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Sat, October 30, 2010
Fri, October 29, 2010

Magellan Health Services Reports Third Quarter 2010 Financial Results


Published on 2010-10-29 03:42:22 - Market Wire
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AVON, Conn.--([ BUSINESS WIRE ])--Magellan Health Services, Inc. (Nasdaq:MGLN) today reported financial results for the third quarter of 2010, as summarized below, and increased guidance for the full year. For the quarter ended September 30, 2010, the Company reported net revenue of $750.3 million, segment profit of $90.1 million, and net income of $44.8 million or $1.31 per diluted common share. Segment profit represents income from continuing operations before stock compensation expense, depreciation and amortization, interest expense, interest income, gain on sale of assets, special charges or benefits, and income taxes.

"With these year-to-date results we are on track for a robust finish for 2010."

Financial Results

Third Quarter Financial Results at a Glance
Three Months Ended September 30 Nine Months Ended September 30
(Millions, Except per share results) 2010 2009 Change 2010 2009 Change
Revenue $750.3 $667.6 $82.7 $2,220.0 $1,922.9 $297.1
Segment Profit 90.1 64.5 25.6 230.0 150.3 79.7
Net Income 44.8 31.0 13.8 105.7 62.9 42.8
Earnings per Share 1.31 0.88 0.43 3.08 1.77 1.31

aI am quite pleased with our strong third quarter which demonstrates that our value proposition and strategy of diversification is resonating in the marketplace,a said Ren© Lerer, M.D., chairman and chief executive officer. aWith these year-to-date results we are on track for a robust finish for 2010.

aOur success is based on our ability to improve quality and access to care for our millions of members, and create value for customers. Across the spectrum of our business segments a" managed behavioral health, radiology benefits management, specialty pharmaceutical management and Medicaid administration a" our customers and consumers look to us as their partner to leverage our clinical and technological expertise to help find solutions to the challenges they face. Our track record of innovation motivates current and potential customers to do business with Magellan.

aAs we look to the future, 2011 will present new challenges. Our strategy uniquely positions us with a broad range of products and solutions to help customers deal with emerging health care and fiscal issues. Magellana™s abilities and expertise, as well as our long history of dealing with the Medicaid population, will be particularly important given the significant expansion of Medicaid over the next several years.a

aWe made important strides in our operational execution in the third quarter, positioning the company for future profitable growth,a said Karen S. Rohan, Magellana™s president. aWe implemented new business, expanded our products and capabilities, and continued our focus on care management and clinical initiatives. All of our business segments are focused on generating growth and developing new products to meet the changing needs of our customers, which is especially important given the current economic environment and the changing landscape brought about by health care reform.a

Outlook

aAs a result of our solid financial results through September 30, Magellan is increasing our full year guidance,a said Jonathan N. Rubin, chief financial officer. aWe now expect full-year segment profit in the range of $285 million to $300 million and net income of $126 million to $140 million. This equates to diluted earnings per share of $3.66 to $4.07, which reflects the impact of repurchases to date this year, but excludes any impact from repurchases that may occur during the remainder of the year. We now expect full year 2010 cash flow from operations to be in the range of $270 million to $300 million.

aLooking ahead, after adjusting our current 2010 guidance ranges for approximately $22 million of favorable year-to-date out-of-period adjustments, we expect to see moderately lower segment profit in 2011. This expectation is driven by several factors including the impact of previously disclosed contract terminations, and continued margin pressure resulting from economic strains on our health plan and state clients, partially offset by expected new business growth and the continued benefit of our effective care management and other performance improvement initiatives. We will provide detailed guidance in our December call.a

Earnings Results Conference Call

Management will host a conference call at 10:00 a.m. Eastern Time on Friday, October 29, 2010. To participate in the conference call, interested parties should call 1-888-566-8408 and reference the passcode Third Quarter Earnings Call 2010 approximately 15 minutes before the start of the call. The conference will also be available via a live Webcast at Magellana™s investor relations page at [ www.MagellanHealth.com ].

About Magellan: Headquartered in Avon, Conn., Magellan Health Services, Inc., is a leading specialty health care management organization with expertise in managing behavioral health, radiology and specialty pharmaceuticals, as well as public sector pharmacy benefits programs. Magellan delivers innovative solutions to improve quality outcomes and optimize the cost of care for those we serve. Magellana™s customers include health plans, employers and government agencies, serving approximately 58 million people nationwide in our behavioral and radiology benefits lines, more than 40 health plans in our specialty pharmacy benefits segment, and 25 states and the District of Columbia in our Medicaid Administration segment. For more information, visit [ www.MagellanHealth.com ].

