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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549



FORM 10-Q

(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, 2013March 31, 2014

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
(State or other jurisdiction of
incorporation or organization)
 58-1076937
(IRS Employer
Identification No.)

55 Nod Road, Avon, Connecticut
(Address of principal executive offices)

 

06001
(Zip code)

(860) 507-1900
(Registrant's telephone number, including area code)



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

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

        Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of "accelerated filer and large accelerated filer" in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filerý Accelerated filero Non-accelerated filero
(Do not check if a
smaller reporting company)
 Smaller reporting companyo

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

        The number of shares of the registrant's Ordinary Common Stock outstanding as of September 30, 2013March 31, 2014 was 27,067,781.27,558,633.

   


Table of Contents


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

 
  
 Page No. 

PART I—Financial Information:

    

Item 1:

 

Financial Statements

  32 

 

Consolidated Balance Sheets—December 31, 20122013 and September 30,March 31, 2014

2

Consolidated Statements of Comprehensive Income—For the Three Months Ended March 31, 2013 and 2014

  3 

 

Consolidated Statements of Comprehensive Income—Cash Flows—For the Three Months Ended March 31, 2013 and Nine Months Ended September 30, 2012 and 20132014

  4

Consolidated Statements of Cash Flows—For the Nine Months Ended September 30, 2012 and 2013

5 

 

Notes to Consolidated Financial Statements

  65 

Item 2:

 

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

  2628 

Item 3:

 

Quantitative and Qualitative Disclosures about Market Risk

  4643 

Item 4:

 

Controls and Procedures

  4643 


PART II—Other Information:


 

 

 

 

Item 1:

 

Legal Proceedings

  4744 

Item 1A:

 

Risk Factors

  4744 

Item 2:

 

Unregistered Sales of Equity Securities and Use of Proceeds

  4744 

Item 3:

 

Defaults Upon Senior Securities

  4845 

Item 4:

 

Mine Safety Disclosures

  4845 

Item 5:

 

Other Information

  4845 

Item 6:

 

Exhibits

  5046 

Signatures

  5147 

Table of Contents


PART I—FINANCIAL INFORMATION

Item 1.    Financial Statements.


MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS

(In thousands, except per share amounts)

 December 31, 2013 March 31, 2014 

 December 31,
2012
 September 30,
2013
(unaudited)
   
 (unaudited)
 

ASSETS

      

Current Assets:

      

Cash and cash equivalents

 $189,464 $281,792  $203,187 $261,300 

Restricted cash

 226,554 208,567  236,696 264,566 

Accounts receivable, less allowance for doubtful accounts of $4,612 and $4,621 at December 31, 2012 and September 30, 2013, respectively

 138,253 157,248 

Short-term investments (restricted investments of $88,332 and $139,758 at December 31, 2012 and September 30, 2013, respectively)

 201,127 212,949 

Accounts receivable, less allowance for doubtful accounts of $5,447 and $5,598 at December 31, 2013 and March 31, 2014, respectively

 238,185 202,767 

Short-term investments (restricted investments of $117,674 and $151,251 at December 31, 2013 and March 31, 2014, respectively)

 175,883 181,788 

Deferred income taxes

 31,698 29,546  37,530 37,044 

Pharmaceutical inventory

 45,727 47,407  49,609 47,105 

Other current assets (restricted deposits of $20,846 and $26,563 at December 31, 2012 and September 30, 2013, respectively)

 38,595 48,244 

Other current assets (restricted deposits of $25,009 and $30,454 at December 31, 2013 and March 31, 2014, respectively)

 48,268 62,656 
          

Total Current Assets

 871,418 985,753  989,358 1,057,226 

Property and equipment, net

 136,548 163,552  172,333 167,110 

Long-term investments (restricted investments of $32,563 and $14,747 at December 31, 2012 and September 30, 2013, respectively)

 32,563 15,629 

Restricted long-term investments

 32,430 27,060 

Other long-term assets

 9,730 15,052  7,197 9,888 

Goodwill

 426,939 426,939  488,206 488,203 

Other intangible assets, net

 34,935 28,072  69,694 68,386 
          

Total Assets

 $1,512,133 $1,634,997  $1,759,218 $1,817,873 
          

LIABILITIES AND STOCKHOLDERS' EQUITY

 
     

LIABILITIES, REDEEMABLE NON-CONTROLLING INTEREST AND STOCKHOLDERS' EQUITY

     

Current Liabilities:

      

Accounts payable

 $17,081 $15,930  $42,853 $35,742 

Accrued liabilities

 100,778 107,190  134,652 173,372 

Medical claims payable

 198,429 217,290  228,341 240,046 

Other medical liabilities

 76,914 74,197  67,416 65,288 

Current maturities of long-term capital lease obligations

  2,846  3,005 3,040 
          

Total Current Liabilities

 393,202 417,453  476,267 517,488 

Long-term capital lease obligations

  24,167  23,720 22,568 

Deferred income taxes

 34,086 32,766  42,046 38,445 

Tax contingencies

 60,697 32,846  32,343 33,593 

Deferred credits and other long-term liabilities

 6,815 9,036  17,803 20,336 
          

Total Liabilities

 494,800 516,268  592,179 632,430 
          

Redeemable non-controlling interest

 10,554 9,214 

Preferred stock, par value $.01 per share

  
 
 
 
 

Authorized—10,000 shares at December 31, 2012 and September 30, 2013—Issued and outstanding—none

   

Authorized—10,000 shares at December 31, 2013 and March 31, 2014—Issued and outstanding—none

   

Ordinary common stock, par value $.01 per share

      

Authorized—100,000 shares at December 31, 2012 and September 30, 2013—Issued and outstanding—45,928 and 27,353 shares at December 31, 2012, respectively, and 46,599 and 27,068 shares at September 30, 2013, respectively

 459 466 

Authorized—100,000 shares at December 31, 2013 and March 31, 2014—Issued and outstanding—47,351 shares and 27,616 shares at December 31, 2013, respectively, and 47,578 and 27,559 shares at March 31, 2014, respectively

 474 476 

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

      

Authorized—40,000 shares—Issued and outstanding—none

   

Authorized—40,000 shares at December 31, 2013 and March 31, 2014—Issued and outstanding—none

   

Other Stockholders' Equity:

      

Additional paid-in capital

 848,238 890,932  922,325 933,274 

Retained earnings

 975,232 1,082,002  1,100,493 1,126,213 

Accumulated other comprehensive loss

 (35) (72) (93) (50)

Ordinary common stock in treasury, at cost, 18,575 and 19,531 shares at December 31, 2012 and September 30, 2013, respectively

 (806,561) (854,599)

Ordinary common stock in treasury, at cost, 19,735 shares and 20,019 shares at December 31, 2013 and March 31, 2014, respectively

 (866,714) (883,684)
          

Total Stockholders' Equity

 1,017,333 1,118,729  1,156,485 1,176,229 
          

Total Liabilities and Stockholders' Equity

 $1,512,133 $1,634,997 

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

 $1,759,218 $1,817,873 
          
     

   

See accompanying notes to consolidated financial statements.


Table of Contents


MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(Unaudited)

(In thousands, except per share amounts)


 Three Months Ended
September 30,
 Nine Months Ended
September 30,
  Three Months Ended
March 31,
 

 2012 2013 2012 2013  2013 2014 

Net revenue:

      

Managed care and other

 $711,092 $775,957 $2,114,149 $2,255,748  $722,589 $829,591 

Dispensing

 87,345 97,641 262,974 282,359 

PBM and dispensing

 99,172 136,884 
              

Total net revenue

 798,437 873,598 2,377,123 2,538,107  821,761 966,475 
              

Cost and expenses:

      

Cost of care

 516,238 570,187 1,543,361 1,642,944  525,027 605,708 

Cost of goods sold

 81,662 91,853 245,555 265,440  93,512 125,298 

Direct service costs and other operating expenses(1)

 135,574 156,834 412,496 440,958  139,627 164,722 

Depreciation and amortization

 15,239 17,654 45,172 50,770  16,170 20,229 

Interest expense

 537 789 1,713 2,191  610 836 

Interest income

 (350) (291) (1,619) (1,002) (353) (311)
              

Total costs and expenses

 774,593 916,482 

 748,900 837,026 2,246,678 2,401,301      

Income before income taxes

 47,168 49,993 

Provision for income taxes

 19,110 25,613 
              

Income before income taxes

 49,537 36,572 130,445 136,806 

(Benefit) provision for income taxes

 (16,725) (10,660) 16,420 30,036 

Net income

 28,058 24,380 

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

  (1,340)
              

Net income

 66,262 47,232 114,025 106,770 

Net income per common share—basic (See Note B)

 
$

2.41
 
$

1.75
 
$

4.17
 
$

3.96
 

Net income per common share—diluted (See Note B)

 $2.36 $1.70 $4.10 $3.87 

Net income attributable to Magellan Health Services, Inc.

