Table of Contents

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549




FORM 10-Q10‑Q

(Mark One)

(Mark One)


ý


QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934


For the Quarterly Period Ended June 30, 20162017


Or


o



TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934


For the transition period from                  to                

Commission File No. 1-66391‑6639

MAGELLAN HEALTH, INC.

(Exact name of registrant as specified in its charter)

Delaware

(State or other jurisdiction of

incorporation or organization)

58-107693758‑1076937

(IRS Employer

Identification No.)


4800 N. Scottsdale Rd, Suite 4400

Scottsdale, Arizona


(Address of principal executive offices)



85251

(Zip code)

(602) 572-6050
572‑6050

(Registrant'sRegistrant’s telephone number, including area code)




Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding twelve months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ý  No o

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-TS‑T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes ý  No o

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non‑accelerated filer, smaller reporting company, or a non-accelerated filer.an emerging growth company. See definition of "accelerated filer“large accelerated filer”, “accelerated filer”, “smaller reporting company” and large accelerated filer"“emerging growth company” in Rule 12b-212b‑2 of the Exchange Act. (Check one):

Large accelerated filerý

Accelerated filero

Non-acceleratedNon‑accelerated filero

(Do not check if a

smaller reporting company)

Smaller reporting companyo

Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange

Act.  ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-212b‑2 of the Exchange Act). Yes o  No ý

The number of shares of the registrant'sregistrant’s Ordinary Common Stock outstanding as of June 30, 20162017 was 24,581,451.23,682,556

 


FORM 10‑Q


FORM 10-Q

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

INDEX



Page No.

PART I—Financial Information:

Item 1:

Financial Statements

2

Page No.

PART IFinancial Information:

Item 1:

Financial Statements

2

Consolidated Balance Sheets—December 31, 20152016 and June 30, 20162017

2

Consolidated Statements of Income—For the Three and Six Months Ended June 30, 20152016 and 20162017

3

Consolidated Statements of Comprehensive Income—For the Three and Six Months Ended June 30, 20152016 and 20162017

4

Consolidated Statements of Cash Flows—For the Six Months Ended June 30, 20152016 and 20162017

5

Notes to Consolidated Financial Statements

6

Item 2:2:

Management'sManagement’s Discussion and Analysis of Financial Condition and Results of Operations

33
26

Item 3:3:

Quantitative and Qualitative Disclosures about Market Risk

47
37

Item 4:4:

Controls and Procedures

47
37

PART II—IIOther Information:Information:

Item 1:1:

Legal Proceedings

48
38

Item 1A:1A:

Risk Factors

48
38

Item 2:2:

Unregistered Sales of Equity Securities and Use of Proceeds

48
38

Item 3:3:

Defaults Upon Senior Securities

49
38

Item 4:4:

Mine Safety Disclosures

49
39

Item 5:5:

Other Information

49
39

Item 6:6:

Exhibits

Exhibits

49
39

Signatures

Signatures

40

Exhibit Index

41

50


1



PART I—FINANCIAL INFORMATION

Item 1.  Financial Statements.


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(In thousands, except per share amounts)

 
 December 31,
2015
 June 30, 2016
(unaudited)
 

ASSETS

       

Current Assets:

       

Cash and cash equivalents

 $115,432 $198,656 

Restricted cash

  133,597  80,642 

Accounts receivable, less allowance for doubtful accounts of $3,246 and $3,384 at December 31, 2015 and June 30, 2016, respectively

  428,644  506,980 

Short-term investments (restricted investments of $277,556 and $246,968 at December 31, 2015 and June 30, 2016, respectively)

  322,339  284,604 

Pharmaceutical inventory

  50,749  62,995 

Other current assets (restricted deposits of $27,752 and $32,125 at December 31, 2015 and June 30, 2016, respectively)

  46,921  75,808 

Total Current Assets

  1,097,682  1,209,685 

Property and equipment, net

  174,745  173,933 

Restricted long-term investments

  3,826  3,054 

Deferred income taxes

  26,836  25,364 

Other long-term assets

  11,207  38,736 

Goodwill

  621,390  634,613 

Other intangible assets, net

  133,374  116,012 

Total Assets

 $2,069,060 $2,201,397 

LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST AND STOCKHOLDERS' EQUITY

       

Current Liabilities:

       

Accounts payable

 $86,484 $71,440 

Accrued liabilities

  139,726  171,102 

Short-term contingent consideration

  91,623  594 

Medical claims payable

  250,449  216,793 

Other medical liabilities

  136,939  136,637 

Current maturities of long-term debt and capital lease obligations

  19,014  50,516 

Total Current Liabilities

  724,235  647,082 

Long-term debt and capital lease obligations

  238,295  426,175 

Tax contingencies

  12,677  13,681 

Long-term contingent consideration

  803  3,214 

Deferred credits and other long-term liabilities

  20,930  21,975 

Total Liabilities

  996,940  1,112,127 

Redeemable non-controlling interest

  5,937  4,368 

Preferred stock, par value $.01 per share

  
 
  
 
 

Authorized—10,000 shares at December 31, 2015 and June 30, 2016—Issued and outstanding—none

     

Ordinary common stock, par value $.01 per share

       

Authorized—100,000 shares at December 31, 2015 and June 30, 2016—Issued and outstanding—51,340 shares and 24,692 shares at December 31, 2015, respectively, and 51,605 and 24,581 shares at June 30, 2016, respectively

  513  516 

Multi-Vote common stock, par value $.01 per share

       

Authorized—40,000 shares at December 31, 2015 and June 30, 2016—Issued and outstanding—none

     

Other Stockholders' Equity:

       

Additional paid-in capital

  1,124,013  1,150,756 

Retained earnings

  1,211,310  1,228,505 

Accumulated other comprehensive loss

  (262) (26)

Ordinary common stock in treasury, at cost, 26,648 shares and 27,024 shares at December 31, 2015 and June 30, 2016, respectively

  (1,269,391) (1,294,849)

Total Stockholders' Equity

  1,066,183  1,084,902 

Total Liabilities, Redeemable Non-Controlling Interest and Stockholders' Equity

 $2,069,060 $2,201,397 

 

 

 

 

 

 

 

 

 

 

 

 

 

June 30, 

 

 

 

December 31, 

 

2017

 

 

 

2016

    

 

(Unaudited)

    

ASSETS

 

 

 

 

 

 

 

Current Assets:

 

 

 

 

 

 

 

Cash and cash equivalents ($81,776 and $83,061 restricted at December 31, 2016 and June 30, 2017, respectively)

 

$

304,508

 

$

281,333

 

Accounts receivable, less allowance of $5,644 and $7,402 at December 31, 2016 and June 30, 2017, respectively

 

 

606,764

 

 

628,539

 

Short-term investments ($227,795 and $225,443 restricted at December 31, 2016 and June 30, 2017, respectively)

 

 

297,493

 

 

300,436

 

Pharmaceutical inventory

 

 

58,995

 

 

59,738

 

Other current assets ($38,785 and $32,997 restricted at December 31, 2016 and June 30, 2017, respectively)

 

 

51,507

 

 

73,259

 

Total Current Assets

 

 

1,319,267

 

 

1,343,305

 

Property and equipment, net

 

 

172,524

 

 

165,088

 

Long-term investments ($6,306 and $8,395 restricted at December 31, 2016 and June 30, 2017, respectively)

 

 

7,760

 

 

8,395

 

Deferred income taxes

 

 

3,125

 

 

4,911

 

Other long-term assets

 

 

12,725

 

 

26,845

 

Goodwill

 

 

742,054

 

 

745,997

 

Other intangible assets, net

 

 

186,232

 

 

165,102

 

Total Assets

 

$

2,443,687

 

$

2,459,643

 

LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST AND STOCKHOLDERS’ EQUITY

 

 

 

 

 

 

 

Current Liabilities:

 

 

 

 

 

 

 

Accounts payable

 

$

95,635

 

$

70,735

 

Accrued liabilities

 

 

202,176

 

 

179,053

 

Short-term contingent consideration

 

 

9,354

 

 

9,769

 

Medical claims payable

 

 

184,136

 

 

198,343

 

Other medical liabilities

 

 

197,856

 

 

189,628

 

Current debt and capital lease obligations

 

 

403,693

 

 

428,791

 

Total Current Liabilities

 

 

1,092,850

 

 

1,076,319

 

Long-term debt and capital lease obligations

 

 

214,686

 

 

201,148

 

Tax contingencies

 

 

13,981

 

 

15,168

 

Long-term contingent consideration

 

 

1,799

 

 

1,587

 

Deferred credits and other long-term liabilities

 

 

15,882

 

 

17,764

 

Total Liabilities

 

 

1,339,198

 

 

1,311,986

 

Redeemable non-controlling interest

 

 

4,770

 

 

3,919

 

Preferred stock, par value $.01 per share

 

 

 

 

 

 

 

Authorized—10,000 shares at December 31, 2016 and June 30, 2017-Issued and outstanding-none

 

 

 —

 

 

 —

 

Ordinary common stock, par value $.01 per share

 

 

 

 

 

 

 

Authorized—100,000 shares at December 31, 2016 and June 30, 2017-Issued and outstanding-51,993 and 23,517 shares at December 31, 2016, respectively, and 52,235 and 23,683 shares at June 30, 2017, respectively

 

 

520

 

 

522

 

Other Stockholders’ Equity:

 

 

 

 

 

 

 

Additional paid-in capital

 

 

1,186,283

 

 

1,212,427

 

Retained earnings

 

 

1,289,288

 

 

1,312,535

 

Accumulated other comprehensive loss

 

 

(175)

 

 

(174)

 

Treasury stock, at cost, 28,476 and 28,552 shares at December 31, 2016 and June 30, 2017, respectively

 

 

(1,376,197)

 

 

(1,381,572)

 

Total Stockholders’ Equity

 

 

1,099,719

 

 

1,143,738

 

Total Liabilities, Redeemable Non-Controlling Interest and Stockholders’ Equity

 

$

2,443,687

 

$

2,459,643

 

 

See accompanying notes to consolidated financial statements.


2



MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF INCOME

(Unaudited)

(In thousands, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

Three Months Ended

 

Six Months Ended

 

 

June 30, 

 

June 30, 

 

 

2016

    

2017

    

2016

    

2017

Net revenue:

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other

 

$

699,861

 

$

821,699

 

$

1,376,322

 

$

1,551,039

PBM and dispensing

 

 

464,484

 

 

597,440

 

 

905,045

 

 

1,173,723

Total net revenue

 

 

1,164,345

 

 

1,419,139

 

 

2,281,367

 

 

2,724,762

Costs and expenses:

 

 

 

 

 

 

 

 

 

 

 

 

Cost of care

 

 

472,529

 

 

583,264

 

 

930,160

 

 

1,065,318

Cost of goods sold

 

 

436,930

 

 

562,355

 

 

852,389

 

 

1,104,988

Direct service costs and other operating expenses (1)(2)(3)

 

 

214,077

 

 

231,372

 

 

406,533

 

 

452,858

Depreciation and amortization

 

 

25,580

 

 

27,731

 

 

50,587

 

 

54,707

Interest expense

 

 

1,994

 

 

4,900

 

 

3,742

 

 

9,048

Interest and other income

 

 

(692)

 

 

(1,071)

 

 

(1,375)

 

 

(2,020)

Total costs and expenses

 

 

1,150,418

 

 

1,408,551

 

 

2,242,036

 

 

2,684,899

Income before income taxes

 

 

13,927

 

 

10,588

 

 

39,331

 

 

39,863

Provision for income taxes

 

 

12,615

 

 

5,661

 

 

24,628

 

 

17,467

Net income

 

 

1,312

 

 

4,927

 

 

14,703

 

 

22,396

Less: net income (loss) attributable to non-controlling interest

 

 

(2,646)

 

 

(573)

 

 

(2,492)

 

 

(851)

Net income attributable to Magellan

 

$

3,958

 

$

5,500

 

$

17,195

 

$

23,247

Net income per common share attributable to Magellan:

 

 

 

 

 

 

 

 

 

 

 

 

Basic (See Note B)

 

$

0.17

 

$

0.24

 

$

0.73

 

$

1.01

Diluted (See Note B)

 

$

0.16

 

$

0.23

 

$

0.70

 

$

0.97

 
 Three Months Ended
June 30,
 Six Months Ended
June 30,
 
 
 2015 2016 2015 2016 

Net revenue:

             

Managed care and other

 $776,240 $699,861 $1,524,890 $1,376,322 

PBM and dispensing

  381,367  464,484  613,685  905,045 

Total net revenue

  1,157,607  1,164,345  2,138,575  2,281,367 

Cost and expenses:

             

Cost of care

  568,288  472,529  1,090,616  930,160 

Cost of goods sold

  361,409  436,930  579,616  852,389 

Direct service costs and other operating expenses(1)(2)(3)

  191,455  214,077  395,905  406,533 

Depreciation and amortization

  25,022  25,580  48,518  50,587 

Interest expense

  1,653  1,994  3,279  3,742 

Interest income

  (500) (692) (966) (1,375)

Total costs and expenses

  1,147,327  1,150,418  2,116,968  2,242,036 

Income before income taxes

  10,280  13,927  21,607  39,331 

Provision for income taxes

  5,987  12,615  10,120  24,628 

Net income

  4,293  1,312  11,487  14,703 

Less: net (loss) income attributable to non-controlling interest

  (350) (2,646) (444) (2,492)

Net income attributable to Magellan Health, Inc. 

 $4,643 $3,958 $11,931 $17,195 

Net income per common share attributable to Magellan Health, Inc.:

             

Basic (See Note B)

 $0.18 $0.17 $0.47 $0.73 

Diluted (See Note B)

 $0.17 $0.16 $0.45 $0.70 

(1)
Includes stock compensation expense of $13,795 and $9,510 for the three months ended June 30, 2015 and 2016, respectively, and $27,696 and $18,397 for the six months ended June 30, 2015 and 2016, respectively.

(2)
Includes changes in fair value of contingent consideration of $2,567 and $463 for the three months ended June 30, 2015 and 2016, respectively, and $17,536 and $197 for the six months ended June 30, 2015 and 2016, respectively.

(3)
Includes impairment of intangible assets of $4,800 for the three and six months ended June 30, 2016.

(1)

Includes stock compensation expense of $9,510 and $11,371 for the three months ended June 30, 2016 and 2017, respectively, and $18,397 and $21,511 for the six months ended June 30, 2016 and 2017, respectively.

(2)

Includes changes in fair value of contingent consideration of $463 and $252 for the three months ended June 30, 2016 and 2017, respectively, and $197 and $203 for the six months ended June 30, 2016 and 2017, respectively.

(3)

Includes impairment of intangible assets of $4,800 for the three and six months ended June 30, 2016.

See accompanying notes to consolidated financial statements.


3


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(Unaudited)

(In thousands)

 
 Three Months
Ended
June 30,
 Six Months Ended
June 30,
 
 
 2015 2016 2015 2016 

Net income

 $4,293 $1,312 $11,487 $14,703 

Other comprehensive income:

             

Unrealized (losses) gains on available-for-sale securities(1)

  (93) (2) (24) 236 

Comprehensive income

  4,200  1,310  11,463  14,939 

Less: comprehensive (loss) income attributable to non-controlling interest

  (350) (2,646) (444) (2,492)

Comprehensive income attributable to Magellan Health, Inc. 

 $4,550 $3,956 $11,907 $17,431 

(1)
Net of income tax (benefit) provision of $(48) and $1 for the three months ended June 30, 2015 and 2016, respectively, and $(2) and $147 for the six months ended June 30, 2015 and 2016, respectively.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

Three Months Ended

 

Six Months Ended

 

 

June 30, 

 

June 30, 

 

    

2016

    

2017

    

2016

    

2017

Net income

 

$

1,312

 

$

4,927

 

$

14,703

 

$

22,396

Other comprehensive income:

 

 

 

 

 

 

 

 

 

 

 

 

Unrealized (losses) gains on available-for-sale securities (1)

 

 

(2)

 

 

22

 

 

236

 

 

 1

Comprehensive income

 

 

1,310

 

 

4,949

 

 

14,939

 

 

22,397

Less: comprehensive income (loss) attributable to non-controlling interest

 

 

(2,646)

 

 

(573)

 

 

(2,492)

 

 

(851)

Comprehensive income attributable to Magellan

 

$

3,956

 

$

5,522

 

$

17,431

 

$

23,248

 


(1)

Net of income tax provision of $1 and $14 for the three months ended June 30, 2016 and 2017, respectively, and $147 and $2 for the six months ended June 30, 2016 and 2017, respectively.

See accompanying notes to consolidated financial statements.


4


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

FOR THE SIX MONTHS ENDED JUNE 30,

(Unaudited)

(In thousands)

 

 

 

 

 

 

 


 2015 2016 

    

2016

    

2017

 

Cash flows from operating activities:

     

 

 

 

 

 

 

 

Net income

 $11,487 $14,703 

 

$

14,703

 

$

22,396

 

Adjustments to reconcile net income to net cash provided by operating activities:

     

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

 

 

 

 

 

 

 

Depreciation and amortization

 48,518 50,587 

 

 

50,587

 

 

54,707

 

Non-cash impairment of intangible asset

  4,800 

Non-cash impairment of intangible assets

 

 

4,800

 

 

 —

 

Non-cash interest expense

 197 204 

 

 

204

 

 

578

 

Non-cash stock compensation expense

 27,696 18,397 

 

 

18,397

 

 

21,511

 

Non-cash income tax (benefit) provision

 (3,323) 1,570 

Non-cash income tax expense (benefit)

 

 

1,570

 

 

(1,520)

 

Non-cash amortization on investments

 2,966 3,147 

 

 

3,147

 

 

2,094

 

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

     

Restricted cash

 84,004 53,528 

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

 

 

 

 

 

 

 

Accounts receivable, net

 (32,064) (74,430)

 

 

(74,430)

 

 

(21,859)

 

Pharmaceutical inventory

 (2,919) (12,246)

 

 

(12,246)

 

 

(1,188)

 

Other assets

 (31,551) (56,460)

 

 

(56,460)

 

 

(21,974)

 

Accounts payable and accrued liabilities

 (72,439) 14,050 

 

 

14,522

 

 

(59,372)

 

Medical claims payable and other medical liabilities

 45,544 (34,460)

 

 

(34,460)

 

 

5,978

 

Contingent consideration

 36,245 (50,904)

 

 

(50,904)

 

 

203

 

Tax contingencies

 (578) 647 

 

 

647

 

 

764

 

Deferred credits and other long-term liabilities

 (1,059) 663 

 

 

663

 

 

1,882

 

Other

 (48) 23 

 

 

23

 

 

(364)

 

Net cash provided by (used in) operating activities

 112,676 (66,181)

Net cash (used in) provided by operating activities

 

 

(119,237)

 

 

3,836

 

Cash flows from investing activities:

     

 

 

 

 

 

 

 

Capital expenditures

 (37,653) (30,522)

 

 

(30,522)

 

 

(26,797)

 

Acquisitions and investments in businesses, net of cash acquired

 (55,943) (16,050)

 

 

(15,477)

 

 

(3,200)

 

Purchase of investments

 (293,348) (211,061)

 

 

(211,061)

 

 

(238,814)

 

Maturity of investments

 215,984 246,786 

 

 

246,786

 

 

233,143

 

Net cash used in investing activities

 (170,960) (10,847)

 

 

(10,274)

 

 

(35,668)

 

Cash flows from financing activities:

     

 

 

 

 

 

 

 

Proceeds from issuance of debt

  225,000 

 

 

225,000

 

 

200,000

 

Payments to acquire treasury stock

 (68,783) (25,458)

 

 

(25,458)

 

 

(5,000)

 

Proceeds from exercise of stock options and warrants

 49,170 9,691 

 

 

9,691

 

 

5,946

 

Payments on long-term debt and capital lease obligations

 (8,299) (9,401)

Payments on debt and capital lease obligations

 

 

(9,401)

 

 

(190,978)

 

Payments on contingent consideration

 (4,439) (39,958)

 

 

(39,958)

 

 

 —

 

Tax benefit from exercise of stock options and vesting of stock awards

 3,774 472 

Other

 (616) (94)

 

 

(94)

 

 

(1,311)

 

Net cash (used in) provided by financing activities

 (29,193) 160,252 

Net (decrease) increase in cash and cash equivalents

 (87,477) 83,224 

Net cash provided by financing activities

 

 

159,780

 

 

8,657

 

Net increase (decrease) in cash and cash equivalents

 

 

30,269

 

 

(23,175)

 

Cash and cash equivalents at beginning of period

 255,303 115,432 

 

 

249,029

 

 

304,508

 

Cash and cash equivalents at end of period

 $167,826 $198,656 

 

$

279,298

 

$

281,333

 

 

 

 

 

 

 

 

Supplemental cash flow data:

     

 

 

 

 

 

 

 

Non-cash investing activites:

     

Non-cash investing activities:

 

 

 

 

 

 

 

Property and equipment acquired under capital leases

 $1,987 $4,010 

 

$

4,010

 

$

2,418

 

 

See accompanying notes to consolidated financial statements.


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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

JUNE

June 30, 2016

2017

(Unaudited)

NOTE A—General

Basis of Presentation

The accompanying unaudited consolidated financial statements of Magellan Health, Inc., a Delaware corporation ("Magellan"(“Magellan”), include Magellan and its subsidiaries (together with Magellan, the "Company"“Company”). The financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the Securities and Exchange Commission'sCommission’s (the "SEC"“SEC”) instructions to Form 10-Q. Accordingly, the financial statements do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. In the opinion of management, all adjustments, consisting of normal recurring adjustments considered necessary for a fair presentation, have been included. The results of operations for the three and six months ended June 30, 20162017 are not necessarily indicative of the results to be expected for the full year. All significant intercompany accounts and transactions have been eliminated in consolidation.

These unaudited consolidated financial statements should be read in conjunction with the Company'sCompany’s audited consolidated financial statements for the year ended December 31, 20152016 and the notes thereto, which are included in the Company'sCompany’s Annual Report on Form 10-K filed with the SEC on February 29, 2016.24, 2017.

Business Overview

The Company is engaged in the healthcare management business, and is focused on managing the fastest growing, most complex areas of health, including special populations, complete pharmacy benefits and other specialty areas of healthcare. The Company develops innovative solutions that combine advanced analytics, agile technology and clinical excellence to drive better decision making, positively impact health outcomes and optimize the cost of care for the members we serve. The Company provides services to health plans and other managed care organizations ("MCOs"(“MCOs”), employers, labor unions, various military and governmental agencies and third party administrators ("TPAs"(“TPAs”).

Healthcare

Healthcare includes the Company's:Company’s: (i) management of behavioral healthcare services and employee assistance program ("EAP"(“EAP”) services, (ii) management of other specialty areas including diagnostic imaging and musculoskeletal management, and (iii) the integrated management of physical, behavioral and pharmaceutical healthcare for special populations, delivered through Magellan Complete Care ("MCC"(“MCC”). These special populations include individuals with serious mental illness ("SMI"(“SMI”), dual eligibles, long-termlong‑term services and supports and other populations with unique and often complex healthcare needs.

