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FORM 10-Q MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES INDEX



UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


FORM 10-Q

(Mark One)

(Mark One)

ý

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

For the Quarterly Period Ended September 30, 2004

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

For the Quarterly Period Ended March 31, 2005

Or

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

For the transition period from                       to                       


Or


o

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

For the transition period from                             to                              

Commission File No. 1-6639


MAGELLAN HEALTH SERVICES, INC.

(Exact name of registrant as specified in its charter)

Delaware

Delaware58-1076937

(State of other jurisdiction of incorporation
or organization)

58-1076937

(IRS Employer Identification No.)


16 Munson Road
Farmington, Connecticut

06032

(Address of principal executive offices)




06032

(Zip code)

(860) 507-1900

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


Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 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 ýx  No o¨

Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). Yes ox  No ýo

APPLICABLE ONLY TO ISSUERS INVOLVED IN BANKRUPTCY
PROCEEDINGS DURING THE PRECEDING FIVE YEARS:

Indicate by check mark whether the registrant has filed all documents and reports required to be filed by Sections 12, 13 or 15(d) of the Securities Exchange Act of 1934 subsequent to the distribution of securities under a plan confirmed by a court. Yes ýx  No o

The number of shares of the registrant'sregistrant’s Ordinary Common Stock and Multi-Vote Common Stock outstanding as of September 30, 2004March 31, 2005 was 26,883,01627,006,056 and 8,487,7508,505,600 respectively.








FORM 10-Q

MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

INDEX



Page No.

PART I—Financial Information:


Item 1:



Financial Statements

3




Condensed Consolidated Balance Sheets—December 31, 20032004 and September 30, 2004March 31,
2005

3




Condensed Consolidated Statements of Operations—Income—For the Three Months Ended March 31, 2004 and Nine Months Ended September 30, 2003 for the Predecessor Company and for the Three Months and Nine Months Ended September 30, 2004 for the Reorganized Company2005

4




Condensed Consolidated Statements of Cash Flows—For the NineThree Months Ended September 30, 2003 for the Predecessor CompanyMarch 31, 2004 and for the Nine Months Ended September 30, 2004 for the Reorganized Company2005

5




Notes to Condensed Consolidated Financial Statements

6


Item 2:



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

20


Item 3:



Quantitative and Qualitative Disclosures About Market Risk

34


Item 4:



Controls and Procedures

34


PART II—Other Information:


Item 1:



Legal Proceedings

35


Item 2:



Unregistered Sales of Equity Securities and Use of Proceeds

35


Item 3:



Defaults Upon Senior Securities

35


Item 4:



Submission of Matters to a Vote of Security Holders

35


Item 5:



Other Information

35


Item 6:



Exhibits

35

Signatures


Signatures

36





PART I—IFINANCIAL INFORMATION

Item 1.        Financial Statements.


MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(In thousands, except per share amounts)

 

December 31,

 

March 31,

 



 December 31,
2003

 September 30,
2004

 

2004

 

2005

 



  
 (Unaudited)

 

 

 

(unaudited)

 

ASSETSASSETS    

 

 

 

 

 

 

 

 

 

Current Assets:Current Assets:    

 

 

 

 

 

 

 

 

 

Cash and cash equivalents $206,948 $313,890
Stock subscriptions receivable 146,871 
Accounts receivable, less allowance for doubtful accounts of $5,178 at December 31, 2003 and $2,690 at September 30, 2004 83,919 92,896
Restricted cash, investments and deposits 161,923 179,044
Other current assets 30,562 11,831
 
 
 Total current assets 630,223 597,661

Cash and cash equivalents

 

 

$

45,390

 

 

 

$

37,053

 

 

Restricted cash

 

 

104,414

 

 

 

116,328

 

 

Accounts receivable, less allowance for doubtful accounts of $2,107 and $2,213 at December 31, 2004 and March 31, 2005, respectively

 

 

58,850

 

 

 

59,870

 

 

Short-term investments (restricted investments of $35,600 and $31,554 at December 31, 2004 and March 31, 2005, respectively)

 

 

294,803

 

 

 

341,090

 

 

Other current assets (restricted deposits of $17,098 and $18,231 at December 31, 2004 and March 31, 2005, respectively)

 

 

37,038

 

 

 

28,473

 

 

Total Current Assets

 

 

540,495

 

 

 

582,814

 

 

Property and equipment, netProperty and equipment, net 122,082 112,099

 

 

120,604

 

 

 

117,759

 

 

Long-term investments (restricted investments of $592 and $3,255 at December 31, 2004 and March 31, 2005, respectively)

 

 

51,287

 

 

 

45,435

 

 

Investments in unconsolidated subsidiariesInvestments in unconsolidated subsidiaries 13,034 15,773

 

 

10,989

 

 

 

12,438

 

 

Deferred income taxes

 

 

14,362

 

 

 

14,774

 

 

Other long-term assetsOther long-term assets 18,334 23,487

 

 

14,078

 

 

 

13,056

 

 

GoodwillGoodwill 450,244 450,244

 

 

392,267

 

 

 

377,163

 

 

Other intangible assets, netOther intangible assets, net 58,100 47,717

 

 

44,256

 

 

 

40,795

 

 

 
 
 $1,292,017 $1,246,981
 
 
LIABILITIES AND STOCKHOLDERS' EQUITY    

Total Assets

 

 

$

1,188,338

 

 

 

$

1,204,234

 

 

LIABILITIES AND STOCKHOLDERS’ EQUITY

 

 

 

 

 

 

 

 

 

Current Liabilities:Current Liabilities:    

 

 

 

 

 

 

 

 

 

Accounts payable $23,355 $16,810
Accrued liabilities 205,868 170,837
Medical claims payable 177,141 200,891
Current maturities of long-term debt and capital lease obligations 24,785 23,543
Debt paid upon consummation of the Plan 92,382 
 
 
 Total current liabilities 523,531 412,081

Accounts payable

 

 

$

13,146

 

 

 

$

11,299

 

 

Accrued liabilities

 

 

99,366

 

 

 

81,663

 

 

Medical claims payable

 

 

194,638

 

 

 

209,937

 

 

Current maturities of long-term debt and capital lease obligations

 

 

75,158

 

 

 

74,170

 

 

Total Current Liabilities

 

 

382,308

 

 

 

377,069

 

 

Long-term debt and capital lease obligationsLong-term debt and capital lease obligations 376,532 360,308

 

 

304,320

 

 

 

297,960

 

 

Deferred credits and other long-term liabilitiesDeferred credits and other long-term liabilities 1,802 1,751

 

 

1,825

 

 

 

1,802

 

 

Minority interestMinority interest 2,241 2,990

 

 

2,832

 

 

 

2,949

 

 

Stockholders' Equity:    
Preferred stock, par value $0.01 per share; Authorized—10,000 shares—Issued and outstanding—none at December 31, 2003 and September 30, 2004  
Ordinary common stock, par value $0.01 per share; Authorized—100,000 shares—26,552 shares issued and outstanding at December 31, 2003 and 26,883 shares issued and outstanding at September 30, 2004 265 269
Multi-Vote common stock, par value $0.01 per share; Authorized—40,000 shares—8,553 shares issued and outstanding at December 31, 2003 and 8,488 shares issued and outstanding at September 30, 2004 86 85
Other Stockholders' Equity:    
Additional paid-in capital 379,067 393,086
Retained earnings  67,918
Warrants outstanding 8,493 8,493
 
 
 Total stockholders' equity 387,911 469,851
 
 
 $1,292,017 $1,246,981
 
 

Total Liabilities

 

 

691,285

 

 

 

679,780

 

 

Commitments and Contingencies

 

 

 

 

 

 

 

 

 

Stockholders’ Equity:

 

 

 

 

 

 

 

 

 

Preferred stock, par value $.01 per share

 

 

 

 

 

 

 

 

 

Authorized—10,000 shares at December 31, 2004 and March 31, 2005—Issued and outstanding—none at December 31, 2004 and March 31, 2005

 

 

 

 

 

 

 

Ordinary common stock, par value $.01 per share

 

 

 

 

 

 

 

 

 

Authorized—100,000 shares at December 31, 2004 and March 31, 2005—Issued and outstanding—26,883 shares and 27,006 shares at December 31, 2004 and March 31, 2005, respectively

 

 

269

 

 

 

270

 

 

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

 

 

 

 

 

 

 

 

 

Authorized—40,000 shares at December 31, 2004 and March 31, 2005—Issued and outstanding—8,488 shares and 8,506 shares at December 31, 2004 and March 31, 2005, respectively

 

 

85

 

 

 

85

 

 

Other Stockholders’ Equity:

 

 

 

 

 

 

 

 

 

Additional paid-in capital

 

 

400,340

 

 

 

405,058

 

 

Retained earnings

 

 

88,372

 

 

 

111,988

 

 

Warrants outstanding

 

 

8,493

 

 

 

8,489

 

 

Accumulated other comprehensive loss

 

 

(506

)

 

 

(1,436

)

 

Total Stockholders’ Equity

 

 

497,053

 

 

 

524,454

 

 

Total Liabilities and Stockholders’ Equity

 

 

$

1,188,338

 

 

 

$

1,204,234

 

 

See accompanying notes.notes to condensed consolidated financial statements.

3






MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
INCOME

(Unaudited)

(In thousands, except per share amounts)

 
 Predecessor Company
 Reorganized Company
 Predecessor Company
 Reorganized Company
 
 
 Three Months Ended
September 30, 2003

 Three Months Ended
September 30, 2004

 Nine Months Ended
September 30, 2003

 Nine Months Ended
September 30, 2004

 
Net revenue $373,707 $457,954 $1,172,951 $1,350,234 
  
 
 
 
 
Cost and expenses:             
 Salaries, cost of care and other operating expenses  331,587  394,374  1,052,002  1,182,181 
 Equity in earnings of unconsolidated subsidiaries  (1,362) (1,863) (3,161) (5,561)
 Depreciation and amortization  11,593  10,712  36,265  31,478 
 Goodwill impairment charges  28,780    28,780   
 Interest expense (Contractual interest of $26,392 and $79,610 for the three months and nine months ended September 30, 2003, respectively)  4,748  9,109  31,474  27,499 
 Interest income  (670) (1,760) (2,173) (3,593)
 Reorganization expense, net (See Note A)  4,540    32,245   
 Stock compensation expense    2,580    15,898 
 Special charges  3,230  1,770  5,322  4,304 
  
 
 
 
 
   382,446  414,922  1,180,754  1,252,206 
  
 
 
 
 
Income (loss) from continuing operations before income taxes and minority interest  (8,739) 43,032  (7,803) 98,028 
Provision for income taxes  20,825  15,712  24,258  28,976 
  
 
 
 
 
Income (loss) from continuing operations before minority interest  (29,564) 27,320  (32,061) 69,052 
Minority interest, net  3  157  170  526 
  
 
 
 
 
Income (loss) from continuing operations  (29,567) 27,163  (32,231) 68,526 
  
 
 
 
 
Discontinued operations:             
 Income (loss) from discontinued operations(1)  (25,233) (579) (25,849) (509)
 Income (loss) on disposal of discontinued operations(2)  4,271  (28) 6,421  (99)
 Reorganization benefit, net(3) (See Note A)  314    3,481   
  
 
 
 
 
   (20,648) (607) (15,947) (608)
  
 
 
 
 
Net income (loss)  (50,215) 26,556  (48,178) 67,918 
  
 
 
 
 
Preferred dividends (Contractual dividends of $1,216 and $3,552 for the three months and nine months ended September 30, 2003, respectively)      884   
Amortization of redeemable preferred stock issuance costs and other      171   
Preferred stock reorganization items, net (See Note A)      2,668   
  
 
 
 
 
Income (loss) available to common stockholders  (50,215) 26,556  (51,901) 67,918 
Other comprehensive income         
  
 
 
 
 
Comprehensive income (loss) $(50,215)$26,556 $(51,901)$67,918 
  
 
 
 
 

 

 

Three Months Ended
March 31,

 

 

 

2004

 

2005

 

Net revenue

 

$

440,176

 

$

452,754

 

Cost and expenses:

 

 

 

 

 

Cost of care

 

294,204

 

304,208

 

Direct service costs and other operating expenses

 

99,724

 

88,721

 

Equity in earnings of unconsolidated subsidiaries

 

(1,844

)

(1,449

)

Depreciation and amortization

 

10,249

 

11,218

 

Interest expense

 

9,334

 

8,639

 

Interest income

 

(781

)

(3,033

)

Stock compensation expense

 

10,777

 

3,750

 

Special charges

 

1,908

 

 

 

 

423,571

 

412,054

 

Income from continuing operations before income taxes and minority interest

 

16,605

 

40,700

 

Provision for income taxes

 

3,568

 

17,064

 

Income from continuing operations before minority interest

 

13,037

 

23,636

 

Minority interest, net

 

129

 

68

 

Income from continuing operations

 

12,908

 

23,568

 

Discontinued operations:

 

 

 

 

 

Income from discontinued operations(1)

 

30

 

48

 

 

 

30

 

48

 

Net income

 

12,938

 

23,616

 

Other comprehensive loss

 

 

(930

)

Comprehensive income

 

$

12,938

 

$

22,686

 

Weighted average number of common shares outstanding—basic (See Note E)

 

35,355

 

35,403

 

Weighted average number of common shares outstanding—diluted (See Note E)

 

35,805

 

36,847

 

Income per common share available to common stockholders—basic:

 

 

 

 

 

Income from continuing operations

 

$

0.37

 

$

0.67

 

Income from discontinued operations

 

$

 

$

 

Net income

 

$

0.37

 

$

0.67

 

Income per common share available to common stockholders—diluted:

 

 

 

 

 

Income from continuing operations

 

$

0.35

 

$

0.64

 

Income from discontinued operations

 

$

 

$

 

Net income

 

$

0.35

 

$

0.64

 



Weighted average number of common shares outstanding—basic (See Note E)  35,319  35,371  35,300  35,365 
  
 
 
 
 
Weighted average number of common shares outstanding—diluted (See Note E)  35,319  36,594  35,300  36,235 
  
 
 
 
 
Income (loss) per common share available to common stockholders—basic:             
   Income (loss) from continuing operations $(0.84)$0.77 $(1.02)$1.94 
  
 
 
 
 
   Income (loss) from discontinued operations $(0.58)$(0.02)$(0.45)$(0.02)
  
 
 
 
 
   Net income (loss) $(1.42)$0.75 $(1.47)$1.92 
  
 
 
 
 
Income (loss) per common share available to common stockholders—diluted:             
   Income (loss) from continuing operations $(0.84)$0.74 $(1.02)$1.89 
  
 
 
 
 
   Income (loss) from discontinued operations $(0.58)$(0.01)$(0.45)$(0.02)
  
 
 
 
 
   Net income (loss) $(1.42)$0.73 $(1.47)$1.87 
  
 
 
 
 

(1)

Net of income tax provision (benefit) of $285$8 and $(235)$71 for the three months ended September 30, 2003March 31, 2004 and 2004, respectively, and $(148) and $(213) for the nine months ended September 30, 2003 and 2004,2005, respectively.

(2)
Net of income tax benefit of $(270) and $(19) for the three months ended September 30, 2003 and 2004, respectively, and $(322) and $(41) for the nine months ended September 30, 2003 and 2004, respectively.

(3)
Net of income tax benefit of $(26) for the three and nine months ended September 30, 2003.

See accompanying notes.notes to condensed consolidated financial statements.

4






MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(In thousands)



 Predecessor Company
 Reorganized Company
 

 

Three Months Ended
March 31,

 



 Nine Months Ended
September 30, 2003

 Nine Months Ended
September 30, 2004

 

 

2004

 

2005

 

Cash flows from operating activities:Cash flows from operating activities:     

 

 

 

 

 

Net income (loss) $(48,178)$67,918 
Adjustments to reconcile net income (loss) to net cash from operating activities:     
 (Gain) loss on sale of assets (4,460) 141 
 Depreciation and amortization 36,265 31,478 
 Goodwill impairment charges 28,780  
 Equity in earnings of unconsolidated subsidiaries (3,161) (5,561)
 Non-cash reorganization expense 12,464  
 Non-cash interest expense 3,668 1,197 
 Non-cash stock compensation expense  13,021 
 Cash flows from changes in assets and liabilities:     
 Accounts receivable, net 14,233 (8,977)
 Restricted cash, investments and deposits 7,503 (17,121)
 Net cash flows related to unconsolidated subsidiaries (16) 2,822 
 Income taxes payable and deferred income taxes 1,503  
 Other assets (12,795) 19,803 
 Accounts payable and accrued liabilities 110,972 (41,576)
 Medical claims payable (7,618) 23,750 
 Other liabilities (1,063) (51)
 Minority interest, net of dividends paid 231 749 
 Other 2,151 718 
 
 
 

Net income

 

$

12,938

 

$

23,616

 

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

 

 

 

 

 

Depreciation and amortization

 

10,249

 

11,218

 

Equity in earnings of unconsolidated subsidiaries

 

(1,844

)

(1,449

)

Non-cash interest expense

 

401

 

347

 

Non-cash stock compensation expense

 

7,900

 

3,750

 

Non-cash income tax expense

 

 

14,712

 

Cash flows from changes in assets and liabilities:

 

 

 

 

 

Restricted cash

 

(6,806

)

(11,914

)

Accounts receivable, net

 

5,197

 

(1,020

)

Other assets

 

27,114

 

2,240

 

Net cash flows related to unconsolidated subsidiaries

 

1,135

 

 

Accounts payable and accrued liabilities

 

(66,395

)

(19,322

)

Medical claims payable

 

6,251

 

15,299

 

Other liabilities

 

(11

)

(23

)

Minority interest, net of dividends paid

 

164

 

116

 

Other

 

2

 

187

 

Total adjustmentsTotal adjustments 188,657 20,393 

 

(16,643

)

14,141

 

 
 
 
 Net cash from operating activities 140,479 88,311 
 
 
 

Net cash (used in) provided by operating activities

 

(3,705

)

37,757

 

Cash flows from investing activities:Cash flows from investing activities:     

 

 

 

 

 

Capital expenditures (15,228) (12,445)
Acquisitions and investments in businesses (3,731)  
Proceeds from sale of assets, net of transaction costs 2,588 2,302 
 
 
 
 Net cash from investing activities (16,371) (10,143)
 
 
 

Capital expenditures

 

(4,626

)

(5,047

)

Purchase of investments

 

 

(118,081

)

Maturity of investments

 

 

77,002

 

Proceeds from note receivable

 

 

7,000

 

Net cash used in investing activities

 

(4,626

)

(39,126

)

Cash flows from financing activities:Cash flows from financing activities:     

 

 

 

 

 

Proceeds from issuance of new equity, net of issuance costs  147,871 
Proceeds from issuance of debt, net of issuance costs 49 92,806 
Payments on long-term debt  (203,632)
Payments on capital lease obligations (2,556) (8,271)
Proceeds from stock issued under employee stock purchase plan 25  
 
 
 
 Net cash from financing activities (2,482) 28,774 
 
 
 
Net increase in cash and cash equivalents 121,626 106,942 

Proceeds from issuance of new equity, net of issuance costs

 

147,871

 

 

Proceeds from issuance of debt, net of issuance costs

 

92,580

 

 

Payments on long-term debt

 

(196,132

)

(5,625

)

Payments on capital lease obligations

 

(776

)

(1,788

)

Proceeds from exercise of stock options and warrants

 

 

445

 

Net cash provided by (used in) financing activities

 

43,543

 

(6,968

)

Net increase (decrease) in cash and cash equivalents

 

35,212

 

(8,337

)

Cash and cash equivalents at beginning of periodCash and cash equivalents at beginning of period 62,488 206,948 

 

206,948

 

45,390

 

 
 
 
Cash and cash equivalents at end of periodCash and cash equivalents at end of period $184,114 $313,890 

 

$

242,160

 

$

37,053

 

 
 
 

See accompanying notes.


notes to condensed consolidated financial statements.

5





MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

September 30, 2004
March 31, 2005
(Unaudited)

NOTE A—General

Basis of Presentation

The accompanying unaudited condensed consolidated financial statements of Magellan Health Services, Inc., a Delaware corporation ("Magellan"(“Magellan”), include the accounts of Magellan, its majority owned subsidiaries, and all variable interest entities ("VIEs"(“VIEs”) for which Magellan is the primary beneficiary (together with Magellan, the "Company"“Company”). The financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the Securities and Exchange Commission'sCommission’s (the "SEC"“SEC”) instructions to Form 10-Q. Accordingly, theythe 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-month period and nine-month period ended September 30, 2004March 31, 2005 are not necessarily indicative of the results to be expected for the full year. All intercompany accounts and transactions have been eliminated in consolidation.

These unaudited condensed consolidated financial statements should be read in conjunction with the Company'sCompany’s audited consolidated financial statements for the year ended December 31, 20032004 and the notes thereto, which are included in the Company'sCompany’s Annual Report on Form 10-K filed with the SEC on March 30, 2004.3, 2005.

Recent Events

        On January 5, 2004 (the "Effective Date"), the Company's plan of reorganization (the "Plan") became effective and the Company emerged from bankruptcy. The principal terms of the Plan, including the treatment afforded under the Plan to the holders of the Company's pre-existing indebtedness and other liabilities and equity interests, are summarized in Item 1 of the Company's Annual Report on Form 10-K for the year ended December 31, 2003, previously filed with the SEC. In the discussion herein of periods prior to the Effective Date, references to such pre-existing indebtedness and other securities shall have the meaning set forth therein. The Company, as of December 31, 2003 and subsequently, is referred to herein as the "Reorganized Company" and, in connection with prior periods, is referred to herein as the "Predecessor Company".

        Giving effect to the Plan, the Company continued, in its previous organizational form, to conduct its business as previously conducted, with the same assets in all material respects (except for cash to be distributed under the Plan to former creditors of the Company), but the Company was recapitalized. Specifically, Onex Corporation, a Canadian corporation, through an affiliate (together, "Onex"), invested approximately $102.1 million in the equity of Magellan in the form of Multi-Vote Common Stock (the "Onex Investment"), which entitles it to a fifty percent voting interest in all matters that come before Magellan's stockholders, with certain exceptions. Pursuant to the Plan, the Company received additional equity infusions totaling $63.3 million from holders of the Company's Old Subordinated Notes (the "Holders") and other general unsecured creditors (the "Other GUCs"), which elected to purchase common stock in the form of Ordinary Common Stock of the Company in an equity offering. Onex's equity investment included initial capital contributions to the Company pursuant to the Plan of $86.7 million and additional capital contributions of $15.4 million under its commitment to fund the election by creditors to receive cash in lieu of common stock distributions in satisfaction of



their claims (the "Cash-Out Election") by purchasing that amount of shares of Multi-Vote Common Stock equal to the amount of shares of Ordinary Common Stock cashed out by the Holders and the Other GUCs pursuant to the Cash-Out Election. Capital contributions of $146.9 million, net of approximately $3.1 million of issuance costs and excluding funds received from the Cash-Out Election, are reflected as "Stock subscriptions receivable" in the accompanying condensed consolidated balance sheet as of December 31, 2003. Of the funds received by the Company pursuant to the Cash-Out Election, $15.2 million are included in "Other current assets" in the accompanying condensed consolidated balance sheet as of December 31, 2003, with the remaining amount of $0.2 million being recorded by the Company and paid by Onex subsequent to March 31, 2004. All previously existing equity interests in Magellan were cancelled as of the Effective Date.

        Also pursuant to the Plan, the Company entered into a new credit agreement with Deutsche Bank AG (the "Credit Agreement"), issued $233.5 million of Series A Senior Notes and $7.1 million of Series B Senior Notes (together, the "Senior Notes"), renewed its agreement with Aetna, Inc. ("Aetna") to manage the behavioral healthcare of members of Aetna's healthcare programs and issued to Aetna an interest bearing note in the amount of $48.9 million (the "Aetna Note"). The Company's secured bank loans under its old credit agreement, as existing before the Effective Date (the "Old Credit Agreement"), were paid in full, and other then existing indebtedness (i.e., two classes of notes and general unsecured creditor claims) was cancelled as of the Effective Date.