 28,058 25,720 
     

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

 
 
 
 
 

Basic (See Note B)

 $1.03 $0.94 

Diluted (See Note B)

 $1.01 $0.92 

Other comprehensive income:

  
 
 
 
 

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

 120 110 208 (37)

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

 (77) 43 
              

Comprehensive income

 $66,382 $47,342 $114,233 $106,733  27,981 24,423 

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

  (1,340)
              

Comprehensive income attributable to Magellan Health Services, Inc.

 $27,981 $25,763 
     
     

(1)
Includes stock compensation expense of $4,468$5,638 and $4,524$4,472 for the three months ended September 30, 2012March 31, 2013 and 2013, respectively, and $13,935 and $14,764 for the nine months ended September 30, 2012 and 2013,2014, respectively.

(2)
Net of income tax (benefit) provision (benefit) of $78$(52) and $74$29 for the three months ended September 30, 2012March 31, 2013 and 2013, respectively, and $134 and $(25) for the nine months ended September 30, 2012 and 2013,2014, respectively.

   

See accompanying notes to consolidated financial statements.


Table of Contents


MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

FOR THE NINETHREE MONTHS ENDED SEPTEMBER 30,MARCH 31,

(Unaudited)

(In thousands)


 2012 2013  2013 2014 

Cash flows from operating activities:

      

Net income

 $114,025 $106,770  $28,058 $24,380 

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

      

Depreciation and amortization

 45,172 50,770  16,170 20,229 

Non-cash interest expense

 544 552  184 184 

Non-cash stock compensation expense

 13,935 14,764  5,638 4,472 

Non-cash income tax expense (benefit)

 12,395 (164)

Non-cash income tax benefit

 (630) (3,733)

Non-cash amortization on investments

 5,373 7,273  2,508 1,611 

Realized loss on sale of investments

  49 

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

      

Restricted cash

 (59,777) 17,987  4,764 (27,870)

Accounts receivable, net

 604 (19,231) (8,359) 34,843 

Pharmaceutical inventory

 (2,002) (1,680) (2,004) 2,504 

Other assets

 (4,218) (9,781) (2,039) (17,273)

Accounts payable and accrued liabilities

 (17,854) 6,685  (15,285) 30,344 

Medical claims payable and other medical liabilities

 37,422 16,144  15,752 9,803 

Tax contingencies

 (34,616) (22,981) 601 801 

Deferred credits and other long-term liabilities

 222 2,533 

Other

 654 4,174  299 (50)
          

Net cash provided by operating activities

 111,657 171,282  45,879 82,827 
          

Cash flows from investing activities:

      

Capital expenditures

 (53,049) (42,091) (11,382) (11,059)

Purchase of investments

 (197,525) (235,946) (66,596) (76,548)

Maturity of investments

 215,150 233,723  47,647 74,424 

Other

  (7,900)
          

Net cash used in investing activities

 (35,424) (52,214) (30,331) (13,183)
          

Cash flows from financing activities:

      

Payments to acquire treasury stock

  (49,462) (24,830) (16,970)

Proceeds from exercise of stock options and warrants

 13,092 24,548  9,675 7,180 

Payments on capital lease obligations

  (2,310) (414) (1,117)

Other

 135 484  (1,022) (624)
          

Net cash provided by (used in) financing activities

 13,227 (26,740)

Net cash used in financing activities

 (16,591) (11,531)
          

Net increase in cash and cash equivalents

 89,460 92,328 

Net (decrease) increase in cash and cash equivalents

 (1,043) 58,113 

Cash and cash equivalents at beginning of period

 119,862 189,464  189,464 203,187 
          

Cash and cash equivalents at end of period

 $209,322 $281,792  $188,421 $261,300 
     
          

Supplemental cash flow data:

      

Non-cash investing activites:

      

Property and equipment acquired under capital leases

 $ $29,323  $28,836 $ 
          
     

   

See accompanying notes to consolidated financial statements.


Table of Contents


MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

September 30, 2013MARCH 31, 2014

(Unaudited)

NOTE A—General

Basis of Presentation

        The accompanying unaudited consolidated financial statements of Magellan Health Services, Inc., a Delaware corporation ("Magellan"), include the accounts of Magellan, its majority owned subsidiaries, and all variable interest entities ("VIEs") for which Magellan is the primary beneficiary (together with Magellan, the "Company"). The financial statements have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the Securities and Exchange Commission's (the "SEC") instructions to Form 10-Q. Accordingly, the financial statements do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. In the opinion of management, all adjustments, consisting of normal recurring adjustments considered necessary for a fair presentation, have been included. The results of operations for the three and nine months ended September 30, 2013March 31, 2014 are not necessarily indicative of the results to be expected for the full year. All significant intercompany accounts and transactions have been eliminated in consolidation.

        The Company has evaluated subsequent events for recognition or disclosure in the consolidated financial statements filed on this Form 10-Q. Other than as described in Note E—F—"Subsequent Events", the Company did not have any material recognizable subsequent events during thisthe period.

        These unaudited consolidated financial statements should be read in conjunction with the Company's audited consolidated financial statements for the year ended December 31, 20122013 and the notes thereto, which are included in the Company's Annual Report on Form 10-K filed with the SEC on February 28, 2013.March 3, 2014.

Business Overview

        The Company is engaged in the specialty managed healthcare business. Through 2005, the Company predominantly operatedmanagement business, and is focused on meeting needs in the managed behavioralareas of healthcare business. As a result of certain acquisitions, the Company expanded into radiology benefits managementthat are fast growing, highly complex and specialty pharmaceutical management during 2006, and into Medicaid administration during 2009.high cost, with an emphasis on special population management. The Company provides services to health plans, managed care organizations ("MCOs"), insurance companies, employers, labor unions, various military and various governmental agencies.agencies, third party administrators, and brokers. The Company's business is divided into the following five segments, based on the services it provides and/or the customers that it serves, as described below.

Managed Behavioral Healthcare

        Two of the Company's segments are in the managed behavioral healthcare business. This line of business generally reflects the Company's: (i) management of behavioral healthcare services, and (ii) the integrated management of physical, behavioral and pharmaceutical healthcare for special populations, delivered through Magellan Complete Care ("MCC"). The Company's coordination and management of the delivery ofphysical and behavioral healthcare treatmentincludes services that are provided through its contractedcomprehensive network of third-party treatment providers, which includes psychiatrists, psychologists, othermedical and behavioral health professionals, psychiatricclinics, hospitals general medical facilitiesand ancillary service providers. This network of credentialed and privileged providers is integrated with psychiatric beds, residential treatment centersclinical and other treatment facilities.quality improvement programs to enhance the healthcare experience for individuals in need of care, while at the same time managing the cost of these services for our customers. The treatment services provided through the Company'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 generally does not directly provide or own any provider of treatment services,


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013MARCH 31, 2014

(Unaudited)

NOTE A—General (Continued)

crisis intervention services. The Company generally does not directly provide or own any provider of treatment services, although it does employ licensed behavioral health counselors to deliver non-medical counseling under certain government contracts.

        The Company's integrated management of physical and behavioral healthcare includes its full service health plans which provide for the holistic management of special populations. These special populations include individuals with serious mental illness, dual eligibles, those eligible for long term care, intellectually and developmentally disabled individuals, and other populations with unique and often complex healthcare needs.