The Company'sCompany’s coordination and management of these healthcare services are provided through its comprehensive network of medical and behavioral health professionals, clinics, hospitals and ancillary service providers. This network of credentialed and privileged providers is integrated with clinical and quality improvement programs to improve access to care and enhance the healthcare experience for individuals in need of care, while at the same time making the cost of these services


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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

more affordable for our customers. The Company generally does not directly provide or own any provider of treatment services, although it does employ licensed behavioral health counselors to deliver non-medicalnon‑medical counseling under certain government contracts.

The Healthcare segment'ssegment’s commercial division serves a variety of customers, with services, inclusive of special population management, provided under contracts with health plans and accountable care organizations for some or all of their commercial, Medicaid and Medicare members, as well as with employers. The government division contracts with local, state and federal governmental agencies to provide services to recipients under Medicaid, Medicare and other government programs.

The Company provides its management services primarily through: (i) risk-basedrisk‑based products, where the Company assumes all or a substantial portion of the responsibility for the cost of providing treatment services in exchange for a fixed per member per month fee and (ii) administrative services only ("ASO"(“ASO”) products, where the Company provides

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2017

(Unaudited)

services such as utilization review, claims administration and/or provider network management, but does not assume responsibility for the cost of the treatment services.

Pharmacy Management

The Pharmacy Management segment ("(“Pharmacy Management"Management”) comprises products and solutions that provide clinical and financial management of pharmaceuticals paid under medical and pharmacy benefit programs. Pharmacy Management'sManagement’s services include: (i) pharmacy benefit management ("PBM"(“PBM”) services; (ii) pharmacy benefit administration ("PBA"(“PBA”) for state Medicaid and other government sponsored programs; (iii) pharmaceutical dispensing operations; (iv) clinical and formulary management programs; (v) medical pharmacy management programs; and (vi) programs for the integrated management of specialty drugs across both the medical and pharmacy benefit that treat complex conditions, regardless of site of service, method of delivery, or benefit reimbursement.

Pharmacy Management'sManagement’s services are provided under contracts with health plans, employers, MCOs, state Medicaid programs, Medicare Part D and other government agencies, and encompass risk-basedrisk‑based and fee-for-service ("FFS"fee‑for‑service (“FFS”) arrangements. In addition, Pharmacy Management has subcontract arrangements to provide PBM services for certain Healthcare customers.

Corporate

This segment of the Company is comprised primarily of amounts not allocated to the Healthcare and Pharmacy Management segments includingthat are largely associated with costs related to being a publicly traded company. In order to better represent the operations of the Company's segments, effective January 1, 2016, the Company began allocating operational and corporate support costs to the Healthcare and Pharmacy segments. These costs, which were historically reported in the Corporate segment, include operational support functions such as sales and marketing and information technology, as well as corporate support functions such as executive, finance and human resources. Prior period balances have been reclassified to reflect this change.


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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

Summary of Significant Accounting Policies

Recent Accounting Pronouncements

In May 2014, the Financial Accounting Standards Board ("FASB"(“FASB”) issued Accounting Standards Update ("ASU"(“ASU”) No. 2014-09, "Revenue“Revenue from Contracts with Customers (Topic 606)" ("” (“ASU 2014-09"2014-09”), which is a new comprehensive revenue recognition standard that will supersede virtually all existing revenue guidance under GAAP. In March 2016, the FASB issued ASU 2016-08, "Revenue“Revenue from Contracts with Customers (Topic 606): Principal versus Agent Considerations (Reporting Revenue Gross versus Net)" ("” (“ASU 2016-08"2016-08”), which clarifies the implementation guidance on principal versus agent considerations. In April 2016, the FASB issued ASU NoNo. 2016-10, "Revenue“Revenue from Contracts with Customers (Topic 606): Identifying Performance Obligations and Licensing" ("Licensing” (“ASU 2016-10"2016-10”), which clarifies the performance obligations and licensing implementation guidance of ASU 2014-09. In July 2015, the FASB approved to deferdeferred the effective date of ASU 2014-09. These ASUs are effective for calendar years beginning afterIn December 15, 2017. The Company is currently assessing the potential impact this ASU will have on the Company's consolidated results of operations, financial position and cash flows.

        In June 2014,2016, the FASB issued ASU No. 2014-12, "Compensation—Stock Compensation (Topic 718): Accounting for Share-Based Payments When the Terms of an Award Provide That a Performance Target Could Be Achieved After the Requisite Service Period" ("2016-20, “Technical Corrections and Improvements to Topic 606, Revenue from Contracts with Customers” (“ASU 2014-12"2016-20”), which revises the accounting treatment for stock compensation tied to performance targets.amends various aspects of ASU 2014-09. The amendments in this ASU are effective for calendar years beginning after December 15, 2015 and were adopted by the Company during the quarter ended March 31, 2016. The effect of this guidance was immaterial to the Company's consolidated results of operations, financial position or cash flows.

        In August 2014, the FASB issued ASU No. 2014-15, "Presentation of Financial Statements—Going Concern (Subtopic 205-40)" ("ASU 2014- 15"), which provides guidance in GAAP about management's responsibility to evaluate whether there is substantial doubt about an entity's ability to continue as a going concern and to provide related footnote disclosures. This amendment should reduce diversity in the timing and content of footnote disclosures. This ASU is effective for the annual period beginning after December 15, 2016 and for annual and interim reporting periods thereafter. The guidance is not expected to materially impact the Company's consolidated results of operations, financial position or cash flows.

        In February 2015, the FASB issued ASU No. 2015-02, "Amendments to the Consolidation Analysis" ("ASU 2015-02"), which amends certain requirements for determining whether a variable interest entity must be consolidated. The amendments in this ASUthese ASUs are effective for annual and interim reporting periods of public entities beginning after December 31, 201515, 2017. The Company has identified its major revenue streams and were adopted byis in the process of completing formal contract reviews. While the Company duringcontinues to assess all of the quarter ended March 31, 2016. The effectpotential impacts of this guidance was immaterial tothese ASUs, the Company'sCompany does not expect implementation of these ASUs will have a significant impact on the Company’s consolidated results of operations, financial position orand cash flows.

        In April 2015, The Company continues to assess the FASB issued ASU No. 2015-05, "Intangibles—Goodwilldisclosure requirements prescribed by these ASUs and Other—Internal—Use Software (Subtopic 350-40): Customer's Accounting for Fees Paid in a Cloud Computing Arrangement" ("ASU 2015-05"), which provides guidanceit may be required to clarifyexpand its disclosures. The Company intends to adopt the customer's accounting for fees


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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

paid in a cloud computing arrangement. The amendments in this ASU are effective for annual and interim reporting periods of public entities beginning after December 31, 2015 and were adopted by the Companynew standard on a prospective basis during the quarter ended March 31, 2016. The effect of this guidance was immaterial to the Company's consolidated results of operations, financial position or cash flows.modified retrospective basis.

In July 2015, the FASB issued ASU No. 2015-11, "Inventory2015‑11, “Inventory (Topic 330): Simplifying the Measurement of Inventory" ("Inventory” (“ASU 2015-11"2015‑11”). The amendment under this ASU requires that an entity measure inventory at the lower of cost or net realizable value. This guidance is effective for annual and interim reporting periods of public entities beginning after December 15, 2016.2016 and was adopted by the Company in the quarter ended March 31, 2017. The effect of this guidance is not expectedwas immaterial to materially impact the Company'sCompany’s consolidated results of operations, financial position orand cash flows.

        In September 2015, the FASB issued ASU No. 2015-16, "Business Combinations (Topic 805): Simplifying the Accounting for Measurement Period Adjustments" ("ASU 2015-16"). The amendment under this ASU requires that an acquirer recognize adjustments to provisional amounts that are identified during the measurement period in the reporting period in which the adjustment amounts are determined. The amendments in this ASU are effective for calendar years beginning after December 15, 2015 and were adopted by the Company during the quarter ended March 31, 2016. The effect of this guidance is immaterial to the Company's consolidated results of operations, financial position or cash flows.

In February 2016, the FASB issued ASU No. 2016-02, "Leases" ("2016‑02, “Leases” (“ASU 2016-02"2016‑02”). This ASU amends the existing accounting standards for lease accounting, including requiring lessees to recognize most leases on their balance sheets. This guidance is effective for annual and interim reporting periods of public entities beginning after

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2017

(Unaudited)

December 15, 2018, with early adoption permitted. The Company is currently assessing the impact of adoption, but believes the effect of this ASU will have a material effect on the Company’s consolidated balance sheets. The Company is currently assessing the potential impact this ASU will have on the Company'sCompany’s consolidated results of operations, financial position and cash flows.

        In March 2016, the FASB issued ASU No. 2016-09, "Compensation—Stock Compensation (Topic 718)" ("ASU 2016-09"). This ASU amends the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities and classification on the statement of cash flows. This guidance is effective for annual and interim reporting period of public entities beginning after December 15, 2017, with early adoption permitted. The Company is currently assessing the potential impact this ASU will have on the Company's consolidated results of operations, financial position and cash flows.

In June 2016, the FASB issued ASU No. 2016-13, "Financial Instruments—Credit“Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments" ("Instruments” (“ASU 2016-13"2016-13”). This ASU amends the accounting on reporting credit losses for assets held at amortized cost basis and available for sale debt securities. This guidance is effective for annual and interim periods of public entities beginning after December 15, 2019, with early adoption permitted for fiscal years beginning after December 31, 2018. The Company is currently assessing the potential impact this ASU will have on the Company'sCompany’s consolidated results of operation, financial position and cash flows.

In August 2016, the FASB issued ASU No. 2016-15, “Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments” (“ASU 2016-15”). This ASU makes eight targeted changes to how cash receipts and cash payments are presented and classified in the statement of cash flows. This guidance is effective for annual and interim periods of public entities beginning after December 15, 2017, with early adoption permitted. The Company is currently assessing the potential impact this ASU will have on the Company’s consolidated results of operation, financial positions and cash flows.

In October 2016, the FASB issued ASU 2016-16, “Income Taxes (Topic 740): Intra-Entity Transfers of Assets Other Than Inventory” (“ASU 2016-16”). The amendments in this ASU require that entities recognize the income tax consequences of an intra-entity transfer of an asset other than inventory when the transfer occurs. This guidance is effective for annual and interim periods of public entities beginning after December 15, 2017, with early adoption permitted. The Company is currently assessing the potential impact this ASU will have on the Company’s consolidated results of operation, financial positions and cash flows.

In December 2016, the FASB issued ASU 2016-19, “Technical Corrections and Improvements” (“ASU 2016-19”). The amendments in this ASU cover a wide range of Topics in the Accounting Standard Codification, including internal use software covered under Subtopic 350-40. This guidance is effective for annual and interim periods of public entities beginning after December 15, 2016 and was adopted by the Company in the quarter ended March 31, 2017. The effect of this guidance was immaterial to the Company’s consolidated results of operations, financial position and cash flows.

In January 2017, the FASB issued ASU No. 2017-01, “Business Combinations (Topic 805): Clarifying the Definition of a Business” (“ASU 2017-01”). The amendments in this ASU clarify whether transactions should be accounted for as acquisitions (or disposals) of assets or businesses. This guidance is effective for annual and interim periods of public entities beginning after December 15, 2017, with early adoption permitted. The Company is currently assessing the potential impact this ASU will have on the Company’s consolidated results of operations, financial position and cash flows.

In January 2017, the FASB issued ASU No. 2017-04, “Intangibles-Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment” (“ASU 2017-04”). The amendments in this ASU eliminate the requirement to calculate the implied fair value of goodwill to measure a goodwill impairment charge. This guidance is effective for annual and interim periods of public entities beginning after December 15, 2019, with early adoption permitted. The Company is currently assessing the potential impact this ASU will have on the Company’s consolidated results of operations, financial position and cash flows.

In May 2017, the FASB issued ASU No. 2017-09, “Compensation-Stock Compensation (Topic 718): Scope of Modification Accounting” (“ASU 2017-09”). The amendments in this ASU include guidance on determining which changes to the terms and conditions of share-based payment awards require an entity to apply modification accounting under Topic 718. This guidance is effective for annual and interim periods of public entities beginning after December 15, 2017, with early adoption permitted. The Company is currently assessing the potential impact this ASU will have on the Company’s consolidated results of operations, financial position and cash flows.


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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNEJune 30, 20162017

(Unaudited)

NOTE A—General (Continued)

Use of Estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Significant estimates of the Company include, among other things, accounts receivable realization, valuation allowances for deferred tax assets, valuation of goodwill and intangible assets, medical claims payable, other medical liabilities, contingent consideration, stock compensation assumptions, tax contingencies and legal liabilities. Actual results could differ from those estimates.

Managed Care and Other Revenue

Managed Care Revenue.  Managed care revenue, inclusive of revenue from the Company'sCompany’s risk, EAP and ASO contracts, is recognized over the applicable coverage period on a per member basis for covered members. The Company is paid a per member fee for all enrolled members, and this fee is recorded as revenue in the month in which members are entitled to service. The Company adjusts its revenue for retroactive membership terminations, additions and other changes, when such adjustments are identified, with the exception of retroactivity that can be reasonably estimated. The impact of retroactive rate amendments is generally recorded in the accounting period thatin which terms to the amendment are finalized, and that the amendment is executed.finalized. Any fees paid prior to the month of service are recorded as deferred revenue. Managed care revenues approximated $668.6 million and $1,314.9 million for the three and six months ended June 30, 2015, respectively and $570.8 million and $1,115.8 million for the three and six months ended June 30, 2016, respectively, and $647.2 million and $1,206.3 million for the three and six months ended June 30, 2017, respectively.

        Fee-For-Service,Fee‑For‑Service, Fixed Fee and Cost-PlusCost‑Plus Contracts.  The Company has certain contracts with customers under which the Company recognizes revenue as services are performed and as costs are incurred. This includes revenues received in relation to the Patient Protection and Affordable Care Act health insurer fee ("(“HIF fee"fee”) billed on a cost reimbursement basis. The Consolidated Appropriations Act of 2016 imposed a one-year moratorium on the HIF fee, suspending its application for 2017. Revenues from these contracts approximated $86.7 million and $163.6 million for the three and six months ended June 30, 2015, respectively, and $102.6 million and $205.6 million for the three and six months ended June 30, 2016, respectively, and $144.2 million and $287.9 million for the three and six months ended June 30, 2017, respectively.

Rebate Revenue.  The Company administers a rebate program for certain clients through which the Company coordinates the achievement, calculation and collection of rebates and administrative fees from pharmaceutical manufacturers on behalf of clients. Each period, the Company estimates the total rebates earned based on actual volumes of pharmaceutical purchases by the Company'sCompany’s clients, as well as historical and/or anticipated sharing percentages. The Company earns fees based upon the volume of rebates generated for its clients. The Company does not record as rebate revenue any rebates that are passed through to its clients. Total rebate revenues approximated $16.9 million and $32.8 million for the three and six months ended June 30, 2015, respectively, and $21.3 million and $41.1 million for the three and six months ended June 30, 2016, respectively, and $21.2 million and $43.5 million for the three and six months ended June 30, 2017, respectively.

In relation to the Company'sCompany’s PBM business, the Company administers rebate programs through which it receives rebates from pharmaceutical manufacturers that are shared with its customers. The


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

Company recognizes rebates when the Company is entitled to them and when the amounts of the rebates are determinable. The amount recorded for rebates earned by the Company from the pharmaceutical manufacturers is recorded as a reduction of cost of goods sold.

PBM and Dispensing Revenue

Pharmacy Benefit Management Revenue.  The Company recognizes PBM revenue, which consists of a negotiated prescription price (ingredient cost plus dispensing fee), co-paymentsco‑payments collected by the pharmacy and any associated administrative fees, when claims are adjudicated. The Company recognizes PBM revenue on a gross basis (i.e. including drug costs and co-payments)co‑payments) as it is acting as the principal in the arrangement and is contractually obligated to its clients and network pharmacies, which is a primary indicator of gross reporting. In addition, the Company is solely responsible for the claims adjudication process, negotiating the prescription price for the pharmacy, collection of payments from the client for drugs dispensed by the pharmacy, and managing the total prescription drug relationship with the client'sclient’s members. If the Company enters into a contract where it is only an administrator, and does

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2017

(Unaudited)

not assume any of the risks previously noted, revenue will be recognized on a net basis. PBM revenues approximated $330.0 million and $515.8 million for the three and six months ended June 30, 2015, respectively, and $362.0 million and $697.0 million for the three and six months ended June 30, 2016, respectively, and $436.0 million and $868.9 million for the three and six months ended June 30, 2017, respectively.

Dispensing Revenue.  The Company recognizes dispensing revenue, which includes the co-paymentsco‑payments received from members of the health plans the Company serves, when the specialty pharmaceutical drugs are shipped. At the time of shipment, the earnings process is complete; the obligation of the Company'sCompany’s customer to pay for the specialty pharmaceutical drugs is fixed, and, due to the nature of the product, the member may neither return the specialty pharmaceutical drugs nor receive a refund. Revenues from the dispensing of specialty pharmaceutical drugs on behalf of health plans were $51.4 million and $97.9 million for the three and six months ended June 30, 2015, respectively, and $54.4 million and $109.7 million for the three and six months ended June 30, 2016, respectively, and $53.2 million and $108.4 million for the three and six months ended June 30, 2017, respectively.

Medicare Part D.The Company is contracted with the Centers for Medicare and Medicaid Services ("CMS"(“CMS”) as a Prescription Drug Plan ("PDP"(“PDP”) to provide prescription drug benefits to Medicare beneficiaries. Net revenues include insurance premiums earned by the PDP, which includes a direct premium paid by CMS and a beneficiary premium paid by the PDP member. In cases of low-income members, the beneficiary premium may be subsidized by CMS. The Company recognizes insurance premium revenues on a monthly basis on a per member basis for covered members. In addition to these premiums, net revenuesrevenue includes certain payments from the members based on the members'members’ actual prescription claims, including co-payments, coverage gap benefits, deductibles and co-insurance (collectively, "Member Responsibilities"“Member Responsibilities”). The Company receives a prospective subsidy payment from CMS each month to subsidize a portion of the Member Responsibilities for low-income members. If the prospective subsidy differs from actual prescription claims, the difference is recorded as either a receivable or payable on the consolidated balance sheets. The Company assumes no risk for the Member Responsibilities, including the portion subsidized by CMS. The Company recognizes revenues for Member Responsibilities, including the portion subsidized by CMS, on a gross basis as claims are adjudicated. The CMS also provides an annual risk corridor adjustment which compares the


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

Company's Company’s actual drug costs incurred to the premiums received. Based on the risk corridor adjustment, the Company may receive additional premiums from CMS or may be required to refund CMS a portion of previously received premiums. The Company calculates the risk corridor adjustment on a quarterly basis and the amount is included in net revenues with a corresponding receivable or payable on the consolidated balance sheets. Medicare Part D revenues approximated $48.1$65.2 million and $98.4$115.5 million for the three and six months ended June 30, 2016.2016, respectively, including co-payments, which are included in PBM revenues above, of $7.6 million and $17.1 million for the three and six months ended June 30, 2016, respectively. Medicare Part D revenues approximated $124.5 million and $236.1 million for the three and six months ended June 30, 2017, respectively, including co-payments, which are included in PBM revenues above, of $16.3 million and $39.7 million for the three and six months ended June 30, 2017, respectively. As of December 31, 2016 and June 30, 2017, the Company had $117.5 million and $146.3 million, respectively, in net receivables associated with Medicare Part D from CMS and other parties related to this business.

Significant Customers

Customers exceeding ten percent of the consolidated Company'sCompany’s net revenues

        The Company provides behavioral healthcare management and other related services to members in the state of Florida pursuant to contracts with the State of Florida (the "Florida Contracts"). The Company had behavioral healthcare contracts with various areas in the State of Florida (the "Florida Areas") which were part of the Florida Medicaid program. The State of Florida implemented a new system of mandated managed care through which Medicaid enrollees receive integrated healthcare services, and in 2014 phased out the behavioral healthcare programs under which the Florida Areas' contracts operated. The Company has a contract with the State of Florida to provide integrated healthcare services underto Medicaid enrollees in the new program ("state of Florida (“the Florida Medicaid Contract"Contract”). The Florida Medicaid Contract began on February 4, 2014 and extends through December 31, 2018, unless sooner terminated by the parties. The State of Florida has the right to terminate the Florida Medicaid Contract with cause, as defined, upon 24 hour notice and upon 30 days notice for any reason or no reason at all. The Florida ContractsContract generated net revenues of $218.0$267.8 million and $267.8$300.1 million for the six months ended June 30, 20152016 and 2016,2017, respectively.

        Through December 31, 2015, the Company provided behavioral healthcare management and other related services to members in the state

10


Table of Iowa pursuant to contracts with the State of Iowa (the "Iowa Contracts"). The Iowa Contracts terminated on December 31, 2015. The Iowa Contracts generated net revenues of $261.9 million and $7.4 million for the six months ended Contents

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2015 and 2016, respectively.2017

(Unaudited)

Customers exceeding ten percent of segment net revenues

In addition to the Florida Contracts and the Iowa ContractsContract, previously discussed, the following customers generated in excess of ten percent of net revenues for the respective segment for the six months ended June 30, 20152016 and 20162017 (in thousands):

 

 

 

 

 

 

 

 

 

 

Segment

    

Term Date

    

2016

    

2017

 

 

 

 

 

 

 

 

 

 

 

Healthcare

 

 

 

 

 

 

 

 

 

None

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pharmacy Management

 

 

 

 

 

 

 

 

 

Customer A

 

December 31, 2016 (1)

 

$

193,956

 

$

2,690

*

Customer B

 

March 31, 2019

 

 

 —

 

 

184,364

 


*     Revenue amount did not exceed 10 percent of net revenues for the respective segment for the year presented. Amount is shown for comparative purposes only.

(1)

A vast majority of this customer’s revenues were generated from drug acquisition costs related to PBM services which terminated on September 1, 2016. The Company continues to provide specialty distribution services to the customer and is in negotiations with the customer to extend this contract.

Segment
 Term Date 2015 2016 

Healthcare

         

None

         

Pharmacy Management

 

 

  
 
  
 
 

Customer A

 December 31, 2016 $158,132 $193,956 

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

Concentration of Business

The Company also has a significant concentration of business with various counties in the State of Pennsylvania (the "Pennsylvania Counties"“Pennsylvania Counties”) which are part of the Pennsylvania Medicaid program, and with members under its contract with CMS.CMS and with various agencies and departments of the United States federal government. Net revenues from the Pennsylvania Counties in the aggregate totaled $186.1$226.0 million and $226.0$232.4 million for the six months ended June 30, 20152016 and 2016,2017, respectively. Net revenues from members in relation to its contract with CMS in aggregate totaled $115.5 million and $236.1 million for the six months ended June 30, 2016 and 2017, respectively. Net revenues from contracts with various agencies and departments of which $98.4the United States federal government in aggregate totaled $82.5 million is Medicare Part D revenue.and $177.5 million for the six months ended June 30, 2016 and 2017, respectively.