        The discussion above represents a summary of certain transactions which occurred as of and subsequent to the Effective Date pursuant to the Plan. Please refer to the Company's Annual Report on Form 10-K for the year ended December 31, 2003 for a more detailed description of the recapitalization of the Company and other transactions pursuant to the Plan.

Accounting Impact of Chapter 11 Filing

        In connection with the consummation of the Plan, the Company adopted the fresh start reporting provisions of American Institute of Certified Public Accountants ("AICPA") Statement of Position 90-7, "Financial Reporting by Entities in Reorganization under the Bankruptcy Code" ("SOP 90-7") with respect to its financial reports, which required the Company to restate its assets and liabilities to their fair values based upon the provisions of the Plan and certain valuations which the Company made in connection with the implementation of the Plan. The Company applied the fresh start reporting provisions as of December 31, 2003. Upon adoption of fresh start reporting, the Company created, in substance, per SOP 90-7, a new reporting entity, which is referred to herein as the "Reorganized Company". Accordingly, the unaudited condensed consolidated statements of operations for the three months and nine months ended September 30, 2004 and statement of cash flows for the nine months ended September 30, 2004 are not comparable with the unaudited condensed consolidated statements of operations for the three months and nine months ended September 30, 2003 and statement of cash flows for the nine months ended September 30, 2003. Therefore, all statements of operations data for the three months and nine months ended September 30, 2004 and statement of cash flows data for the nine months ended September 30, 2004 have been disclosed herein as results of operations and cash flows of the Reorganized Company, and all statements of operations data for the three months and nine months ended September 30, 2003 and statement of cash flows data for the nine months ended September 30, 2003 have been disclosed herein as results of operations and cash flows of the Predecessor Company. Balance sheet data as of December 31, 2003 and September 30, 2004 presented herein represents balances of the Reorganized Company. All references to the Company with respect to disclosures of amounts recorded for the three months and nine months ended September 30, 2003 in relation to income statement items and recorded for the nine months ended September 30, 2003 in relation to cash flow items pertain to the Predecessor Company. All references to the Company with respect to disclosures of amounts recorded for the three months and nine months ended September 30, 2004 or to be recorded subsequent to September 30, 2004 in relation to income statement items and



recorded for the nine months ended September 30, 2004 or recorded subsequent to September 30, 2004 in relation to cash flow items pertain to the Reorganized Company.

        The unaudited condensed consolidated statements of operations for the three months and nine months ended September 30, 2003 and statement of cash flows for the nine months ended September 30, 2003 in this Form 10-Q were prepared in accordance with SOP 90-7, as the Predecessor Company was under bankruptcy protection during those periods. As such, the Predecessor Company's unaudited condensed consolidated statements of operations for the three months and nine months ended September 30, 2003 and statement of cash flows for the nine months ended September 30, 2003 distinguished transactions and events that were directly associated with the reorganization from the Predecessor Company's ongoing operations. In accordance with SOP 90-7, the write-off of deferred financing fees associated with the Old Senior Notes and the Old Subordinated Notes, as well as certain professional fees and expenses and other amounts directly associated with the bankruptcy process, were recorded as reorganization expenses, and are included in the unaudited condensed consolidated statement of operations caption "Reorganization expense, net" for the three months and nine months ended September 30, 2003.

        The following table summarizes reorganization expense (benefit) for the three months and nine months ended September 30, 2003 (in thousands):

 
 Predecessor Company
 
 
 Three Months Ended
September 30, 2003

 Nine Months Ended
September 30, 2003

 
Continuing operations:       
 Deferred financing costs $ $18,459 
 Professional fees and expenses  7,112  17,019 
 Net benefit from lease rejections  (331) (599)
 Net benefit from resolution of claims through Bankruptcy Court proceedings  (1,920) (1,920)
 Interest income  (321) (714)
  
 
 
  $4,540 $32,245 
  
 
 
Discontinued operations, before taxes:       
 Net benefit from lease rejections  (259) (3,426)
 Net benefit from resolution of claims through Bankruptcy Court proceeding  (29) (29)
  
 
 
  $(288)$(3,455)
  
 
 

        In accordance with SOP 90-7, the Predecessor Company's redeemable preferred stock was recorded at the amount expected to be allowed as a claim by the Bankruptcy Court. Accordingly, during the three months ended March 31, 2003, the Predecessor Company recorded a net $2.7 million adjustment, which was mainly composed of the write-off of unamortized issuance costs related to the redeemable preferred stock. Such amount is reflected in "Preferred stock reorganization items, net" in the accompanying unaudited condensed consolidated statements of operations for the nine months ended September 30, 2003.



NOTE B—Summary of Significant Accounting Policies

Review of Significant Accounting Policies

        The Reorganized Company has adopted the same accounting policies as the Predecessor Company with the exception of the date on which the Reorganized Company intends to perform its annual goodwill impairment test (see "Goodwill" below).

Use of Estimates

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

Managed Care Revenue

Managed care revenue is recognized over the applicable coverage period on a per member basis for covered members. Managed care risk revenue earned by the Predecessor Company for the three months ended March 31, 2004 and nine months ended September 30, 20032005 approximated $325.3$386.3 million and $1,008.4 million, respectively. Managed care risk revenue earned by the Reorganized Company for the three months and nine months ended September 30, 2004 approximated $402.8 million and $1,185.8$402.3 million, respectively.

Performance-based Revenue

The Company has the ability to earn performance-based revenue primarily under certain risk and non-risk contracts. Performance-based revenue generally is based on either the ability of the Company to manage care for its administrative services only ("ASO") clients below specified cost targets.targets, or on other operating metrics. For each such contract, the Company estimates and records performance-based revenue after considering the relevant contractual


terms and the data available for the performance-based revenue calculation. Pro-rata performance-based revenue is recognized on an interim basis pursuant to the rights and obligations of each party upon termination of the contracts. The Predecessor Company recognized performance-based revenue of approximately $1.3$0.9 million and $5.6$2.7 million for the three months ended March 31, 2004 and nine months ended September 30, 2003, respectively. The Reorganized Company recognized performance-based revenue of approximately $1.9 million and $5.6 million for the three months and nine months ended September 30, 2004,2005, respectively.

Significant Customers

        NetThe Company’s contracts with Aetna, Inc. (“Aetna”) and the State of Tennessee’s TennCare program (“TennCare”) each generated revenues from two customers eachthat exceeded ten percent of consolidated net revenues in each of the three-month and nine-month periods ended September 30, 2003March 31, 2004 and 2004.2005. The Company is party to several contracts with entities that are now controlled by WellPoint, Inc. (“WellPoint”), that represent a significant concentration of business for the Company. In addition, the Company has a significant concentration of business from individual customers which are part of the Pennsylvania Medicaid program.

        Net revenueRevenue from the Aetna earned by the Predecessor Company approximated $48.1contract was $55.8 million and $144.8$62.0 million for the three monthsthree-month periods ended March 31, 2004 and nine months ended September 30, 2003,2005, respectively. Net revenue fromOn December 8, 2004, the Company was informed that Aetna earned by the Reorganized Company approximated $58.4 and $170.4 million for the three months and nine months ended September 30, 2004, respectively. The current Aetnawould not renew such contract extends throughas of December 31, 2005, and includes anthat Aetna planned to exercise its option for Aetna at that time to either extend the agreement or to purchase, on December 31, 2005, certain assets of the Company used solely in the management of the behavioral healthcare of Aetnahealth care services for Aetna’s members (the "Aetna-Dedicated Assets"“Aetna Assets”). On February 23, 2005, the Company and Aetna executed an asset purchase agreement related to Aetna’s purchase of the Aetna Assets. The purchase price for the Aetna Assets is based on certain variable factors and the Company estimates that the price will be $50 million to $55 million.

The Company provides managed behavioral healthcare services to the State of Tennessee'sfor TennCare, program, both through direct contracts held by the Company'sCompany’s wholly owned subsidiary



Tennessee Behavioral Health, Inc. ("TBH"(“TBH”) and through a contract held by Premier Behavioral Systems of Tennessee, LLC ("Premier"(“Premier”), a joint venture in which the Company owns a fifty percent interest. The direct TennCareIn addition, the Company contracts (exclusive of Premier's contract with TennCare) accounted for approximately $35.9 million and $121.0 million ofPremier to provide certain services to the Predecessor Company's net revenues in the three months and nine months ended September 30, 2003, respectively. Such revenue included approximately $5.4 million and $34.4 million for the three and nine months ended September 30, 2003, respectively, associated with services performed by the Predecessor Company on behalf of Premier. The direct TennCare contracts accounted for approximately $55.4 million and $120.1 million of the Reorganized Company's net revenues in the three months and nine months ended September 30, 2004, respectively.joint venture. The Company no longer performs certain services on behalf of Premier due to a program change. In the three months and nine months ended September 30, 2004, the Reorganized Company recorded approximately $52.0 million and $200.0 million, respectively, in net revenues related to Premier's contract with TennCare, which represents 100 percent of Premier's net revenue derived from such contract, due to the adoption of FIN 46 (see "Recent Accounting Pronouncements" below) pursuant to whichconsolidates the results of operations of Premier, wereincluding revenue and cost of care, in the Company’s consolidated withstatement of income. The Company recorded $103.7 million and $113.2 million of revenue from its TennCare contracts during the Reorganized Company's results of operations. In the three monthsthree-month periods ended March 31, 2004 and nine months ended September 30, 2003, the results of operations of Premier were accounted for by the Predecessor Company under the equity method of accounting.2005, respectively.

In September 2003, the State of Tennessee issued a request for proposal ("RFP") relating todivided the TennCare program under which the program would be divided into three regions. The Company, through TBH, submitted a proposalCompany’s contract for the East region only and was awarded the contract, which has a term from July 1, 2004 through December 31, 2005, with extensions at the State'sState’s option through December 31, 2008. When contract negotiations between the State and the vendor that had been awarded theThe Company’s contracts for the Middle and West regions were discontinued, the State asked TBH and Premier to continue with their current contracts for those regionshave terms through December 31, 2004. Effective2005.

The Governor of Tennessee has stated that, because of the increased costs of the TennCare program, the State will cease providing coverage for up to approximately 323,000 adults (which represents approximately one-fourth of total TennCare membership) who do not qualify for Medicaid, and may limit benefits to be delivered under the TennCare program. Certain advocacy groups had filed suits in attempts to prevent the Governor from implementing any reductions in membership and benefits; however, such suits have since been dismissed. Representatives of the State of Tennessee have publicly indicated that they intend to phase-in the membership reductions as early as July 1, 2005. A reduction in membership would, and benefit changes could, adversely affect the Company’s revenues and profitability. The Company does not yet know which members would be eliminated from the program, and because capitation rates for TennCare members vary depending upon the level of benefits received by such members, the Company cannot estimate the impact of the proposed membership reductions. Further, the Company does not yet know the actual timing of the phased-in membership reductions, the benefit changes being proposed or the timing of those changes, and as such, the Company cannot estimate the impact of these potential developments at this time.


Total revenue from the various contracts with entities that are now controlled by WellPoint totaled $31.4 million and $33.9 million during the three-month periods ended March 31, 2004 agreements withand 2005, respectively. One such contract, which generated revenue of $24.4 million during the State were reached, under which TBH and Premier will continue serving the Middle and West regions of TennCarethree-month period ended March 31, 2005, extends through December 31, 2005. As a resultA second contract with an entity controlled by WellPoint, which generated revenue of these agreements,$6.7 million for the three-month period ended March 31, 2005, extends through September 30, 2005, and the Company will continuehas recently been notified by the customer that it does not intend to manage behavioral health care for the entire TennCare program.renew this contract beyond such date. The other WellPoint-related contracts have terms ranging from June 30, 2006 through December 31, 2007.

        AThe Company derives a significant portion of its revenue is derived from contracts with various counties in the Statestate of Pennsylvania (the "Pennsylvania Counties"“Pennsylvania Counties”). Although these are separate contracts with individual counties, they all pertain to the Pennsylvania Medicaid program. Revenues earned by the Predecessor Company from the Pennsylvania Counties in the aggregate totaled approximately $60.0$43.9 million and $175.7$51.5 million in the three monthsthree-month periods ended March 31, 2004 and nine months ended September 30, 2003,2005, respectively. Revenues earned by

Restricted Assets

The Company has certain assets which are considered restricted for: (i) the Reorganized Company frompayment of claims under the Pennsylvania Countiesterms of certain managed behavioral care contracts; (ii) regulatory purposes related to the payment of claims in certain jurisdictions; and (iii) the aggregate totaled approximately $48.1 million and $139.3 million in the three months and nine months ended September 30, 2004, respectively. The contract with onemaintenance of minimum required tangible net equity levels for certain of the counties was terminatedCompany’s subsidiaries. Significant restricted assets of the Company as of December 31, 2003. Revenue2004 and March 31, 2005 were as follows (in thousands):

 

 

December 31,
2004

 

March 31,
2005

 

Restricted cash

 

 

$

104,414

 

 

$

116,328

 

Restricted short-term investments

 

 

35,600

 

 

31,554

 

Restricted deposits (included in other current assets)

 

 

17,098

 

 

18,231

 

Restricted long-term investments

 

 

592

 

 

3,255

 

Total

 

 

$

157,704

 

 

$

169,368

 

Investments

Investments consist primarily of U.S. Government and agency securities, corporate debt securities, and certificates of deposit. The Company accounts for its investments in accordance with Statement of Financial Accounting Standards (“SFAS”) No. 115, “Accounting for Certain Investments in Debt and Equity Securities” (“SFAS 115”). Prior to fiscal 2004, the Company classified its investments as “held to maturity,” and reclassified its investments as “available-for-sale” during fiscal 2004. Investments classified as available-for-sale are carried at fair value, based on quoted market prices. The Company’s policy is to classify all investments with contractual maturities within one year as current. Investment income is recognized when earned and reported net of investment expenses. Unrealized holding gains and losses are excluded from earnings and are reported, net of tax, as “accumulated other comprehensive loss” in the accompanying condensed consolidated balance sheets until realized, unless the losses are deemed to be other-than-temporary. Realized gains or losses, including any provision for other-than-temporary declines in value, are included in the accompanying condensed consolidated statements of income.

The Company periodically evaluates whether any declines in the fair value of investments are other-than-temporary. This evaluation consists of a review of several factors, including but not limited to: the length of time and extent that a security has been in an unrealized loss position; the existence of an event that would impair the issuer’s future earnings potential; the near-term prospects for recovery of the market value of a security; and the intent and ability of the Company to hold the security until the market value recovers. Declines in value below cost for investments are not assumed to be other-than-temporary


where it is considered probable that: (i) all contractual terms of the investment will be satisfied, (ii) the decline is due primarily to changes in interest rates (and not because of increased credit risk), and (iii) where the Company intends and has the ability to hold the investment for a period of time sufficient to allow a market recovery. In accordance with Emerging Issues Task Force (“EITF”) Issue No. 03-1, “The Meaning of Other-Than-Temporary Impairment and Its Application to Certain Investments,” (“EITF 03-1”), the Company periodically reviews those investment securities for which unrealized losses have remained unrealized for more than six months to determine if such unrealized losses are other-than-temporary. Unrealized losses related to this particular county earned byinvestments greater and less than one year are not material.

As of March 31, 2005, there were no unrealized losses that the Predecessor Company totaled approximately $7.1 million and $20.7 million inbelieved to be other-than-temporary. No realized gains or losses were recorded for the three months ended March 31, 2004 and nine months ended September 30, 2003, respectively. Changes in fiscal 2003 in several2005. The following is a summary of short-term and long-term investments at December 31, 2004 (in thousands):

 

 

Amortized
Cost

 

Gross
Unrealized
Gains

 

Gross
Unrealized
Losses

 

Estimated
Fair Value

 

U.S. Government and agency securities

 

$

220,091

 

 

$

 

 

 

$

(474

)

 

$

219,617

 

Corporate debt securities

 

126,376

 

 

 

 

 

(370

)

 

126,006

 

Certificates of deposit

 

467

 

 

 

 

 

 

 

467

 

Total investments at December 31, 2004

 

$

346,934

 

 

$

 

 

 

$

(844

)

 

$

346,090

 

The following is a summary of short-term and long-term investments at March 31, 2005 (in thousands):

 

 

Amortized
Cost

 

Gross
Unrealized
Gains

 

Gross
Unrealized
Losses

 

Estimated
Fair Value

 

U.S. Government and agency securities

 

$

198,067

 

 

$

 

 

 

$

(600

)

 

$

197,467

 

Corporate debt securities

 

189,462

 

 

 

 

 

(836

)

 

188,626

 

Certificates of deposit

 

432

 

 

 

 

 

 

 

432

 

Total investments at March 31, 2005

 

$

387,961

 

 

$

 

 

 

$

(1,436

)

 

$

386,525

 

The maturity dates of the individual contracts for certainCompany’s investments as of the Pennsylvania Counties have resulted in lower revenue, cost of care and direct service costs, with no impact to the net profitability of the contracts.March 31, 2005 are summarized below (in thousands):

 

 

Amortized
Cost

 

Estimated
Fair Value

 

Due in 2005

 

$

312,322

 

$

311,621

 

Due in 2006

 

75,639

 

74,904

 

Total investments at March 31, 2005

 

$

387,961

 

$

386,525

 

Property and Equipment

Property and equipment acquired subsequent to December 31, 2003 is stated at cost. Property and equipment owned at December 31, 2003 was adjustedcost, except for assets that have been impaired, for which the carrying amount has been reduced to its thenestimated fair value as part of the Company's application of fresh start reporting.value. Expenditures for renewals and improvements are capitalized to the property accounts. Replacements and maintenance and repairs that do not improve or extend the life of the respective assets are expensed as incurred. Internal-use software is capitalized in accordance with



AICPA American Institute of Certified Public Accountants (“AICPA”) Statement of Position (“SOP”) 98-1, "Accounting“Accounting for Cost of Computer Software Developed or Obtained for Internal Use".Use.” Amortization of capital lease assets is included in depreciation expense.expense and is included in accumulated depreciation. Depreciation is provided on a straight-line basis over the estimated useful lives of the assets, which is generally two to ten years for buildings and improvements, three to ten years for equipment and


three to five years for capitalized internal-use software. Depreciation expense recorded by the Predecessor Companyfor continuing operations was $6.8 million and $7.7 million for the three monthsthree-month periods ended March 31, 2004 and nine months ended September 30, 2003 was $7.1 million and $23.1 million, respectively. Depreciation expense recorded by the Reorganized Company for the three months and nine months ended September 30, 2004 was $7.3 million and $21.1 million,2005, respectively.

Goodwill

Goodwill was recorded by the Reorganized Company at December 31, 2003 for the amount of reorganization value in excess of amounts allocated to tangible and identified intangible assets resulting from the application of the fresh start reporting provisions of AICPA Statement of Position 90-7, “Financial Reporting by Entities in Reorganization under the Bankruptcy Code” (“SOP 90-7.90-7”) (See Note B—“Emergence from Chapter 11” for a discussion of the Company’s bankruptcy proceedings). Goodwill is accounted for in accordance with Statement of Financial Accounting Standards ("SFAS")SFAS No. 142, "Goodwill“Goodwill and Other Intangible Assets" ("Assets” (“SFAS 142"142”). UnderPursuant to SFAS 142, the Company no longer amortizes goodwill; instead, the Company is required to test theits goodwill for impairment based upon fair valueson at least on an annual basis, or more frequently should there be indicators thatbasis.

The changes in the carrying amount of goodwill may be impaired. The Reorganizedfor the three months ended March 31, 2005 are reflected in the table below (in thousands):

Balance as of December 31, 2004

 

$

392,267

 

Adjustment to goodwill as a result of the projected realization of net operating loss carryforwards subsequent to fresh-start reporting(1)

 

(15,104

)

Balance as of March 31, 2005

 

$

377,163

 


(1)          During fiscal 2005, the Company utilized a tax benefit from the utilization of pre-bankruptcy net operating loss carryforwards (“NOLs”). This tax benefit has selected October 1been reflected as a reduction of goodwill rather than as a reduction to the dateprovision for income taxes in the consolidated statements of its annual impairment test, as opposed to September 1, which was the date used by the Predecessor Company.income, in accordance with SOP 90-7.

Intangible Assets

        Intangible assets were valued, and related estimated useful lives were determined, based upon independent appraisals atAt December 31, 2003 as a result of the application of fresh start reporting. At September 30, 2004 and March 31, 2005, the Company had identifiable intangible assets (primarily customer agreements and lists and provider networks) of approximately $47.7$44.3 million and $40.8 million, respectively, net of accumulated amortization of approximately $10.4 million. The remaining$13.8 million and $17.3 million, respectively. Intangible assets are amortized over their estimated useful lives, of the customer agreements and lists and provider networkswhich range from approximately two to eighteen years. Amortization expense recorded by the Predecessor Company for the intangible assetseach of the Predecessor Company for the three months ended March 31, 2004 and nine months ended September 30, 20032005 was $4.5 million and $13.2 million, respectively. Amortization expense recorded by the Reorganized Company for the three months and nine months ended September 30, 2004 was $3.4 million and $10.4 million, respectively.$3.5 million.

Long-lived Assets

Long-lived assets, including property and equipment and intangible assets to be held and used, are currently reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount should be addressed pursuant to SFAS No. 144, "Accounting“Accounting for the Impairment or Disposal of Long-Lived Assets"Assets” (“SFAS 144”). Pursuant to this guidance, impairment is determined by comparing the carrying value of these long-lived assets to management'smanagement’s best estimate of the future undiscounted cash flows expected to result from the use of the assets and their eventual disposition. The cash flow projections used to make this assessment are consistent with the cash flow projections that management uses internally to assist in making key decisions. In the event an impairment exists, a loss is recognized based on the amount by which the carrying value exceeds the fair value of the asset, which is generally determined by using quoted market prices or the discounted present value of expected future cash flows.


Cost of Care and Medical Claims Payable

Cost of care recorded as a component of operating expenses, is recognized in the period in which members received behavioral health services. In addition to actual benefits paid, cost of care includes the impact of accruals for estimates of medical claims payable.



Medical claims payable represents the liability for healthcare claims reported but not yet paid and claims incurred but not yet reported ("IBNR"(“IBNR”). related to the Company’s managed healthcare businesses. The IBNR portion of medical claims payable is estimated based on past claims payment experience for member groups, enrollment data, utilization statistics, authorized healthcare services and other factors. This data is incorporated into contract-specific actuarial reserve models. TheAlthough considerable variability is inherent in such estimates, for submitted claims and IBNR claims are made on an accrual basis and adjusted in future periods as required. However, changes in assumptions for medical costs caused by changes in actual experience (such as changes inmanagement believes the delivery system, changes in utilization patterns, unforeseen fluctuations in claims backlogs, etc.) may ultimately prove these estimates inaccurate. As of September 30, 2004, the Reorganized Company believes that itsliability for medical claims payable balance of $200.9 million is adequate in order to satisfy ultimate claim liabilities incurred through September 30, 2004.adequate. Medical claims payable balances are continually monitored and reviewed. Changes in assumptions for cost of care caused by changes in actual experience could cause these estimates to change in the near term. The Company believes that the amount of medical claims payable is adequate to cover its ultimate liability for unpaid claims as of March 31, 2005; however, actual claims payments and other items may differ from established estimates.

Income Taxes

The Company files a consolidated federal income tax return for the Company and its eighty percenteighty-percent or more owned consolidated subsidiaries. The Company accounts for income taxes in accordance with SFAS No. 109, "Accounting“Accounting for Income Taxes". Deferred tax assets and/or liabilities are determined by multiplying the differences between the financial reporting and tax reporting bases for assets and liabilities by the enacted tax rates expected to be in effect when such differences are recovered or settled.Taxes.” The effect of a change in tax rates on deferredCompany records taxes is recognized in income in the period that includes the enactment date. Valuation allowances on deferred tax assets are estimated based on the Company's assessment of the realizability of such amounts. Deferred tax assets were fully reserved at December 31, 2003 and September 30, 2004, accordingly the Company'sits estimated current taxable income tax provision for fiscal 2004 does not include a deferred tax component.