        The Company provides its management services primarily through: (i) risk-based products, where the Company assumes all or a substantial portion of the responsibility for the cost of providing treatment services in exchange for a fixed per member per month fee, (ii) administrative services only ("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, and (iii) employee assistance programs ("EAPs") where the Company provides short-term outpatient behavioral counseling services.

        The managed behavioral healthcare business is managed based on the services provided and/or the customers served, through the following two segments:

        Commercial.    The Managed Behavioral Healthcare Commercial segment ("Commercial") generally reflects managed behavioral healthcare services and EAP services provided under contracts with health plans, and insurance companies and MCOs for some or all of their commercial, Medicaid and Medicare members, as well as with employers, including corporations, governmental agencies, and labor unions. Commercial's contracts encompass risk-based, ASO and EAP arrangements.

        Public Sector.    The Managed Behavioral Healthcare Public Sector segment ("Public Sector") generally reflectsreflects: (i) the management of behavioral health services provided to recipients under Medicaid and other state sponsored programs under contracts with state and local governmental agencies. Public Sector contracts also includeagencies, and (ii) the integrated management services for the integratedof physical, behavioral and pharmaceutical care for special populations covered under Medicaid and other government sponsored programs. Public Sector contracts encompass either risk-based or ASO arrangements.

Radiology Benefits ManagementSpecialty Solutions

        The Radiology Benefits ManagementSpecialty Solutions segment ("Radiology Benefits Management"Specialty Solutions") generally reflects the management of the delivery of diagnostic imaging (radiology benefits management or "RBM") and a variety of other therapeutic servicesspecialty areas such as radiation oncology, obstetrical ultrasound, cardiology and musculoskeletal management to ensure that such services are clinically appropriate and cost effective. The Company's radiology benefits managementSpecialty Solutions services are currently are provided under contracts with health plans and insurance companies for some or all of their commercial, Medicaid and Medicare members. The Company also contracts with state and local governmental agencies for the provision of such services to Medicaid recipients. The Company offers its radiology benefits managementSpecialty Solutions services through risk-based contracts, where the Company assumes all or a substantial portion of the responsibility for the cost of providing diagnostic imaging services,


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

MARCH 31, 2014

(Unaudited)

NOTE A—General (Continued)

and through ASO contracts, where the Company provides services such as utilization review and claims administration, but does not assume responsibility for the cost of the imaging services.

Pharmacy SolutionsManagement

        The Pharmacy SolutionsManagement segment ("Pharmacy Solutions"Management") comprises products and solutions that provide clinical and financial management of drugs paid under medical and pharmacy benefit programs.


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013

(Unaudited)

NOTE A—General (Continued)

The Company's Pharmacy SolutionsManagements' services include (i) traditional pharmacy benefit management ("PBM") services; (ii) pharmacy benefit administration ("PBA") for state Medicaid and other government sponsored programs; (ii)(iii) specialty pharmaceutical dispensing operations, contracting and formulary optimization programs; (iii) specialty pharmaceutical dispensing operations; (iv) medical pharmacy management programs; and (v) programs for the integrated management of drugs that treat complex conditions, regardless of site of service, method of delivery, or benefit reimbursement. In addition, the Company had a subcontract arrangement to provide PBM services on a risk basis for one of Public Sector's customers, which terminated on March 31, 2014.

The Company's pharmacy solutionsPharmacy Management programs are provided under contracts with health plans, employers, Medicaid managed care organizations ("MCOs"),MCOs, state Medicaid programs, and other government agencies, and encompass risk-based and fee-for-service ("FFS") arrangements.

        Beginning in the first quarter of 2013, the Company underwent organizational changes. As a result of these changes, the Company concluded that changes to its reportable segments were warranted. This segment contains the operating segments previously defined as the Specialty Pharmaceutical Management segment and the Medicaid Administration segment. Prior period balances have been reclassified to reflect this change.

Corporate

        This segment of the Company is comprised primarily of operational support functions such as sales and marketing and information technology, as well as corporate support functions such as executive, finance, human resources and legal.

Summary of Significant Accounting Policies

Recent Accounting Pronouncements

        In October 2012,July 2011, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2012-04, "Technical Corrections2011-06, "Other Expenses (Topic 720): Fees Paid to the Federal Government by Health Insurers (a consensus of the FASB Emerging Issues Task Force)" ("ASU 2011-06"), which addresses how fees mandated by the Patient Protection and Improvements"the Affordable Care Act ("ASC 2012-04"ACA"). The amendments in this update cover a wide range, as amended by the Health Care and Education Reconciliation Act of Topics2010 (collectively, the "Health Reform Law"), should be recognized and classified in the Accounting Standards Codification. These amendments include technical corrections and improvementsincome statements of health insurers. The Health Reform Law imposes a mandatory annual fee on health insurers for each calendar year beginning on or after January 1, 2014. ASU 2011-06 stipulates that the liability incurred for that fee be amortized to expense over the Accounting Standards Codification and conforming amendments related to fair value measurements. The amendmentscalendar year in this guidance that will not have transition guidance are effective upon issuance. The amendments that are subject to transition guidance arewhich it is payable. This ASU is effective for fiscal periodscalendar years beginning after December 15, 201231, 2013, when the fee initially becomes effective. The Company is currently pursuing rate adjustments to cover the direct costs of these fees and were adopted bythe impact from non-deductibility of such fees for federal income tax purposes. To the extent the Company duringhas a state public sector customer that does not renew, there may be some impact due to taxes paid where the quarter ended March 31, 2013. The guidance did nottiming and amount of recoupment of these additional costs is uncertain. In the event the Company is unable to obtain rate adjustments to cover the financial impact the Company's consolidated results of operations, financial position, or cash flows.

        In February 2013, the FASB issued ASU No. 2013-02, "Comprehensive Income (Topic 220): Reporting of Amounts Reclassified out of Accumulated Comprehensive Income" ("ASU 2013-02"). ASU 2013-02 requires companies to report the effect of significant reclassifications out of accumulated other comprehensive income on the respective line items in net income if the amount being reclassified is required under generally accepted accounting principles ("GAAP") to be reclassified in its entirety to net income. Entities are required to provide information about significant reclassifications by component, and to present those reclassifications either on the face of the statement where net income is presented or inannual fee, the notes. For other amounts that are not required to be reclassified in their entirety to net income, entities are required to cross-reference other disclosures that provide additional details about those amounts. The amendments in this ASU do not change the current requirements for reporting net income or other comprehensive income in financial statements. The amendments in thisfee may have a


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013MARCH 31, 2014

(Unaudited)

NOTE A—General (Continued)

ASU are effective prospectively for reporting periods beginning after December 15, 2012material impact on the Company. For 2014, the projected ACA fee is currently estimated to be $20.2 million and were adopted byis included in accrued liabilities in the Company duringconsolidated balance sheets. Of this amount $5.1 million was expensed in the quarterthree months ended March 31, 2013. The guidance did not impact2014, which is included in direct service costs and other operating expenses in the Company's consolidated resultsstatements of operations, financial position, or cash flows.comprehensive income.

        In July 2013, the FASB issued ASU No. 2013-11, "Income Taxes (Topic 740): Presentation of an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Carryforward Exists" ("ASU 2013-11"). ASU 2013-11 provides guidance on the financial statement presentation of an unrecognized tax benefit when a net operating loss carryforward, a similar tax loss, or a tax credit carryforward exists. An unrecognized tax benefit should be presented in the financial statements as a reduction to a deferred tax asset for a net operating loss carryforward, a similar tax loss, or a tax credit carryforward with certain exceptions, in which case such an unrecognized tax benefit should be presented in the financial statements as a liability. The amendments in this ASU do not require new recurring disclosures. The amendments in this ASU are effective for reporting periods beginning after December 15, 2013.2013 and were adopted by the Company during the quarter ended March 31, 2014. The effect of the guidance is not expectedimmaterial to materially impact the Company's consolidated results of operations, financial position, orand cash flows.

