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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
/x/ | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the Quarterly Period Ended December 31, 2000
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 SERVICES, INC.
(Exact name of registrant as specified in its charter)
Delaware (State of other jurisdiction of incorporation or organization) | | 58-1076937 (IRS Employer Identification No.) |
6950 Columbia Gateway Drive Suite 400 Columbia, Maryland (Address of principal executive offices) | | 21046 (Zip code) |
(410) 953-1000
(Registrant's telephone number, including area code)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 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 /x/ No / /
The number of shares of the registrant's common stock outstanding as of January 31, 2001 was 34,936,991.
FORM 10-Q
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
INDEX
| | Page No.
|
---|
PART I—Financial Information: | | |
| Item 1: Financial Statements | | |
| Condensed Consolidated Balance Sheets—September 30, 2000 and December 31, 2000 | | 2 |
| Condensed Consolidated Statements of Operations—For the Three Months ended December 31, 1999 and 2000 | | 3 |
| Condensed Consolidated Statements of Cash Flows—For the Three Months ended December 31, 1999 and 2000 | | 4 |
| Notes to Condensed Consolidated Financial Statements | | 5 |
| Item 2: Management's Discussion and Analysis of Financial Condition and Results of Operations | | 18 |
PART II—Other Information: | | |
| Item 1: Legal Proceedings | | 25 |
| Item 6: Exhibits and Reports on Form 8-K | | 25 |
| Signatures | | 26 |
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited)
(In thousands, except per share amounts)
| | September 30, 2000
| | December 31, 2000
| |
---|
ASSETS | |
Current assets: | | | | | | | |
| Cash and cash equivalents | | $ | 41,628 | | $ | 27,994 | |
| Accounts receivable, net | | | 137,224 | | | 158,572 | |
| Restricted cash and investments | | | 117,723 | | | 101,378 | |
| Refundable income taxes | | | 4,416 | | | 3,012 | |
| Other current assets | | | 18,662 | | | 16,650 | |
| |
| |
| |
| | | Total current assets | | | 319,653 | | | 307,606 | |
Property and equipment, net of accumulated depreciation of $95,101 at September 30, 2000 and $99,684 at December 31, 2000 | | | 112,612 | | | 106,288 | |
Deferred income taxes | | | 121,782 | | | 95,826 | |
Investments in unconsolidated subsidiaries | | | 12,746 | | | 9,431 | |
Other long-term assets | | | 10,235 | | | 12,241 | |
Goodwill, net | | | 1,074,753 | | | 1,056,416 | |
Other intangible assets, net | | | 152,006 | | | 147,980 | |
| |
| |
| |
| | $ | 1,803,787 | | $ | 1,735,788 | |
| |
| |
| |
LIABILITIES AND STOCKHOLDERS' EQUITY | |
Current liabilities: | | | | | | | |
| Accounts payable | | $ | 40,687 | | $ | 36,312 | |
| Accrued liabilities | | | 175,698 | | | 150,909 | |
| Medical claims payable | | | 219,375 | | | 220,562 | |
| Current maturities of long-term debt and capital lease obligations | | | 34,119 | | | 34,771 | |
| |
| |
| |
| | | Total current liabilities | | | 469,879 | | | 442,554 | |
| |
| |
| |
Long-term debt and capital lease obligations | | | 1,063,928 | | | 1,017,703 | |
| |
| |
| |
Deferred credits and other long-term liabilities | | | 83,226 | | | 81,729 | |
| |
| |
| |
Minority interest | | | 456 | | | 430 | |
| |
| |
| |
Commitments and contingencies | | | | | | | |
Redeemable preferred stock | | | 57,834 | | | 59,066 | |
| |
| |
| |
Stockholders' equity: | | | | | | | |
| Preferred stock, without par value | | | | | | | |
| | Authorized—9,793 shares at September 30, 2000 and December 31, 2000 Issued and outstanding—none | | | — | | | — | |
| Common stock, par value $0.25 per share | | | | | | | |
| | Authorized—80,000 shares Issued and outstanding—34,936 shares at September 30, 2000 and December 31, 2000 | | | 8,733 | | | 8,733 | |
| Other stockholders' equity | | | | | | | |
| | Additional paid-in capital | | | 349,541 | | | 348,309 | |
| | Accumulated deficit | | | (210,358 | ) | | (203,216 | ) |
| | Warrants outstanding | | | 25,050 | | | 25,050 | |
| | Common stock in treasury, 2,289 shares at September 30, 2000 and December 31, 2000 | | | (44,309 | ) | | (44,309 | ) |
| | Cumulative foreign currency adjustments included in other comprehensive income | | | (193 | ) | | (261 | ) |
| |
| |
| |
| | | Total stockholders' equity | | | 128,464 | | | 134,306 | |
| |
| |
| |
| | $ | 1,803,787 | | $ | 1,735,788 | |
| |
| |
| |
The accompanying notes to Unaudited Condensed Consolidated Financial Statements
are an integral part of these statements.
2
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(In thousands, except per share amounts)
| | For the Three Months Ended December 31,
| |
---|
| | 1999
| | 2000
| |
---|
Net revenue | | $ | 385,705 | | $ | 445,926 | |
| |
| |
| |
Cost and expenses: | | | | | | | |
| Salaries, cost of care and other operating expenses | | | 337,698 | | | 374,812 | |
| Equity in earnings of unconsolidated subsidiaries | | | (3,474 | ) | | (231 | ) |
| Depreciation and amortization | | | 16,680 | | | 17,303 | |
| Interest, net | | | 23,991 | | | 23,582 | |
| Special charges | | | — | | | 3,340 | |
| |
| |
| |
| | | 374,895 | | | 418,806 | |
| |
| |
| |
Income from continuing operations before income taxes and minority interest | | | 10,810 | | | 27,120 | |
Provision for income taxes | | | 5,780 | | | 13,260 | |
| |
| |
| |
Income from continuing operations before minority interest | | | 5,030 | | | 13,860 | |
Minority interest | | | (142 | ) | | 1 | |
| |
| |
| |
Income from continuing operations | | | 4,888 | | | 13,861 | |
Discontinued operations: | | | | | | | |
| Income (loss) from discontinued operations net of income tax (benefit) provision of $(915) in 1999 and $3,149 in 2000 | | | (2,222 | ) | | 5,021 | |
| Loss on disposal of discontinued operations, including income tax provision of $9,545 | | | — | | | (11,740 | ) |
| |
| |
| |
| | | (2,222 | ) | | (6,719 | ) |
| |
| |
| |
Net income | | | 2,666 | | | 7,142 | |
Preferred dividend requirement and amortization of redeemable preferred stock issuance costs | | | 216 | | | 1,232 | |
| |
| |
| |
Income available to common stockholders | | | 2,450 | | | 5,910 | |
Other comprehensive loss | | | (32 | ) | | (158 | ) |
| |
| |
| |
Comprehensive income | | $ | 2,418 | | $ | 5,752 | |
| |
| |
| |
Weighted average number of common shares outstanding—basic | | | 31,980 | | | 32,648 | |
| |
| |
| |
Weighted average number of common shares outstanding—diluted | | | 33,324 | | | 39,778 | |
| |
| |
| |
Income (loss) per common share available to common stockholders—basic: | | | | | | | |
| Income from continuing operations | | $ | 0.15 | | $ | 0.39 | |
| |
| |
| |
| Loss from discontinued operations | | $ | (0.07 | ) | $ | (0.21 | ) |
| |
| |
| |
Net income | | $ | 0.08 | | $ | 0.18 | |
| |
| |
| |
Income (loss) per common share available to common stockholders—diluted: | | | | | | | |
| Income from continuing operations | | $ | 0.15 | | $ | 0.35 | |
| |
| |
| |
| Loss from discontinued operations | | $ | (0.07 | ) | $ | (0.17 | ) |
| |
| |
| |
Net income | | $ | 0.08 | | $ | 0.18 | |
| |
| |
| |
The accompanying notes to Unaudited Condensed Consolidated Financial Statements
are an integral part of these statements.
