Table of Contents

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

(Mark One)

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

For the Quarterly Period Ended June 30, 20202021

Or

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. 1-6639

MAGELLAN HEALTH, INC.

(Exact name of registrant as specified in its charter)

Delaware
(State or other jurisdiction of
incorporation or organization)

58-1076937
(IRS Employer
Identification No.)

4801 E. Washington Street
Phoenix, Arizona
(Address of principal executive offices)

85034
(Zip code)

(800642-1716

(Registrant’s telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Common Stock, par value $0.01 per share

MGLN

The NASDAQ Global Market

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  No 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-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  No 

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

Large accelerated filer 

Accelerated filer 

Non-accelerated filer 

Smaller reporting company 

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-2 of the Exchange Act). Yes  No 

The number of shares of Magellan Health, Inc.’s common stock outstanding as of June 30, 20202021 was 25,310,420.26,264,925.

Table of Contents

FORM 10-Q

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

INDEX

Page No.

PART IFinancial Information:

Item 1:

Financial Statements

2

Consolidated Balance Sheets—December 31, 20192020 and June 30, 20202021

2

Consolidated Statements of Comprehensive Income —For(Loss)—For the Three and Six Months Ended June 30, 20192020 and 20202021

3

Consolidated Statements of Changes in Stockholders’ Equity—For the Three and Six Months Ended June 30, 20192020 and 20202021

4

Consolidated Statements of Cash Flows—For the Six Months Ended June 30, 20192020 and 20202021

5

Notes to Consolidated Financial Statements

6

Item 2:

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

3231

Item 3:

Quantitative and Qualitative Disclosures about Market Risk

4443

Item 4:

Controls and Procedures

4443

PART IIOther Information:

Item 1:

Legal Proceedings

44

Item 1A:

Risk Factors

4544

Item 2:

Unregistered Sales of Equity Securities and Use of Proceeds

4844

Item 3:

Defaults Upon Senior Securities

4844

Item 4:

Mine Safety Disclosures

4844

Item 5:

Other Information

4845

Item 6:

Exhibits

4845

Exhibit Index

4946

Signatures

5047

1

Table of Contents

PART I—FINANCIAL INFORMATION

Item 1. Financial Statements.

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(Unaudited)

(In thousands, except per share amounts)

December 31, 

June 30, 

December 31, 

June 30, 

2020

    

2021

2019

    

2020

    

(Unaudited)

ASSETS

Current Assets:

Cash and cash equivalents ($51,253 and $28,237 restricted at December 31, 2019 and June 30, 2020, respectively)

$

115,752

$

160,419

Cash and cash equivalents ($49,227 and $53,934 restricted at December 31, 2020 and June 30, 2021, respectively)

$

1,144,450

$

678,507

Accounts receivable, net

 

680,569

 

753,065

 

743,502

 

826,997

Short-term investments ($82,772 and $46,315 restricted at December 31, 2019 and June 30, 2020, respectively)

 

98,797

 

75,671

Short-term investments ($88,867 and $35,491 restricted at December 31, 2020 and June 30, 2021, respectively)

 

140,847

 

325,581

Pharmaceutical inventory

 

44,962

 

36,694

 

43,334

 

38,789

Other current assets ($36,215 and $73,905 restricted at December 31, 2019 and June 30, 2020, respectively)

 

69,687

 

80,375

Current portion of assets held for sale

663,276

1,145,904

Other current assets ($43,547 and $82,110 restricted at December 31, 2020 and June 30, 2021, respectively)

 

84,264

 

145,156

Total Current Assets

 

1,673,043

 

2,252,128

 

2,156,397

 

2,015,030

Property and equipment, net

 

131,712

 

141,035

 

136,739

 

141,628

Long-term investments ($2,307 restricted at December 31, 2019)

 

2,864

 

Long-term investments ($1,026 and $1,810 restricted at December 31, 2020 and June 30, 2021, respectively)

 

2,612

 

2,985

Deferred income taxes

1,840

28,519

1,842

Other long-term assets

 

58,905

 

60,770

 

108,797

 

120,046

Goodwill

 

806,421

 

806,421

 

873,779

 

873,830

Other intangible assets, net

 

81,675

 

62,330

 

79,689

 

64,410

Assets held for sale, less current portion

335,713

Total Assets

$

3,092,173

$

3,351,203

$

3,359,855

$

3,217,929

LIABILITIES AND STOCKHOLDERS’ EQUITY

LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST AND STOCKHOLDERS’ EQUITY

Current Liabilities:

Accounts payable

$

83,790

$

99,199

$

137,380

$

132,298

Accrued liabilities

 

191,854

 

187,286

 

354,906

 

208,322

Medical claims payable

 

128,114

 

112,077

 

111,851

 

147,555

Other medical liabilities

 

92,915

 

110,268

 

126,921

 

138,279

Current debt, finance lease and deferred financing obligations

 

3,491

 

84,942

 

6,521

 

3,176

Current portion of liabilities held for sale

409,983

504,459

Total Current Liabilities

 

910,147

 

1,098,231

 

737,579

 

629,630

Long-term debt, finance lease and deferred financing obligations

 

679,125

 

641,950

 

631,855

 

521,518

Deferred income taxes

1,971

7,102

17,634

Tax contingencies

 

9,453

 

11,097

 

11,002

 

12,734

Deferred credits and other long-term liabilities

 

56,393

 

56,956

 

69,283

 

78,918

Liabilities held for sale, less current portion

37,301

Total Liabilities

 

1,694,390

 

1,808,234

 

1,456,821

 

1,260,434

Redeemable non-controlling interest

 

33,062

 

33,674

Stockholder's Equity:

Preferred stock, par value $.01 per share

Authorized—10,000 shares at December 31, 2019 and June 30, 2020-Issued and outstanding-NaN

 

 

Authorized—10,000 shares at December 31, 2020 and June 30, 2021-Issued and outstanding-NaN

 

 

Common stock, par value $.01 per share

Authorized—100,000 shares at December 31, 2019 and June 30, 2020-Issued and outstanding-54,285 and 24,623 shares at December 31, 2019, respectively, and 54,972 and 25,310 shares at June 30, 2020, respectively

 

543

 

550

Authorized—100,000 shares at December 31, 2020 and June 30, 2021-Issued and outstanding-55,549 and 25,887 shares at December 31, 2020, respectively, and 55,927 and 26,265 shares at June 30, 2021, respectively

 

555

 

559

Other Stockholders’ Equity:

Additional paid-in capital

 

1,386,616

 

1,429,995

 

1,477,219

 

1,503,718

Retained earnings

 

1,475,207

 

1,576,549

 

1,857,130

 

1,884,291

Accumulated other comprehensive income

 

144

 

602

Treasury stock, at cost, 29,662 and 29,662 shares at December 31, 2019 and June 30, 2020, respectively

 

(1,464,727)

 

(1,464,727)

Accumulated other comprehensive loss

 

(205)

 

(20)

Treasury stock, at cost, 29,662 and 29,662 shares at December 31, 2020 and June 30, 2021, respectively

 

(1,464,727)

 

(1,464,727)

Total Stockholders’ Equity

 

1,397,783

 

1,542,969

 

1,869,972

 

1,923,821

Total Liabilities and Stockholders’ Equity

$

3,092,173

$

3,351,203

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

$

3,359,855

$

3,217,929

See accompanying notes to consolidated financial statements.

2

Table of Contents

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

(Unaudited)

(In thousands, except per share amounts)

    

Three Months Ended

Six Months Ended

 

June 30, 

June 30, 

2019

    

2020

    

2019

    

2020

    

Net revenue:

Managed care and other

$

608,614

$

548,711

$

1,175,162

$

1,101,879

PBM

 

545,675

 

551,364

 

1,098,133

 

1,120,575

Total net revenue

 

1,154,289

 

1,100,075

 

2,273,295

 

2,222,454

Costs and expenses:

Cost of care

 

408,911

 

321,831

 

778,008

 

670,939

Cost of goods sold

 

501,081

 

528,067

 

1,027,395

 

1,061,308

Direct service costs and other operating expenses (1)

 

195,907

 

199,756

 

398,207

 

403,997

Depreciation and amortization

 

28,191

 

23,888

 

53,608

 

47,246

Interest expense

 

9,070

 

7,995

 

18,107

 

16,953

Interest and other income

 

(1,821)

 

(551)

 

(3,580)

 

(1,770)

Special charges

-

8,309

-

8,309

Total costs and expenses

 

1,141,339

 

1,089,295

 

2,271,745

 

2,206,982

Income from continuing operations before income taxes

 

12,950

 

10,780

 

1,550

 

15,472

Provision (benefit) for income taxes

 

5,735

 

(36,328)

 

2,526

 

(30,566)

Net income (loss) from continuing operations

7,215

47,108

(976)

46,038

Income from discontinued operations, net of tax

6,398

36,397

���

15,020

55,717

Net income

$

13,613

$

83,505

$

14,044

$

101,755

Net income (loss) per common share:

Basic (See Note A)

Continuing operations

$

0.30

$

1.88

$

(0.04)

$

1.85

Discontinued operations

0.26

1.45

0.62

2.24

Consolidated operations

$

0.56

$

3.33

$

0.58

$

4.09

Diluted (See Note A)

Continuing operations

$

0.30

$

1.86

$

(0.04)

$

1.84

Discontinued operations

0.26

1.44

0.62

2.22

Consolidated operations

$

0.56

$

3.30

$

0.58

$

4.06

Other comprehensive income

Unrealized gains on available-for-sale securities (2)

 

419

 

659

 

739

 

458

Comprehensive income

$

14,032

$

84,164

$

14,783

$

102,213

    

Three Months Ended

Six Months Ended

 

June 30, 

June 30, 

2020

    

2021

    

2020

    

2021

    

Net revenue:

Managed care and other

$

548,711

$

676,041

$

1,101,879

$

1,302,117

PBM

 

551,364

 

544,727

 

1,120,575

 

1,080,300

Total net revenue

 

1,100,075

 

1,220,768

 

2,222,454

 

2,382,417

Costs, expenses and other income:

Cost of care

 

321,831

 

430,735

 

670,939

 

809,926

Cost of goods sold

 

528,067

 

520,514

 

1,061,308

 

1,012,884

Direct service costs and other operating expenses (1)

 

199,756

 

243,573

 

403,997

 

474,594

Legal matter settlement

(9,000)

Depreciation and amortization

 

23,888

 

22,525

 

47,246

 

43,942

Interest expense

 

7,995

 

6,234

 

16,953

 

12,660

Interest and other income

 

(551)

 

(208)

 

(1,770)

 

(549)

Special charges and other

8,309

5,054

8,309

6,205

Total costs, expenses and other income

 

1,089,295

 

1,228,427

 

2,206,982

 

2,350,662

Income (loss) from continuing operations before income taxes

 

10,780

 

(7,659)

 

15,472

 

31,755

(Benefit) provision for income taxes

 

(36,328)

 

(1,196)

 

(30,566)

 

9,709

Net income (loss) from continuing operations

47,108

(6,463)

46,038

22,046

Income from discontinued operations, net of tax

36,397

5,797

55,717

5,115

Net income (loss)

$

83,505

$

(666)

$

101,755

$

27,161

Net income (loss) per common share:

Basic (See Note A)

Continuing operations

$

1.88

$

(0.25)

$

1.85

$

0.85

Discontinued operations

1.45

0.22

2.24

0.20

Consolidated operations

$

3.33

$

(0.03)

$

4.09

$

1.05

Diluted (See Note A)

Continuing operations

$

1.86

$

(0.25)

$

1.84

$

0.83

Discontinued operations

1.44

0.22

2.22

0.19

Consolidated operations

$

3.30

$

(0.03)

$

4.06

$

1.02

Other comprehensive income (loss)

Unrealized gains on available-for-sale securities (2)

 

659

 

175

 

458

 

185

Comprehensive income (loss)

$

84,164

$

(491)

$

102,213

$

27,346

(1)Includes stock compensation expense of $5,207$6,592 and $6,592,$6,353 for the three months ended June 30, 20192020 and 2020,2021, respectively and $14,607$12,389 and $12,389$13,410 for the six months ended June 30, 20192020 and 2020,2021, respectively.
(2)Net of income tax provision of $131$219 and $219$65 for the three months ended June 30, 20192020 and 2020,2021, respectively and $231$152 and $152$69 for the six months ended June 30, 20192020 and 2020,2021, respectively.

See accompanying notes to consolidated financial statements.

3

Table of Contents

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY

(Unaudited)

(In thousands)

                  

Accumulated

                   

 

                  

Accumulated

                   

 

                               

Common Stock

Additional

Other

Total

 

                               

Common Stock

Additional

Other

Total

 

 Common Stock

In Treasury

Paid in

Retained

  Comprehensive  

Stockholders’

 

 Common Stock

In Treasury

Paid in

Retained

  Comprehensive  

Stockholders’

 

    

Shares

    

 Amount 

    

Shares

    

Amount

    

Capital

    

Earnings

    

(Loss) Income

    

Equity

 

Balance at March 31, 2019

53,695

$

537

 

(29,662)

$

(1,464,727)

$

1,337,849

$

1,419,735

$

(4)

$

1,293,390

Stock compensation expense

 

 

 

 

5,414

 

 

 

5,414

Exercise of stock options

348

 

4

 

 

 

21,430

 

 

 

21,434

Issuance of equity

20

 

 

 

 

 

 

 

Net income

 

 

 

 

 

13,613

 

 

13,613

Other comprehensive income—other

419

 

419

Balance at June 30, 2019

54,063

$

541

(29,662)

$

(1,464,727)

$

1,364,693

$

1,433,348

$

415

$

1,334,270

    

Shares

    

 Amount 

    

Shares

    

Amount

    

Capital

    

Earnings

    

(Loss) Income

    

Equity

 

Balance at March 31, 2020

54,631

$

546

 

(29,662)

$

(1,464,727)

$

1,402,797

$

1,493,044

$

(57)

$

1,431,603

54,631

$

546

 

(29,662)

$

(1,464,727)

$

1,402,797

$

1,493,044

$

(57)

$

1,431,603

Stock compensation expense

 

 

 

 

6,958

 

 

 

6,958

 

 

 

 

6,958

 

 

 

6,958

Exercise of stock options

324

 

4

 

 

 

20,240

 

 

 

20,244

324

 

4

 

 

 

20,240

 

 

 

20,244

Issuance of equity

17

 

 

 

 

��

 

 

 

17

 

 

 

 

 

 

 

Net income

 

 

 

 

 

83,505

 

 

83,505

 

 

 

 

 

83,505

 

 

83,505

Other comprehensive (loss)—other

659

659

Other comprehensive income—other

659

 

659

Balance at June 30, 2020

54,972

$

550

 

(29,662)

$

(1,464,727)

$

1,429,995

$

1,576,549

$

602

$

1,542,969

54,972

$

550

(29,662)

$

(1,464,727)

$

1,429,995

$

1,576,549

$

602

$

1,542,969

Balance at December 31, 2018

 

53,536

$

535

 

(29,601)

$

(1,461,002)

$

1,326,645

$

1,419,449

$

(324)

$

1,285,303

Balance at March 31, 2021

55,789

$

558

 

(29,662)

$

(1,464,727)

$

1,488,975

$

1,884,957

$

(195)

$

1,909,568

Stock compensation expense

 

 

 

 

 

15,021

 

 

 

15,021

 

 

 

 

6,353

 

 

 

6,353

Exercise of stock options

 

389

 

5

 

 

 

23,474

 

 

 

23,479

113

 

1

 

 

 

6,804

 

 

 

6,805

Issuance of equity

 

138

 

1

 

 

 

(447)

 

 

 

(446)

25

 

 

 

 

1,586

 

 

 

1,586

Repurchase of stock

 

 

 

(61)

 

(3,725)

 

 

 

 

(3,725)

Net income

 

 

 

 

 

 

14,044

 

 

14,044

Net loss

 

 

 

 

 

(666)

 

 

(666)

Other comprehensive income—other

739

 

739

175

175

Adoption of ASC 842

 

 

 

 

 

 

(145)

 

 

(145)

Balance at June 30, 2019

54,063

$

541

(29,662)

$

(1,464,727)

$

1,364,693

$

1,433,348

$

415

$

1,334,270

Balance at June 30, 2021

55,927

$

559

 

(29,662)

$

(1,464,727)

$

1,503,718

$

1,884,291

$

(20)

$

1,923,821

Balance at December 31, 2019

 

54,285

$

543

 

(29,662)

$

(1,464,727)

$

1,386,616

$

1,475,207

$

144

$

1,397,783

 

54,285

$

543

 

(29,662)

$

(1,464,727)

$

1,386,616

$

1,475,207

$

144

$

1,397,783

Stock compensation expense

 

 

 

 

 

13,015

 

 

 

13,015

 

 

 

 

 

13,015

 

 

 

13,015

Exercise of stock options

 

540

 

6

 

 

 

31,501

 

 

 

31,507

 

540

 

6

 

 

 

31,501

 

 

 

31,507

Issuance of equity

 

147

 

1

 

 

 

(1,137)

 

 

 

(1,136)

 

147

 

1

 

 

 

(1,137)

 

 

 

(1,136)

Net income

 

 

 

 

 

 

101,755

 

 

101,755

 

 

 

 

 

 

101,755

 

 

101,755

Other comprehensive income—other

458

458

458

 

458

Adoption of ASC 326

(413)

(413)

 

 

 

 

 

 

(413)

 

 

(413)

Balance at June 30, 2020

 

54,972

$

550

 

(29,662)

$

(1,464,727)

$

1,429,995

$

1,576,549

$

602

$

1,542,969

54,972

$

550

(29,662)

$

(1,464,727)

$

1,429,995

$

1,576,549

$

602

$

1,542,969

Balance at December 31, 2020

 

55,549

$

555

 

(29,662)

$

(1,464,727)

$

1,477,219

$

1,857,130

$

(205)

$

1,869,972

Stock compensation expense

 

 

 

 

 

13,410

 

 

 

13,410

Exercise of stock options

 

223

 

3

 

 

 

14,269

 

 

 

14,272

Issuance of equity

 

155

 

1

 

 

 

(1,180)

 

 

 

(1,179)

Net income

 

 

 

 

 

 

27,161

 

 

27,161

Other comprehensive income—other

185

185

Balance at June 30, 2021

 

55,927

$

559

 

(29,662)

$

(1,464,727)

$

1,503,718

$

1,884,291

$

(20)

$

1,923,821

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)

    

2019

    

2020

    

2020

    

2021

Cash flows from operating activities:

Net income

$

14,044

$

101,755

$

101,755

$

27,161

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

Depreciation and amortization

 

64,198

 

57,951

 

57,951

 

43,942

Special Charges

8,309

Special charges and other

8,309

6,205

Gain on sale of MCC

(8,000)

Non-cash interest expense

 

679

 

941

 

941

 

710

Non-cash stock compensation expense

 

15,021

 

13,015

 

13,015

 

13,410

Non-cash income tax provision (benefit)

 

1,026

 

(29,443)

Non-cash (amortization) accretion on investments

 

(327)

 

907

Non-cash income tax (benefit) provision

 

(29,443)

 

12,699

Non-cash accretion on investments

 

907

 

1,603

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

Accounts receivable, net

 

(51,544)

 

(24,535)

 

(24,535)

 

(75,506)

Pharmaceutical inventory

 

(4,793)

 

8,268

 

8,268

 

4,545

Other assets

 

(23,890)

 

(38,322)

 

(38,322)

 

(78,329)

Accounts payable and accrued liabilities

 

20,821

 

62,970

 

62,970

 

(151,549)

Medical claims payable and other medical liabilities

 

4,329

 

10,510

 

10,510

 

47,062

Contingent consideration

(3,758)

Tax contingencies

 

610

 

1,343

 

1,343

 

1,339

Deferred credits and other long-term liabilities

 

(7,429)

 

(2,537)

 

(2,537)

 

9,635

Other

 

372

 

(289)

 

(289)

 

2,388

Net cash provided by operating activities

29,359

170,843

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

(16,574)

178,326

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

 

45,933

 

(7,483)

Net cash provided by (used in) operating activities

170,843

(142,685)

Net cash provided by operating activities from discontinued operations

178,326

Net cash used in operating activities from continuing operations

 

(7,483)

 

(142,685)

Cash flows from investing activities:

Capital expenditures

 

(27,804)

 

(38,305)

 

(38,305)

 

(35,105)

Acquisitions and investments in businesses, net of cash acquired

 

(320)

 

(369)

 

(369)

 

(2,372)

Purchases of investments

 

(295,768)

 

(417,688)

 

(417,688)

 

(680,347)

Proceeds from maturities and sales of investments

 

288,290

 

288,137

 

288,137

 

493,711

Net cash used in investing activities

(35,602)

(168,225)

(168,225)

(224,113)

Net cash used in investing activities from discontinued operations

(3,210)

(156,800)

(156,800)

Net cash used in investing activities from continuing operations

 

(32,392)

 

(11,425)

 

(11,425)

 

(224,113)

Cash flows from financing activities:

Proceeds from borrowings on revolving line of credit

 

 

80,000

 

80,000

 

Payments to acquire treasury stock

 

(4,124)

 

Proceeds from exercise of stock options

 

20,647

 

29,825

 

29,825

 

14,271

Payments on debt, finance lease and deferred financing obligations

(15,543)

(40,264)

(40,264)

(112,238)

Payments on contingent consideration

(6,247)

Other

 

(446)

 

(1,136)

 

(1,136)

 

(1,178)

Net cash (used in) provided by financing activities

(5,713)

68,425

Net cash provided by (used in) financing activities

68,425

(99,145)

Net cash provided by financing activities from discontinued operations

4,850

4,850

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

 

(5,713)

 

63,575

Net increase in cash and cash equivalents from continuing operations

 

7,828

 

44,667

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

 

63,575

 

(99,145)

Net increase (decrease) in cash and cash equivalents from continuing operations

 

44,667

 

(465,943)

Cash and cash equivalents at beginning of period

 

86,923

 

115,752

 

115,752

 

1,144,450

Cash and cash equivalents at end of period

$

94,751

$

160,419

$

160,419

$

678,507

Supplemental cash flow data:

Non-cash investing activities:

Assets acquired under finance leases and deferred financing obligations

$

3,302

$

3,599

$

3,599

$

See accompanying notes to consolidated financial statements.