The Company'sCompany’s contracts with customers typically have terms of one to three years, and in certain cases contain renewal provisions (at the customer'scustomer’s option) for successive terms of between one and two years (unless terminated earlier). Substantially all of these contracts may be immediately terminated with cause and many of the Company'sCompany’s contracts are terminable without cause by the customer or the Company either upon the giving of requisite notice and the passage of a specified period of time (typically between 60 and 180 days) or upon the occurrence of other specified events. In addition, the Company'sCompany’s contracts with federal, state and local governmental agencies generally are conditioned on legislative appropriations. These contracts generally can be terminated or modified by the customer if such appropriations are not made.

Fair Value Measurements

The Company has certain assets and liabilities that are required to be measured at fair value on a recurring basis. These assets and liabilities are to be measured using inputs from the three levels of the fair value hierarchy, which are as follows:


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

In accordance with the fair value hierarchy described above, the following table shows the fair value of the Company'sCompany’s assets and liabilities that are required to be measured at fair value as of December 31, 20152016 and June 30, 20162017 (in thousands):

 
 December 31, 2015 
 
 Level 1 Level 2 Level 3 Total 

Assets

             

Cash and cash equivalents(1)

 $ $6,009 $ $6,009 

Restricted cash(2)

    82,808    82,808 

Investments:

  
 
  
 
  
 
  
 
 

U.S. government and agency securities

  5,514      5,514 

Obligations of government-sponsored enterprises(3)

    50,525    50,525 

Corporate debt securities

    268,976    268,976 

Certificates of deposit

    1,150    1,150 

Total assets held at fair value

 $5,514 $409,468 $ $414,982 

Liabilities

             

Contingent consideration

 $ $ $92,426 $92,426 

Total liabilities held at fair value

 $ $ $92,426 $92,426 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

December 31, 2016

 

 

    

Level 1

    

Level 2

    

Level 3

    

Total

 

Assets

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents (1)

    

$

 —

    

$

177,495

    

$

 —

    

$

177,495

 

Investments:

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. Government and agency securities

 

 

5,817

 

 

 —

 

 

 —

 

 

5,817

 

Obligations of government-sponsored enterprises (2)

 

 

 —

 

 

25,767

 

 

 —

 

 

25,767

 

Corporate debt securities

 

 

 —

 

 

272,219

 

 

 —

 

 

272,219

 

Certificates of deposit

 

 

 —

 

 

1,450

 

 

 —

 

 

1,450

 

Total assets held at fair value

 

$

5,817

 

$

476,931

 

$

 —

 

$

482,748

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Liabilities

 

 

 

 

 

 

 

 

 

 

 

 

 

Contingent consideration

 

$

 —

 

$

 —

 

$

11,153

 

$

11,153

 

Total liabilities held at fair value

 

$

 —

 

$

 —

 

$

11,153

 

$

11,153

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

June 30, 2017

 

 

    

Level 1

    

Level 2

    

Level 3

    

Total

 

Assets

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents (3)

    

$

 —

    

$

116,659

    

$

 —

    

$

116,659

 

Investments:

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. Government and agency securities

 

 

5,971

 

 

 —

 

 

 —

 

 

5,971

 

Obligations of government-sponsored enterprises (4)

 

 

 —

 

 

26,229

 

 

 —

 

 

26,229

 

Corporate debt securities

 

 

 —

 

 

270,255

 

 

 —

 

 

270,255

 

Taxable municipal bonds

 

 

 —

 

 

5,026

 

 

 —

 

 

5,026

 

Certificates of deposit

 

 

 —

 

 

1,350

 

 

 —

 

 

1,350

 

Total assets held at fair value

 

$

5,971

 

$

419,519

 

$

 —

 

$

425,490

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Liabilities

 

 

 

 

 

 

 

 

 

 

 

 

 

Contingent consideration

 

$

 —

 

$

 —

 

$

11,356

 

$

11,356

 

Total liabilities held at fair value

 

$

 —

 

$

 —

 

$

11,356

 

$

11,356

 

 
 June 30, 2016 
 
 Level 1 Level 2 Level 3 Total 

Assets

             

Cash and cash equivalents(4)

 $ $65,785 $ $65,785 

Restricted cash(5)

    59,706    59,706 

Investments:

  
 
  
 
  
 
  
 
 

U.S. government and agency securities

  5,132      5,132 

Obligations of government-sponsored enterprises(6)

    54,708    54,708 

Corporate debt securities

    226,668    226,668 

Certificates of deposit

    1,150    1,150 

Total assets held at fair value

 $5,132 $408,017 $ $413,149 

Liabilities

             

Contingent consideration

 $ $ $3,808 $3,808 

Total liabilities held at fair value

 $ $ $3,808 $3,808 

(1)
Excludes $109.4 million of cash held in bank accounts by the Company.

(2)
Excludes $50.8 million of restricted cash held in bank accounts by the Company.

(1)

Excludes $127.0 million of cash held in bank accounts by the Company.


(2)

Includes investments in notes issued by the Federal Home Loan Bank, Federal Farm Credit Banks and Federal National Mortgage Association.

(3)

Excludes $164.7 million of cash held in bank accounts by the Company.

(4)

Includes investments in notes issued by the Federal Home Loan Bank and Federal Farm Credit Banks.

Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

(3)
Includes investments in notes issued by the Federal Home Loan Bank and Federal Farm Credit Banks.

(4)
Excludes $132.9 million of cash held in bank accounts by the Company.

(5)
Excludes $20.9 million of restricted cash held in bank accounts by the Company.

(6)
Includes investments in notes issued by the Federal Home Loan Bank, Federal National Mortgage Association and Federal Farm Credit Banks.

For the six months ended June 30, 2016,2017, the Company has not transferred any assets between fair value measurement levels.

The carrying values of financial instruments, including accounts receivable, and accounts payable and revolving loan borrowings, approximate their fair values due to their short-term maturities. The estimated fair value of the Company'sCompany’s term loans of $428.1$606.2 million as of June 30, 20162017 was based on current interest rates for similar types of

12


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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2017

(Unaudited)

borrowings and is in Level 2 of the fair value hierarchy. The estimated fair values may not represent actual values of the financial instruments that could be realized as of the balance sheet date or that will be realized in the future.

All of the Company'sCompany’s investments are classified as "available-for-sale"“available-for-sale” and are carried at fair value.

The contingent consideration liability reflects the fair value of potential future payments related to the CDMI, LLC ("CDMI"), Cobalt Therapeutics, LLC ("Cobalt"(“Cobalt”), 4D Pharmacy Management Systems, Inc. ("4D") and The Management Group, LLC ("TMG"(“TMG”) and Armed Forces Services Corporation (“AFSC”) acquisitions. The CDMICobalt, TMG and AFSC purchase agreement provides for potential contingent payments up to a maximum aggregate amount of $165.0 million. The potential future payments are contingent upon CDMI meeting certain client retention, client conversion and gross profit milestones through December 31, 2016. The 4D purchase agreement provided for potential contingent payments up to a maximum aggregate amount of $30.0 million. The potential future payments were contingent upon the achievement of certain growth targets in the underlying dual eligible membership served by 4D during calendar year 2015 and the retention of certain business. The Cobalt and TMG purchase agreements also provide for potential contingent payments of up to a maximum of $6.0 million, and $15.0 million and $10.0 million, respectively. As of June 30, 2017, there are remaining potential future payments of $5.0 million, $15.0 million and $10.0 million for Cobalt, TMG and AFSC, respectively.

As of the balance sheet date, the fair value of contingent consideration is determined based on probabilities of payment, projected payment dates, discount rates, projected revenues, gross profits, client base,operating income, member engagement and new contract execution. The projected revenues, gross profits, client base, member engagement and new contract execution are derived from the Company's latest internal operational forecasts. The Company used a probability weighted discounted cash flow method to arrive at the fair value of the contingent consideration. Changes in the operational forecasts, probabilities of payment, discount rates or projected payment dates may result in a change in the fair value measurement. Any changes in the fair value measurement are reflected as income or expense in the consolidated statements of income. As the fair value measurement for the contingent consideration is based on inputs not observed in the market, these measurements are classified as Level 3 measurements as defined by fair value measurement guidance.


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

        For CDMI, the Company estimated undiscounted future contingent payments of $90.1 million as of December 31, 2015, which the Company settled in June 2016. For 4D, the Company estimated net undiscounted future contingent payments of $1.0 million as of December 31, 2015, which the Company settled in February 2016. For Cobalt and TMG the The unobservable inputs used in the fair value measurement include the discount rate, probabilities of payment and projected payment dates.

 

As of December 31, 2016 and June 30, 2017, the Company estimated undiscounted future contingent payments of $12.7 million and $12.3 million, respectively. The net decrease was mainly due to changes in operational forecasts and probabilities of payment. As of June 30, 2017, the aggregate amounts and projected dates of future potential contingent consideration payments were $10.0 million in 2017 and $2.3 million in 2020.

As of December 31, 2016, the fair value of the short-term and long-term contingent consideration was $0.6$9.4 million and $3.2$1.8 million, respectively, and is included in short-term contingent consideration and long-term contingent consideration, respectively, in the consolidated balance sheets. As of June 30, 2017, the fair value of the short-term and long-term contingent consideration was $9.8 million and $1.6 million, respectively, and is included in short-term contingent consideration and long-term contingent consideration, respectively, in the consolidated balance sheets.

The change in the fair value of the contingent consideration was $0.5 million and $0.2 million for the three and six months ended June 30, 2016, respectively, and $0.3 million and $0.2 million for the three and six months ended June 30, 2017, respectively, which waswere recorded as direct service costs and other operating expenses in the consolidated statements of income. The increase wasdecreases were mainly a result of changes in present value and the estimated undiscounted liability.

The following table summarizes the Company'sCompany’s liability for contingent consideration for the six months ended June 30, 2017 (in thousands):

 
 June 30,
2016
 

Balance as of beginning of period

 $92,426 

Acquistion of TMG

  2,244 

Change in fair value

  197 

Net payments

  (91,059)

Balance as of end of period

 $3,808 

 

 

 

 

 

 

    

June 30, 

 

 

    

2017

 

Balance as of beginning of period

 

$

11,153

 

Changes in fair value

 

 

203

 

Payments

 

 

 —

 

Balance as of end of period

 

$

11,356

 

Cash and Cash Equivalents

Cash equivalents are short-term, highly liquid interest-bearing investments with maturity dates of three months or less when purchased, consisting primarily of money market instruments. At June 30, 2016,2017, the Company'sCompany’s excess capital and undistributed earnings for the Company'sCompany’s regulated subsidiaries of $78.5$116.6 million are included in cash and cash equivalents.

Investments

13


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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2017

(Unaudited)

 

Investments

If a debt security is in an unrealized loss position and the Company has the intent to sell the debt security, or it is more likely than not that the Company will have to sell the debt security before recovery of its amortized cost basis, the decline in value is deemed to be other-than-temporaryother‑than‑temporary and is recorded to other-than-temporaryother‑than‑temporary impairment losses recognized in income in the consolidated statements of income. For impaired debt securities that the Company does not intend to sell or it is more likely than not that the Company will not have to sell such securities, but the Company expects that it will not fully recover the amortized cost basis, the credit component of the other- than-temporaryother‑than‑temporary impairment is recognized in other-than-temporaryother‑than‑temporary impairment losses recognized in income in the consolidated statements of income and the non-creditnon‑credit component of the other-than-temporaryother‑than‑temporary impairment is recognized in other comprehensive income.


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

As of December 31, 20152016 and June 30, 2016,2017, there were no unrealized losses that the Company determined to be other-than-temporary.other‑than‑temporary. No realized gains or losses were recorded for the six months ended June 30, 20152016 or 2016.2017. The following is a summary of short-termshort‑term and long-termlong‑term investments at December 31, 20152016 and June 30, 20162017 (in thousands):

 
 December 31, 2015 
 
 Amortized
Cost
 Gross
Unrealized
Gains
 Gross
Unrealized
Losses
 Estimated
Fair Value
 

U.S. government and agency securities

 $5,524 $ $(10)$5,514 

Obligations of government-sponsored enterprises(1)

  50,575  4  (54) 50,525 

Corporate debt securities

  269,340    (364) 268,976 

Certificates of deposit

  1,150      1,150 

Total investments at December 31, 2015

 $326,589 $4 $(428)$326,165 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

December 31, 2016

 

 

 

 

 

 

Gross

 

Gross

 

 

 

 

 

Amortized

 

Unrealized

 

Unrealized

 

Estimated

 

 

    

Cost

    

Gains

    

Losses

    

Fair Value

 

U.S. Government and agency securities

    

$

5,832

    

$

 —

    

$

(15)

    

$

5,817

 

Obligations of government-sponsored enterprises (1)

 

 

25,779

 

 

 2

 

 

(14)

 

 

25,767

 

Corporate debt securities

 

 

272,479

 

 

 1

 

 

(261)

 

 

272,219

 

Certificates of deposit

 

 

1,450

 

 

 —

 

 

 —

 

 

1,450

 

Total investments at December 31, 2016

 

$

305,540

 

$

 3

 

$

(290)

 

$

305,253

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

June 30, 2017

 

 

 

 

 

 

Gross

 

Gross

 

 

 

 

 

Amortized

 

Unrealized

 

Unrealized

 

Estimated

 

 

    

Cost

    

Gains

    

Losses

    

Fair Value

 

U.S. Government and agency securities

    

$

5,994

    

$

 —

    

$

(23)

    

$

5,971

 

Obligations of government-sponsored enterprises (2)

 

 

26,245

 

 

 1

 

 

(17)

 

 

26,229

 

Corporate debt securities

 

 

270,493

 

 

43

 

 

(281)

 

 

270,255

 

Taxable municipal bonds

 

 

5,034

 

 

 —

 

 

(8)

 

 

5,026

 

Certificates of deposit

 

 

1,350

 

 

 —

 

 

 —

 

 

1,350

 

Total investments at June 30, 2017

 

$

309,116

 

$

44

 

$

(329)

 

$

308,831

 


(1)

Includes investments in notes issued by the Federal Home Loan Bank, Federal National Mortgage Association and Federal Farm Credit Banks.

(2)

Includes investments in notes issued by the Federal Home Loan Bank and Federal Farm Credit Banks.

 
 June 30, 2016 
 
 Amortized
Cost
 Gross
Unrealized
Gains
 Gross
Unrealized
Losses
 Estimated
Fair Value
 

U.S. government and agency securities

 $5,126 $6 $ $5,132 

Obligations of government-sponsored enterprises(2)

  54,688  20    54,708 

Corporate debt securities

  226,735  26  (93) 226,668 

Certificates of deposit

  1,150      1,150 

Total investments at June 30, 2016

 $287,699 $52 $(93)$287,658 

14


(1)
Includes investments in notes issued by the Federal Home Loan Bank and Federal Farm Credit Banks.

(2)
Includes investments in notes issued by the Federal Home Loan Bank, Federal National Mortgage Association and Federal Farm Credit Banks.

 

Table of Contents

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2017

(Unaudited)

The maturity dates of the Company'sCompany’s investments as of June 30, 20162017 are summarized below (in thousands):

 

 

 

 

 

 

 

 

 

    

Amortized

    

Estimated

 

 

    

Cost

    

Fair Value

 

2017

 

$

180,496

 

$

180,389

 

2018

 

 

123,956

 

 

123,780

 

2019

 

 

4,664

 

 

4,662

 

Total investments at June 30, 2017

 

$

309,116

 

$

308,831

 

 
 Amortized
Cost
 Estimated
Fair Value
 

2016

 $215,467 $215,426 

2017

  69,737  69,730 

2018

  2,495  2,502 

Total investments at June 30, 2016

 $287,699 $287,658 

Table of ContentsIncome Taxes


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

Income Taxes

The Company'sCompany’s effective income tax rates were 46.862.6 percent and 62.643.8 percent for the six months ended June 30, 20152016 and 2016,2017, respectively. These rates differ from the federal statutory income tax rate primarily due to state income taxes, permanent differences between book and tax income, and changes to recorded tax contingencies and valuation allowances. The Company also accrues interest and penalties related to uncertain tax positions in its provision for income taxes. The effective income tax rate for the six months ended June 30, 20152017 is lower than the effective rate for the six months ended June 30, 2016 mainly due to the suspension for 2017 of the non-deductible HIF fees and valuation allowance increases in 2016 with respect to losses at AlphaCare of New York, Inc. ("AlphaCare").AlphaCare. 

 

The Company files a consolidated federal income tax return with most of its eighty-percent or more controlled subsidiaries. The Company files a separate consolidated federal income tax return for AlphaCare of New York, Inc. (“AlphaCare”) and its parent, AlphaCare Holdings, Inc. The Company and its subsidiaries also file income tax returns in various state and local jurisdictions. With few exceptions, theThe Company is no longer subject to federal, state or local income tax assessments by tax authorities for years ended prior to 2012.2013. 

Net Operating Loss Carryforwards

The Company has $2.4$1.8 million of federal net operating loss carryforwards ("NOLs"(“NOLs”) available to reduce its federal consolidated taxable income in 20162017 and subsequent years. These NOLs will expire in 2018 and 2019 if not used and are subject to examination and adjustment by the Internal Revenue Service ("IRS"(“IRS”). AlphaCare has $37.6$41.0 million of federal NOLs available to reduce its consolidated taxable income in 20162017 and subsequent years. These NOLs will expire in 2033 through 20352036 if not used and are subject to examination and adjustment by the IRS. The Company and its subsidiaries also have $153.5$103.6 million of state NOLs available to reduce state taxable income at certain subsidiaries in 20162017 and subsequent years. Most of these state NOLs will expire in 2017 through 2035 if not used and are subject to examination and adjustment by the respective state tax authorities.

Deferred tax assets as of December 31, 20152016 and June 30, 20162017 are shown net of valuation allowances of $15.5$17.1 million and $20.2$19.0 million, respectively. These valuation allowances mostly relate to uncertainties regarding the eventual realization of the AlphaCare federal NOLs and certain state NOLs. Determination of the amount of deferred tax assets considered realizable requires significant judgment and estimation regarding the forecasts of future taxable income which are consistent with the plans and estimates the Company uses to manage the underlying businesses. Although consideration is also given to potential tax planning strategies which might be available to improve the realization of deferred tax assets, none were identified which were both prudent and reasonable. Future changes in the estimated realizable portion of deferred tax assets could materially affect the Company'sCompany’s financial condition and results of operations.

Health Care Reform

The Patient Protection and the Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively, the "Health“Health Reform Law"Law”), imposes a mandatory annual fee on health insurers for each calendar year beginning on or after January 1, 2014. The


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

Company has obtained rate adjustments from customers which the Company expects will cover the direct costs of these fees and the impact from non-deductibilitynon‑deductibility of such fees for federal and state income tax purposes. To the extent the Company has such a customer that does not renew, there may be some impact due to taxes paid where the timing and amount of recoupment of these additional costs is uncertain. In the event the Company is unable to obtain rate adjustments to cover the financial impact of the annual fee, the fee may have a material impact on the Company. The Consolidated Appropriations Act of 2016 imposed a one-year

15


Table of Contents

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2017

(Unaudited)

moratorium on the HIF fee, suspending its application for 2017. The HIF fee is scheduled to go back into effect for 2018. For 2015,2016 the HIF fees were $26.5 million which has been paid. For 2016, the HIF fees are estimated to be $26.3 million, and are included in accrued liabilities in the consolidated balance sheets. Of these amounts, $6.3 million and $13.2 million was expensed in the three and six months ended June 30, 2015 andthis amount, $6.1 million and $13.2 million was expensed in the three and six months ended June 30, 2016, respectively, which was included in direct service costs and other operating expenses in the consolidated statements of income. The Company recorded revenues of $10.7 million and $22.4 million in the three and six months ended June 30, 2015, respectively, and $10.1 million and $21.4 million in the three and six months ended June 30, 2016, respectively, associated with the accrual for the reimbursement of the economic impact of the HIF fees from its customers. As of June 30, 2017, the Company has a $13.3 million receivable related to a terminated contract that the customer has expressed their unwillingness to pay, however the Company believes the amount is collectible based on the IRS regulations and contractual arrangements that were executed and has not established a reserve. The Company continues to evaluate correspondence with the customer related to this receivable.

Stock Compensation

At December 31, 20152016 and June 30, 2016,2017, the Company had equity-basedequity‑based employee incentive plans, which are described more fully in Note 6 in the Company'sCompany’s Annual Report on Form 10-K10‑K for the year ended December 31, 2015.2016, which was filed with the SEC on February 24, 2017. The Company recorded stock compensation expense of $13.8 million and $27.7 million for the three and six months ended June 30, 2015 and $9.5 million and $18.4 million for the three and six months ended June 30, 2016, respectively, and $11.4 million and $21.5 million for the three and six months ended June 30, 2017, respectively. Stock compensation expense recognized in the consolidated statements of income for the three and six months ended June 30, 20152016 and 20162017 has been reduced for forfeitures, estimated at between zero and four percent for bothall periods.

 

The weighted average grant date fair value of all stock options granted during the six months ended June 30, 20162017 was $15.04$17.10 as estimated using the Black-Scholes-MertonBlack‑Scholes‑Merton option pricing model, which also assumed an expected volatility of 27.7527.8 percent based on the historical volatility of the Company'sCompany’s stock price.

        The benefitsFor the six months ended June 30, 2016, the benefit of tax deductions in excess of recognized stock compensation expense are(net of deficiencies) was $0.3 million, which was reported as a financing cash flow, rather than as an operating cash flow. In the six months ended June 30, 2015 and 2016, $3.8 million and $0.5 million, respectively, of benefits of such tax deductions relatedchange to stock compensation expense were realized and as such were reported as financing cash flows.additional paid‑in capital. For the six months ended June 30, 2015,2017, the benefit of tax deductions in excess of recognized stock compensation expense (net of deficiencies) was $1.0 million. Due to the adoption of ASU 2016-09 in the 4th quarter of 2016, this net benefit is reported as a reduction to income tax expense rather than as a change in additional paid-in-capital. As a result of the adoption of this standard, the net change to additional paid in capital related to tax benefits (deficiencies) was $3.7 million, which includes $3.8 million of excess tax benefits offset by $(0.1) million of excess tax deficiencies. For the six months ended June 30, 2016, the net change to additional paid in capital related to tax benefits (deficiencies) was $0.3 million, which includes $0.5 million of excess tax benefits offset by $(0.2) million of excess tax deficiencies.