3
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In thousands)
| | For the Three Months Ended December 31,
| |
---|
| | 1999
| | 2000
| |
---|
Cash flows from operating activities: | | | | | | | |
| Net income | | $ | 2,666 | | $ | 7,142 | |
| Adjustments to reconcile net income to net cash provided by operating activities: | | | | | | | |
| | Loss on sale of assets | | | — | | | 3,340 | |
| | Depreciation and amortization | | | 19,364 | | | 19,286 | |
| | Other non-cash portion of discontinued operations | | | — | | | 2,195 | |
| | Equity in earnings of unconsolidated subsidiaries | | | (3,474 | ) | | (231 | ) |
| | Non-cash interest expense | | | 1,116 | | | 1,301 | |
| Cash flows from changes in assets and liabilities, net of effects from sales and acquisitions of businesses: | | | | | | | |
| | Accounts receivable, net | | | 2,867 | | | (25,525 | ) |
| | Restricted cash and investments | | | 4,357 | | | 16,345 | |
| | Other assets | | | (1,374 | ) | | 35 | |
| | Accounts payable and other accrued liabilities | | | (7,884 | ) | | (24,785 | ) |
| | Medical claims payable | | | 3,157 | | | (170 | ) |
| | Income taxes payable and deferred income taxes | | | 3,813 | | | 27,360 | |
| | Other liabilities | | | (434 | ) | | (1,498 | ) |
| | Other | | | 437 | | | (71 | ) |
| |
| |
| |
| | | Total adjustments | | | 21,945 | | | 17,582 | |
| |
| |
| |
| | Net cash provided by operating activities | | | 24,611 | | | 24,724 | |
| |
| |
| |
Cash flows from investing activities: | | | | | | | |
| Capital expenditures | | | (6,482 | ) | | (3,169 | ) |
| Acquisitions and investments in businesses, net of cash acquired and return of escrowed funds | | | (4,149 | ) | | — | |
| Distributions received from unconsolidated subsidiaries | | | 3,140 | | | 3,475 | |
| Decrease in assets restricted for settlement of unpaid claims | | | 314 | | | — | |
| Proceeds from sale of assets, net of transaction costs | | | (1,576 | ) | | 6,908 | |
| |
| |
| |
| | Net cash (used in) provided by investing activities | | | (8,753 | ) | | 7,214 | |
| |
| |
| |
Cash flows from financing activities: | | | | | | | |
| Payments on debt and capital lease obligations | | | (56,814 | ) | | (45,572 | ) |
| Proceeds from issuance of redeemable preferred stock, net of issuance costs | | | 56,793 | | | — | |
| |
| |
| |
| | Net cash used in financing activities | | | (21 | ) | | (45,572 | ) |
| |
| |
| |
Net (decrease) increase in cash and cash equivalents | | | 15,837 | | | (13,634 | ) |
Cash and cash equivalents at beginning of period | | | 37,440 | | | 41,628 | |
| |
| |
| |
Cash and cash equivalents at end of period | | $ | 53,277 | | $ | 27,994 | |
| |
| |
| |
The accompanying notes to Unaudited Condensed Consolidated Financial Statements
are an integral part of these statements.
4
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
December 31, 2000
(Unaudited)
NOTE A—Basis of Presentation
The accompanying unaudited condensed consolidated financial statements of Magellan Health Services, Inc. and Subsidiaries ("Magellan" or the "Company") have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the instructions to Form 10-Q. Accordingly, they 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 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. Actual results could differ from those estimates.
The Company operates in the behavioral managed healthcare business. This segment is described in further detail in Note J—"Business Segment Information."
On September 2, 1999, the Company's Board of Directors approved a formal plan to dispose of the businesses and interests that comprised the Company's healthcare provider and healthcare franchising business segments (the "Disposal Plan"). On October 4, 2000, the Company adopted a formal plan to dispose of the business and interest that comprised the Company's specialty managed healthcare business segment. On January 18, 2001, the Company's Board of Directors approved and the Company entered into a definitive agreement for the sale of National Mentor, Inc. ("Mentor"), which represents the business and interest that comprise the Company's human services business segment. Accordingly, the results of operations of the healthcare provider, healthcare franchising, specialty managed healthcare and human services segments have been reported in the unaudited condensed consolidated financial statements of which these notes are a component as discontinued operations for all periods presented. In reporting the human services segment as discontinued operations, the Company has followed the provisions of Emerging Issues Task Force No. 95-18 ("EITF 95-18"), "Accounting and Reporting for a Discontinued Business Segment When the Measurement Date Occurs after the Balance Sheet Date but before the Issuance of Financial Statements."
All references to fiscal years contained herein refer to periods of twelve consecutive months ending on September 30. Certain reclassifications have been made to fiscal 2000 amounts to conform to fiscal 2001 presentation.
These financial statements should be read in conjunction with the Company's audited consolidated financial statements for the fiscal year ended September 30, 2000 and the notes thereto, which are included in the Company's Annual Report on Form 10-K.
5
NOTE B—Supplemental Cash Flow Information
Below is supplemental cash flow information related to the three months ended December 31, 1999 and 2000 (in thousands):
| | Three Months Ended December 31,
| |
---|
| | 1999
| | 2000
| |
---|
Income taxes paid (refunds received) | | $ | 951 | | $ | (1,405 | ) |
| |
| |
| |
Interest paid | | $ | 10,600 | | $ | 12,872 | |
| |
| |
| |
NOTE C—Long-Term Debt and Leases
Information with regard to the Company's long-term debt and capital lease obligations at September 30, 2000 and December 31, 2000 is as follows (in thousands):
| | September 30, 2000
| | December 31, 2000
|
---|
Credit Agreement: | | | | | | |
| Revolving Facility due through 2004 | | $ | 30,000 | | $ | — |
| Term Loan Facility (10.313% to 10.813% at December 31, 2000) due through 2006 | | | 436,612 | | | 421,039 |
9.0% Senior Subordinated Notes due 2008 | | | 625,000 | | | 625,000 |
11.5% notes payable through 2005 | | | 35 | | | 35 |
Capital lease obligations due through 2014 (4.85% at December 31, 2000) | | | 6,400 | | | 6,400 |
| |
| |
|
| | | 1,098,047 | | | 1,052,474 |
Less amounts due within one year | | | 34,119 | | | 34,771 |
| |
| |
|
| | $ | 1,063,928 | | $ | 1,017,703 |
| |
| |
|
NOTE D—Accrued Liabilities
Accrued liabilities consist of the following (in thousands):
| | September 30, 2000
| | December 31, 2000
|
---|
Salaries, wages and other benefits | | $ | 21,411 | | $ | 24,650 |
TRICARE Adjustments | | | 22,603 | | | 4,682 |
Other | | | 131,684 | | | 121,577 |
| |
| |
|
| | $ | 175,698 | | $ | 150,909 |
| |
| |
|
6
NOTE E—Income per Common Share
The following tables reconcile income (numerator) and shares (denominator) used in the Company's computations of income from continuing operations per common share (in thousands):
| | Three Months Ended December 31,
|
---|
| | 1999
| | 2000
|
---|
Numerator: | | | | | | |
Income from continuing operations | | $ | 4,888 | | $ | 13,861 |
| Less preferred dividend requirement and amortization of redeemable preferred stock issuance costs | | | 216 | | | 1,232 |
| |
| |
|
Income from continuing operations—basic | | | 4,672 | | | 12,629 |
| Add: presumed conversion of redeemable preferred stock | | | 216 | | | 1,232 |
| |
| |
|
Income from continuing operations—diluted | | $ | 4,888 | | $ | 13,861 |
| |
| |
|
Denominator: | | | | | | |
Average number of common shares outstanding—basic | | | 31,980 | | | 32,648 |
| Common stock equivalents—stock options | | | 177 | | | 275 |
| Common stock equivalents—warrants | | | 3 | | | — |
| Common stock equivalents—redeemable preferred stock | | | 1,164 | | | 6,855 |
| |
| |
|
Average number of common shares outstanding—diluted | | | 33,324 | | | 39,778 |
| |
| |
|
Income from continuing operations per common share: | | | | | | |
Basic (basic numerator/basic denominator) | | $ | 0.15 | | $ | 0.39 |
| |
| |
|
Diluted (diluted numerator/diluted denominator) | | $ | 0.15 | | $ | 0.35 |
| |
| |
|
Conversion of the redeemable preferred stock (see Note K "Redeemable Preferred Stock") was presumed outstanding for the seventeen days during the period ended December 31, 1999, and for the entire three months ended December 31, 2000. Certain stock option and warrants which were outstanding during the three months ended December 31, 1999 and 2000, were not included in the computation of diluted earnings per share because of their anti-dilutive effect.
NOTE F—Investments in Unconsolidated Subsidiaries
Choice Behavioral Health Partnership. The Company is a 50% partner with Value Options, Inc. in Choice Behavioral Health Partnership ("Choice"), a general partnership. Choice is a managed behavioral healthcare company which derives all of its revenues from a contract with the Civilian Health and Medical Program of the Uniformed Services ("CHAMPUS"), and with TRICARE, the successor to CHAMPUS. The Company accounts for its investment in Choice using the equity method.