Use of Estimates

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

Managed Care and Other Revenue

        Managed Care Revenue.    Managed care revenue, inclusive of revenue from the Company's risk, EAP and ASO contracts, is recognized over the applicable coverage period on a per member basis for covered members. The Company is paid a per member fee for all enrolled members, and this fee is recorded as revenue in the month in which members are entitled to service. The Company adjusts its revenue for retroactive membership terminations, additions and other changes, when such adjustments are identified, with the exception of retroactivity that can be reasonably estimated. The impact of retroactive rate amendments is generally recorded in the accounting period that terms to the amendment are finalized, and that the amendment is executed. Any fees paid prior to the month of service are recorded as deferred revenue. Managed care revenues approximated $631.6$629.7 million and $1,871.4$728.8 million for the three and nine months ended September 30, 2012, respectively,March 31, 2013 and $673.6 million and $1,957.9 million for the three and nine months ended September 30, 2013,2014, respectively.

        Fee-For-Service and Cost-Plus Contracts.    The Company has certain fee-for-service contracts, including cost-plus contracts, with customers under which the Company recognizes revenue as services


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(Unaudited)

NOTE A—General (Continued)

are performed and as costs are incurred. Revenues from these contracts approximated $33.8$49.3 million and $104.8$59.7 million for the three and nine months ended September 30, 2012, respectively,March 31, 2013 and $52.6 million and $152.9 million for the three and nine months ended September 30, 2013,2014, respectively.

        Block Grant Revenues.    Public Sector has a contract thatThe Maricopa Contract (as defined below) is partially funded by federal, state and county block grant money, which represents annual appropriations. The Company recognizes revenue from block grant activity ratably over the period to which the block grant funding applies. Block grant revenues were approximately $32.6$33.2 million and $90.5$33.0 million for the three and nine months ended September 30, 2012, respectively,March 31, 2013 and $32.3 million and $96.9 million for the three and nine months ended September 30, 2013,2014, respectively.

        Performance-Based Revenue.    The Company has the ability to earn performance-based revenue 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 clients below specified 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 may be recognized on an interim basis pursuant to the rights and obligations of each party upon termination of the contracts. Performance-based revenues were $2.6$1.9 million and $14.5$3.0 million for the three and nine months ended September 30, 2012, respectively,March 31, 2013 and $2.7 million and $6.1 million for the three and nine months ended September 30, 2013,2014, respectively.

        Rebate Revenue.    The Company administers a rebate program for certain clients through which the Company coordinates the achievement, calculation and collection of rebates and administrative fees from pharmaceutical manufacturers on behalf of clients. Each period, the Company estimates the total rebates earned based on actual volumes of pharmaceutical purchases by the Company's clients, as well as historical and/or anticipated sharing percentages. The Company earns fees based upon the volume of rebates generated for its clients. The Company does not record as rebate revenue any rebates that are passed through to its clients. Total rebate revenues were $10.3$8.7 million and $29.3$4.1 million for the three and nine months ended September 30, 2012, respectively,March 31, 2013 and $8.82014, respectively.

        In relation to the Company's PBM business, the Company administers rebate programs through which it receives rebates from pharmaceutical manufacturers that are shared with its customers. The Company recognizes rebates when the Company is entitled to them and when the amounts of the rebates are determinable. The amount recorded for rebates earned by the Company from the pharmaceutical manufacturers are recorded as a reduction of cost of goods sold.

PBM and Dispensing Revenue

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


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(Unaudited)

NOTE A—General (Continued)

administrator, and does not assume any of the risks previously noted, revenue will be recognized on a net basis. PBM revenues were $5.0 million and $25.6$81.2 million for the three and nine months ended September 30,March 31, 2013 and 2014, respectively. The increase mainly relates to the acquisition of Partners Rx Management, LLC ("Partners Rx").

Dispensing RevenueRevenue.

    The Company recognizes dispensing revenue, which includes the co-payments received from members of the health plans the Company serves, when the specialty pharmaceutical drugs are shipped. At the time of shipment, the earnings process is complete; the obligation of the Company's customer to pay for the specialty pharmaceutical drugs is fixed, and, due to the nature of the product, the member may neither return the specialty pharmaceutical drugs nor receive a refund. Revenues from the dispensing of specialty pharmaceutical drugs on behalf of health plans were $87.3$94.1 million and $263.0$55.7 million for the three and nine months ended September 30, 2012, respectively,March 31, 2013 and $97.6 million and $282.4 million for the three and nine months ended September 30, 2013,2014, respectively.


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(Unaudited)

NOTE A—General (Continued)

Significant Customers

        TheThrough March 31, 2014, the Company providesprovided behavioral healthcare management and other related services to approximately 685,000680,000 members in Maricopa County, Arizona as the Regional Behavioral Health Authority ("RHBA"RBHA") for GSA6 ("Maricopa County") pursuant to a contract with the State of Arizona (the "Maricopa Contract").

The Maricopa Contract iswas for the management of the publicly funded behavioral health system that deliversdelivered mental health, substance abuse and crisis services for adults, youth, and children. Under the Maricopa Contract, the Company is responsible for providing covered behavioral health services to persons eligible under Title XIX (Medicaid) and Title XXI (State Children's Health Insurance Program) of the Social Security Act, non-Title XIX and non-Title XXI eligible children and adults with a serious mental illness, and to certain non-Title XIX and non-Title XXI adults with behavioral health or substance abuse disorders. The Maricopa Contract began on September 1, 2007 and was scheduled to expire on October 1, 2013. The Company and the State of Arizona have agreed to extend the Maricopa Contract through March 31, 2014. The State of Arizona has the right to terminate the Maricopa Contract for cause, as defined, upon ten days' notice with an opportunity to cure, and, after January 1, 2014, without cause upon 30 days prior notice to the Company. The Maricopa Contract generated net revenues of $566.2$182.3 million and $557.6$201.0 million for the ninethree months ended September 30, 2012March 31, 2013 and 2013,2014, respectively.

        The State of Arizona had previously issued a Solicitation for a new RBHA for Maricopa County (the "New Contract") to replace the current contract with the Company to be effective on October 1, 2013. The New Contract is for the management of the publicly funded behavioral health system currently provided by the Company under the Maricopa Contract, and also includes an integrated behavioral and physical health carehealthcare system for a small number of individuals with serious mental illness. Magellan Complete Care of Arizona ("MCCAZ"), a joint venture owned 80% by the Company and 20% by Vanguard/Phoenix Health Plan, previously submitted a bid for the Contract.

On March 25, 2013, the Company was notified that Magellan Complete Care of ArizonaMCCAZ was not selected as the RBHA for the New Contract. On April 3, 2013,

        Subsequent to the Companyannouncement of the winning bidder for the New Contract, Magellan has filed a formal protestvarious protests and appeals regarding the State's decision to awarddecision. Most recently, in December 2013, Magellan filed an appeal in the RBHAArizona Superior Court in Maricopa County to another vendor.(the "Superior Court") and a motion seeking a judicial stay of the implementation of the New Contract until after the court's decision on the appeal. On April 17, 2013,February 18, 2014 the Arizona Department of Health Services deniedSuperior Court issued an order denying the Company's protest. On May 9, 2013, the Company filed an appealmotion for stay. The denial of the denialmotion for stay does not impact the final decision on the merits of its protest (the "Appeal") withMagellan's appeal, which will continue to proceed in the Arizona Department of Administration (the "DOA"), the agency responsible for considering appeals of procurement protest denials.Superior Court. The Company also previously filed a separate civil lawsuit in the Superior Court challenging the legal authority of the public entity that is one of the key members of the non-profit winning bidder to invest in and participate in the winning bidder's performance under the New Contract. In connection with such civil suit, the DOACompany previously filed a motion to stay the award and implementation of the contract pendingseeking a decision on the Appeal. On May 21, 2013, the DOApreliminary injunction that, if granted, the Company's motion and issued a stay of the award and implementation of the contract pending resolution of the Appeal by the DOA (the "Stay").could prohibit such public


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September 30, 2013MARCH 31, 2014

(Unaudited)

NOTE A—General (Continued)

        On June 13, 2013entity from participation as a member of the DOA referred the Appeal for a hearing before an independent administrative law judgewinning bidder in the Arizona Office of Administrative Hearings (the "OAH"). The OAH heldNew Contract. On March 14, 2014, the Superior Court issued an evidentiary hearing onorder dismissing the Appeal on September 18-27, 2013. Post-hearing briefing will be completed by October 29, 2013 andCompany's claims that formed the Company anticipates the administrative law judge will issue her decision and recommendation to DOA on or before November 18, 2013. The DOA will then have 30 days to review the administrative law judge's decision and recommendation and issue its decision on Magellan's appealbasis of the protest denial.motion for preliminary injunction and denying the motion for preliminary injunction as moot. There is no assurance that the Company will prevail on its appeal to the Appeal or that the Stay will remain in effect.Superior Court.