        The Predecessor Company's effective income tax rate was (310.9) percent for the nine months ended September 30, 2003 and was 29.6 percent for the Reorganized Company for the nine months ended September 30, 2004. The Reorganized Company's effective income tax rate for the nine months ended September 30, 2004 varies from federal statutory rates primarily due to certain transactions which occurred pursuant to the Plan, as consummated on the Effective Date, which reduced taxable income. The Predecessor Company's effective income tax rate for the nine months ended September 30, 2003 varies substantially from federal statutory rates primarily due to the impact of non-deductible goodwill included in the goodwill impairment charge and the estimated utilization of net operating loss carryforwards ("NOLs") that existed prioruncertainty as to the Company's emergence from bankruptcy in 1992. Under SOP 90-7, theCompany’s ability to realize deferred tax benefit related to the realization of these pre-bankruptcy NOLs is not reflected in the consolidated statements of operations. The income tax provision for the nine months ended September 30, 2003 also reflects certain changes in estimates regarding the Company's anticipated utilization of pre-bankruptcy NOLs due to amendments of prior year tax returns. Because the utilization of such pre-bankruptcy NOLs is subject to continued review and adjustment by the Internal Revenue Service, utilization of these NOLs is fully reserved.assets. In accordance with SOP 90-7, subsequent (post-bankruptcy) utilization by the Reorganized Company of NOLs which existed at January 5, 2004 will be accounted for as reductions to goodwill or additional paid-in capital and therefore, will only benefit cash flows due to reduced tax payments and will not benefit the Company'sCompany’s tax provision for income taxes in the statements of operations.taxes.

The Company’s effective income tax rate was 21.5 percent for the three months ended March 31, 2004, and was 41.9 percent for the three months ended March 31, 2005. The current year effective rate varies from federal statutory rates primarily due to the inclusion of state taxes on current year income. The prior year effective rate varies substantially from federal statutory rates primarily due to certain transactions which occurred pursuant to the Plan (as defined below), as consummated on the Effective Date (as defined below), which reduced taxable income for 2004 but reduced book income in 2003 under SOP 90-7.

Stock-Based Compensation

Under SFAS No. 123, "Accounting“Accounting for Stock-Based Compensation" ("Compensation” (“SFAS 123"123”), which established financial accounting and reporting standards for stock-based compensation plans, entities are allowed to measure compensation cost for stock-based compensation under SFAS 123 or



Accounting Principles Board ("APB"(“APB”) Opinion No. 25, "Accounting“Accounting for Stock Issued to Employees"Employees” (“APB 25”). Entities electing to continue accounting for stock-based compensation under the provisions of APB 25 are required to make pro forma disclosures of net income and income per share as if the provisions of SFAS 123 had been applied. The Company has adopted SFAS 123 on a pro forma disclosure basis.

The Company measures compensation cost for stock-based compensation under APB 25, and discloses stock-based compensation under the requirements of SFAS 123 and SFAS No. 148, "Accounting“Accounting for Stock-Based Compensation, Transition and Disclosure"Disclosure”(“SFAS 148”). At September 30,December 31, 2004 and March 31, 2005, the Company had stock-based employee incentive plans, which are described more fully in Note 8 in the Company'sCompany’s Annual Report on Form 10-K for the year ended December 31, 2003.2004. Under APB 25, the Reorganized Company recorded stock compensation expense of $2.6$10.8 million and $15.9$3.8 million, before taxes, in the three months ended March 31, 2004 and nine months ended September 30, 2004,2005, respectively. These charges represent compensation expense related to the following:

    approximately 4.2 million stock options (net of forfeitures) granted during the nine months ended September 30, 2004 to the Company's Chief Executive Officer, Chief Operating Officer and Chief Financial Officer (the "Senior Executives") and other management pursuant to the Company's Management Incentive Plan (the "MIP");

    11




167,926 shares of common stock granted to the Senior Executives and 83,963 fully vested shares of common stock purchased by the Company's Chief Executive Officer on the Effective Date, and cash payments made by the Company to the Senior Executives to approximate the tax liability associated with the stock grants, the stock purchase and the cash payments, pursuant to their employment agreements; and

13,595 shares of common stock granted to non-management members of the board of directors who are not affiliated with Onex, pursuant to the Company's 2004 Director Stock Compensation Plan.

The following table illustrates pro forma net income and pro forma net income per share as if the fair value-based method of accounting for stock options had been applied in measuring compensation cost for stock-based awards (in thousands, except per share data):


 Predecessor
Company

 Reorganized
Company

 Predecessor
Company

 Reorganized
Company

 

 

Three Months Ended
March 31,

 


 Three Months Ended
September 30, 2003

 Three Months Ended
September 30, 2004

 Nine Months Ended
September 30, 2003

 Nine Months Ended
September 30, 2004

 

 

2004

 

2005

 

Net income (loss), as reported $(50,215)$26,556 $(48,178)$67,918 

Net income, as reported

 

$

12,938

 

$

23,616

 

Add: Stock-based employee compensation expense included in reported net income, net of related tax effects  1,547  4,641  (1)

 

1,569

(1)

2,145

(1)

Deduct: Total stock-based employee compensation expense determined under fair value method, net of related tax effects (265) (1,926) (794) (5,891)

 

(2,020

)

(2,881

)

 
 
 
 
 
Pro forma net income (loss) $(50,480)$26,177 $(48,972)$66,668 
 
 
 
 
 
Income (loss) per common share:         

Pro forma net income

 

$

12,487

 

$

22,880

 

Income per common share:

 

 

 

 

 

Basic—as reported $(1.42)$0.75 $(1.47)$1.92 

 

$

0.37

 

$

0.67

 

 
 
 
 
 
Basic—pro forma $(1.43)$0.74 $(1.49)$1.89 

 

$

0.35

 

$

0.65

 

 
 
 
 
 
Diluted—as reported $(1.42)$0.73 $(1.47)$1.87 

 

$

0.35

 

$

0.64

 

 
 
 
 
 
Diluted—pro forma $(1.43)$0.72 $(1.49)$1.84 

 

$

0.34

 

$

0.62

 

 
 
 
 
 


(1)

Represents stock-based compensation expense related to approximately 4.2 million stock options granted to the Senior Executives and other management pursuant to the MIP,2003 Management Incentive Plan (“MIP”), net of related income taxes.

Recent Accounting Pronouncements

        InThe Company currently measures compensation cost for stock-based compensation under APB 25, and discloses pro forma stock-based compensation under the requirements of SFAS 123 and SFAS 148. Currently, the Company uses the Black-Scholes-Merton formula to estimate the value of stock options granted to employees and expects to continue to use this acceptable option valuation model upon the required January 2003, the FASB issued Interpretation No. 46, "Consolidation1, 2006 adoption of Variable Interest Entities, an Interpretation of Accounting Research Bulletin (ARB) No. 51" ("FIN 46"Statement 123 (revised 2004) “Share-Based Payment” (“SFAS 123R”). FIN 46Since SFAS 123R must be applied not only to new awards but also to previously granted awards that are not fully vested on the effective date, compensation cost for some previously granted awards that were not recognized under SFAS 123 will be recognized under SFAS 123R. However, had SFAS 123R been adopted in prior periods, the impact of that standard would have approximated the impact of SFAS 123 as described in the disclosure of pro forma net income and earnings per share above entitled “Stock-Based Compensation.” SFAS 123R also requires consolidationthe benefits of entitiestax credits in which an enterprise absorbs a majorityexcess of the entity's expected losses, receives a majority of the entity's expected residual returns, or both,recognized compensation cost to be reported as a result of ownership, contractual or other financial interestsfinancing cash flow, rather than as an operating cash flow as permitted under current literature. This requirement will reduce net operating cash flows and increase net financing cash flows in periods after adoption. While the Company cannot estimate what those amounts will be in the entity. The Reorganized Company adoptedfuture (because they depend on, among other things, when employees exercise stock options), the provisionsamount of FIN 46 effective December 31, 2003. Adoption of new accounting pronouncements is required by companies implementing the fresh start reporting provisions of SOP 90-7. Based on the guidance of FIN 46, the Reorganized Company has determined that it is the primary beneficiary of Premier, a variable interest entityoperating cash flows recognized in prior periods for which the Reorganized Company maintains a fifty percent voting interest. Consistent with the provisions of FIN 46, the Reorganized Company has consolidated the balance sheets of Premier into the Reorganized Company's balance sheets as of December 31, 2003 and September 30, 2004. Through December 31, 2003, the Predecessor Company accounted for Premier under the equity method, whereby the Predecessor Company included its portion of Premier's earnings or loss in its consolidated statement of operations under the caption "Equity in (earnings) loss of unconsolidated subsidiaries". The consolidation of Premier at December 31, 2003 increased total assets and total liabilities each by $43.2 million. The fair value of the accounts consolidated was equivalent to their book value at December 31, 2003. In the three months and nine months ended September 30, 2004, the Reorganized Company consolidated the results of operations of Premier in its consolidated statements of operations. The effect of this consolidation was to increase net revenue by approximately $52.0 million and $200.0 million in the three months and nine months ended September 30, 2004, respectively. The consolidation of Premier did not affect the Company's profitability.

Reclassificationssuch excess tax deductions were immaterial.

Reclassifications

Certain amounts previously reported for the three months and nine months ended September 30, 2003March 31, 2004 have been reclassified to conform to the presentation of amounts reported for the three months ended March 31, 2005.


NOTE B—Emergence From Chapter 11

On January 5, 2004 (the “Effective Date”), Magellan and nine months ended September 30, 2004.88 of its subsidiaries consummated their Third Joint Amended Plan of Reorganization, as modified and confirmed (the “Plan”), under chapter 11 of title 11 of the United States Bankruptcy Code (the “Bankruptcy Code”), which was confirmed by order of the United States Bankruptcy Court for the Southern District of New York (the “Bankruptcy Court”) on October 8, 2003, and accordingly the Plan became fully effective and the companies emerged from the protection of their chapter 11 proceedings. A final decree closing their chapter 11 cases was entered by the Bankruptcy Court on January 19, 2005.

All distributions required by the Plan were made as of the Effective Date except for distributions related to disputed claims for certain general unsecured creditor claims (“Other GUCs”), for which distributions were made subsequent to the Effective Date periodically as such disputed claims were settled. As of April 22, 2005, the total amount of outstanding, disputed claims for Other GUCs is $4.0 million (“Disputed Claims”). The Company does not believe that it is probable that any liability for the Disputed Claims will be incurred, and thus no liability has been recorded for the Disputed Claims as of March 31, 2005. Nonetheless, the Company has withheld from distribution 93,128 shares of Ordinary Common Stock which will be distributed in accordance with the terms of the Plan upon the final resolution of the Disputed Claims. If the Disputed Claims were to be settled for the full amount of $4.0 million, then the amount of additional consideration that the Company would be required to issue to the individual claimants that filed the Disputed Claims is cash of $0.2 million and 9.375% Series B Notes due 2008 (“Series B Notes”) of $1.0 million.

NOTE C—Supplemental Cash Flow Information

Below is supplemental cash flow information related to the ninethree months ended September 30, 2003March 31, 2004 and 20042005 (in thousands):


 Predecessor Company
 Reorganized Company

 

Three Months Ended
March 31,

 


 Nine Months Ended
September 30, 2003

 Nine Months Ended
September 30, 2004

 

      2004      

 

      2005      

 

Income taxes paid (refunds received) $(737)$4,463
 
 

Income taxes paid

 

 

$

1,997

 

 

 

$

691

 

 

Interest paid $12,033 $17,361

 

 

$

2,181

 

 

 

$

2,749

 

 

 
 
Assets acquired through capital leases $ $1,858

 

 

$

590

 

 

 

$

 

 

 
 


NOTE D—Long-Term Debt and Capital Lease Obligations

Information with regard to the Company'sCompany’s long-term debt and capital lease obligations at December 31, 20032004 and September 30, 2004March 31, 2005 is as follows (in thousands):


 December 31,
2003

 September 30,
2004

 
Old Credit Agreement:     
Old Revolving Facility (6.50% at December 31, 2003) $45,076 $ 
Old Term Loan Facility (7.25% to 7.50% at December 31, 2003) 115,762  

 

December 31,
2004

 

March 31,
2005

 

Credit Agreement:Credit Agreement:     

 

 

 

 

 

 

 

Revolving Facility (5.38% at September 30, 2004) due through 2008   
Term Loan Facility (5.38% at September 30, 2004) due through 2008  88,750 

Revolving Facility due through 2008

 

 

$

 

 

$

 

Term Loan Facility (5.26% at March 31, 2005) due through 2008

 

 

85,000

 

 

79,375

 

9.375% Series A Senior Notes due 20089.375% Series A Senior Notes due 2008 250,000 233,456 

 

 

233,456

 

 

233,456

 

9.375% Series B Senior Notes due 20089.375% Series B Senior Notes due 2008 6,890 7,116 

 

 

7,116

 

 

7,181

 

Note payable to Aetna (8.00% at September 30, 2004) 63,915 48,915 
4.5625% to 4.875% capital lease obligations due through 2008 12,056 5,614 

Note payable to Aetna (9.00% at March 31, 2005) due through 2005

 

 

48,915

 

 

48,915

 

4.562% to 4.875% capital lease obligations due through 2009

 

 

4,991

 

 

3,203

 

 
 
 

 

 

379,478

 

 

372,130

 

 493,699 383,851 
Less debt paid upon consummation of the Plan (92,382)  
Less current maturities of long-term debt and capital lease obligationsLess current maturities of long-term debt and capital lease obligations (24,785) (23,543)

 

 

(75,158

)

 

(74,170

)

 
 
 

 

 

$

304,320

 

 

$

297,960

 

 $376,532 $360,308 
 
 
 

Credit Agreement

        On the Effective Date, the Company repaid amounts outstanding under the Old Credit Agreement totaling $160.8 million utilizing proceeds from the Credit Agreement and the additional capital provided by the Onex Investment, as contemplated by the Plan. Amounts repaid on the Effective Date under the Old Credit Agreement in excess of amounts advanced under the Credit Agreement were classified as "Debt paid upon consummation of the Plan" in the accompanying condensed consolidated balance sheet as of December 31, 2003.

        The Credit Agreement provides for a Term Loan Facility in an original aggregate principal amount of $100.0 million, a Revolving Loan Facility providing for loans of up to $50.0 million and a Credit-Linked Facility for the issuance of letters of credit for the account of the Company in an original aggregate principal amount of $80.0 million. As of September 30, 2004, the Credit-Linked Facility was reduced to $50.0 million. Borrowings under the Credit Agreement will mature on August 15, 2008 and certain quarterly principal payments on the Term Loan Facility are also required. As of September 30, 2004, the Company had outstanding approximately $88.8 million under the Term Loan Facility. On the Effective Date, the Company incurred deferred financing fees of approximately $7.4 million related to the Credit Agreement. The Company has not drawn on the Revolving Loan Facility, resulting in unutilized commitments of $50.0 million. As of September 30, 2004, the Company had issued letters of credit in the amount of $45.1 million, resulting in unutilized commitments under the Credit-Linked Facility of $4.9 million. The Credit Agreement is guaranteed by substantially all of the subsidiaries of the Company and is secured by substantially all of the assets of the Company and the subsidiary guarantors.

        On October 25, 2004 ("the First Amendment Effective Date"), the Credit Agreement was amended (the "Amendment") to reduce the annual interest rate on borrowings under the Term Loan Facility and to reduce the commitment fee on the Credit-Linked Facility, each by 1.25 percent. As a result of the Amendment, the annual interest rate on borrowings under the Term Loan Facility fluctuates at a rate equal to the sum of (i) a borrowing margin of 2.25 percent (subject to reduction of up to 0.50 percent based on the Company's debt ratings) plus (ii) (A) in the case of U.S. denominated



loans, the higher of the prime rate or one-half of one percent in excess of the overnight "federal funds" rate, or (B) in the case of Eurodollar loans, an interest rate which is a function of the Eurodollar rate for the selected interest period. The Company has the option to borrow in U.S. denominated loans or Eurodollar loans at its discretion. As of September 30, 2004 and the First Amendment Effective Date, all loans under the Term Loan Facility were Eurodollar loans at the borrowing rate of 5.38 percent and 4.13 percent, respectively. As a result of the Amendment, the commitment fee on the Credit-Linked Facility is equal to the sum of 2.25 percent (subject to reduction of up to 0.50 percent based on the Company's debt ratings), plus an additional amount that is based on the administrative costs and term of the Credit-Linked Facility. As of September 30, 2004 and the First Amendment Effective Date, the commitment fee on the Credit-Linked Facility was 3.62 percent and 2.37 percent, respectively. In addition, under the Amendment, certain mandatory prepayment requirements were eliminated, and several covenants that restricted or limited the Company's ability to repurchase or refinance Senior Notes, make investments, and incur debt pertaining to letters of credit were amended.

Capital Leases

        On April 2, 2004, the Company repaid a $6.4 million obligation, plus accrued interest, to the City of Albuquerque, New Mexico with cash on hand. The $6.4 million of principal represented an obligation of the Company's discontinued segments, and the amount is included in current maturities of long-term debt and capital lease obligations in the table above as of December 31, 2003.



NOTE E—Income (Loss) per Common Share

The following tables reconcile income (loss) (numerator) and shares (denominator) used in the computations of income (loss) from continuing operations per common share (in thousands, except per share data):

 
 Predecessor
Company

 Reorganized
Company

 Predecessor
Company

 Reorganized
Company

 
 Three Months Ended
September 30, 2003

 Three Months Ended
September 30, 2004

 Nine Months Ended
September 30, 2003

 Nine Months Ended
September 30, 2004

Numerator:            
Income (loss) from continuing operations $(29,567)$27,163 $(32,231)$68,526
Less preferred dividends      884  
Less amortization of redeemable preferred stock issuance costs and other      171  
Less preferred stock reorganization items, net      2,668  
  
 
 
 
Income (loss) from continuing operations available to common stockholders—basic $(29,567)$27,163 $(35,954)$68,526
Add: presumed conversion of redeemable preferred stock        
  
 
 
 
Income (loss) from continuing operations available to common stockholders—diluted $(29,567)$27,163 $(35,954)$68,526
  
 
 
 
Denominator:            
Weighted average number of common shares outstanding—basic  35,319  35,371  35,300  35,365
 Common stock equivalents—stock options    996    688
 Common stock equivalents—warrants    227    182
 Common stock equivalents—redeemable preferred stock        
  
 
 
 
Weighted average number of common shares outstanding—diluted  35,319  36,594  35,300  36,235
  
 
 
 
Income (loss) from continuing operations available to common stockholders per common share—basic $(0.84)$0.77 $(1.02)$1.94
  
 
 
 
Income (loss) from continuing operations available to common stockholders per common share—diluted $(0.84)$0.74 $(1.02)$1.89
  
 
 
 

 

 

Three Months Ended
March 31,

 

 

 

2004

 

2005

 

Numerator:

 

 

 

 

 

Income from continuing operations available to common stockholders—basic and diluted

 

$

12,908

 

$

23,568

 

Denominator:

 

 

 

 

 

Weighted average number of common shares outstanding—basic

 

35,355

 

35,403

 

Common stock equivalents—stock options

 

308

 

1,211

 

Common stock equivalents—warrants

 

142

 

233

 

Weighted average number of common shares outstanding—diluted

 

35,805

 

36,847

 

Income from continuing operations available to common stockholders per common share—basic

 

$

0.37

 

$

0.67

 

Income from continuing operations available to common stockholders per common share—diluted

 

$

0.35

 

$

0.64

 

 

Weighted average number of common shares outstanding for the three months ended March 31, 2004 and nine months ended September 30, 2003 was calculated using the then outstanding shares of the Predecessor Company's pre-petition common stock. Weighted average number of common shares for the three months and nine months ended September 30, 20042005 was calculated using outstanding shares of the Reorganized Company'sCompany’s Ordinary Common stockStock and Multi-Vote Common stock. Conversion of the Predecessor Company's redeemable preferred stock was not presumed for the three months and nine months ended September 30, 2003 due to its anti-dilutive effect. Because the Predecessor Company reported a loss from continuing operations during the three months and nine months ended September 30, 2003, no common stock equivalents were included in the computation of weighted average common shares outstanding.Stock. Common stock equivalents included in the calculation of diluted weighted average common shares outstanding for the three months ended March 31, 2004 and nine months ended



September 30, 20042005 represent stock options to purchase shares of the Reorganized Company'sCompany’s Ordinary Common Stock, which were granted during the nine months ended September 30, 2004 pursuant to the MIP, and shares of Ordinary Common Stock related to certain warrants issued on the Effective Date.


On January 24, 2005 and January 31, 2005, the Company granted 50,000 and 7,200 options, respectively, pursuant to employment agreements executed with two members of management, at exercise prices of $36.16 per share and $37.14 per share, which equaled the fair market value of the Company’s Ordinary Common Stock on the respective grant dates. These options vest ratably over four years.

On March 10, 2005, the Company granted 872,298 options and 107,584 shares of restricted stock pursuant to the MIP. The options have an exercise price of $34.57 per share which equaled the fair market value of the Company’s Ordinary Common Stock on the grant date. These options and restricted stock awards vest ratably over four years. The compensation charge of $3.7 million from the grant of restricted stock will be recognized ratably over the vesting period.

NOTE F—Discontinued Operations

Accounting for Discontinued Operations

The Company has accounted for the disposal of its discontinued segments under APB Opinion No. 30, "Reporting“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" ("Transactions” (“APB 30"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. All activities related to the healthcare provider and franchising segments, the specialty managed healthcare segment and the human services segment are reflected as discontinued operations for the three-month and nine-month periods ended September 30, 2003March 31, 2004 and 2004.2005. As permitted, the assets, liabilities and cash flows related to discontinued operations have not been segregated from those related to continuing operations.

The summarized results of the discontinued operations segments, net of taxes, are as follows (in thousands):

 
 Predecessor
Company

 Reorganized
Company

 Predecessor
Company

 Reorganized
Company

 
 
 Three Months Ended
September 30, 2003

 Three Months Ended
September 30, 2004

 Nine Months Ended
September 30, 2003

 Nine Months Ended
September 30, 2004

 
Discontinued Operations             
Net revenue(1) $316 $ $389 $118 
  
 
 
 
 
Salaries, cost of care and other operating expenses(2)  25,264  814  26,386  840 
Other expenses (income)(3)(4)  (4,012) (207) (6,595) (114)
Reorganization benefit, net(5)  (288)   (3,455)  
  
 
 
 
 
Net income (loss) $(20,648)$(607)$(15,947)$(608)
  
 
 
 
 

 

 

Three Months Ended
March 31,

 

 

 

    2004    

 

    2005    

 

Discontinued Operations

 

 

 

 

 

 

 

 

 

Net revenue(1)

 

 

$

138

 

 

 

$

 

 

Direct service costs and other operating expenses(2)

 

 

100

 

 

 

(119

)

 

Income tax provision

 

 

8

 

 

 

71

 

 

Income from discontinued operations

 

 

$

30

 

 

 

$

48

 

 


(1)

Amounts represent settlements of certain outstanding Medicare and Medicaid cost reports.

(2)

In September 2003, the Predecessor Company entered into an agreement to settle certain claims related to the healthcare provider and franchising segment. As a result of the settlement, the Predecessor Company recorded an adjustment to other operating expenses of $24.0 million, for which there was no tax effect.

(3)
Interest expense has not been allocated to discontinued operations.

(4)
Includes (income) loss from disposal of discontinued operations and/or provision (benefit) for income taxes.

(5)
As part of its financial restructuring plan and chapter 11 proceedings, the Predecessor Company rejected certain leases for closed offices. The estimated cost to the Predecessor Company as a result of rejecting such leases was less than the liability recorded. In accordance with SOP 90-7, such difference was recorded as reorganization benefit, net.

The remaining assets and liabilities of the discontinued segments at September 30, 2004March 31, 2005 include, among other things, (i) cash and cash equivalents of $0.8$1.0 million; (ii) restricted cash of $0.8$0.5 million; (iii) investment in provider joint ventures of $1.9 million; and (iv) accounts payable and accrued liabilities of $1.6$3.3 million. In July 2004, the Reorganized Company sold hospital-based real estate that resulted in a pre-tax loss of $0.1 million that is reflected as loss on disposal of discontinued operations, net of tax, in the accompanying unaudited condensed consolidated financial statements included elsewhere herein for the nine months ended September 30, 2004.