7
A summary of financial information for the Company's investment in Choice is as follows
(in thousands):
| | September 30, 2000
| | December 31, 2000
|
---|
Current assets | | $ | 19,144 | | $ | 25,163 |
Property and equipment, net | | | 132 | | | 206 |
| |
| |
|
| Total assets | | $ | 19,276 | | $ | 25,369 |
| |
| |
|
Current liabilities | | $ | 16,212 | | $ | 20,013 |
Partners' capital | | | 3,064 | | | 5,356 |
| |
| |
|
| Total liabilities and partners' capital | | $ | 19,276 | | $ | 25,369 |
| |
| |
|
Company investment in Choice | | $ | 1,532 | | $ | 2,678 |
| |
| |
|
| | Three Months Ended December 31,
|
---|
| | 1999
| | 2000
|
---|
Net revenue | | $ | 14,047 | | $ | 15,029 |
Operating expenses | | | 7,422 | | | 6,537 |
| |
| |
|
Net income | | $ | 6,625 | | $ | 8,492 |
| |
| |
|
Company equity income | | $ | 3,313 | | $ | 4,246 |
| |
| |
|
Cash distribution from Choice | | $ | 3,140 | | $ | 3,100 |
| |
| |
|
Premier Behavioral Systems, LLC. The Company owns a 50% interest in Premier Behavioral Systems, LLC ("Premier"). Premier was formed to manage behavioral healthcare benefits for the State of Tennessee's TennCare program. The Company accounts for its investment in Premier using the equity method. The Company's investment in Premier at September 30, 2000 and December 31, 2000 was $8.1 million and $3.4 million, respectively. The Company's equity in losses of Premier for the three months ended December 31, 1999 and 2000 was $0.1 million and $4.7 million.
NOTE G—Discontinued Operations
Healthcare Provider and Franchising Segments
During fiscal 1997, the Company sold substantially all of its domestic acute-care psychiatric hospitals and residential treatment facilities (collectively, the "Psychiatric Hospital Facilities") to Crescent Real Estate Equities ("Crescent") for $417.2 million in cash and certain other consideration (the "Crescent Transactions"). Simultaneously with the sale of the Psychiatric Hospital Facilities, the Company and Crescent Operating, Inc. ("COI"), an affiliate of Crescent, formed Charter Behavioral Health Systems, LLC ("CBHS") to conduct the operations of the Psychiatric Hospital Facilities and certain other facilities transferred to CBHS by the Company. The Company retained a 50% ownership of CBHS; the other 50% ownership interest of CBHS was owned by COI.
On September 10, 1999, the Company consummated the transfer of assets and other interests pursuant to a Letter Agreement dated August 10, 1999 with Crescent, COI and CBHS that effects the Company's exit from its healthcare provider and healthcare franchising businesses (the "CBHS Transactions"). The terms of the CBHS Transactions are summarized as follows:
Healthcare Provider Interests
- •
- The Company redeemed 80% of its CBHS common interest and all of its CBHS preferred interest, leaving it with a 10% non-voting common interest in CBHS.
8
- •
- The Company agreed to transfer to CBHS its interests in five of its six hospital-based joint ventures ("Provider JVs") and related real estate as soon as practicable.
- •
- The Company transferred to CBHS the right to receive approximately $7.1 million from Crescent for the sale of two psychiatric hospitals that were acquired by the Company (and leased to CBHS) in connection with CBHS' acquisition of certain businesses from Ramsay Healthcare, Inc. in fiscal 1998.
- •
- The Company forgave receivables due from CBHS of approximately $3.3 million for payments received by CBHS for patient services prior to the formation of CBHS on June 17, 1997. The receivables related primarily to patient stays that "straddled" the formation date of CBHS.
- •
- The Company became obligated to pay $2.0 million to CBHS in 12 equal monthly installments beginning on the first anniversary of the closing date.
- •
- CBHS became obligated to indemnify the Company for 20% of up to the first $50 million (i.e., $10 million) for expenses, liabilities and settlements, if any, related to government investigations for events that occurred prior to June 17, 1997 (the "CBHS Indemnification"). CBHS would be required to pay the Company a maximum of $500,000 per year under the CBHS Indemnification.
- •
- Crescent, COI, CBHS and Magellan have provided each other with mutual releases of claims among all of the parties with respect to the original transactions that effected the formation of CBHS and the operation of CBHS since June 17, 1997 with certain specified exceptions.
- •
- The Company transferred certain other real estate and interests related to the healthcare provider business to CBHS.
Healthcare Franchising Interests
- •
- The Company transferred its healthcare franchising interests to CBHS, which included Charter Advantage, LLC, the Charter call center operation, the Charter name and related intellectual property. The Company was released from performing any further franchise services or incurring future franchising expenses.
- •
- The Company forgave prepaid call center management fees of approximately $2.7 million.
- •
- The Company forgave unpaid franchise fees of approximately $115 million.
The CBHS Transactions, together with the formal plan of disposal authorized by the Company's Board of Directors on September 2, 1999, represented the disposal of the Company's healthcare provider and healthcare franchising business segments.
The Company's original plan of disposal contemplated that the disposition of all provider joint venture interests would take place within twelve months of the measurement date. The Company, with the cooperation of its joint venture partners and CBHS, has closed two of the five hospital-based joint ventures, sold the assets and operations of one of the joint ventures subsequent to December 31, 2000 and is currently negotiating to sell its interest in the remaining two joint ventures. The proceeds from these sales will be transferred to CBHS subject to all rights of offset the Company has for certain amounts due from CBHS and certain other matters related to CBHS's bankruptcy proceedings (see discussion below). The Company is attempting to resolve with CBHS the amounts due to and from CBHS, which resolution, if any, will be subject to approvals required by CBHS's bankruptcy proceedings. Accordingly, these sales and transfers are not entirely within the control of the Company. The Company anticipates resolving these matters in fiscal 2001.
On February 16, 2000, CBHS filed a voluntary petition for relief of indebtedness under Chapter 11 of the United States Bankruptcy Code. The Company has no material receivables from CBHS apart
9
from any amount which may be owed in the future for indemnification claims under the previously described provisions of the CBHS Transactions. In connection with the bankruptcy proceedings, CBHS has indicated it believes it has claims against the Company regarding certain previous transactions. The Company believes such claims are without merit and intends to vigorously defend such claims. The Company does not believe that CBHS' bankruptcy will have a material impact on its financial position.
Specialty Managed Healthcare Segment
On December 5, 1997, the Company purchased the assets of Allied Health Group, Inc. and certain affiliates ("Allied"). Allied provided specialty managed care services, including risk-based products and administrative services to a variety of insurance companies and other customers. Allied's products included, among other things, claims authorization, analysis, adjudication and payment, comprising multiple clinical specialties. The Company paid approximately $54.5 million for Allied, with cash on hand. On February 29, 2000, the Company consummated the purchase of the outstanding stock of Vivra, Inc. ("Vivra"), which also provided specialty managed care services. The initial purchase price of Vivra was $10.25 million, excluding transaction costs. Allied and Vivra, as well as certain other related assets comprised the Company's specialty managed healthcare segment. The Company accounted for the Allied and Vivra acquisitions using the purchase method of accounting.
On October 4, 2000, the Company adopted a formal plan to dispose of the business and interest that comprise the company's specialty managed healthcare segment. The Company is exiting the specialty managed healthcare business via sale and/or abandonment of businesses and related assets, certain of which activities had already occurred in the normal course prior to October 4, 2000. The Company does not expect to receive significant proceeds from the sale of these assets. Further, the Company is actively exiting all significant contracts entered into by Allied and Vivra. This effort is expected to be completed by September 30, 2001.
Human Services Segment
On January 18, 2001, the Company's Board of Directors approved and the Company entered into a definitive agreement (the "Mentor Agreement") for the sale of Mentor. Under the terms of the Mentor Agreement, the Company will receive up to $121 million (of which up to $15 million will be in the form of interest-bearing promissory notes) less certain assumed liabilities. The Company anticipates the net cash proceeds at the time of closing will approximate $92 million. The use of proceeds from the sale are restricted by the Company's Credit Agreement which requires that half of the net cash proceeds be applied to reduction of term loans. Closing of the transactions contemplated by the Mentor Agreement is anticipated to occur within 90 days of its execution and is subject to regulatory approvals, buyer financing commitments and other customary closing conditions. While management believes that the Company will consummate the transaction, there can be no assurances in that regard.
Accounting for Discontinued Operations
The Company has accounted for the disposal of the discontinued segments under Accounting Principles Board Opinion No. 30, "Reporting the Results of Operations—Reporting the Effects of Disposal of a Segment of a Business, and Extraordinary, Unusual and Infrequently Occurring Events and Transactions" ("APB 30"). APB 30 requires that the results of continuing operations be reported separately from those of discontinued operations for all periods presented and that any gain or loss from disposal of a segment of a business be reported in conjunction with the related results of discontinued operations. Accordingly, the Company has restated its results of operations for all prior periods. Further, although the Company entered into the Mentor Agreement on January 18, 2001 (the measurement date), EITF 95-18 provides that the estimated loss from disposal and segment operating results for the human services segment should be presented as discontinued operations in the yet to be issued financial statements, if those statements are filed subsequent to the measurement date. The
10
Company recorded an after-tax loss on disposal of its human services segment of approximately $11.7 million.