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)benefit is reflected as an operating cash flow rather than a financing cash flow.

 

Summarized information related to the Company'sCompany’s stock options for the six months ended June 30, 20162017 is as follows:

 
 Options Weighted
Average
Exercise
Price
 

Outstanding, beginning of period

  2,939,840 $55.13 

Granted

  445,560  64.08 

Forfeited

  (45,263) 51.07 

Exercised

  (195,202) 49.00 

Outstanding, end of period

  3,144,935 $56.84 

Vested and expected to vest at end of period

  3,111,786 $56.78 

Exercisable, end of period

  1,785,957 $53.13 

 

 

 

 

 

 

 

 

 

 

 

Weighted

 

 

 

 

 

Average

 

 

 

 

 

Exercise

 

 

    

Options

    

Price

 

Outstanding, beginning of period

    

2,843,177

 

$

57.42

 

Granted

 

425,596

 

 

69.21

 

Forfeited

 

(42,789)

 

 

58.31

 

Exercised

 

(123,563)

 

 

50.86

 

Outstanding, end of period

 

3,102,421

 

$

59.29

 

Vested and expected to vest at end of period

 

3,078,102

 

$

59.24

 

Exercisable, end of period

 

2,001,180

 

$

56.13

 

 

All of the Company'sCompany’s options granted during the six months ended June 30, 20162017 vest ratably on each anniversary date over the three years subsequent to grant and have a ten year life.

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2017

(Unaudited)

Summarized information related to the Company'sCompany’s nonvested restricted stock awards ("RSAs"(“RSAs”) for the six months ended June 30, 20162017 is as follows:

 

 

 

 

 

 

 

 

 

 

 

 

Weighted

 

 

 

 

Average

 

 

 

 

Grant Date

 


 Shares Weighted
Average
Grant Date
Fair Value
 

    

Shares

    

Fair Value

    

Outstanding, beginning of period

 1,109,622 $57.88 

    

615,472

    

$

58.71

    

Awarded

 16,065 65.36 

 

14,959

 

 

70.20

 

Vested

 (20,115) 67.12 

 

(17,675)

 

 

64.01

 

Forfeited

   

 

 —

 

 

 —

 

Outstanding, end of period

 1,105,572 57.82 

Outstanding, ending of period

 

612,756

 

 

58.83

 

 

Summarized information related to the Company'sCompany’s nonvested restricted stock units ("RSUs"(“RSUs”) for the six months ended June 30, 20162017 is as follows:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted

 

 

 

 

 

Average

 

 

 

 

 

Grant Date

 

 

    

Shares

    

Fair Value

    

Outstanding, beginning of period

    

200,178

 

$

61.65

    

Awarded

 

107,417

 

 

68.53

 

Vested

 

(117,069)

 

 

60.52

 

Forfeited

 

(10,068)

 

 

65.19

 

Outstanding, ending of period

 

180,458

 

 

66.28

 

 
 Shares Weighted
Average
Grant Date
Fair Value
 

Outstanding, beginning of period

  231,088 $61.53 

Awarded

  51,521  64.87 

Vested

  (51,419) 63.77 

Forfeited

  (13,713) 63.59 

Outstanding, end of period

  217,477  61.66 

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

The vesting period for RSAs ranges from 12 months to 42 months. In general, RSUs vest ratably on each anniversary over the three years subsequent to grant. In addition, certain RSUs outstanding contain associated performance hurdle(s) that must be met in order for the awards to vest.

Summarized information related to the Company'sCompany’s nonvested restricted performance stock units ("PSUs"(“PSUs”) for the six months ended June 30, 20162017 is as follows:

 

 

 

 

 

 

 

 

 

Weighted

 

 

 

 

Average

 

 

 

 

Grant Date

 


 Shares Weighted
Average
Grant Date
Fair Value
 

 

Shares

 

Fair Value

 

Outstanding, beginning of period

 36,938 $85.00 

 

102,977

 

$

93.03

 

Awarded

 65,067 97.60 

 

101,989

 

 

76.24

 

Vested

   

 

 —

 

 

 —

 

Forfeited

   

 

(550)

 

 

76.24

 

Outstanding, end of period

 102,005 93.04 

 

204,416

 

 

84.70

 

The weighted average estimated fair value of the PSUs granted in the six months ended June 30, 20162017 was $97.60,$76.24, which was derived from a Monte Carlo simulation. Significant assumptions utilized in estimating the value of the awards granted include an expected dividend yield of 0%, a risk free rate of 1%1.54%, and expected volatility of 16%18% to 81%61% (average of 32%33%). The PSUs granted in the six months ended June 30, 2016,2017, will entitle the grantee to receive a number of shares of the Company'sCompany’s common stock determined over a three-year performance period ending on December 31, 20182019 and vesting on March 3, 2019,2020, the settlement date, provided the grantee remains in the service of the Company on the settlement date. The Company expenses the cost of these awards ratably over the requisite service period. The number of shares for which the PSUs will be settled will be a percentage of shares for which the award is targeted and will depend on the Company'sCompany’s total shareholder return (as defined below), expressed as a percentile ranking of the Company'sCompany’s total shareholder return as compared to the Company'sCompany’s peer group (as defined below). The number of shares for which the PSUs will be settled vary from zero to 200 percent of the shares specified in the grant. Total

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2017

(Unaudited)

shareholder return is determined by dividing the average share value of the Company'sCompany’s common stock over the 30 trading days preceding January 1, 20192020 by the average share value of the Company'sCompany’s common stock over the 30 trading days beginning on January 1, 2016,2017, with a deemed reinvestment of any dividends declared during the performance period. The Company'sCompany’s peer group includes 5651 companies which comprise the S&P Health Care Services Industry Index, which was selected by the compensation committee of the Company'sCompany’s board of directors and includes a range of healthcare companies operating in several business segments.

Long Term Debt and Capital Lease Obligations

On July 23, 2014, the Company entered into a $500.0 million Credit Agreement with various lenders that provides for Magellan Rx Management, Inc. (a wholly owned subsidiary of Magellan Health, Inc.)Magellan) to borrow up to $250.0 million of revolving loans, with a sublimit of up to $70.0 million for the issuance of letters of credit for the account of the Company, and a term loan in an original


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

aggregate principal amount of $250.0 million (the "2014“2014 Credit Facility"Facility”). On December 2, 2015, the Company entered into an amendment to the 2014 Credit Facility under which Magellan Pharmacy Services, Inc. (a wholly owned subsidiary of Magellan Health, Inc.)Magellan) became a party to the $500.0 million Credit Agreement as the borrower and assumed all of the obligations of Magellan Rx Management, Inc. The 2014 Credit Facility is guaranteed by substantially all of the non-regulated subsidiaries of the Company and will mature on July 23, 2019; however, the Company holds an option to extend the 2014 Credit Facility for an additional one year period.

Under the 2014 Credit Facility, the annual interest rate on revolving and term loan borrowings is equal to (i) in the case of base rate loans, the sum of a borrowing margin ofranging from 0.50 percent to 1.00 percent plus the higher of the prime rate, one-half of one percent in excess of the overnight "federal funds"“federal funds” rate, or the Eurodollar rate for one month plus 1.00 percent, or (ii) in the case of Eurodollar rate loans, the sum of a borrowing margin ofranging from 1.50 percent to 2.00 percent plus the Eurodollar rate for the selected interest period based on the Company's current total leverage ratio.period. The Company has the option to borrow in base rate loans or Eurodollar rate loans at its discretion, with the borrowing margin for these loans adjusted from time to time based on the Company'sCompany’s total leverage ratio. Letters of credit issued bear interest atequal to the rate of 1.625borrowing margin for Eurodollar loans that ranges from 1.50 percent andto 2.00 percent, with the commitment commission on the 2014 Credit Facility isunused revolving loan commitment ranging from 0.20 percent to 0.35 percent. These letter of the unused Revolving Loan Commitment, both of whichcredit and commitment commission rates are based on the Company's current total leverage ratio. These rates shall be adjusted from time to time based on the Company'sCompany’s total leverage ratio.

Under the 2014 Credit Facility, on September 30, 2014, the Company completed a draw-down of the $250.0 million term loan (the "2014“2014 Term Loan"Loan”). The borrowings will initially behave been maintained as a Eurodollar loan. The 2014 Term Loan is subject to certain quarterly amortization payments. As of June 30, 20162017 the remaining balance on the 2014 Term Loan was $228.1$206.2 million. The 2014 Term Loan will mature on July 23, 2019. As of June 30, 2016,2017, the 2014 Term Loan bore interest at a rate of 1.501.625 percent plus the London Interbank Offered Rate ("LIBOR"(“LIBOR”), which was equivalent to a total interest rate of 1.9603approximately 2.851 percent. For the six months ended June 30, 2016,2017, the weighted average interest rate was 1.9358approximately 2.523 percent.

On June 27, 2016, the Company entered into a $200.0 million Credit Agreement with various lenders that provides for a $200.0 million term loan (the "2016“2016 Term Loan"Loan”) to Magellan Pharmacy Services, Inc. (the "2016“2016 Credit Facility"Facility”). The 2016 Credit Facility is guaranteed by substantially all of the non-regulated subsidiaries of the Company and will mature on December 29, 2017.

Under the 2016 Credit Facility, the annual interest rate on the term loan is equal to (i) in the case of base rate loans, the sum of a borrowing margin of 0.375ranging from 0.25 percent to 0.75 percent plus the higher of the prime rate, one-half of one percent in excess of the overnight "federal funds"“federal funds” rate, or the Eurodollar rate for one month plus 1.00 percent, or (ii) in the case of Eurodollar rate loans, the sum of a borrowing margin of 1.375ranging from 1.25 percent to 1.75 percent plus the Eurodollar rate for the selected interest period, based on the Company's current total leverage ratio.period. The Company has the option to borrow in base rate loans or Eurodollar rate loans at its discretion, with the borrowing margin for these loans adjusted from time to time based on the Company'sCompany’s total leverage ratio.


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

The borrowings under the 2016 Term Loan will initially behave been maintained as a Eurodollar loan. As of June 30, 20162017 the remaining balance on the 2016 Term Loan was $200.0 million and bore interest at a rate of approximately 1.375 percent

18


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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2017

(Unaudited)

plus the London Interbank Offered Rate ("LIBOR"),LIBOR, which was equivalent to a total interest rate of 1.8283approximately 2.601 percent. For the six months ended June 30, 2017, the weighted average interest rate was approximately 2.276 percent.

On January 10, 2017, the Company entered into a Credit Agreement with various lenders that provides for a $200.0 million delayed draw term loan (the “2017 Term Loan”) to Magellan Pharmacy Services, Inc. (the “2017 Credit Facility”). The 2017 Credit Facility is guaranteed by substantially all of the non-regulated subsidiaries of the Company and will mature on December 29, 2017.

Under the 2017 Credit Facility, the annual interest rate on the term loan borrowing is equal to (i) in the case of base rate loans, the sum of an initial borrowing margin of 0.625 percent plus the higher of the prime rate, one-half of one percent in excess of the overnight “federal funds” rate, or the Eurodollar rate for one month plus 1.00 percent, or (ii) in the case of Eurodollar rate loans, the sum of an initial borrowing margin of 1.625 percent plus the Eurodollar rate for the selected interest period. The borrowing margin is subject to adjustment based on the leverage ratio of the Company. The Company has the option to borrow in base rate loans or Eurodollar rate loans at its discretion. The commitment commission on the 2017 Credit Facility is 0.25 percent of the unused commitment, which rate shall be adjusted from time to time based on the Company's total leverage ratio.

On January 10, 2017, the Company completed a $100.0 million draw of its available $200.0 million delayed draw term loan under the 2017 Credit Facility. An additional $100.0 million draw under the 2017 Credit Facility was completed on March 14, 2017. As of June 30, 2016,2017 the remaining balance on the 2017 Term Loan was $200.0 million and bore interest at a rate of approximately 1.625 percent plus the LIBOR, which was equivalent to a total interest rate of approximately 2.834 percent. During the period the term loan was outstanding, from January 10, 2017 through June 30, 2017, the weighted average interest rate was approximately 2.570 percent.

As of June 30, 2017, the contractual maturities of the term loans under the 2014 Credit Facility, and the 2016 Credit Facility and the 2017 Credit Facility (collectively, the “Credit Facilities”) were as follows: 2016—$9.4 million; 2017—$225.0412.5 million; 2018—$25.0 million; and 2019—$168.7 million. The Company had $33.4$33.7 million and $33.7$27.0 million of letters of credit outstanding at December 31, 20152016 and June 30, 2016,2017, respectively. The Company had no revolving loan borrowings at December 31, 2015. InBeginning in April 2016, due to the timing of working capital needs, the Company has periodically borrowed $25.0 million offrom the available revolving loans under the 2014 Credit Facility, which remains outstanding on June 30, 2016. In July 2016, due to the timing of working capital needs, the Company borrowed an additional net $25.0 million of the available revolving loansloan under the 2014 Credit Facility. AsThe revolving loan borrowings have been in the form of July 22, 2016, there are $166.3Eurodollar rate loans and totaled $175.0 million at December 31, 2016. At June 30, 2017, the Company had no revolving loan borrowings, resulting in a borrowing capacity of revolving loans available$223.0 million under the 2014 Credit Facility.

There were $24.4$26.0 million and $25.2$24.9 million of capital lease obligations at December 31, 20152016 and June 30, 2016,2017, respectively. The Company’s capital lease obligations represent amounts due under leases for certain properties, computer software (acquired prior to the prospective adoption of ASU 2015-05 on January 1, 2016) and equipment. Included in long-term debt and capital lease obligations as of December 31, 20152016 and June 30, 20162017 are deferred loan issuance costs of $1.4 million and $1.6$1.2 million, respectively.

Redeemable Non-ControllingNon‑Controlling Interest

As of June 30, 2016,2017, the Company held an equity interest of approximately 84% in AlphaCare Holdings. The other shareholders of AlphaCare Holdings have the right to exercise put options requiring the Company to purchase up to 50% of the remaining shares prior to January 1, 2017, provided certain membership levels are attained. After December 31, 2016, the other shareholders of AlphaCare Holdings have the right to exercise put options requiring the Company to purchase all or any portion of the remaining shares. In addition, after December 31, 2016, the Company has the right to purchase all remaining shares. Non-controllingNon‑controlling interests with redemption features, such as put options, that are not solely within the Company'sCompany’s control are considered redeemable non-controllingnon‑controlling interests. Redeemable non-controllingnon‑controlling interest is considered to be temporary and is therefore reported in a mezzanine level between liabilities and stockholders'stockholders’ equity on the Company'sCompany’s consolidated balance sheet at the greater of the initial carrying amount adjusted for the non-controlling interest'snon‑controlling interest’s share of net income or loss or its redemption value. The carrying value of the non-controllingnon‑controlling interest as of December 31, 20152016 and June 30, 20162017 was $5.9$4.8 million and $4.4$3.9 million, respectively. The $1.5$0.9 million decrease in carrying value is a result of operating losses, partially offset by the impact of additional capital provided by the Company.losses. The Company evaluates the redemption value on a quarterly basis. If the redemption value is greater than the carrying value, the Company adjusts the carrying amount of the non-controllingnon‑controlling interest to equal the redemption value at the end of each reporting period. Under this method, this is viewed at the end of the reporting period as if it were also the redemption date for the non-controllingnon‑controlling interest. The Company will reflect redemption value adjustments in the

19


Table of Contents

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2017

(Unaudited)

earnings per share ("EPS"(“EPS”) calculation if redemption value is in excess of the carrying value of the non-controllingnon‑controlling interest. As of June 30, 2016,2017, the carrying value of the non-controllingnon‑controlling interest exceeded the redemption value and therefore no adjustment to the carrying value was required.


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES
Reclassifications

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE A—General (Continued)

Intangible Assets

        The Company reviews other intangible assets for impairment when events or changes in circumstances occur which may potentially impact the estimated useful life of the intangible assets. During the second quarter of 2016, the Company recognized $4.8 million in impairment charges, which are reflected in direct service costs and other operating expenses in the consolidated statements of income and reported within the Healthcare segment. The fair value of the impairment was determined using the income method, which resulted in the full impairment of the customer agreement intangible asset recorded in conjunction with the AlphaCare acquisition.

Reclassifications

Certain prior year amounts have been reclassified to conform with the current year presentation.

        In orderThe Company elected to better representearly adopt ASUs 2016-09 and 2016-18 effective for the operationsfiscal year ended December 31, 2016 and applied them retrospectively. Adoption of the Company's segments, effective January 1, 2016, the Company began allocating operational and corporate support coststhese standards resulted in a net reduction to the Healthcare and Pharmacy Management segments. For comparative presentation, the Company applied the allocation methodology retrospectively and reclassified direct service costs and other between segmentsCompany’s cash flows of $53.0 million for the three and six months ended June 30, 2015. The2016. In addition, as a result of the adoption of ASU 2016-09, the diluted weighted average shares outstanding as of June 30, 2016 have been adjusted. There was no impact of these reclassifications are disclosed in Note C—"Business Segment Information".


Table of Contentsto the net income per common share – diluted.


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE B—Net Income per Common Share Attributable to Magellan Health, Inc.

The following table reconciles income attributable to common shareholders (numerator) and shares (denominator) used in the computations of net income per share attributable to common shareholders (in thousands, except per share data):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Six Months Ended

 

 

 

June 30, 

 

June 30, 

 

 

    

2016

    

2017

    

2016

    

2017

    

Numerator:

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to Magellan

 

$

3,958

 

$

5,500

 

$

17,195

 

$

23,247

 

Denominator:

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares outstanding—basic

 

 

23,516

 

 

23,108

 

 

23,570

 

 

23,060

 

Common stock equivalents—stock options (1)

 

 

383

 

 

399

 

 

318

 

 

436

 

Common stock equivalents—RSAs  (1)

 

 

681

 

 

439

 

 

622

 

 

421

 

Common stock equivalents—RSUs  (1)

 

 

27

 

 

30

 

 

27

 

 

56

 

Common stock equivalents—PSUs  (1)

 

 

34

 

 

61

 

 

35

 

 

62

 

Common stock equivalents—employee stock purchase plan

 

 

 2

 

 

 1

 

 

 2

 

 

 2

 

Weighted average number of common shares outstanding—diluted (1)

 

 

24,643

 

 

24,038

 

 

24,574

 

 

24,037

 

Net income attributable to Magellan per common share—basic

 

$

0.17

 

$

0.24

 

$

0.73

 

$

1.01

 

Net income attributable to Magellan per common share—diluted

 

$

0.16

 

$

0.23

 

$

0.70

 

$

0.97

 

 
 Three Months Ended
June 30,
 Six Months Ended
June 30,
 
 
 2015 2016 2015 2016 

Numerator:

             

Net income attributable to Magellan Health, Inc. 

 $4,643 $3,958 $11,931 $17,195 
���

Denominator:

             

Weighted average number of common shares outstanding—basic

  25,684  23,516  25,502  23,570 

Common stock equivalents—stock options

  362  355  406  306 

Common stock equivalents—RSAs

  654  619  584  583 

Common stock equivalents—RSUs

  26  23  36  27 

Common stock equivalents—PSUs

  49  31  58  29 

Common stock equivalents—employee stock purchase plan

  1  2  2  2 

Weighted average number of common shares outstanding—diluted

  26,776  24,546  26,588  24,517 

Net income attributable to Magellan Health, Inc. per common share—basic

 $0.18 $0.17 $0.47 $0.73 

Net income attributable to Magellan Health, Inc. per common share—diluted

 $0.17 $0.16 $0.45 $0.70 

1)

During 2016, the Company early adopted ASU 2016-09. As a result, the common stock equivalents and diluted weighted average common shares outstanding as of June 30, 2016 have been adjusted. There was no impact to net income per common share – diluted.

The weighted average number of common shares outstanding for the six months ended June 30, 20152016 and 20162017 were calculated using outstanding shares of the Company'sCompany’s common stock. Common stock equivalents included in the calculation of diluted weighted average common shares outstanding for the six months ended June 30, 20152016 and 20162017 represent stock options to purchase shares of the Company'sCompany’s common stock, RSAs, RSUs, PSUs and stock purchased under the Employee Stock Purchase Plan.

The Company had additional potential dilutive securities outstanding representing 0.8 million and 0.9 million options for the three and six months ended June 30, 2015, respectively, and 1.2 million and 1.1 million options for the three and six months ended June 30, 2016, respectively, and 0.8 million and 0.7 million for the three and six months ended June 30, 2017, respectively, that were not included in the computation of dilutive securities because they were anti-dilutive for the period. Had these shares not been anti-dilutive, all of these shares would not have been included in the net income attributable to common shareholder per common share calculation as the Company uses the treasury stock method of calculating diluted shares.


20


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNEJune 30, 20162017

(Unaudited)

NOTE C—Business Segment Information

The accounting policies of the Company'sCompany’s segments are the same as those described in Note A—"General." The Company evaluates performance of its segments based on profit or loss from operations before stock compensation expense, depreciation and amortization, interest expense, interest and other income, changes in the fair value of contingent consideration recorded in relation to acquisitions, gain on sale of assets, special charges or benefits, and income taxes ("(“Segment Profit"Profit”). Management uses Segment Profit information for internal reporting and control purposes and considers it important in making decisions regarding the allocation of capital and other resources, risk assessment and employee compensation, among other matters. Healthcare subcontracts with Pharmacy Management to provide pharmacy benefits management services for certain of Healthcare'sHealthcare’s customers. In addition, Pharmacy Management provides pharmacy benefits management for the Company'sCompany’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. The Company'sCompany’s segments are defined in Note A—"General"“General”.