        In addition to the Maricopa Contract previously discussed, the following customers generated in excess of ten percent of net revenues for the respective segment for the ninethree months ended September 30, 2012March 31, 2013 and 20132014 (in thousands):

Segment
 Term Date 2012 2013  Term Date 2013 2014 

Commercial

      

Customer A

 Mid-2014(1) $144,499 $156,269  

June 30, 2014(1)

 
$

51,641
 
$

55,540
 

Customer B

 December 31, 2019 101,249 106,433  December 31, 2019 35,811 42,898 

Customer C

 December 31, 2012 to December 14, 2013(2)(3) 89,592 58,246  August 14, 2017 15,254* 22,652 

Public Sector

  

 

 
 
 
 
 

Customer D

 June 30, 2014(4) 175,440 209,266  

June 30, 2015

 
64,312
 
103,171
 

Radiology Benefits Management

 

Specialty Solutions

 

 

 
 
 
 
 

Customer E

 December 31, 2015 83,158 96,402  

December 31, 2015

 
31,361
 
33,390
 

Customer F

 June 30, 2014 44,959 43,490  June 30, 2016(2) 15,235 12,574 

Customer G

 July 31, 2015 42,458 47,161  July 31, 2015 16,083 16,552 

Customer A

 November 30, 2016 768* 12,379 

Customer H

 January 31, 2014 27,824 34,338  January 31, 2016 9,759 11,307 

Pharmacy Solutions

 

Pharmacy Management

 

 

 
 
 
 
 

Customer I

 November 30, 2013 to December 31, 2013(2) 98,128 99,599  

November 30, 2014 to December 31, 2014(3)

 
33,311
 
28,579
 

Customer J

 December 31, 2013(5) 45,018 43,315* December 31, 2013(4) 15,297 6,029*

Customer K

 December 31, 2013(5) 53,640 68,166  September 27, 2013 to December 31, 2013(3)(4) 21,641 1,130*

Customer L

 September 30, 2013(6) 53,259 48,527  March 31, 2014(5)(6) 15,245 18,055*

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

(1)
The customer has informed the Company that, after a competitive evaluation process, it has decided not to renew its contract. The contract after the contract expires on December 31, 2013. The Company anticipates the contract will extendwas extended through mid-2014June 30, 2014 to allow for transition to the new vendor.

(2)
This contract will transition from risk to ASO based services effective July 1, 2014.

(3)
The customer has more than one contract. The individual contracts are scheduled to terminate at various points during the time period indicated above.

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September 30, 2013MARCH 31, 2014

(Unaudited)

NOTE A—General (Continued)

(3)(4)
Revenues for the nine months ended September 30, 2012 of $38.0 million relate to aThe contract thathas terminated, as of December 31, 2012. The customer has informedhowever, the Company that is has decided notcontinues to renew the remaining contract afterprovide services as the contract expires on December 14, 2013.

(4)
Contract has options foris transitioned to the customer to extend the term for two additional one-year periods.new vendor.

(5)
The Companycontract has received notification that the customer will not renew its contracts for specialty pharmacy and related services. The Company has multiple contracts that are currently scheduled to terminate on December 31, 2013.terminated.

(6)
This customer represents a subcontract with a Public Sector customer and is eliminated in consolidation.

        The Company also has a significant concentration of business with various counties in the State of Pennsylvania (the "Pennsylvania Counties") which are part of the Pennsylvania Medicaid program,program. Net revenues from the Pennsylvania Counties in the aggregate totaled $86.7 million and $90.1 million for the three months ended March 31, 2013 and 2014, respectively.

        In addition, the Company has a significant concentration of business with the State of Florida. The Company currently has behavioral healthcare contracts with various areas in the State of Florida (the "Florida Areas") which are part of the Florida Medicaid program. The State of Florida is implementing a new system of mandated managed care through which Medicaid enrollees will receive integrated healthcare services, and it will phase out the behavioral healthcare programs under which the Florida Areas' contracts operate by July 31, 2014. The Company has a contract with the State of Florida to provide integrated healthcare services under the new program. Net revenues from the Pennsylvania CountiesState of Florida in the aggregate totaled $269.8$33.3 million and $269.1$31.8 million for the ninethree months ended September 30, 2012March 31, 2013 and 2013, respectively. Net revenues from the Florida Areas in the aggregate totaled $100.6 million and $97.8 million for the nine months ended September 30, 2012 and 2013,2014, respectively.

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


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

MARCH 31, 2014

(Unaudited)

NOTE A—General (Continued)

Fair Value Measurements

        The Company currently does not have non-financial assets and non-financial liabilities that are required to be measured at fair value on a recurring basis. Financial assets and liabilities are to be measured using inputs from the three levels of the fair value hierarchy, which are as follows:


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NOTE A—General (Continued)

        In accordance with the fair value hierarchy described above, the following table shows the fair value of the Company's financial assets and liabilities that are required to be measured at fair value as of December 31, 20122013 and September 30, 2013March 31, 2014 (in thousands):


 December 31, 2012  December 31, 2013 

 Level 1 Level 2 Level 3 Total  Level 1 Level 2 Level 3 Total 

Cash and cash equivalents(1)

 $ $102,137 $ $102,137  $ $101,028 $ $101,028 

Restricted cash(2)

  82,839  82,839   128,318  128,318 

Investments:

  
 
 
 
 
 
 
 
 

U.S. government and agency securities

 1,065   1,065  1,129   1,129 

Obligations of government-sponsored enterprises(3)

  6,128  6,128   8,440  8,440 

Corporate debt securities

  214,547  214,547   198,594  198,594 

Taxable municipal bonds

  11,800  11,800 

Certificates of deposit

  150  150   150  150 
                  

December 31, 2012

 $1,065 $417,601 $ $418,666 

December 31, 2013

 $1,129 $436,530 $ $437,659 
                  
         

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(Unaudited)

NOTE A—General (Continued)



 September 30, 2013  March 31, 2014 

 Level 1 Level 2 Level 3 Total  Level 1 Level 2 Level 3 Total 

Cash and cash equivalents(4)

 $ $75,861 $ $75,861  $ $145,413 $ $145,413 

Restricted cash(5)

  117,611  117,611   87,746  87,746 

Investments:

  
 
 
 
 
 
 
 
 

U.S. government and agency securities

 1,130   1,130  1,528   1,528 

Obligations of government-sponsored enterprises(3)

  8,410  8,410   6,923  6,923 

Corporate debt securities

  218,288  218,288   199,247  199,247 

Taxable municipal bonds

  600  600 

Certificates of deposit

  150  150   1,150  1,150 
                  

September 30, 2013

 $1,130 $420,920 $ $422,050 

March 31, 2014

 $1,528 $440,479 $ $442,007 
                  
         

(1)
Excludes $87.3$102.2 million of cash held in bank accounts by the Company.

(2)
Excludes $143.7$108.4 million of restricted cash held in bank accounts by the Company.

(3)
Includes investments in notes issued by the Federal Home Loan Bank.

(4)
Excludes $205.9$115.9 million of cash held in bank accounts by the Company.


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

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(Unaudited)

NOTE A—General (Continued)

(5)
Excludes $91.0$176.9 million of restricted cash held in bank accounts by the Company.

        For the ninethree months ended September 30, 2013,March 31, 2014, the Company has not transferred any assets between fair value measurement levels.