The summarized results of discontinued operations segments are as follows (in thousands):
| | Three Months Ended December 31, 1999
| | Three Months Ended December 31, 2000
| |
---|
Healthcare Provider Segment | | | | | | | |
| Net revenue(1) | | $ | — | | $ | 3,119 | |
| |
| |
| |
| Salaries, cost of care and other operating expenses(1) | | | — | | | 2,936 | |
| Depreciation and amortization | | | — | | | — | |
| Other expenses(2)(3) | | | — | | | 73 | |
| |
| |
| |
| Net income | | $ | — | | $ | 110 | |
| |
| |
| |
Speciality Managed Healthcare Segment | | | | | | | |
| Net revenue | | $ | 44,856 | | $ | 10,263 | |
| |
| |
| |
| Salaries, cost of care and other operating expenses(4) | | | 50,547 | | | 5,401 | |
| Depreciation and amortization | | | 1,096 | | | — | |
| Other expenses (income)(2)(3) | | | (2,375 | ) | | 1,702 | |
| |
| |
| |
| Net income (loss)(5) | | $ | (4,412 | ) | $ | 3,160 | |
| |
| |
| |
Human Services Segment | | | | | | | |
| Net revenue | | $ | 51,264 | | $ | 53,470 | |
| |
| |
| |
| Salaries, cost of care and other operating expenses | | | 46,026 | | | 48,362 | |
| Depreciation and amortization | | | 1,588 | | | 1,983 | |
| Other expenses(2)(3)(6) | | | 1,460 | | | 13,114 | |
| |
| |
| |
| Net income (loss) | | $ | 2,190 | | $ | (9,989 | ) |
| |
| |
| |
Discontinued Operations—Combined | | | | | | | |
| Net revenue | | $ | 96,120 | | $ | 66,852 | |
| |
| |
| |
| Salaries, cost of care and other operating expenses | | | 96,573 | | | 56,699 | |
| Depreciation and amortization | | | 2,684 | | | 1,983 | |
| Other expenses (income) | | | (915 | ) | | 14,889 | |
| |
| |
| |
| Net loss | | $ | (2,222 | ) | $ | (6,719 | ) |
| |
| |
| |
- (1)
- Fiscal 2001 amounts reflect settlements of certain outstanding Medicare and Medicaid cost reports, cost of collection and settlement of other liabilities.
- (2)
- Interest expense has not been allocated to discontinued operations.
- (3)
- Includes provision (benefit) for income taxes and minority interest.
- (4)
- Fiscal 2001 amounts include a $4.9 million favorable change in estimate regarding settlement of an obligation.
- (5)
- Fiscal 2001 amount excludes loss of $1.8 million from the operations of the specialty managed healthcare segments that were provided for during the fourth quarter of fiscal 2000. See "Remaining Assets and Liabilities—Specialty Managed Healthcare Segment" elsewhere herein.
- (6)
- Fiscal 2001 amounts include an estimated loss on disposal of approximately $11.7 million. See "Loss on Disposal of Human Services Segment" elsewhere herein.
11
Loss on Disposal of Human Services Segment
The summary of the estimated loss on disposal recorded during fiscal 2001 related to the disposal of the Company's human services segment is as follows (in thousands):
Estimated net proceeds from sale(1) | | $ | 108,870 | |
Less: | | | | |
| Estimated net book value of assets | | | 115,590 | |
| Estimated operating income from the measurement date to the disposal date | | | 4,525 | |
| |
| |
| Estimated loss before taxes | | | (2,195 | ) |
Income tax provision(2) | | | (9,545 | ) |
| |
| |
Total estimated loss(3) | | $ | (11,740 | ) |
| |
| |
- (1)
- Net of certain assumed liabilities
- (2)
- Amount includes provision for income taxes related to $26.1 million of goodwill which has no tax basis.
- (3)
- The estimated loss may change based upon purchase price settlements at the time of closing.
Remaining Assets and Liabilities
Healthcare Provider and Healthcare Franchising—Segments. The remaining assets and liabilities of the healthcare provider business at December 31, 2000 include, among other things, (i) hospital-based real estate of $5.4 million, (ii) long-term debt of $6.4 million related to the hospital-based real estate, (iii) reserve for discontinued operations of $5.4 million and (iv) accrued liabilities of $12.9 million. The Company is also subject to inquiries and investigations from governmental agencies related to its operating and business practices prior to consummation of the Crescent Transactions (as defined) on June 17, 1997. See Note H—"Commitments and Contingencies."
The following table provides a roll-forward of liabilities resulting from the CBHS Transactions
(in thousands):
Type of Cost
| | Balance September 30, 2000
| | Additions
| | Payments
| | Balance December 31, 2000
|
---|
Transaction costs and legal fees | | $ | 1,749 | | $ | — | | $ | (412 | ) | $ | 1,337 |
Provider JV working capital | | | 3,116 | | | — | | | — | | | 3,116 |
Other | | | 905 | | | — | | | | | | 905 |
| |
| |
| |
| |
|
| | $ | 5,770 | | $ | — | | $ | (412 | ) | $ | 5,358 |
| |
| |
| |
| |
|
Specialty Managed Healthcare Segment.
The remaining assets and liabilities of the specialty managed healthcare segment at December 31, 2000 include, among other things, (i) cash and accounts receivable of $9.9 million, (ii) property and equipment of $1.8 million, (iii) medical claims payable of $6.3 million, (iv) reserve for discontinued operations of $6.8 million and (v) accounts payable and accrued liabilities of $13.6 million.
12
The following table provides a roll-forward of reserves related to the discontinuance of the specialty managed healthcare segment:
Type of Cost
| | Balance September 30, 2000
| | Additions
| | Payments
| | Balance December 31, 2000
|
---|
Accrued losses | | $ | 3,531 | | $ | — | | $ | (1,399 | ) | $ | 2,132 |
Lease exit costs | | | 5,051 | | | (397 | ) | | 4,654 | | | |
| |
| |
| |
| |
|
| | $ | 8,582 | | $ | — | | $ | (1,796 | ) | $ | 6,786 |
| |
| |
| |
| |
|
NOTE H—Commitments and Contingencies
Until July 2, 1999 the Company was self-insured for a portion of its general and professional liability risks. The reserves for self-insured general and professional liability losses, including loss adjustment expenses, were included in reserve for unpaid claims in the Company's balance sheet and were based on actuarial estimates that were discounted at an average rate of 6% to their present value based on the Company's historical claims experience adjusted for current industry trends. These reserves related primarily to the professional liability risks of the Company's healthcare provider segment prior to the Crescent Transactions. On July 2, 1999, the Company transferred its remaining medical malpractice claims portfolio (the "Loss Portfolio Transfer") to a third-party insurer for approximately $22.3 million. The Loss Portfolio Transfer was funded from assets restricted for settlement of unpaid claims. The insurance limit obtained through the Loss Portfolio Transfer for future medical malpractice claims is $26.3 million, and the Company believes that all claims will be settled within this limit.
The healthcare industry is subject to numerous laws and regulations. The subjects of such laws and regulations include, but are not limited to, matters such as licensure, accreditation, government healthcare program participation requirements, reimbursement for patient services, and Medicare and Medicaid fraud and abuse. Recently, 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 providers. 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. The Office of the Inspector General of the Department of Health and Human Services and the United States Department of Justice ("Department of Justice") and certain other governmental agencies are currently conducting inquiries and/or investigations regarding the compliance by the Company and certain of its subsidiaries with such laws and regulations. Certain of the inquiries relate to the operations and business practices of the Psychiatric Hospital Facilities prior to the consummation of the Crescent Transactions in June 1997. The Department of Justice has indicated that its inquiries are based on its belief that the federal government has certain civil and administrative causes of action under the Civil False Claims Act, the Civil Monetary Penalties Law, other federal statutes and the common law arising from the participation in federal health benefit programs of CBHS psychiatric facilities nationwide. The Department of Justice inquiries relate to the following matters: (i) Medicare cost reports; (ii) Medicaid cost statements; (iii) supplemental applications to CHAMPUS/TRICARE based on Medicare cost reports; (iv) medical necessity of services to patients and admissions; (v) failure to provide medically necessary treatment or admissions; and (vi) submission of claims to government payors for inpatient and outpatient psychiatric services. No amounts related to such proposed causes of action have yet been specified. The Company cannot reasonably estimate the settlement amount, if any, associated with the Department of Justice inquiries. Accordingly, no reserve has been recorded related to this matter.