The following tables summarize, for the periods indicated, operating results by business segment (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

 

    

 

 

    

Corporate

    

 

 

 

 

 

 

 

 

Pharmacy

 

and

 

 

 

 

 

    

Healthcare

    

Management

    

Elimination

    

Consolidated

 

Three Months Ended June 30, 2016

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

637,970

 

$

61,975

 

$

(84)

 

$

699,861

 

PBM and dispensing revenue

 

 

 —

 

 

495,399

 

 

(30,915)

 

 

464,484

 

Cost of care

 

 

(472,529)

 

 

 —

 

 

 —

 

 

(472,529)

 

Cost of goods sold

 

 

 —

 

 

(466,637)

 

 

29,707

 

 

(436,930)

 

Direct service costs and other

 

 

(139,965)

 

 

(64,086)

 

 

(10,026)

 

 

(214,077)

 

Stock compensation expense (1)

 

 

2,451

 

 

5,548

 

 

1,511

 

 

9,510

 

Changes in fair value of contingent consideration (1)

 

 

390

 

 

73

 

 

 —

 

 

463

 

Impairment of intangible assets (1)

 

 

4,800

 

 

 —

 

 

 —

 

 

4,800

 

Less: non-controlling interest segment profit (loss) (2)

 

 

(1,305)

 

 

 —

 

 

(7)

 

 

(1,312)

 

Segment profit (loss)

 

$

34,422

 

$

32,272

 

$

(9,800)

 

$

56,894

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

 

    

 

 

    

Corporate

    

 

 

 

 

 

 

 

 

Pharmacy

 

and

 

 

 

 

 

    

Healthcare

    

Management

    

Elimination

    

Consolidated

 

Three Months Ended June 30, 2017

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

755,270

 

$

66,659

 

$

(230)

 

$

821,699

 

PBM and dispensing revenue

 

 

 —

 

 

631,932

 

 

(34,492)

 

 

597,440

 

Cost of care

 

 

(583,264)

 

 

 —

 

 

 —

 

 

(583,264)

 

Cost of goods sold

 

 

 —

 

 

(595,446)

 

 

33,091

 

 

(562,355)

 

Direct service costs and other

 

 

(145,914)

 

 

(74,953)

 

 

(10,505)

 

 

(231,372)

 

Stock compensation expense (1)

 

 

3,106

 

 

5,684

 

 

2,581

 

 

11,371

 

Changes in fair value of contingent consideration (1)

 

 

252

 

 

 —

 

 

 —

 

 

252

 

Less: non-controlling interest segment profit (loss) (2)

 

 

(568)

 

 

 —

 

 

(1)

 

 

(569)

 

Segment profit (loss)

 

$

30,018

 

$

33,876

 

$

(9,554)

 

$

54,340

 

 
 Healthcare Pharmacy
Management
 Corporate
and
Elimination
 Consolidated 

Three Months Ended June 30, 2015

             

Managed care and other revenue

 $722,471 $53,782 $(13)$776,240 

PBM and dispensing revenue

    408,924  (27,557) 381,367 

Cost of care

  (568,288)     (568,288)

Cost of goods sold

    (387,828) 26,419  (361,409)

Direct service costs and other(3)

  (124,779) (61,038) (5,638) (191,455)

Stock compensation expense(1)(3)

  1,784  10,339  1,672  13,795 

Changes in fair value of contingent consideration(1)

  71  2,496    2,567 

Less: non-controlling interest segment profit (loss)(2)

  (273)   (77) (350)

Segment profit (loss)

 $31,532 $26,675 $(5,040)$53,167 

21



Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNEJune 30, 20162017

(Unaudited)

NOTE C—Business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

 

    

 

 

    

Corporate

    

 

 

 

 

 

 

 

 

Pharmacy

 

and

 

 

 

 

 

    

Healthcare

    

Management

    

Elimination

    

Consolidated

 

Six Months Ended June 30, 2016

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

1,256,898

 

$

119,552

 

$

(128)

 

$

1,376,322

 

PBM and dispensing revenue

 

 

 —

 

 

965,633

 

 

(60,588)

 

 

905,045

 

Cost of care

 

 

(930,160)

 

 

 —

 

 

 —

 

 

(930,160)

 

Cost of goods sold

 

 

 —

 

 

(910,586)

 

 

58,197

 

 

(852,389)

 

Direct service costs and other

 

 

(265,582)

 

 

(124,927)

 

 

(16,024)

 

 

(406,533)

 

Stock compensation expense (1)

 

 

4,470

 

 

10,970

 

 

2,957

 

 

18,397

 

Changes in fair value of contingent consideration (1)

 

 

70

 

 

127

 

 

 —

 

 

197

 

Impairment of intangible assets (1)

 

 

4,800

 

 

 —

 

 

 

 

 

4,800

 

Less: non-controlling interest segment profit (loss) (2)

 

 

(1,136)

 

 

 —

 

 

(11)

 

 

(1,147)

 

Segment profit (loss)

 

$

71,632

 

$

60,769

 

$

(15,575)

 

$

116,826

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

 

    

 

 

    

Corporate

    

 

 

 

 

 

 

 

 

Pharmacy

 

and

 

 

 

 

 

    

Healthcare

    

Management

    

Elimination

    

Consolidated

 

Six Months Ended June 30, 2017

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

1,420,646

 

$

130,839

 

$

(446)

 

$

1,551,039

 

PBM and dispensing revenue

 

 

 —

 

 

1,238,678

 

 

(64,955)

 

 

1,173,723

 

Cost of care

 

 

(1,065,318)

 

 

 —

 

 

 —

 

 

(1,065,318)

 

Cost of goods sold

 

 

 —

 

 

(1,167,283)

 

 

62,295

 

 

(1,104,988)

 

Direct service costs and other

 

 

(284,882)

 

 

(150,806)

 

 

(17,170)

 

 

(452,858)

 

Stock compensation expense (1)

 

 

5,765

 

 

11,414

 

 

4,332

 

 

21,511

 

Changes in fair value of contingent consideration (1)

 

 

203

 

 

 —

 

 

 —

 

 

203

 

Less: non-controlling interest segment profit (loss) (2)

 

 

(845)

 

 

 —

 

 

(2)

 

 

(847)

 

Segment profit (loss)

 

$

77,259

 

$

62,842

 

$

(15,942)

 

$

124,159

 


(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)

The non‑controlling portion of AlphaCare’s segment profit (loss) is excluded from the computation of Segment Profit.

The following table reconciles income before income taxes to Segment Information (Continued)Profit (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Six Months Ended

 

 

 

 

June 30, 

 

June 30, 

 

 

 

 

2016

    

2017

    

2016

    

2017

    

 

Income before income taxes

 

$

13,927

 

$

10,588

 

$

39,331

 

$

39,863

 

 

Stock compensation expense

 

 

9,510

 

 

11,371

 

 

18,397

 

 

21,511

 

 

Changes in fair value of contingent consideration

 

 

463

 

 

252

 

 

197

 

 

203

 

 

Impairment of intangible assets

 

 

4,800

 

 

 —

 

 

4,800

 

 

 —

 

 

Non-controlling interest segment (profit) loss

 

 

1,312

 

 

569

 

 

1,147

 

 

847

 

 

Depreciation and amortization

 

 

25,580

 

 

27,731

 

 

50,587

 

 

54,707

 

 

Interest expense

 

 

1,994

 

 

4,900

 

 

3,742

 

 

9,048

 

 

Interest and other income

 

 

(692)

 

 

(1,071)

 

 

(1,375)

 

 

(2,020)

 

 

Segment Profit

 

$

56,894

 

$

54,340

 

$

116,826

 

$

124,159

 

 


22

 
 Healthcare Pharmacy
Management
 Corporate
and
Elimination
 Consolidated 

Three Months Ended June 30, 2016

             

Managed care and other revenue

 $637,970 $61,975 $(84)$699,861 

PBM and dispensing revenue

    495,399  (30,915) 464,484 

Cost of care

  (472,529)     (472,529)

Cost of goods sold

    (466,637) 29,707  (436,930)

Direct service costs and other(3)

  (139,965) (64,086) (10,026) (214,077)

Stock compensation expense(1)(3)

  2,451  5,548  1,511  9,510 

Changes in fair value of contingent consideration(1)

  390  73    463 

Impairment of intangible assets(1)

  4,800      4,800 

Less: non-controlling interest segment profit (loss)(2)

  (1,305)   (7) (1,312)

Segment profit (loss)

 $34,422 $32,272 $(9,800)$56,894 

 

 
 Healthcare Pharmacy
Management
 Corporate
and
Elimination
 Consolidated 

Six Months Ended June 30, 2015

             

Managed care and other revenue

 $1,422,064 $102,850 $(24)$1,524,890 

PBM and dispensing revenue

    667,717  (54,032) 613,685 

Cost of care

  (1,090,621) 5    (1,090,616)

Cost of goods sold

    (631,366) 51,750  (579,616)

Direct service costs and other(3)

  (253,247) (129,271) (13,387) (395,905)

Stock compensation expense(1)(3)

  4,972  19,744  2,980  27,696 

Changes in fair value of contingent consideration(1)

  171  17,365    17,536 

Less: non-controlling interest segment profit (loss)(2)

  (393)   (51) (444)

Segment profit (loss)

 $83,732 $47,044 $(12,662)$118,114 

Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNEJune 30, 20162017

(Unaudited)

NOTE C—Business Segment Information (Continued)


 
 Healthcare Pharmacy
Management
 Corporate
and
Elimination
 Consolidated 

Six Months Ended June 30, 2016

             

Managed care and other revenue

 $1,256,898 $119,552 $(128)$1,376,322 

PBM and dispensing revenue

    965,633  (60,588) 905,045 

Cost of care

  (930,160)     (930,160)

Cost of goods sold

    (910,586) 58,197  (852,389)

Direct service costs and other(3)

  (265,582) (124,927) (16,024) (406,533)

Stock compensation expense(1)(3)

  4,470  10,970  2,957  18,397 

Changes in fair value of contingent consideration(1)

  70  127    197 

Impairment of intangible assets(1)

  4,800      4,800 

Less: non-controlling interest segment profit (loss)(2)

  (1,136)   (11) (1,147)

Segment profit (loss)

 $71,632 $60,769 $(15,575)$116,826 

(1)
Stock compensation expense, changes in the fair value of contingent consideration recorded in relation to the 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)
The non-controlling portion of AlphaCare's segment profit (loss) is excluded from the computation of Segment Profit.

(3)
Effective January 1, 2016, the Company implemented changes related to the allocation of Corporate operational and support functions. These changes were applied retrospectively. The following tables summarize, for the periods indicated, the changes by business segment (in thousands):

 
 Healthcare Pharmacy
Management
 Corporate
and
Elimination
 Consolidated 

Three Months Ended June 30, 2015

             

Segment profit (loss) before Corporate allocations

 $47,522 $30,960 $(25,315)$53,167 

Allocated Corporate costs

  (17,280) (4,608) 21,888   

Allocated Corporate stock compensation expense

  1,290  323  (1,613)  

Segment profit (loss)

 $31,532 $26,675 $(5,040)$53,167 

Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE C—Business Segment Information (Continued)


 
 Healthcare Pharmacy
Management
 Corporate
and
Elimination
 Consolidated 

Three Months Ended June 30, 2016

             

Segment profit (loss) before Corporate allocations

 $50,719 $36,256 $(30,081)$56,894 

Allocated Corporate costs

  (17,661) (4,325) 21,986   

Allocated Corporate stock compensation expense

  1,364  341  (1,705)  

Segment profit (loss)

 $34,422 $32,272 $(9,800)$56,894 


 
 Healthcare Pharmacy
Management
 Corporate
and
Elimination
 Consolidated 

Six Months Ended June 30, 2015

             

Segment profit (loss) before Corporate allocations

 $115,470 $55,465 $(52,821)$118,114 

Allocated Corporate costs

  (35,227) (9,293) 44,520   

Allocated Corporate stock compensation expense

  3,489  872  (4,361)  

Segment profit (loss)

 $83,732 $47,044 $(12,662)$118,114 


 
 Healthcare Pharmacy
Management
 Corporate
and
Elimination
 Consolidated 

Six Months Ended June 30, 2016

             

Segment profit (loss) before Corporate allocations

 $104,246 $68,963 $(56,383)$116,826 

Allocated Corporate costs

  (35,302) (8,866) 44,168   

Allocated Corporate stock compensation expense

  2,688  672  (3,360)  

Segment profit (loss)

 $71,632 $60,769 $(15,575)$116,826 

Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE C—Business Segment Information (Continued)

        The following table reconciles Segment Profit to income before income taxes (in thousands):

 
 Three Months Ended
June 30,
 Six Months Ended
June 30,
 
 
 2015 2016 2015 2016 

Segment profit

 $53,167 $56,894 $118,114 $116,826 

Stock compensation expense

  (13,795) (9,510) (27,696) (18,397)

Changes in fair value of contingent consideration

  (2,567) (463) (17,536) (197)

Impairment of intangible assets

    (4,800)   (4,800)

Non-controlling interest segment profit (loss)

  (350) (1,312) (444) (1,147)

Depreciation and amortization

  (25,022) (25,580) (48,518) (50,587)

Interest expense

  (1,653) (1,994) (3,279) (3,742)

Interest income

  500  692  966  1,375 

Income before income taxes

 $10,280 $13,927 $21,607 $39,331 

NOTE D—Commitments and Contingencies

Legal

The Company'sCompany’s operating activities entail significant risks of liability. From time to time, the Company is subject to various actions and claims arising from the acts or omissions of its employees, network providers or other parties. In the normal course of business, the Company receives reports relating to deaths and other serious incidents involving patients whose care is being managed by the Company. Such incidents occasionally give rise to malpractice, professional negligence and other related actions and claims against the Company or its network providers. Many of these actions and claims received by the Company seek substantial damages and therefore require the Company to incur significant fees and costs related to their defense.

The Company is also subject to or party to certain class actions and other litigation and claims relating to its operations or business practices. In the opinion of management, the Company has recorded reserves that are adequate to cover litigation, claims or assessments that have been or may be asserted against the Company, and for which the outcome is probable and reasonably estimable. Management believes that the resolution of such litigation and claims will not have a material adverse effect on the Company'sCompany’s financial condition or results of operations; however, there can be no assurance in this regard.

Stock Repurchases

On October 22, 201426, 2015, the Company'sCompany’s board of directors approved a new stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 22, 2016.26, 2017 (the “2015 Repurchase Program”). On July 26, 2017, the Company’s board of directors approved an extension of the 2015 Repurchase Program through October 26, 2018. Stock repurchases under the programprograms may be purchasedcarried out from time to time in open market transactions (including blocks) or in privately negotiated transactions. The timing of repurchases and the actual amount purchased will depend on a variety of factors including the market price of the Company'sCompany’s shares, general market and economic conditions, and other corporate


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNE 30, 2016

(Unaudited)

NOTE D—Commitments and Contingencies (Continued)

considerations. Repurchases may be made pursuant to plans intended to comply with Rule 10b5-1 under the Securities Exchange Act of 1934, which could allow the Company to purchase its shares during periods when it otherwise might be prevented from doing so under insider trading laws or because of self-imposed trading blackout periods. Repurchases are expected to be funded from working capital and anticipated cash from operations. The repurchase authorization does not require the purchase of a specific number of shares and is subject to suspension or termination by the Company'sCompany’s board of directors at any time.

Pursuant to this program, the Company made open market purchases as follows (aggregate cost excludes broker commissions and is reflected in millions):

Period
 Total Number
of Shares
Purchased
 Average
Price Paid
per Share
 Aggregate
Cost
 

November 24, 2014 - December 31, 2014

  232,170 $60.65 $14.1 

January 1, 2015 - October 21, 2015

  3,153,156  58.96  185.9 

  3,385,326    $200.0 

        On October 26, 2015 the Company's board of directors approved a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 26, 2017. Pursuant to this program,Stock Repurchase Program, the Company made purchases as follows (aggregate cost excludes broker commissions and is reflected in millions):

Period
 Total Number
of Shares
Purchased
 Average
Price Paid
per Share
 Aggregate
Cost
 

October 26, 2015 - December 31, 2015

  345,044 $53.46 $18.4 

January 1, 2016 - June 30, 2016

  375,507  67.78  25.5 

  720,551    $43.9 

 

 

 

 

 

 

 

 

 

 

 

 

Total Number

 

Average

 

 

 

 

 

 

of Shares

 

Price Paid

 

Aggregate

 

Period

    

Purchased

    

per Share

    

Cost

 

October 26, 2015 - December 31, 2015

 

345,044

 

$

53.46

 

$

18.4

 

January 1, 2016 - December 31, 2016

 

1,828,183

 

 

58.40

 

 

106.8

 

January 1, 2017 - June 30, 2017

 

76,181

 

 

70.54

 

 

5.4

 

 

 

2,249,408

 

 

 

 

$

130.6

 

 

The Company made no repurchasesadditional open market purchases of 13,922 shares of the Company’s common stock at an aggregate cost of $1.0 million (excluding broker commissions) during the period from July 1, 20162017 through July 22, 2016.21, 2017.

NOTE E—Acquisitions

23


 Pursuant to the February 9, 2016 purchase agreement (the "TMG Agreement") with TMG, on February 29, 2016 the Company acquired all of the outstanding equity interests of TMG. TMG is a company with 30 years of expertise in community-based long-term care services and supports. As consideration for the transaction, the Company paid a base price of $15.0 million in cash, subject to working capital adjustments. In addition to the base purchase price, the TMG agreement provides for potential contingent payments up to a maximum aggregate of $15.0 million. The potential future payments are contingent upon the Company being awarded additional managed long-term services and supports contracts. The Company reports the results of operations of TMG within its Healthcare segment. The Company's estimated fair values of TMG's assets acquired and liabilities assumed at the date of acquisition are determined based on certain valuations and analyses that have yet to be


Table of Contents


MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

JUNEJune 30, 20162017

(Unaudited)

NOTE E—Acquisitions (Continued)

finalized, and accordingly, the assets acquired and liabilities assumed are subject to adjustment once the analyses are completed. The Company will make appropriate adjustments to the purchase price allocations prior to the completionAcquisition of the measurement period as required.AFSC

NOTE F—Subsequent Events

Pursuant to the May 15, 2016 share purchase agreement (the "AFSC Agreement"“AFSC Agreement”) with Armed Forces Services Corporation ("AFSC"(“AFSC”), on July 1, 2016 the Company acquired all of the outstanding equity interests of AFSC.AFSC (the “AFSC Acquisition”). AFSC has extensive experience providing and managing behavioral health and specialty services to various agencies of the federal government, including all five branches of the U.S. Armed Forces.

        Under the terms ofThe base purchase price for the AFSC Acquisition per the AFSC Agreement was $117.5 million, subject to working capital adjustments. Pursuant to the AFSC Agreement, certain members of AFSC’s management, who were also shareholders of AFSC, purchased a total of $4.0 million in Magellan restricted common stock, which will vest over a two-year period, conditioned upon continued employment with the Company. Consideration for the AFSC Acquisition includes a net payment for the net base purchase price of $113.5 million in cash, subject to working capital adjustments, including adjustments for cash acquired. Proceeds from the sale of restricted common stock are recorded as stock compensation expense over the requisite service period.

In addition to the base purchase price, is $117.5 million plusthe AFSC Agreement provides for potential contingent payments up to a maximum aggregate amount of $10.0 million. The potential contingent payments are based on the retention of certain core business by AFSC.

As of AFSC. Certain keyJune 30, 2017, the Company established a working capital receivable of $3.2 million that was reflected as a reduction to the transaction price.

Acquisition of Veridicus Holdings, LLC and Granite Alliance Insurance Company

Pursuant to the November 19, 2016 purchase agreements (the “Veridicus Agreements”) with Veridicus Holdings, LLC and Granite Alliance Insurance Company (collectively “Veridicus”) and Veridicus Health, LLC, on December 13, 2016 and February 7, 2017 the Company acquired all of the outstanding equity interests of Veridicus (the “Veridicus Acquisition”). Veridicus is a PBM with a unique set of clinical services and capabilities.

The base purchase price for the Veridicus Acquisition per the Veridicus Agreements was $74.5 million, subject to working capital adjustments. The Company reports the results of operations of Veridicus within its Pharmacy Management segment.

The Company’s estimated fair values of Veridicus assets acquired and liabilities assumed at the date of acquisition are determined based on certain valuations and analyses that have yet to be finalized, and accordingly, the assets acquired and liabilities assumed are subject to adjustment once the analyses are completed. The Company will make appropriate adjustments to the purchase price allocation prior to the completion of the measurement period as required. During the six months ended June 30, 2017, the Company made net measurement period adjustments of $2.1 million to increase the goodwill related to the Veridicus acquisition. The measurement period adjustments included a decrease to the customer contracts identified intangible assets of $2.9 million, partially offset by other measurement period adjustments of $0.8 million. 

As of June 30, 2017, the Company established a working capital receivable of $0.5 million that was reflected as a reduction to the transaction price.

NOTE F—Subsequent Events

On July 13, 2017, the Company entered into an agreement and plan of merger (“the SWH Agreement”) to acquire SWH Holdings, Inc. (“Senior Whole Health”). Senior Whole Health is a healthcare company focused on serving complex, high-risk populations, providing Medicare and Medicaid dual-eligible benefits to members in Massachusetts and New York. Under the terms of AFSC's management, whothe SWH Agreement, the base purchase price is $390.0 million, subject to working capital adjustments, plus a potential contingent payment of $10.0 million. The contingent payments are also shareholders, will reinvestbased on a portion

24


Table of their proceedsContents

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2017

(Unaudited)

subsidiary of SWH Holdings earning a Star Rating from Medicare of 4.0 or greater in Magellan restricted common stock. The stock2018. Consummation of the merger is subject to vesting over a two-year period.

various conditions, including state regulatory approvals and the termination or expiration of the waiting period under the Hart-Scott-Rodino Antitrust Act. The Company anticipates funding the acquisition from the proceeds of new debt offerings.

On July 13, 2017, in connection with the Company’s acquisition of Senior Whole Health, the Company secured committed financing for up to $400.0 million at closing under a bridge facility (the “SWH Bridge Facility”). Proceeds from the SWH Bridge Facility may only be used by the Company to fund the acquisition and pay associated transaction costs. If utilized, the SWH Bridge Facility will reportbe guaranteed by substantially all of the resultsnon-regulated subsidiaries of operationthe Company and mature 364 days after the closing date of AFSC within the Healthcare segment.acquisition.


25


Item 2.  Management'sManagement’s Discussion and Analysis of Financial Condition and Results of Operations.

The following discussion and analysis of the financial condition and results of operations of Magellan and its subsidiaries should be read together with the Consolidated Financial Statements and the notes to the Consolidated Financial Statements included elsewhere in this Quarterly Report on Form 10-Q10‑Q and the Company'sCompany’s Annual Report on Form 10-K10‑K for the year ended December 31, 2015,2016, which was filed with the SEC on February 29, 2016.

Forward-Looking Statements24, 2017.