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

June 30, 20202021

(Unaudited)

NOTE A—General

Basis of Presentation

The accompanying unaudited consolidated financial statements of Magellan Health, Inc., a Delaware corporation (“Magellan”), include Magellan and its subsidiaries (together with Magellan, the “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’s (the “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, 20202021 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.

On April 30,December 31, 2020, Magellan completed the Company andsale of its Magellan Complete Care business (the “MCC Business”) to Molina Healthcare, Inc. (“Molina”) entered into, pursuant to a Stock and Asset Purchase Agreement, (the “Purchase Agreement”) pursuant to whichdated as of April 30, 2020, by and between the Company has agreed to sell its Magellan Complete Care (“MCC”) business to Molina (the “MCC Sale”) for $850.0 million in cash, subject to certain adjustments, and Molina, has agreedfor cash in the amount of $850 million plus closing adjustments of $158 million (subject to assumepost-closing adjustments, if any), and the assumption by Molina of liabilities of the MCC business. Accordingly,Business (the “MCC Sale”). The MCC Business was the accompanying consolidated financial statementsCompany’s business of contracting with state Medicaid agencies and the U.S. Centers for Medicare and Medicaid Services to manage total medical benefits or long-term support services for Medicaid and dual eligible Medicaid and Medicare populations.

On January 4, 2021, the Company and Centene Corporation (“Centene”) entered into an Agreement of Plan of Merger (the “Merger Agreement”) by and among the Company, Centene, and Mayflower Merger Sub, Inc., a Delaware corporation and a wholly owned subsidiary of Centene (“Merger Sub”), pursuant to which, subject to the terms and conditions set forth therein, Merger Sub will merge with and into the Company, with the Company surviving such merger (the “Merger”) as a wholly-owned subsidiary of Centene. Pursuant to the Merger Agreement, each issued and outstanding share of the Company’s common stock will be automatically canceled and converted into the right to receive $95.00 in cash. The Company expects to complete the transaction in the second half of 2021.

The Merger has been approved by the Company’s board of directors, the Company’s stockholders and Centene’s board of directors. The completion of the Merger is subject to customary closing conditions, including, among others, the receipt of various regulatory approvals. For additional information on the Merger Agreement and the Merger, please refer to the Company’s Current Reports on Forms 8-K, filed with the SEC on January 4, 2021 and March 31, 2021, and our definitive proxy statement filed with the SEC on February 19, 2021 (the “Proxy Statement”). The Company cannot guarantee that the Merger will be completed on a timely basis or at all periods presented reflector that, if completed, it will be completed on the MCC business as discontinued operations. See Note E—“Discontinued Operations” for additional information.terms set forth in the Merger Agreement.

These unaudited consolidated financial statements should be read in conjunction with the Company’s audited consolidated financial statements for the year ended December 31, 20192020 and the notes thereto, which are included in the Company’s Annual Report on Form 10-K filed with the SEC on February 28, 2020.26, 2021.

Business Overview

The Company provides managed care servicesand pharmacy solutions for some of the most complex areas of healthcare. The Company offers innovative solutions that combine analytics, technology and clinical rigor to drive better decision making, positively impact members’ health outcomes and optimize the cost of care for the customers Magellan serves. The Company provides services to health plans and other managed care organizations (“MCOs”), employers, labor unions, various military and governmental agencies and third-party administrators (“TPAs”). Magellan operates 3 segments: Healthcare, Pharmacy Management and Corporate.

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2021

(Unaudited)

Healthcare Segment

The Healthcare segment “Healthcare” previously consisted of 2 reporting units – Behavioral & Specialty Health and MCC. As a result of the MCC Sale, the Healthcare segment now only includes the Behavioral and Specialty Health reporting unit.

The Behavioral & Specialty Health reporting unit’sSegment (“Healthcare”) customers include health plans, accountable care organizations (“ACOs”), employers, the United States military and various federal government agencies for whom Magellan provides carve-out management services for (i) behavioral health, (ii) employee assistance plans (“EAP”) and (iii) other areas of specialty healthcare including diagnostic imaging, musculoskeletal management, cardiac and physical medicine. These management services can be applied broadly across commercial, Medicaid and Medicare populations, or on a more targeted basis for our health plans and ACO customers. The Behavioral & Specialty Health unitsegment also includes Magellan’s carve-out behavioral health contracts with various state Medicaid agencies.agencies, as well as certain provider assets that deliver primary care and behavioral healthcare services through an integrated approach.

MCC, which is now reflected as discontinued operations, contracts with state Medicaid agencies and the Centers for Medicare and Medicaid Services (“CMS”) to manage care for beneficiaries under various Medicaid and Medicare programs. MCC manages a wide range of services from total medical cost to carve out long-term support services. MCC largely focuses on managing care for more acute special populations including individuals with serious mental illness (“SMI”), dual eligibles, aged, blind and disabled (“ABD”) and other populations with unique and often complex healthcare needs.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2020

(Unaudited)

Magellan’s coordination and management of these healthcare and long-term support services are provided through its comprehensive network of medical and behavioral health professionals, clinics, hospitals, skilled nursing facilities, home care agencies and ancillary service providers. This network of credentialed 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 more affordable for our customers. The Company generally does not directly provide or own anyIn addition to the Company’s provider ofassets where it provides treatment services although it does employin certain geographies, the Company also employs licensed behavioral health counselors to deliver non-medical counseling under certain government contracts.

The Company provides its Healthcare management services primarily through: (i) risk-based contractual arrangements, where the Company assumes all or a substantial portion of the responsibility for the cost of providing treatment services in exchange for a fixed PMPMper member per month (“PMPM”) fee, or (ii) administrative services only (“ASO”) contractual arrangements, where the Company provides services such as utilization review, claims administration and/or provider network management, but does not assume full responsibility for the cost of the treatment services, in exchange for an administrative fee and, in some instances, a gain share.

Pharmacy Management Segment

The Pharmacy Management segment (“Pharmacy Management”) is comprised of services that provide clinical and financial management of pharmaceuticals paid under both the medical and the pharmacy benefit. Pharmacy Management’s customer solutions include: (i) pharmacy benefit management (“PBM”) services, including pharmaceutical dispensing operations; (ii) pharmacy benefit administration (“PBA”) for state Medicaid and other government sponsored programs; (iii) clinical and formulary management programs; (iv) medical pharmacy management programs; and (v) 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.

These services are available individually, in combination, or in a fully integrated manner. The Company markets its pharmacy management services to managed care organizations, employers, third party administrators, state governments, Medicare Part D, and other government agencies, exchanges, brokers and consultants. In addition, the Company will continue to upsell its pharmacy services to its existing customers and market its pharmacy solutions to the Healthcare customer base.base, including through integrated Pharmacy Management and Healthcare service offerings.

Pharmacy Management contracts with its customers for services using risk-based, gain share or ASO arrangements. In addition, Pharmacy Management provides services to the Healthcare segment for most of the MCC business.

On May 11, 2020, the Company announced its decision to exit the Medicare Part D business at the end of 2020. Any activity related to Medicare Part D business reflected in the six months ended June 30, 2021 is related to final run-out of the 2020 Part D contract provision and is included in continuing operations. The Company willcontinues to retain its Medicare Employer Group Waiver Plan as well as full capabilities to serve the PBM needs of its existing and prospective Medicare customers.

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2021

(Unaudited)

Corporate

This segment of the Company is comprised primarily of amounts not allocated to the Healthcare and Pharmacy Management segments that are largely associated with costs related to being a publicly traded company.

Summary of Significant Accounting Policies

Recent Accounting Pronouncements

In December 2019, the FASB issued ASU 2019-12, “Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes,” which is intended to simplify various aspects related to accounting for income taxes. ASU 2019-12 removes certain exceptions to the general principles in Topic 740 and also clarifies and amends existing guidance to improve consistent application. ASU 2019-12 was effective for the Company beginning in the first quarter of 2021. The adoption of this standard did not have a material impact on the Company’s consolidated financial statements and related disclosures.

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 can include, among other things, valuation of goodwill and intangible assets, medical claims payable, other medical liabilities, stock compensation assumptions, tax contingencies and legal liabilities. In addition, the Company also makes estimates in relation to revenue recognition under Accounting Standard Codification 606 (“ASC 606”) which are explained in more detail in “Revenue Recognition” below. Actual results could differ from those estimates.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

compensation assumptions, tax contingencies and legal liabilities. In addition, the Company also makes estimates in relation to revenue recognition under Accounting Standard Codification 606 (“ASC 606”) which are explained in more detail in “Revenue Recognition” below. Actual results could differ from those estimates.

Revenue Recognition

Virtually all of the Company’s revenues are derived from business in North America. The following tables disaggregate our revenue for the three and six months ended June 30, 20192020 and 20202021 by major service line, type of customer and timing of revenue recognition (in thousands):

Three Months Ended June 30, 2019

Three Months Ended June 30, 2020

Healthcare

    

Pharmacy Management

    

Elimination

    

Total

Healthcare

    

Pharmacy Management

    

Elimination

    

Total

Major Service Lines

Behavioral & Specialty Health

Risk-based, non-EAP

$

400,591

$

$

(65)

$

400,526

$

344,199

$

$

(92)

$

344,107

EAP risk-based

87,296

87,296

77,419

77,419

ASO

58,226

10,327

(82)

68,471

59,403

12,271

(85)

71,589

PBM, including dispensing

480,167

(4,335)

475,832

499,484

(4,831)

494,653

Medicare Part D

69,843

69,843

56,711

56,711

PBA

33,476

33,476

30,811

30,811

Formulary management

18,426

18,426

25,061

25,061

Other

419

419

(276)

(276)

Total net revenue

$

546,113

$

612,658

$

(4,482)

$

1,154,289

$

481,021

$

624,062

$

(5,008)

$

1,100,075

Type of Customer

Government

$

236,014

$

173,804

$

$

409,818

$

222,393

$

208,989

$

$

431,382

Non-government

310,099

438,854

(4,482)

744,471

258,628

415,073

(5,008)

668,693

Total net revenue

$

546,113

$

612,658

$

(4,482)

$

1,154,289

$

481,021

$

624,062

$

(5,008)

$

1,100,075

Timing of Revenue Recognition

Transferred at a point in time

$

$

550,010

$

(4,335)

$

545,675

$

$

556,195

$

(4,831)

$

551,364

Transferred over time

546,113

62,648

(147)

608,614

481,021

67,867

(177)

548,711

Total net revenue

$

546,113

$

612,658

$

(4,482)

$

1,154,289

$

481,021

$

624,062

$

(5,008)

$

1,100,075

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

Three Months Ended June 30, 2020

Healthcare

    

Pharmacy Management

    

Elimination

    

Total

Major Service Lines

Behavioral & Specialty Health

Risk-based, non-EAP

$

344,199

$

$

(92)

$

344,107

EAP risk-based

77,419

77,419

ASO

59,403

12,271

(85)

71,589

PBM, including dispensing

499,484

(4,831)

494,653

Medicare Part D

56,711

56,711

PBA

30,811

30,811

Formulary management

25,061

25,061

Other

(276)

(276)

Total net revenue

$

481,021

$

624,062

$

(5,008)

$

1,100,075

Type of Customer

Government

$

222,393

$

208,989

$

$

431,382

Non-government

258,628

415,073

(5,008)

668,693

Total net revenue

$

481,021

$

624,062

$

(5,008)

$

1,100,075

Timing of Revenue Recognition

Transferred at a point in time

$

$

556,195

$

(4,831)

$

551,364

Transferred over time

481,021

67,867

(177)

548,711

Total net revenue

$

481,021

$

624,062

$

(5,008)

$

1,100,075

Six Months Ended June 30, 2019

Three Months Ended June 30, 2021

Healthcare

    

Pharmacy Management

    

Elimination

    

Total

Healthcare

    

Pharmacy Management

    

Elimination

    

Total

Major Service Lines

Behavioral & Specialty Health

Risk-based, non-EAP

$

762,399

$

$

(143)

$

762,256

$

429,289

$

$

(92)

$

429,197

EAP risk-based

176,913

176,913

82,145

82,145

ASO

113,623

18,470

(173)

131,920

73,705

12,353

(52)

86,006

PBM, including dispensing

973,391

(8,442)

964,949

546,827

(3,608)

543,219

Medicare Part D

133,184

133,184

1,508

1,508

PBA

67,453

67,453

43,470

43,470

Formulary management

35,609

35,609

33,062

33,062

Other

1,011

1,011

2,161

2,161

Total net revenue

$

1,052,935

$

1,229,118

$

(8,758)

$

2,273,295

$

585,139

$

639,381

$

(3,752)

$

1,220,768

Type of Customer

Government

$

467,076

$

401,852

$

$

868,928

$

249,324

$

154,370

$

$

403,694

Non-government

585,859

827,266

(8,758)

1,404,367

335,815

485,011

(3,752)

817,074

Total net revenue

$

1,052,935

$

1,229,118

$

(8,758)

$

2,273,295

$

585,139

$

639,381

$

(3,752)

$

1,220,768

Timing of Revenue Recognition

Transferred at a point in time

$

$

1,106,575

$

(8,442)

$

1,098,133

$

$

548,335

$

(3,608)

$

544,727

Transferred over time

1,052,935

122,543

(316)

1,175,162

585,139

91,046

(144)

676,041

Total net revenue

$

1,052,935

$

1,229,118

$

(8,758)

$

2,273,295

$

585,139

$

639,381

$

(3,752)

$

1,220,768

Six Months Ended June 30, 2020

Healthcare

    

Pharmacy Management

    

Elimination

    

Total

Major Service Lines

Behavioral & Specialty Health

Risk-based, non-EAP

$

694,044

$

$

(182)

$

693,862

EAP risk-based

157,357

157,357

ASO

118,526

23,805

(168)

142,163

PBM, including dispensing

1,017,596

(9,398)

1,008,198

Medicare Part D

112,377

112,377

PBA

60,940

60,940

Formulary management

47,222

47,222

Other

335

335

Total net revenue

$

969,927

$

1,262,275

$

(9,748)

$

2,222,454

Type of Customer

Government

$

449,495

$

412,946

$

$

862,441

Non-government

520,432

849,329

(9,748)

1,360,013

Total net revenue

$

969,927

$

1,262,275

$

(9,748)

$

2,222,454

Timing of Revenue Recognition

Transferred at a point in time

$

$

1,129,973

$

(9,398)

$

1,120,575

Transferred over time

969,927

132,302

(350)

1,101,879

Total net revenue

$

969,927

$

1,262,275

$

(9,748)

$

2,222,454

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

Six Months Ended June 30, 2020

Six Months Ended June 30, 2021

Healthcare

    

Pharmacy Management

    

Elimination

    

Total

Healthcare

    

Pharmacy Management

    

Elimination

    

Total

Major Service Lines

Behavioral & Specialty Health

Risk-based, non-EAP

$

694,044

$

$

(182)

$

693,862

$

802,731

$

$

(178)

$

802,553

EAP risk-based

157,357

157,357

170,266

170,266

ASO

118,526

23,805

(168)

142,163

145,152

24,170

(127)

169,195

PBM, including dispensing

1,017,596

(9,398)

1,008,198

1,085,622

(7,007)

1,078,615

Medicare Part D

112,377

112,377

1,685

1,685

PBA

60,940

60,940

93,352

93,352

Formulary management

47,222

47,222

62,244

62,244

Other

335

335

4,507

4,507

Total net revenue

$

969,927

$

1,262,275

$

(9,748)

$

2,222,454

$

1,118,149

$

1,271,580

$

(7,312)

$

2,382,417

Type of Customer

Government

$

449,495

$

412,946

$

$

862,441

$

505,616

$

310,408

$

$

816,024

Non-government

520,432

849,329

(9,748)

1,360,013

612,533

961,172

(7,312)

1,566,393

Total net revenue

$

969,927

$

1,262,275

$

(9,748)

$

2,222,454

$

1,118,149

$

1,271,580

$

(7,312)

$

2,382,417

Timing of Revenue Recognition

Transferred at a point in time

$

$

1,129,973

$

(9,398)

$

1,120,575

$

$

1,087,307

$

(7,007)

$

1,080,300

Transferred over time

969,927

132,302

(350)

1,101,879

1,118,149

184,273

(305)

1,302,117

Total net revenue

$

969,927

$

1,262,275

$

(9,748)

$

2,222,454

$

1,118,149

$

1,271,580

$

(7,312)

$

2,382,417

Per Member Per Month (“PMPM”) Revenue.  Almost all of the Healthcare revenue and a small portion of the Pharmacy Management revenue is paid on a PMPM basis. PMPM revenue is inclusive of revenue from the Company’s risk, EAP and ASO contracts and primarily relates to managed care contracts for services such as the provision of behavioral healthcare, specialty healthcare or pharmacy management, or fully integrated healthcare services.management. PMPM contracts generally have a term of one year or longer, with the exception of government contracts where the customer can terminate with as little as 30 days’ notice for no significant penalty. All managed care contracts have a single performance obligation that constitutes a series for the provision of managed healthcare services for a population of enrolled members for the duration of the contract. The transaction price for PMPM contracts is entirely variable as it primarily includes PMPM fees associated with unspecified membership that fluctuates throughout the contract. In certain contracts, PMPM fees also include adjustments for things such as performance incentives, performance guarantees and risk shares. The Company generally estimates the transaction price using an expected value methodology and amounts are only included in the net transaction price to the extent that it is probable that a significant reversal of cumulative revenue will not occur once any uncertainty is resolved. The majority of the Company’s net PMPM transaction price relates specifically to its efforts to transfer the service for a distinct increment of the series (e.g. day or month) and is recognized as revenue in the month in which members are entitled to service. The remaining transaction price is recognized over the contract period (or portion of the series to which it specifically relates) based upon estimated membership as a measure of progress.

Under certain government contracts, our risk scores are compared with the overall average risk scores for the relevant state and market pool. Generally, if our risk score is below the average risk score, we are required to make a risk adjustment payment into the risk pool, and if our risk score is above the average risk score, we will receive a risk adjustment payment from the risk pool. Risk adjustments can have a positive or negative retroactive impact to rates.

Pharmacy Benefit Management Revenue. The Company’s customers for PBM business, including pharmaceutical dispensing operations, are generally comprised of MCOs, employer groups and health plans. PBM relationships generally have an expected term of one year or longer. A master services arrangement (“MSA”) is executed

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2020

(Unaudited)

by the Company and the customer, which outlines the terms and conditions of the PBM services to be provided. When a member in the customer’s organization submits a prescription, a claim is created which is presented for approval. The acceptance of each individual claim creates enforceable rights and obligations for each party and represents a separate contract. For each individual claim, the performance obligations are limited to the processing and adjudication of the claim, or dispensing of the products purchased. Generally, the transaction price for PBM services is explicitly listed in each contract and does not represent variable consideration. The Company recognizes PBM revenue, which consists of a negotiated prescription price (ingredient cost plus dispensing fee), co-payments and any associated administrative fees,

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when claims are adjudicated or the drugs are shipped. The Company recognizes PBM revenue on a gross basis (i.e. including drug costs and co-payments) as it is acting as the principal in the arrangement, controls the underlying service, 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, collecting payments from the client for drugs dispensed by the pharmacy, and managing the total prescription drug relationship with the client’s members. If the Company enters into a contract where it is only an administrator, and does not assume any of the risks previously noted, revenue will be recognized on a net basis. For dispensing, at the time of shipment, the earnings process is complete; the obligation of the Company’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.

Medicare Part D. The Company is contracted with CMS as a Prescription Drug Plan (“PDP”) to provide prescription drug benefits to Medicare beneficiaries. The accounting for Medicare Part D revenue is primarily the same as that for PBM, as previously discussed. However, there is certain variable consideration present only in Medicare Part D arrangements. The Company estimates the annual amount of variable consideration using a most likely amount methodology, which is allocated to each reporting period based upon actual utilization as a percentage of estimated utilization for the year. Amounts estimated throughout the year for interim reporting are substantially resolved and fixed as of December 31st, the end of the plan year.