15




NOTE G—Commitments and Contingencies

Insurance

The Company maintains a program of insurance coverage for a broad range of risks in its business. As part of this program of insurance, the Company is self-insured for a portion of its general and current professional liability risks. Prior to July 1999, the Company maintained certain reserves related primarily to the professional liability risks of the Company'sCompany’s healthcare provider segment arising prior to the sale of its domestic acute-care psychiatric hospitals and residential treatment facilities to Crescent Real Estate Equities in fiscal 1997. On July 2, 1999, the Company transferred its remaining medical malpractice claims portfolio (the "Loss“Loss Portfolio Transfer"Transfer”) to a third-party insurer for approximately $22.3 million.insurer. The Loss Portfolio Transfer was funded from assets restricted for settlement of unpaid claims. TheCompany  believes that the insurance limit obtained through the Loss Portfolio Transfer for future medical malpractice claims with respect to such business is $26.3 million. The Company continually evaluates the adequacy of these insured limits and management believes these amounts are sufficient; however, there can be no assurance in that regard.

The Company recentlyhas renewed its general, professional and managed care liability insurance policies with unaffiliated insurers for a one-year period from June 17, 2004 to June 17, 2005. The general liability policies are written on an "occurrence"“occurrence” basis, subject to a $0.1 million per claim un-aggregated self-insured retention. The professional liability and managed care errors and omissions liability policies are written on a "claims-made"“claims-made” basis, subject to a $1.25 million per claim ($10.0 million per class action claim) un-aggregated self-insured retention for managed care liability, and a $0.1 million per claim un-aggregated self-insured retention for professional liability. The Company also purchases excess liability coverage in an amount deemedthat management believes to be reasonable by management for the size and profile of the organization. The Company is responsible for claims within its self-insured retentions, including portions of claims reported after the expiration date of the policies if they are not renewed, or if policy limits are exceeded.

Regulatory Issues

The 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.

In addition, regulators of certain of the Company'sCompany’s subsidiaries may exercise certain discretionary rights under regulations including increasing theirits 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.

Legal

The Company is subject to or party to certain class action suits, litigation and claims relating to its operations and business practices. LitigationExcept as otherwise provided under the Plan, litigation asserting claims against the Predecessor Company and its subsidiaries that were parties to the chapter 11 proceedings for pre-petition obligations (the "Pre-petition Litigation"“Pre-petition Litigation”), was enjoined as of the Effective Date as a consequence of the confirmation of the Plan inby the Predecessor Company's chapter 11 proceedings.Bankruptcy Court. The Company believes that except as otherwise provided by the Plan, the Pre-petition Litigation claims constitute pre-petition general unsecured claims and, to the extent allowed by the bankruptcy court,Bankruptcy Court, would be resolved as other general unsecured claims underOther General Unsecured Claims as defined by the Plan. See Note B—“Emergence from Chapter 11.”


In the opinion of management, the Company has recorded reserves that are adequate to cover litigation, claims or assessments that have been or may be asserted against the Company, and for which the outcome is probable and reasonably estimable. Management believes that the resolution of such litigation and claims will not have a material adverse effect on the Company'sCompany’s financial position or results of operations; however, there can be no assurance in thisthat regard.

Operating Leases

The Company leases certain of its operating facilities. The leases, which expire at various dates through January 2013, generally require the Company to pay all maintenance, property tax and insurance costs.

NOTE H—Special Charges

    Performance Improvement Plan

In April 2003, the Company implemented a new business and performance initiative, named Performance Improvement Plan ("PIP"(“PIP”). PIP iswas focused on consolidating service centers, creating more efficiencies in corporate overhead, consolidating systems, improving call center technology and instituting other operational and business efficiencies while maintaining or improving service to customers. During the fiscal year ended December 31, 2003, PIP resulted in the recognition of special charges of (a) $7.5 million to terminate employees that represented both operational and corporate personnel, and (b) $2.4 million to downsize and close excess facilities, and other associated activities.

In the ninethree months ended September 30,March 31, 2004, PIP resulted in the recognition of special charges of (a) $2.6 million to terminate employees that represented both operational and corporate personnel, and (b) $1.8 million to terminate leases and provide for other exit costs. The employee termination costs of $2.6 million, which are provided under an ongoing benefit arrangement, include severance and related termination benefits, including payroll taxes. All terminations communicated to employees by September 30, 2004 are expected to be completed by December 2004 and termination costs associated with such employees are expected to be paid in full by August 2005. Termination liabilities attributable to ongoing benefit arrangements have been accrued when probable in accordance with SFAS No. 112, "Employers' Accounting for Postemployment Benefits." Lease termination costs are accounted for under SFAS No. 146, "Accounting for Costs Associated with Exit or Disposal Activities" ("SFAS 146"). In accordance with SFAS 146, the liability for lease termination costs is accrued at the time that all employees have vacated the leased property. These closure and exit costs include payments required under lease contracts (less any applicable existing and/or estimated sublease income) after the properties were abandoned, write-offs of leasehold improvements related to the facilities and other related expenses.$1.9 million. Outstanding liabilities of approximately $3.8$1.5 million related to PIP are included in the accompanying September 30, 2004March 31, 2005 condensed consolidated balance sheet in "Accrued liabilities".



        Implementation of PIP resulted in additional incremental costs that were expensed as incurred. Special charges for the nine months ended September 30, 2004 includes a credit of $0.1 million which represents a reduction of previously expensed consulting costs.

“Accrued liabilities.” The following table provides a roll-forward of liabilities resulting from the special charges incurred in the implementation of this plan (in thousands):

Type of Cost

 Balance
December 31,
2003

 Additions
 Payments
 Adjustments(1)
 Balance
September 30,
2004

Employee severance and termination benefits $4,702 $2,613 $(5,183)$48 $2,180
Lease termination and other costs  146  1,802  (353)   1,595
  
 
 
 
 
  $4,848 $4,415 $(5,536)$48 $3,775
  
 
 
 
 

(1)
Represents the reclassification of liabilities from accrued leave for certain terminated employees.

Type of Cost

 

 

 

Balance
December 31,
2004

 

Additions

 

Payments

 

Balance
March 31,
2005

 

Employee severance and termination benefits

 

 

$

866

 

 

 

$

 

 

 

$

(661

)

 

 

$

205

 

 

Lease termination and other costs

 

 

1,448

 

 

 

 

 

 

(143

)

 

 

1,305

 

 

 

 

 

$

2,314

 

 

 

$

 

 

 

$

(804

)

 

 

$

1,510

 

 

NOTE I—Business Segment Information

The Company is engaged in the managed behavioral healthcare business. The Company provides managed behavioral healthcare services to health plans, insurance companies, corporations, labor unions and various governmental agencies. Within the managed behavioral healthcare business, the Company is further divided into the following four segments, based on the services it provides and/or the customers that it serves, as described below.

Health Plan Solutions.The Company'sCompany’s Health Plan Solutions segment generally reflects managed behavioral healthcare services provided under contracts with Blue Cross Blue Shield health plans and other managed care companies, health insurers and other health plans. This segment'ssegment’s contracts encompass both risk-based and ASOadministrative services only (“ASO”) contracts. Although certain health plans provide their own managed behavioral healthcare services, many health plans "carve out"“carve out” behavioral healthcare from their general healthcare services and subcontract such services to managed behavioral healthcare companies such as the Company. In the Health Plan Solutions segment, the Company'sCompany’s members are the beneficiaries of the health plan (the employees and dependents of the customer of the health plan and their dependents)plan), for which the behavioral healthcare services have been carved out to the Company.


Employer Solutions.The Company'sCompany’s Employer Solutions (formerly "Workplace") segment generally reflects the provision of employee assistance program ("EAP"(“EAP”) services, managed behavioral healthcare services and integrated products under contracts with employers, including corporations and governmental agencies, and labor unions. This segment'ssegment’s managed behavioral healthcare services are primarily ASO products.

Public Sector Solutions.The Company'sCompany’s Public Sector Solutions segment generally reflects managed behavioral healthcare services provided to Medicaid recipients under contracts with state and local governmental agencies. This segment'ssegment’s contracts encompass both risk-based and ASO contracts. The Company provides managed behavioral healthcare services to the State of Tennessee's TennCare program, both through direct contracts with TBH and a contract held by Premier, a joint venture in which the Company owns a fifty percent interest.

Corporate and Other.This segment of the Company is composed primarily of operational support functions such as information technology and sales and marketing and information technology as well as corporate support functions such as executive, finance, human resources and legal. Discontinued operations activity is not included in the Corporate and Other segment operating results.



The accounting policies of these segments are the same as those described in Note A—“General—Summary of Significant Accounting Policies.” The Company evaluates performance of its segments based on profit or loss from continuing operations before depreciation and amortization, interest expense, interest income, stock compensation expense, special charges, income taxes and minority interest (“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. Intersegment sales and transfers are not significant.

The Company’s customer segments are defined above. In certain limited cases, customer contracts that would otherwise meet the definition of one segment are managed and reported internally in another segment, in which cases the membership and financial results of such contracts are reflected in the segment in which it is managed and reported internally. During the quarter ended September 30, 2004, the Company'sCompany’s internal reporting of certain operational and corporate support costs, such as claims administration and network services, changed to allocate such costs from the Corporate and Other segment to the Health Plan Solutions, Employer Solutions and Public Sector Solutions segments.segments, based upon each such segment’s respective use of such services. Accordingly, the Company has restatedreclassified the financial results for all prior periods to allocate such costs into the corresponding segments consistent with its internal reporting. This restatementreclassification does not affect consolidated financial results for any periods presented. Additionally, in fiscal 2003 the Company transferred the reporting of certain contracts between segments. ReferAll periods presented were adjusted to the Company's Current Report on Form 8-K dated April 9, 2004 for further discussion related toconform with the fiscal 2003 segment modification.

        The accounting policies of these segments are the same as those described in Note B—"Summary of Significant Accounting Policies". The Company evaluates performance of its segments based on profit or loss from continuing operations before depreciation, amortization, interest expense, interest income, reorganization expense, stock compensation expense, special charges, goodwill impairment charges, income taxes and minority interest ("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. Intersegment sales and transfers are not significant.

2004 reclassification. The following tables summarize, for the periods indicated, operating results by business segment (in thousands):

 
 Predecessor Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Three Months Ended September 30, 2003                
Net revenue $205,740 $38,837 $129,130 $ $373,707 
Cost of care  107,626  9,792  105,406    222,824 
Direct service costs  44,766  19,085  13,236    77,087 
Other operating expenses        31,676  31,676 
Equity in (earnings) loss of unconsolidated subsidiaries  (1,797)   435    (1,362)
  
 
 
 
 
 
Segment profit (loss) $55,145 $9,960 $10,053 $(31,676)$43,482 
  
 
 
 
 
 
 
 Reorganized Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Three Months Ended September 30, 2004                
Net revenue $233,769 $32,991 $191,194 $ $457,954 
Cost of care  126,681  8,981  167,706    303,368 
Direct service costs  41,483  15,785  10,746    68,014 
Other operating expenses        22,992  22,992 
Equity in earnings of unconsolidated subsidiaries  (1,863)       (1,863)
  
 
 
 
 
 
Segment profit (loss) $67,468 $8,225 $12,742 $(22,992)$65,443 
  
 
 
 
 
 

 

 

Health
Plan
Solutions

 

Employer
Solutions

 

Public
Sector
Solutions

 

Corporate
and
Other

 

Consolidated

 

Three Months Ended March 31, 2004

 

 

 

 

 

 

 

 

 

 

 

 

Net revenue

 

$

223,139

 

$

35,269

 

$

181,768

 

$

 

 

$

440,176

 

 

Cost of care

 

123,010

 

10,227

 

160,967

 

 

 

294,204

 

 

Direct service costs

 

44,372

 

18,192

 

10,273

 

 

 

72,837

 

 

Other operating expenses

 

 

 

 

26,887

 

 

26,887

 

 

Equity in earnings of unconsolidated subsidiaries

 

(1,844

)

 

 

 

 

(1,844

)

 

Segment profit (loss)

 

$

57,601

 

$

6,850

 

$

10,528

 

$

(26,887

)

 

$

48,092

 

 


 
 Predecessor Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Nine Months Ended September 30, 2003                
Net revenue $654,787 $121,329 $396,835 $ $1,172,951 
Cost of care  372,936  34,496  326,049    733,481 
Direct service costs  135,810  60,213  39,064    235,087 
Other operating expenses        83,434  83,434 
Equity in (earnings) loss of unconsolidated subsidiaries  (4,751)   1,590    (3,161)
  
 
 
 
 
 
Segment profit (loss) $150,792 $26,620 $30,132 $(83,434)$124,110 
  
 
 
 
 
 
 
 Reorganized Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Nine Months Ended September 30, 2004                
Net revenue $684,094 $102,254 $563,886 $ $1,350,234 
Cost of care  370,254  29,028  499,513    898,795 
Direct service costs  128,981  49,981  31,190    210,152 
Other operating expenses        73,234  73,234 
Equity in earnings of unconsolidated subsidiaries  (5,561)       (5,561)
  
 
 
 
 
 
Segment profit (loss) $190,420 $23,245 $33,183 $(73,234)$173,614 
  
 
 
 
 
 

 The segment financial information disclosed for the three and nine months ended September 30, 2003 in the tables above is different than that which was previously reported in the Quarterly Report on Form 10-Q for the quarter ended September 30, 2003, due to certain reclassifications between segments as discussed above.

 

 

Health
Plan
Solutions

 

Employer
Solutions

 

Public
Sector
Solutions

 

Corporate
and
Other

 

Consolidated

 

Three Months Ended March 31, 2005

 

 

 

 

 

 

 

 

 

 

 

 

Net revenue

 

$

224,902

 

$

31,660

 

$

196,192

 

$

 

 

$

452,754

 

 

Cost of care

 

121,728

 

7,860

 

174,620

 

 

 

304,208

 

 

Direct service costs

 

39,582

 

15,705

 

7,587

 

 

 

62,874

 

 

Other operating expenses

 

 

 

 

25,847

 

 

25,847

 

 

Equity in earnings of unconsolidated subsidiaries

 

(1,449

)

 

 

 

 

(1,449

)

 

Segment profit (loss)

 

$

65,041

 

$

8,095

 

$

13,985

 

$

(25,847

)

 

$

61,274

 

 

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

 
 Predecessor Company
 Reorganized Company
 Predecessor Company
 Reorganized Company
 
 
 Three Months Ended
September 30, 2003

 Three Months Ended
September 30, 2004

 Nine Months Ended
September 30, 2003

 Nine Months Ended
September 30, 2004

 
Segment profit $43,482 $65,443 $124,110 $173,614 
Depreciation and amortization  (11,593) (10,712) (36,265) (31,478)
Interest expense  (4,748) (9,109) (31,474) (27,499)
Interest income  670  1,760  2,173  3,593 
Reorganization expense, net  (4,540)   (32,245)  
Stock compensation expense    (2,580)   (15,898)
Special charges  (3,230) (1,770) (5,322) (4,304)
Goodwill impairment charges  (28,780)   (28,780)  
  
 
 
 
 
Income (loss) from continuing operations before income taxes and minority interest $(8,739)$43,032 $(7,803)$98,028 
  
 
 
 
 

        The following tables include the restatement of previously reported quarterly results by business segment to reflect the Company's allocation of certain operational and corporate support costs from the Corporate and Other segment to the other segments as discussed above (in thousands):

 
 Predecessor Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Three Months Ended March 31, 2003                
Net revenue $226,632 $42,579 $139,763 $ $408,974 
Cost of care  130,260  13,212  116,576    260,048 
Direct service costs  46,938  21,126  13,387    81,451 
Other operating expenses        27,340  27,340 
Equity in (earnings) loss of unconsolidated subsidiaries  (1,351)   736    (615)
  
 
 
 
 
 
Segment profit (loss) $50,785 $8,241 $9,064 $(27,340)$40,750 
  
 
 
 
 
 
 
 Predecessor Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Three Months Ended June 30, 2003                
Net revenue $222,415 $39,913 $127,942 $ $390,270 
Cost of care  135,050  11,492  104,067    250,609 
Direct service costs  44,106  20,002  12,441    76,549 
Other operating expenses        24,418  24,418 
Equity in (earnings) loss of unconsolidated subsidiaries  (1,603)   419    (1,184)
  
 
 
 
 
 
Segment profit (loss) $44,862 $8,419 $11,015 $(24,418)$39,878 
  
 
 
 
 
 
 
 Predecessor Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Three Months Ended December 31, 2003                
Net revenue $215,753 $37,705 $84,337 $ $337,795 
Cost of care  91,192  10,362  71,449    173,003 
Direct service costs  44,526  18,858  1,402    64,786 
Other operating expenses        35,095  35,095 
Equity in earnings of unconsolidated subsidiaries  (1,809)   (1,232)   (3,041)
  
 
 
 
 
 
Segment profit (loss) $81,844 $8,485 $12,718 $(35,095)$67,952 
  
 
 
 
 
 

 
 Reorganized Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Three Months Ended March 31, 2004                
Net revenue $223,139 $35,269 $181,768 $ $440,176 
Cost of care  123,010  10,227  160,967    294,204 
Direct service costs  44,372  18,192  10,273    72,837 
Other operating expenses        26,887  26,887 
Equity in earnings of unconsolidated subsidiaries  (1,844)       (1,844)
  
 
 
 
 
 
Segment profit (loss) $57,601 $6,850 $10,528 $(26,887)$48,092 
  
 
 
 
 
 
 
 Reorganized Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Three Months Ended June 30, 2004                
Net revenue $227,186 $33,994 $190,924 $ $452,104 
Cost of care  120,563  9,820  170,840    301,223 
Direct service costs  43,126  16,004  10,171    69,301 
Other operating expenses        23,355  23,355 
Equity in earnings of unconsolidated subsidiaries  (1,854)       (1,854)
  
 
 
 
 
 
Segment profit (loss) $65,351 $8,170 $9,913 $(23,355)$60,079 
  
 
 
 
 
 

The following table reconciles Segment Profit to consolidated income from continuing operations before income taxes and minority interest (in thousands):


 Predecessor
Company

 Predecessor
Company

 Predecessor
Company

 Reorganized
Company

 Reorganized
Company

 

 

Three Months Ended
March 31,

 


 Three Months
Ended
March 31, 2003

 Three Months
Ended
June 30, 2003

 Three Months
Ended
December 31, 2003

 Three Months
Ended
March 31, 2004

 Three Months
Ended
June 30, 2004

 

 

2004

 

2005

 

Segment profit $40,750 $39,878 $67,952 $48,092 $60,079 

 

$

48,092

 

$

61,274

 

Depreciation and amortization (13,652) (11,020) (11,782) (10,249) (10,517)

 

(10,249

)

(11,218

)

Interest expense (21,788) (4,938) (29,542) (9,334) (9,056)

 

(9,334

)

(8,639

)

Interest income 827 676 700 781 1,052 

 

781

 

3,033

 

Reorganization expense, net (23,154) (4,551) 470,462   
Stock compensation expense    (10,777) (2,541)

 

(10,777

)

(3,750

)

Special charges (1,705) (387) (4,206) (1,908) (626)

 

(1,908

)

 

 
 
 
 
 
 
Income (loss) from continuing operations before income taxes and minority interest $(18,722)$19,658 $493,584 $16,605 $38,391 
 
 
 
 
 
 

Income from continuing operations before income taxes and minority interest

 

$

16,605

 

$

40,700

 

NOTE J—Shelf Registration Statement

Magellan filed a registration statement on Form S-3 with the U.S. Securities and Exchange Commission on November 15, 2004, and subsequently filed Amendment No. 1 to the Form S-3 on April 18, 2005, with respect to the possible public offering from time to time of a total of 8,588,454 shares of Ordinary Common Stock that either would be issued upon the automatic conversion of shares of Multi-Vote Common Stock purchased in a private transaction under the Plan and owned by Magellan Holdings, L.P., an affiliate of Onex Corporation, a Canadian corporation (together with its affiliates, collectively, “Onex”), as a result of a sale pursuant to such offering or that have already been issued upon conversion upon a private sale by Onex of shares of Multi-Vote Common Stock to a party not affiliated with Onex. The registration statement was filed pursuant to a Registration Rights Agreement dated as of January 3, 2004 between the Company and Onex that was entered into in connection with the issuance of the Multi-Vote Common Stock under the Plan to Onex. The registration statement has not yet been declared effective by the Securities and Exchange Commission.

19




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

The following discussion and analysis of the financial condition and results of operations of Magellan Health Services, Inc. ("Magellan"(“Magellan”), and its majority owned subsidiaries and all variable interest entities ("VIEs"(“VIEs”) for which Magellan is the primary beneficiary (together with Magellan, the "Company"“Company”) should be read together with the Condensed Consolidated Financial Statements and the notes to the Condensed Consolidated Financial Statements included elsewhere in this Quarterly Report on Form 10-Q and the Company'sCompany’s Annual Report on Form 10-K for the year ended December 31, 2003,2004, which was filed with the Securities and Exchange Commission ("SEC"(“SEC”) on March 30, 2004.3, 2005.

Forward-Looking Statements

This Form 10-Q includes "forward-looking statements"“forward-looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended (the "Securities Act"“Securities Act”) and Section 21E of the Securities Exchange Act of 1934, as amended (the "Exchange Act"“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. 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:

    ·       restricted covenants in the Company’s debt instruments;

    ·       the impact of behavioral healthcare costs on fixed fee contracts;

    ·       the impact of present or future state regulations and contractual requirements;

    ·       the Company’s inability to renegotiate or extend expiring customer contracts, or the termination or non-renewal of contracts by customers;

    electioncustomer contracts;

    ·       changes in business practices of the industry, including the possibility that certain of the Company's health planCompany’s managed care customers could seek to manage theprovide managed behavioral healthcare services directly to their subscribers, instead of their members directly;

    renegotiation of rates paid to and/or bycontracting with the Company by customers and/or to providers;

    higher utilization of behavioral health treatment services by members;

    delays, higher costs or inability to implement the Company's initiatives;

    the impact of new or amended laws or regulations;

    for such services;

    ·the impact of increased competition on ability to maintain or obtain contracts;

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

    ·       the possible impact of healthcare reform;

    ·       government regulation;

    ·       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 exceed the scope of the Company’s liability coverage or denial of coverage;

    ·       class action suits and other legal proceedings; and

    ·the impact of increased competition on rates paid to or by the Company; and

    governmental inquiries and/or litigation.
investigations.

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 "Cautionary Statements"“Cautionary Statements” in Item 1 of Magellan'sMagellan’s Annual Report on Form 10-K for the year ended December 31, 2003. 2004.


When used in this Quarterly Report on Form 10-Q, the words "estimate," "anticipate," "expect," "believe," "should,"“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.

Overview

The Company coordinates and manages the delivery of behavioral healthcare treatment services that are provided through its contracted network of third-party treatment providers, which includes psychiatrists, psychologists, other behavioral health professionals, psychiatric hospitals, residential treatment centers and other treatment facilities. The treatment services provided through the Company'sCompany’s provider network include outpatient programs (such as counseling or therapy), intermediate care programs (such as intensive outpatient programs and partial hospitalization services), inpatient



treatment and crisis intervention services. The Company, however, generally does not directly provide, or own any provider of, treatment services. The Company provides its management 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"(“ASO”) products, where the Company provides services such as utilization review, claims administration and/or provider network management but does not assume responsibility for the cost of the treatment services, (iii) employee assistance programs ("EAPs"(“EAPs”) and (iv) products which combine features of some or all of the Company'sCompany’s risk-based, ASO or EAP products. At September 30, 2004,March 31, 2005, the Company managed the behavioral healthcare benefits of approximately 58.457.7 million individuals.

        On January 5, 2004 (the "Effective Date"), the Company's plan of reorganization (the "Plan") became effective and the Company emerged from bankruptcy. The principal terms of the Plan, including the treatment afforded under the Plan to the holders of the Company's pre-existing indebtedness and other liabilities and equity interests, are summarized in Item 1 of the Company's Annual Report on Form 10-K for the year ended December 31, 2003, previously filed with the SEC. In the discussion herein of periods prior to the Effective Date, references to such pre-existing indebtedness and other securities shall have the meaning set forth therein. The Company, as of December 31, 2003 and subsequently, is referred to herein as the "Reorganized Company" and, in connection with prior periods, is referred to herein as the "Predecessor Company." See "New Capitalization" below for a discussion of post-emergence external funding received by the Company.