Cautionary Statement

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. All statements, other than statements of historical information provided herein, may be deemed to be forward- looking statements including, without limitation, statements regarding estimates of 2010 net income, segment profit, earnings per share, and cash flow from operations, 2011 segment profit, and strategy. These statements are based on managementa™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 abelieves,a aanticipates,a aplans,a aexpects,a amay,a ashould,a acould,a aestimate,a aintenda 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 Companya™s customers to manage the health care services of their members directly; changes in rates paid to and/or by the Company by customers and/or providers; higher utilization of health care services by the Companya™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; health care 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 aRisk Factorsa section included within the Companya™s Annual Report on Form10-K for the year ended December31, 2009, filed with the Securities and Exchange Commission on February26, 2010, and the Companya™s Quarterly Report on Form10-Q for the quarter ended September 30, 2010, expected to be filed with the Securities and Exchange Commission and posted on the Companya™s website on Friday, October 29, 2010. 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 information referred to herein may be considered a non-GAAP financial measure. Further information regarding this measure, including the reasons management considers this information useful to investors, is included in the Companya™s most recent Annual Report on Form10-K and subsequent reports on Form10-Q filed with the SEC.

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF INCOME
(Unaudited)
(In thousands, except per share amounts)
Three Months Ended September 30,Nine Months Ended September 30,
2009

2010 (1)

2009

2010 (1)

Net revenue $ 667,589 $ 750,319 $ 1,922,905 $ 2,220,030
Cost and expenses:
Cost of care 435,007 467,160 1,309,773 1,416,317
Cost of goods sold 50,139 55,071 151,497 166,138
Direct service costs and other operating expenses (2) 122,034 141,581 328,032 419,452
Depreciation and amortization 12,154 13,950 33,713 41,607
Interest expense 650 482 1,734 1,751
Interest income (1,215 ) (846 ) (5,260 ) (2,466 )
618,769 677,398 1,819,489 2,042,799
Income from continuing operations before income taxes 48,820 72,921 103,416 177,231
Provision for income taxes 17,833 28,137 40,470 71,500
Net income 30,987 44,784 62,946 105,731
Other comprehensive income (loss) 52 280 (168 ) 21
Comprehensive income $ 31,039 $ 45,064 $ 62,778 $ 105,752
Weighted average number of common shares outstanding a" basic 35,128 33,450 35,426 33,715
Weighted average number of common shares outstanding a" diluted 35,331 34,171 35,566 34,345
Net income per common share a" basic $ 0.88 $ 1.34 $ 1.78 $ 3.14
Net income per common share a" diluted $ 0.88 $ 1.31 $ 1.77 $ 3.08

(1)

For a more detailed discussion of Magellan's results for the quarter ended September 30, 2010, refer to the Company's Quarterly Report on Form 10-Q, which will be filed with the SEC on October 29, 2010, and the live broadcast or taped replay of the Company's earnings conference call on October 29, 2010, which will be available at www.MagellanHealth.com.

(2)

Includes stock compensation expense of $4,124 and $3,596 for the three months ended September 30, 2009 and 2010, respectively, and $16,724 and $11,830 for the nine months ended September 30, 2009 and 2010, respectively.

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In thousands)
Nine Months Ended September 30,
2009 2010
Cash flows from operating activities:
Net income $ 62,946 $ 105,731
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization 33,713 41,607
Non-cash interest expense 675 463
Non-cash stock compensation expense 16,724 11,830
Non-cash income tax expense 28,696 32,260

Cash flows from changes in assets and liabilities, net of effects from acquisitions of businesses:

Restricted cash (1) 10,702 62,413
Accounts receivable, net (7,139 ) 10,279
Other assets (22,945 ) (4,085 )
Accounts payable and accrued liabilities (18,466 ) 889
Medical claims payable and other medical liabilities (6,669 ) (14,085 )
Other 2,386 6,977
Net cash provided by operating activities 100,623 254,279
Cash flows from investing activities:
Capital expenditures (25,808 ) (32,201 )
Purchase of investments (213,377 ) (235,420 )
Maturity of investments 247,631 154,979
Acquisitions and investments in businesses, net of cash acquired (115,438 ) -
Net cash used in investing activities (106,992 ) (112,642 )
Cash flows from financing activities:
Payments on long-term debt and capital lease obligations (3 ) (588 )
Payments to acquire treasury stock (67,070 ) (74,427 )
Proceeds from exercise of stock options and warrants 1,101 23,121
Other 2,721 (1,611 )
Net cash used in financing activities (63,251 ) (53,505 )
Net (decrease) increase in cash and cash equivalents (69,620 ) 88,132
Cash and cash equivalents at beginning of period 211,825 196,507
Cash and cash equivalents at end of period $ 142,205 $ 284,639

(1)

Includes the net shift of restricted funds between cash and investments that results in an operating cash flow change that is directly offset by an investing cash flow change. During the nine months ended September 30, 2009, $5,589 of restricted investments were shifted to restricted cash that resulted in an operating cash flow use. During the nine months ended September 30, 2010, $29,086 of restricted cash was shifted to restricted investments that resulted in an operating cash flow source.