Pharmacy Benefit Administration Revenue. The Company provides Medicaid pharmacy services to states and other government sponsored programs. PBA contracts are generally multi-year arrangements but include language regarding early termination for convenience without material penalty provisions that results in enforceable rights and obligations on a month-to-month basis. In PBA arrangements, the Company is generally paid a fixed fee per month to provide PBA services. In addition, some PBA contracts contain upfront fees that constitute a material right. For contracts without an upfront fee, there is a single performance obligation to stand ready to provide the PBA services required for the contracted period. The Company believes that the customer receives the PBA benefits each day from access to the claims processing activities, and has concluded that a time-based measure is appropriate for recognizing PBA revenue. For contracts with an upfront fee, the material right represents an additional performance obligation. Amounts allocated to the material right are initially recorded as a contract liability and recognized as revenue over the anticipated period of benefit of the material right, which generally ranges from 2 to 10 years.

Formulary Management Revenue. The Company administers formulary management programs 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. Formulary management contracts generally have a term of one year or longer. All formulary management contracts have a single performance obligation that constitutes a series for the provision of rebate services for a drug, with utilization measured and settled on a quarterly basis, for the duration of the arrangement. The Company retains its administrative fee and/or a percentage of rebates that is included in its contract with the client from collecting the rebate from the manufacturer. While the administrative fee and/or the percentage of rebates retained is fixed, there is an unknown quantity of pharmaceutical purchases (utilization) during each quarter; therefore the transaction price itself is variable. The Company uses the expected value methodology to estimate the total rebates earned each quarter based on estimated volumes of pharmaceutical purchases by the Company’s clients during the quarter, as well as historical and/or anticipated retained rebate percentages. The Company does not record as rebate revenue any rebates that are passed through to its clients.

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

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(Unaudited)

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.

Government EAP Risk-Based Revenue. The Company has certain contracts with federal customers for the provision of various managed care services, which are classified as EAP risk-based business. These contracts are generally multi-year arrangements. The Company’s federal contracts are reimbursed on either a fixed fee basis or a cost reimbursement basis. The performance obligation on a fixed fee contract is to stand ready to provide the staffing required for the contracted period. For fixed fee contracts, the Company believes the invoiced amount corresponds directly with the value to the customer of the Company’s performance completed to date; therefore, the Company is utilizing the “right to invoice” practical expedient, with revenue recognition in the amount for which the Company has the right to invoice.

The performance obligation on a cost reimbursement contract is to stand ready to provide the activity or services purchased by the customer, such as the operation of a counseling services group or call center. The performance obligation represents a series for the duration of the arrangement. The reimbursement rate is fixed per the contract; however, the level of activity (e.g., number of hours, number of counselors or number of units) is variable. A majority of

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2021

(Unaudited)

the Company’s cost reimbursement transaction price relates specifically to its efforts to transfer the service for a distinct increment of the series (e.g. day or month) and is recognized as revenue when the portion of the series for which it relates has been provided (i.e. as the Company provides hours, counselors or units of service).

In accordance with ASC 606-10-50-13, the Company is required to include disclosure on its remaining performance obligations as of the end of the current reporting period. Due to the nature of the contracts in the Company’s PBM and Part D business, these reporting requirements are not applicable. The majority of the Company’s remaining contracts meet certain exemptions as defined in ASC 606-10-50-14 through 606-10-50-14A, including (i) performance obligation is part of a contract that has an original expected duration of one year or less; (ii) the right to invoice practical expedient; and (iii) variable consideration related to unsatisfied performance obligations that is allocated entirely to a wholly unsatisfied promise to transfer a distinct service that forms part of a single performance obligation, and the terms of that variable consideration relate specifically to our efforts to transfer the distinct service, or to a specific outcome from transferring the distinct service. For the Company’s contracts that pertain to these exemptions: (i) the remaining performance obligations primarily relate to the provision of managed healthcare services to the customers’ membership; (ii) the estimated remaining duration of these performance obligations ranges from the remainder of the current calendar year to three years; and (iii) variable consideration for these contracts primarily includes net PMPM fees associated with unspecified membership that fluctuates throughout the contract.

Accounts Receivable, Contract Assets and Contract Liabilities

Accounts receivable, contract assets and contract liabilities consisted of the following (in thousands, except percentages):

December 31,

    

June 30, 

    

    

 

December 31,

    

June 30, 

    

    

 

2019

2020

$ Change

% Change

2020

2021

$ Change

% Change

Accounts receivable

$

717,455

$

837,710

$

120,255

16.8%

$

799,803

$

911,571

$

111,768

14.0%

Contract assets

2,162

7,151

4,989

230.8%

3,566

6,171

2,605

73.1%

Contract liabilities - current

6,728

25,769

19,041

283.0%

6,772

6,891

119

1.8%

Contract liabilities - long-term

11,099

11,022

(77)

(0.7%)

11,073

11,136

63

0.6%

Accounts receivable, which are included in accounts receivable, other current assets and other long-term assets on the consolidated balance sheets, increased by $120.3$111.8 million, mainly due to timing of receipts and HIF accrual.receipts. Contract assets, which are included in other current assets on the consolidated balance sheets, increased by $5.0$2.6 million, mainly due to the timing of accrual of certain performance incentives and annual settlements.incentives. Contract liabilities – current, which are included in accrued liabilities on the consolidated balance sheets, increased by $19.0$0.1 million, mainly due to the HIF recognitioncertain revenue payments received in the current year period.advance. Contract liabilities – long-term, which are included in deferred credits and other long-term liabilities on the consolidated balance sheets, are consistent with prior year.increased by $0.1 million mainly due to payments received for which recognition will be long term partially offset by certain balances which became current.

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June 30, 2020

(Unaudited)

During the three months ended June 30 2020,2021, the Company recognized revenue of $2.0$2.1 million that was included in current contract liabilities at March 31, 2020.2021. During the six months ended June 30 2020,2021, the Company recognized revenue of $4.0$3.2 million that was included in current contract liabilities asat December 31, 2019.2020. The estimated timing of recognition of amounts included in contract liabilities at June 30, 20202021 are as follows: 2020—$24.0 million; 2021—$3.64.8 million; 2022—$3.14.2 million; 2023—$3.7 million; 2024 and beyond—$6.15.3 million. During the three and six months ended June 30, 2020,2021, the revenue the Company recognized related to performance obligations that were satisfied, or partially satisfied, in previous periods was not material.

The Company’s accounts receivable consists of amounts due from customers throughout the United States. Collateral is generally not required. A majority of the Company’s contracts have payment terms in the month of service, or within a few months thereafter. The timing of payments from customers from time to time generates contract assets or contract liabilities; however, these amounts are immaterial.

The Company’s accounts receivable is net of an allowance for credit losses. The estimate of current expected

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June 30, 2021

(Unaudited)

credit losses on trade receivables considers historical credit loss information that is adjusted for current conditions and reasonable and supportable forecasts. Management elected to disaggregate trade receivables into business segments due to risk characteristics unique to each platform given the individual lines of business and market. Pooling was further disaggregated based on either geography or product type.

The Company leveraged historical write offs over a defined lookback period in deriving a historical loss rate. The expected credit loss model further considers current conditions and reasonable and supportable forecasts through the use of an adjustment for current and projected macroeconomic factors. Management identified appropriate macroeconomic indicators based on tangible correlation to historical losses, giving consideration to the location and risks associated with the Company’s customers.

Significant Customers

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

The Company had no customers that exceeded ten percent of the Company’s net revenues from continuing operations. The following MCC customers, which are included in discontinued operations, previously exceeded ten percent of the Company’s consolidated net revenues.

The Company has contracts with the Commonwealth of Virginia (the “Virginia Contracts”). The Company began providing Medicaid managed long-term services and supports to enrollees in the Commonwealth Coordinated Care Plus (“CCC Plus”) program on August 1, 2017. The CCC Plus contract expires annually on December 31 and automatically renews annually on January 1 for a period of five calendar years, with potential of up to 5 12-month extensions. The Commonwealth of Virginia has the right to terminate the CCC Plus contract with cause at any time and for convenience upon 90 days’ notice. On August 1, 2018, the Company began providing integrated healthcare services to Medicaid enrollees in the Commonwealth of Virginia under the Medallion 4.0/FAMIS Managed Care Program (“Medallion”). The initial term of the Medallion contract is from August 1, 2018 through June 30, 2019, with 6 12-month renewal options. The Medallion contract has been renewed through June 30, 2021. The Commonwealth of Virginia has the right to terminate the Medallion contract with cause at any time and for convenience upon 180 days’ notice. The Virginia Contracts generated net revenues of $391.2 million and $475.2 million for the six months ended June 30, 2019 and 2020, respectively, which are reported as discontinued operations.

The Company had a contract with the State of New York (the “New York Contract”) to provide integrated managed care services to Medicaid and Medicare enrollees in the State of New York. The Company’s New York Contract terminated on December 31, 2016; however, the Company, along with other participating managed care plans in the state, continues to provide services while a new contract is being finalized. The New York Contracts generated net revenues of $400.6 million and $411.7 million for the six months ended June 30, 2019 and 2020, respectively, which are reported as discontinued operations.

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June 30, 2020

(Unaudited)

The Company has contracts with the Commonwealth of Massachusetts and CMS (the “Massachusetts Contracts”) to provide integrated managed care services to Medicaid and Medicare enrollees in the Commonwealth of Massachusetts. Medicaid services are provided under a Senior Care Options contract (“SCO Contract”) which began on January 1, 2016 and extends through December 31, 2021, with the potential for up to 5 additional one-year extensions. The Commonwealth of Massachusetts may terminate the contract with cause without prior notice and upon 180 days’ notice without cause. Medicare services are provided under a one-year contract with CMS. The CMS contract currently extends through December 31, 2020. The Company began recognizing revenue in relation to the Massachusetts Contracts on November 1, 2017 as a result of the acquisition of SWH Holdings, Inc. The Massachusetts Contracts generated net revenues of $360.9 million and $359.7 million for the six months ended June 30, 2019 and 2020, respectively, which are reported within discontinued operations.

Customers exceeding ten percent of segment net revenues

The following customers generated in excess of ten percent of net revenues from continuing operations for the respective segment for the six months ended June 30, 20192020 and 20202021 (in thousands):

Segment

    

Term Date

    

2019

    

2020

 

    

Term Date

    

2020

    

2021

 

Healthcare

Customer A

December 31, 2021

$

161,887

$

175,107

December 31, 2021

$

175,107

$

188,177

Customer B

December 31, 2022

96,657

172,248

Pharmacy Management

Customer B

March 31, 2021

$

174,535

$

195,930

Customer C

March 31, 2024

195,930

169,371

Concentration of Business

The Company also has a significant concentration of business with various counties in the State of Pennsylvania (the “Pennsylvania Counties”) which are part of the Pennsylvania Medicaid program, with members under its contract with CMSCenters for Medicare and Medicaid Services (“CMS”) and with various agencies and departments of the United States federal government. Net revenues from the Pennsylvania Counties in the aggregate totaled $271.4$272.2 million and $272.2$299.8 million for the six months ended June 30, 20192020 and 2021, respectively. The contract for 1 of the Pennsylvania Counties, which represents net revenues of $58.8 million and $65.0 million for the six months ended June 30, 2020 respectively.and 2021, respectively, is scheduled to terminate on December 31, 2021. Net revenues from members in relation to its contracts with CMS in aggregate totaled $133.2$112.3 million and $112.3$1.7 million for the six months ended June 30, 20192020 and 2020,2021, respectively. As of December 31, 20192020 and June 30, 2020,2021, the Company had $117.4$69.6 million and $114.3$41.2 million, respectively, in net receivables associated with Medicare Part D from CMS and other parties related to this business. In May 2020, the Company announced its decision to exit the Part D business at the end of 2020. Net revenues from contracts with various agencies and departments of the United States federal government in aggregate totaled $156.7$136.1 million and $136.1$150.0 million for the six months ended June 30, 20192020 and 2020,2021, respectively.

The Company’s contracts with customers typically have stated terms of one to three years, and in certain cases contain renewal provisions (at the customer’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’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 30 and 180 days) or upon the occurrence of other specified events. In addition, the Company’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.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

conditioned on legislative appropriations. These contracts generally can be terminated or modified by the customer if such appropriations are not made.

Leases

The Company leases certain office space, distribution centers, land and equipment. We assess our contractseach contract to determine if it contains a lease. This assessment is based on (i) the right to control the use of an identified asset; (ii) the right to obtain substantially all of the economic benefits from the use of the identified asset; and (iii) the right to use the identified asset. The Company elected the short-term lease practical expedient; thus, leases with an initial term of twelve months or less are not capitalized and the expense is recognized on a straight-line basis. Most leases include 1 or more options to renew, with renewal terms that can extend the lease from one to ten years. The exercise of renewal options are at the sole discretion of the Company. Renewal options that the Company is reasonably certain to accept are recognized as part of the right-of-use (“ROU”) asset.

Operating leases are included in other long-term assets, accrued liabilities and deferred credits and other long-term liabilities in the consolidated balance sheets. Finance leases are included in property and equipment, current debt, finance lease deferred financing obligations and long-term debt, finance lease and deferred financing obligations in the consolidated balance sheets.

ROU assets represent our right to use an underlying asset for the lease term and lease liabilities represent our obligation to make lease payments per the lease. Operating lease ROU assets and liabilities are recognized at lease commencement date based on the present value of lease payments over the lease term. As the rate implicit in most of our leases is not readily determinable, the Company used its incremental borrowing rate to determine the present value of lease payments.

The following table shows the components of lease expenses for the three and six months ended June 30, 20202021 (in thousands):

Three Months Ended
June 30, 2020

    

Six Months Ended
June 30, 2020

Three Months Ended
June 30, 2021

    

Six Months Ended
June 30, 2021

    

Operating lease cost

$

2,503

$

4,604

$

2,340

$

4,748

Finance lease cost:

Amortization of right-of-use asset

1,046

2,378

565

1,272

Interest on lease liabilities

213

427

155

321

Total finance lease cost

1,259

2,805

720

1,593

Short-term lease cost

80

204

41

81

Variable lease cost

505

1,011

539

763

Total lease cost

4,347

8,624

3,640

7,185

Sublease income

(66)

(179)

(7)

Net lease cost

$

4,281

$

8,445

$

3,640

$

7,178

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

The following table shows the components of the lease assets and liabilities as of June 30, 20202021 (in thousands):

June 30, 2020

June 30, 2021

Operating leases:

Other long-term assets

$

20,832

$

31,998

Accrued liabilities

$

23,959

$

10,939

Deferred credits and other long-term liabilities

9,661

32,880

Total operating lease liabilities

$

33,620

$

43,819

Finance leases:

Property and equipment, net

$

13,489

$

11,290

Current debt, finance lease and deferred financing obligations

$

4,989

$

4,483

Long-term debt, finance lease and deferred financing obligations

14,024

9,670

Total finance lease liabilities

$

19,013

$

14,153

The maturity dates of the Company’s leases as of June 30, 20202021 are summarized below (in thousands):

June 30, 2020

June 30, 2021

2020

$

8,201

2021

13,819

$

8,238

2022

12,518

15,442

2023

9,295

12,718

2024

7,927

10,943

2025 and beyond

2,581

2025

5,725

2026 and beyond

5,933

Total lease payments

54,341

58,999

Less interest

(1,708)

(1,027)

Present value of lease liabilities

$

52,633

$

57,972

The following table shows the weighted average remaining lease term and discount rate as of June 30, 2020:2021:

June 30, 20202021

Weighted average remaining lease term years

Operating leases

3.964.84

Finance leases

4.083.31

Weighted average discount rate

Operating leases

4.79%2.99%

Finance leases

4.39%4.40%

Supplemental cash flow information relating to leases is as follows (in thousands):

Six months ended June 30, 2020

Six months ended June 30, 2021

Cash paid for amounts included in the measurement of lease liabilities:

Operating cash flows from operating leases

$

6,196

$

7,393

Operating cash flows from finance leases

2,815

1,121

Financing cash flows from finance leases

427

166

Right-of-use asset obtained in exchange for new lease obligation

Operating leases

902

Finance leases

3,599

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

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:

Level 1—Inputs are unadjusted quoted prices in active markets for identical assets or liabilities that the Company has the ability to access at the measurement date.

Level 2—Inputs include quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets or liabilities in markets that are not active, inputs other than quoted prices that are observable for the asset or liability (i.e., interest rates, yield curves, etc.), and inputs that are derived principally from or corroborated by observable market data by correlation or other means (market corroborated inputs).

Level 3—Unobservable inputs that reflect the Company’s assumptions about the assumptions that market participants would use in pricing the asset or liability. The Company develops these inputs based on the best information available, including the Company’s data.

In accordance with the fair value hierarchy described above, the following table shows the fair value of the Company’s assets and liabilities that are required to be measured at fair value as of December 31, 20192020 and June 30, 20202021 (in thousands):

December 31, 2019

December 31, 2020

    

Level 1

    

Level 2

    

Level 3

    

Total

 

    

Level 1

    

Level 2

    

Level 3

    

Total

 

Assets

Cash and cash equivalents (1)

    

$

    

$

111,085

    

$

    

$

111,085

    

$

    

$

679,554

    

$

    

$

679,554

Investments:

U.S. Government and agency securities

 

30,775

 

 

 

30,775

 

42,399

 

 

 

42,399

Corporate debt securities

 

 

69,581

 

 

69,581

 

 

99,749

 

 

99,749

Certificates of deposit

 

 

1,305

 

 

1,305

 

 

1,311

 

 

1,311

Total assets held at fair value

$

30,775

$

181,971

$

$

212,746

$

42,399

$

780,614

$

$

823,013

��

June 30, 2020

June 30, 2021

    

Level 1

    

Level 2

    

Level 3

    

Total

 

    

Level 1

    

Level 2

    

Level 3

    

Total

 

Assets

Cash and cash equivalents (2)

    

$

    

$

132,038

    

$

    

$

132,038

    

$

    

$

638,459

    

$

    

$

638,459

Investments:

U.S. Government and agency securities

 

32,174

 

 

 

32,174

 

143,618

 

 

 

143,618

Corporate debt securities

 

 

42,192

 

 

42,192

 

 

167,636

 

 

167,636

Taxable municipal bonds

16,001

16,001

Certificates of deposit

 

 

1,305

 

 

1,305

 

 

1,311

 

 

1,311

Total assets held at fair value

$

32,174

$

175,535

$

$

207,709

$

143,618

$

823,407

$

$

967,025

(1)Excludes $4.7$464.9 million of cash held in bank accounts by the Company.
(2)Excludes $28.4$40.0 million of cash held in bank accounts by the Company.

For the six months ended June 30, 2020,2021, the Company has not transferred any assets between fair value measurement levels.

The carrying values of financial instruments, including accounts receivable and accounts payable, approximate their fair values due to their short-term maturities. The fair value of the Notes (as defined below) of $366.2$399.4 million as of June 30, 20202021 was determined based on quoted market prices and would be classified within Level 1 of the fair value hierarchy. The estimated fair value of the Company’s term loan of $271.9$154.4 million as of June 30, 20202021 was based on current interest rates for similar types of 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.

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June 30, 20202021

(Unaudited)

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’s investments are classified as “available-for-sale” and are carried at fair value.

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. Book overdrafts are reflected within accounts payable on the balance sheets. At June 30, 2020,2021, the Company had no book overdrafts. At June 30, 2021, the Company’s excess capital and undistributed earnings for the Company’s regulated subsidiaries of approximately $29$26 million are included in cash and cash equivalents.

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-temporary and is recorded to other-than-temporary impairment losses recognized in income in the consolidated statements of comprehensive 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-temporary impairment is recognized in other-than-temporary impairment losses recognized in net income and the non-credit component of the other-than-temporary impairment is recognized in other comprehensive income in the consolidated statements of comprehensive income.