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

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

        As of December 31, 20122013 and September 30, 2013,March 31, 2014, there were no unrealized losses that the Company believed to be other-than-temporary. No realized gains or losses were recorded for the ninethree months ended September 30, 2012 orMarch 31, 2013. The following isDuring the three months ended March 31, 2014, the Company recognized a summary of short-term and long-term investments at December 31, 2012 and September 30, 2013 (in thousands):

 
 December 31, 2012 
 
 Amortized
Cost
 Gross
Unrealized
Gains
 Gross
Unrealized
Losses
 Estimated
Fair
Value
 

U.S. government and agency securities

 $1,065 $ $ $1,065 

Obligations of government-sponsored enterprises(1)

  6,126  4  (2) 6,128 

Corporate debt securities

  214,603  66  (122) 214,547 

Taxable municipal bonds

  11,805    (5) 11,800 

Certificates of deposit

  150      150 
          

Total investments at December 31, 2012

 $233,749 $70 $(129)$233,690 
          

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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013MARCH 31, 2014

(Unaudited)

NOTE A—General (Continued)

$0.1 million loss on the sale of investments. The following is a summary of short-term and long-term investments at December 31, 2013 and March 31, 2014 (in thousands):

 
 December 31, 2013 
 
 Amortized
Cost
 Gross
Unrealized
Gains
 Gross
Unrealized
Losses
 Estimated
Fair
Value
 

U.S. government and agency securities

 $1,129 $ $ $1,129 

Obligations of government-sponsored enterprises(1)

  8,441  2  (3) 8,440 

Corporate debt securities

  198,748  18  (172) 198,594 

Certificates of deposit

  150      150 
          

Total investments at December 31, 2013

 $208,468 $20 $(175)$208,313 
          
          



 September 30, 2013  March 31, 2014 

 Amortized
Cost
 Gross
Unrealized
Gains
 Gross
Unrealized
Losses
 Estimated
Fair Value
  Amortized
Cost
 Gross
Unrealized
Gains
 Gross
Unrealized
Losses
 Estimated
Fair
Value
 

U.S. government and agency securities

 $1,130 $ $ $1,130  $1,527 $1 $ $1,528 

Obligations of government-sponsored enterprises(1)

 8,408 3 (1) 8,410  6,924 2 (3) 6,923 

Corporate debt securities

 218,411 28 (151) 218,288  199,330 26 (109) 199,247 

Taxable municipal bonds

 600   600 

Certificates of deposit

 150   150  1,150   1,150 
                  

Total investments at September 30, 2013

 $228,699 $31 $(152)$228,578 

Total investments at March 31, 2014

 $208,931 $29 $(112)$208,848 
                  
         

(1)
Includes investments in notes issued by the Federal Home Loan Bank.

        The maturity dates of the Company's investments as of September 30, 2013March 31, 2014 are summarized below (in thousands):


 Amortized
Cost
 Estimated
Fair Value
  Amortized
Cost
 Estimated
Fair Value
 

2013

 $99,253 $99,211 

2014

 121,593 121,522  $150,273 $150,229 

2015

 7,853 7,845  54,489 54,460 

2016

 4,169 4,159 
          

Total investments at September 30, 2013

 $228,699 $228,578 

Total investments at March 31, 2014

 $208,931 $208,848 
          
     

Note Receivable and Preferred Stock

        The Company holds a 7% equity interest in AlphaCare of New York, Inc. ('AlphaCare") through an equity investment of $2.0 million in preferred membership units of AlphaCare's current holding company, AlphaCare Holdings, LLC on May 17, 2013. During the current year, the Company also loaned $5.9 million to AlphaCare Holdings, LLC pursuant to a promissory note (the "Note") which was secured by a pledge of all of the outstanding stock of AlphaCare. AlphaCare is a newly licensed HMO in New York that operates a New York Managed Long-Term Care Plan ("MLTCP") in Bronx, New York, Queens, Kings and Westchester Counties, and Medicare Plans in Bronx, New York, Queens and Kings Counties.

        On August 13, 2013, the Company entered into a stock purchase agreement (the "Stock Purchase Agreement") under which it agreed to acquire a 65% equity interest in AlphaCare through an investment in its holding company.

        As contemplated by the Stock Purchase Agreement, AlphaCare Holdings, LLC will merge with and into AlphaCare Holdings, Inc. ("AlphaCare Holdings"), a recently-formed Delaware holding corporation, and the Company's 7% equity interest and the Note will be converted into shares of Series A Participating Preferred Stock ("Series A Preferred") of AlphaCare Holdings. The Company will also purchase additional shares of Series A Preferred stock such that it will own 65% of the outstanding shares of AlphaCare Holdings for an aggregate acquisition price of $25.5 million, including its original investment of $7.9 million.


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NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013

(Unaudited)

NOTE A—General (Continued)

        The closing of the Stock Purchase Agreement is subject to various conditions, including approval of the New York State Department of Health. The Company expects that the closing of the Stock Purchase Agreement will occur in late 2013 or early 2014.

Income Taxes

        The Company's effective income tax rates were 12.640.5 percent and 22.051.2 percent for the ninethree months ended September 30, 2012March 31, 2013 and 2013,2014, respectively. These rates differ from the federal statutory income tax rate primarily due to state income taxes, permanent differences between book and tax income, and changes to recorded tax contingencies. The Company also accrues interest and penalties related to unrecognized tax benefits in its provision for income taxes. The effective income tax rate for the nine three


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

MARCH 31, 2014

(Unaudited)

NOTE A—General (Continued)

months ended September 30, 2012March 31, 2013 is lower than the effective rate for the ninethree months ended September 30, 2013March 31, 2014 mainly due to lower reversals of tax contingencies in the current year from the closure of statutes of limitation.non-deductible ACA fees.

        The Company files a consolidated federal income tax return for the Company and its eighty percent or more owned subsidiaries, and the Company and its subsidiaries file income tax returns in various states and local jurisdictions. With few exceptions, the Company is no longer subject to state or local income tax assessments by tax authorities for years ended prior to 2009. Further, the statutes of limitation regarding the assessment of federal and certain state and local income taxes for 2009 closed during the current quarter. As a result, $27.2 million of unrecognized tax benefits (excluding interest costs) recorded as of December 31, 2012 were reversed in the current quarter, of which $22.7 million is reflected as a discrete reduction to income tax expense, $3.9 million as an increase to additional paid-in capital, and the remainder as a decrease to deferred tax assets. Additionally, $2.1 million of accrued interest was reversed in the current quarter and reflected as a reduction to income tax expense due to the closing of statutes of limitation on tax assessments.2010.

Stock Compensation

        At December 31, 20122013 and September 30, 2013,March 31, 2014, the Company had equity-based employee incentive plans, which are described more fully in Note 6 in the Company's Annual Report on Form 10-K for the year ended December 31, 2012.2013. The Company recorded stock compensation expense of $4.5$5.6 million and $13.9$4.5 million for the three and nine months ended September 30, 2012, respectively,March 31, 2013 and $4.5 million and $14.8 million for the three and nine months ended September 30, 2013,2014, respectively. Stock compensation expense recognized in the consolidated statements of comprehensive income for the three and nine months ended September 30, 2012March 31, 2013 and 20132014 has been reduced for estimated forfeitures, estimated at four percent for both periods.

        The weighted average grant date fair value of all stock options granted during the ninethree months ended September 30, 2013March 31, 2014 was $12.10$13.63 as estimated using the Black-Scholes-Merton option pricing model, which also assumed an expected volatility of 27.8626.20 percent based on the historical volatility of the Company's stock price.

        The benefits of tax deductions in excess of recognized stock compensation expense are reported as a financing cash flow, rather than as an operating cash flow. In the ninethree months ended September 30,March 31, 2013 and 2014, $0.3 million and $0.5 million, respectively, of benefits of such tax deductions related to stock compensation expense were realized and as such were reported as financing cash flows. For the three months ended March 31, 2013, the net change to additional paid in capital related to tax benefits (deficiencies) was $(0.2) million, which includes $(0.5) million of excess tax deficiencies offset by the $0.3 million of excess tax benefits. For the three months ended March 31, 2014, the net change to additional paid in capital related to tax benefits (deficiencies) was $0.4 million, which includes the $0.5 million of excess tax benefits offset by $(0.1) million of excess tax deficiencies.