        As further discussed in "Accounting Impact of Chapter 11 Filing," below, the results of operations for the three months and nine months ended September 30, 2004 and the cash flows for the nine months ended September 30, 2004 are not comparable with the results of operations and cash flows for the similar prior year periods.

        The Company operates in four reportable business segments, based on the services it provides and/or the customers that it serves: (i) Magellan Health Plan Solutions ("Health Plan Solutions"); (ii) Magellan Employer Solutions ("Employer Solutions"); (iii) Magellan Public Sector Solutions ("Public Sector Solutions") and (iv) Corporate and Other. See "Business Segments" below for a discussion of each segment. Health Plan Solutions, Employer Solutions and Public Sector Solutions contributed 51.0 percent, 7.2 percent and 41.8 percent, respectively, of the Reorganized Company's net revenue for the quarter ended September 30, 2004, and 50.7 percent, 7.6 percent and 41.7 percent of the Company's net revenue for the nine months ended September 30, 2004. Health Plan Solutions, Employer Solutions and Public Sector Solutions contributed 76.3 percent, 9.3 percent and 14.4 percent, respectively, of the Reorganized Company's segment profit (as defined below), excluding the Corporate and Other segment, for the quarter ended September 30, 2004, and 77.1 percent, 9.4 percent and 13.5 percent of the Company's segment profit, excluding the Corporate and Other segment, for the nine months ended September 30, 2004.

        The Reorganized Company reported income from continuing operations of $27.2 million and $68.5 million, or $0.74 per share and $1.89 per share on a diluted basis, respectively, for the three months and nine months ended September 30, 2004. The Predecessor Company reported losses from continuing operations of $(29.6) million and $(32.2) million, or $(0.84) per share and $(1.02) per share on a diluted basis, respectively, for the three months and nine months ended September 30, 2003. The Reorganized Company reported net income of $26.6 million and $67.9 million, or $0.73 per share and $1.87 per share on a diluted basis, respectively, for the three months and nine months ended September 30, 2004. The Predecessor Company reported net losses of $(50.2) million and $(48.2) million, or $(1.42) per share and $(1.47) per share on a diluted basis, respectively, for the three months and nine months ended September 30, 2003. See "Results of Operations" below for discussion of the components of income (loss) from continuing operations and net income (loss) and explanations for significant variances in amounts reported for the periods presented.



        The Reorganized Company reported cash flow from operating, investing and financing activities of $88.3 million, $(10.1) million and $28.8 million, respectively, for the nine months ended September 30, 2004. The Predecessor Company reported cash flow from operating, investing and financing activities of $140.5 million, $(16.4) million and $(2.5) million for the nine months ended September 30, 2003. Cash flows for the current year and prior year periods were significantly affected by activities related to the bankruptcy filing in March 2003 and the subsequent emergence from bankruptcy in January 2004 with equity financing secured by the Company in the form of an investment by Onex Corporation, a Canadian company, through an affiliate (together, "Onex"). See "Historical—Liquidity and Capital Resources" below for further discussion of cash flows.

        The securing of external capital and restructuring of long-term debt enabled the Company to emerge from bankruptcy, and this new capital along with profitable operations has enabled the Company to focus on executing its strategic plan, which includes improving operating efficiencies and margins and leveraging the Company's market position to grow revenue and increase earnings of its managed behavioral healthcare business, as well as designing new products to facilitate growth of the Company. The Company believes that it has the management expertise and operating and systems infrastructure in place to achieve these objectives; however, no assurance can be given in that regard.

New Capitalization

        Giving effect to the Plan, the Company continued, in its previous organizational form, to conduct its business as previously conducted, with the same assets in all material respects (except for cash to be distributed under the Plan to former creditors of the Company), but the Company was recapitalized. Specifically, Onex invested approximately $102.1 million in the equity of Magellan in the form of Multi-Vote Common Stock (the "Onex Investment"), which entitles it to a fifty percent voting interest in all matters that come before Magellan's stockholders, with certain exceptions. Pursuant to the Plan, the Company received additional equity infusions totaling $63.3 million from holders of the Company's Old Subordinated Notes (the "Holders") and other general unsecured creditors (the "Other GUCs"), which elected to purchase common stock in the form of Ordinary Common Stock of the Company in an equity offering. Onex's equity investment included initial capital contributions to the Company pursuant to the Plan of $86.7 million and additional capital contributions of $15.4 million under its commitment to fund the election by creditors to receive cash in lieu of common stock distributions in satisfaction of their claims (the "Cash-Out Election") by purchasing that amount of shares of Multi-Vote Common Stock equal to the amount of shares of Ordinary Common Stock cashed out by the Holders and the Other GUCs pursuant to the Cash-Out Election. Capital contributions of $146.9 million, net of approximately $3.1 million of issuance costs and excluding funds received from the Cash-Out Election, are reflected as "Stock subscriptions receivable" in the accompanying condensed consolidated balance sheet as of December 31, 2003. Of the funds received by the Company pursuant to the Cash-Out Election, $15.2 million are included in "Other current assets" in the accompanying condensed consolidated balance sheet as of December 31, 2003, with the remaining amount of $0.2 million being recorded by the Company and paid by Onex subsequent to March 31, 2004. All previously existing equity interests in Magellan were cancelled as of the Effective Date.

        Also pursuant to the Plan, the Company entered into a new credit agreement with Deutsche Bank AG (the "Credit Agreement"), issued $233.5 million of Series A Senior Notes and $7.1 million of Series B Senior Notes (together, the "Senior Notes"), renewed its agreement with Aetna, Inc. ("Aetna") to manage the behavioral healthcare of members of Aetna's healthcare programs and issued to Aetna an interest bearing note in the amount of $48.9 million (the "Aetna Note"). The Company's secured bank loans under its old credit agreement, as existing before the Effective Date (the "Old Credit Agreement"), were paid in full, and other then existing indebtedness (i.e., two classes of notes and general unsecured creditor claims) was cancelled as of the Effective Date.



        The discussion in this section represents a summary of certain transactions which occurred as of and subsequent to the Effective Date pursuant to the Plan. Please refer to the Company's Annual Report on Form 10-K for the year ended December 31, 2003 for a more detailed description of the recapitalization of the Company and other transactions pursuant to the Plan.

Business Segments

Health Plan Solutions.The Company'sCompany’s Health Plan Solutions segment generally reflects managed behavioral healthcare services provided under contracts with Blue Cross Blue Shield health plans and other managed care companies, health insurers and other health plans. This segment'ssegment’s contracts encompass both risk-based and ASO contracts. Although certain health plans provide their own managed behavioral healthcare services, many health plans "carve out"“carve out” behavioral healthcare from their general healthcare services and subcontract such services to managed behavioral healthcare companies such as the Company. In the Health Plan Solutions segment, the Company'sCompany’s members are the beneficiaries of the health plan (the employees and dependents of the customer of the health plan and their dependents)plan), for which the behavioral healthcare services have been carved out to the Company. The Company'sCompany’s Health Plan Solutions segment managed the behavioral health benefits of approximately 42.442.3 million covered lives as of September 30, 2004.March 31, 2005.

Employer Solutions.The Company'sCompany’s Employer Solutions segment (formerly "Workplace") generally reflects the provision of EAP services, managed behavioral healthcare services and integrated products under contracts with employers, including corporations and governmental agencies, and labor unions. This segment'ssegment’s managed behavioral healthcare services are primarily ASO products. The Company'sCompany’s Employer Solutions segment provided these services for approximately 13.313.4 million covered lives as of September 30, 2004.March 31, 2005.

Public Sector Solutions.The Company'sCompany’s Public Sector Solutions segment generally reflects managed behavioral healthcare services provided to Medicaid recipients under contracts with state and local governmental agencies. This segment'ssegment’s contracts encompass both risk-based and ASO contracts. Risk contracts in the Public Sector Solutions segment generally have higher per member premiums, cost and (to some degree) more volatility than risk contracts in either the Health Plan Solutions or Employer Solutions segments due to the nature of populations, benefits provided and other matters. The Company'sCompany’s Public Sector Solutions segment managed the behavioral health benefits of approximately 2.72.0 million covered lives as of September 30, 2004.March 31, 2005.

Corporate and Other.This segment of the Company is composed primarily of operational support functions such as information technology and sales and marketing and information technology as well as corporate support functions


such as executive, finance, human resources and legal. Discontinued operations activity is not included in the Corporate and Other segment operating results. In the quarter ended September 30, 2004, the Company reclassified certain expenses from its Corporate and Other segment to its other business segments, as discussed in Note I—"Business Segment Information"Information” to the Company'sCompany’s unaudited condensed consolidated financial statements set forth elsewhere herein.

Significant Customers

The Company'sHealth Plan Solutions segments includes revenue derived from the Company’s contract with Aetna, Inc. (“Aetna”) of $55.8 million and $62.0 million, respectively, during the three-month periods ended March 31, 2004 and 2005. As described in Note A—“General—Summary of Significant Accounting Policies” the Aetna contract will terminate on December 31, 2005.

The Company is party to several contracts with entities that are now controlled by WellPoint, Inc. (“WellPoint”), that represent a significant concentration of business for the Company. Total revenue from such contracts totaled $31.4 million and $33.9 million during the three-month periods ended March 31, 2004 and 2005, respectively. One such contract, which generated revenue of $24.4 million during the three-month period ended March 31, 2005, extends through December 31, 2005. A second contract with an entity controlled by WellPoint, which generated revenue of $6.7 million for the three-month period ended March 31, 2005, extends through September 30, 2005, and the Company has recently been notified by the customer that it does not intend to renew this contract beyond such date. The other WellPoint-related contracts have terms ranging from June 30, 2006 through December 31, 2007.

As noted above, substantially all of the Company’s Health Plan Solutions segment providesrevenues are derived from Blue Cross and Blue Shield health plans, and other managed care companies, health insurers and health plans. As described in the section entitled “Cautionary Statements—Changes in the Managed Care Industry” in the Company’s Form 10-K for the year ended December 31, 2004, some of the Company’s customers have decided to provide managed behavioral healthcare services directly to certain oftheir subscribers. In addition to Aetna and the membership of Aetna. During the three months and nine months ended September 30, 2003, the Predecessor Company derived approximately $48.1 million and $144.8 million, respectively, of consolidated net revenue from itsWellPoint-related contract with Aetna. During the three months and nine months ended September 30, 2004, the Reorganized Company derived approximately $58.4 and $170.4 million, respectively, of consolidated net revenue from its contract with Aetna. The current Aetna contract extends through December 31, 2005, and includes an option for Aetna at that time to either extend the agreement or to purchase certain assetsnoted above, other managed care customers of the Company used solely inhave decided not to renew all or part of their contracts with the management of theCompany, and will instead manage behavioral healthcare services for their subscribers. The Company believes that the total impact of Aetna members (the "Aetna-Dedicated Assets"). If the behavioral health



services contract is extended by Aetna at its option through at least December 31,such non-renewals will be a reduction to revenue of approximately $330 million during fiscal 2006, one-half$250 million of the Aetna Note of $48.9 million would be payable on December 31, 2005, and the remainder would be payable on December 31, 2006. If Aetna optswhich relates to purchase the Aetna-Dedicated Assets, the purchase price could be offset against any amounts owing under the Aetna Note.Aetna.

The Company'sCompany’s Public Sector Solutions segment provides managed behavioral healthcare services to the State of Tennessee'sTennessee’s TennCare program (“TennCare”), both through direct contracts held by the Company'sCompany’s wholly owned subsidiary Tennessee Behavioral Health, Inc. ("TBH"(“TBH”), and through a contract held by Premier Behavioral Systems of Tennessee, LLC ("Premier"(“Premier”), a joint venture in which the Company owns a fifty percent interest. The direct TennCareIn addition, the Company contracts (exclusive of Premier's contract with TennCare) accounted for approximately $35.9 million and $121.0 million of the Predecessor Company's net revenues in the three and nine months ended September 30, 2003, respectively. Such revenue included approximately $5.4 million and $34.4 million for the three and nine months ended September 30, 2003, respectively, associated withPremier to provide certain services performed by the Predecessor Company on behalf of Premier. The direct TennCare contracts accounted for approximately $55.4 million and $120.1 million of the Reorganized Company's net revenues in the three months and nine months ended September 30, 2004, respectively.

        In the three months and nine months ended September 30, 2004, the Reorganized Company recorded approximately $52.0 million and $200.0 million, respectively, in net revenues related to Premier's contract with TennCare, which represents 100 percent of Premier's net revenue derived from such contract, due to the adoption of FIN 46 (see "Management's Discussion and Analysis of Financial Condition and Results of Operations—Recent Accounting Pronouncements" below for a discussion of FIN 46) pursuant to whichjoint venture. The Company consolidates the results of operations of Premier, wereincluding revenue and cost of care, in the Company’s consolidated withstatement of income. The Company recorded $103.7 million and $113.2 million of revenue from its TennCare contracts during the Reorganized Company's results of operations. In the three monthsthree-month periods ended March 31, 2004 and nine months ended September 30, 2003, the results of operations of Premier were accounted for by the Predecessor Company under the equity method of accounting. The consolidation of Premier did not affect the Company's profitability.2005, respectively.

In September 2003, the State of Tennessee issued a request for proposal ("RFP") relating todivided the TennCare program under which the program would be divided into three regions. The Company, through TBH, submitted a proposalCompany’s contract for the East region only and was awarded the contract, which has a term from July 1, 2004 through December 31, 2005, with extensions at the State'sState’s option through December 31, 2008. When contract negotiations between the State and the vendor that had been awarded theThe Company’s contracts for the Middle and West regions were discontinued, the State asked TBH and Premier to continue with their current contracts for those regionshave terms through December 31, 2004. Effective2005.

The Governor of Tennessee has stated that, because of the increased costs of the TennCare program, the State will cease providing coverage for up to approximately 323,000 adults (which represents approximately one-fourth of total TennCare membership) who do not qualify for Medicaid, and may limit benefits to be delivered under the TennCare program. Certain advocacy groups had filed suits in attempts


to prevent the Governor from implementing any reductions in membership and benefits; however, such suits have since been dismissed. Representatives of the State of Tennessee have publicly indicated that they intend to phase-in the membership reductions as early as July 1, 2004 agreements with2005. A reduction in membership would, and benefit changes could, adversely affect the State were reached, underCompany’s revenues and profitability. The Company does not yet know which TBHmembers would be eliminated from the program, and Premier will continue servingbecause capitation rates for TennCare members vary depending upon the Middlelevel of benefits received by such members, the Company cannot estimate the impact of the proposed membership reductions. Further, the Company does not yet know the actual timing of the phased-in membership reductions, the benefit changes being proposed or the timing of those changes, and West regions of TennCare through December 31, 2005. As a resultas such, the Company cannot estimate the impact of these agreements, the Company will continue to manage behavioral health care for the entire TennCare program.potential developments at this time.

The Company'sCompany’s Public Sector Solutions segment derives a significant portion of its revenue from contracts with various counties in the Statestate of Pennsylvania (the "Pennsylvania Counties"“Pennsylvania Counties”). Although these are separate contracts with individual counties, they all pertain to the Pennsylvania Medicaid program. Revenues earned by the Predecessor Company from the Pennsylvania Counties in the aggregate totaled approximately $60.0$43.9 million and $175.7$51.5 million in the three monthsthree-month periods ended March 31, 2004 and nine months ended September 30, 2003,2005, respectively. Revenues earned by the Reorganized Company from the Pennsylvania Counties in the aggregate totaled approximately $48.1 million and $139.3 million in the three months and nine months ended September 30, 2004, respectively. The contract with one of the counties was terminated as of December 31, 2003. Revenue related to this particular county earned by the Predecessor Company totaled approximately $7.1 million and $20.7 million in the three months and nine months ended September 30, 2003, respectively. Changes in fiscal 2003 in several of the individual contracts for certain of the Pennsylvania Counties have resulted in lower revenue, cost of care and direct service costs, with no impact to the net profitability of the contracts.


Off-Balance Sheet Arrangements

The Company does not currently maintain any off-balance sheet arrangements that have, or are reasonably likely to have, a current or future effect on the Company'sCompany’s finances that is material to investors.

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. Actual results could differ from those estimates. The Company considers the following to be its critical accounting policies and estimates:

        Fresh Start Reporting.    In connection with the consummation of the Plan, the Company adopted the fresh start reporting provisions of American Institute of Certified Public Accountants ("AICPA") Statement of Position 90-7, "Financial Reporting by Entities in Reorganization under the Bankruptcy Code" ("SOP 90-7"), with respect to its financial reports, which required the Company to restate its assets and liabilities to their fair values based upon the provisions of the Plan and certain valuations which the Company made in connection with the implementation of the Plan. Upon adoption of fresh start reporting as of December 31, 2003, the Company created, in substance, per SOP 90-7, a new reporting entity, which is referred to herein as the "Reorganized Company." The Reorganized Company has adopted the same accounting policies as the Predecessor Company with the exception of the date on which the Reorganized Company intends to perform its annual goodwill impairment test (see "Goodwill" below).

Managed Care Revenue.Managed care revenue is recognized over the applicable coverage period on a per member basis for covered members. Managed care risk revenue earned by the Predecessor Company for the three months ended March 31, 2004 and nine months ended September 30, 20032005 approximated $325.3$386.3 million and $1,008.4$402.3 million, respectively. Managed care risk revenue earned by the Reorganized Company for the three months and nine months ended September 30, 2004 approximated $402.8 million and $1,185.8 million, respectively.

Performance-based Revenue.   The Company has the ability to earn performance-based revenue primarily under certain risk and non-risk contracts. Performance-based revenue generally is based on either the ability of the Company to manage care for its ASO clients below specified cost targets.targets, or on other operating metrics. For each such contract, the Company estimates and records performance-based revenue after considering the relevant contractual terms and the data available for the performance-based revenue calculation. Pro-rata performance-based revenue is recognized on an interim basis pursuant to the rights and obligations of each party upon termination of the contracts. The Predecessor Company recognized performance-based revenue of approximately $1.3$0.9 million and $5.6$2.7 million for the three months ended March 31, 2004 and nine months ended September 30, 2003, respectively. The Reorganized Company recognized performance-based revenue of approximately $1.9 million and $5.6 million for the three months and nine months ended September 30, 2004,2005, respectively.

Goodwill.    Goodwill was recorded by the Reorganized Company at December 31, 2003 for the amount of reorganization value in excess of amounts allocated to tangible and identified intangible assets resulting from the application of the fresh start reporting provisions of SOP 90-7. Goodwill is accounted for in accordance with SFASStatement of Financial Accounting Standards (“SFAS”) No. 142, "Goodwill“Goodwill and Other Intangible Assets" ("Assets” (“SFAS 142"142”). Under SFAS 142, the Companygoodwill is no longer amortizes goodwill; instead, the Companyamortized over its estimated useful life, but rather is required to test the goodwilltested for impairment based upon fair values at least on an annual basis, or more frequently should there be indicators thatbasis. In accordance with SFAS 142, the book value of goodwill may be impaired. The Reorganizedis assigned to the Company’s reporting units. See Note A—“General—Summary of Significant Accounting Policies” to the condensed consolidated financial statements set forth elsewhere herein.



Company has selected October 1 as the date of its annual impairment test, as opposed to September 1, which was the date used by the Predecessor Company.

Long-lived Assets.Long-lived assets, including property and equipment and intangible assets to be held and used, are currently reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount should be addressed pursuant to SFAS No. 144, "Accounting“Accounting for the Impairment or Disposal of Long-Lived Assets."Assets” (“SFAS 144”). Pursuant to this guidance, impairment is determined by comparing the carrying value of these long-lived assets to management'smanagement’s best estimate of the future undiscounted cash flows expected to result from the use of the assets and their eventual disposition. The cash flow projections used to make this assessment are consistent with the cash flow projections that management uses internally to assist in making key decisions. In the event an impairment exists, a loss is recognized based on the amount by which the carrying value exceeds the fair value of the asset, which is generally determined by using quoted market prices or the discounted present value of expected future cash flows.

Cost of Care and Medical Claims Payable.Payable.   Cost of care recorded as a component of operating expenses, is recognized in the period in which members receivereceived behavioral health services. In addition to actual benefits paid, cost of care includes the impact of accruals for estimates of medical claims payable.

Medical claims payable in the Company's condensed consolidated balance sheets as of December 31, 2003 and September 30, 2004 represents the liability for healthcare claims reported but not yet paid and claims incurred but not yet reported ("IBNR"(“IBNR”). related to the Company’s managed healthcare businesses. The IBNR portion of medical claims payable is estimated based on past claims payment experience for member groups, enrollment data, utilization statistics, authorized healthcare services and other factors. This data is incorporated into contract-specific actuarial reserve models. TheAlthough considerable variability is inherent in such estimates, for submitted claims and IBNR claims are made on an accrual basis and adjusted in future periods as required. However, changes in assumptions for medical costs caused by changes in actual experience (such as changes inmanagement believes the delivery system, changes in utilization patterns, unforeseen fluctuations in claims backlogs, etc.) may ultimately prove these estimates inaccurate. As of September 30, 2004, the Reorganized Company believes that itsliability for medical claims payable balance of $200.9 million is adequate in order to satisfy ultimate claim liabilities incurred through September 30, 2004.adequate. Medical claims payable balances are continually monitored and reviewed. Changes in assumptions for cost of care caused by changes in actual experience could cause thethese estimates to change in the near term. The Company believes that the amount of medical claims payable is adequate to cover its ultimate liability for unpaid claims as of March 31, 2005; however, actual claims payments and other items may differ from established estimates.

Deferred Taxes.The Company files a consolidated federal income tax return for the Company and its eighty percenteighty-percent or more owned consolidated subsidiaries. The Company accounts for income taxes in accordance with SFAS No. 109, "Accounting“Accounting for Income Taxes".Taxes.” The Company estimates income taxes for each of the jurisdictions in which it operates. This process involves estimating current tax exposures together with assessing temporary differences resulting from differing treatment of items for tax and book purposes. Deferred tax assets and/or liabilities are determined by multiplying the differences between the financial reporting and tax reporting bases for assets and liabilities by the enacted tax rates expected to be in effect when such differences are recovered or settled. The Company then assesses the likelihood that the deferred tax assets will be recovered from the reversal of temporary timing differences and future taxable income, and to the extent the Company cannot conclude that recovery is more likely than not, it establishes a valuation allowance. The effect of a change in tax rates on deferred taxes is recognized in income in the period that includes the enactment date. Valuation allowances on deferred tax assets are estimated based on the Company's assessment of the realizability of such amounts.

        The Company notes that forFor federal income tax purposes, the emergence from bankruptcy, including the cancellation of indebtedness event, takes placeoccurred on the date of the Company's emergence from bankruptcy (JanuaryJanuary 5, 2004)2004, and the actual attribute reduction calculation as set forth under Internal Revenue Code Section 108 occursoccurred at or immediately after December 31, 2004 (the taxable year of discharge), and generally after determining the income tax liability for 2004. The Company changed its income tax reporting year to a calendar year basis in conformity with its financial reporting year effective December 31, 2003. For financial reporting purposes, the emergence from bankruptcy is deemed to occur in 2003; however, since the Company did not emerge from bankruptcy until January 5, 2004, for federal income tax purposes, the emergence from bankruptcy is a 2004 event.



After consideration of the effect of bankruptcy emergence, including the effect of cancellation of indebtedness income and the related attribute reduction effects as provided under Internal Revenue Code Section 108, and after consideration of changes in estimates identified upon completion of the December 31, 2003 federal income tax return, the Company had estimated taxestimates that it has reportable net operating loss carryforwards ("NOLs"(“NOLs”) as of December 31, 20032004 of approximately $492.2$525 million available to reduce future federal taxable income. The future utilization of these NOLs could be limited under certain circumstances. These estimated NOLs expire in 20082009 through 2019.