As of December 31, 20192020 and June 30, 2020,2021, there were no material unrealized losses that the Company determined to be other-than-temporary. NaN realized gains or losses were recorded for the three months or six months ended June 30, 20192020 or 2020. 2021. The following is a summary of short-term and long-term investments at December 31, 20192020 and June 30, 20202021 (in thousands):

December 31, 2019

 

December 31, 2020

 

Gross

Gross

 

Gross

Gross

 

Amortized

Unrealized

Unrealized

Estimated

 

Amortized

Unrealized

Unrealized

Estimated

 

    

Cost

    

Gains

    

Losses

    

Fair Value

 

    

Cost

    

Gains

    

Losses

    

Fair Value

 

U.S. Government and agency securities

    

$

30,742

    

$

38

    

$

(5)

    

$

30,775

    

$

42,389

    

$

11

    

$

(1)

    

$

42,399

Corporate debt securities

 

69,552

 

40

 

(11)

 

69,581

 

99,861

 

3

 

(115)

 

99,749

Certificates of deposit

 

1,305

 

 

 

1,305

 

1,311

 

 

 

1,311

Total investments at December 31, 2019

$

101,599

$

78

$

(16)

$

101,661

Total investments at December 31, 2020

$

143,561

$

14

$

(116)

$

143,459

June 30, 2020

 

June 30, 2021

 

Gross

Gross

 

Gross

Gross

 

Amortized

Unrealized

Unrealized

Estimated

 

Amortized

Unrealized

Unrealized

Estimated

 

    

Cost

    

Gains

    

Losses

    

Fair Value

 

    

Cost

    

Gains

    

Losses

    

Fair Value

 

U.S. Government and agency securities

    

$

32,066

    

$

108

    

$

    

$

32,174

    

$

143,615

    

$

4

    

$

(1)

    

$

143,618

Corporate debt securities

 

42,129

 

71

 

(8)

 

42,192

 

167,668

 

7

 

(39)

 

167,636

Taxable municipal bonds

15,999

2

16,001

Certificates of deposit

1,305

 

 

 

1,305

1,311

 

 

 

1,311

Total investments at June 30, 2020

$

75,500

$

179

$

(8)

$

75,671

Total investments at June 30, 2021

$

328,593

$

13

$

(40)

$

328,566

The maturity dates of the Company’s investments as of June 30, 2021 are summarized below (in thousands):

    

Amortized

    

Estimated

 

    

Cost

    

Fair Value

 

2021

$

322,889

$

322,860

2022

5,704

5,706

Total investments at June 30, 2021

 

$

328,593

 

$

328,566

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

The maturity dates of the Company’s investments as of June 30, 2020 are summarized below (in thousands):

    

Amortized

    

Estimated

 

    

Cost

    

Fair Value

 

2020

$

63,787

$

63,901

2021

11,713

11,770

Total investments at June 30, 2020

 

$

75,500

 

$

75,671

Income Taxes

The Company’s effective income tax rates from continuing operations were 163.0(197.6) percent and (197.6)30.6 percent for the six months ended June 30, 20192020 and 2020,2021, respectively. These rates differ from the applicable federal statutory income tax rate primarily due to state income taxes and permanent differences between book and tax income, and a discrete adjustment for the recognition of a $38.9 million nonrecurring tax benefit in the current year for tax basis in excess of net book value for certain assets to be included in the MCC Sale.income. The Company also accrues interest and penalties related to uncertain tax positions in its provision for income taxes. The significant effective income tax rate for the six months ended June 30, 2019 is primarily due to the impact of the discrete adjustment for recognized stock compensation expense in excess of tax deductions relative to the reduced level of earnings for the period. The significant negative effective income tax rate for the six months ended June 30, 2020 is primarily due to the discrete adjustmentadjustments for the nonrecurring tax benefit related to the divestiture recognized in the currentprior year.

The Company files a consolidated federal income tax return with its eighty-percent or more controlled subsidiaries. The Company and its subsidiaries also file income tax returns in various state and local jurisdictions.

On March 27, 2020, theThe Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) was signed into law toon March 27, 2020, the Consolidated Appropriations Act, 2021 was signed into law on December 27, 2020 and The American Rescue Plan Act of 2021 was signed March 11, 2021. All three acts provide widespread emergency relief for the economy and to provide aid to corporations. The CARES Act includescorporations including several significant provisions related to taxes. As of June 30, 2020,2021, the Company has not utilized (nor does it anticipate utilizing) any of the provisions that would result in a material impact on its results. However, the Company continues to evaluate the relief options available under the CARES Act, as well as other emergency relief initiatives and stimulus packages instituted by the Federal Government.

Net Operating Loss Carryforwards

The Company has $16.2and its subsidiaries have $75.0 million of federal net operating loss carryforwards (“NOLs”) available to reduce consolidated taxable income in 2020 and subsequent years. These NOLs were incurred by AlphaCare prior to its membership in the Magellan consolidated group and will expire in 2032 through 2035 if not used and are subject to examination and adjustment by the IRS. In addition, the Company’s utilization of these NOLs is subject to limitations under the Internal Revenue Code as to the timing and use. At this time, the Company does not believe these limitations will restrict the Company’s ability to use any federal NOLs before they expire. However, upon completion of the MCC Sale, any federal NOL carryovers that remain at that time will be assumed by Molina. As such, the deferred tax asset related to these net operating loss carryforwards is netted within deferred tax liabilities included in current portion of liabilities held for sale in the consolidated balance sheets.

The Company and its subsidiaries also have $89.0 million of NOLs available to reduce state and local taxable income at certain subsidiaries in 20202021 and subsequent years. Most of these NOLs will expire in 2020 through 20382021 and subsequent years if not used and are subject to examination and adjustment by the respective tax authorities. In addition, the Company’s utilization of certain of these NOLs is subject to limitations as to the timing and use.amount. Other than those considered in determining the valuation allowances discussed below, the Company does not believe these limitations will restrict the Company’s ability to use any of these state and local NOLs before they expire. However, $17.1 million of these state and local NOLs will, to the extent not utilized beforehand, be assumed by Molina upon completion of the MCC Sale. As such, the deferred tax asset related to these net operating loss carryforwards is netted within deferred tax liabilities included in current portion of liabilities held for sale in the consolidated balance sheets.

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2020

(Unaudited)

Deferred tax assets as of December 31, 20192020 and June 30, 20202021 are shown net of valuation allowances of $2.1 million.$0.9 million and $0.9 million, respectively. These valuation allowances mostlymainly relate to uncertainties regarding the eventual realization of certain state NOLs. Reversals of valuation allowances are recorded in the period they occur, typically as reductions to income tax expense. 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. The Company believes taxable income expected to be generated in the future will be sufficient to support realization of the Company’s deferred tax assets, as reduced by valuation allowances. This determination is based upon earnings history and future earnings expectations.

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 Reform Law”), imposesimposed a mandatory annual fee on health insurers for each calendar year beginning on or after January 1, 2014. The Company has obtained rate adjustments from customers which the Company expects willto cover the direct costs of these fees and the impact from non-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. On January 23, 2018, the United States Congress passed the Continuing Resolution which imposed a one-year moratorium onrepealed the HIF fee suspending its applicationeffective for 2019.plan years after December 31, 2020. For 2020 the HIF fee is expected to bewas $36.2 million, of which $12.4 millionrelated to continuing operations, and $23.8 million is includedwas paid in accrued liabilities and current portion of liabilities held for sale, respectively, in the consolidated balance sheets.2020.

Stock Compensation

At December 31, 20192020 and June 30, 2020,2021, the Company had equity-based employee incentive plans, which are described more fully in Note 6 in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019,2020, which was filed with the SEC on February 28, 2020.26, 2021. The Company recorded stock compensation expense of $5.4$6.3 million and $15.0$13.4 million of which $0.2 million and $0.4 million is included in discontinued operations, for the three and six months ended June 30, 2019, respectively, and $7.0 million and $13.0 million, of which $0.4 million and $0.6 million is included in discontinued operations, for the three and six months ended June 30, 2020, respectively.2021. Stock compensation expense recognized in the consolidated statements of comprehensive income for the three and six months ended June 30, 2019 and 2020 has been reduced for forfeitures, estimated at between 0 and 4 percent for all periods.

The weighted average grant date fair value of all stock options granted during the six months ended June 30, 2020 was $18.55 as estimated using the Black-Scholes-Merton option pricing model, which also assumed an expected volatility of 35.56 percent based on the historical volatility of the Company’s stock price.

For the six months ended June 30, 2019 and 2020, the tax expense for deficiencies included in continuing operations (net of the tax deductions in excess of recognized stock compensation expense) was $1.6 million and $1.7 million, respectively, which was included as an increase to income tax expense. The net tax expense to discontinued operations for the six months ended June 30, 2019 and 2020 was insignificant.

2019

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

the consolidated statements of comprehensive income for the three and six months ended June 30, 2020 and 2021 has been reduced for forfeitures, estimated at between 0 and 4 percent for all periods.

For the six months ended June 30, 2020, tax expense on deficiencies (net of the tax deductions in excess of recognized stock compensation expense) was $1.7 million, which was included as an increase to income tax expense. For the six months ended June 30, 2021, the benefit of tax deductions in excess of recognized stock compensation expense (net of deficiencies) was $1.7 million, which was included as a reduction of income tax expense.

Summarized information related to the Company’s stock options for the six months ended June 30, 20202021 is as follows:

Weighted

Weighted

Average

Average

Exercise

 

Exercise

 

    

Options

    

Price

 

    

Options

    

Price

 

Outstanding, beginning of period

    

2,125,861

$

69.22

    

1,045,283

$

75.48

Granted

 

63,771

62.93

 

Forfeited

 

(23,638)

 

83.80

 

(28,457)

91.24

Exercised

 

(541,148)

 

58.22

 

(222,092)

 

64.26

Outstanding, end of period

 

1,624,846

$

72.42

 

794,734

$

78.06

Vested and expected to vest at end of period

 

1,617,751

$

72.43

 

793,326

$

78.08

Exercisable, end of period

 

1,287,233

$

72.52

 

704,146

$

79.60

All of the Company’s options granted during the six months ended June 30, 2020 vest ratably on each anniversary date over the three years subsequent to grant and have a ten year life.

Summarized information related to the Company’s nonvested restricted stock awards (“RSAs”) for the six months ended June 30, 20202021 is as follows:

Weighted

Weighted

Average

Average

Grant Date

Grant Date

    

Shares

    

Fair Value

    

    

Shares

    

Fair Value

    

Outstanding, beginning of period

    

39,761

    

$

65.40

    

    

54,314

    

$

77.33

    

Awarded

 

16,976

 

70.70

 

 

 

 

Vested

 

(18,008)

 

66.66

 

 

 

 

Forfeited

 

 

 

 

 

 

Outstanding, ending of period

 

38,729

67.14

 

 

54,314

77.33

 

Summarized information related to the Company’s nonvested restricted stock units (“RSUs”) for the six months ended June 30, 20202021 is as follows:

Weighted

Average

Grant Date

    

Shares

    

Fair Value

    

Outstanding, beginning of period

    

256,430

$

74.12

    

Awarded

 

316,495

 

61.07

 

Vested

 

(100,416)

 

74.93

 

Forfeited

 

(12,096)

 

72.70

 

Outstanding, ending of period

 

460,413

65.01

Weighted

Average

Grant Date

    

Shares

    

Fair Value

    

Outstanding, beginning of period

    

428,362

$

65.83

    

Awarded

 

280,374

 

92.87

 

Vested

 

(151,414)

 

67.77

 

Forfeited

 

(7,096)

 

74.81

 

Outstanding, ending of period

 

550,226

78.95

Grants of RSAs vest on the anniversary of the grant. In general, RSUs vest ratably on each anniversary over the three years subsequent to grant.

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

Summarized information related to the Company’s nonvested restricted performance stock units (“PSUs”) for the six months ended June 30, 20202021 is as follows:

Weighted

Weighted

 

Average

 

Average

 

 

Grant Date

 

Grant Date

 

 

Shares

Fair Value

 

Shares

Fair Value

 

Outstanding, beginning of period

 

248,559

$

104.27

278,945

$

99.80

Awarded

 

133,752

 

75.65

 

Vested

 

(52,861)

 

76.24

 

Forfeited

 

(31,793)

 

79.22

(63,324)

 

141.61

Outstanding, end of period

 

297,657

 

99.06

215,621

 

87.51

The weighted average estimated fair value of the PSUs granted in the six months ended June 30, 2020 was $75.65, 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 0.68%, and expected volatility of 20% to 70% (average of 35%). The PSUs granted in the six months ended June 30, 2020, will entitle the grantee to receive a number of shares of the Company’s common stock determined over a three-year performance period ending on December 31, 2022 and vesting on March 5, 2023, 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 is calculated as a percentage of the award target and will depend on the Company’s total shareholder return (as defined below), expressed as a percentile ranking of the Company’s total shareholder return as compared to the Company’s peer group (as defined below). The number of shares for which the PSUs will be settled varies from 0 to 200 percent of the shares specified in the grant. Total shareholder return is determined by dividing the average share value of the Company’s common stock over the 30 trading days preceding January 1, 2023 by the average share value of the Company’s common stock over the 30 trading days beginning on January 1, 2020, with a deemed reinvestment of any dividends declared during the performance period. The Company’s peer group includes 48 companies which comprise the S&P Health Care Services Industry Index, which was selected by the compensation committee of the Company’s board of directors and includes a range of healthcare companies operating in several business segments.

Goodwill

At June 30, 2020, we evaluated whether changes in facts and circumstances would rise to an impairment indicator that it was more likely than not that any of our reporting units were impaired. The evaluation included whether our forecast for 2020 and beyond would have changed from what was used in our annual test performed as of October 1, 2019 test. We also considered the impact of economic and market volatility caused by the novel coronavirus (“COVID-19”) pandemic in the first six months of 2020. Based on our evaluation we do not believe that as of June 30, 2020 it was more likely than not that any of our reporting units were impaired. We do believe however, that while the fair value of the Pharmacy Management reporting unit continues to be in excess of its carrying value, the margin by which the fair value exceeds the carrying value has decreased. While the reporting unit was not determined to be impaired at this time, the Pharmacy Management reporting unit goodwill of $395.6 million is at risk of future impairment in the event of significant unfavorable changes in the Company’s forecasted future results and cash flows. In addition, market factors utilized in the impairment analysis, including long-term growth rates or discount rates, could negatively impact the fair value of our reporting units. For testing purposes, management's best estimates of the expected future results are the primary driver in determining the fair value. Fair value determinations require considerable judgment and are sensitive to changes in underlying assumptions and factors. As a result, there can be no assurance that the estimates and assumptions made for purposes of the annual goodwill test will prove to be an accurate prediction of the future.

Examples of events or circumstances that could reasonably be expected to negatively affect the underlying key assumptions and ultimately impact the estimated fair value of our reporting units may include such items as: (i) a decrease in expected future cash flows, specifically, a decrease in membership or rates or customer attrition and increase in costs that could significantly impact our immediate and long-range results, unfavorable working capital changes and an inability to successfully achieve our cost savings targets, (ii) adverse changes in macroeconomic conditions or an economic recovery that significantly differs from our assumptions in timing and/or degree (such as a recession); and (iii)

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2020

(Unaudited)

volatility in the equity and debt markets or other country specific factors which could result in a higher weighted-average cost of capital.

Based on known facts and circumstances, we evaluate and consider recent events and uncertain items, as well as related potential implications, as part of our annual assessment and incorporate into the analyses as appropriate. These facts and circumstances are subject to change and may impact future analyses.

While historical performance and current expectations have resulted in fair values of our reporting units and indefinite-lived intangible assets in excess of carrying values, if our assumptions are not realized, it is possible that an impairment charge may need to be recorded in the future.

Long-Term Debt and Finance Lease Obligations

The following table shows the components of debt and finance lease obligations, including the current component, at December 31, 2020 and June 30, 2021 (in thousands):

December 31,

    

June 30, 

2020

2021

Senior Notes

$

359,632

$

359,681

Term loan

263,125

154,375

Other loan

2,154

Finance leases - land and equipment

16,359

14,153

Finance leases - software as service arrangements

1,298

16

Deferred loan costs

(4,192)

(3,531)

Total debt and finance lease obligations

$

638,376

$

524,694

Senior Notes

On September 22, 2017, the Company completed the public offering of $400.0 million aggregate principal amount of its 4.400% Senior Notes due 2024 (the “Notes”). The Notes are governed by an indenture dated as of September 22, 2017 (the “Base Indenture”), between the Company, as issuer, and U.S. Bank National Association, as trustee, asand is supplemented by a first supplemental indenture dated as of September 22, 2017 (the “First Supplemental Indenture” together, with the Base Indenture, the “Indenture”), between the Company, as issuer, and U.S. Bank National Association, as trustee. DuringSince the year ended December 31, 2019 and six months ended June 30, 2020,public offering, the Company purchased and subsequently retired $11.1 million and $28.9$40.0 million of its Notes, respectively,of which $28.9 million was purchased and subsequently retired in March 2020 that resulted in a loss on retirement of $0.3 million and $0.7 million respectively, that is included in interest expense. The Notes were issued at a discount and had a carrying value of $388.4$359.6 million and $359.6$359.7 million at December 31, 20192020 and June 30, 2020,2021, respectively.

The Notes bear interest payable semiannually in cash in arrears on March 22 and September 22 of each year, commencing on March 22, 2018, which rate is subject to an interest rate adjustment upon the occurrence of certain credit rating events. The interest rate on the Notes on June 30, 2021 was 4.900%. The Notes mature on September 22, 2024. The Indenture provides that the Notes are redeemable at the Company’s option, in whole or in part, at any time on or after July 22, 2024, at a redemption price equal to 100% of the principal amount of the Notes being redeemed plus accrued and unpaid interest thereon to, but excluding, the redemption date.

The Indenture also contains certain covenants which restrict the Company’s ability to, among other things, create liens on its and its subsidiaries’ assets; engage in sale and lease-back transactions; and engage in a consolidation, merger or sale of assets.

Credit Agreement

On September 22, 2017, the Company entered into a credit agreement with various lenders that provides for a $400.0

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2021

(Unaudited)

$400.0 million senior unsecured revolving credit facility and a $350.0 million senior unsecured term loan facility to the Company, as the borrower (the “2017 Credit Agreement”). On August 13, 2018, the Company entered into an amendment to the 2017 Credit Agreement, which extended the maturity date by one year. On February 27, 2019, the Company entered into a second amendment to the 2017 Credit Agreement, which amended the total leverage ratio covenant through December 31, 2019, and which was necessary in order for usthe Company to remain in compliance with the terms of the 2017 Credit Agreement. The 2017 Credit Agreement is scheduled to mature on September 22, 2023.

Under the 2017 Credit Agreement, the annual interest rate on the loan borrowing is equal to (i) in the case of base rate loans, the sum of an initial borrowing margin of 0.500 percent plus the higher of the prime rate, one-half of one-half of one percent in excess of the overnight “federal funds” rate, or the Eurodollar rate for one month plus 1.000 percent, or (ii) in the case of Eurodollar rate loans, the sum of an initial borrowing margin of 1.500 percent plus the Eurodollar rate for the selected interest period. The borrowing margin is subject to adjustment based on the Company’s debt rating as provided by certain rating agencies. The Company has the option to borrow in base rate loans or Eurodollar rate loans at its discretion. The commitment commissionCompany has elected to borrow in Eurodollar rate loans that currently have a borrowing margin of 1.75 percent plus the Eurodollar rate for the selected interest period. For three and six months ended June 30, 2021, the weighted average interest rate on the revolving creditterm loan facility was approximately 1.86 and 1.95 percent, respectively. The interest rate on the term loan facility was 1.86% on June 30, 2021. The term loan facility balance under the 2017 Credit Agreement is 0.200

23

Tabletotaled $263.1 million and $154.4 million as of Contents

MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

December 31, 2020 and June 30, 2020

(Unaudited)

percent of the unused revolving credit commitment, which rate shall be subject to adjustment based on the Company’s debt rating as provided by certain rating agencies. For the six months ended June 30, 2020, the weighted average interest rate was approximately 3.3217 percent.2021, respectively.

In August 2019,March 2021, the Company made voluntary term loan repayments of $30.0$100.0 million. As of June 30, 2020,2021, the contractual maturities, totaling $271.9$154.4 million of the term loan under the 2017 Credit Agreement were as follows: 2020—$0.0 million; 2021—$0.0 million; 2022—$13.80.0 million; and 2023—$258.1154.4 million. Due to the timing of working capital needs, the Company will periodically borrow from the revolving loan under the 2017 Credit Agreement. At December 31, 2019,2020 and June 30, 2021, the Company had 0 revolving loan borrowings. At June 30, 2020 the Company had a revolving loan of $80.0 million, with aloans, resulting in borrowing capacity of $320.0$400.0 million under the 2017 Credit Agreement. Included in long-term debt, finance lease and deferred financing obligations are deferred loan and bond issuance costs as of December 31, 20192020 and June 30, 20202021 of $5.7$4.2 million and $4.9$3.5 million, respectively.

Letter of Credit Agreement

On August 22, 2017, the Company entered into a Continuing Agreement for Standby Letters of Credit with The Bank of Tokyo-Mitsubishi UFJ, Ltd. (“BTMU”), as issuer (the “L/C Agreement”), under which BTMU, at its sole discretion, may provide stand-by letter of credit to the Company. The Company had letters of credit outstanding under the L/C Agreement as of December 31, 20192020 and June 30, 20202021 of $66.4$32.1 million and $32.1$33.0 million, respectively.

Finance Lease and Deferred Financing Obligations

There were $18.1$16.4 million and $19.0$14.2 million of finance lease and deferred financing obligations at December 31, 20192020 and June 30, 2020,2021, respectively. The Company’s finance lease and deferred financing 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. The recorded gross cost of finance lease assets was $56.0$43.0 million and $61.6$32.6 million at December 31, 20192020 and June 30, 2020,2021, respectively.

Redeemable Non-Controlling Interest

As of June 30, 2021, the Company held a 70% equity interest in Aurelia Health, LLC (“Aurelia”). The other shareholders of Aurelia have the right to exercise put options, requiring the Company to purchase up to 33.3% of the remaining shares during the thirty-day period beginning on January 15, 2022 and each subsequent anniversary thereafter. In addition, for the thirty-day period beginning on January 15, 2022 and each subsequent anniversary thereafter, the Company has the right to purchase 33.3% of the remaining shares (“call option”). The redemption price for these put and call options is based on a fixed multiple of the trailing twelve-month EBITDA at the redemption date. Non-controlling interests with redemption features, such as put options, that are not solely within the Company’s control are considered redeemable non-controlling interests. Redeemable non-controlling interest is considered to be temporary and is therefore reported in a mezzanine level between liabilities and stockholders’ equity on the Company’s consolidated balance sheet at the greater of the initial carrying amount adjusted for the non-controlling interest’s share of net income or loss or its

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

redemption value. The carrying value of the non-controlling interest as of December 31, 2020 and June 30, 2021 was $33.1 million and $33.7 million, respectively. The Company evaluates the redemption value on a quarterly basis. If the redemption value is greater than the carrying value, the Company will adjust the carrying amount of the non-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-controlling interest. The Company will reflect redemption value adjustments in the earnings per share (“EPS”) calculation if redemption value is in excess of the carrying value of the non-controlling interest. As of June 30, 2021, the carrying value of the non-controlling interest exceeded the redemption value and therefore no adjustment to the carrying value was required.