13
Five affiliated outpatient clinic providers ("the Providers") that are participating providers in the TennCare program asserted claims against Premier, in which the Company has a 50% interest, and Green Spring Health Services, Inc., a wholly-owned subsidiary of the Company ("Green Spring"), alleging among other things that Premier and Green Spring failed to pay the providers in accordance with their contracts. Two of the five arbitrations have resulted in a $6.4 million award to the Providers. Premier and Green Spring believe that the arbitration decisions are erroneous and are pursuing vigorously their rights of appeal to overturn the awards. The other three arbitrations are at various stages of proceedings. The claims in the remaining arbitrations that are based on the same theory upon which the prior awards were based total approximately $9.5 million in the aggregate. Management intends to vigorously defend these claims. The Company believes that adequate reserves have been recorded with respect to any potential losses in these matters.
On or about August 4, 2000, the Company was served with a lawsuit filed by Wachovia Bank, N.A. ("Wachovia") in the Court of Common Pleas of Richland County, South Carolina seeking recovery under the indemnification provisions of an Engagement Letter between South Carolina National Bank (now Wachovia) and the Company and the ESOP Trust Agreement between South Carolina National Bank (now Wachovia) and the Company for losses sustained in a settlement entered into by Wachovia with the United States Department of Labor in connection with the ESOP's purchase of stock of the Company while Wachovia served as ESOP Trustee. Wachovia also alleges fraud, negligent misrepresentation and other claims and asserts its losses exceed $30 million. On February 1, 2001, the court entered an order dismissing all of the claims asserted by Wachovia with the exception of the contractual indemnification claim. While the claim is in its initial stage and an outcome cannot be determined, the Company believes the claim of Wachovia is without merit and is defending it vigorously.
On October 26, 2000, two class action complaints (the "Class Actions") were filed against Magellan Health Services, Inc. and Magellan Behavioral Health, Inc. (the "Defendants") in the United States District Court for the Eastern District of Missouri under the Racketeer Influenced and Corrupt Organizations Act ("RICO") and the Employment Retirement Income Security Act of 1974 ("ERISA"). The class representatives purport to bring the actions on behalf of a nationwide class of individuals whose behavioral health benefits have been provided, underwritten and/or arranged by the Defendants since 1996. The complaints allege violations of RICO and ERISA arising out of the Defendants' alleged misrepresentations with respect to and failure to disclose its claims practices, the extent of the benefits coverage and other matters that cause the value of benefits to be less than the amount of premium paid. The complaints seek unspecified compensatory damages, treble damages under RICO, and an injunction barring the alleged improper claims practices, plus interest, costs and attorneys' fees. While the claims are in the initial stages and an outcome cannot be determined, the Company believes that the claims are without merit and intends to defend them vigorously.
The Company is also subject to or party to other litigation, claims, and civil suits, relating to its operations and business practices. Certain of the Company's managed care litigation matters involve class action lawsuits, which allege (i) the Company inappropriately denied and/or failed to authorize benefits for mental health treatment under insurance policies with a customer of the Company and (ii) a provider at a Company facility violated privacy rights of certain patients. The Company is also subject to certain contingencies in connection with the CBHS bankruptcy as discussed in Note G. In the opinion of management, the Company has recorded reserves that are adequate to cover litigation, claims or assessments that have been or may be asserted against the Company, and for which the outcome is probable and reasonably estimable, arising out of such other litigation, claims and civil suits. Furthermore, management believes that the resolution of such litigation, claims and civil suits will not have a material adverse effect on the Company's financial position or results of operations; however, there can be no assurance in this regard.
14
The Company provides mental health and substance abuse services, as a subcontractor, to beneficiaries of TRICARE (formerly CHAMPUS). The fixed monthly amounts that the Company receives for medical costs under TRICARE contracts are subject to retroactive adjustment ("TRICARE Adjustments") based upon actual healthcare utilization during the period known as the "data collection period". The Company recorded reserves of approximately $22.6 million and $4.7 million as of September 30, 2000 and December 31, 2000, respectively, for TRICARE Adjustments. During the first quarter of fiscal 2000, the Company reached a settlement agreement with a contractor under one of its TRICARE contracts whereby the Company agreed to pay approximately $38.1 million to the contractor. During the first quarter of 2001, the Company and the contractor under one of its TRICARE contracts agreed to a settlement of their joint appeal of the Department of Defense's retroactive adjustment and other contractual issues resulting in the Company receiving a retroactive payment of approximately $21.3 million in January 2001. The Company recorded a benefit of $22.5 million, including $2.1 million of interest income and reversal of certain previously recorded estimates related to this settlement during the three months ended December 31, 2000. While management believes that the present reserve for TRICARE Adjustments is reasonable, ultimate settlement resulting from the adjustment and available appeal process may vary from the amount provided.
NOTE I—Special Charges
In December 2000, the Company sold its Canadian operations to Family Guidance Group, Inc. for approximately $9.7 million net of transaction costs of $0.3 million. The sale of the Canadian operations results in a non-recurring loss of approximately $3.3 million before provision for income taxes. The Company received net proceeds of approximately $8.1 million and will receive an additional $1.3 million in two installments payable in December 2001 and 2002. Proceeds received from the sale will be used to reduce debt.
During the fourth quarter of fiscal 2000 the Company incurred special charges of $9.6 million, net of the $1.9 million non-recurring gain on the sale of the corporate aircraft, related to the closure of certain provider offices and restructuring of the corporate function and certain behavioral managed healthcare office sites. The following table provides a roll-forward of liabilities resulting from these special charges:
Type of Cost
| | Balance September 30, 2000
| | Payments
| | Balance December 31, 2000
|
---|
Employee severance and termination benefits | | $ | 5,866 | | $ | (2,496 | ) | $ | 3,370 |
Lease termination costs | | | 4,710 | | | (200 | ) | | 4,510 |
Other | | | 868 | | | (274 | ) | | 594 |
| |
| |
| |
|
| | $ | 11,444 | | $ | (2,970 | ) | $ | 8,474 |
| |
| |
| |
|
NOTE J—Business Segment Information
The Company operates in the behavioral managed healthcare business. The Company provides behavioral managed care services to health plans, insurance companies, corporations, labor unions and various governmental agencies for individuals with mental retardation. In conjunction with the discontinuance of its other segments, the Company is evaluating its remaining business segment to determine if additional segment disclosure is warranted. The Company anticipates completion of the evaluation during fiscal 2001.
15
The Company evaluates performance of its segments based on profit or loss from continuing operations before depreciation, amortization, interest, net, special charges, net, income taxes and minority interest ("Segment profit").
| | Behavioral Managed Healthcare
| | Corporate Overhead and other
| | Consolidated
|
---|
Three Months ended December 31, 1999 | | | | | | | | | |
Net revenue | | $ | 385,705 | | $ | — | | $ | 385,705 |
| |
| |
| |
|
Segment profit | | $ | 54,921 | | $ | (3,440 | ) | $ | 51,481 |
| |
| |
| |
|
Three Months ended December 31, 2000 | | | | | | | | | |
Net revenue | | $ | 445,926 | | $ | — | | $ | 445,926 |
| |
| |
| |
|
Segment profit | | $ | 74,631 | | $ | (3,286 | ) | $ | 71,345 |
| |
| |
| |
|
The following tables reconcile Segment profit to consolidated income from continuing operations before provision for income taxes and minority interest (in thousands):
| | Three Months Ended December 31,
| |
---|
| | 1999
| | 2000
| |
---|
Segment profit | | $ | 51,481 | | $ | 71,345 | |
Depreciation and amortization | | | (16,680 | ) | | (17,303 | ) |
Interest, net | | | (23,991 | ) | | (23,582 | ) |
Special charges | | | — | | | (3,340 | ) |
| |
| |
| |
Income from continuing operations before income taxes and minority interest | | $ | 10,810 | | $ | 27,120 | |
| |
| |
| |
NOTE K—Redeemable Preferred Stock
TPG Investment. On December 5, 1999, the Company entered into a definitive agreement to issue approximately $59.1 million of cumulative convertible preferred stock to TPG Magellan, LLC, an affiliate of the investment firm Texas Pacific Group ("TPG") (the "TPG Investment").