 

Forward‑Looking Statements

This Form 10-Q10‑Q includes "forward-looking statements"“forward‑looking statements” within the meaning of Section 27A of the Securities Act and Section 21E of the Exchange Act. Although the Company believes that its plans, intentions and expectations as reflected in such forward-lookingforward‑looking statements are reasonable, it can give no assurance that such plans, intentions or expectations will be achieved. Prospective investors are cautioned that any such forward-lookingforward‑looking statements are not guarantees of future performance and involve risks and uncertainties, and that actual results may differ materially from those contemplated by such forward-lookingforward‑looking statements. Important factors currently known to management that could cause actual results to differ materially from those in forward-lookingforward‑looking statements include:


·

the Company’s inability to renegotiate or extend expiring customer contracts, or the termination of customer contracts;

·

the Company’s inability to integrate acquisitions in a timely and effective manner;

·

changes in business practices of the industry, including the possibility that certain of the Company’s managed care customers could seek to provide managed healthcare services directly to their subscribers, instead of contracting with the Company for such services, particularly as a result of further consolidation in the managed care industry and especially regarding managed healthcare customers that have already done so with a portion of their membership;

·

the impact of changes in the contracting model for Medicaid contracts, including certain changes in the contracting model used by states for managed healthcare services contracts relating to Medicaid lives;

·

the Company’s ability to accurately predict and control healthcare costs, and to properly price the Company’s services;

·

the Company’s ability to accurately underwrite and control healthcare costs associated with its expansion into clinically integrated management of special populations eligible for Medicaid and Medicare, including individuals with serious mental illness and other unique high‑cost populations;

·

the Company’s ability to maintain or secure cost‑effective healthcare provider contracts;

·

the Company’s ability to maintain relationships with key pharmacy providers, vendors and manufacturers;

·

fluctuation in quarterly operating results due to seasonal and other factors;

·

the Company’s dependence on government spending for managed healthcare, including changes in federal, state and local healthcare policies;

·

restrictive covenants in the Company’s debt instruments;

·

present or future state regulations and contractual requirements that the Company provide financial assurance of its ability to meet its obligations;

·

the impact of the competitive environment in the managed healthcare services industry which may limit the Company’s ability to maintain or obtain contracts, as well as its ability to maintain or increase its rates;

26


Table of Contents

    the impact of the competitive environment in the managed healthcare services industry which may limit the Company's ability to maintain or obtain contracts, as well as its ability to maintain or increase its rates;

    the impact of healthcare reform legislation;

    the Mental Health and Substance Abuse Benefit Parity Law and Regulations;

    government regulation;

    the Company's participation in Medicare Part D is subject to government regulation;

    the unauthorized disclosure of sensitive or confidential member or other information;

    a breach or failure in the Company's operational security systems or infrastructure, or those of third parties with which we do business;

    the possible impact of additional regulatory scrutiny and liability associated with the Company's Pharmacy Management segment;

    the inability to realize the value of goodwill and intangible assets;

    pending or future actions or claims for professional liability;

    claims brought against the Company that either exceed the scope of the Company's liability coverage or result in denial of coverage;

    class action suits and other legal proceedings;

    negative publicity;

    the impact of governmental investigations;

    the impact of varying economic and market conditions on the Company's investment portfolio;

    the state of the national economy and adverse changes in economic conditions; and

    the impact to contingent consideration as a result of changes in operational forecasts and probabilities of payment.

·

the impact of healthcare reform legislation;

·

the Mental Health and Substance Abuse Benefit Parity Law and Regulations;

·

government regulation;

·

the Company’s participation in Medicare Part D is subject to government regulation;

·

the unauthorized disclosure of sensitive or confidential member or other information;

·

a breach or failure in the Company’s operational security systems or infrastructure, or those of third parties with which we do business;

·

the possible impact of additional regulatory scrutiny and liability associated with the Company’s Pharmacy Management segment;

·

the inability to realize the value of goodwill and intangible assets;

·

pending or future actions or claims for professional liability;

·

claims brought against the Company that either exceed the scope of the Company’s liability coverage or result in denial of coverage;

·

class action suits and other legal proceedings;

·

negative publicity;

·

the impact of governmental investigations;

·

the impact of varying economic and market conditions on the Company’s investment portfolio;

·

the state of the national economy and adverse changes in economic conditions; and

·

the impact to contingent consideration as a result of changes in operational forecasts and probabilities of payment.

Further discussion of factors currently known to management that could cause actual results to differ materially from those in forward-lookingforward‑looking statements is set forth under the heading "Risk Factors"“Risk Factors” in Item 1A of Magellan'sMagellan’s Annual Report on Form 10-K10‑K for the year ended December 31, 2015.2016. When used in this Quarterly Report on Form 10-Q,10‑Q, the words "estimate," "anticipate," "expect," "believe," "should,"“estimate,” “anticipate,” “expect,” “believe,” “should,” and similar expressions are intended to be forward-lookingforward‑looking statements. Magellan undertakes no obligation to update or revise forward-lookingforward‑looking statements to reflect changed assumptions, the occurrence of unanticipated events or changes to future operating results over time, except as required by law.

Business Overview

The Company is engaged in the healthcare management business, and is focused on managing the fastest growing, most complex areas of health, including special populations, complete pharmacy benefits and other specialty areas of healthcare. The Company develops innovative solutions that combine advanced analytics, agile technology and clinical excellence to drive better decision making, positively impact health outcomes and optimize the cost of care for the members we serve. The Company provides services to health plans and other MCOs, employers, labor unions, various military and governmental agencies and TPAs. The Company'sCompany’s business is divided into three segments, based on the services it provides and/or the customers it serves. See Note A—"General"General for more information on the Company'sCompany’s business segments.


27


The following tables summarize, for the periods indicated, revenues and covered lives for Healthcare by product classification and customer type (in thousands):

 

 

 

 

 

 

Covered lives as of

 


 Covered lives as of
June 30, 2016
 

 

June 30, 2017

 


 Risk-based ASO 

    

Risk-based

    

ASO

 

Commercial

     

 

 

 

 

 

Behavioral(1)

 13,528 10,110 

 

13,875

 

11,411

 

Specialty

 8,189 16,582 

 

9,087

 

16,022

 

Government(2)

 4,229 1,030 

 

4,026

 

1,062

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenue for the six months ended

 

 

 

June 30, 2017

 

 

    

Risk-based

    

ASO

    

Total

 

Commercial

 

 

 

 

 

 

 

 

 

 

Behavioral(1)

 

$

193,539

 

$

60,367

 

$

253,906

 

Specialty

 

 

296,159

 

 

35,258

 

 

331,417

 

Government(2)

 

 

787,974

 

 

47,349

 

 

835,323

 

Total

 

$

1,277,672

 

$

142,974

 

$

1,420,646

 

 
 Revenue for six months
ended June 30, 2016
 
 
 Risk-based ASO Total 

Commercial

          

Behavioral(1)

 $164,907 $59,735 $224,642 

Specialty

  254,611  32,771  287,382 

Government(2)

  702,359  42,515  744,874 

Total

 $1,121,877 $135,021 $1,256,898 

(1)
Includes revenues of $25.6 million from EAP services provided on a risk basis to health plans and employers with 11.0 million covered lives.

(2)
Includes revenues of $77.5 million from EAP services provided on a risk basis to federal governmental entities with 3.5 million covered lives.

(1)

Includes revenues of $24.4 million from EAP services provided on a risk basis to health plans and employers with 10.6 million covered lives.

(2)

Includes revenues of $173.5 million from EAP services provided on a risk basis to federal governmental entities with 3.5 million covered lives.

During six months ended June 30, 2016,2017, Pharmacy Management paid 12.514.4 million adjusted commercial network claims in its PBM business, 37.336.1 million adjusted PBA claims and 0.1 million specialty dispensing claims. Adjusted claim totals apply a multiple of three for each 90-day90‑day and traditional mail claim. As of June 30, 2016,2017, Pharmacy Management had a generic dispensing rate of 84.987.1 percent within its commercial PBM business and served 1.71.9 million commercial PBM members, 12.413.3 million members in its medical pharmacy management programs, and 2526 states and the District of Columbia in its PBA business.

Critical Accounting Policies and Estimates

The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Significant estimates of the Company include, among other things, accounts receivable realization, valuation allowances for deferred tax assets, valuation of goodwill and intangible assets, medical claims payable, other medical liabilities, stock compensation assumptions, tax contingencies, legal liabilities and contingent consideration payable. Actual results could differ from those estimates. Except as noted below, the Company'sCompany’s critical accounting policies are summarized in the Company'sCompany’s Annual Report on Form 10-K,10‑K, filed with the SEC on February 29, 2016.24, 2017.

Results of Operations

The accounting policies of the Company'sCompany’s segments are the same as those described in Note A—"General." The Company evaluates performance of its segments based on Segment Profit. Management uses Segment Profit information for internal reporting and control purposes and considers


Table of Contents

it important in making decisions regarding the allocation of capital and other resources, risk assessment and employee compensation, among other matters. Healthcare subcontracts with Pharmacy Management to provide pharmacy benefits management services for certain of Healthcare'sHealthcare’s customers. In addition, Pharmacy Management provides pharmacy benefits management for the Company'sCompany’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. The Company'sCompany’s segments are defined in Note A—"General"“General”.

28


The following tables summarize, for the periods indicated, operating results by business segment (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

 

    

 

 

    

Corporate

    

 

 

 

 

 

 

 

 

Pharmacy

 

and

 

 

 

 

 

    

Healthcare

    

Management

    

Elimination

    

Consolidated

 

Three Months Ended June 30, 2016

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

637,970

 

$

61,975

 

$

(84)

 

$

699,861

 

PBM and dispensing revenue

 

 

 —

 

 

495,399

 

 

(30,915)

 

 

464,484

 

Cost of care

 

 

(472,529)

 

 

 —

 

 

 —

 

 

(472,529)

 

Cost of goods sold

 

 

 —

 

 

(466,637)

 

 

29,707

 

 

(436,930)

 

Direct service costs and other

 

 

(139,965)

 

 

(64,086)

 

 

(10,026)

 

 

(214,077)

 

Stock compensation expense (1)

 

 

2,451

 

 

5,548

 

 

1,511

 

 

9,510

 

Changes in fair value of contingent consideration (1)

 

 

390

 

 

73

 

 

 —

 

 

463

 

Impairment of intangible assets (1)

 

 

4,800

 

 

 —

 

 

 —

 

 

4,800

 

Less: non-controlling interest segment profit (loss) (2)

 

 

(1,305)

 

 

 —

 

 

(7)

 

 

(1,312)

 

Segment profit (loss)

 

$

34,422

 

$

32,272

 

$

(9,800)

 

$

56,894

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

 

    

 

 

    

Corporate

    

 

 

 

 

 

 

 

 

Pharmacy

 

and

 

 

 

 

 

    

Healthcare

    

Management

    

Elimination

    

Consolidated

 

Three Months Ended June 30, 2017

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

755,270

 

$

66,659

 

$

(230)

 

$

821,699

 

PBM and dispensing revenue

 

 

 —

 

 

631,932

 

 

(34,492)

 

 

597,440

 

Cost of care

 

 

(583,264)

 

 

 —

 

 

 —

 

 

(583,264)

 

Cost of goods sold

 

 

 —

 

 

(595,446)

 

 

33,091

 

 

(562,355)

 

Direct service costs and other

 

 

(145,914)

 

 

(74,953)

 

 

(10,505)

 

 

(231,372)

 

Stock compensation expense (1)

 

 

3,106

 

 

5,684

 

 

2,581

 

 

11,371

 

Changes in fair value of contingent consideration (1)

 

 

252

 

 

 —

 

 

 —

 

 

252

 

Less: non-controlling interest segment profit (loss) (2)

 

 

(568)

 

 

 —

 

 

(1)

 

 

(569)

 

Segment profit (loss)

 

$

30,018

 

$

33,876

 

$

(9,554)

 

$

54,340

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

 

    

 

 

    

Corporate

    

 

 

 

 

 

 

 

 

Pharmacy

 

and

 

 

 

 

 

    

Healthcare

    

Management

    

Elimination

    

Consolidated

 

Six Months Ended June 30, 2016

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

1,256,898

 

$

119,552

 

$

(128)

 

$

1,376,322

 

PBM and dispensing revenue

 

 

 —

 

 

965,633

 

 

(60,588)

 

 

905,045

 

Cost of care

 

 

(930,160)

 

 

 —

 

 

 —

 

 

(930,160)

 

Cost of goods sold

 

 

 —

 

 

(910,586)

 

 

58,197

 

 

(852,389)

 

Direct service costs and other

 

 

(265,582)

 

 

(124,927)

 

 

(16,024)

 

 

(406,533)

 

Stock compensation expense (1)

 

 

4,470

 

 

10,970

 

 

2,957

 

 

18,397

 

Changes in fair value of contingent consideration (1)

 

 

70

 

 

127

 

 

 —

 

 

197

 

Impairment of intangible assets (1)

 

 

4,800

 

 

 —

 

 

 

 

 

4,800

 

Less: non-controlling interest segment profit (loss) (2)

 

 

(1,136)

 

 

 —

 

 

(11)

 

 

(1,147)

 

Segment profit (loss)

 

$

71,632

 

$

60,769

 

$

(15,575)

 

$

116,826

 

 
 Healthcare Pharmacy
Management
 Corporate and
Elimination
 Consolidated 

Three Months Ended June 30, 2015

             

Managed care and other revenue

 $722,471 $53,782 $(13)$776,240 

PBM and dispensing revenue

    408,924  (27,557) 381,367 

Cost of care

  (568,288)     (568,288)

Cost of goods sold

    (387,828) 26,419  (361,409)

Direct service costs and other(3)

  (124,779) (61,038) (5,638) (191,455)

Stock compensation expense(1)(3)

  1,784  10,339  1,672  13,795 

Changes in fair value of contingent consideration(1)

  71  2,496    2,567 

Less: non-controlling interest segment profit (loss)(2)

  (273)   (77) (350)

Segment profit (loss)

 $31,532 $26,675 $(5,040)$53,167 


29

 
 Healthcare Pharmacy
Management
 Corporate and
Elimination
 Consolidated 

Three Months Ended June 30, 2016

             

Managed care and other revenue

 $637,970 $61,975 $(84)$699,861 

PBM and dispensing revenue

    495,399  (30,915) 464,484 

Cost of care

  (472,529)     (472,529)

Cost of goods sold

    (466,637) 29,707  (436,930)

Direct service costs and other(3)

  (139,965) (64,086) (10,026) (214,077)

Stock compensation expense(1)(3)

  2,451  5,548  1,511  9,510 

Changes in fair value of contingent consideration(1)

  390  73    463 

Impairment of intangible assets(1)

  4,800      4,800 

Less: non-controlling interest segment profit (loss)(2)

  (1,305)   (7) (1,312)

Segment profit (loss)

 $34,422 $32,272 $(9,800)$56,894 


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 Healthcare Pharmacy
Management
 Corporate and
Elimination
 Consolidated 

Six Months Ended June 30, 2015

             

Managed care and other revenue

 $1,422,064 $102,850 $(24)$1,524,890 

PBM and dispensing revenue

    667,717  (54,032) 613,685 

Cost of care

  (1,090,621) 5    (1,090,616)

Cost of goods sold

    (631,366) 51,750  (579,616)

Direct service costs and other(3)

  (253,247) (129,271) (13,387) (395,905)

Stock compensation expense(1)(3)

  4,972  19,744  2,980  27,696 

Changes in fair value of contingent consideration(1)

  171  17,365    17,536 

Less: non-controlling interest segment profit (loss)(2)

  (393)   (51) (444)

Segment profit (loss)

 $83,732 $47,044 $(12,662)$118,114 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

 

 

    

 

 

    

Corporate

    

 

 

 

 

 

 

 

 

Pharmacy

 

and

 

 

 

 

 

    

Healthcare

    

Management

    

Elimination

    

Consolidated

 

Six Months Ended June 30, 2017

 

 

 

 

 

 

 

 

 

 

 

 

 

Managed care and other revenue

 

$

1,420,646

 

$

130,839

 

$

(446)

 

$

1,551,039

 

PBM and dispensing revenue

 

 

 —

 

 

1,238,678

 

 

(64,955)

 

 

1,173,723

 

Cost of care

 

 

(1,065,318)

 

 

 —

 

 

 —

 

 

(1,065,318)

 

Cost of goods sold

 

 

 —

 

 

(1,167,283)

 

 

62,295

 

 

(1,104,988)

 

Direct service costs and other

 

 

(284,882)

 

 

(150,806)

 

 

(17,170)

 

 

(452,858)

 

Stock compensation expense (1)

 

 

5,765

 

 

11,414

 

 

4,332

 

 

21,511

 

Changes in fair value of contingent consideration (1)

 

 

203

 

 

 —

 

 

 —

 

 

203

 

Less: non-controlling interest segment profit (loss) (2)

 

 

(845)

 

 

 —

 

 

(2)

 

 

(847)

 

Segment profit (loss)

 

$

77,259

 

$

62,842

 

$

(15,942)

 

$

124,159

 

 

 
 Healthcare Pharmacy
Management
 Corporate and
Elimination
 Consolidated 

Six Months Ended June 30, 2016

             

Managed care and other revenue

 $1,256,898 $119,552 $(128)$1,376,322 

PBM and dispensing revenue

    965,633  (60,588) 905,045 

Cost of care

  (930,160)     (930,160)

Cost of goods sold

    (910,586) 58,197  (852,389)

Direct service costs and other(3)

  (265,582) (124,927) (16,024) (406,533)

Stock compensation expense(1)(3)

  4,470  10,970  2,957  18,397 

Changes in fair value of contingent consideration(1)

  70  127    197 

Impairment of intangible assets(1)

  4,800      4,800 

Less: non-controlling interest segment profit (loss)(2)

  (1,136)   (11) (1,147)

Segment profit (loss)

 $71,632 $60,769 $(15,575)$116,826 

(1)
Stock compensation expense, changes in the fair value of contingent consideration recorded in relation to the 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)
The non-controlling portion of AlphaCare's segment profit (loss) is excluded from the computation of Segment Profit.

(3)
Effective January 1, 2016, the Company implemented changes related to the allocation of Corporate operational and support functions. These changes were applied retrospectively. The

(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)

The non‑controlling portion of AlphaCare’s segment profit (loss) is excluded from the computation of Segment Profit.

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    following tables summarize, for the periods indicated, the changes by business segment (in thousands):

 
 Healthcare Pharmacy
Management
 Corporate and
Elimination
 Consolidated 

Three Months Ended June 30, 2015

             

Segment profit (loss) before Corporate allocations

 $47,522 $30,960 $(25,315)$53,167 

Allocated Corporate costs

  (17,280) (4,608) 21,888   

Allocated Corporate stock compensation expense

  1,290  323  (1,613)  

Segment profit (loss)

 $31,532 $26,675 $(5,040)$53,167 


 
 Healthcare Pharmacy
Management
 Corporate and
Elimination
 Consolidated 

Three Months Ended June 30, 2016

             

Segment profit (loss) before Corporate allocations

 $50,719 $36,256 $(30,081)$56,894 

Allocated Corporate costs

  (17,661) (4,325) 21,986   

Allocated Corporate stock compensation expense

  1,364  341  (1,705)  

Segment profit (loss)

 $34,422 $32,272 $(9,800)$56,894 


 
 Healthcare Pharmacy
Management
 Corporate and
Elimination
 Consolidated 

Six Months Ended June 30, 2015

             

Segment profit (loss) before Corporate allocations

 $115,470 $55,465 $(52,821)$118,114 

Allocated Corporate costs

  (35,227) (9,293) 44,520   

Allocated Corporate stock compensation expense

  3,489  872  (4,361)  

Segment profit (loss)

 $83,732 $47,044 $(12,662)$118,114 


 
 Healthcare Pharmacy
Management
 Corporate and
Elimination
 Consolidated 

Six Months Ended June 30, 2016

             

Segment profit (loss) before Corporate allocations

 $104,246 $68,963 $(56,383)$116,826 

Allocated Corporate costs

  (35,302) (8,866) 44,168   

Allocated Corporate stock compensation expense

  2,688  672  (3,360)  

Segment profit (loss)

 $71,632 $60,769 $(15,575)$116,826 

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    The following table reconciles Segment Profit to income before income taxes to Segment Profit (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three Months Ended

 

Six Months Ended

 

 

 

 

June 30, 

 

June 30, 

 

 

 

 

2016

    

2017

    

2016

    

2017

    

 

Income before income taxes

 

$

13,927

 

$

10,588

 

$

39,331

 

$

39,863

 

 

Stock compensation expense

 

 

9,510

 

 

11,371

 

 

18,397

 

 

21,511

 

 

Changes in fair value of contingent consideration

 

 

463

 

 

252

 

 

197

 

 

203

 

 

Impairment of intangible assets

 

 

4,800

 

 

 —

 

 

4,800

 

 

 —

 

 

Non-controlling interest segment (profit) loss

 

 

1,312

 

 

569

 

 

1,147

 

 

847

 

 

Depreciation and amortization

 

 

25,580

 

 

27,731

 

 

50,587

 

 

54,707

 

 

Interest expense

 

 

1,994

 

 

4,900

 

 

3,742

 

 

9,048

 

 

Interest and other income

 

 

(692)

 

 

(1,071)

 

 

(1,375)

 

 

(2,020)

 

 

Segment Profit

 

$

56,894

 

$

54,340

 

$

116,826

 

$

124,159

 

 

Quarter ended June 30, 2017 (“Current Year Quarter”), compared to the quarter ended June 30, 2016 (“Prior Year Quarter”)

Healthcare

Net Revenue

Net revenue related to Healthcare increased by 18.4 percent or $117.3 million. The increase in revenue is mainly due to higher membership and net favorable rate changes of $64.5 million, revenue for AFSC acquired July 1, 2016 of $48.4 million, contracts implemented after (or during) the Prior Year Quarter of $29.3 million, net retroactive program changes in the Current Year Quarter of $40.3 million and the revenue impact of unfavorable prior period medical claims development recorded in the Current Year Quarter of $6.7 million. These increases were partially offset by terminated contracts of $33.7 million, net program changes of $12.3 million, net revenue recorded for HIF fees in the Prior Year Quarter of $10.1 million, unfavorable retroactive rate adjustments in the Current Year Quarter of $4.1 million, the revenue impact of unfavorable prior period medical claims development recorded in the Prior Year Quarter of $3.0 million and other net unfavorable variances of $8.7 million (mainly profit share impact of favorable care trends).

30

 
 Three Months Ended
June 30,
 Six Months Ended
June 30,
 
 
 2015 2016 2015 2016 

Segment profit

 $53,167 $56,894 $118,114 $116,826 

Stock compensation expense

  (13,795) (9,510) (27,696) (18,397)

Changes in fair value of contingent consideration

  (2,567) (463) (17,536) (197)

Impairment of intangible assets

    (4,800)   (4,800)

Non-controlling interest segment profit (loss)

  (350) (1,312) (444) (1,147)

Depreciation and amortization

  (25,022) (25,580) (48,518) (50,587)

Interest expense

  (1,653) (1,994) (3,279) (3,742)

Interest income

  500  692  966  1,375 

Income before income taxes

 $10,280 $13,927 $21,607 $39,331 

Cost of Care

Cost of care increased by 23.4 percent or $110.7 million. The increase is mainly due to increased membership and higher care associated with net favorable rate changes of $55.9 million, care costs for AFSC of $36.6 million, net retroactive program changes in the Current Year Quarter of $37.2 million, new contracts implemented after (or during) the Prior Year Quarter of $27.8 million, net unfavorable prior period medical claims development recorded in the Current Year Quarter of $8.2 million and net favorable prior period medical claims development recorded in the Prior Year Quarter of $2.5 million. These increases were partially offset by terminated contracts of $27.2 million, net program changes of $10.9 million, customer settlements of $2.5 million and care trends and other net favorable variances of $16.9 million. For our commercial contracts, cost of care increased as a percentage of risk revenue (excluding EAP business) from 83.6 percent in the Prior Year Quarter to 89.9 percent in the Current Year Quarter, mainly due to unfavorable care trends. For our government contracts, cost of care as a percentage of risk revenue (excluding EAP business) was 87.1 percent which was consistent with the Prior Year Quarter.