        Valuation allowances on deferred tax assets2020 and are estimated based on the Company's assessment of the realizability of such amounts. The Company's emergence from bankruptcy and financial restructuring activities created uncertainty as to the Company's ability to realize its NOLs and other deferred tax assets. In addition, the Company's utilization of NOLs became subject to limitation under examination and adjustment by the


Internal Revenue Code Section 382 upon emergence from bankruptcy, which affects the timing of the use of, or ultimate realization of, NOLs. Accordingly, as of December 31, 2003 and September 30, 2004, the Company has a total valuation allowance covering all of the Company's net deferred tax assets; therefore, the Company's income tax provision for fiscal 2004 does not include a deferred tax component.Service. In accordance with American Institute of Certified Public Accountants (“AICPA”) Statement of Position 90-7, “Financial Reporting by Entities in Reorganization under the Bankruptcy Code” (“SOP 90-7,90-7”), subsequent (post-bankruptcy) utilization by the Reorganized Company of NOLs which existed at January 5, 2004 will be accounted for as reductions to goodwill or additional paid-in capital and therefore, will only benefit cash flows due to reduced tax payments and will not benefit the Company'sCompany’s tax provision for income taxes intaxes.

Valuation allowances on deferred tax assets (including NOLs) are estimated based on the statementsCompany’s assessment of operations.the realizability of such amounts. The Company’s history of recent operating losses (prior to reorganization benefits) and financial restructuring activities and the lack of a sufficient history of profitable operations subsequent to its emergence from bankruptcy have created uncertainty as to the Company’s ability to realize its NOLs and other deferred tax assets. Accordingly, the Company had a valuation allowance covering substantially all of its net deferred tax assets at December 31, 2004 and March 31, 2005. As of December 31, 2004 and March 31, 2005, net deferred tax assets, after reduction for valuation allowance, represent the Company’s estimate of those net deferred tax assets which are more likely than not to be realizable.

The Predecessor Company recognized current tax expense attributable to estimated, current taxable income for the nine months ended September 30, 2003. This expense was recorded due to the anticipated utilization of previously recognized NOLs that were generated prior to a previous bankruptcy filing in 1992 and were generated prior to the occurrence of certain other events that may cause limitation on its NOLs. This expense also includes changes in estimates regarding the Company's utilization of the above-referenced NOLs due to amendments of prior year tax returns. The Reorganized Company recognized current tax expense attributable to estimated, current taxable income for the nine months ended September 30, 2004. This expense was recorded due to the estimated utilization of NOLs that were generated by the Predecessor Company and were generated prior to the occurrence of certain events that may cause limitation on its NOLs.

        Stock-Based Compensation.    The Company accounts for stock-based compensation in accordance with Accounting Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees" ("APB 25"), and has adopted the disclosure provisions of Statement of Financial Accounting Standards ("SFAS") No. 123, "Accounting for Stock-Based Compensation" ("SFAS 123"). Under APB 25, stock compensation expense is recognized to the extent that the fair market value of the common stock on the date of the grant of shares and/or options exceeds the exercise price of the shares and/or options. The expense is recognized on the date of the grant of shares or evenly over the vesting period of the underlying options in the case of stock options. In accordance with SFAS 123, the Company discloses the pro forma effect on net income (loss) and income (loss) per common share in the notes to the consolidated financial statements assuming the shares and/or options were valued at fair value.

Accounting Impact of Chapter 11 Filing

        In connection with the consummation of the Plan, the Company adopted the fresh start reporting provisions of SOP 90-7 with respect to its financial reports, which required the Company to restate its assets and liabilities to their fair values based upon the provisions of the Plan and certain valuations which the Company made in connection with the implementation of the Plan. The Company applied the fresh start reporting provisions as of December 31, 2003. Upon adoption of fresh start reporting, the Company created, in substance, per SOP 90-7, a new reporting entity. Accordingly, the unaudited condensed consolidated statements of operations for the three months and nine months ended September 30, 2004 and statement of cash flows for the nine months ended September 30, 2004 are not



comparable with the unaudited condensed consolidated statements of operations for the three months and nine months ended September 30, 2003 and statement of cash flows for the nine months ended September 30, 2003. Therefore, all statements of operations data for the three months and nine months ended September 30, 2004 and statement of cash flows data for the nine months ended September 30, 2004 have been disclosed herein as results of operations and cash flows of the Reorganized Company, and all statements of operations data for the three months and nine months ended September 30, 2003 and statement of cash flows data for the nine months ended September 30, 2003 have been disclosed herein as results of operations and cash flows of the Predecessor Company. Balance sheet data as of December 31, 2003 and September 30, 2004 presented herein represents balances of the Reorganized Company. All references to the Company with respect to disclosures of amounts recorded for the three months and nine months ended September 30, 2003 in relation to income statement items and recorded for the nine months ended September 30, 2003 in relation to cash flow items pertain to the Predecessor Company. All references to the Company with respect to disclosures of amounts recorded for the three months and nine months ended September 30, 2004 or to be recorded subsequent to September 30, 2004 in relation to income statement items and recorded for the nine months ended September 30, 2004 or recorded subsequent to September 30, 2004 in relation to cash flow items pertain to the Reorganized Company.

        The unaudited condensed consolidated statements of operations for the three months and nine months ended September 30, 2003 and statement of cash flows for the nine months ended September 30, 2003 in this Form 10-Q were prepared in accordance with SOP 90-7, as the Predecessor Company was under bankruptcy protection during those periods. As such, the Predecessor Company's unaudited condensed consolidated statements of operations for the three months and nine months ended September 30, 2003 and statement of cash flows for the nine months ended September 30, 2003 distinguished transactions and events that were directly associated with the reorganization from the Predecessor Company's ongoing operations. In accordance with SOP 90-7, the write-off of deferred financing fees associated with the 9.375% senior notes due 2007 (the "Old Senior Notes") and the 9% senior subordinated notes due 2008 (the "Old Subordinated Notes"), as well as certain professional fees and expenses and other amounts directly associated with the bankruptcy process, were recorded as reorganization expenses, and are included in the unaudited condensed consolidated statement of operations caption "Reorganization expense, net" for the three months and nine months ended September 30, 2003.

        In accordance with SOP 90-7, the Predecessor Company's redeemable preferred stock was recorded at the amount expected to be allowed as a claim by the Bankruptcy Court. Accordingly, during the three months ended March 31, 2003,2004 and 2005 due to the Predecessor Company recordeduncertainty as to the Company’s ability to realize deferred tax assets based on its history of recent operating losses (prior to reorganization benefits) and financial restructuring activities and the lack of a net $2.7 million adjustment,sufficient history of profitable operations subsequent to its emergence from bankruptcy.

Emergence from Chapter 11

On January 5, 2004 (the “Effective Date”), Magellan and 88 of its subsidiaries consummated their Third Joint Amended Plan of Reorganization, as modified and confirmed (the “Plan”), under chapter 11 of title 11 of the United States Bankruptcy Code (the “Bankruptcy Code”), which was mainly composedconfirmed by order of the write-offUnited States Bankruptcy Court for the Southern District of unamortized issuance costsNew York (the “Bankruptcy Court”) on October 8, 2003, and accordingly the Plan became fully effective and the companies emerged from the protection of their chapter 11 proceedings. A final decree closing their chapter 11 cases was entered by the Bankruptcy Court on January 19, 2005.

All distributions required by the Plan were made as of the Effective Date except for distributions related to disputed claims for certain general unsecured creditor claims (“Other GUCs”), for which distributions were made subsequent to the redeemable preferred stock. SuchEffective Date periodically as such disputed claims were settled. As of April 22, 2005, the total amount of outstanding, disputed claims for Other GUCs is reflected in "Preferred stock reorganization items, net" in the accompanying unaudited condensed consolidated statements of operations$4.0 million (“Disputed Claims”). The Company does not believe that it is probable that any liability for the nine months ended September 30, 2003 set forth elsewhere herein.Disputed Claims will be incurred, and thus no liability has been recorded for the Disputed Claims as of March 31, 2005. Nonetheless, the Company has withheld from distribution 93,128 shares of Ordinary Common Stock which will be distributed in accordance with the terms of the Plan upon the final resolution of the Disputed Claims. If the Disputed Claims were to be settled for the full amount of $4.0 million, then the amount of additional consideration that the Company would be required to issue to the individual claimants that filed the Disputed Claims is cash of $0.2 million and 9.375% Series B Notes due 2008 (“Series B Notes”) of $1.0 million.

Results of Operations

The Company evaluates performance of its segments based on profit or loss from continuing operations before depreciation and amortization, interest expense, interest income, reorganization expense, stock compensation expense, special charges, goodwill impairment charges, income taxes and minority interest ("(“Segment Profit"Profit”). Management uses segment profitSegment 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. See Note I—"Business Segment Information"Information” to the Company'sCompany’s unaudited condensed consolidated financial statements set forth elsewhere herein.



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

 
 Predecessor Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Three Months Ended September 30, 2003                
Net revenue $205,740 $38,837 $129,130 $ $373,707 
Cost of care  107,626  9,792  105,406    222,824 
Direct service costs  44,766  19,085  13,236    77,087 
Other operating expenses        31,676  31,676 
Equity in (earnings) loss of unconsolidated subsidiaries  (1,797)   435    (1,362)
  
 
 
 
 
 
Segment profit (loss) $55,145 $9,960 $10,053 $(31,676)$43,482 
  
 
 
 
 
 
 
 Reorganized Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Three Months Ended September 30, 2004                
Net revenue $233,769 $32,991 $191,194 $ $457,954 
Cost of care  126,681  8,981  167,706    303,368 
Direct service costs  41,483  15,785  10,746    68,014 
Other operating expenses        22,992  22,992 
Equity in earnings of unconsolidated subsidiaries  (1,863)       (1,863)
  
 
 
 
 
 
Segment profit (loss) $67,468 $8,225 $12,742 $(22,992)$65,443 
  
 
 
 
 
 
 
 Predecessor Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Nine Months Ended September 30, 2003                
Net revenue $654,787 $121,329 $396,835 $ $1,172,951 
Cost of care  372,936  34,496  326,049    733,481 
Direct service costs  135,810  60,213  39,064    235,087 
Other operating expenses        83,434  83,434 
Equity in (earnings) loss of unconsolidated subsidiaries  (4,751)   1,590    (3,161)
  
 
 
 
 
 
Segment profit (loss) $150,792 $26,620 $30,132 $(83,434)$124,110 
  
 
 
 
 
 
 
 Reorganized Company
 
 
 Health
Plan
Solutions

 Employer
Solutions

 Public
Sector
Solutions

 Corporate
and
Other

 Consolidated
 
Nine Months Ended September 30, 2004                
Net revenue $684,094 $102,254 $563,886 $ $1,350,234 
Cost of care  370,254  29,028  499,513    898,795 
Direct service costs  128,981  49,981  31,190    210,152 
Other operating expenses        73,234  73,234 
Equity in earnings of unconsolidated subsidiaries  (5,561)       (5,561)
  
 
 
 
 
 
Segment profit (loss) $190,420 $23,245 $33,183 $(73,234)$173,614 
  
 
 
 
 
 

 

 

Health
Plan
Solutions

 

Employer
Solutions

 

Public
Sector
Solutions

 

Corporate
and
Other

 

Consolidated

 

Three Months Ended March 31, 2004

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenue

 

$

223,139

 

$

35,269

 

$

181,768

 

$

 

 

$

440,176

 

 

Cost of care

 

123,010

 

10,227

 

160,967

 

 

 

294,204

 

 

Direct service costs

 

44,372

 

18,192

 

10,273

 

 

 

72,837

 

 

Other operating expenses

 

 

 

 

26,887

 

 

26,887

 

 

Equity in earnings of unconsolidated subsidiaries

 

(1,844

)

 

 

 

 

(1,844

)

 

Segment profit (loss)

 

$

57,601

 

$

6,850

 

$

10,528

 

$

(26,887

)

 

$

48,092

 

 

 

 

 

Health
Plan
Solutions

 

Employer
Solutions

 

Public
Sector
Solutions

 

Corporate
and
Other

 

Consolidated

 

Three Months Ended March 31, 2005

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenue

 

$

224,902

 

$

31,660

 

$

196,192

 

$

 

 

$

452,754

 

 

Cost of care

 

121,728

 

7,860

 

174,620

 

 

 

304,208

 

 

Direct service costs

 

39,582

 

15,705

 

7,587

 

 

 

62,874

 

 

Other operating expenses

 

 

 

 

25,847

 

 

25,847

 

 

Equity in earnings of unconsolidated subsidiaries

 

(1,449

)

 

 

 

 

(1,449

)

 

Segment profit (loss)

 

$

65,041

 

$

8,095

 

$

13,985

 

$

(25,847

)

 

$

61,274

 

 

The segment financial information disclosed for the three and nine months ended September 30, 2003March 31, 2004 in the tables above is different than that which was previously reported in the Quarterly Report on Form 10-Q for the quarter ended September 30, 2003,March 31, 2004, due to certain reclassifications between segments. See Note I—"Business Segment Information"Information��� to the unaudited condensed consolidated financial statements set forth elsewhere herein for further discussion of the segment reclassifications.

The following table reconciles Segment Profit as calculated above to consolidated net income (loss) for the periods indicatedfrom continuing operations before income taxes and minority interest (in thousands):

 
 Predecessor Company
 Reorganized Company
 Predecessor Company
 Reorganized Company
 
 
 Three Months Ended
September 30, 2003

 Three Months Ended
September 30, 2004

 Nine Months Ended
September 30, 2003

 Nine Months Ended
September 30, 2004

 
Segment profit $43,482 $65,443 $124,110 $173,614 
Depreciation and amortization  (11,593) (10,712) (36,265) (31,478)
Interest expense  (4,748) (9,109) (31,474) (27,499)
Interest income  670  1,760  2,173  3,593 
Reorganization expense, net  (4,540)   (32,245)  
Stock compensation expense    (2,580)   (15,898)
Special charges  (3,230) (1,770) (5,322) (4,304)
Goodwill impairment charges  (28,780)   (28,780)  
  
 
 
 
 
Income (loss) from continuing operations before income taxes and minority interest  (8,739) 43,032  (7,803) 98,028 
Provision for income taxes  20,825  15,712  24,258  28,976 
  
 
 
 
 
Income (loss) from continuing operations before minority interest  (29,564) 27,320  (32,061) 69,052 
Minority interest, net  3  157  170  526 
  
 
 
 
 
Income (loss) from continuing operations  (29,567) 27,163  (32,231) 68,526 
  
 
 
 
 
Discontinued operations:             
Income (loss) from discontinued operations(1)  (25,233) (579) (25,849) (509)
Income (loss) on disposal of discontinued operations(1)  4,271  (28) 6,421  (99)
Reorganization benefit, net(1)  314    3,481   
  
 
 
 
 
   (20,648) (607) (15,947) (608)
  
 
 
 
 
Net income (loss) $(50,215)$26,556 $(48,178)$67,918 
  
 
 
 
 

(1)
Net of related income taxes.

 

 

Three Months Ended
March 31,

 

 

 

2004

 

2005

 

Segment profit

 

$

48,092

 

$

61,274

 

Depreciation and amortization

 

(10,249

)

(11,218

)

Interest expense

 

(9,334

)

(8,639

)

Interest income

 

781

 

3,033

 

Stock compensation expense

 

(10,777

)

(3,750

)

Special charges

 

(1,908

)

 

Income from continuing operations before income taxes and minority interest

 

$

16,605

 

$

40,700

 


Reorganized Company quarterQuarter ended September 30, 2004 ("March 31, 2005 (“Current Year Quarter"Quarter”), compared to the Predecessor Company quarter ended September 30, 2003 ("March 31, 2004 (“Prior Year Quarter"Quarter”)

Health Plan Solutions

Net Revenue

Net revenue related to the Health Plan Solutions segment increased by 13.60.8 percent or $28.0$1.8 million from the Prior Year Quarter to the Current Year Quarter. The increase in revenue is mainly due to net favorable rate changes of $10.2 million, increased membership from existing customers of $11.1$4.7 million, favorable rate changesperformance revenue due to timing of $10.3 million, favorable contractual settlements with customers in the Current Year Quarter related to prior periods of $5.5$1.8 million, and other net changes totaling $7.3$0.6 million, which increases were partially offset by decreases due to terminated contracts of $6.2$15.5 million.

Cost of Care

Cost of care increaseddecreased by 17.71.0 percent or $19.1$1.3 million from the Prior Year Quarter to the Current Year Quarter. The increasedecrease in cost of care is primarily due to terminated contracts of $10.0 million, and favorable prior period medical claims development recorded in the Current Year Quarter of $1.7 million, which decreases were offset by net increased membership from existing customers of $6.3$1.4 million, favorable prior period medical claims development recorded in the Prior Year Quarter relating to periods prior to the Prior Year Quarter of $8.2$2.3 million, and estimated higher costs due to care trends and other net changes of $17.9 million, which increases were partially offset by terminated contracts of $1.8 million, and favorable medical claims development affecting the Prior Year Quarter recorded subsequent to the Prior Year Quarter of $11.5$6.7 million. Cost of care increaseddecreased as a percentage of risk revenue from 65.969.0 percent in the Prior Year Quarter to 67.667.9 percent in the Current Year Quarter, mainly due to higher costs due to care trends.the net favorable performance revenue and rate changes discussed above, as well as changes in business mix.

Direct Service Costs

Direct service costs decreased by 7.310.8 percent or $3.3$4.8 million from the Prior Year Quarter to the Current Year Quarter. The decrease in direct service costs is primarily due to the effect of cost reduction efforts undertaken by the Company including the shutdown of several regional service centers, as well as lower costs required to support the Company's decrease in net membership.2004. Direct service costs decreased as a percentage of revenue from 21.819.9 percent for the Predecessor Company in the Prior Year Quarter to 17.717.6 percent for the Reorganized Company in the Current Year Quarter. The decrease in the percentage of direct service costs in relationship to revenue is mainly due to the aforementioned cost reduction efforts undertaken by the Company and rate and other revenue increases since the Prior Year Quarter.Company.

Equity in (Earnings) LossEarnings of Unconsolidated Subsidiaries

Equity in (earnings)earnings of unconsolidated subsidiaries increased 3.7decreased 21.4 percent or $0.1$0.4 million from the Prior Year Quarter to the Current Year Quarter. The increasedecrease relates to an increasea decrease in equity in earnings related to the Company'sCompany’s investment in Royal Health Care, LLC ("Royal"(“Royal”), mainly due to increased Royal membership.a decrease in Royal’s rates with its customers.

Employer Solutions

Net Revenue

Net revenue related to the Employer Solutions segment decreased by 15.110.2 percent or $5.8$3.6 million from the Prior Year Quarter to the Current Year Quarter. The decrease in revenue is mainly due to terminated contracts of $6.5$4.0 million, and other net unfavorable changes of $1.3 million (mainly due to rates and program changes), which decrease wasdecreases were partially offset by membershiprevenue from new customers and other net changes of $0.7$1.7 million.

27






Cost of Care

Cost of care decreased by 8.323.1 percent or $0.8$2.4 million from the Prior Year Quarter to the Current Year Quarter. The decrease in cost of care is mainly due to terminated contracts of $1.5$1.2 million, which decrease was partially offset by estimated higher costs due toand favorable care trends and other net changesvariances of $0.7$1.4 million, which decreases were partially offset by care costs related to new customers of $0.2 million. Cost of care increaseddecreased as a percentage of risk revenue from 26.132.6 percent in the Prior Year Quarter to 30.528.2 percent in the Current Year Quarter, mainly due to favorable care trends and changes in business mix.

Direct Service Costs

Direct service costs decreased by 17.313.7 percent or $3.3$2.5 million from the Prior Year Quarter to the Current Year Quarter. The decrease in direct service costs is mainly due to lower costs required to support the Company'sCompany’s decrease in net membership and due to the effect of cost reduction efforts undertaken by the Company.Company in 2004. Direct service costs decreased as a percentage of revenue from 49.151.6 percent for the Predecessor Company in the Prior Year Quarter to 47.849.6 percent for the Reorganized Company in the Current Year Quarter, mainly due to the aforementioned cost reduction efforts undertaken by the Company.

Public Sector Solutions

Net Revenue

Net revenue related to the Public Sector Solutions segment increased by 48.17.9 percent or $62.1$14.4 million from the Prior Year Quarter to the Current Year Quarter. TheThis increase in revenue is mainly due to the net impact of including revenue related to Premier of $71.5 million for the Current Year Quarter. Effective December 31, 2003, the Reorganized Company adopted FIN 46, as required, pursuant to which the Reorganized Company has begun consolidating the results of operations of Premier in its consolidated statement of operations as of January 1, 2004. Excluding the impact of consolidating Premier in the Current Year Quarter, net revenue decreased by $9.4 million. This decrease is primarily due to terminated contracts of $7.2 million, and a contract change with respect to the Pennsylvania Counties of $10.2 million, which decreases were partially offset by net increased membership from existing customers of $1.0$13.8 million, net favorable rate increaseschanges of $6.1$1.4 million, retroactive rate and membership adjustments of $1.2 million, and other net changesincreases of $0.9$1.9 million, which increases were partially offset by terminated contracts of $3.9 million.

Cost of Care

Cost of care increased by 59.18.5 percent or $62.3$13.7 million from the Prior Year Quarter to the Current Year Quarter. TheThis increase in cost of care is mainly due to the inclusion of approximately $71.5 million of care expense of Premier, due to the consolidation of the results of operations of Premier in 2004, as noted above. Excluding the impact of consolidating Premier in the Current Year Quarter, cost of care decreased by $9.2 million. This decrease is primarily due to terminated contracts of $6.1 million, and a contract change with respect to the Pennsylvania Counties of $7.3 million, which decreases were partially offset by net increased membership from existing customers of $12.1 million, retroactive rate and membership adjustments of $0.9 million, and higher costs due to care trends and other net changes of $3.3$0.7 million. Cost of care increaseddecreased as a percentage of risk revenue from 84.791.1 percent in the Prior Year Quarter to 90.289.4 percent in the Current Year Quarter mainly due to the consolidation of the operating results of Premier, which has a higher ratio of care to riskfavorable rate changes and other favorable revenue and higher care trends experienced in the Current Year Quarter.increases.

Direct Service Costs

Direct service costs decreased by 18.826.1 percent or $2.5$2.7 million from the Prior Year Quarter to the Current Year Quarter. The decrease in direct service costs was primarily due to a contract change with respect to the Pennsylvania Countiesterminated contracts of $2.9$2.0 million which decrease was partially offset byand other net increasesdecreases of $0.4$0.7 million. As a percentage of revenue, direct service costs decreased from



10.3 5.7 percent for the Predecessor Company in the Prior Year Quarter to 5.63.9 percent for the Reorganized Company in the Current Year Quarter, primarily due to the aforementioned consolidation of revenue of Premier and the contract change with respect to the Pennsylvania Counties contracts.changes in business mix.

Equity in (Earnings) Loss of Unconsolidated Subsidiaries

        The Predecessor Company recorded equity in loss of unconsolidated subsidiaries of approximately $0.4 million in the Prior Year Quarter, which represented the Predecessor Company's share of net loss realized by Premier. As noted above, the Reorganized Company has consolidated the results of operations of Premier in the Current Year Quarter in accordance with FIN 46.

Corporate and Other

Other Operating Expenses

Other operating expenses related to the Corporate and Other Segment decreased by 27.43.9 percent or $8.7$1.0 million from the Prior Year Quarter to the Current Year Quarter. The decrease is mainly due to insurance premiums incurredfavorable current year trends in the Prior Year Quarterbenefit costs of $6.6$1.2 million, with respect to coverage after the Company's emergence from bankruptcy for acts occurring prior to emergence andoffset by other net decreasesunfavorable variances of $2.1 million, mainly as a result of the Company's cost reduction efforts.$0.2 million. As a percentage of total net revenue, other operating expenses decreased from 8.56.1 percent for the Prior Year Quarter to 5.05.7 percent for the Current Year Quarter primarily due to the increase in


revenue in the Current Year Quarter related to the consolidation of Premierincreased membership in the Public Solutions segment (as described above) and the decreasesdecrease in other operating expenses.

Depreciation and Amortization

Depreciation and amortization expense decreasedincreased by 7.69.5 percent or $0.9$1.0 million from the Prior Year Quarter to the Current Year Quarter. The decrease is attributable to a reduction in amortization of $1.1 million, mainlyQuarter, due to capital acquisitions subsequent to the reduction in amortization expense associated with the revaluation of intangible assets in conjunction with the adoption of fresh start reporting provisions of SOP 90-7 as of December 31, 2003. This decrease was partially offset by an increase in depreciation expense of $0.2 million.Prior Year Quarter.