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013MARCH 31, 2014

(Unaudited)

NOTE A—General (Continued)

2012 and 2013, $0.9 million and $1.1 million, respectively, of benefits of such tax deductions related to stock compensation expense were realized and as such were reported as financing cash flows. For the nine months ended September 30, 2012 the net change to additional paid in capital related to tax benefits (deficiencies) was $0.6 million, which includes the $0.9 million of excess tax benefits offset by $(0.3) million of tax deficiencies. For the nine months ended September 30, 2013, the net change to additional paid in capital related to tax benefits (deficiencies) was $0.4 million, which includes the $1.1 million of excess tax benefits offset by $(0.7) million of excess tax deficiencies.

        Summarized information related to the Company's stock options for the ninethree months ended September 30, 2013March 31, 2014 is as follows:


 Options Weighted
Average
Exercise
Price
  Options Weighted
Average
Exercise
Price
 

Outstanding, beginning of period

 4,268,240 $44.35  4,010,146 $47.23 

Granted

 981,133 52.65  640,636 60.28 

Forfeited

 (101,476) 49.02  (35,244) 50.40 

Exercised

 (562,554) 43.22  (152,943) 46.78 
          

Outstanding, end of period

 4,585,343 $46.16  4,462,595 $49.10 
     
          

Vested and expected to vest at end of period

 4,538,122 $46.11  4,409,250 $49.02 
          
     

Exercisable, end of period

 2,519,497 $42.84  2,679,575 $45.46 
          
     

        With the exception of options granted to the Company's CEO, generally allAll of the Company's options granted during the ninethree months ended September 30, 2013March 31, 2014 vest ratably on each anniversary date over the three years subsequent to grant. During the nine months ended September 30, 2013, the Company granted options to the Company's CEO which vest over four year annual installments, with 16.7 percent, 33.3 percent, 33.3 percent, and 16.7 percent vesting in 2014, 2015, 2016, and 2017, respectively. All options granted during the ninethree months ended September 30, 2013March 31, 2014 have a ten year life.

        Summarized information related to the Company's nonvested restricted stock awards ("RSAs") for the ninethree months ended September 30, 2013March 31, 2014 is as follows:


 Shares Weighted
Average
Grant Date
Fair Value
  Shares Weighted
Average
Grant Date
Fair Value
 

Outstanding, beginning of period

 23,672 $42.25  192,165 $56.59 

Awarded

 16,569 52.82    

Vested

 (23,672) 42.25    

Forfeited

      
          

Outstanding, ending of period

 16,569 $52.82  192,165 $56.59 
          
     

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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013MARCH 31, 2014

(Unaudited)

NOTE A—General (Continued)

        Summarized information related to the Company's nonvested restricted stock units ("RSUs") for the ninethree months ended September 30, 2013March 31, 2014 is as follows:


 Shares Weighted
Average
Grant Date
Fair Value
  Shares Weighted
Average
Grant Date
Fair Value
 

Outstanding, beginning of period

 202,690 $47.38  194,913 $50.21 

Awarded

 98,580 52.62  76,306 60.39 

Vested

 (95,138) 46.72  (90,177) 49.55 

Forfeited

 (5,935) 49.39  (2,319) 51.06 
          

Outstanding, ending of period

 200,197 $50.21  178,723 $54.88 
          
     

        Grants of restricted stock awardsRSAs generally vest on the anniversary of the grant. With the exception of restricted stock units awarded to the Company's CEO during the nine months ended September 30, 2013, generally all of the Company's restricted stock unitsIn general, RSUs vest ratably on each anniversary over the three years subsequent to grant, assuming that the associated performance hurdle(s) for that vesting year are met. During the nine months ended September 30, 2013, the Company granted restricted stock units to the Company's CEO which vest over four year annual installments, with 16.7 percent, 33.3 percent, 33.3 percent, and 16.7 percent vesting in 2014, 2015, 2016, and 2017, respectively, assuming the associated performance hurdle(s) for that vesting year are met.

Long Term Debt and Capital Lease Obligations

        On December 9, 2011, the Company entered into a Senior Secured Revolving Credit Facility Credit Agreement with Citibank, N.A., Wells Fargo Bank, N.A., Bank of America, N.A., and U.S. Bank, N.A. that provides for up to $230.0 million of revolving loans with a sublimit of up to $70.0 million for the issuance of letters of credit for the account of the Company (the "2011 Credit Facility"). Citibank, N.A., has assigned a portion of its interest in the 2011 Credit Facility to Bank of Tokyo. The 2011 Credit Facility 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. The 2011 Credit Facility will mature on December 9, 2014. Although the 2011 Credit Facility expires on December 9, 2014, the Company believes it will be able to obtain a new facility or, if not, to use cash on hand to fund letters of credit and other liquidity needs.

        Under the 2011 Credit Facility, the annual interest rate on revolving loan borrowings is equal to (i) in the case of U.S. dollar denominated loans, the sum of a borrowing margin of 0.75 percent plus the higher of the prime rate, one-half of one percent in excess of the overnight "federal funds" rate, or the Eurodollar rate for one month plus 1.00 percent, or (ii) in the case of Eurodollar denominated loans, the sum of a borrowing margin of 1.75 percent plus the Eurodollar rate for the selected interest period. The Company has the option to borrow in U.S. dollar denominated loans or Eurodollar denominated loans at its discretion. Letters of credit issued under the Revolving Loan Commitment bear interest at the rate of 1.875 percent. The commitment commission on the 2011 Credit Facility is 0.375 percent of the unused Revolving Loan Commitment.

        There were $26.7 million and $25.6 million of capital lease obligations at December 31, 2013 and March 31, 2014, respectively. The Company had $33.7 million and $32.9 million of letters of credit outstanding at December 31, 2013 and March 31, 2014, respectively, and no revolving loan borrowings at December 31, 2013 or March 31, 2014.


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013MARCH 31, 2014

(Unaudited)

NOTE A—General (Continued)

        There were no capital lease obligations atRedeemable Non-Controlling Interest

        On December 31, 20122013, the Company acquired a 65% equity interest in AlphaCare Holdings, Inc. ("AlphaCare Holdings"). The other shareholders of AlphaCare Holdings have the right to exercise put options, requiring the Company to purchase up to 50 percent of the remaining shares prior to January 1, 2017 provided certain membership levels are attained. After December 31, 2016 the other shareholders of AlphaCare Holdings have the right to exercise put options requiring the Company to purchase all or any portion of the remaining shares. In addition, after December 31, 2016 the Company has the right to purchase all remaining shares. Non-controlling interests with redemption features, such as put options, that are not solely within the Company's control are considered redeemable non-controlling interest. Redeemable non-controlling interest is considered to be temporary and $27.0is therefore reported in a mezzanine level between liabilities and stockholders' equity on the Company's consolidated balance sheet at the greater of the initial carrying amount adjusted for the non-controlling interest's share of net income or loss or its redemption value. The Company recorded $10.6 million of capital lease obligations at September 30, 2013.redeemable non-controlling interest in relation to the acquisition. The carrying value of the non-controlling interest as of March 31, 2014 was $9.2 million. The $1.4 million reduction in carrying value for the three months ended March 31, 2014 is a result of operating losses. The Company had $32.0 millionrecognizes changes in the redemption value on a quarterly basis and $32.4 millionadjusts the carrying amount of lettersthe non-controlling interest to equal the redemption value at the end of credit outstandingeach reporting period. Under this method, this is viewed at Decemberthe end of the reporting period as if it were also the redemption date for the non-controlling interest. The Company will reflect redemption value adjustments in the earnings per share calculation if redemption value is in excess of the carrying value of the non-controlling interest. As of March 31, 20122014 the carrying value of the non-controlling interest exceeded the redemption value and September 30, 2013, respectively, andtherefore no revolving loan borrowings at December 31, 2012 or September 30, 2013.adjustment to the carrying value was required.

Reclassifications

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


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

MARCH 31, 2014

(Unaudited)

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

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


 Three Months Ended
September 30,
 Nine Months Ended
September 30,
  Three Months Ended
March 31,
 

 2012 2013 2012 2013  2013 2014 

Numerator:

      

Net income

 $66,262 $47,232 $114,025 $106,770 

Net income attributable to Magellan Health Services, Inc.