Direct Service Costs

Direct service costs increased by 4.3 percent or $5.9 million, primarily due to costs related to AFSC and new business, partially offset by the impact of terminated contracts and HIF fees in the Prior Year Quarter. Direct service costs decreased as a percentage of revenue from 21.9 percent in the Prior Year Quarter to 19.3 percent in the Current Year Quarter, mainly due to increase in revenue from business growth and acquisitions, partially offset by terminated contracts and costs related to the acquisition of AFSC.

Pharmacy Management

Managed Care and Other Revenue

Managed care and other revenue related to Pharmacy Management increased by 7.6 percent or $4.7 million. This increase is primarily due to new contracts implemented after (or during) the Prior Year Quarter of $2.2 million, Medical pharmacy of $2.1 million, revenue for Veridicus acquired on December 13, 2016 of $1.3 million and other net favorable variances of $1.8 million. These increases were partially offset by decreased rebate revenue of $1.5 million and terminated contracts of $1.2 million.

PBM and Dispensing Revenue

PBM and dispensing revenue related to Pharmacy Management increased by 27.6 percent or $136.5 million. This increase is primarily due to new contracts implemented after (or during) the Prior Year Quarter of $80.2 million, Medicare revenue of $59.3 million, revenue for Veridicus of $44.6 million, Pharmacy employer revenue of $42.4 million and pharmacy MCO revenue of $7.3 million. These favorable variances were partially offset by terminated contracts of $94.6 million and other net unfavorable variances of $2.7 million

Cost of Goods Sold

Cost of goods sold increased by 27.6 percent or $128.8 million. This increase is primarily due to new contracts implemented after (or during) the Prior Year Quarter of $78.9 million, an increase in Medicare of $57.5 million, cost for Veridicus of $40.7 million, Pharmacy employer of $37.7 million, an increase in pharmacy MCO of $5.7 million and other net unfavorable variances of $1.3 million. These increases were partially offset by terminated contracts of $93.0 million. As a percentage of the portion of net revenue that relates to PBM and dispensing activity, cost of goods sold was 94.2 percent which was consistent with the Prior Year Quarter.

Direct Service Costs

Direct service costs increased by 17.0 percent or $10.9 million, mainly due to the acquisition of Veridicus, contract implementation costs and ongoing costs to support new business. Direct service costs decreased as a percentage of revenue from 11.5 percent in the Prior Year Quarter to 10.7 percent in the Current Year Quarter, mainly due to an increase in revenue from business growth and acquisition activity.

31


Corporate and Elimination

Net expenses related to Corporate, which includes eliminations, increased by 7.2 percent or $0.8 million, primarily due to an increase in stock and other compensation expense in the Current Year Quarter. As a percentage of revenue, corporate and elimination was 0.9 percent in the Current Year Quarter, which is down slightly from the Prior Year Quarter.

Depreciation and Amortization

Depreciation and amortization expense increased by 8.4 percent or $2.2 million, primarily due to asset additions after the Prior Year Quarter and acquisition activity.

Interest Expense

Interest expense increased by $2.9 million, primarily due to an increase in interest rates and the amount of outstanding debt.

Interest Income

Interest income increased by $0.4 million, primarily due to higher yields.

Income Taxes

Non-GAAP MeasuresThe Company’s effective income tax rates were 90.6 percent and 53.5 percent for the Prior Year Quarter and Current Year Quarter, respectively. The effective income tax rate for the Current Year Quarter is lower than the Prior Year Quarter mainly due the suspension for 2017 of the non-deductible HIF fees and valuation allowance increases in 2016 with respect to losses at AlphaCare. 

 

Six months ended June 30, 2017 (“Current Year Period”), compared to the six months ended June 30, 2016 (“Prior Year Period”)

Healthcare

Net Revenue

Net revenue related to Healthcare increased by 13.0 percent or $163.7 million. The increase in revenue is mainly due to higher membership and net favorable rate changes of $135.9 million, revenue for AFSC acquired July 1, 2016 of $92.3 million, contracts implemented after (or during) the Prior Year Period of $54.3 million, net retroactive program changes recorded in the Current Year Period of $20.9 million, revenue for TMG acquired February 29, 2016 of $8.5 million, retroactive profit share in the Current Year Period of $3.3 million, favorable retroactive rate adjustments in the Current Year Period of $2.2 million, and customer settlements in the Current Year Period of $2.0 million. These increases were partially offset by terminated contracts of $68.6 million, net program changes of $23.8 million, net revenue recorded for HIF fees in the Prior Year Period of $21.7 million, the revenue impact of favorable prior period medical claims development recorded in the Current Year Period of $5.3 million, favorable retroactive rate adjustments in the Prior Year Period of $3.3 million, a performance penalty in the Current Year Period of $2.2 million, the revenue impact of unfavorable prior period medical claims development recorded in the Prior Year Period of $2.2 million and other net unfavorable variances of $28.6 million (mainly profit share impact of favorable care trends).

Cost of Care

Cost of care increased by 14.5 percent or $135.2 million. The increase is mainly due to increased membership and higher care associated with net favorable rate changes of $119.3 million, care costs for AFSC of $77.5 million, new contracts implemented after (or during) the Prior Year Period of $55.9 million, net retroactive program changes recorded in the Current Year Period of $19.2 million and net favorable prior period medical claims development recorded in the Prior Year Period of $1.9 million. These increases were partially offset by terminated contracts of $55.0 million, favorable medical claims development for the Prior Year Period which was recorded after the Prior Year Period of $20.7 million, net program changes of $19.5 million, net favorable prior period medical claims development recorded in the

32


Current Year Period of $9.1 million, customer settlements of $4.5 million and care trends and other net favorable variances of $29.8 million. For our commercial contracts, cost of care increased as a percentage of risk revenue (excluding EAP business) from 84.0 percent in the Prior Year Period to 87.5 percent in the Current Year Period, mainly due to unfavorable care trends. For our government contracts, cost of care decreased as a percentage of risk revenue (excluding EAP business) from 86.0 percent in the Prior Year Period to 84.3 percent in the Current Year Period, mainly due to favorable care development, favorable care trends and business mix.

Direct Service Costs

Direct service costs increased by 7.3 percent or $19.3 million, primarily due to costs related to TMG and AFSC and contract implementation cost, partially offset by the impact of terminated contracts and HIF fees in the Prior Year Period. Direct service costs decreased as a percentage of revenue from 21.1 percent in the Prior Year Period to 20.1 percent in the Current Year Period, mainly due to an increase in revenue from business growth and acquisition activity, partially offset by terminated contracts and the acquisition of TMG and AFSC.

Pharmacy Management

Managed Care and Other Revenue

Managed care and other revenue related to Pharmacy Management increased by 9.4 percent or $11.3 million. This increase is primarily due to new contracts implemented after (or during) the Prior Year Period of $4.1 million, Medical pharmacy of $2.9 million, revenue for Veridicus acquired on December 13, 2016 of $2.6 million, increased rebate revenue of $1.0 million, government pharmacy revenue of $0.7 million and other net favorable variances of $1.6 million. These increases were partially offset by terminated contracts of $1.6 million.

PBM and Dispensing Revenue

PBM and dispensing revenue related to Pharmacy Management increased by 28.3 percent or $273.0 million. This increase is primarily due to new contracts implemented after (or during) the Prior Year Period of $204.6 million, Medicare revenue of $120.4 million, revenue for Veridicus of $85.7 million, Pharmacy employer revenue of $39.7 million, pharmacy MCO revenue of $11.7 million and other net favorable variances of $0.3 million. These favorable variances were partially offset by terminated contracts of $186.9 million and net decreased dispensing activity from existing customers of $2.5 million.

Cost of Goods Sold

Cost of goods sold increased by 28.2 percent or $256.7 million. This increase is primarily due to new contracts implemented after (or during) the Prior Year Period of $201.6 million, an increase in Medicare of $117.5 million, cost for Veridicus of $77.8 million, Pharmacy employer of $32.4 million, an increase in pharmacy MCO of $10.4 million and other net unfavorable variances of $4.7 million. These increases were partially offset by terminated contracts of $183.7 million and net decreased dispensing activity from existing customers of $4.0 million. As a percentage of the portion of net revenue that relates to PBM and dispensing activity, cost of goods sold was 94.2 percent which was consistent with the Prior Year Period.

Direct Service Costs

Direct service costs increased by 20.7 percent or $25.9 million, mainly due to the acquisition of Veridicus, contract implementation costs and ongoing costs to support new business. Direct service costs decreased as a percentage of revenue from 11.5 percent in the Prior Year Period to 11.0 percent in the Current Year Period, mainly due to an increase in revenue from business growth and acquisition activity.

Corporate and Elimination

Net expenses related to Corporate, which includes eliminations, increased by 9.3 percent or $1.7 million, primarily due to an increase in stock and other compensation expense in the Current Year Period. As a percentage of revenue, corporate and elimination was 0.7 percent, which was consistent with the Prior Year Period.

33


Depreciation and Amortization

Depreciation and amortization expense increased by 8.1 percent or $4.1 million, primarily due to asset additions after the Prior Year Period and acquisition activity.

Interest Expense

Interest expense increased by $5.3 million, primarily due to an increase in interest rates and the amount of outstanding debt.

Interest Income

Interest income increased by $0.6 million, primarily due to higher yields.

Income Taxes

The Company’s effective income tax rates were 62.6 percent and 43.8 percent for the Prior Year Period and Current Year Period, respectively. The effective income tax rate for the Current Year Period is lower than the Prior Year Period mainly due the suspension for 2017 of the non-deductible HIF fees and valuation allowance increases in 2016 with respect to AlphaCare. 

Non‑GAAP Measures

The Company reports its financial results in accordance with GAAP, however the Company'sCompany’s management also assesses business performance and makes business decisions regarding the Company'sCompany’s operations using certain non-GAAPnon‑GAAP measures. In addition to Segment Profit, as defined above, the Company also uses adjusted net income attributable to Magellan Health, Inc. ("(“Adjusted Net Income"Income”) and adjusted net income per common share attributable to Magellan Health, Inc. on a diluted basis ("(“Adjusted EPS"EPS”). Adjusted Net Income and Adjusted EPS reflect certain adjustments made for acquisitions completed after January 1, 2013 to exclude non-cashnon‑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. The Company believes these non-GAAPnon‑GAAP measures provide a more useful comparison of the Company'sCompany’s underlying business performance from period to period and are more representative of the earnings capacity of the Company. Non-GAAPNon‑GAAP financial measures we disclose, such as Segment Profit, Adjusted Net Income and Adjusted EPS, should not be considered a substitute for, or superior to, financial measures determined or calculated in accordance with GAAP.

The following table reconciles Adjusted Net Income to net income attributable to Magellan Health, Inc. (in thousands):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

    

Three Months Ended

 

Six Months Ended

 

 

 

June 30, 

 

June 30, 

 

 

 

2016

    

2017

    

2016

    

2017

    

Net income attributable to Magellan

 

$

3,958

 

$

5,500

 

$

17,195

 

$

23,247

 

Adjusted for acquisitions starting in 2013

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation expense relating to acquisitions

 

 

4,556

 

 

4,906

 

 

9,112

 

 

9,758

 

Changes in fair value of contingent consideration

 

 

463

 

 

252

 

 

197

 

 

203

 

Amortization of acquired intangibles

 

 

5,509

 

 

8,315

 

 

11,289

 

 

16,766

 

Impairment of intangible assets, net of non-controlling interest

 

 

3,936

 

 

 —

 

 

3,936

 

 

 —

 

Tax impact

 

 

(4,071)

 

 

(4,888)

 

 

(7,949)

 

 

(9,767)

 

Adjusted Net Income

 

$

14,351

 

$

14,085

 

$

33,780

 

$

40,207

 

34

 
 Three Months Ended
June 30,
 Six Months Ended
June 30,
 
 
 2015 2016 2015 2016 

Adjusted Net Income

 $14,722 $14,351 $39,106 $33,780 

Adjusted for acquisitions starting in 2013

             

Stock compensation relating to acquisitions

  (8,498) (4,556) (16,836) (9,112)

Changes in fair value of contingent consideration

  (2,567) (463) (17,536) (197)

Amortization of acquired intangibles

  (5,260) (5,509) (9,643) (11,289)

Impairment of intangible assets, net of non-controlling interest

    (3,936)   (3,936)

Tax impact

  6,246  4,071  16,840  7,949 

Net income attributable to Magellan Health, Inc. 

 $4,643 $3,958 $11,931 $17,195 


The following table reconciles Adjusted EPS to net income per common share attributable to Magellan Health, Inc.—Magellan—diluted:

 

 

 

 

 

 

 

 

 

 

 

 

 


 Three Months
Ended
June 30,
 Six Months
Ended
June 30,
 

    

Three Months Ended

 

Six Months Ended

 


 2015 2016 2015 2016 

 

June 30, 

 

June 30, 

 

Adjusted EPS

 $0.56 $0.58 $1.47 $1.38 

 

2016

    

2017

    

2016

    

2017

    

Net income per common share attributable to Magellan—diluted

 

$

0.16

 

$

0.23

 

$

0.70

 

$

0.97

 

Adjusted for acquisitions starting in 2013

         

 

 

 

 

 

 

 

 

 

 

 

 

 

Stock compensation relating to acquisitions

 (0.32) (0.19) (0.63) (0.37)

Stock compensation expense relating to acquisitions

 

 

0.19

 

 

0.20

 

 

0.37

 

 

0.40

 

Changes in fair value of contingent consideration

 (0.10) (0.02) (0.66) (0.01)

 

 

0.02

 

 

0.01

 

 

0.01

 

 

0.01

 

Amortization of acquired intangibles

 (0.20) (0.22) (0.36) (0.46)

 

 

0.22

 

 

0.35

 

 

0.46

 

 

0.70

 

Impairment of intangible assets, net of non-controlling interest

  (0.16)  (0.16)

 

 

0.16

 

 

 —

 

 

0.16

 

 

 —

 

Tax impact

 0.23 0.17 0.63 0.32 

 

 

(0.17)

 

 

(0.20)

 

 

(0.32)

 

 

(0.41)

 

Net income per common share attributable to Magellan Health, Inc.—diluted

 $0.17 $0.16 $0.45 $0.70 

Adjusted EPS

 

$

0.58

 

$

0.59

 

$

1.38

 

$

1.67

 

Quarter ended June 30, 2016 ("Current Year Quarter"), compared to the quarter ended June 30, 2015 ("Prior Year Quarter")

Healthcare

Net Revenue

        Net revenue related to Healthcare decreased by 11.7 percent or $84.5 million from the Prior Year Quarter to the Current Year Quarter. The decrease in revenue is mainly due to terminated contracts of $168.0 million, unfavorable rate changes of $16.4 million, program changes of $5.9 million and other net unfavorable variances of $3.4 million (mainly related to favorable care trends and other net care variances). These decreases were partially offset by increased membership from existing customers of $73.9 million, contracts implemented after (or during) the Prior Year Quarter of $17.3 million, revenue for TMG acquired February 29, 2016 of $12.6 million, the revenue impact of unfavorable prior period medical claims development recorded in the Current Year Quarter of $3.0 million and the revenue impact of favorable prior period medical claims development recorded in the Prior Year Quarter of $2.4 million.

Cost of Care

        Cost of care decreased by 16.9 percent or $95.8 million from the Prior Year Quarter to the Current Year Quarter. The decrease in cost of care is primarily due to terminated contracts of $150.4 million, lower care associated with unfavorable rate changes of $15.0 million, program changes of $4.8 million, net favorable prior period medical claims development recorded in the Current Year Quarter of $2.5 million and care trends and other net favorable variances of $4.9 million. These decreases were partially offset by increased membership from existing customers of $64.9 million, new contracts implemented after (or during) the Prior Year Quarter of $10.6 million and favorable prior period medical claims development recorded in the Prior Year Quarter of $6.3 million. For our commercial contracts, cost of care decreased as a percentage of risk revenue (excluding EAP business) from 84.2 percent in the Prior Year Quarter to 83.6 percent in the Current Year Quarter, mainly due to business mix. For our government contracts, cost of care decreased as a percentage of risk revenue (excluding EAP business) from 89.6 percent in the Prior Year Quarter to 87.1 percent in the Current Year Quarter, mainly due to business mix.


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Direct Service Costs

        Direct service costs increased by 12.2 percent or $15.2 million from the Prior Year Quarter to the Current Year Quarter primarily due to cost related to TMG and the $4.8 million impairment of an intangible asset, partially offset by terminated contracts. Direct service costs increased as a percentage of revenue from 17.3 percent in the Prior Year Quarter to 21.9 percent in the Current Year Quarter, mainly due to business mix changes related to terminated contracts, the impairment of an intangible asset and the acquisition of TMG.

Pharmacy Management

Managed Care and Other Revenue

        Managed care and other revenue related to Pharmacy Management increased by 15.2 percent or $8.2 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to increased rebate revenue of $4.4 million, government pharmacy revenue of $2.1 million, new contracts implemented after (or during) the Prior Year Quarter of $1.3 million and other net favorable variances of $0.4 million.

PBM and Dispensing Revenue

        PBM and dispensing revenue related to Pharmacy Management increased by 21.1 percent or $86.5 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to new contracts implemented after (or during) the Prior Year Quarter of $71.8 million, pharmacy employer revenue of $12.3 million, pharmacy MCO revenue of $3.3 million and other net favorable variances of $1.3 million. These favorable variances were partially offset by net decreased dispensing activity from existing customers of $2.2 million.

Cost of Goods Sold

        Cost of goods sold increased by 20.3 percent or $78.8 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to new contracts implemented after (or during) the Prior Year Quarter of $71.8 million, an increase in pharmacy employer of $7.7 million and pharmacy MCO of $3.8 million. These increases were partially offset by net decreased dispensing activity from existing customers of $2.7 million and other net favorable variances of $1.8 million. As a percentage of the portion of net revenue that relates to PBM and dispensing activity, cost of goods sold decreased from 94.7 percent in the Prior Year Quarter to 94.2 percent the Current Year Quarter, mainly due to business mix.

Direct Service Costs

        Direct service costs increased by 5.0 percent or $3.0 million from the Prior Year Quarter to the Current Year Quarter mainly due contract implementation costs and ongoing costs to support new business, partially offset by a decrease in expense for fair value of contingent consideration and stock compensation. As a percentage of revenue, direct service costs decreased from 13.2 percent in the Prior Year Quarter to 11.6 percent in the Current Year Quarter, mainly due to the increase in revenue from business growth and the decrease in expense for fair value of contingent consideration and stock compensation.

Corporate and Elimination

        Net expenses related to Corporate, which includes eliminations, increased by 66.7 percent or $4.5 million, primarily due to higher project cost, severance and higher benefit costs in the Current Year Quarter. As a percentage of revenue, corporate and elimination increased from 0.6 percent in the


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Prior Year Quarter to 1.0 percent in the Current Year Quarter, mainly due to higher project cost in the Current Year Quarter.

Depreciation and Amortization

        Depreciation and amortization expense increased by 2.2 percent or $0.6 million from the Prior Year Quarter to the Current Year Quarter, primarily due to asset additions after the Prior Year Quarter and acquisition activity.

Interest Expense

        Interest expense increased by $0.3 million from the Prior Year Quarter to the Current Year Quarter primarily due to an increase in interest rates and amount of outstanding debt.

Interest Income

        Interest income increased by $0.2 million from the Prior Year Quarter to the Current Year Quarter primarily due to higher yields.

Income Taxes

        The Company's effective income tax rates were 58.2 percent and 90.6 percent for the Prior Year Quarter and Current Year Quarter, respectively. The effective income tax rate for the Current Year Quarter differs from the Prior Year Quarter mainly due to valuation allowance increases in 2016 with respect to losses at AlphaCare.

Six months ended June 30, 2016 ("Current Year Period"), compared to the six months ended June 30, 2015 ("Prior Year Period")

Healthcare

Net Revenue

        Net revenue related to Healthcare decreased by 11.6 percent or $165.2 million from the Prior Year Period to the Current Year Period. The decrease in revenue is mainly due to terminated contracts of $332.3 million, unfavorable rate changes of $31.1 million, program changes of $11.8 million and other net unfavorable variances of $11.8 million (mainly related to favorable care trends and other net care variances). These decreases were partially offset by increased membership from existing customers of $158.7 million, contracts implemented after (or during) the Prior Year Period of $34.9 million, revenue for TMG acquired February 29, 2016 of $16.7 million, unfavorable retroactive rate adjustments in the Prior Year Period of $3.3 million, favorable retroactive rate adjustments in the Current Year Period of $3.3 million, the revenue impact of favorable prior period medical claims development recorded in the Prior Year Period of $2.7 million and the revenue impact of unfavorable prior period medical claims development recorded in the Current Year Period of $2.2 million.

Cost of Care

        Cost of care decreased by 14.7 percent or $160.5 million from the Prior Year Period to the Current Year Period. The decrease in cost of care is primarily due to terminated contracts of $287.3 million, lower care associated with unfavorable rate changes of $31.3 million, program changes of $8.7 million, net favorable prior period medical claims development recorded in the Current Year Period of $1.9 million and care trends and other net favorable variances of $11.5 million. These decreases were partially offset by increased membership from existing customers of $135.2 million, favorable prior period medical claims development recorded in the Prior Year Period of $24.1 million and new contracts implemented after (or during) the Prior Year Period of $20.9 million. For our commercial


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contracts, cost of care increased as a percentage of risk revenue (excluding EAP business) from 82.7 percent in the Prior Year Period to 84.0 percent in the Current Year Period, mainly due to favorable care development in the Prior Year Period and business mix. For our government contracts, cost of care decreased as a percentage of risk revenue (excluding EAP business) from 87.4 percent in the Prior Year Period to 86.0 percent in the Current Year Period, mainly due to retroactive rate adjustments in the Prior Year Period and Current Year Period.

Direct Service Costs

        Direct service costs increased by 4.9 percent or $12.3 million from the Prior Year Period to the Current Year Period primarily due to the $4.8 million impairment of an intangible asset and costs related to TMG, partially offset by terminated contracts. Direct service costs increased as a percentage of revenue from 17.8 percent in the Prior Year Period to 21.1 percent in the Current Year Period, mainly due to the impairment of an intangible asset and costs related to TMG, partially offset by terminated contracts.

Pharmacy Management

Managed Care and Other Revenue

        Managed care and other revenue related to Pharmacy Management increased by 16.2 percent or $16.7 million from the Prior Year Period to the Current Year Period. This increase is primarily due to increased rebate revenue of $8.5 million, new contracts implemented after (or during) the Prior Year Period of $5.0 million and government pharmacy revenue of $5.0 million. These increases were partially offset by other net unfavorable variances of $1.8 million.