Interest Expense

Interest expense increaseddecreased by 91.97.4 percent or $4.4$0.7 million from the Prior Year Quarter to the Current Year Quarter. Quarter, mainly due to a reduction of the annual interest rate on borrowings under the Credit Agreement (as defined below) by 1.25 percent in October 2004, as well as by a reduction of the amount of the letter of credit facility in September 2004.

Interest expenseIncome

Interest income increased even though there was more debt outstandingby $2.3 million from the Prior Year Quarter to the Current Year Quarter, mainly due to an increase in total invested balances, as well as an increase in the amount of investments with longer maturities which have a higher yield.

Other Items

The Company recorded approximately $10.8 million and $3.8 million of stock compensation expense in the Prior Year Quarter than in theand Current Year Quarter, because no interest expense was required to be recorded by the Predecessor Company during the Prior Year Quarterrespectively, related to the Old Senior Notescommon stock and Old Subordinated Notesstock options granted to management. See discussion of stock compensation expense in accordance with SOP 90-7, as these debt instruments were subject to compromise. Interest expense recorded by the Predecessor Company in the Prior Year Quarter primarily represents interest on amounts outstanding under the Old Credit Agreement. Interest expense recorded by the Reorganized Company in the Current Year Quarter represents interest on amounts outstanding under the Credit Agreement, Senior Notes, the Aetna Note and capital leases.“Outlook—Results of Operations” below.

Other Items

The Predecessor Company recorded net reorganization expense from continuing operations of $4.5 million during the Prior Year Quarter. The Prior Year Quarter charges are mainly composed of professional fees and expenses associated with the Predecessor Company's financial restructuring process and chapter 11 proceedings. For further discussion, see Note A—"General" to the unaudited condensed consolidated financial statements set forth elsewhere herein.



        The Predecessor Company recorded special charges of $3.2$1.9 million in the Prior Year Quarter. The Reorganized Company recorded special charges of $1.8 million in the Current Year Quarter. The special charges primarily consist of employee severance and termination benefits and lease termination costs related to restructuring plans that have resulted in the elimination of certain positions and the closure of certain offices. See Note H—"Special Charges"Charges” to the unaudited condensed consolidated financial statements set forth elsewhere herein for further discussion.

        The Reorganized Company recorded approximately $2.6 million of stock compensation expense in the Current Year Quarter related to stock options granted to management (including senior executives), all on or in connection with the Effective Date. See discussion of stock compensation expense in "Outlook—Results of Operations" below.

Income Taxes

The Company'sCompany’s effective income tax rate was 36.541.9 percent for the Reorganized Company in the Current Year Quarter and was (238.3)21.5 percent for the Predecessor Company in the Prior Year Quarter. AsThe Company records taxes based on estimated current taxable income due to the Company has recorded full valuation allowances for itsuncertainty as to the Company’s ability to realize deferred tax assets based on its history of recent operating losses (prior to reorganization benefits) and financial restructuring activities and the Company's incomelack of a sufficient history of profitable operations subsequent to its emergence from bankruptcy. In accordance with SOP 90-7, subsequent (post-bankruptcy) utilization by the Company of NOLs which existed at January 5, 2004 will be accounted for as reductions to goodwill and therefore, will only benefit cash flows due to reduced tax payments and will not benefit the Company’s tax provision does not include a deferred tax component. for income taxes.

The Current Year Quarter effective rate varies from federal statutory rates due primarily to the inclusion of state taxes on current year income. The Prior Year Quarter effective rate varies substantially from federal statutory rates due primarily to certain transactions which occurred pursuant to the Plan, as consummated on the Effective Date, which reduced taxable income for 2004 but reduced book income in 2003 under SOP 90-7. The Prior Year Quarter effective rate varies substantially from federal statutory rates due primarily to the Predecessor Company's financial restructuring activities which resulted in uncertainty as to the Predecessor Company's ability to realize previously recognized NOLs and other deferred tax assets otherwise generated from the net operating loss in prior years.


Discontinued Operations

The following table summarizes, for the periods indicated, income (loss) from discontinued operations, net of tax (in thousands):


 Predecessor Company
 Reorganized Company
 

 

Three Months
Ended March 31,

 


 Three Months Ended
September 30, 2003

 Three Months Ended
September 30, 2004

 

 

  2004  

 

2005

 

Healthcare provider and franchising segments $(25,117)$(121)

 

 

$

(11

)

 

$

(72

)

Specialty managed healthcare segment (116) (14)

 

 

41

 

 

(5

)

Human services segment  (444)

 

 

 

 

125

 

 
 
 

 

 

$

30

 

 

$

48

 

 $(25,233)$(579)
 
 
 

 

The lossincome from the healthcare provider and franchising segments for the Predecessor Companydiscontinued operations in the Prior Year Quarter is primarily the result of the settlement of certain claims, which resulted in an adjustment to other operating expenses of $24.0 million, for which there was no tax effect.

        The loss from the human services segment for the Reorganized Company in theand Current Year Quarter mainly represents a change in estimated reserves for various accrued liabilities.



        The following table summarizes, for the periods indicated, the income (loss) on disposal of discontinued operations, net of tax (in thousands):

 
 Predecessor Company
 Reorganized Company
 
 
 Three Months Ended
September 30, 2003

 Three Months Ended
September 30, 2004

 
Healthcare provider and franchising segments $2,956 $(28)
Specialty managed healthcare segment  1,367   
Human services segment  (52)  
  
 
 
  $4,271 $(28)
  
 
 

        The Current Year Quarter loss on disposal for the healthcare provider and franchising segments for the Reorganized Company reflects the loss recognized in the quarter attributable to the sale of a hospital facility formerly used in the operations of such segments, with net proceeds of $2.3 million being received from the sale. The Prior Year Quarter income on disposal in the healthcare provider and franchising segments for the Predecessor Company is primarily attributable to changes in estimates of previously recorded liabilities related to the disposal of the segments.

        The Prior Year Quarter income on disposal in the specialty managed healthcare segment for the Predecessor Company is primarily the result of cash received as a partial payment on a note receivable held by the Predecessor Company that the Predecessor Company had fully reserved in fiscal 2001, resulting in a gain of $0.7 million (before taxes), and a favorable change in estimated lease reserves of $0.5 million (before taxes).

        The following table summarizes, for the periods indicated, the net reorganization benefit included in discontinued operations (in thousands):

 
 Predecessor Company
 Reorganized Company
 
 Three Months Ended
September 30, 2003

 Three Months Ended
September 30, 2004

Healthcare provider and franchising segments $289 $
Specialty managed healthcare segment  25  
  
 
  $314 $
  
 

        As part of its financial restructuring plan and chapter 11 proceedings, the Predecessor Company rejected certain leases for closed offices. To the extent that the estimated cost to the Predecessor Company as a result of rejecting such leases was different than the liability previously recorded, such difference was recorded as reorganization (expense) benefit in accordance with SOP 90-7.

Reorganized Company nine months ended September 30, 2004 ("Current Year Period"), compared to the Predecessor Company nine months ended September 30, 2003 ("Prior Year Period")

Health Plan Solutions

Net Revenue

        Net revenue related to the Health Plan Solutions segment increased by 4.5 percent or $29.3 million from the Prior Year Period to the Current Year Period. The increase in revenue is mainly due to favorable rate changes of $30.6 million, net increased membership from existing customers of $29.3 million, favorable contractual settlements with customers in the Current Year Period related to



prior periods of $5.5 million, and other net changes totaling $7.8 million, which increases were partially offset by decreases due to terminated contracts of $43.9 million.

Cost of Care

        Cost of care decreased by 0.7 percent or $2.7 million from the Prior Year Period to the Current Year Period. The decrease in cost of care is primarily due to terminated contracts of $20.0 million, favorable medical claims development related to prior periods recorded in the Current Year Period of $6.6 million, favorable medical claims development affecting the Prior Year Period recorded subsequent to the Prior Year Period of $18.5 million (of which $15.7 million was recorded during the three months ended December 31, 2003), and net contract changes (mainly risk to non-risk) of $1.5 million, which decreases were partially offset by net increased membership from existing and new customers of $15.3 million and estimated higher costs due to care trends and other net changes of $28.6 million. Cost of care decreased as a percentage of risk revenue from 73.0 percent in the Prior Year Period to 67.8 percent in the Current Year Period, mainly due to increased revenue from favorable rate changes, the effect of contract changes, the net impact of medical claims development affecting the Current Year Period and Prior Year Period, partially offset by higher costs due to care trends in the Current Year Period.

Direct Service Costs

        Direct service costs decreased by 5.0 percent or $6.8 million from the Prior Year Period to the Current Year Period. The decrease in direct service costs is primarily due to cost reduction efforts undertaken by the Company including the shutdown of several regional service centers, as well as lower costs required to support the Company's decrease in net membership. Direct service costs decreased as a percentage of revenue from 20.7 percent for the Predecessor Company in the Prior Year Period to 18.9 percent for the Reorganized Company in the Current Year Period. The decrease in the percentage of direct service costs in relationship to revenue is mainly due to the aforementioned cost reduction efforts undertaken by the Company and rate and other revenue increases since the Prior Year Period.

Equity in (Earnings) Loss of Unconsolidated Subsidiaries

        Equity in (earnings) of unconsolidated subsidiaries increased 17.0 percent or $0.8 million from the Prior Year Period to the Current Year Period. The increase relates to an increase in equity in earnings related to the Company's investment in Royal, mainly due to increased Royal membership.

Employer Solutions

Net Revenue

        Net revenue related to the Employer Solutions segment decreased by 15.7 percent or $19.1 million from the Prior Year Period to the Current Year Period. The decrease in revenue is mainly due to terminated contracts of $19.4 million, and net decreased membership from existing customers of $1.3 million, which decreases were partially offset by membership from new customers and other net changes of $1.6 million.

Cost of Care

        Cost of care decreased by 15.9 percent or $5.5 million from the Prior Year Period to the Current Year Period. The decrease in cost of care is mainly due to terminated contracts of $4.5 million and estimated lower costs due to care trends and other net changes of $1.0 million. The lower costs due to care trends for the Employer Solutions segment are partially due to the closure of several staff offices which had higher per visit costs than that incurred by utilizing the Company's network of outpatient



providers. Cost of care increased as a percentage of risk revenue from 29.8 percent in the Prior Year Period to 31.9 percent in the Current Year Period, mainly due to changes in business mix.

Direct Service Costs

        Direct service costs decreased by 17.0 percent or $10.2 million from the Prior Year Period to the Current Year Period. The decrease in direct service costs is mainly due to lower costs required to support the Company's decrease in net membership and due to cost reduction efforts undertaken by the Company. Direct service costs decreased as a percentage of revenue from 49.6 percent for the Predecessor Company in the Prior Year Period to 48.9 percent for the Reorganized Company in the Current Year Period, mainly due to the aforementioned cost reduction efforts undertaken by the Company.

Public Sector Solutions

Net Revenue

        Net revenue related to the Public Sector Solutions segment increased by 42.1 percent or $167.1 million from the Prior Year Period to the Current Year Period. The increase in revenue is mainly due to the net impact of including revenue related to Premier of $179.4 million for the Current Year Period. Effective December 31, 2003, the Reorganized Company adopted FIN 46, as required, pursuant to which the Reorganized Company has begun consolidating the results of operations of Premier in its consolidated statement of operations as of January 1, 2004. Excluding the impact of consolidating Premier in the Current Year Period, net revenue decreased by $12.3 million. This decrease is primarily due to terminated contracts of $22.2 million, and a contract change with respect to the Pennsylvania Counties of $30.4 million, which decreases were partially offset by net increased membership from existing customers of $21.2 million, increased revenue of $6.7 million associated with cost of care sharing provisions under the TennCare contracts, net rate increases of $11.8 million, and other net increases of $0.6 million.

Cost of Care

        Cost of care increased by 53.2 percent or $173.5 million from the Prior Year Period to the Current Year Period. The increase in cost of care is mainly due to the inclusion of approximately $179.4 million of expenses for care of Premier, due to the consolidation of the results of operations of Premier in 2004, as noted above. Excluding the impact of consolidating Premier in the Current Year Period, cost of care decreased by $5.9 million. This decrease is primarily due to terminated contracts of $18.2 million, and a contract change with respect to the Pennsylvania Counties of $22.0 million, which decreases were offset by net increased membership from existing customers of $17.9 million, higher costs due to care trends and other net changes of $16.4 million. Cost of care increased as a percentage of risk revenue from 85.5 percent in the Prior Year Period to 91.1 percent in the Current Year Period, mainly due to higher care trends experienced in the Current Year Period and the consolidation of the operating results of Premier, which has a higher ratio of care to risk revenue.

Direct Service Costs

        Direct service costs decreased by 20.2 percent or $7.9 million from the Prior Year Period to the Current Year Period. The decrease in direct service costs was primarily due to a contract change with respect to the Pennsylvania Counties contracts of $8.4 million, which decrease was partially offset by other net increases of $0.5 million. As a percentage of revenue, direct service costs decreased from 9.8 percent for the Predecessor Company in the Prior Year Period to 5.5 percent for the Reorganized Company in the Current Year Period, primarily due to the aforementioned consolidation of revenue of Premier and the contract change with respect to the Pennsylvania Counties contracts.



Equity in (Earnings) Loss of Unconsolidated Subsidiaries

        The Predecessor Company recorded equity in loss of unconsolidated subsidiaries of approximately $1.6 million in the Prior Year Period, which represented the Predecessor Company's share of net loss realized by Premier. As noted above, the Reorganized Company has consolidated the results of operations of Premier beginning in the Current Year Period in accordance with FIN 46.

Corporate and Other

Other Operating Expense

        Other operating expenses related to the Company's Corporate and Other Segment decreased by 12.2 percent or $10.2 million from the Prior Year Period to the Current Year Period. This decrease is mainly due to insurance premiums of $6.6 million incurred in the Prior Year Period with respect to coverage after the Company's emergence from bankruptcy for acts occurring prior to emergence and other net decreases of $3.6 million, mainly as a result of the Company's cost reduction efforts. As a percentage of total net revenue, other operating expenses decreased from 7.1 percent for the Prior Year Period to 5.4 percent for the Current Year Period primarily due to the increase in revenue in the Current Year Period related to the consolidation of Premier (as described above) and the decreases in other operating expenses.

Depreciation and Amortization

        Depreciation and amortization decreased by 13.2 percent or $4.8 million from the Prior Year Period to the Current Year Period. The decrease is primarily due to changes in the estimated remaining useful lives of certain property and equipment and intangible assets as a result of the application of the fresh start reporting provisions of SOP 90-7 as of December 31, 2003, as well as the inclusion in the Prior Year Period of higher depreciation expense for certain capitalized software assets that became fully depreciated at March 31, 2003.

Interest Expense

        Interest expense decreased by approximately 12.6 percent or $4.0 million from the Prior Year Period to the Current Year Period. The decrease is mainly a result of the reduction of the Predecessor Company's outstanding debt on the Effective Date in accordance with the Plan. Total debt outstanding was reduced by approximately $700 million pursuant to the Plan, most of which related to the elimination of $625 million of principal under the Predecessor Company's Old Subordinated Notes. The Predecessor Company incurred interest expense of approximately $15.5 million on the Old Senior Notes and Old Subordinated Notes in the nine months ended September 30, 2003, all of which was incurred during the three months ended March 31, 2003. Pursuant to SOP 90-7, the Predecessor Company was not required to record interest expense on the Old Senior Notes and Old Subordinated Notes after March 11, 2003, the date on which it filed for bankruptcy, as these debt instruments were subject to compromise.

Other Items

        The Predecessor Company recorded net reorganization expense from continuing operations of $32.2 million during the Prior Year Period. The Prior Year Period charges are mainly composed of the write-off of deferred financing costs and professional fees and expenses associated with the Predecessor Company's financial restructuring process and chapter 11 proceedings. For further discussion, see Note A—"General" to the unaudited condensed consolidated financial statements set forth elsewhere herein.



        The Predecessor Company recorded special charges of $5.3 million in the Prior Year Period. The Reorganized Company recorded special charges of $4.3 million in the Current Year Period. The special charges primarily consist of employee severance and termination benefits and lease termination costs related to restructuring plans that have resulted in the elimination of certain positions and the closure of certain offices. See Note H—"Special Charges" to the unaudited condensed consolidated financial statements set forth elsewhere herein for further discussion.

        The Reorganized Company recorded approximately $15.9 million of stock compensation expense in the Current Year Period mainly related to stock purchased by the CEO, stock granted to the Company's senior executives, stock options granted to management (including senior executives), and stock granted to non-management members of the Board of Directors who are not affiliated with Onex. See discussion of stock compensation expense in "Outlook—Results of Operations" below.

Income Taxes

        The Company's effective income tax rate was 29.6 percent for the Reorganized Company in the Current Year Period and was (310.9) percent for the Predecessor Company in the Prior Year Period. As the Company has recorded full valuation allowances for its deferred tax assets, the Company's income tax provision does not include a deferred tax component. The Current Year Period effective rate varies from federal statutory rates due primarily to certain transactions which occurred pursuant to the Plan, as consummated on the Effective Date, which reduced taxable income for 2004 but reduced book income in 2003 under SOP 90-7. The Prior Year Period effective rate varies substantially from federal statutory rates due primarily to changes in estimates regarding the Predecessor Company's anticipated utilization of previously recognized NOLs that existed prior to its emergence from bankruptcy in 1992. Such changes in estimates occurred due to the Predecessor Company's finalization and amendment of certain prior year income tax returns. Because the utilization of such pre-bankruptcy NOLs is subject to continued review and adjustment by the Internal Revenue Service ("IRS"), the Company fully reserves for any utilization of these carryforwards.

Discontinued Operations

        The following table summarizes, for the periods indicated, income (loss) from discontinued operations, net of tax (in thousands):

 
 Predecessor Company
 Reorganized Company
 
 
 Nine Months Ended
September 30, 2003

 Nine Months Ended
September 30, 2004

 
Healthcare provider and franchising segments $(25,733)$(145)
Specialty managed healthcare segment  (116) 80 
Human services segment    (444)
  
 
 
  $(25,849)$(509)
  
 
 

        The loss from the healthcare provider and franchising segments for the Predecessor Company in the Prior Year Period is primarily the result of the settlement of certain claims, which resulted in an adjustment to other operating expenses of $24.0 million, for which there was no tax effect.

        The loss from the human services segment for the Reorganized Company in the Current Year Period represents a change in estimated reserves for various accrued liabilities.



        The following table summarizes, for the periods indicated, the income (loss) on disposal of discontinued operations, net of tax (in thousands):

 
 Predecessor Company
 Reorganized Company
 
 
 Nine Months Ended
September 30, 2003

 Nine Months Ended
September 30, 2004

 
Healthcare provider and franchising segments $4,418 $(99)
Specialty managed healthcare segment  2,003   
  
 
 
  $6,421 $(99)
  
 
 

        The Current Year Period loss on disposal for the healthcare provider and franchising segments for the Reorganized Company reflects the loss recognized attributable to the sale of a hospital facility formerly used in the operations of such segments, with net proceeds of $2.3 million being received from the sale. The Prior Year Period income on disposal related to the healthcare provider and franchising segments for the Predecessor Company is attributable to changes in estimates of previously recorded liabilities related to the disposal of the segments. Additionally, the Prior Year Period income on disposal includes gains on the sale of a hospital facility of $0.7 million (before taxes) and cash received as a final distribution associated with a discontinued provider joint venture of $0.8 million (before taxes).

        The Prior Year Period income on disposal in the specialty managed healthcare segment for the Predecessor Company is primarily the result of cash received as a partial payment on a note receivable held by the Predecessor Company that the Predecessor Company had fully reserved in fiscal 2001, resulting in a gain of $1.3 million (before taxes), and a favorable change in estimated lease reserves of $0.5 million (before taxes).

        The following table summarizes, for the periods indicated, the net reorganization benefit included in discontinued operations (in thousands):

 
 Predecessor Company
 Reorganized Company
 
 Nine Months Ended
September 30, 2003

 Nine Months Ended
September 30, 2004

Healthcare provider and franchising segments $(55)$
Specialty managed healthcare segment  3,536  
  
 
  $3,481 $
  
 

        As part of its financial restructuring plan and chapter 11 proceedings, the Predecessor Company rejected certain leases for closed offices. To the extent that the estimated cost to the Predecessor Company as a result of rejecting such leases was different than the liability previously recorded, such difference was recorded as reorganization (expense) benefit in accordance with SOP 90-7.


Outlook—Results of Operations

        General.The Company's Segment ProfitCompany’s segment profit and net income are subject to significant fluctuations on a quarterly basis.from period to period. These fluctuations may result from:from a variety of factors such as those set forth under Item 2—“Management’s Discussion and Analysis of Financial Condition and Results of Operations—Forward-Looking Statements” as well as a variety of other factors including: (i) changes in utilization levels by enrolled members of the Company'sCompany’s risk-based contracts, including seasonal utilization patterns; (ii) performance-based contractual adjustments to revenue, reflecting utilization results or other performance measures; (iii) contractual adjustments and settlements; (iv)(iii) retrospective membership adjustments; (v)(iv) timing of implementation of new contracts, enrollment changes and contract terminations; (vi)(v) pricing adjustments upon contract renewals (and price competition in general) and (vii)(vi) changes in estimates regarding medical costs and incurred but not yet reported medical claims.

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

The Company is a market leader in a mature market with many viable competitors. In addition, it is possible that the Company's customers that are managed care companies may, in the future, seek to provide managed behavioral healthcare services directly to their subscribers, rather than by contracting with the Company for such services. The Company is continuing its attempts to increasegrow its market sharebusiness in the managed behavioral healthcare industry through aggressive marketing of existing products and development of new products; however, due to the maturity of the market, the Company believes that in the near term, the probability of losing market shareability to grow its current business lines may be greater thanlimited. In addition, as previously discussed, substantially all of the probabilityCompany’s Health Plan Solutions segment revenues are derived from Blue Cross and Blue Shield health plans, and other managed care companies, health insurers and health plans. In addition to Aetna and one of increasing market share. In this regard, the Company's revenueWellPoint-related contracts noted above, other managed care customers of the Company have decided not to renew all or part of their contracts with the Company, and will instead manage behavioral healthcare services directly for their subscribers. The Company believes that the remaindertotal impact of 2004such non-renewals will be impacted by contracts that have been or will be terminated with an effective date in 2004.a reduction to revenue of approximately $330 million during fiscal 2006, $250 million of which relates to Aetna.

        New Product Development.    The Company is pursuing its strategy of developing new products to bring to the marketplace in the areas of disease management and pharmacy management. The Company is in the early stages of such development and does not anticipate material revenues from such new products prior to 2007. Development of these products may involve significant future investment; however, the Company has not incurred significant charges to date. At this time the Company cannot estimate the amount and timing of costs that may ultimately be incurred.

Stock Compensation.Pursuant to employee agreements entered into as part of the Plan, on the Effective Date, the Company granted a total of 167,926 shares of Ordinary Common Stock to the Company'sCompany’s Chief Executive Officer, Chief Operating Officer and Chief Financial Officer (the "Senior Executives"“Senior Executives”). Pursuant to his employment agreement, the Chief Executive Officer purchased 83,963 fully vested shares of Ordinary Common Stock on the Effective Date. Under such agreements, the Company also granted an aggregate of 2,891,022 stock options to the Senior Executives on the Effective Date and made cash payments to the Senior Executives to approximate the tax liability associated with the Senior Executives’ compensation expenseincome resulting from the stock grants, the stock purchase and the cash payments, as defined below. Also on


payments. Under the Effective Date, pursuant to the consummation of the Plan, a2003 Management Incentive Plan (the "MIP"(“MIP”) became effective under which 4,337,522, 1,511,500 stock options were awarded to other members of the Company'sCompany’s management and other employees (of which 4,245,822 are outstanding as of September 30, 2004), including an aggregate of 2,891,022 stock options to the Senior Executives pursuant to their employment agreements.during fiscal 2004. All of these awards were contingent upon the Company'sCompany’s emergence from its chapter 11 proceedings, relate to underlying common stock that was not authorized until the Effective Date and relate to services to be performed by the employees subsequent to the Effective Date. In addition,Under APB 25, the Company granted 13,595 shares of Ordinary Common Stock to non-management members of the board of directors who are not affiliated with Onex, pursuant to the Company's 2004 Director Stock Compensation Plan.