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) for the three and six months ended June 30:

Three Months Ended

Six Months Ended

Three Months Ended

Six Months Ended

June 30, 

June 30, 

June 30, 

June 30, 

    

2019

    

2020

    

2019

    

2020

    

    

2020

    

2021

    

2020

    

2021

    

Numerator:

Net income (loss) from continuing operations

$

7,215

$

47,108

$

(976)

$

46,038

$

47,108

$

(6,463)

$

46,038

$

22,046

Income from discontinued operations, net of tax

6,398

36,397

15,020

55,717

Net income

$

13,613

$

83,505

$

14,044

$

101,755

Income (loss) from discontinued operations, net of tax

36,397

5,797

55,717

5,115

Net income (loss)

$

83,505

$

(666)

$

101,755

$

27,161

Denominator:

Weighted average number of common shares outstanding—basic

 

24,101

 

25,054

 

24,024

 

24,891

 

25,054

 

26,162

 

24,891

 

26,056

Common stock equivalents—stock options

 

153

 

31

 

132

 

46

 

31

 

 

46

 

169

Common stock equivalents—RSAs

 

7

 

28

 

7

 

25

 

28

 

 

25

 

22

Common stock equivalents—RSUs

 

18

 

46

 

19

 

48

 

46

 

 

48

 

170

Common stock equivalents—PSUs

130

118

127

59

118

59

158

Common stock equivalents—employee stock purchase plan

 

7

 

1

 

6

 

5

 

1

 

 

5

 

1

Weighted average number of common shares outstanding—diluted

 

24,416

 

25,278

 

24,315

 

25,074

 

25,278

 

26,162

 

25,074

 

26,576

Net income (loss) per common share—basic:

Continuing operations

$

0.30

$

1.88

$

(0.04)

$

1.85

$

1.88

$

(0.25)

$

1.85

$

0.85

Discontinued operations

0.26

1.45

0.62

2.24

1.45

0.22

2.24

0.20

Consolidated operations

$

0.56

$

3.33

$

0.58

$

4.09

$

3.33

$

(0.03)

$

4.09

$

1.05

Net income (loss) per common share—diluted:

Continuing operations

$

0.30

$

1.86

$

(0.04)

$

1.84

$

1.86

$

(0.25)

$

1.84

$

0.83

Discontinued operations

0.26

1.44

0.62

2.22

1.44

0.22

2.22

0.19

Consolidated operations

$

0.56

$

3.30

$

0.58

$

4.06

$

3.30

$

(0.03)

$

4.06

$

1.02

The weighted average number of common shares outstanding for the three and six months ended June 30, 20192020 and 20202021 were calculated using outstanding shares of the Company’s common stock. Common stock equivalents included in the calculation of diluted weighted average common shares outstanding for the three and six months ended June 30, 20192020 and 20202021 represent stock options to purchase shares of the Company’s common stock, RSAs, RSUs, PSUs and stock purchased under the Employee Stock Purchase Plan.

The Company had additional potential dilutive securities outstanding representing 1.1 million and 1.1 million options for the three and six months ended June 30, 2019, respectively, and 1.3 million and 1.4 million options for the three and six months ended June 30, 2020, respectively, and 0.3 million and 0.3 million options for the three and six months ended June 30, 2021, 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.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2021

(Unaudited)

NOTE C—Business Segment Information

The accounting policies of the Company’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”). 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’s customers. In addition, Pharmacy Management provides pharmacy benefits management for the Company’s employees covered under its medical plan. As such, revenue, cost of goods sold and direct service costs and other related to these arrangements are eliminated. The Company’s segments are defined in Note A—“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, 2020

Managed care and other revenue

$

481,021

$

67,867

$

(177)

$

548,711

PBM revenue

 

 

556,195

 

(4,831)

 

551,364

Cost of care

 

(321,831)

 

 

 

(321,831)

Cost of goods sold

 

 

(532,685)

 

4,618

 

(528,067)

Direct service costs and other

 

(100,450)

 

(80,082)

 

(19,224)

 

(199,756)

Stock compensation expense(1)

 

2,102

 

1,939

 

2,551

 

6,592

Segment Profit (Loss)

$

60,842

$

13,234

$

(17,063)

$

57,013

    

    

    

Corporate

    

 

Pharmacy

and

 

Healthcare

Management

Elimination

Consolidated

 

Three Months Ended June 30, 2021

Managed care and other revenue

$

585,139

$

91,046

$

(144)

$

676,041

PBM revenue

 

 

548,335

 

(3,608)

 

544,727

Cost of care

 

(430,735)

 

 

 

(430,735)

Cost of goods sold

 

 

(523,933)

 

3,419

 

(520,514)

Direct service costs and other

 

(126,741)

 

(104,556)

 

(12,276)

 

(243,573)

Stock compensation expense(1)

 

1,935

 

2,346

 

2,072

 

6,353

Segment Profit (Loss)

$

29,598

$

13,238

$

(10,537)

$

32,299

    

    

    

Corporate

    

 

Pharmacy

and

 

Healthcare

Management

Elimination

Consolidated

 

Six Months Ended June 30, 2020

Managed care and other revenue

$

969,927

$

132,302

$

(350)

$

1,101,879

PBM revenue

 

 

1,129,973

 

(9,398)

 

1,120,575

Cost of care

 

(670,939)

 

 

 

(670,939)

Cost of goods sold

 

 

(1,070,259)

 

8,951

 

(1,061,308)

Direct service costs and other

 

(206,386)

 

(161,948)

 

(35,663)

 

(403,997)

Stock compensation expense (1)

 

3,863

 

4,046

 

4,480

 

12,389

Segment Profit (Loss)

$

96,465

$

34,114

$

(31,980)

$

98,599

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

such, revenue, cost of goods sold and direct service costs and other related to these arrangements are eliminated. The Company’s segments are defined in Note A—“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, 2019

Managed care and other revenue

$

546,113

$

62,648

$

(147)

$

608,614

PBM revenue

 

 

550,010

 

(4,335)

 

545,675

Cost of care

 

(408,911)

 

 

 

(408,911)

Cost of goods sold

 

 

(505,203)

 

4,122

 

(501,081)

Direct service costs and other

 

(98,314)

 

(78,776)

 

(18,817)

 

(195,907)

Stock compensation expense (1)

 

2,237

 

2,124

 

846

 

5,207

Segment Profit (Loss)

$

41,125

$

30,803

$

(18,331)

$

53,597

    

    

    

Corporate

    

Pharmacy

and

    

Healthcare

    

Management

    

Elimination

    

Consolidated

Three Months Ended June 30, 2020

Managed care and other revenue

$

481,021

$

67,867

$

(177)

$

548,711

PBM revenue

 

 

556,195

 

(4,831)

 

551,364

Cost of care

 

(321,831)

 

 

 

(321,831)

Cost of goods sold

 

 

(532,685)

 

4,618

 

(528,067)

Direct service costs and other

 

(100,450)

 

(80,082)

 

(19,224)

 

(199,756)

Stock compensation expense (1)

 

2,102

 

1,939

 

2,551

 

6,592

Segment Profit (Loss)

$

60,842

$

13,234

$

(17,063)

$

57,013

    

    

    

Corporate

    

 

Pharmacy

and

 

Healthcare

Management

Elimination

Consolidated

 

Six Months Ended June 30, 2019

Managed care and other revenue

$

1,052,935

$

122,543

$

(316)

$

1,175,162

PBM revenue

 

 

1,106,575

 

(8,442)

 

1,098,133

Cost of care

 

(778,008)

 

 

 

(778,008)

Cost of goods sold

 

 

(1,035,410)

 

8,015

 

(1,027,395)

Direct service costs and other (1)

 

(198,424)

 

(158,411)

 

(41,372)

 

(398,207)

Stock compensation expense (1)

 

3,780

 

3,796

 

7,031

 

14,607

Segment Profit (Loss)

$

80,283

$

39,093

$

(35,084)

$

84,292

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2020

(Unaudited)

    

    

    

Corporate

    

 

    

    

    

Corporate

    

 

Pharmacy

and

 

Pharmacy

and

 

Healthcare

Management

Elimination

Consolidated

 

Healthcare

Management

Elimination

Consolidated

 

Six Months Ended June 30, 2020

Six Months Ended June 30, 2021

Managed care and other revenue

$

969,927

$

132,302

$

(350)

$

1,101,879

$

1,118,149

$

184,273

$

(305)

$

1,302,117

PBM revenue

 

 

1,129,973

 

(9,398)

 

1,120,575

 

 

1,087,307

 

(7,007)

 

1,080,300

Cost of care

 

(670,939)

 

 

 

(670,939)

 

(809,926)

 

 

 

(809,926)

Cost of goods sold

 

 

(1,070,259)

 

8,951

 

(1,061,308)

 

 

(1,019,526)

 

6,642

 

(1,012,884)

Direct service costs and other (1)

 

(206,386)

 

(161,948)

 

(35,663)

 

(403,997)

 

(241,734)

 

(209,152)

 

(23,708)

 

(474,594)

Legal matter settlement

9,000

9,000

Stock compensation expense (1)

 

3,863

 

4,046

 

4,480

 

12,389

 

4,454

 

5,042

 

3,914

 

13,410

Segment Profit (Loss)

$

96,465

$

34,114

$

(31,980)

$

98,599

$

70,943

$

56,944

$

(20,464)

$

107,423

(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.

The following table reconciles income (loss) from continuing operations before income taxes to Segment Profit from continuing operations (in thousands):

Three Months Ended

Six Months Ended

Three Months Ended

Six Months Ended

June 30, 

June 30, 

June 30, 

June 30, 

2019

    

2020

    

2019

    

2020

2020

    

2021

    

2020

    

2021

Income from continuing operations before income taxes

$

12,950

$

10,780

$

1,550

$

15,472

Income (loss) from continuing operations before income taxes

$

10,780

$

(7,659)

$

15,472

$

31,755

Stock compensation expense

 

5,207

 

6,592

 

14,607

 

12,389

 

6,592

 

6,353

 

12,389

 

13,410

Depreciation and amortization

 

28,191

 

23,888

 

53,608

 

47,246

 

23,888

 

22,525

 

47,246

 

43,942

Interest expense

 

9,070

 

7,995

 

18,107

 

16,953

 

7,995

 

6,234

 

16,953

 

12,660

Interest and other income

 

(1,821)

 

(551)

 

(3,580)

 

(1,770)

 

(551)

 

(208)

 

(1,770)

 

(549)

Special charges

8,309

8,309

Special charges and other

8,309

5,054

8,309

6,205

Segment Profit from continuing operations

$

53,597

$

57,013

$

84,292

$

98,599

$

57,013

$

32,299

$

98,599

$

107,423

NOTE D—Commitments and Contingencies

Legal

The Company’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 for whom the Company provides managed care services. 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 including employment practices, and privacy and data protection.

The Company maintains a program of insurance coverage against a broad range of risks in the Company’s business, including certain of the class actions and other litigation and claims asserted against the Company, subject to deductibles and self-insured retentions as is described more fully in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019,2020, which was filed with the SEC on February 28, 2020.26, 2021. The Company has recorded reserves that, in the opinion of management, 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

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2021

(Unaudited)

believes that the resolution of such litigation and claims will not have a material adverse effect on the Company’s financial condition or results of operations; however, there can be no assurance in this regard.

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2020

(Unaudited)

Regulatory Issues

The managed healthcare industry is subject to numerous laws and regulations. The subjects of such laws and regulations cover, but are not limited to, matters such as licensure, accreditation, government healthcare program participation requirements, information privacy and security, reimbursement for patient services, and Medicare and Medicaid fraud and abuse. Over the past several years, government activity has increased with respect to investigations and/or allegations concerning possible violations of fraud and abuse and false claims statutes and/or regulations by healthcare organizations and insurers. Entities that are found to have violated these laws and regulations may be excluded from participating in government healthcare programs, subjected to fines or penalties or required to repay amounts received from the government for previously billed patient services. Compliance with such laws and regulations can be subject to future government review and interpretation, as well as regulatory actions unknown or unasserted at this time.

The Company is subject to various federal, state and other laws and rules regarding the use, storage, protection and disclosure of confidential member and protected personal or health information, including the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), the Health Information Technology for Economic and Clinical Health Act (“HITECH Act”) and other applicable laws. The Company has experienced data security incidents resulting in disclosure of confidential or protected personal or health information. We have notified government agencies as appropriate and are cooperating with investigations and requests for information. Noncompliance with any applicable privacy or data security laws and regulations could result in enforcement actions, fines, penalties, and reputational and financial harm to the Company.

In addition, regulators of certain of the Company’s subsidiaries may exercise certain discretionary rights under regulations including increasing their supervision of such entities, requiring additional restricted cash or other security or seizing or otherwise taking control of the assets and operations of such subsidiaries.

The Company is subject to certain federal laws and regulations in connection with its contracts with the federal government. These laws and regulations affect how the Company conducts business with its federal agency customers and may impose added costs on its business. The Company’s failure to comply with federal procurement laws and regulations could cause it to lose business, incur additional costs and subject it to a variety of civil and criminal penalties and administrative sanctions, including termination of contracts, forfeiture of profits, harm to reputation, suspension of payments, fines, and suspension or debarment from doing business with federal government agencies. The Company’s wholly owned subsidiary, Armed Forces Services Corporation (“AFSC”), conducts business with federal agency customers and federal contractors to such agencies. The Company is investigating,investigated, with the assistance of outside counsel, matters relating to compliance by AFSC with Small Business Administration ( “SBA”) regulations and other federal laws applicable to government contractors and has reported findings to the SBA and the Department of Defense, including facts indicating violations of SBA regulations and other federal laws, such as the Anti-Kickback Act, by former AFSC executives, none of which was disclosed to Magellan prior to its acquisition of AFSC. The Company is voluntarily respondingresponded to government requests for further information regarding the Company’s investigation. As a result of the Company's disclosure and the ensuing government investigation, a former AFSC executive pleaded guilty in the United States District Court for the Eastern District of Virginia to one count of honest services fraud, and at sentencing in September 2020, the Court ordered the former AFSC executive to pay restitution to AFSC as the victim of that offense. In June 2020, the United States Attorney’s Office for the Eastern District of Virginia (“U.S. Attorney’s Office”) informed the Company of a civil investigation regarding the Company and AFSC related to potential violations of the False Claims Act and/or the Anti-Kickback Act in connection withalso stemming from the matters self-disclosed by the Company. Contingencies, if any,In June 2021, AFSC resolved the civil investigation’s allegations of potential violations by entering into a settlement with the U.S. Attorney’s Office and paying $4.3 million in restitution for the kickback payments received by the former AFSC executives which were identified through the Company’s disclosures to the government. The civil claims resolved by the settlement agreement were allegations only; there was 0 determination of civil liability. Management believes that the civil settlement with the U.S. Attorney’s Office resolves all pending investigations arising from the results of these investigations and self-reporting could require us to record balance sheet liabilities or accrue expenses, the amount of which we are not able to currently estimate. Whilematters that the Company believes that it has responded appropriately by self-reporting findings regarding matters that incepted prior to its acquisition of AFSCself-reported; however, there can be no assurance in order to mitigate the risk of adverse consequences, should the SBA, Department of Defense and/or other federal agencies seek to hold the Company or AFSC responsible for the reported conduct, we may be required to pay damages and/or penalties and AFSC could be suspended or debarred from government contracting. AFSC generated approximately 3.0% and 2.5% of the Company’s total revenue from continuing operations for the year ended December 31, 2019 and six months ended June 30, 2020, respectively.this regard.

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

Stock Repurchases

The Company’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. Pursuant to the terms of the Merger Agreement, the Company suspended its stock repurchase programs on January 4, 2021, the date we announced our planned merger with Centene.

On October 26, 2015, the

The Company’s board of directors approved, and subsequently amended, a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 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 22, 2018. On May 24, 2018, the Company’s board of directors approved an increase of $200 million to the current $200 million stock repurchase plan which will now authorizeauthorizes the Company to purchase up to $400 million of its outstanding common stock under the 2015 Repurchase Program.through November 15, 2021 (the “Repurchase Program”). As of June 30, 2020,2021, the remaining capacity under the 2015 Repurchase Program was $186.3 million. The board also extended the program from October 22, 2018 to October 22, 2020. Stock repurchases under the programs may be carried 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’s shares, general market and economic conditions, and other corporate 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’s board of directors at any time.

Pursuant to the 2015 Stock Repurchase Program, the Company made purchases as follows (aggregate cost excludes broker commissions and is reflected in millions):

Total Number

Average

Total Number

Average

of Shares

Price Paid

Aggregate

of Shares

Price Paid

Aggregate

Period

    

Purchased

    

per Share

    

Cost

 

    

Purchased

    

per Share

    

Cost

 

October 26, 2015 - December 31, 2015

345,044

$

53.46

$

18.4

345,044

$

53.46

$

18.4

January 1, 2016 - December 31, 2016

1,828,183

58.40

106.8

1,828,183

58.40

106.8

January 1, 2017 - December 31, 2017

280,140

77.67

21.8

280,140

77.67

21.8

January 1, 2018 - December 31, 2018

844,872

74.59

63.0

844,872

74.59

63.0

January 1, 2019 - December 31, 2019

60,901

61.15

3.7

60,901

61.15

3.7

January 1, 2020 - June 30, 2020

January 1, 2020 - December 31, 2020

January 1, 2021 - June 30, 2021

3,359,140

$

213.7

3,359,140

$

213.7

The Company made 0 share repurchases from July 1, 20202021 through July 24, 2020.

23, 2021.

NOTE E—Discontinued OperationsAcquisition

Acquisition of Aurelia Health, LLC

Magellan Complete Care – StockPursuant to the December 18, 2020 purchase agreement (the “Bayless Agreement”) between Bella Vista Enterprises, Inc., Aurelia Health, LLC and Asset Purchase Agreement

As discussed in Note A “General”,the Company, on April 30,December 21, 2020 the Company acquired 70 percent of the outstanding membership interests of Aurelia Health, LLC and Molina entered intoits subsidiary Michael B. Bayless, LLC (collectively “Bayless”) (the “Bayless Acquisition”).

The base purchase price for the PurchaseBayless Acquisition per the Bayless Agreement pursuant to whichwas $78.4 million. The Company reports the results of operations of Bayless within its Healthcare segment. During the six months ended June 30, 2021, the Company has agreedmade measurement period adjustments of $0.1 million to sell its MCC business to Molina for $850.0 million in cash, subject to certain adjustments, and Molina has agreed to assume liabilities of the MCC business.

The consummation of the MCC Sale is subject to customary closing conditions, including: (i) the expiration of the waiting period applicableincrease goodwill related to the Purchase Agreement under the Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended, (ii) the absence of any law or governmental order prohibiting the MCC Sale, (iii) obtaining all requiredBayless Acquisition.

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

consents, authorizations, permitsNOTE F—Discontinued Operations

Magellan Complete Care – Stock and approvals under Health Regulatory Laws (as definedAsset Purchase Agreement

On December 31, 2020, the Company completed the sale of its MCC Business to Molina, pursuant to a Stock and Asset Purchase Agreement, dated as of April 30, 2020, by and between the Company and Molina, for cash in the Purchase Agreement), (iv) no material adverse effect on the Company having occurred since the signingamount of the Purchase Agreement, and (v) the accuracy$850 million plus closing adjustments of the representations and warranties of each party$158 million (subject to materiality qualifiers) in the Purchase Agreementpost-closing adjustments, if any), and the complianceassumption by each party with its covenants in all material respects. The consummationMolina of liabilities of the MCC Sale is not subject to any financing contingency.Business.

In connection with the MCC Sale, the Company and Molina are enteringhave entered into commercial agreements for certain behavioral health, utilization management and related services to be provided by the Company to Molina and the MCC business.Business. These commercial agreements are subject to termination in connection with the Company’s pending Merger with Centene and are unlikely be implemented. In addition, the parties will enterentered into a transition services agreement pursuant to which the Company and certain of its affiliates will provide, or cause third parties to provide, certain services to accommodate the transition of the MCC business to Molina.

The foregoing description of the Purchase Agreement and the MCC Sale does not purport to be complete and is qualified in its entirety by the terms and conditions of the Purchase Agreement, which was filed as Exhibit 2.1 to the Company’s Quarterly Report on Form 10-Q which was filed with the SEC on May 11, 2020, and any related agreements.

The accounting requirements for reporting a business to be divested as a discontinued operation were met during the second quarter of 2020. Accordingly, the accompanying consolidated financial statements for all periods presented reflect the MCC business as a discontinued operation.

