of common shares outstanding — diluted  

 

24,213

 

   

 

24,869

 

 
             
Net income per common share — basic  

$

0.02

 

   

$

0.74

 

 
Net income per common share — diluted  

$

0.02

 

   

$

0.73

 

 
             
Net income  

$

431

 

   

$

18,250

 

 
Other comprehensive income:            
Unrealized gains (losses) on available-for-sale securities (3)  

 

320

 

   

 

(201

)

 
Comprehensive income  

$

751

 

   

$

18,049

 

 
(1) Includes stock compensation expense of $9,607 and $6,057 for the three months ended March 31, 2019 and 2020, respectively.
             
(2) Includes changes in fair value of contingent consideration of $144 for the three months ended March 31, 2019.
             
(3) Net of income tax provision (benefit) of $100 and $(67) for the three months ended March 31, 2019 and 2020, respectively.
MAGELLAN HEALTH, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In thousands)
 
           
   

Three Months Ended

   

March 31,

   

 

2019

 

 

 

 

2020

 

Cash flows from operating activities:          
Net income  

$

431

 

   

$

18,250

 

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

 

30,708

 

   

 

28,684

 

Non-cash interest expense  

 

326

 

   

 

585

 

Non-cash stock compensation expense  

 

9,607

 

   

 

6,057

 

Non-cash income tax (benefit) provision  

 

(250

)

   

 

7,802

 

Non-cash amortization on investments  

 

(192

)

   

 

325

 

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

 

(23,804

)

   

 

(33,291

)

Pharmaceutical inventory  

 

(6,333

)

   

 

2,629

 

Other assets  

 

(10,835

)

   

 

(41,862

)

Accounts payable and accrued liabilities  

 

20,399

 

   

 

52,746

 

Medical claims payable and other medical liabilities  

 

19,671

 

   

 

(13,622

)

Contingent consideration  

 

(1,609

)

   

 

-

 

Tax contingencies  

 

83

 

   

 

925

 

Deferred credits and other long-term liabilities  

 

(2,889

)

   

 

3,003

 

Other  

 

111

 

   

 

(505

)

Net cash provided by operating activities  

 

35,424

 

   

 

31,726

 

           
Cash flows from investing activities:          
Capital expenditures  

 

(12,642

)

   

 

(15,719

)

Acquisitions and investments in businesses, net of cash acquired  

 

(320

)

   

 

(369

)

Purchases of investments  

 

(172,766

)

   

 

(164,311

)

Proceeds from maturities and sales of investments  

 

128,748

 

   

 

152,394

 

Net cash used in investing activities  

 

(56,980

)

   

 

(28,005

)

           
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  

 

2,045

 

   

 

10,903

 

Payments on debt, finance lease and deferred financing obligations  

 

(7,323

)

   

 

(34,774

)

Payments on contingent consideration  

 

(6,247

)

   

 

-

 

Other  

 

(1,702

)

   

 

(1,136

)

Net cash (used in) provided by financing activities  

 

(17,351

)

   

 

54,993

 

           
Net (decrease) increase in cash and cash equivalents  

 

(38,907

)

   

 

58,714

 

Cash and cash equivalents at beginning of period  

 

272,308

 

   

 

325,249

 

Cash and cash equivalents at end of period  

$

233,401

 

   

$

383,963

 

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

Three Months Ended

 
   

March 31,

 
   

 

2019

 

 

 

 

2020

 

 
Healthcare            
Managed care and other revenue  

$

1,164,253

 

   

$

1,208,674

 

 
Cost of care  

 

(941,961

)

   

 

(951,642

)

 
Direct service costs and other  

 

(179,190

)

   

 

(196,909

)

 
Stock compensation expense (1)  

 

1,750

 

   

 

2,021

 

 
Changes in fair value of contingent consideration (1)  

 

144

 

   

 

-

 

 
Healthcare segment profit  

 

44,996

 

   

 

62,144

 

 
             
Pharmacy Management            
Managed care and other revenue  

 

59,895

 

   

 

64,435

 

 
PBM revenue  

 

556,565

 

   

 

573,778

 

 
Cost of goods sold  

 

(530,207

)

   

 

(537,574

)

 
Direct service costs and other  

 

(79,635

)

   

 

(81,866

)

 
Stock compensation expense (1)  

 

1,672

 

   

 

2,107

 

 
Pharmacy Management segment profit  

 

8,290

 

   

 

20,880

 

 
             
Corporate and Elimination (2)            
Managed care and other revenue  

 

(169

)

   

 

(173

)

 
PBM revenue  

 

(41,055

)

   

 

(52,407

)

 
Cost of goods sold  

 

40,414

 

   

 

51,432

 

 
Direct service costs and other  

 

(13,099

)

   

 

(8,956

)

 
Stock compensation expense (1)  

 

6,185

 

   

 

1,929

 

 
Corporate and Elimination  

 

(7,724

)

   

 

(8,175

)

 
             
Consolidated            
Managed care and other revenue  

 

1,223,979

 

   

 

1,272,936

 

 
PBM revenue  

 

515,510

 

   

 

521,371

 

 
Cost of care  

 

(941,961

)

   

 

(951,642

)

 
Cost of goods sold  

 

(489,793

)

   

 

(486,142

)

 
Direct service costs and other  

 

(271,924

)

   

 

(287,731

)

 
Stock compensation expense (1)  

 

9,607

 

   

 

6,057

 

 
Changes in fair value of contingent consideration (1)  

 

144

 

   

 

-

 

 
Consolidated segment profit  

$

45,562

 

   

$

74,849

 

 
             
             
Reconciliation of income before income taxes to segment profit:            
Income before income taxes  

$

970

 

   

$

34,838

 

 
Stock compensation expense  

 

9,607

 

   

 

6,057

 

 
Changes in fair value of contingent consideration  

 

144

 

   

 

-

 

 
Depreciation and amortization  

 

30,708

 

   

 

28,684

 

 
Interest expense  

 

9,107

 

   

 

9,029

 

 
Interest and other income  

 

(4,974

)

   

 

(3,759

)

 
Segment profit  

$

45,562

 

   

$

74,849

 

 
(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

 
   

March 31,

 
   

 

2019

 

 

 

 

2020

 

 
             
Net income  

$

431

 

   

$

18,250

 

 
Adjusted for acquisitions starting in 2013            
Changes in fair value of contingent consideration  

 

144

 

   

 

-

 

 
Amortization of acquired intangibles  

 

12,272

 

   

 

14,191

 

 
Tax impact  

 

(3,282

)

   

 

(3,816

)

 
Adjusted net income  

$

9,565

 

   

$

28,625

 

 
             
             
Net income per common share—diluted  

$

0.02

 

   

$

0.73

 

 
Adjusted for acquisitions starting in 2013            
Changes in fair value of contingent consideration  

 

0.01

 

   

 

-

 

 
Amortization of acquired intangibles  

 

0.50

 

   

 

0.57

 

 
Tax impact  

 

(0.13

)

   

 

(0.15

)

 
Adjusted earnings per share  

$

0.40

 

   

$

1.15

 

 

(MGLN-GEN)

Media Contact: Lilly Ackley, ackleyl@magellanhealth.com, (860) 507-1923
Investor Contact: Joe Bogdan, jbogdan@magellanhealth.com, (860) 507-1910

Source: Magellan Health, Inc.