        The Reorganized Company recognized approximately $2.6 million and $15.9 million, respectively, in stock compensation expense in the three months and nine months ended September 30, 2004 with



respect to these transactions. Of the total stock compensation recorded in the nine months ended September 30, 2004, approximately $6.3 million represents compensation expense related to the stock grants topurchase, the Senior Executives and approximately $1.5 million related to the purchased shares by the Chief Executive Officer. Both of these amounts include compensation with regard to cash payments made to approximate the income taxes on such stock grants, and stock purchasethe cash payments as noted above during the Prior Year Quarter, and cash payments. Additionally, compensation expense of approximately $0.4 million was recognized related tois recognizing stock grants to non-management members of the Board of Directors who are not affiliated with Onex. The remaining $7.7 million represents compensation expense related to in-the-money stock option grants ratably over the applicable vesting periods.

On March 10, 2005, the Company granted 872,298 options and 107,584 shares of restricted stock pursuant to the MIP. The options have an exercise price of $34.57 per share which equaled the fair market value of the Company’s Ordinary Common Stock on the grant date. These options and restricted stock awards vest ratably over four years. Under APB 25, the compensation charge of $3.7 million from the grant of restricted stock options underis being recognized ratably over the MIP. With respect tovesting period.

As a result of the options granted on the Effective Date,foregoing, the Company estimates that it will record additionalrecorded stock compensation expense in the amount of $41.5$10.8 million and $3.8 million, before taxes, and that the Reorganized Company will recognize approximately $2.6 million of such expense in the remainder of fiscalthree months ended March 31, 2004 and approximately $10.3 million, $10.3 million, $7.2 million, $3.7 million and $7.4 million of such expense in fiscal years 2005, 2006, 2007, 2008 and 2009 and beyond, respectively. However, certain of these expenses may be accelerated depending on the market price performance of the Ordinary Common Stock.

Interest Rate Risk.Changes in interest rates affect interest income earned on the Company'sCompany’s cash equivalents and restricted cash and investments, as well as interest expense on variable interest rate borrowings under the Credit AgreementCompany’s credit agreement with Deutsche Bank dated January 5, 2004, as amended (the “Credit Agreement”) and theits note payable to Aetna Note.(the “Aetna Note”). Based on the amount of cash equivalents and investments and the borrowing levels under the Credit Agreement and the Aetna Note as of September 30, 2004,March 31, 2005, a hypothetical 10 percent increase in the interest rate, with all other variables held constant, would not materially affect the Company'sCompany’s future earnings and cash outflows.

        Amendment to Credit Amendment.Operating Restructuring Activities.       As discussed in Note D—"Long-Term Debt and Capital Lease Obligations" toDuring the Company's unaudited condensed consolidated financial statements set forth elsewhere herein, on October 25,three months ended March 31, 2004, the Company amended its Credit Agreement to, in part, reduce the annual interest rate on borrowings under the Term Loan Facility and to reduce the commitment fee on the Credit-Linked Facility, each by 1.25 percent. In addition, effective September 30, 2004, the Company reduced its Credit-Linked Facility from $80.0 million to $50.0incurred special charges of $1.9 million. The Company estimates that these changes will decreasemajority of the amount of interest and feesspecial charges were incurred related the Company would have otherwise paid under the Credit Agreement in 2005 by $2.0 million to $3.0 million.

        Operating Restructuring Activities.    In April 2003, the Company implemented a new business and performance initiative, named Performance Improvement Plan ("PIP"). PIP isCompany’s restructuring initiatives which were generally focused on consolidating service centers, creating more efficiencies in corporate overhead, consolidating systems, improving call center technology and instituting other operational and business efficiencies while maintaining or improving service to customers. During the fiscal year ended December 31, 2003, PIP resulted in the recognition of specialThe Company does not anticipate incurring any material additional charges of (a) $7.5 million to terminate employees that represented both operational and corporate personnel, and (b) $2.4 million to downsize and close excess facilities, and other associated activities.

        In the nine months ended September 30, 2004, PIP resulted in the recognition of special charges of (a) $2.6 million to terminate employees that represented both operational and corporate personnel, and (b) $1.8 million to terminate leases and provide for other exit costs. The employee termination costs of $2.6 million, which are provided under an ongoing benefit arrangement, include severance and related termination benefits, including payroll taxes. All terminations communicated to employees by September 30, 2004 are expected to be completed by December 2004 and termination costs associated with such employees are expected to be paid in full by August 2005. Termination liabilities attributable to ongoing benefit arrangements have been accrued when probable in accordance with SFAS No. 112, "Employers' Accounting for Postemployment Benefits." Lease termination costs are accounted for under SFAS No. 146, "Accounting for Costs Associated with Exit or Disposal Activities" ("SFAS 146"). In accordance with SFAS 146, the liability for lease termination costs is accrued at the time that all



employees have vacated the leased property. These closure and exit costs include payments required under lease contracts (less any applicable existing and/or estimated sublease income) after the properties were abandoned, write-offs of leasehold improvements related to the facilities and other related expenses. Outstanding liabilities of approximately $3.8 million related to PIP are included in the accompanying September 30, 2004 condensed consolidated balance sheet in "Accrued liabilities".such restructuring initiatives during fiscal 2005.

        Implementation of PIP resulted in additional incremental costs that were expensed as incurred. Special charges for the nine months ended September 30, 2004 includes a credit of $0.1 million which represents a reduction of previously expensed consulting costs.

        The Company intends to continue implementing PIP initiatives throughout fiscal 2004. Management estimates that the Company will incur less than $1.0 million of costs related to PIP activities in the remainder of fiscal 2004. The Company expects to fund these costs with internally generated funds; however, there can be no assurance that the Company will be able to fund or implement successfully these initiatives.

Historical—Liquidity and Capital Resources

Operating Activities.Net cash provided by operating activities decreasedincreased by approximately $52.2$41.5 million for the Current Year Period (nine months ended September 30, 2004)Quarter as compared to the Prior Year Period.Quarter. The decreaseincrease in operating cash flows is primarily due to net payments in the Prior Year Quarter of approximately $61.1 million for liabilities related to the chapter 11 proceeding that include professional feesproceedings and claim settlements, anthe Company’s increase in cash interest payments, and othersegment profit of $13.2 million from the Prior Year Quarter to the Current Year Quarter, partially offset by negative working capital changes, mainlyprimarily due to timing. Partially offsetting these reductions to operating cash flows is the Company's increase in segment profit.

        During the Current Year Period, net bankruptcy-related liabilities decreased by approximately $66.1 million, which is primarily attributable to claim settlements and the payment of professional fees. Such amount is net of the receipt of $15.2 million from Onex related to shares not purchased under the Cash-Out Election. Cash interest payments made in the Current Year Period totaled $17.4 million as compared to $12.0 million for the Prior Year Period. Segment profit was $173.6Investing Activities.   Approximately $4.6 million and $124.1 million for the Current Year Period and Prior Year Period, respectively.

        Investing Activities.    Approximately $15.2 million and $12.4$5.0 million were utilized during the Prior Year PeriodQuarter and Current Year Period,Quarter, respectively, for capital expenditures. The majority of capital expenditures related to management information systems and related equipment.

During the Current Year PeriodQuarter, the Company received proceeds of $2.3$7.0 million from the sale of a hospital facility, net of transaction costs, related to the discontinued healthcare providerprepayment of a portion of a note receivable with National Mentor, Inc. (“Mentor”). The outstanding receivable balance of the Mentor note is $3.0 million as of March 31, 2005.

During the Current Year Quarter, the Company utilized net cash of approximately $41.1 million for the purchase of “available-for-sale” investments. The Company’s investments consist of U.S. Government and franchising segments, which resulted in a pre-tax lossagency securities, corporate debt securities and certificate of $0.1 million. Proceeds of $2.6 million from the sale of assets, net of transaction costs, were received duringdeposits.


Financing Activities.   During the Prior Year Period, which resulted in a pre-tax gain of $1.7 million. InQuarter, the Prior Year Period,Company received net proceeds of $2.4 million were received related to the discontinued healthcare provider and franchising segments, with $1.6 million from the sale of a hospital facility and $0.8 million as a final distribution associated with a discontinued provider joint venture.

        Approximately $3.7 million was utilized during the Prior Year Period for acquisitions and investments in businesses, and relates to earn-out payments with respect to the acquisition in 1998 of Inroads, a managed behavioral healthcare company.

        Financing Activities.    Net proceeds ofapproximately $147.9 million were received in the Current Year Period from the issuance of new equity, net of issuance costs of approximately $3.1 million. Netmillion, received net proceeds of $92.8approximately $92.6 million were received in the Current Year Period from the issuance of long-term debt, net of issuance costs of approximately $7.4 million. Repayments ofmillion, repaid approximately $192.4 million in debt upon consummation of the Plan, $11.2repaid approximately $3.7 million of indebtedness outstanding under the Term Loan Facility and $8.3 million on capital lease obligations were made in the Current Year Period.



        The debt paid upon consummation of the Plan of $192.4 million on the Effective Date was composed of payments of $160.8 million of amounts outstanding under the Old Credit Agreement, $16.6 million of principal on the Old Senior Notes and $15.0 million related to a debt obligation to Aetna.

        During the Prior Year Period, the Company made payments on capital lease obligations of $2.6approximately $0.8 million.

During the Current Year Quarter, the Company repaid approximately $5.6 million in debt, made payments on capital lease obligations of approximately $1.8 million and had other net financing sourcesreceived proceeds of $0.1 million.approximately $0.4 million from the exercise of stock options and warrants.

Outlook—Liquidity and Capital Resources

        Credit Agreement.Liquidity.       The Credit Agreement provides for a Term Loan Facility in an original aggregate principal amount of $100.0 million, a Revolving Loan Facility providing for loans of up to $50.0 million and a Credit-Linked Facility for the issuance of letters of credit for the account of the Company in an original aggregate principal amount of $80.0 million. As of September 30, 2004, the Company reduced the Credit-Linked Facility to $50.0 million. Borrowings under the Credit Agreement will mature on August 15, 2008 and certain quarterly principal payments on the Term Loan Facility are also required. As of September 30, 2004, the Company had outstanding approximately $88.8 million under the Term Loan Facility. The Company has not drawn on the Revolving Loan Facility, resulting in unutilized commitments of $50.0 million. As of September 30, 2004, the Company had issued letters of credit in the amount of $45.1 million, resulting in unutilized commitments under the Credit-Linked Facility of $4.9 million. See Note D—"Long-Term Debt and Capital Lease Obligations" to the unaudited condensed consolidated financial statements set forth elsewhere herein for further discussion of the Credit Agreement.

        Liquidity.During the remainder of fiscal 2004,2005, the Company expects to pay its current obligations and fund its capital expenditures with cash from operations. Scheduled maturities under the Term Loan Facility amount to $3.8 million through December 31, 2004. The Company will be required to repay $1.8 million of capital lease obligations through December 31, 2004. Interest payments on amounts outstanding as of September 30, 2004 related to the Credit Agreement, the Senior Notes, the Aetna Note and various capital lease obligations are estimated to be $14.0 million in the remainder of fiscal 2004. These interest payments include interest on outstanding letters of credit, fees for unused commitments under the Credit Agreement and certain other bank fees. The Company estimates that it will spend approximately $8.0$21 million to $13.0$31 million of additional funds in fiscal 20042005 for capital expenditures. The Company does not anticipate that it will need to draw on amounts available under the Revolving Loan Facility for its operations, capital needs or debt service in fiscal 2005. The Company also currently expects to have adequate liquidity to satisfy its existing financial commitments over the remainderperiod in which they will become due.

Termination of fiscal 2004.Aetna Contract.   On December 8, 2004, the Company was informed that Aetna would not renew such contract as of December 31, 2005, and that Aetna planned to exercise its option to purchase, on December 31, 2005, certain assets of the Company used in the management of behavioral health care services for Aetna’s members (the “Aetna Assets”). On February 23, 2005, the Company and Aetna executed an asset purchase agreement related to Aetna’s purchase of the Aetna Assets. The purchase price for the Aetna Assets is based on certain variable factors and the Company estimates that the price will be $50 million to $55 million.

Off-Balance Sheet Arrangements.   As of March 31, 2005, the Company has no off-balance sheet arrangements of a material significance.

Restrictive Covenants in Debt Agreements.    On the Effective Date, the Reorganized Company entered intoIn addition to the Credit Agreement, andthe Company is party to an indenture governing the terms of the 9.375% Senior Notes, which mature on November 15, 2008, and which are general senior unsecured obligations of the Company (the "Indenture"“Indenture”). As discussed above,The Indenture and the Credit Agreement was amended as of October 25, 2004. In general, the Credit Agreement, as amended, and the Indentureeach contain a number of covenants that limit management'smanagement’s discretion in operating the operations of the Company and its subsidiariesCompany’s business by restricting or limiting the Company'sCompany’s ability, to, among other things:things, to:

·

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

    ·pay dividends and make other distributions;

    make capital expenditures;

    ·repurchase equity interests;

    ·prepay or amend subordinated debt;

    ·make restricted payments;


      certain other payments called “restricted payments”;

      ·enter into sale and leaseback transactions;

      ·create liens;

      ·sell and otherwise dispose of assets;

      ·       acquire or merge or consolidate;consolidate with another company; and

      ·enter into certainsome types of transactions with affiliates.


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

    The Credit Agreement also requires the Company to comply with specified financial ratios and tests (as defined), including minimum consolidated EBITDA, minimum consolidated interest coverage ratios and maximum leverage ratios.tests. Failure to comply with such covenants, without waiver,do so, unless waived by the lenders under the Credit Agreement pursuant to its terms, would result in an event of default under the Credit Agreement and, in the event theif indebtedness under the Credit Agreement wereis accelerated, would give rise to defaults under substantiallymost or all of the Company'sCompany’s other debt agreements. The Credit Agreement is guaranteed by substantially allmost of the Company’s subsidiaries of the Company and is secured by substantially allmost of the Company’s assets of the Company and the subsidiary guarantors. As of the date of filing of this Quarterly Report on Form 10-Q, the Company believes that it is in compliance with its debt covenants.Company’s subsidiaries’ assets.

    Net Operating Loss Carryforwards.The Company estimates that, as of December 31, 2004 it had approximately $525 million of reportable NOLs.     During fiscal 2000,These estimated NOLs expire in 2009 through 2020 and are subject to examination and adjustment by the IRS. In accordance with SOP 90-7, subsequent (post-bankruptcy) utilization by the Company reached an agreement (the "IRS Agreement") withof NOLs which existed at January 5, 2004 will be accounted for as reductions to goodwill and therefore, will only benefit cash flows due to reduced tax payments and will not benefit the IRS related to its federal incomeCompany’s tax returns for the fiscal years ended September 30, 1992 and 1993. The IRS had originally proposed to disallow approximately $162.0 million of deductions related primarily to interest expense in fiscal 1992. Under the IRS Agreement, the Company paid approximately $1.0 million in taxes and interest to the IRS in the second quarter of fiscal 2001 to resolve the assessment specifically 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 NOLs. While any IRS assessment related to these deductions is not expected to result in a material cash paymentprovision for income taxes relatedtaxes.

    The Company’s history of recent operating losses (prior to prior years,reorganization benefits) and financial restructuring activities and the Company's federal NOLs could be reduced if the IRS later successfully challenges these deductions. The Company'slack of a sufficient history of profitable operations subsequent to its emergence from bankruptcy and financial restructuring activitieshave created uncertainty as to the Company'sCompany’s ability to realize its NOLs and other deferred tax assets. In addition,Accordingly, the Company'sCompany had a valuation allowance covering substantially all of its net deferred tax assets at December 31, 2004 and March 31, 2005. As of December 31, 2004 and March 31, 2005, net deferred tax assets, after reduction for valuation allowance, represent the Company’s estimate of those net tax assets which are more likely than not to be realizable.

    The Company’s utilization of NOLs became subject to limitation under Internal Revenue Code Section 382 upon emergence from bankruptcy, which affects the timing of the use of or the ultimate realization of, NOLs. Accordingly, as of December 31, 2003 and September 30, 2004,At this time, the Company maintainsdoes not believe these limitations will materially limit the Company’s ability to use any NOLs before they expire.

    Discontinued Operations.   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 total valuation allowance covering allsegment of a business be reported in conjunction with the related results of discontinued operations. The operating results of the Company'sdiscontinued segments have been disclosed, net deferredof income tax, assets.in a separate income statement caption “Discontinued operations—Income from discontinued operations.” The assets, liabilities and cash flows related to discontinued operations have not been segregated from continuing operations.

    Recent Accounting Pronouncements

            In January 2003,As of March 31, 2005, the FASB issued Interpretation No. 46, Consolidation of Variable Interest Entities, an Interpretation of Accounting Research Bulletin (ARB) No. 51 ("FIN 46"). FIN 46 requires consolidation of entities in which an enterprise absorbs aCompany has taken the majority of the entity's expected losses, receives a majorityactions necessary to complete the disposal of, the entity's expected residual returns, or both, as a resultshutting down of, ownership, contractual or other financial interests in the entity. its healthcare provider and franchising segments, its specialty managed healthcare segment, and its human services segment but still has certain estimated liabilities totaling approximately $3.3 million for various obligations.

    The Reorganized Company adopted the provisionsremaining assets and liabilities of FIN 46 effective December 31, 2003. Adoption of new accounting pronouncements is required by companies implementing the fresh start reporting provisions of SOP 90-7. Based on the guidance of FIN 46, the Reorganized Company has determined that it is the primary beneficiary of Premier, a variable interest entity for which the Reorganized Company maintains a fifty percent voting interest. Concurrent with the provisions of FIN 46, the Reorganized Company consolidated the balance sheets of Premier into the Reorganized Company's balance sheets as of December 31, 2003 and September 30, 2004. Through December 31, 2003, the Predecessor Company accounted for Premier under the equity method, whereby the Predecessor Company included its portion of Premier's earnings



    or loss in its consolidated statements of operations under the caption "Equity in (earnings) loss of unconsolidated subsidiaries". In the three months and nine months ended September 30, 2004, the Reorganized Company consolidated the results of operations of Premier in its condensed consolidated statement of operations. See further discussion of the adoption of FIN 46, including disclosures required by FIN 46,these discontinued segments are described more fully in Note B—"Summary of Significant Accounting Policies"F—“Discontinued Operations” to the unauditedCompany’s condensed consolidated financial statements set forth elsewhere herein. There can be no assurance that the reserves established will prove to be adequate. In the event that any future losses or expenses exceed the amount of reserves on the balance sheet, the Company will be required to record additional losses on disposal of discontinued operations or losses from discontinued operations in the accompanying condensed consolidated statement of income.

    Recent Accounting Pronouncements

    The Company currently measures compensation cost for stock-based compensation under Accounting Principles Board (“APB”) Opinion No. 25, “Accounting for Stock Issued to Employees” (“APB 25”), and


    discloses pro forma stock-based compensation under the requirements of SFAS No. 123, “Accounting for Stock-Based Compensation” (“SFAS 123”) and SFAS No. 148, “Accounting for Stock-Based Compensation, Transition and Disclosure” (“SFAS 148”). Currently, the Company uses the Black-Scholes-Merton formula to estimate the value of stock options granted to employees and expects to continue to use this acceptable option valuation model upon the required January 1, 2006 adoption of Statement 123 (revised 2004) “Share-Based Payment” (“SFAS 123R”). Since SFAS 123R must be applied not only to new awards but also to previously granted awards that are not fully vested on the effective date, compensation cost for some previously granted awards that were not recognized under SFAS 123 will be recognized under SFAS 123R. However, had SFAS 123R been adopted in prior periods, the impact of that standard would have approximated the impact of SFAS 123 as described in the disclosure of pro forma net income and earnings per share in NOTE A—“General” to the financial statements included herein under the section entitled “Stock-Based Compensation.” SFAS 123R also requires the benefits of tax credits in excess of recognized compensation cost to be reported as a financing cash flow, rather than as an operating cash flow as permitted under current literature. This requirement will reduce net operating cash flows and increase net financing cash flows in periods after adoption. While the Company cannot estimate what those amounts will be in the future (because they depend on, among other things, when employees exercise stock options), the amount of operating cash flows recognized in prior periods for such excess tax deductions were immaterial.

    Item 3.Quantitative and Qualitative Disclosures About Market Risk.

    Changes in interest rates affect interest income earned on the Company'sCompany’s cash equivalents and restricted cash and investments, as well as interest expense on variable interest rate borrowings under the Credit Agreement and the Aetna Note. Based on the Company’s investment balances, and the borrowing levels under the Credit Agreement and the Aetna Note as of September 30, 2004,March 31, 2005, a hypothetical 10 percent increase in the interest rate, with all other variables held constant, would not materially affect the Company'sCompany’s future earnings and cash outflows.


    Item 4.Controls and Procedures.
    Procedures.

      a)

      The Company'sCompany’s management evaluated, with the participation of the Company'sCompany’s principal executive officer and principal financial officer,officers, the effectiveness of the Company'sCompany’s disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act, of 1934, as amended (the "Exchange Act")), as of September 30, 2004.March 31, 2005. Based on their evaluation, the Company'sCompany’s principal executive officer and principal financial officerofficers concluded that the Company'sCompany’s disclosure controls and procedures were effective as of September 30, 2004.

      March 31, 2005.

      b)

      There has been no change in the Company'sCompany’s internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that occurred during the Company'sCompany’s fiscal quarter ended September 30, 2004,March 31, 2005, that has materially affected, or is reasonably likely to materially affect, the Company'sCompany’s internal control over financial reporting.

      34





      PART II—OTHER INFORMATION

      Item 1.1.                        Legal Proceedings.

      The management and administration of the delivery of managed behavioral healthcare services entails 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 suicides and other serious incidents involving patients enrolled in its programs. 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 defendant to incur significant fees and costs related to their defense. To date, claims and actions against the Company alleging professional negligence have not resulted in material liabilities and the Company does not believe that any such pending action against it will have a material adverse effect on the Company. However, there can be no assurance that pending or future actions or claims for professional liability (including any judgments, settlements or costs associated therewith) will not have a material adverse effect on the Company.

      The Company is subject to or party to certain class action suits, litigation and claims relating to its operations and business practices. LitigationExcept as otherwise provided under the Plan, litigation asserting claims against the Company and its subsidiaries that were parties to the chapter 11 proceedings for pre-petition obligations (the "Pre-petition Litigation"“Pre-petition Litigation”), was enjoined as of the Effective Date as a consequence of the confirmation of the Plan inby the Company's chapter 11 proceedings.Bankruptcy Court. The Company believes that except as otherwise provided by the Plan, the Pre-petition Litigation claims constitute pre-petition general unsecured claims and, to the extent allowed by the bankruptcy court,Bankruptcy Court, would be resolved as other general unsecured claims underOther General Unsecured Claims as defined by the Plan.

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


      Item 2.2.                        Unregistered Sales of Equity Securities and Use of Proceeds.

      None.


      Item 3.3.                        Defaults Upon Senior Securities.

      None.


      Item 4.4.                        Submission of Matters to a Vote of Security Holders.

      None.


      Item 5.5.                        Other Information.

              The Company entered into an amendment, effective as of October 25, 2004, of its Credit Agreement to reduce the annual interest rate on borrowings under the Term Loan Facility and to reduce the commitment fee on the Credit-Linked Facility, as further discussed in Note D—"Long-Term Debt and Capital Lease Obligations" to the Company's unaudited condensed consolidated financial statements set forth elsewhere herein.None.




      Item 6.6.                        Exhibits


      31.1



      10.1


      Amendment to Credit Agreement effective as of October 25, 2004.



      31.1


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


      31.2



      31.2


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


      32.1



      32.1


      Certification of Chief Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.


      32.2



      32.2


      Certification of Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.


      35




      SIGNATURES
      SIGNATURES

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

      Date: October 29, 2004April 28, 2005

      MAGELLAN HEALTH SERVICES, INC.
      (Registrant)



      (Registrant)

      /s/ MARK S. DEMILIO


      Mark S. Demilio

      Executive Vice President and Chief Financial Officer

      (Principal Financial Officer and Duly Authorized Officer)


      36