PBM and Dispensing Revenue

        PBM and dispensing revenue related to Pharmacy Management increased by 44.6 percent or $297.9 million from the Prior Year Period to the Current Year Period. This increase is primarily due to new contracts implemented after (or during) the Prior Year Period of $126.7 million, revenue for 4D acquired on April 1, 2015 of $107.5 million, pharmacy employer revenue of $37.6 million, pharmacy MCO revenue of $22.5 million and net increased dispensing activity from existing customers of $3.9 million. These increases were partially offset by other net unfavorable variances of $0.3 million.

Cost of Goods Sold

        Cost of goods sold increased by 44.2 percent or $279.2 million from the Prior Year Period to the Current Year Period. This increase is primarily due to new contracts implemented after (or during) the Prior Year Period of $127.2 million, 4D acquired April 1, 2015 of $103.9 million, an increase in pharmacy employer of $25.9 million, pharmacy MCO of $22.8 million, and net increased dispensing activity from existing customers of $1.7 million. These increases were partially offset by other net favorable variances of $2.3 million. As a percentage of the portion of net revenue that relates to PBM and dispensing activity, cost of goods sold decreased from 94.6 percent in the Prior Year Period to 94.3 percent the Current Year Period, mainly due to business mix.

Direct Service Costs

        Direct service costs decreased by 3.4 percent or $4.3 million from the Prior Year Period to the Current Year Period. This decrease mainly relates to changes in the fair value of contingent consideration related to the CDMI and 4D acquisitions of $17.2 million in the Prior Year Period and lower stock compensation expense of $8.8 million, which decreases were partially offset by additional costs from the acquisition of 4D, contract implementation costs and ongoing costs to support new business. As a percentage of revenue, direct service costs decreased from 16.8 percent in the Prior Year


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Period to 11.5 percent in the Current Year Period, mainly due to the decrease in expense for fair value of contingent consideration and stock compensation expense, partially offset by the increase in revenue from business growth and acquisition activity.

Corporate and Elimination

        Net expenses related to Corporate, which includes eliminations, increased by 18.2 percent or $2.9 million, primarily due to higher project costs in the Current Year Period. As a percentage of revenue, corporate and elimination was 0.7 percent which was consistent with the Prior Year Period.

Depreciation and Amortization

        Depreciation and amortization expense increased by 4.3 percent or $2.1 million from the Prior Year Period to the Current Year Period, primarily due to asset additions after the Prior Year Period and acquisition activity.

Interest Expense

        Interest expense increased by $0.5 million from the Prior Year Period to the Currently Year Period mainly due to an increase in interest rates and amount of outstanding debt.

Interest Income

        Interest income increased by $0.4 million from the Prior Year Period to the Current Year Period primarily due to higher yields.

Income Taxes

        The Company's effective income tax rates were 46.8 percent and 62.6 percent for the Prior Year Period and Current Year Period, respectively. The effective income tax rate for the Current Year Period differs from the Prior Year Period mainly due to valuation allowance increases in 2016 with respect to losses at AlphaCare.

Outlook—Results of Operations

The Company'sCompany’s Segment Profit and net income are subject to significant fluctuations from period to period. These fluctuations may result from a variety of factors such as those set forth under Item 2—"Forward-Looking Statements"“Forward‑Looking Statements” as well as a variety of other factors including: (i) changes in utilization levels by enrolled members of the Company's risk-basedCompany’s risk‑based and other pharmacy contracts, including seasonal utilization patterns; (ii) contractual adjustments and settlements; (iii) retrospective membership adjustments; (iv) timing of implementation of new contracts, enrollment changes and contract terminations; (v) pricing adjustments upon contract renewals (and price competition in general); (vi) the timing of acquisitions; (vii) changes in estimates regarding medical costs and IBNR;claims incurred but not reported (“IBNR”) ; and (viii) changes in the estimates of contingent consideration.

A portion of the Company'sCompany’s business is subject to rising care costs due to an increase in the number and frequency of covered members seeking healthcare services and higher costs of such services. Many of these factors are beyond the Company'sCompany’s control. Future results of operations will be heavily dependent on management'smanagement’s ability to obtain customer rate increases that are consistent with care cost increases and/or to reduce operating expenses.

Care Trends.  The Company expects that same-storesame‑store normalized cost of care trend for the 12 month forward outlook to be 3 to 7 percent for commercial products and 0 to 2 percent for government business.


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Interest Rate Risk.  Changes in interest rates affect interest income earned on the Company'sCompany’s cash equivalents and investments, as well as interest expense on variable interest rate borrowings under the Company's 2014Company’s Credit Facility and 2016 Credit Facility (collectively, the "Credit Facilities").Facilities. Based on the amount of cash equivalents and investments and the borrowing levels under the Credit Facilities as of June 30, 2016,2017, a hypothetical 10 percent increase or decrease in the interest rate associated with these instruments, with all other variables held constant, would not materially affect the Company'sCompany’s future earnings and cash outflows.

Historical—Liquidity and Capital Resources

Operating Activities.  The Company reported net cash providedused by operating activities of $112.7$119.2 million for the Prior Year Period and net cash usedprovided by operating activities of $66.2$3.8 million for the Current Year Period. The $178.9$123.0 million decreaseincrease in operating cash flows from the Prior Year Period is attributable to a 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, unfavorablefavorable working capital changes and an increase in Segment Profit partially offset by increased tax payments and a decrease in Segment Profit between years.

        Restricted cash of $63.2 million in the Prior Year Period was shifted to restricted investments that increased operating cash flows. Restricted cash of $31.4 million in the Current Year Period was shifted from restricted investments that decreased operating cash flows. The net impact of the shift in restricted funds between periods is a decrease in operating cash flows of $94.6 million.

        The net unfavorablefavorable impact of working capital changes between periods totaled $81.3$127.4 million. For the Prior Year Period, operating cash flows were impacted by net unfavorable working capital changes of $37.3$203.0 million, which were largely attributable to timing of discretionary bonus activity and an increase in accounts receivable, partially offset by the collectionspecifically related to our healthcare business and our Medicare Part D business, and contingent consideration payments of HIF fee receivables.$91.1 million, of which $51.1 million is reflected as operating activities. For the Current Year Period, operating cash flows were impacted by net unfavorable working capital changes of $118.6$75.6 million, a large portion of which were largelywas attributable to contingent consideration paymentstiming of $91.1 million, of which $51.1 million is reflected as operating activities, and receivables of $55.0discretionary bonus activity.  

Segment Profit for the Current Year Period increased $7.3 million from our Medicare Part D business.the Prior Year Period. Tax payments for the Current Year Period totaled $33.0$44.7 million, which represents an increase of $1.7$11.7 million fromcompared to the Prior Year Period. Segment Profit for Current Year Period decreased $1.3 million from the Prior Year Period.

 During the Current Year Period, the Company had a restricted cash flow source

35


Investing Activities.  The Company utilized $37.7$30.5 million and $30.5$26.8 million during the Prior Year Period and Current Year Period, respectively, for capital expenditures. The additions related to hard assets (equipment, furniture, and leaseholds) and capitalized software for the Prior Year Period were $13.2$7.8 million and $24.5$22.7 million, respectively, as compared to additions for the Current Year Period related to hard assets and capitalized software of $7.8 million and $22.7$19.0 million, respectively.

During the Prior Year Period the Company received net cash of $35.7 million from the net maturity of "available-for-sale" securities, with the Company using $5.7 million during the Current Year Period for the net purchase of "available-for-sale" securities. During the Prior Year Period, the Company used net cash of $77.4 million for the net purchase of "available-for-sale" securities, with the Company receiving net cash of $35.7 million during the Current Year Period from the net maturity of "available-for-sale" securities. In addition, during the Prior Year Period, the Company used net cash of $13.6 million and $42.4 million for the acquisition of HSM Physical Health and 4D, respectively. During the Current Year Period, the Company used net cash of


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$16.5$16.0 million for the acquisition of TMG, partially offset by a working capital adjustment of $0.5 million related to the acquisition of 4D.4D Pharmacy Management Systems, Inc. During the Current Year Period, the Company used net cash of $3.2 million related to investments in businesses and the acquisition of Veridicus.

Financing Activities.  During the Prior Year Period, the Company paid $68.8 million for the repurchase of treasury stock under the Company's share repurchase program, $6.3 million on debt obligations and $2.0 million on capital lease obligations. The Company made a contingent consideration payment totaling $5.0 million of which $4.4 million was related to financing activities. In addition, the Company received $49.2 million from the exercise of stock options and had other net favorable items of $3.1 million.

        During the Current Year Period, the Company paid $25.5 million for the repurchase of treasury stock under the Company'sCompany’s share repurchase program, $6.3 million on debt obligations and $3.1 million on capital lease obligations. The Company made a contingent consideration paymentspayment totaling $91.1 million, of which $40.0 million was related to financing activities. In addition, the Company received $225.0 million from the issuance of debt and $9.7 million from exercise of stock options.

During the Current Year Period, the Company paid $187.5 million on debt obligations, $5.0 million for the repurchase of treasury stock under the Company's share repurchase program, $3.5 million on capital lease obligations and had other net unfavorable items of $1.3 million.  In addition, the Company received $200.0 million from the issuance of debt and $6.0 million from the exercise of stock options, and other net favorable items of $0.5 million.options.

Outlook—Liquidity and Capital Resources

Liquidity.  During the remainder of 2016,2017, the Company will have estimated capital expenditures of between $32.5$38.2 million and $42.5$48.2 million. In addition, the Company anticipates working capital increases for 2016 of approximately $100 million, mainly for receivables from CMS and other parties related to our Part D business. As of July 22, 2016, due to the timing of working capital needs, the Company borrowed a net total of $50.0 million of the $250.0 million of revolving loans available under the 2014 Credit Facility. The Company may have to draw on the 2014 Credit Facility or 2017 Credit Facility as required to meet working capital needs associated with the extent that the anticipated timing of receivables and payables, orfund share repurchases changes during the year.or support acquisition activities. The Company currently expects to have adequate liquidity to satisfy its existing financial commitments over the periods in which they will become due. During the remainder of 2017, scheduled principal payments of $12.5 million will be made under the 2014 Credit Facility, and the 2016 Credit Facility and the 2017 Credit Facility will mature on December 29, 2017. The Company currently expects to have the ability to settle its 2017 debt obligations through current unrestricted cash and investment balances and cash flows from operations in 2017, as well as borrowing capacity available under the 2014 Credit Facility in the form of revolving loans. However, the Company will likely refinance its debt during 2017. The Company plans to maintain its current investment strategy of investing in a diversified, high quality, liquid portfolio of investments and continues to closely monitor the situation in the financial markets. The Company estimates that it has no risk of any material permanent loss on its investment portfolio; however, there can be no assurance that the Company will not experience any such losses in the future.

Stock Repurchases.  On October 26, 2015, the Company'sCompany’s board of directors approved a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 26, 2017. See Note D"Commitments and Contingencies"Contingencies” for more information on the Company'sCompany’s share repurchase program.

        Off-BalanceOff‑Balance Sheet Arrangements.  As of June 30, 2016,2017, the Company has no material off-balanceoff‑balance sheet arrangements.

Credit Facilities.  On July 23, 2014, the Company entered into a $500.0 million Credit Agreement with various lenders that provides for Magellan Rx Management, Inc. (a wholly owned subsidiary of Magellan Health, Inc.)Magellan) to borrow up to $250.0 million of revolving loans, with a sublimit of up to $70.0 million for the issuance of letters of credit for the account of the Company, and a term loan in an original aggregate principal amount of $250.0 million. On December 2, 2015, the Company entered into an amendment to the 2014 Credit Facility under which Magellan Pharmacy Services, Inc. (a wholly owned subsidiary of Magellan Health, Inc.) became a party to the $500.0 million Credit Agreement as the borrower and assumed all of the obligations of Magellan Rx Management, Inc. The 2014 Credit Facility is guaranteed by substantially all of the non-regulatednon‑regulated subsidiaries of the Company and will mature on July 23, 2019, however, the Company holds an option to extend the 2014 Credit Facility for an additional one year period.


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On June 27, 2016, the Company entered into a $200.0 million Credit Agreement with various lenders that provides for a $200.0 million term loan to Magellan Pharmacy Services, Inc. The 2016 Credit Facility is guaranteed by substantially all of the non‑regulated subsidiaries of the Company and will mature on December 29, 2017.

On January 10, 2017, the Company entered into a Credit Agreement with various lenders that provides for a $200.0 million delayed draw term loan to Magellan Pharmacy Services, Inc. The 2017 Credit Facility is guaranteed by substantially all of the non-regulated subsidiaries of the Company and will mature on December 29, 2017.

See Note A—"General"General for more information on the Credit Facilities.

Restrictive Covenants in Debt Agreements.  The Credit Facilities contain covenants that potentially limit management'smanagement’s discretion in operating the Company'sCompany’s business by, in certain circumstances, restricting or limiting the Company'sCompany’s ability, among other things, to:

·

incur or guarantee additional indebtedness or issue preferred or redeemable stock;

·

pay dividends and make other distributions;

·

repurchase equity interests;

·

make certain advances, investments and loans;

·

enter into sale and leaseback transactions;

·

create liens;

·

sell and otherwise dispose of assets;

·

acquire or merge or consolidate with another company; and

·

enter into some types of transactions with affiliates.

These restrictions could adversely affect the Company'sCompany’s ability to finance future operations or capital needs or engage in other business activities that may be in the Company'sCompany’s interest.

The Credit Facilities also require the Company to comply with specified financial ratios and tests. Failure to do so, unless waived by the lenders under the Credit Facilities pursuant to its terms, would result in an event of default under the Credit Facilities.

Item 3.  Quantitative and Qualitative Disclosures about Market Risk.

Changes in interest rates affect interest income earned on the Company'sCompany’s cash equivalents and investments, as well as interest expense on variable interest rate borrowings under the Company'sCompany’s Credit Facilities. Based on the amount of cash equivalents and investments and the borrowing levels under the Credit Facilities as of June 30, 2016,2017, a hypothetical 10 percent increase or decrease in the interest rate associated with these instruments, with all other variables held constant, would not materially affect the Company'sCompany’s future earnings and cash outflows.

Item 4.  Controls and Procedures.


a)The Company’s management evaluated, with the participation of the Company’s principal executive and principal financial officers, the effectiveness of the Company’s disclosure controls and procedures (as defined in Rules 13a‑15(e) under the Exchange Act), as of June 30, 2017. Based on their evaluation, the Company’s principal executive and principal financial officers concluded that the Company’s disclosure controls and procedures were effective as of June 30, 2017.

b)Under the supervision and with the participation of management, including the Company’s principal executive and principal financial officers, the Company has determined that there has been no change in the Company’s internal control over financial reporting (as defined in Rule 13a‑15(f) under the Exchange Act) that occurred during the Company’s quarter ended June 30, 2017 that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.

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PART II—OTHER INFORMATION

Item 1.  Legal Proceedings.

The Company'sCompany’s operating activities entail significant risks of liability. From time to time, the Company is subject to various actions and claims arising from the acts or omissions of its employees, network providers or other parties. In the normal course of business, the Company receives reports relating to deaths and other serious incidents involving patients whose care is being managed by the Company. Such incidents occasionally give rise to malpractice, professional negligence and other related actions and claims against the Company or its network providers. Many of these actions and claims received by the Company seek substantial damages and therefore require the Company to incur significant fees and costs related to their defense.

The Company is also subject to or party to certain class actions and other litigation and claims relating to its operations or business practices. In the opinion of management, the Company has recorded reserves that are adequate to cover litigation, claims or assessments that have been or may be asserted against the Company, and for which the outcome is probable and reasonably estimable. Management believes that the resolution of such litigation and claims will not have a material adverse effect on the Company'sCompany’s financial condition or results of operations; however, there can be no assurance in this regard.

Item 1A.  Risk Factors.

There has been no material change in our risk factors as disclosed in Part I—Item 1A—"Risk Factors"Factors” of the Company'sCompany’s Annual Report on Form 10-K10‑K for the year ended December 31, 2015,2016, which was filed with the SEC on February 29, 2016.24, 2017.

Item 2.  Unregistered Sales of Equity Securities and Use of Proceeds.

The Company'sCompany’s board of directors has previously authorized a series of stock repurchase plans. Stock repurchases for each such plan could be executed through open market repurchases, privately negotiated transactions, accelerated share repurchases or other means. The board of directors authorized management to execute stock repurchase transactions from time to time and in such amounts and via such methods as management deemed appropriate. Each stock repurchase program could be limited or terminated at any time without prior notice.

On October 26, 2015, the Company'sCompany’s board of directors approved a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 26, 2017. Pursuant to this program, the Company made open market purchases during the sixthree months ended June 30, 20162017 as follows (aggregate cost excludes broker commissions and(approximate dollar value of shares that may yet be purchased under the plan is reflected in millions):

 

 

 

 

 

 

 

 

 

 

 

 

 

    

Total number

    

Average

    

Total Number of Shares

    

Approximate Dollar Value of

 

 

 

of Shares

 

Price Paid

 

Purchased as Part of Publicly

 

Shares that May Yet Be

 

Period

 

Purchased

 

per Share(1)

 

Announced Plans or Programs

 

Purchased Under the Plans(1)(2)

 

April 1 - 30, 2017

 

 —

 

$

 —

 

 —

 

$

74.8

 

May 1-31, 2017

 

30,754

 

 

69.09

 

30,754

 

 

72.7

 

June 1-30, 2017

 

45,427

 

 

71.52

 

45,427

 

 

69.4

 

 

 

76,181

 

 

 

 

76,181

 

 

 

 

Period
 Total Number
of Shares
Purchased
 Average
Price Paid
per Share
 Total Number of Shares
Purchased as Part of Publicly
Announced Plans or Programs
 Approximate Dollar Value of
Shares that May Yet Be
Purchased Under the Plan(1)(2)
 

April 1 - 30, 2016

  141,121 $69.93  141,121 $162.3 

May 1 - 31, 2016

  91,926  67.25  91,926  156.1 

June 1 - 30, 2016

        156.1 

  233,047     233,047    

(1)
Excludes amounts that could be used to repurchase shares acquired under the Company's equity incentive plans to satisfy withholding tax obligations of employees and non-employee directors upon the vesting of restricted stock units.

(2)
Excludes broker commissions.

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The Company made no repurchasesadditional open market purchases of 13,922 shares of the Company’s common stock at an aggregate cost of $1.0 million (excluding broker commissions) during the period from July 1, 20162017 through July 22, 2016.21, 2017. 

Item 3.  Defaults Upon Senior Securities.

None.

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Item 4.  Mine Safety Disclosures.

None.

Item 5.  Other Information.

None.

Item 6.  Exhibits.

Exhibit No.Description
4.1$200,000,000 Credit Agreement, dated June 27, 2016, among Magellan Pharmacy Services, Inc., as borrower, Magellan Health, Inc., various lenders and The Bank of Tokyo-Mitsubishi UFJ, Ltd., as administrative agent.


Exhibit No.


*10.1


Description

2.1

Share Purchase

Agreement and Plan of Merger, dated as of May 15, 2016,July 13, 2017, among Magellan Health, Magellan Healthcare, Inc., Armed Forces Services Corporation ("AFSC")and the holdersSWH Holdings, Inc., certain of the issuedstockholders of SWH Holdings, Inc., certain of the vested optionhoders of SWH Holdings, Inc., TA Associates Management, L.P. and outstanding common stock of AFSC who are parties thereto.Silver Merger Sub, Inc.


3.1

31.1


Second Amended and Restated Certificate of Incorporation of the Company, as amended and restated on May 25, 2017, which was filed as Exhibit 3.1 to the Company’s current report on Form 8-K, which was filed on May 25, 2017 and is incorporated herein by reference.

3.2

Bylaws of the Company as amended and restated on May 24, 2017, which was filed as Exhibit 3.2 to the Company’s current report on Form 8-K, which was filed on May 25, 2017 and is incorporated herein by reference.

31.1

Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-OxleySabanes-Oxley Act of 2002.


31.2

31.2



Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-OxleySarbanes‑Oxley Act of 2002.


32.1

32.1



Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes-OxleySarbanes‑Oxley Act of 2002 (furnished).


32.2

32.2



Certification of Chief Financial Officer pursuant to Section 906 of the Sarbanes-OxleySarbanes‑Oxley Act of 2002 (furnished).


101

101



The following materials from the Company'sCompany’s Quarterly Report on Form 10-Q10‑Q for the quarter ended June 30, 20162017 formatted in Extensible Business Reporting Language (XBRL): (i) the Consolidated Statements of Income, (ii) the Consolidated Statements of Comprehensive Income, (iii) the Consolidated Balance Sheets, (iv) the Consolidated Statements of Cash Flows and (v) related notes.


*
Portions of this exhibit have been omitted pursuant to a request for confidential treatment filed with the SEC.

39



SIGNATURES


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

Date: July 29, 201628, 2017

MAGELLAN HEALTH, INC.

Magellan Health, Inc.
(Registrant)

By:

By:

/s/ JONATHAN N. RUBIN


Jonathan N. Rubin
Executive Vice President and

Jonathan N. Rubin

Chief Financial Officer (Principal

(Principal Financial Officer and Duly Authorized Officer)

40


Exhibit Index

Exhibit Number

Description of Exhibit

2.1

Agreement and Plan of Merger, dated July 13, 2017, among Magellan Healthcare, Inc., SWH Holdings, Inc., certain of the stockholders of SWH Holdings, Inc., certain of the vested optionhoders of SWH Holdings, Inc., TA Associates Management, L.P. and Silver Merger Sub, Inc.

3.1

Second Amended and Restated Certificate of Incorporation of the Company, as amended and restated on May 25, 2017, which was filed as Exhibit 3.1 to the Company’s current report on Form 8-K, which was filed on May 25, 2017 and is incorporated herein by reference.

3.2

Bylaws of the Company as amended and restated on May 24, 2017, which was filed as Exhibit 3.2 to the Company’s current report on Form 8-K, which was filed on May 25, 2017 and is incorporated herein by reference.

31.1

Certification of Chief Executive Officer pursuant to Section 302 of the Sabanes-Oxley Act of 2002.

31.2

Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes‑Oxley Act of 2002.

32.1

Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes‑Oxley Act of 2002 (furnished).

32.2

Certification of Chief Financial Officer pursuant to Section 906 of the Sarbanes‑Oxley Act of 2002 (furnished).

101

The following materials from the Company’s Quarterly Report on Form 10‑Q for the quarter ended June 30, 2017 formatted in Extensible Business Reporting Language (XBRL): (i) the Consolidated Statements of Income, (ii) the Consolidated Statements of Comprehensive Income, (iii) the Consolidated Balance Sheets, (iv) the Consolidated Statements of Cash Flows and (v) related notes.



41