The following table summarizes the major classescomponents of assets and liabilities held for saleincome from discontinued operations that wereis included in the Company’s consolidated balance sheets as of December 31, 2019income statements for the three and six months ended June 30, 2020 and 2021 (in thousands):

December 31, 

June 30, 

2019

    

2020

Assets Held For Sale

Cash and cash equivalents ($95,202 and $69,971 restricted at December 31, 2019 and June 30, 2020, respectively)

$

209,497

$

235,873

Accounts receivable, net

 

209,496

 

163,216

Short-term and long-term investments ($243,496 and $343,348 restricted at December 31, 2019 and June 30, 2020, respectively)

 

243,496

 

398,741

Property and equipment, net

 

6,710

 

7,477

Goodwill

 

211,735

 

211,735

Other intangible assets, net

 

85,669

 

76,628

Other current and long-term assets ($2,387 and $2,387 restricted at December 31, 2019 and June 30, 2020, respectively)

32,386

52,234

Total Assets Held For Sale

998,989

1,145,904

Less: current portion

663,276

1,145,904

Total Assets Held For Sale, Less Current Portion

$

335,713

$

Liabilities Held For Sale

Accounts payable

$

4,625

$

3,449

Accrued liabilities

 

92,170

 

145,558

Medical claims payable

 

281,419

 

271,998

Other medical liabilities

 

31,769

 

50,384

Deferred income taxes

15,063

13,910

Tax contingencies

 

5,388

 

5,462

Deferred credits and other long-term liabilities

 

16,850

 

13,698

Total Liabilities Held For Sale

 

447,284

 

504,459

Less: current portion

 

409,983

 

504,459

Total Liabilities Held For Sale, Less Current Portion

$

37,301

$

    

Three Months Ended

Six Months Ended

June 30, 

June 30, 

2020

    

2021

    

2020

    

2021

    

Managed care and other revenue

$

735,357

$

$

1,455,391

$

Costs and expenses:

Cost of care

 

573,374

 

 

1,175,908

 

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

 

92,078

 

275

 

176,575

 

1,201

Depreciation and amortization

 

5,379

 

 

10,705

 

Interest expense

 

18

 

 

89

 

Interest and other income

 

(1,478)

 

 

(4,018)

 

Gain on sale

(8,000)

(8,000)

Total costs and expenses

 

669,371

 

(7,725)

 

1,359,259

 

(6,799)

Income from discontinued operation before income taxes

 

65,986

 

7,725

 

96,132

 

6,799

Provision for income taxes

 

29,589

 

1,928

 

40,415

 

1,684

Net income from discontinued operations

$

36,397

$

5,797

$

55,717

$

5,115

(1)Includes stock compensation expense of $366 and $626 for the three and six months ended June 30, 2020, respectively.
(2)Includes divestiture related expenses of $3,353 and $3,958 for the three and six months ended June 30, 2020, respectively.
(3)Includes changes in estimates and transition support services for the three and six months ended June 30, 2021.

The Company recognized a gain of $8.0 million in the three and six months ended June 30, 2021 related to the MCC Sale. This gain represents changes in estimate for amounts receivable under the working capital settlement pursuant to the Stock and Asset Purchase Agreement with Molina.

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 20202021

(Unaudited)

The Company has retained corporate overhead expenses previously allocated to MCC of $7.0 million and $13.7 million for the three and six months ended June 30, 2020, respectively.

The following table summarizes the components of income from discontinued operations that is included in the Company’s consolidated income statements for the threeNOTE G—Special Charges and six months ended June 30, 2019 and 2020 (in thousands):

    

Three Months Ended

Six Months Ended

June 30, 

June 30, 

2019

    

2020

    

2019

    

2020

Managed care and other revenue

$

674,760

$

735,357

$

1,332,385

$

1,455,391

Costs and expenses:

Cost of care

 

592,975

 

573,374

 

1,165,839

 

1,175,908

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

 

71,346

 

92,078

 

141,591

 

176,575

Depreciation and amortization

 

5,299

 

5,379

 

10,590

 

10,705

Interest expense

 

71

 

18

 

141

 

89

Interest and other income

 

(3,200)

 

(1,478)

 

(6,415)

 

(4,018)

Total costs and expenses

 

666,491

 

669,371

 

1,311,746

 

1,359,259

Income from discontinued operation before income taxes

 

8,269

 

65,986

 

20,639

 

96,132

Provision for income taxes

 

1,871

 

29,589

 

5,619

 

40,415

Net income from discontinued operations

$

6,398

$

36,397

$

15,020

$

55,717

(1)Includes stock compensation expense of $207 and $366 for the three months ended June 30, 2019 and 2020, respectively, and $414 and $626 for the six months ended June 30, 2019 and 2020, respectively.
(2)Includes changes in fair value of contingent consideration of $(2,149) and $(2,005) for the three and six months ended June 30, 2019, respectively.
(3)Includes divestiture related expenses of $3,353 and $3,958 for the three and six months ended June 30, 2020, respectively.

The Company has retained corporate overhead expenses previously allocated to MCC of $8.5 million and $7.0 million for the three months ended June 30, 2019 and 2020, respectively, and $17.5 million and $13.7 million for the six months ended June 30, 2019 and 2020, respectively.

At June 30, 2020, the Company’s excess capital and undistributed earnings for the Company’s regulated subsidiaries is approximately $160 million which are included in assets held for sale.

NOTE F—Special ChargesOther

In 2020, the Company established a transformation office which has an initiative (the “Transformation Initiative”) to lower our operating costs and reinvest in our business by improving and automating processes, leveraging technology, consolidating platforms and reducing any friction our customers, providers and members experience when doing business with us. As part of the Transformation Initiative, the Company is reevaluatingin the process of restructuring certain operating activities which has resulted in the Company recording an adjustment to severance of $0.2 million for the six months ended June 30, 2021, within special charges in the consolidated statement of comprehensive income (loss).

In addition, the Company reevaluated its current office lease footprint. Recoverability of existing operating right-of-use lease assets, and the related fixed assets held at the office locations, to be held and used are measured by a comparison of the carrying amount of an asset to the estimated undiscounted future cash flows expected to be generated by the asset. If the carrying amount of an asset exceeds its estimated future cash flows, an impairment charge is recognized for the amount by which the carrying amount of the asset exceeds the fair value of the asset. Any lease terminations or abandonments initiated as a result of the Transformation Initiative that result in an impairment of such right-of-use assets and the location’s related fixtures will be reported as special charges. For the three and six months ended June 30, 2020,2021, lease terminations and abandonments resulted in the recognition of non-cash pre-tax impairment of $8.3$1.3 million within special charges in the consolidated statement of operations.comprehensive income (loss). The impairment charge reduced the carrying value of these assets to their estimated fair value. Outstanding liabilities of approximately $9.6 million related to the Transformation Initiative are included in the accompanying June 30, 2020 consolidated balance sheet in accrued liabilities and deferred credits and other long-term liabilities. In the future, if events or market conditions affect the estimated fair value to the extent that a long-lived asset is impaired, the Company will adjust the carrying value of these long-lived assets in the period in which the impairment occurs. In addition, the Company accrued various lease shutdown costs of $0.1 million for the six months ended June 30, 2021, within special charges in the consolidated statement of comprehensive income (loss).

The following table summarizes the components of special charges that are included in the Company’s consolidated statement of comprehensive income (loss) for the three and six months ended June 30, 2021 (in thousands):

    

Three Months Ended

    

Six Months Ended

    

June 30, 2021

    

June 30, 2021

Non-cash related special charges

Right-of-use assets

$

$

1,263

Fixed assets

(55)

(41)

Total non-cash related special charges

 

(55)

 

1,222

Cash related special charges

Employee severance and termination benefits

9

(200)

Lease shutdown costs

83

Total cash related special charges

9

(117)

Total special charges

$

(46)

$

1,105

A roll-forward of the Transformation Initiative liabilities is as follows (in thousands):

Balance

Balance

    

December 31,

    

 

 

June 30,

    

2020

    

Additions

 

Payments

 

2021

Employee severance and termination benefits

$

10,983

$

(200)

$

(2,947)

$

7,836

Lease shutdown costs

610

83

(83)

610

$

11,593

 

$

(117)

$

(3,030)

$

8,446

 

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MAGELLAN HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2021

(Unaudited)

The Company has an investment of $8.5 million in a healthcare company that is accounted for on a cost basis. In the three months ended June 30, 2021, the Company recorded a $5.1 million impairment on this investment which is reflected in special charges and other within the statement of comprehensive income (loss).

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

Business Overview

The Company is engaged in the healthcare management business, and is focused on meeting needs in areas of healthcare that are fast growing, highly complex and high cost, with an emphasis on special population management. The Company provides services to health plans and other MCOs, employers, labor unions, various military and governmental agencies, TPAs, consultants and brokers. The Company’s business is divided into three segments, based on the services it provides and/or the customers that it serves. See Item 1—“Business” for more information on the Company’s business segments.

Results of Operations

The following table summarizes, for the periods indicated, operating results from continuing operations (in thousands):

Three Months Ended

Six Months Ended

Three Months Ended

Six Months Ended

June 30, 

Change

June 30, 

Change

June 30, 

Change

June 30, 

Change

Continuing Operations

2019

2020

'19 vs '20

2019

2020

'19 vs '20

2020

2021

'20 vs '21

2020

2021

'20 vs '21

Statement of Operations Data:

Net revenue

$

1,154,289

$

1,100,075

(4.7%)

$

2,273,295

$

2,222,454

(2.2%)

$

1,100,075

$

1,220,768

11.0%

$

2,222,454

$

2,382,417

7.2%

Cost of Care

408,911

321,831

(21.3%)

778,008

670,939

(13.8%)

Cost of care

321,831

430,735

33.8%

670,939

809,926

20.7%

Cost of goods sold

501,081

528,067

5.4%

1,027,395

1,061,308

3.3%

528,067

520,514

(1.4)%

1,061,308

1,012,884

(4.6)%

Direct service costs and other operating expenses (1)

195,907

199,756

2.0%

398,207

403,997

1.5%

199,756

243,573

21.9%

403,997

474,594

17.5%

Legal matter settlement

N/A

(9,000)

N/A

Depreciation and amortization

28,191

23,888

(15.3%)

53,608

47,246

(11.9%)

23,888

22,525

(5.7)%

47,246

43,942

(7.0)%

Interest expense

9,070

7,995

(11.9%)

18,107

16,953

(6.4%)

7,995

6,234

(22.0)%

16,953

12,660

(25.3)%

Interest and other income

(1,821)

(551)

(69.7%)

(3,580)

(1,770)

(50.6%)

(551)

(208)

(62.3)%

(1,770)

(549)

(69.0)%

Special charges

-

8,309

N/A

-

8,309

N/A

Income before income taxes

12,950

10,780

(16.8%)

1,550

15,472

898.2%

Provision (benefit) for income taxes

5,735

(36,328)

(733.4%)

2,526

(30,566)

(1310.1%)

Special charges and other

8,309

5,054

(39.2)%

8,309

6,205

(25.3)%

Income (loss) before income taxes

10,780

(7,659)

(171.0)%

15,472

31,755

105.2%

(Benefit) provision for income taxes

(36,328)

(1,196)

(96.7)%

(30,566)

9,709

(131.8)%

Net income (loss) from continuing operations

$

7,215

$

47,108

552.9%

$

(976)

$

46,038

(4817.0%)

$

47,108

$

(6,463)

(113.7)%

$

46,038

$

22,046

52.1%

(1)Includes stock compensation expense of $5,207$6,592 and $6,592$6,353 for the three months ended June 30, 20192020 and 2020,2021, respectively and $14,607$12,389 and $12,389$13,410 for the six months ended June 30, 20192020 and 2020,2021, respectively.

Quarter ended June 30, 20202021 (“Current Year Quarter”) compared to Quarter ended June 30, 20192020 (“Prior Year Quarter”)

Net revenue, Cost of care, Cost of goods sold and Direct service costs and other operating expenses

Net revenue, cost of care, cost of goods sold and direct service costs and other operating expense variances are addressed within the segment results that follow.

Depreciation and amortization

Depreciation and amortization expense decreased by 15.35.7 percent or $4.3$1.4 million from the Prior Year Quarter to the Current Year Quarter, primarily due to asset maturities, partially offset by normal asset additions after the Prior Year Quarter.

Interest expense

Interest expense decreased by 11.922.0 percent or $1.1$1.8 million from the Prior Year Quarter to the Current Year Quarter primarily due to lower interest rates.

rates and lower debt balances.

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Interest and other income

Interest income decreased by $1.3$0.3 million from the Prior Year Quarter to the Current Year Quarter primarily due to a reduction in rates.

Special charges and other

Special charges increasedand other decreased by $8.3$3.3 million from the Prior Year Quarter to the Current Year Quarter due to recognition of the special charges in the Prior Year Quarter offset by the impairment of an investment in the Current Year Quarter, see Note F—G—“Special Charges”Charges and Other” for further discussion.

Income taxes

The Company’s effective income tax rates from continuing operations were 44.3(337.0) percent and (337.0)15.6 percent for the Prior Year Quarter and Current Year Quarter, respectively. The effective income tax rate for the Prior Year Quarter differs from the effective income tax rate for the Current Year Quarter primarily due to recognition ofthe discrete adjustments for the nonrecurring tax benefit related to the divestiture recognized in the Current Year Quarter.prior year. The effective income tax rate for the Current Year Quarter differs from the federal and state statutory rates primaryprimarily due to the recognitionimpact of the nonrecurring tax benefit relatedpermanent differences relative to the divestiture that was recorded inloss for the Current Year Quarter.period.

Six months ended June 30, 20202021 (“Current Year Period”) compared to sixSix months ended June 30, 20192020 (“Prior Year Period”)

Net revenue, Cost of care, Cost of goods sold and Direct service costs and other operating expenses

Net revenue, cost of care, cost of goods sold and direct service costs and other operating expense variances are addressed within the segment results that follow.

Depreciation and amortization

Depreciation and amortization expense decreased by 11.97.0 percent or $6.4$3.3 million from the Prior Year Period, primarily due to asset maturities, partially offset by normal asset additions after the Prior Year Period.

Interest expense

Interest expense decreased by $1.225.3 percent or $4.3 million from the Prior Year Period to the Current Year Period primarily due to lower interest rates.rates and lower debt balances.

Interest and other income

Interest income decreased by $1.8$1.2 million from the Prior Year Period to the Current Year Period primarily due to a reduction in rates.

Special charges and other

Special charges increasedand other decreased by $8.3$2.1 million from the Prior Year Period to the Current Year Period due to recognition of special charges in the Prior Year Period offset by the impairment of an investment in the Current Year Period, see Note F—G—“Special Charges”Charges and Other” for further discussion.

Income taxes

The Company’s effective income tax rates from continuing operations were 163.0(197.6) percent and (197.6)30.6 percent for the Prior Year Period and Current Year Period, respectively. The effective income tax rate for the Prior Year Period differs from the effective income tax rate for the Current Year Period primarily due to the recognition of the nonrecurring tax benefit related to the divestiture in the CurrentPrior Year Period. The effective income tax rate for the Current Year Period differs from the federal and state statutory rates primarily due to the recognitionimpact of the nonrecurring tax benefit relatedpermanent differences relative to the divestiture recorded inreduced level of earnings for the Current Year Period.period.

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Segment Results

The Company manages and measures operational performance through three segments: Healthcare, Pharmacy Management and Corporate. The Company evaluates performance of its segments based on Segment 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,

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among other matters. Stock compensation expense and changes in fair value of contingent consideration recorded in relation to acquisitions are included in direct service costs and other operating expenses; however, these amounts are excluded from the computation of Segment Profit. 

Healthcare

The Healthcare segment includes the Company’s: (i) management of behavioral healthcare services and EAP services and (ii) management of other specialty areas including diagnostic imaging and musculoskeletal management. The Healthcare segment provides management services to health plans, accountable care organizations, employers, state Medicaid agencies, the United States military and various federal government agencies for whom Magellan provides carve-out management services for behavioral health, employee assistance plans, and other areas of specialty healthcare including diagnostic imaging, musculoskeletal management, cardiac, and physical medicine.

The following table summarizes, for the periods indicated, operating results for the Healthcare segment (in thousands):

Three Months Ended

Six Months Ended

Three Months Ended

Six Months Ended

June 30, 

Change

June 30, 

Change

June 30, 

Change

June 30, 

Change

Healthcare Segment Results

2019

2020

'19 vs '20

2019

2020

'19 vs '20

2020

2021

'20 vs '21

2020

2021

'20 vs '21

Risk-based, non-EAP

$

400,591

$

344,199

(14.1%)

$

762,399

$

694,044

(9.0%)

$

344,199

$

429,289

24.7%

$

694,044

$

802,731

15.7%

EAP risk-based

87,296

77,419

(11.3%)

176,913

157,357

(11.1%)

77,419

82,145

6.1%

157,357

170,266

8.2%

ASO

58,226

59,403

2.0%

113,623

118,526

4.3%

59,403

73,705

24.1%

118,526

145,152

22.5%

Managed care and other revenue

546,113

481,021

(11.9%)

1,052,935

969,927

(7.9%)

481,021

585,139

21.6%

969,927

1,118,149

15.3%

Cost of care

408,911

321,831

(21.3%)

778,008

670,939

(13.8%)

321,831

430,735

33.8%

670,939

809,926

20.7%

137,202

159,190

16.0%

274,927

298,988

8.8%

159,190

154,404

(3.0)%

298,988

308,223

3.1%

Direct service costs and other

98,314

100,450

2.2%

198,424

206,386

4.0%

100,450

126,741

26.2%

206,386

241,734

17.1%

38,888

58,740

51.0%

76,503

92,602

21.0%

58,740

27,663

(52.9)%

92,602

66,489

(28.2)%

Stock compensation expense

2,237

2,102

(6.0%)

3,780

3,863

2.2%

2,102

1,935

(7.9)%

3,863

4,454

15.3%

Segment Profit

$

41,125

$

60,842

47.9%

$

80,283

$

96,465

20.2%

$

60,842

$

29,598

(51.4)%

$

96,465

$

70,943

(26.5)%

Direct service cost as % of revenue

18.0%

20.9%

18.8%

21.3%

20.9%

21.7%

21.3%

21.6%

MLR Behavioral & Specialty Health risk

87.3%

78.3%

86.7%

81.0%

78.3%

87.6%

81.0%

86.4%

MLR Behavioral & Specialty Health EAP risk

67.8%

67.9%

66.3%

69.5%

67.9%

66.7%

69.5%

68.3%

.

Membership

Risk (1)

12,155

10,601

(12.8%)

12,155

14,880

22.4%

EAP risk

14,719

13,836

(6.0%)

14,719

13,742

(6.6)%

ASO

26,119

25,386

(2.8%)

26,119

25,355

(2.9)%

52,993

49,823

(6.0%)

52,993

53,977

1.9%

(1)May include some duplicate count of membership for customers that contract with Magellan for both behavioral and other specialty management services.

Current Year Quarter compared to the Prior Year Quarter

Managed care and other revenue

Net revenue decreasedincreased by 11.921.6 percent or $65.1$104.1 million from the Prior Year Quarter to the Current Year Quarter. The decreaseincrease in revenue is primarily due to terminated contracts of $33.1 million, decreased membership partially offset by favorable rate changes of $21.0 million, favorable retroactive program changes in the Prior Year Quarter of $9.6 million, the revenue impact of program changes of $9.0 million, the revenue impact of favorable prior period care development recorded in the Current Year Quarter of $4.3 million, favorable retroactive rate and membership adjustments in the Prior Year Quarter of $3.1 million, the revenue impact of net favorable prior period medical claims development recorded in the Prior Year Quarter of $2.3 million and other net unfavorable variances of $0.2 million. These decreases were partially offset by new contracts implemented after (or during) the Prior Year Quarter of $13.9$57.2 million, favorable rate and netmembership changes of $54.7 million, revenue recorded for HIF fees infrom acquisitions that occurred after the CurrentPrior Year Quarter of $3.6 million.

$12.1 million, revenue impact of favorable prior period medical claims development recorded

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in the Prior Year Quarter of $4.3 million. These increases were partially offset by terminated contracts of $11.3 million, the revenue impact of program changes of $5.4 million, net revenue recorded for HIF fees in the Prior Year Quarter of $3.6 million and other net unfavorable variances of $3.9 million.

Cost of care

Cost of care decreasedincreased by 21.333.8 percent or $87.1$108.9 million from the Prior Year Quarter to the Current Year Quarter. The decreaseincrease is primarily due to terminated contracts of $24.3 million, decreasedrate and membership of $23.8 million, unfavorable retroactive program changes in the Prior Year Quarter of $8.9 million, favorable prior period care development recorded in the Current Year Quarter of $8.5 million, program changes of $8.2$41.3 million, and care trends and other favorable variances of $21.0 million. These decreases were partially offset by care cost of new contracts implemented after (or during) the Prior Year Quarter of $6.9$39.5 million, and netcost of care for acquisitions that occurred after the Prior Year Quarter of $6.2 million, favorable prior period medical claimscare development recorded in the Prior Year Quarter of $0.7$8.5 million and care trends and other unfavorable variances of $26.7 million. The increases were partially offset by terminated contracts of $8.9 million and program changes of $4.4 million. Cost of care as a percentage of risk revenue (excluding EAP business) decreasedincreased from 87.378.3 percent in Prior Year Quarterthe prior year quarter to 78.387.6 percent in the Current Year Quarter, mainly due to the impact of prior period care development, decreasedcosts related to new contracts implemented, higher utilization and business mix.