Pursuant to the agreement, TPG purchased approximately $59.1 million of the Company's Series A Cumulative Convertible Preferred Stock (the "Series A Preferred Stock") and an Option (the "Option") to purchase an additional approximately $21.0 million of Series A Preferred Stock. Net proceeds from issuance of the Series A Preferred Stock were $54.0 million. Approximately 50% of the net proceeds received from the issuance of the Series A Preferred Stock was used to reduce debt outstanding under the Term Loan Facility with the remaining 50% of the proceeds being used for general corporate purposes. The Series A Preferred Stock carries a dividend of 6.5% per annum, payable in quarterly installments in cash or common stock, subject to certain conditions. Dividends not paid in cash or common stock will accumulate. The Series A Preferred Stock is convertible at any time into the Company's common stock at a conversion price of $9.375 per share (which would result in approximately 6.3 million shares of common stock if all of the currently issued Series A Preferred Stock were to convert) and carries "as converted" voting rights. The Company may, under certain circumstances, require the holders of the Series A Preferred Stock to convert such stock into common stock. The Series A Preferred Stock, plus accrued and unpaid dividends thereon, must be redeemed by the Company on December 15, 2009. The Option may be exercised in whole or in part at any time on or prior to June 15, 2002. The Company may, under certain circumstances, require TPG to exercise the
16
Option. The terms of the shares of Series A Preferred Stock issuable pursuant to the Options are identical to the terms of the shares of Series A Preferred Stock issued to TPG at the closing of the TPG Investment.
TPG has three representatives on the Company's twelve-member Board of Directors.
The TPG Investment is reflected under the caption "redeemable preferred stock" in the Company's condensed consolidated balance sheet as follows (in thousands):
| | December 31, 2000
| |
---|
Redeemable convertible preferred stock: | | | | |
Series A—stated value $1, 87 shares authorized, 59 shares issued and outstanding | | $ | 59,063 | |
Series B—stated value $1, 60 shares authorized, none issued and outstanding | | | — | |
Series C—stated value $1, 60 shares authorized, none issued and outstanding | | | — | |
| |
| |
| | | 59,063 | |
Less: Fair value of Series A Option at issuance | | | (3,366 | ) |
| |
| |
Total redeemable convertible preferred stock | | | 55,697 | |
Accretion and accumulated unpaid dividends on Series A Preferred Stock | | | 4,508 | |
Fair value of Series A Option at issuance | | | 3,366 | |
Issuance costs, net of amortization of $526 | | | (4,505 | ) |
| |
| |
| | $ | 59,066 | |
| |
| |
17
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
CONDITION AND RESULTS OF OPERATIONS
Overview
Prior to June 1997, the Company derived the majority of its revenue from providing behavioral healthcare services in an inpatient setting. During the first quarter of fiscal 1996, the Company acquired a 61% ownership interest in Green Spring Health Services, Inc. At that time, the Company intended to become a fully integrated behavioral healthcare provider by combining the behavorial managed healthcare products offered by Green Spring with the direct treatment services offered by the Company's psychiatric hospitals. During the second quarter of fiscal 1998, the minority stockholders of Green Spring converted their 39% ownership interest in Green Spring into an aggregate of 2,831,516 shares of Magellan common stock.
Subsequent to the Company's acquisition of Green Spring, the growth of the behavioral managed healthcare industry accelerated. The Company concluded that the behavioral managed healthcare industry offered growth and earnings prospects superior to those of the psychiatric hospital industry. Therefore, the Company decided to sell its domestic psychiatric facilities to obtain capital for expansion of its behavioral managed healthcare business.
On June 17, 1997, the Company consummated the Crescent Transactions (as defined), which provided the Company with approximately $200 million of net cash proceeds, after debt repayment, for use in implementing its business strategy to increase its participation in the managed healthcare industry. The Company used the net cash proceeds of approximately $200 million, after debt repayment, to finance the acquisitions of HAI and Allied in December 1997. The Company further implemented its business strategy through the acquisition of Merit in February 1998.
On September 10, 1999, the Company consummated the CBHS Transactions. The CBHS Transactions, together with the formal plan of disposal authorized by the Company's Board of Directors on September 2, 1999, represented the disposal of the Company's healthcare provider and healthcare franchising business segments.
On October 4, 2000, the Company adopted a formal plan to dispose of the business and interest included in the Company's specialty managed healthcare segment. On January 18, 2001, the Company's Board of Directors approved and the Company entered into a definitive agreement for the sale of National Mentor, Inc. ("Mentor"), the Company's human services segment.
APB 30 requires that the results of continuing operations be reported separately from those of discontinued operations for all periods presented and that any gain or loss from disposal of a segment of a business be reported in conjunction with the related results of discontinued operations. Accordingly, the Company has restated its results of operations for all prior periods related to the healthcare provider, healthcare franchising, specialty managed healthcare and human services business segments.
The Company currently operates one business segment which is engaged in the behavioral managed healthcare business. The Company's behavioral managed healthcare segment coordinates and manages the delivery of behavioral healthcare treatment services through its network of providers, which includes psychiatrists, psychologists and other medical professionals. The treatment services provided through these provider networks include outpatient programs (such as counseling or therapy), intermediate care programs (such as intensive outpatient programs and partial hospitalization services), inpatient treatment and alternative care services (such as residential treatment and home or community-based programs). The Company provides these services primarily through: (i) risk-based products, where the Company assumes all or a portion of the responsibility for the cost of providing treatment services in exchange for a fixed per member per month fee, (ii) Administrative Services Only ("ASO") products, where the Company provides services such as utilization review, claims
18
administration or provider network management, (iii) Employee Assistance Programs ("EAP") and (iv) products which combine features of some or all of the Company's risk-based, ASO, or EAP products.
At December 31, 2000, the Company's behavioral managed healthcare segment managed the behavioral healthcare benefits of approximately 68.3 million individuals. In conjunction with the discontinuance of its other business segments, the Company is evaluating the remaining business segment to determine if additional segment disclosure is warranted. The Company anticipates completion of the evaluation during fiscal 2001.
This Form 10-Q and other statements issued or made from time to time by Magellan Health Services, Inc. or its representatives contain statements which may constitute "forward-looking statements" under the Private Securities Litigation Reform Act of 1995. Those statements include statements regarding the intent, belief or current expectations of Magellan and members of its management team, as well as the assumptions on which such statements are based. Words or phrases such as "should result," "are expected to," "anticipate," "estimate", "project" or similar expressions are intended to identify forward-looking statements. Prospective investors are cautioned that any such forward-looking statements are not guaranteed of future performance and involve risks and uncertainties and that actual results may differ materially from those comtemplated 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 are set forth under the heading "Cautionary Statements" in Item 1 of Magellan's Annual Report on Form 10-K for the fiscal year ended September 30, 2000, which information is hereby incorporated by reference in this Form 10-Q. 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.
Results of Operations
The following tables summarize, for the periods indicated, operating results by continuing business segment (in thousands).
| | Behavioral Managed Healthcare
| | Corporate Overhead and other
| | Consolidated
| |
---|
Three Months Ended December 31, 1999 | | | | | | | | | | |
Net revenue | | $ | 385,705 | | $ | — | | $ | 385,705 | |
| |
| |
| |
| |
Salaries, cost of care and other operating expenses | | | 334,258 | | | 3,440 | | | 337,698 | |
Equity in earnings of unconsolidated subsidiaries | | | (3,474 | ) | | — | | | (3,474 | ) |
| |
| |
| |
| |
| | | 330,784 | | | 3,440 | | | 334,224 | |
| |
| |
| |
| |
| Segment profit(1) | | $ | 54,921 | | $ | (3,440 | ) | $ | 51,481 | |
| |
| |
| |
| |
Three Months Ended December 31, 2000 | | | | | | | | | | |
Net revenue | | $ | 445,926 | | $ | — | | $ | 445,926 | |
| |
| |
| |
| |
Salaries, cost of care and other operating expenses | | | 371,526 | | | 3,286 | | | 374,812 | |
Equity in earnings of unconsolidated subsidiaries | | | (231 | ) | | — | | | (231 | ) |
| |
| |
| |
| |
| | | 371,295 | | | 3,286 | | | 374,581 | |
| |
| |
| |
| |
| Segment profit(1) | | $ | 74,631 | | $ | (3,286 | ) | $ | 71,345 | |
| |
| |
| |
| |
- (1)
- The Company evaluates performance of its segments based on profit or loss from continuing operations before depreciation, amortization, net interest, special charges, income taxes and
19
minority interest. See Note J—"Business Segment Information" to the Company's unaudited condensed consolidated financial statements set forth elsewhere herein.