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
CONSOLIDATED OPERATING RESULTS BY BUSINESS SEGMENT
(Unaudited)
(In thousands, except membership amounts in millions)
Three Months Ended September 30,Nine Months Ended September 30,

2009 (1)

2010

2009 (1)

2010
Net revenue
- Commercial $ 162,060 $ 165,270 $ 481,003 $ 487,954
- Public Sector 336,327 364,102 1,001,368 1,081,581
- Radiology Benefits Management 78,279 116,379 222,403 331,099
- Specialty Pharmaceutical Management 65,111 68,609 192,319 204,740
- Medicaid Administration (2) 25,812 42,606 25,812 121,303
- Elimination (2) - (6,647 ) - (6,647 )
Total net revenue 667,589 750,319 1,922,905 2,220,030
Cost of care
- Commercial 86,031 84,485 264,668 265,740
- Public Sector (2) 294,233 310,261 896,149 930,932
- Radiology Benefits Management 54,743 72,980 148,956 220,211
- Medicaid Administration - 6,081 - 6,081
- Elimination (2) - (6,647 ) - (6,647 )
Total cost of care 435,007 467,160 1,309,773 1,416,317
Cost of goods sold - Specialty Pharmaceutical Management 50,139 55,071 151,497 166,138
Direct service costs and other operating expenses
- Commercial 37,843 40,156 114,376 115,340
- Public Sector 16,440 17,554 50,646 50,559
- Radiology Benefits Management 12,880 17,366 38,387 47,605
- Specialty Pharmaceutical Management 5,516 8,064 18,780 19,537
- Medicaid Administration 22,138 27,928 22,138 94,555
- Corporate 27,217 30,513 83,705 91,856
Total direct services costs and other operating expenses 122,034 141,581 328,032 419,452
Stock compensation expense (3)
- Commercial (211 ) (124 ) (731 ) (556 )
- Public Sector (112 ) (181 ) (556 ) (554 )
- Radiology Benefits Management (152 ) (362 ) (946 ) (1,123 )
- Specialty Pharmaceutical Management (429 ) (108 ) (4,647 ) (365 )
- Medicaid Administration (358 ) (36 ) (358 ) (76 )
- Corporate (2,862 ) (2,785 ) (9,486 ) (9,156 )
Total stock compensation expense (4,124 ) (3,596 ) (16,724 ) (11,830 )
Segment profit (loss)
- Commercial 38,397 40,753 102,690 107,430
- Public Sector 25,766 36,468 55,129 100,644
- Radiology Benefits Management 10,808 26,395 36,006 64,406
- Specialty Pharmaceutical Management 9,885 5,582 26,689 19,430
- Medicaid Administration 4,032 8,633 4,032 20,743
- Corporate and Elimination (24,355 ) (27,728 ) (74,219 ) (82,700 )
Total segment profit $ 64,533 $ 90,103 $ 150,327 $ 229,953

Reconciliation of segment profit to income from continuing operations before income taxes:

Segment profit $ 64,533 $ 90,103 $ 150,327 $ 229,953
Stock compensation expense (4,124 ) (3,596 ) (16,724 ) (11,830 )
Depreciation and amortization (12,154 ) (13,950 ) (33,713 ) (41,607 )
Interest expense (650 ) (482 ) (1,734 ) (1,751 )
Interest income 1,215 846 5,260 2,466
Income from continuing operations before income taxes $ 48,820 $ 72,921 $ 103,416 $ 177,231
Membership
- Commercial 36.8
- Public Sector 1.9
- Radiology Benefits Management 19.7
Total membership 58.4

(1)

Included in Medicaid Administration are the results of First Health Services since its acquisition on July 31, 2009.

(2)

Effective September 1, 2010, Public Sector has subcontracted with Medicaid Administration to provide pharmacy benefits management services on a risk basis for one of Public Sector's customers. As such, revenue and cost of care related to this intersegment arrangement are eliminated.

(3)

Stock compensation expense is included in direct service costs and other operating expenses; however, this amount is excluded from the computation of segment profit since it is managed on a consolidated basis.

Contributing Sources