Direct service costs and other

Direct service costs increased 2.226.2 percent or $2.1$26.3 million from the Prior Year Quarter to the Current Year Quarter primarily due to HIF feesan increase in the Current Year Quarter.allocated corporate expenses. Direct services costs increased as a percentage of revenue from 18.020.9 percent in the Prior Year Quarter to 20.921.7 percent in the Current Year Quarter primarily due to the previously discussed revenue decreases as well as HIF feesincrease in the Current Year Quarter.allocated corporate expenses.

Current Year Period compared to the Prior Year Period

Managed care and other revenue

Net revenue decreasedincreased by 7.915.3 percent or $83.0$148.2 million from the Prior Year Period to the Current Year Period. The decreaseincrease in revenue is primarily due to terminated contracts of $70.7 million, decreased membership partially offset by favorable rate and membership changes of $23.9$100.8 million, the revenue impact of program changes of $18.0 million and the revenue impact of favorable period care development recorded in the Current Year Period of $4.9 million. These decreases were partially offset by new contracts implemented after (or during) the Prior Year Period of $22.7$67.5 million, revenue from acquisitions that occurred after the Prior Year Period of $23.2 million and the revenue impact of favorable prior period care development recorded in the Prior Year Period of $4.9 million. These increases are partially offset by terminated contracts of $22.8 million, the revenue impact of program changes of $14.2 million, net revenue recorded for HIF fees in the CurrentPrior Year Period of $7.9 million and other net favorableunfavorable variances of $3.9$3.3 million.

Cost of care

Cost of care decreasedincreased by 13.820.7 percent or $107.1$139.0 million from the Prior Year Period to the Current Year Period. The decreaseincrease is primarily due to terminated contracts of $48.4 million, decreasedrate and membership of $35.3 million, program changes of $16.5$76.3 million, favorable prior period care development recorded in the Current Year Period of $6.3 million and care trends and other favorable variances of $23.5 million. These decreases were partially offset by care cost of new contracts implemented after (or during) the Prior Year Period of $11.9$40.2 million, and netcost of care for acquisitions that occurred after the Prior Year Period of $12.0 million, favorable prior period medical claimscare development recorded in the Prior Year Period of $11.0$6.3 million and care trends and other unfavorable variances of $34.8 million. These increases were partially offset by terminated contracts of $18.6 million and program changes of $12.0 million. Cost of care as a percentage of risk revenue (excluding EAP business) decreasedincreased from 86.781.0 percent in the Prior Year Period to 81.086.4 percent in the Current Year Period, mainly due to the impact of prior period care development, decreasedcosts related to new contracts implemented, higher utilization and business mix.

Direct service costs and other

Direct service costs increased by 4.017.1 percent or $8.0$35.3 million from the Prior Year Period to the Current Year Period primarily due to HIF feesan increase in the Current Year Period.allocated corporate expenses. Direct service costs increased as a percentage of revenue from 18.821.3 percent in the Prior Year Period to 21.321.6 percent in the Current Year Period, primarily due to the previously discussed revenue decreases as well as HIF fees in the Current Year Period.increased allocated corporate expenses.

MCC Stock and Asset Purchase Agreement

On April 30, 2020, the Company and Molina entered into the Purchase Agreement pursuant to which the Company has agreed to sell its MCC business to Molina for $850.0 million in cash, subject to certain adjustments, and Molina has agreed to assume liabilities of the MCC business. See Note E “Discontinued Operations” for additional information.

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Pharmacy Management

The Pharmacy Management segment comprises products and solutions that provide clinical and financial management of pharmaceuticals paid under medical and pharmacy benefit programs. Pharmacy Management’s services include: (i) PBM services; (ii) PBA for state Medicaid and other government sponsored programs; (iii) pharmaceutical dispensing operations; (iv) clinical and formulary management programs; (v) medical pharmacy management programs;

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and (vi) programs for the integrated management of specialty drugs. Pharmacy Management’s services are provided under contracts with health plans, employers, state Medicaid programs, Medicare Part D and other government agencies.

The following table summarizes, for the periods indicated, operating results for the Pharmacy Management segment (in thousands, except state count):

Three Months Ended

Six Months Ended

Three Months Ended

Six Months Ended

June 30, 

Change

June 30, 

Change

June 30, 

Change

June 30, 

Change

Pharmacy Segment Results

2019

2020

'19 vs '20

2019

2020

'19 vs '20

2020

2021

'20 vs '21

2020

2021

'20 vs '21

Formulary management

$

18,426

$

25,061

36.0%

$

35,609

$

47,222

32.6%

$

25,061

$

33,062

31.9%

$

47,222

$

62,244

31.8%

PBA and other

44,222

42,806

(3.2%)

86,934

85,080

(2.1%)

42,806

57,984

35.5%

85,080

122,029

43.4%

Managed care and other revenue

62,648

67,867

8.3%

122,543

132,302

8.0%

67,867

91,046

34.2%

132,302

184,273

39.3%

PBM, including dispensing

480,167

499,484

4.0%

973,392

1,017,596

4.5%

499,484

546,827

9.5%

1,017,596

1,085,622

6.7%

Medicare Part D

69,843

56,711

(18.8%)

133,183

112,377

(15.6%)

56,711

1,508

(97.3)%

112,377

1,685

(98.5)%

PBM revenue

550,010

556,195

1.1%

1,106,575

1,129,973

2.1%

556,195

548,335

(1.4)%

1,129,973

1,087,307

(3.8)%

Total net revenue

612,658

624,062

1.9%

1,229,118

1,262,275

2.7%

624,062

639,381

2.5%

1,262,275

1,271,580

0.7%

Cost of goods sold

505,203

532,685

5.4%

1,035,410

1,070,259

3.4%

532,685

523,933

(1.6)%

1,070,259

1,019,526

(4.7)%

107,455

91,377

(15.0%)

193,708

192,016

(0.9%)

91,377

115,448

26.3%

192,016

252,054

31.3%

Direct service costs and other

78,776

80,082

1.7%

158,411

161,948

2.2%

80,082

104,556

30.6%

161,948

209,152

29.1%

28,679

11,295

(60.6%)

35,297

30,068

(14.8%)

11,295

10,892

(3.6)%

30,068

42,902

42.7%

Stock compensation expense

2,124

1,939

(8.7%)

3,796

4,046

6.6%

1,939

2,346

21.0%

4,046

5,042

24.6%

Legal matter settlement

9,000

100.0%

Segment Profit

$

30,803

$

13,234

(57.0%)

$

39,093

$

34,114

(12.7%)

$

13,234

$

13,238

0.0%

$

34,114

$

56,944

66.9%

Direct service cost as % of revenue

12.9%

12.8%

12.9%

12.8%

12.8%

16.4%

12.8%

16.4%

COGS as % of PBM revenue

91.9%

95.8%

93.6%

94.7%

95.8%

95.5%

94.7%

93.8%

Pharmacy Operational Statistics

Adjusted commercial network claims

13,900

11,661

11,661

12,690

Adjusted PBA claims

39,508

34,530

34,530

27,049

Total adjusted claims

53,408

46,191

46,191

39,739

Generic dispensing rate

87.3%

88.1%

88.1%

88.9%

Commercial PBM covered lives

1,863

1,876

1,876

1,935

Medical pharmacy covered lives

12,569

15,833

15,833

16,012

Total states and DC that participate in PBA

27

26

26

26

Current Year Quarter compared to the Prior Year Quarter

Managed care and other revenue

Managed care and other revenue increased by 8.334.2 percent or $5.2$23.2 million from the Prior Year Quarter to the Current Year Quarter primarily due to increased government pharmacy revenue of $12.9 million mainly due to increased membership, formulary management revenue of $6.6$8.9 million mainly due to utilization and increased medical pharmacy revenue of $3.7 million mainly due to increased membership. The increase is partially offset by terminated contracts of $4.4 million and other net unfavorablefavorable variances of $0.7$1.4 million.

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PBM revenue

PBM revenue increaseddecreased by 1.11.4 percent or $6.2 $7.9 million from the Prior Year Quarter to the Current Year Quarter. The increasedecrease is primarily due to an increase interminated contracts of $58.8 million and is partially offset by increased membership and utilization of $8.8$46.8 million partially offset byand other net unfavorablefavorable variances of $2.6 million, mainly related to higher customer settlements related to prior periods.$4.1 million.

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Cost of goods sold

Cost of goods sold increaseddecreased by 5.41.6 percent or $27.5$8.8 million from the Prior Year Quarter to the Current Year Quarter. This increasedecrease is primarily due to terminated contracts of $56.7 million and other net favorable variances of $4.3 million. This decrease is partially offset by an increase in membership and utilization of $20.8 million and other net unfavorable variances of $6.7$52.2 million. As a percentage of the portion of net revenue that relates to PBM, cost of goods sold increaseddecreased from 91.995.8 percent in the Prior Year Quarter to 95.895.5 percent in the Current Year Quarter, mainly due to higher utilization and business mix.

Direct service costs and other

Direct service costs increased by 1.730.6 percent or $1.3$24.5 million from the Prior Year Quarter to the Current Year Quarter primarily due to an increase in allocated corporate expenses and start-up costs associated with a new contract implementation. Direct service costs decreased slightlyincreased as a percentage of revenue from 12.912.8 percent in the Prior Year Quarter to 12.816.4 percent in the Current Year Quarter.Quarter primarily due to new contract implementation costs.

Current Year Period compared to Prior Year Period

Managed care and other revenue

Managed care and other revenue increased by 8.039.3 percent or $9.8$52.0 million from the Prior Year Period to the Current Year Period primarily due to increased government pharmacy revenue of $32.7 million mainly due to increased membership, formulary management revenue of $11.6 million due to utilization, increased medical pharmacy management revenue of $7.2 million due to increased membership, and increased government pharmacy revenue of $2.5 million. These increases were partially offset by terminated contracts of $8.9$13.7 million and other net unfavorablefavorable variances of $2.6$5.6 million.

PBM revenue

PBM revenue increaseddecreased by 2.13.8 percent or $23.4 $42.7 million from the Prior Year Period to the Current Year Period. The increasedecrease is primarily due to terminated contracts of $113.9 million, which decrease is partially offset by an increase in membership and utilization of $26.0$67.0 million partially offset byand other net unfavorablefavorable variances of $2.6 million, mainly related to higher customer settlements related to prior periods.$4.2 million.

Cost of goods sold

Cost of goods sold increaseddecreased by 3.44.7 percent or $34.8$50.7 million from the Prior Year Period to the Current Year Period. This increasedecrease is primarily due to terminated contracts of $112.6 million and other net favorable variances of $4.1 million. This decrease is partially offset by an increase in membership and utilization of $30.8 million and other net unfavorable variances of $4.0$66.0 million. As a percentage of the portion of net revenue that relates to PBM, cost of goods sold increaseddecreased from 93.694.7 percent in the Prior Year Period to 94.793.8 percent in the Current Year Period, mainly due to higher utilization and business mix.

Direct service costs and other

Direct service costs increased by 2.229.1 percent or $3.5$47.2 million from the Prior Year Period to the Current Year Period primarily due to an increase in allocated corporate expenses and start-up costs associated with a new contract implementation.implementation costs. Direct service costs decreased slightlyincreased as a percentage of revenue from 12.912.8 percent in the Prior Year Period to 12.816.4 percent in the Current Year Period.Period primarily due to new contract implementation costs.

Legal matter settlement

In the Current Year Period, the Company recognized a $9.0 million recovery in connection with the resolution of a legal matter.

Corporate Segment

The Corporate segment of the Company is comprised primarily of amounts not allocated to the Healthcare and Pharmacy Management segments, and that are largely associated with costs related to being a publicly traded company.

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The following table summarizes, for the periods indicated, operating results for the Corporate segment (in thousands):

Three Months Ended

Six Months Ended

Three Months Ended

Six Months Ended

June 30, 

Change

June 30, 

Change

June 30, 

Change

June 30, 

Change

Corporate Segment & Eliminations

2019

2020

'19 vs '20

2019

2020

'19 vs '20

2020

2021

'20 vs '21

2020

2021

'20 vs '21

Managed care and other revenue

$

(147)

$

(177)

20.4%

$

(316)

$

(350)

10.8%

$

(177)

$

(144)

(18.6)%

$

(350)

$

(305)

(12.9)%

PBM revenue

(4,335)

(4,831)

11.4%

(8,442)

(9,398)

11.3%

(4,831)

(3,608)

(25.3)%

(9,398)

(7,007)

(25.4)%

Cost of goods sold

4,122

4,618

12.0%

8,015

8,951

11.7%

4,618

3,419

(26.0)%

8,951

6,642

(25.8)%

(360)

(390)

8.3%

(743)

(797)

7.3%

(390)

(333)

(14.6)%

(797)

(670)

(15.9)%

Direct service costs and other

18,817

19,224

2.2%

41,372

35,663

(13.8%)

19,224

12,276

(36.1)%

35,663

23,708

(33.5)%

(19,177)

(19,614)

2.3%

(42,115)

(36,460)

(13.4%)

(19,614)

(12,609)

(35.7)%

(36,460)

(24,378)

(33.1)%

Stock compensation expense

846

2,551

201.5%

7,031

4,480

(36.3%)

2,551

2,072

(18.8)%

4,480

3,914

(12.6)%

Segment Loss

$

(18,331)

$

(17,063)

(6.9%)

$

(35,084)

$

(31,980)

(8.8%)

$

(17,063)

$

(10,537)

(38.2)%

$

(31,980)

$

(20,464)

(36.0)%

Current Year Quarter compared to the Prior Year Quarter

The Corporate segment loss decreased by 6.938.3 percent or $1.3$6.5 million from the Prior Year Quarter to the Current Year Quarter.Quarter, mainly due to stranded corporate overhead expenses in the Prior Year Quarter related to the sale of the MCC Business. As a percentage of revenue, the Corporate segment loss decreased slightly from 1.61.5 percent in the Prior Year Quarter to 1.5%0.9 percent in the Current Year Quarter, mainly due to increased revenue and stranded overhead expense in the Prior Year Quarter.

Current Year Period compared to the Prior Year Period

The Corporate segment loss decreased by 8.836.0 percent or $3.1$11.5 million from the Prior Year Period to the Current Year Period, primarilymainly due to lower stock compensation.stranded corporate overhead expenses in the Prior Year Period related to the sale of the MCC Business. As a percentage of revenue, the Corporate segment loss decreased slightly from 1.51.4 percent infor the Prior Year Period to 1.4 percent0.9 the Current Year Period, mainly due to increased revenue and stranded overhead expense in the CurrentPrior Year Period.

Inter segment revenues and expenses

MCC subcontracts with Pharmacy Management to provide pharmacy benefits management services for certain MCC customers. The Company will continue to provide these services post transition, thus the associated revenues, cost of goods sold and direct service costs related to these arrangements are reflected within both continuing operations and discontinued operations.

Healthcare subcontracts with Pharmacy Management to provide pharmacy benefits management services for certain Healthcare customers. In addition, Pharmacy Management provides pharmacy benefits management for the Company’s employees covered under its medical plan. As such, revenue, cost of goods sold and direct service costs and other related to these arrangements are eliminated within the Corporate segment.

Non-GAAP Measures

The Company reports its financial results in accordance with GAAP; however, the Company’s management also assesses business performance and makes business decisions regarding the Company’s operations using certain non-GAAP measures.

In addition to Segment Profit, as defined above, the Company also uses adjusted net income from continuing operationsattributable to Magellan (“Adjusted Net Income from Continuing Operations”Income”) and adjusted net income from continuing operations per common share attributable to Magellan on a diluted basis (“Adjusted EPS”). Adjusted Net Income from Continuing Operations and Adjusted EPS reflect certain adjustments made for acquisitions completed after January 1, 2013 to exclude non-cash stock compensation expense resulting from restricted stock purchases by sellers, changes in the fair value of contingent consideration, amortization of identified acquisition intangibles, as well as impairment of identified acquisition intangibles, special charges and any impact related to the sale of MCC. The Company believes these non-GAAP measures provide a more useful comparison of the Company’s underlying business performance from period to period and are more representative of the earnings capacity of the Company. Non-GAAP financial measures disclosed, such as Segment Profit, Adjusted Net Income from Continuing Operations and Adjusted EPS, should not be considered a substitute for, or superior to, financial measures determined or calculated in accordance with GAAP.

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The following table reconciles income (loss) from continuing operations before income taxes to Segment Profit from continuing operations (in thousands):

Three Months Ended

Six Months Ended

June 30, 

June 30, 

2019

    

2020

    

2019

    

2020

Income from continuing operations before income taxes

$

12,950

$

10,780

$

1,550

$

15,472

Stock compensation expense

 

5,207

 

6,592

 

14,607

 

12,389

Depreciation and amortization

 

28,191

 

23,888

 

53,608

 

47,246

Interest expense

 

9,070

 

7,995

 

18,107

 

16,953

Interest and other income

 

(1,821)

 

(551)

 

(3,580)

 

(1,770)

Special charges

8,309

8,309

Segment Profit from continuing operations

$

53,597

$

57,013

$

84,292

$

98,599

Three Months Ended

Six Months Ended

June 30, 

June 30, 

2020

    

2021

    

2020

    

2021

Income (loss) from continuing operations before income taxes

$

10,780

$

(7,659)

$

15,472

$

31,755

Stock compensation expense

 

6,592

 

6,353

 

12,389

 

13,410

Depreciation and amortization

 

23,888

 

22,525

 

47,246

 

43,942

Interest expense

 

7,995

 

6,234

 

16,953

 

12,660

Interest and other income

 

(551)

 

(208)

 

(1,770)

 

(549)

Special charges and other

8,309

5,054

8,309

6,205

Segment Profit from continuing operations

$

57,013

$

32,299

$

98,599

$

107,423

The following table reconciles net income (loss) from continuing operations to Adjusted Net Income from continuing operations (in thousands):

    

Three Months Ended

Six Months Ended

 

    

Three Months Ended

Six Months Ended

 

June 30, 

June 30, 

June 30, 

June 30, 

2019

    

2020

    

2019

    

2020

    

2020

    

2021

    

2020

    

2021

Net income (loss) from continuing operations

$

7,215

$

47,108

$

(976)

$

46,038

$

47,108

$

(6,463)

$

46,038

$

22,046

Adjustments

Stock compensation expense

 

 

249

 

 

495

Amortization of acquired intangibles

 

7,749

 

9,573

 

15,501

 

19,259

 

9,573

 

7,587

 

19,259

 

15,646

Special charges

8,309

8,309

Special charges and other

8,309

5,054

8,309

6,205

Tax impact

 

(2,047)

 

(4,808)

 

(4,097)

 

(7,413)

 

(4,808)

 

(3,396)

 

(7,413)

 

(5,888)

Nonrecurring tax benefit - divestiture

(38,907)

(38,907)

(38,907)

(38,907)

Adjusted Net Income from continuing operations

$

12,917

$

21,275

$

10,428

$

27,286

Adjusted Net Income (Loss) from continuing operations

$

21,275

$

3,031

$

27,286

$

38,504

The following table reconciles net income (loss) from continuing operations per common share—diluted to Adjusted EPS from continuing operations:

    

Three Months Ended

Six Months Ended

 

    

Three Months Ended

Six Months Ended

 

June 30, 

June 30, 

June 30, 

June 30, 

2019

    

2020

    

2019

    

2020

2020

    

2021

    

2020

    

2021

Net income (loss) from continuing operations per common share—diluted

$

0.30

$

1.86

$

(0.04)

$

1.84

$

1.86

$

(0.25)

$

1.84

$

0.83

Adjustments

Stock compensation expense

 

 

0.01

 

0.02

Amortization of acquired intangibles

 

0.32

 

0.38

 

0.64

0.77

 

0.38

 

0.29

 

0.77

0.59

Special charges

0.33

0.33

Special charges and other

0.33

0.19

0.33

0.23

Tax impact

 

(0.09)

 

(0.19)

 

(0.17)

(0.30)

 

(0.19)

 

(0.13)

 

(0.30)

(0.22)

Nonrecurring tax benefit - divestiture

(1.54)

(1.55)

(1.54)

(1.55)

Adjusted EPS from continuing operations

$

0.53

$

0.84

$

0.43

$

1.09

$

0.84

$

0.11

$

1.09

$

1.45

Outlook—Results of Operations

The Company’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—1A—Forward-Looking Statements”Risk Factors” as well as a variety of other factors including: (i) changes in utilization levels by enrolled members of the Company’s risk-based 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;

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(vii) changes in estimates regarding medical costs and IBNR; (viii) the timing of recognition of

39

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pharmacy revenues, including rebates and Medicare Part D;rebates; and (ix) changes in the estimates of contingent consideration.

A portion of the Company’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’s control. Future results of operations will be heavily dependent on management’s ability to obtain customer rate increases that are consistent with care cost increases and/or to reduce operating expenses.

Interest Rate Risk. Changes in interest rates affect interest income earned on the Company’s cash equivalents and investments, as well as interest expense on the variable interest rate borrowings under the 2017 Credit Agreement. In addition, interest rates on the Notes are subject to adjustment upon the occurrence of certain credit rating events. Based on the amount of cash equivalents and investments, the borrowing levels under the 2017 Credit Agreement and the principal amount of the Notes as of June 30, 2020,2021, 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’s future earnings and cash outflows.