Quarter ended December 31, 2000, compared to the same period of fiscal 2000
Behavioral Managed Healthcare. Revenue increased 15.6% or $60.2 million, to $445.9 million for the quarter ended December 31, 2000. Salaries, cost of care and other operating expenses increased 11.0% or $37.1 million, to $374.8 million for the quarter ended December 31, 2000. Revenue in the 2001 period benefited from a $20.4 million retroactive pricing adjustment related to a customer contract. The remaining increases are primarily a result of increased membership growth and new contracts. Equity in earnings of unconsolidated subsidiaries decreased approximately $3.2 million, or 93.3% to $0.2 million for the quarter ended December 31, 2000. This decrease was a result of decreased earnings of Premier Behavioral Systems of Tennessee, LLC ("Premier"), in which the Company maintains a 50% interest. The decrease in Premier's profitability was a result of increased accruals for potential loss from certain legal actions, which impacted the Company by $5.5 million in the 2001 period. See Note H—"Commitments and Contingencies" elsewhere herein. Total covered lives increased 4.4%, or 3.0 million, to 68.3 million at December 31, 2000. The increase in total covered lives excludes 2.2 million lives which were transferred in conjunction with the sale of the Company's Canadian and provider businesses.
Depreciation and Amortization. Depreciation and amortization increased 3.7%, or $0.6 million, to $17.3 million for quarter ended December 31, 2000, from $16.7 million in the same period in fiscal 2000. The increase is primarily attributable to depreciation of capital expenditures and earn-out payments made to Aetna during fiscal 2000.
Interest, net. Interest expense, net was $23.6 million and $24.0 million for the quarters ended December 31, 2000 and 1999, respectively. The 2001 period benefited from $2.1 million of interest income received in conjunction with a retroactive pricing adjustment related to a customer contract. The remaining increase as compared to the fiscal 2000 period is a result of higher borrowing rates in the 2001 period.
Other Items. The Company recorded a special charge of approximately $3.3 million during the quarter ended December 31, 2000. This charge relates to the loss on the sale of the Company's Canadian subsidiary. See Note I—"Special Charges" elsewhere herein.
The Company's effective income tax rate decreased to 48.9% for the quarter ended December 31, 2000, from 53.5% for the same period in fiscal 2000. The decrease is primarily attributable to the Company's increased level of earnings in the fiscal 2001 period relative to the amount of non-deductible goodwill amortization expense associated with the certain acquisitions.
Discontinued Operations. The following table summarizes income (loss) from discontinued operations, net of tax for the three months ended December 31:
| | 1999
| | 2000
|
---|
Healthcare provider segment | | $ | — | | $ | 110 |
Specialty managed healthcare segment | | | (4,412 | ) | | 3,160 |
Human services segment | | | 2,190 | | | 1,751 |
| |
| |
|
| | $ | (2,222 | ) | $ | 5,021 |
| |
| |
|
Income from the healthcare provider segment for the fiscal 2001 period is a result of positive settlement of outstanding Medicare and Medicaid cost reports offset by the cost of collections and settlement of other liabilities.
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The income from the specialty managed healthcare segment for the 2001 period represents a settlement of an obligation for less than the amount previously estimated. During the 2000 period, the segment's profitability was adversely affected by increased cost of care in certain customer contracts. The Company is currently continuing its planned exit from the specialty managed healthcare segment and anticipates completion of this effort no later than September 30, 2001.
Income from the human services segment decreased 20%, or $0.4 million, to $1.8 million for the 2001 period from $2.2 million in the 2000 period. This decrease is a result of reduced profitability and exit costs incurred related to certain contracts and operations and increased spending on conversion of computer systems.
The Company recorded an estimated loss on disposal of discontinued operations of approximately $11.7 million during the 2001 period. This loss is the estimated loss on the sale of the human services segment and is comprised of an estimated loss of $2.2 million and tax provision of $9.5 million. The tax provision results from a lower tax basis, primarily due to approximately $26.1 million of goodwill, which has no tax basis.
Historical Liquidity and Capital Resources
Operating Activities The Company's net cash provided by operating activities was $24.7 million and $24.6 million for the three months ended December 31, 2000 and 1999, respectively. During the fiscal 2001 period, operating cash flows were negatively impacted by approximately $16.5 million of cash outflows associated with discontinued operations, severance and other exit costs accrued for during the fourth quarter of fiscal 2000. During the fiscal 2000 period, non-recurring cash inflows of approximately $24.0 million related to cost report settlements and non-recurring cash payments totaling $38.1 million related to TRICARE Adjustments were incurred.
Investing Activities Capital expenditures decreased 51.1%, or $3.3 million, to $3.2 million for the current year period, compared to $6.5 million in the prior year period. The decrease was primarily a result of increased capital requirements in the fiscal 2000 period related to integration and system enhancement activities and deferral of capital projects in the fiscal 2001 period.
During the fiscal 2000 period, the Company acquired business in its human services segment and paid contingent purchase consideration related to previously acquired businesses.
Financing Activities The Company repaid $45.6 million of indebtedness outstanding under the Revolving Facility (as defined herein) and the Term Loan Facility (as defined herein) during the three months ended December 31, 2000. As of December 31, 2000, the Company had $116.7 million of availability under the Revolving Facility, excluding $33.3 million of availability reserved for certain letters of credit.
The Company completed the sale of 59,063 shares of Series A Redeemable Preferred Stock to TPG during the quarter ended December 31, 1999, for a total price of approximately $54.0 million, net of issuance costs. Approximately 50% of the net proceeds were used to reduce debt outstanding under the Term Loan Facility with the remaining 50% being used for general corporate purposes. See Note K—"Redeemable Preferred Stock" to the Company's unaudited condensed consolidated financial statements set forth elsewhere herein.
Outlook—Liquidity and Capital Resources
Debt Service Obligations. The interest payments on the Company's $625.0 million 9% Series A Senior Subordinated Notes due 2008 (the "Notes") and interest and principal payments on indebtedness outstanding pursuant to the Company's $700.0 million senior secured bank credit agreement (the "Credit Agreement") represent significant liquidity requirements for the Company. Borrowings under the Credit Agreement bear interest at floating rates and require interest payments
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on varying dates depending on the interest rate option selected by the Company. Borrowings pursuant to the Credit Agreement include $421.0 million, as of December 31, 2000, under a term loan facility (the "Term Loan Facility") and up to $150.0 million under a revolving facility (the "Revolving Facility"). The Company is required to repay the principal amount of borrowings outstanding under the Term Loan Facility and the principal amount of the Notes in the years and amounts set forth in the following table (in millions):
Fiscal Year
| | Remaining Principal Amount
|
---|
2001 | | $ | 26.1 |
2002 | | | 42.5 |
2003 | | | 79.2 |
2004 | | | 134.7 |
2005 | | | 113.4 |
2006 and beyond | | $ | 650.1 |
In addition, any amounts outstanding under the Revolving Facility mature in February 2004. The Company had no outstanding borrowings and $33.3 in letters of credit under the Revolving Facility as of December 31, 2000.
Potential Purchase Price Adjustments. In December 1997, the Company purchased HAI from Aetna for approximately $122.1 million, excluding transaction costs. In addition, the Company incurred the obligation to make contingent payments to Aetna which may total up to $60.0 million annually over the five-year period subsequent to closing. The Company may be obligated to make contingent payments under two separate calculations, which are primarily based upon membership levels during the contract year (as defined) and are calculated at the end of the contractual year. "Contract Year" means each of the twelve-month periods ending on the last day of December in 1998, 1999, 2000, 2001, and 2002.
The Company paid $60.0 million to Aetna for the Contract Years ended December 31, 1998 and 1999. The full $60.0 million payment related to Contract Year 3 was paid subsequent to December 31, 2000 and, therefore the liability of $60.0 million is included in "Deferred credits and other long-term liabilities" in the Company's consolidated balance sheet as of December 31, 2000.
By virtue of acquiring Merit, the Company may be required to make certain payments to the former shareholders of CMG Health, Inc. ("CMG"), a managed behavioral healthcare company that was acquired by Merit, in September 1997. Such contingent payments are subject to an aggregate maximum of $23.5 million. The Company has initiated legal proceedings against certain former owners of CMG with respect to representations made by such former owners in conjunction with Merit's acquisition of CMG. Whether any contingent payments will be made to the former shareholders of CMG and the amount and timing of contingent payments, if any, may be subject to the outcome of these proceedings.