Historical—Liquidity and Capital Resources

Operating Activities. The Company reported net cash provided by operating activities of $29.4$170.8 million and $170.8net cash used in operating activities of $142.7 million for the Prior Year Period and the Current Year Period, respectively. The $141.4$313.5 million increasedecrease in operating cash flows from the Prior Year Period is mainly attributable to higher segment profit from continuing and discontinued operations, and favorableunfavorable working capital changes, partially offset bysegment profit of $103.5 million from discontinued operations in the Prior Year Period and increased tax payments and lower interest income collected.payments.

The net favorableunfavorable impact of working capital changes between periods totaled $51.8$148.4 million. For the Prior Year Period, operating cash flows were impacted by net unfavorable working capital changes of $67.4$15.7 million, mainly attributable to an increase in accounts receivable.the timing of receivable and payables. For the Current Year Period, operating cash flows were impacted by net unfavorable working capital changes of $15.6$164.1 million, mainly attributable to the timing of receivables and payables. Tax payments were $4.6 million and $74.7 million in the Prior Year Period and Current Year Period, respectively.

In relation to continuing operations, the Company reported net cash used in operating activities of $7.5 million for the Prior Year Period and net cash used in operating activities of $142.7 million for the Current Year Period. The change is mainly due to higher tax payments, timing of accounts receivable and other working capital changes.

Investing Activities.The Company utilized $27.8$38.3 million and $38.3$35.1 million during the Prior Year Period and the 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 $7.6$11.1 million and $20.2$27.2 million, respectively, as compared to additions for the Current Year Period related to hard assets and capitalized software of $11.1$9.9 million and $27.2$25.2 million, respectively.

During the Prior Year Period and the Current Year Quarter, the Company used $129.6 million and $186.6 million for the net purchase of "available-for-sale" securities. During the Prior Year Period and the Current Year Period, the Company used $7.5net cash of $0.4 million and $129.6$2.4 million respectively, for the net purchase of "available-for-sale" securities.investments in other non-consolidated subsidiaries.

Financing Activities. During the Prior Year Period, the Company paid $10.0 million on debt obligations, $6.2 million for payments on contingent consideration, $4.1 million for the repurchase of treasury stock under the Company's share repurchase program, $5.5 million on finance lease obligations and had other net unfavorable items of $0.5 million. In addition, the Company received $20.6 million from the exercise of stock options.

During the Current Year Period, the Company received $80.0 million from the issuanceborrowings under our revolving line of debtcredit and $29.8 million from the exercise of stock options. In addition, the Company paid $37.7 million under debt obligations, $2.6 million for payments on finance lease obligations and had other net unfavorable items of $1.1 million.

During the Current Year Quarter, the Company paid $108.8 million on debt obligations $2.6and $3.4 million on finance lease obligations and had other net unfavorable items of $1.1 million. In addition the Company received $14.3 million from the exercise of stock options.

Outlook—Liquidity and Capital Resources

Liquidity. The Company may draw on the 2017 Credit Agreement (discussed further below) as required to

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meet working capital needs associated with the timing of receivables and payables, fund share repurchases 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. At June 30, 2020,2021, the Company had no revolving loans with a revolving loanborrowing capacity of $80.0 million with the remaining $320.0$400.0 million of the revolving credit facility still available to the Company for additional drawdown. 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 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 the

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Company will not experience any such losses in the future.

Stock Repurchases. On October 26, 2015, theThe Company’s board of directors approved, and subsequently amended, a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 26, 2017. On July 26, 2017, the Company’s board of directors approved an extension of the 2015 Repurchase Program through October 22, 2018. On May 24, 2018, the Company’s board of directors approved an increase of $200 million to the current $200 million stock repurchase plan which will now authorizeauthorizes the Company to purchase up to $400 million of its outstanding common stock. The board also extended the program from October 22, 2018 to October 22, 2020.stock through November 15, 2021. As of June 30, 2020,2021, the remaining capacity under the 2015 Repurchase Program was $186.3 million. See Part II, Item 2—“Unregistered Sales of Equity Securities and Use of Proceeds” for more information on the Company’s share repurchase program.

Off-Balance Sheet Arrangements. As of June 30, 2020,2021, the Company had no material off-balance sheet arrangements.

Credit Agreement. On September 22, 2017, the Company entered into the 2017 Credit Agreement with various lenders that provides for a $400.0 million senior unsecured revolving credit facility and a $350.0 million senior unsecured term loan facility to the Company, as the borrower. On August 13, 2018, the Company entered into an amendment to the 2017 Credit Agreement, which extended the maturity date by one year. On February 27, 2019, the Company entered into a second amendment to the 2017 Credit Agreement, which amended the total leverage ratio covenant, and which was necessary in order for the Company to remain in compliance with the terms of the 2017 Credit Agreement. The 2017 Credit Agreement is scheduled to mature on September 22, 2023. See Note A—“General” for more information on the 2017 Credit Agreement.

Restrictive Covenants in Debt Agreements. The 2017 Credit Agreement contains covenants that potentially limit management’s discretion in operating the Company’s business by, in certain circumstances, restricting or limiting the Company’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’s ability to finance future operations or capital needs or engage in other business activities that may be in the Company’s interest.

The 2017 Credit Agreement also requires the Company to comply with specified financial ratios and tests. Failure to do so, unless waived by the lenders under the 2017 Credit Agreement pursuant to its terms, or amended, would result in an event of default under the 2017 Credit Agreement. As of June 30, 2020,2021, the Company was in compliance with all covenants, including financial covenants, under the 2017 Credit Agreement.

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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 can include, among other things, valuation of goodwill and intangible assets, medical claims payable, other medical liabilities, stock compensation assumptions, tax contingencies and legal liabilities. In addition, the Company also makes estimates in relation to revenue recognition under ASC 606 which are explained in more detail in Note A—“General – Revenue Recognition.” Actual results could differ from those estimates. Except as noted above, the Company’s critical accounting policies are summarized in the Company’s Annual Report on Form 10-K, filed with the SEC on February 28, 2020.26, 2021.

Forward-Looking Statements

This Form 10-Q includes “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-looking statements are reasonable, it can give no assurance that such plans, intentions or expectations will be achieved. Existing and prospective investors are cautioned that any such forward-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-looking statements. Important factors currently known to management that could cause actual results to differ materially from those in forward-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;
risks relating to the Company’s proposed sale of the MCC business to Molina, including the ability of the Company to realize the expected benefits of the transaction, the ability of the Company to obtain regulatory approvals for the transaction and to satisfy other closing conditions, and the ability of the parties to close the transaction in the anticipated timeframe;
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;

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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;
the impact of healthcare reform legislation;

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the Mental Health and Substance Abuse Benefit Parity Law and Regulations;
government regulation;
proposed changes to current Federal law and regulations;
noncompliance with regulations;
the Company’s participation in Medicare Part D is subject to government regulation;
failure to maintain satisfactory Medicare and Medicaid quality performance measures;
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 it does business;
risk associated with outsourcing services and functions to third parties;
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;
the Company’s ability to successfully implement its margin improvement initiatives and plans;

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tax matters, including changes in corporate tax rates, disagreements with taxing authorities and imposition of new taxes;
the impact to contingent consideration as a result of changes in operational forecasts and probabilities of payment; and
the impact of an epidemic or health crisis such as the COVID-19 pandemic, natural disasters, political disruptions, acts of war or terrorism, cybersecurity attacks or other data breaches or intrusions and other extraordinary events.events;
the Company’s amended bylaws provide that the Court of Chancery of the State of Delaware and the federal district courts of the United States of America will be the exclusive forums for substantially all disputes between us and our stockholders, which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our directors, officers, or employees;
the Company’s ability to attract and retain employees and manage the succession and retention of key executives; and
risks relating to the Company’s proposed Merger with Centene, including the ability to obtain regulatory approvals for the transaction and to satisfy other closing conditions, business uncertainties and contractual restrictions while the Merger is pending, provisions of the Merger Agreement may limit the Company’s

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ability to pursue alternatives to the Merger, litigation against the Company or Centene could prevent or delay the completion of the Merger, and the ability of the parties to close the transaction in the anticipated timeframe.

Further discussion of factors currently known to management that could cause actual results to differ materially from those in forward-looking statements is set forth under the heading “Risk Factors” in Item 1A of Magellan’s Annual Report on Form 10-K for the year ended December 31, 20192020 and in Item 1A of this Quarterly Report on Form 10-Q. When used in this Quarterly Report on Form 10-Q, the words “estimate,” “anticipate,” “expect,” “believe,” “should,” and similar expressions are intended to be forward-looking statements. Magellan undertakes no obligation to update or revise forward-looking statements to reflect changed assumptions, the occurrence of unanticipated events or changes to future operating results over time, except as required by law.

Item 3. Quantitative and Qualitative Disclosures about Market Risk.

Changes in interest rates affect interest income earned on the Company’s cash equivalents and investments, as well as interest expense on the variable interest rate borrowings under the 2017 Credit Agreement. In addition, interest rates on the Notes is subject to adjustment upon the occurrence of certain credit rating events. Based on the amount of cash equivalents and investments, the borrowing levels under the 2017 Credit Agreement and the principal amount of the Notes as of June 30, 2020,2021, 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’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 Rule 13a-15(e) under the Exchange Act), as of June 30, 2020.2021. 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, 2020.2021.
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, 20202021 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’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 for whom the Company provides managed care services. 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 including employment practices, and privacy and data protection.

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The Company maintains a program of insurance coverage against a broad range of risks in the Company’s business, including certain of the class actions and other litigation and claims asserted against the Company, subject to deductibles and self-insured retentions as is described more fully in the Company’s Annual Report on Form 10-K for the year ended December 31, 2019,2020, which was filed with the SEC on February 28, 2020.26, 2021. The Company has recorded reserves that, in the opinion of management, 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’s financial condition or results of operations; however, there can be no assurance in this regard.

Item 1A. Risk Factors.

Other than the risk factors below, thereThere have been no material changes in the risk factors as disclosed in Part I—Item 1A—“Risk Factors” of the Company’s Annual Report on Form 10 K10-K for the year ended December 31, 2019,2020, which was filed with the SEC on February 28, 2020:

The Company faces risks related to unauthorized disclosure of sensitive or confidential member and other protected personal or health information.

As part of its normal operations, the Company collects, processes and retains confidential member and protected personal or health information making the Company subject to various federal and state laws and rules regarding the use and disclosure of confidential member and protected personal or health information, including HIPAA. The Company also maintains other confidential information related to its business and operations. Despite our security measures, the Company is subject to security breaches, acts of vandalism, computer viruses, misplaced or lost data, programming and/or human errors or other similar events. For example, we have experienced data security breaches resulting in disclosure of confidential or protected personal or health information. Noncompliance with any privacy or security laws and regulations (including, but not limited to, state and federal laws and international regulations, such as GDPR) or any security incident or breach, whether by the Company or by its vendors, could result in enforcement actions, material fines and penalties, reputational and financial harm to the Company, and could also subject the Company to litigation.

IT Systems – The Company’s ability to effectively maintain and upgrade its information systems is critical to its business.

The Company’s operations are dependent on effective information systems. Our information systems require routine maintenance, enhancements and upgrades in order to meet operational needs and regulatory requirements. The maintenance, upgrade and enhancement of our information systems requires significant economic resources. If the Company encounters difficulties in its information systems, or with the transition to or from its information systems, or does not appropriately maintain, enhance and upgrade its information systems, such events could adversely impact the Company’s operations materially. In addition, our ability to manage effectively our information systems could be impacted by events outside of our control, including acts of nature, such as floods, earthquakes, fires, pandemics, or acts of terrorism or war.

Cyber-Security—The Company faces risks related to a breach or failure in our operational security systems or infrastructure, or those of third parties with which we do business.

Our business requires us to securely store, process and transmit confidential, proprietary and other information in our operations, including protected personal or health information. Security incidents or breaches may arise from, among other things, computer hackers penetrating our systems or approaching our employees to obtain personal information for financial gain, attempting to cause harm to our operations, or intending to obtain competitive, confidential or protected personal or health information. It is widely reported that the healthcare industry, including providers, plans and pharmacies, are increasingly prime targets for cyber-attacks. Our data assets and systems continue to be subject to attack by viruses, worms, phishing attempts and other malicious software programs on a regular basis, and we routinely identify attempts to gain unauthorized access to our systems.

We maintain a comprehensive system of preventive and detective controls through our security programs; however given the rapidly evolving nature and proliferation of cyber threats, our controls may not prevent or identify all

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such attacks in a timely manner or otherwise prevent unauthorized access to, damage to, or interruption of our systems and operations, and we cannot eliminate the risk of human error or employee or vendor malfeasance. For example, we were the target of a criminal ransomware attack on our computer network recently, which resulted in a temporary systems outage and the exfiltration of certain confidential company and personal information as well as protected health information of certain members. We are investigating the incident with forensic experts, notifying our customers, employees, impacted individuals, and appropriate government agencies, as applicable, and working with law enforcement authorities.

Any costs that we incur as a result of a data security incident or breach, including costs to update our security protocols to mitigate such an incident or breach could be significant. Any breach or failure in our operational security systems can result in loss of data or an unauthorized disclosure of or access to sensitive or confidential member or protected personal or health information and could result in significant penalties or fines, litigation, loss of customers, significant damage to our reputation and business, and other losses, which could adversely impact the Company’s financial condition and results of operations materially.

We are subject to risks associated with outsourcing services and functions to third parties.

We contract with third party vendors and service providers who provide services to us and our subsidiaries or to whom we delegate selected functions. Some of these third parties also have direct access to our systems. Our arrangements with third party vendors and service providers may make our operations vulnerable if those third parties fail to satisfy their obligations to us, including their obligations to maintain and protect the security and confidentiality of our information and data or the protected personal or health information and data relating to our members or customers. We are also at risk of a data security incident or breach involving a vendor or third party, which could result in a breakdown of such third party’s data protection processes or cyber-attackers gaining access to our infrastructure through the third party, or can result in loss of data or an unauthorized disclosure of or access to sensitive or confidential member or protected personal or health information.

To the extent that a vendor or third party suffers a security incident or breach that compromises its operations, we could incur significant costs and possible service interruption, which could have an adverse effect on our business, operations and reputation. In addition, we may have disagreements with third party vendors and service providers regarding relative responsibilities for any such failures or security incidents or breaches under applicable business associate agreements or other applicable outsourcing agreements.

Any contractual remedies and/or indemnification obligations we may have for vendor or service provider failures or security incidents or breaches may not be adequate to fully compensate us for any losses suffered as a result of any vendor’s failure to satisfy its obligations to us or under applicable law. Further, we may not be adequately indemnified against all possible losses through the terms and conditions of our contracts with third party vendors and service providers. Our outsourcing arrangements could be adversely impacted by changes in vendors’ or service providers’ operations or financial condition or other matters outside of our control.

If we fail to adequately monitor and regulate the performance of our third-party vendors and service providers, we could be subject to additional risk, including significant cybersecurity risk. Violations of, or noncompliance with, laws and/or regulations governing our business (including, but not limited to, state and federal laws and international regulations, such as GDPR) or noncompliance with contract terms by third-party vendors and service providers could increase our exposure to liability to our members, providers, or other third parties, or sanctions and/or fines from the regulators that oversee our business, as well as litigation. In turn, this could increase the costs associated with the operation of our business or have an adverse impact on our business and reputation. Moreover, if these vendor and service provider relationships were terminated for any reason, we may not be able to find alternative partners in a timely manner or on acceptable financial terms, and may incur significant costs and/or disruption to our operations in connection with any such vendor or service provider transition. As a result, we may not be able to meet the full demands of our members or customers and, in turn, our business, financial condition, or results of operations may be harmed materially. In addition, we may not fully realize the anticipated economic and other benefits from our outsourcing projects or other relationships we enter into with third party vendors and service providers, as a result of regulatory restrictions on outsourcing, unanticipated delays in transitioning our operations to the third party, vendor or service provider noncompliance with contract terms or violations of laws and/or regulations, or otherwise. This could result in substantial costs or other operational or financial problems that could have a material adverse effect on our business, financial condition, cash flows, or results of operations.

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Extraordinary Events—Extraordinary events, including the COVID-19 pandemic, could adversely affect the Company’s business, financial condition and results of operations.

The Company’s operations could be subject to an epidemic or health crisis such as the COVID-19 pandemic, natural disasters, political disruptions, acts of war or terrorism and other such extraordinary events. These events could cause significant disruptions in the Company’s operations and its ability to serve its members. If a business interruption occurs and we are unsuccessful in our continuing efforts to minimize the impact of these events, our business, results of operations, financial position and cash flows could be materially adversely affected. Such events could also impact the Company’s utilization, which could have a favorable or unfavorable impact to its medical loss ratios. In addition, such events could impact the financial markets, which could adversely impact the Company’s investment portfolio and its ability to access the credit markets.

In 2020, the spread of the COVID-19 pandemic has caused significant financial market volatility and economic uncertainty, and is currently impacting countries, communities and workforces around the world. The effects of the COVID-19 pandemic on the Company and the duration of any such effects, including any impact on the Company’s medical loss ratios (which could increase or decrease), are not known and are not quantifiable at this time. To date, other than the transition of our employees to a work at home environment, the Company has not experienced any significant interruptions to normal business activities and has not experienced any disruptions in its services. In addition, the Company does not expect the valuation of its investments to be materially affected. No effect from the subsequent events associated with the COVID-19 pandemic has been recorded within the accompanying financial statements.

The extent to which the COVID-19 pandemic impacts our business, results of operations and financial condition are dependent on future developments for which there is significant uncertainty at this time and cannot be predicted, such as the scope, duration and severity of the pandemic, the extent and effectiveness of containment actions, any actions that may be taken by various governmental authorities in response to the outbreak, the possible impact on the global economy and local economies in which we operate and the resumption of normal economic conditions. The long-term financial and economic impacts of the COVID-19 pandemic may continue for a significant period of time and cannot be reliably quantified or estimated at this time due to the uncertainty of future developments.

Risks Associated with the Intended Sale of the MCC Business to Molina.

On April 30, 2020, the Company and Molina entered into the Purchase Agreement pursuant to which the Company has agreed to sell the MCC business to Molina for $850.0 million in cash, subject to certain adjustments, and Molina has agreed to assume liabilities of the MCC business. The Company has also agreed to provide certain transition services to Molina following the closing.

There are numerous risks associated with the MCC Sale, including but not limited to the ability of the Company to obtain regulatory approvals for the MCC Sale and to satisfy other closing conditions; the anticipated timing of the closing of the MCC Sale; the benefits to the Company of the commercial agreements entered into in connection with the MCC Sale; the ability of the Company to use the proceeds of the MCC Sale to fund future growth initiatives or otherwise create value for the Company, the ability of the Company to strategically focus on enhancing its behavioral and specialty health business, as well as the continued growth of its pharmacy business; the ability of the Company to achieve our strategic and growth goals; any disruption that may result from the announcement or pendency of the MCC Sale, including potential adverse reactions by customers, employees, suppliers, regulators, or federal or state legislators, making it more difficult to maintain business and operational relationships; any disruption to our operations that may result from the diversion of management’s attention from our day-today operations and efforts to grow our other businesses due to the significant resources that the separation of the MCC business from the rest of the Company’s business will require; unexpected costs are incurred in connection with the completion and/or divestiture of the MCC business; and the possibility that we will be required to perform under the indemnification obligations that we provided to Molina under the Purchase Agreement in a manner that has a material adverse effect on our business, results of operations and financial condition. Any of the foregoing risks could have an adverse effect on our business, financial condition, cash flows, or results of operations.26, 2021.

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

The Company’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. Pursuant to the terms of the Merger Agreement, the Company suspended its stock repurchase programs on January 4, 2021, the date we announced our planned merger with Centene.

On October 26, 2015, the

The Company’s board of directors approved, and subsequently amended, a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 26, 2017. On July 26, 2017, the Company’s board of directors approved an extension of the 2015 Repurchase Program through October 22, 2018. On May 24, 2018, the Company’s board of directors approved an increase of $200 million to the current $200 million stock repurchase plan which will now authorizeauthorizes the Company to purchase up to $400 million of its outstanding common stock. The board also extended the program from October 22, 2018 to October 22, 2020.stock through November 15, 2021. The Company made no repurchases during the six months ended June 30, 2020.2021. As of June 30, 2020,2021, the Company had approximately $186.3 million remaining available for future repurchases under the current plan. The Company made no share repurchases from July 1, 20202021 through July 24, 2020.23, 2021.

Item 3. Defaults Upon Senior Securities.

None.

Item 4. Mine Safety Disclosures.

None.

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Item 5. Other Information.

None.

Item 6. Exhibits.

See Exhibit Index.

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C

Exhibit Index

Exhibit  Number

Description of Exhibit

31.1

Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-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, 20202021 formatted in Inline Extensible Business Reporting Language (iXBRL): (i) the cover page, (ii) the Consolidated Statements of Comprehensive Income, (iii) the Consolidated Balance Sheets, (iv) the Consolidated Statements of Changes in Stockholders’ Equity, (v) the Consolidated Statements of Cash Flows and (vi) related notes.

104

Cover Page Interactive Data File – The cover page interactive data file does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.

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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, 2020August 5, 2021

Magellan Health, Inc.
(Registrant)

By:

/s/ DJonathan N. Rubinavid P. Bourdon

Jonathan N. RubinDavid P. Bourdon

Chief Financial Officer

(Principal Financial Officer and Duly Authorized Officer)

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