Revolving Facility and Liquidity. The Revolving Facility provides the Company with revolving loans and letters of credit in an aggregate principal amount at any time not to exceed $150.0 million. At December 31, 2000, the Company had approximately $116.7 million of availability under the Revolving Facility. The Company estimates that it will spend approximately $30.8 million for capital expenditures in the remainder of fiscal 2001. The majority of the Company's anticipated capital expenditures relate to management information systems and related equipment. The Company believes that the cash flows generated from its operations, together with amounts available for borrowing under the Revolving Facility, will be sufficient to fund its debt service requirements, anticipated capital expenditures, contingent payments, if any, with respect to HAI and CMG, and other investing and financing activities over the next year. The Company expects to have significant liquidity needs during the second fiscal
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quarter of fiscal 2001 including, but not limited to, semi-annual interest payments on the Notes of $28.1 million and contingent consideration payable to Aetna of $60.0 million. The Company expects its borrowing capacity under the Revolving Facility may decline to approximately $65.0 million to $75.0 million by March 31, 2001 subject to, among other things: (i) the timing and amount of contingent consideration paid related to HAI and CMG (if any), (ii) operating and cash flow performance of the Company in fiscal 2001 and (iii) capital resources needed to pursue certain new risk-based managed care business. The Company's future operating performance and cash flow and its ability to service or refinance the Notes or to extend or refinance the indebtedness outstanding pursuant to the Credit Agreement will be subject to future economic conditions and to financial, business, legal, regulatory and other factors, many of which are beyond the Company's control. The Company's liquidity may also be impacted by certain contingencies. See Note H—"Commitments and Contingencies" to the Company's unaudited condensed consolidated financial statements set forth elsewhere herein.
Restrictive Financing Covenants. The Credit Agreement imposes restrictions on the Company's ability to make capital expenditures, and both the Credit Agreement and the Indenture limit the Company's ability to incur additional indebtedness. Such restrictions, together with the highly leveraged financial condition of the Company, may limit the Company's ability to respond to market opportunities. The covenants contained in the Credit Agreement also, among other things, restrict the ability of the Company to: dispose of assets; repay other indebtedness; amend other debt instruments (including the Indenture); pay dividends; create liens on assets; enter into sale and leaseback transactions; make investments, loans or advances; redeem or repurchase common stock; and make acquisitions.
Strategic Alternatives to Reduce Long-Term Debt and Improve Liquidity. The Company continually evaluates strategic alternatives to reduce debt and improve liquidity, including issuance of equity or debt and disposition of non-core assets.
On December 15, 1999, the Company received approximately $54.0 million of net proceeds (after transaction costs) upon issuance of Series A Preferred Stock to TPG. Approximately 50% of the net proceeds received from the issuance of the Series A Preferred Stock was used to reduce debt outstanding under the Term Loan Facility with the remaining 50% of the proceeds being used for general corporate purposes. In addition, there can be no assurance that the Company will be able to consummate any other transaction that will improve its capital structure and/or liquidity.
On January 18, 2001, the Company's Board of Directors approved and the Company entered into a definitive agreement (the "Mentor Agreement") for the sale of Mentor. Under the terms of the Mentor Agreement, the Company will receive up to $121 million in consideration (of which up to $15 million will be in the form of interest-bearing promissory notes) less certain assumed liabilities. The Company anticipates the net cash proceeds at the time of closing will approximate $92 million. The use of proceeds from the sale are restricted by the Company's Credit Agreement which requires that half of the net cash proceeds be applied to reduction of term loans. Closing of the transactions comtemplated by the Mentor Agreement is anticipated to occur within 90 days of its execution and is subject to regulatory approvals, buyer financing commitments and other customary closing conditions. While management believes that the sale will be consummated, there can be no assurance in that regard. In addition there can be no assurances that the Company will be able to divest any other businesses or that the divestiture of such businesses would result in significant reductions of long-term debt or improvements in liquidity.
Net Operating Loss Carryforwards. During fiscal 2000, the Company reached an agreement (the "IRS Agreement") with the Internal Revenue Service ("IRS") related to its federal income tax returns for the fiscal years ended September 30, 1992 and 1993. The IRS had originally proposed to disallow approximately $162 million of deductions related primarily to interest expense in fiscal 1992. Under the
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IRS Agreement, the Company will pay approximately $1 million in taxes and interest to the IRS to resolve the assessment relating to taxes due for these open years, although no concession was made by either party as to the Company's ability to utilize these deductions through net operating loss carryforwards. As a result of the IRS Agreement the Company recorded a reduction in deferred tax reserves of approximately $9.1 million as a change in estimate during the fourth quarter of fiscal 2000. While any IRS assessment related to these deductions is not expected to result in a material cash payment for income taxes related to prior years, the Company's federal income tax net operating loss carryforwards could be reduced if the IRS later successfully challenges these deductions.
In June 1998, Statement Financial Accounting Standards No. 133 "Accounting for Derivative Instruments and Hedging Activities," (FAS No. 133) was issued. FAS No. 133 establishes accounting and reporting standards for derivative instruments and derivative instruments embedded in other contracts (collectively referred to as derivatives) and for hedging activities. It requires that an entity recognize all derivatives as either assets or liabilities in the statement of financial position and measure those instruments at fair value. If certain conditions are met, a derivative may be specifically designated as (a) a hedge of the exposure to changes in the fair value of a recognized asset or liability or an unrecognized firm commitment, (b) a hedge of the exposure to variability in cash flows attributable to a particular risk, or (c) a hedge of the foreign currency exposure of a net investment on a foreign operation, an unrecognized firm commitment, an available for sale security and a forecasted transaction. FAS No. 137, "Accounting for Derivative Instruments and Hedging Activities—Deferral of the Effective Date of FASB Statement No. 133" was issued in June 1999 and deferred the effective date of FAS No. 133 to fiscal years beginning after June 15, 2000. FAS No. 138, "Accounting for Certain Derivative Instruments and Certain Hedging Activities", was issued in June 2000 and also amends FAS No. 133. FAS No. 138 addresses a limited number of issues causing implementation difficulties. Consequently, the Company will be required to implement FAS No. 133 for all fiscal quarters for the fiscal year beginning October 1, 2000. The adoption of this pronouncement did not have a material effect on the Company's financial statements.
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PART II—OTHER INFORMATION
Item 1—Legal Proceedings
Five affiliated outpatient clinic providers ("the Providers") that are participating providers in the TennCare program asserted claims against Premier, in which the Company has a 50% interest, and Green Spring Health Services, Inc., a wholly-owned subsidiary of the Company ("Green Spring") alleging among other things that Premier and Green Spring failed to pay the providers in accordance with their contracts. Subsequent to December 31, 2000, one of the arbitrations resulted in an award of $2.6 million to the Providers, which together with a previous award under one of the other arbitrations amounts to aggregate awards of $6.4 million to the Providers. Premier and Green Spring believe that the arbitration decisions are erroneous and are pursuing vigorously their rights of appeal to overturn the awards. The other three arbitrations are at various stages of proceedings. The claims in the remaining arbitrations that are based on the same theory upon which the prior awards were based total approximately $9.5 million in the aggregate. Management intends to vigorously defend these claims. The Company believes that adequate reserves have been recorded with respect to any potential losses in these matters.
On or about August 4, 2000, the Company was served with a lawsuit filed by Wachovia Bank, N.A. ("Wachovia") in the Court of Common Pleas of Richland County, South Carolina seeking recovery under the indemnification provisions of an Engagement Letter between South Carolina National Bank (now Wachovia) and the Company and the ESOP Trust Agreement between South Carolina National Bank (now Wachovia) and the Company for losses sustained in a settlement entered into by Wachovia with the United States Department of Labor in connection with the ESOP's purchase of stock of the Company while Wachovia served as ESOP Trustee. Wachovia also alleges fraud, negligent misrepresentation and other claims and asserts its losses exceed $30 million. On February 1, 2001, the court entered an order dismissing all of the claims asserted by Wachovia with the exception of the contractual indemnification claim. While the claim is in its initial stage and an outcome cannot be determined, the Company believes the claims of Wachovia are without merit and is defending them vigorously.
Item 6.—Exhibits and Reports on Form 8-K
Exhibit No.
| | Description of Exhibit
|
---|
10(a) | | Share Purchase Agreement, dated December 4, 2000 among Green Spring Health Services of Canada Co., Green Spring Canadian Holding, Inc., Green Spring Health Services, Inc. and Family Guidance Group, Inc. |
10(b) | | Stock Purchase Agreement, dated as of January 15, 2001, by and among National Mentor, Inc., Magellan Public Network, Inc., Magellan Health Services, Inc. and National Mentor Holdings, Inc. |
27 | | Financial Data Schedule. |
None.
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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.
| MAGELLAN HEALTH SERVICES, INC. (Registrant) |
Date: February 7, 2001 | /s/ MARK S. DEMILIO Mark S. Demilio Executive Vice President, Finance and Legal |
Date: February 7, 2001 | /s/ THOMAS C. HOFMEISTER Thomas C. Hofmeister Senior Vice President and Chief Accounting Officer |
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FORM 10-Q MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES INDEXMAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited) (In thousands, except per share amounts)MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited) (In thousands, except per share amounts)MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) (In thousands)MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS December 31, 2000 (Unaudited)MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONSPART II—OTHER INFORMATIONSIGNATURES