 $28,058 $25,720 
     
              

Denominator:

      

Weighted average number of common shares outstanding—basic

 27,521 26,990 27,346 26,976  27,110 27,370 

Common stock equivalents—stock options

 426 655 395 539  467 594 

Common stock equivalents—restricted stock

 7 4 10 11  17 32 

Common stock equivalents—restricted stock units

 87 54 83 35  52 54 

Common stock equivalents—employee stock purchase plan

 1 1 1 2  2 1 
              

Weighted average number of common shares outstanding—diluted

 28,042 27,704 27,835 27,563  27,648 28,051 
              

Net income per common share—basic

 $2.41 $1.75 $4.17 $3.96 
              

Net income per common share—diluted

 $2.36 $1.70 $4.10 $3.87 

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

 $1.03 $0.94 
              
     

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

 $1.01 $0.92 
     
     

        The weighted average number of common shares outstanding for the three and nine months ended September 30, 2012March 31, 2013 and 20132014 were calculated using outstanding shares of the Company's common stock. Common stock equivalents included in the calculation of diluted weighted average common shares outstanding for the three and nine months ended September 30, 2012March 31, 2013 and 20132014 represent stock options to purchase shares of the Company's common stock, restricted stock awards and restricted stock units, and stock purchased under the Employee Stock Purchase Plan.

        The Company had additional potential dilutive securities outstanding representing 2.31.7 million and 2.20.3 million options for the three and nine months ended September 30, 2012, respectively,March 31, 2013 and 0.9 million and 0.9 million for the three and nine months ended September 30, 2013,2014, respectively that were not included in the computation of dilutive securities because they were anti-dilutive for the


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013

(Unaudited)

NOTE B—Net Income per Common Share (Continued)

period. Had these shares not been anti-dilutive, all of these shares would not have been included in the net income attributable to common shareholder per common share calculation as the Company uses the treasury stock method of calculating diluted shares.

NOTE C—Business Segment Information

        The accounting policies of the Company's segments are the same as those described in Note A—"General." The Company evaluates performance of its segments based on income before income taxes,segment profit attributable to Magellan shareholders, which is defined as profit or loss from operations, before stock compensation expense, depreciation and amortization, interest expense, interest income, gain on sale of assets, and special charges or benefits ("Segment Profit"). Management uses Segment Profit


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

MARCH 31, 2014

(Unaudited)

NOTE C—Business Segment Information (Continued)

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. Effective September 1, 2010, Public Sector has subcontractedsubcontracts with Pharmacy SolutionsManagement to provide pharmacy benefits management services on a risk basis for onecertain of Public Sector's customers. In addition, Pharmacy Management provides pharmacy benefits management for the Company's employees covered under its medical plan. As such, revenue, and cost of care, cost of goods sold and direct service costs and other related to this intersegment arrangementthese arrangements are eliminated. The Company's segments are defined above. The Pharmacy Solutions segment contains the operating segments previously defined as the Specialty Pharmaceutical Management segment and the Medicaid Administration segment. Prior period balances have been reclassified to reflect this change.

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


 Commercial Public Sector Radiology
Benefits
Management
 Pharmacy
Solutions
 Corporate
and
Elimination
 Consolidated  Commercial Public
Sector
 Specialty
Solutions
 Pharmacy
Management
 Corporate
and
Elimination
 Consolidated 

Three Months Ended September 30, 2012

 

Three Months Ended March 31, 2013

             

Managed care and other revenue

 $176,713 $407,265 $88,126 $54,421 $(15,433)$711,092  $187,837 $406,620 $90,278 $53,099 $(15,245)$722,589 

Dispensing revenue

    87,345  87,345 

PBM and dispensing revenue

    99,172  99,172 

Cost of care

 (100,973) (358,959) (58,080) (13,659) 15,433 (516,238) (113,271) (355,379) (58,067) (13,555) 15,245 (525,027)

Cost of goods sold

    (81,662)  (81,662)    (93,512)  (93,512)

Direct service costs and other

 (43,007) (22,948) (14,045) (27,565) (28,009) (135,574) (41,392) (25,643) (13,371) (29,561) (29,660) (139,627)

Stock compensation expense(1)

 293 278 419 238 3,240 4,468  133 307 434 320 4,444 5,638 
                          

Segment profit (loss)

 $33,026 $25,636 $16,420 $19,118 $(24,769)$69,431  $33,307 $25,905 $19,274 $15,963 $(25,216)$69,233 
                          
             

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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013MARCH 31, 2014

(Unaudited)

NOTE C—Business Segment Information (Continued)


 
 Commercial Public Sector Radiology
Benefits
Management
 Pharmacy
Solutions
 Corporate
and
Elimination
 Consolidated 

Three Months Ended September 30, 2013

                   

Managed care and other revenue

 $190,655 $445,260 $94,125 $63,008 $(17,091)$775,957 

Dispensing revenue

        97,641    97,641 

Cost of care

  (118,022) (382,913) (65,403) (20,940) 17,091  (570,187)

Cost of goods sold

        (91,853)   (91,853)

Direct service costs and other

  (47,032) (27,826) (13,990) (32,281) (35,705) (156,834)

Stock compensation expense(1)

  124  259  384  198  3,559  4,524 
              

Segment profit (loss)

 $25,725 $34,780 $15,116 $15,773 $(32,146)$59,248 
              


 
 Commercial Public Sector Radiology
Benefits
Management
 Pharmacy
Solutions
 Corporate
and
Elimination
 Consolidated 

Nine Months Ended September 30, 2012

                   

Managed care and other revenue

 $535,464 $1,206,289 $253,809 $171,846 $(53,259)$2,114,149 

Dispensing revenue

        262,974    262,974 

Cost of care

  (323,992) (1,058,384) (166,364) (47,880) 53,259  (1,543,361)

Cost of goods sold

        (245,555)   (245,555)

Direct service costs and other

  (127,825) (66,850) (41,113) (83,532) (93,176) (412,496)

Stock compensation expense(1)

  830  835  1,179  704  10,387  13,935 
              

Segment profit (loss)

 $84,477 $81,890 $47,511 $58,557 $(82,789)$189,646 
              

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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013

(Unaudited)

NOTE C—Business Segment Information (Continued)



 Commercial Public Sector Radiology
Benefits
Management
 Pharmacy
Solutions
 Corporate
and
Elimination
 Consolidated  Commercial Public
Sector
 Specialty
Solutions
 Pharmacy
Management
 Corporate
and
Elimination
 Consolidated 

Nine Months Ended September 30, 2013

 

Three Months Ended March 31, 2014

             

Managed care and other revenue

 $578,030 $1,266,739 $277,118 $182,418 $(48,557)$2,255,748  $188,891 $497,943 $105,434 $55,378 $(18,055)$829,591 

Dispensing revenue

    282,359  282,359 

PBM and dispensing revenue

    139,624 (2,740) 136,884 

Cost of care

 (354,520) (1,095,694) (182,212) (59,075) 48,557 (1,642,944) (111,202) (422,518) (73,652) (16,391) 18,055 (605,708)

Cost of goods sold

    (265,440)  (265,440)    (128,031) 2,733 (125,298)

Direct service costs and other

 (129,823) (82,403) (41,224) (93,216) (94,292) (440,958) (40,276) (42,958) (15,141) (35,551) (30,796) (164,722)

Stock compensation expense(1)

 390 833 1,275 898 11,368 14,764  155 274 414 303 3,326 4,472 

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

  (1,330)    (1,330)
                          

Segment profit (loss)

 $94,077 $89,475 $54,957 $47,944 $(82,924)$203,529  $37,568 $34,071 $17,055 $15,332 $(27,477)$76,549 
                          
             

(1)
Stock compensation expense is included in direct service costs and other operating expenses, however this amount is excluded from the computation of Segment Profit since it is managed on a consolidated basis.

(2)
The non-controlling portion of AlphaCare's segment profit (loss) is excluded from the computation of Segment Profit.

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


 Three Months Ended
September 30,
 Nine Months Ended
September 30,
  Three Months Ended
March 31,
 

 2012 2013 2012 2013  2013 2014 

Segment profit

 $69,431 $59,248 $189,646 $203,529  $69,233 $76,549 

Stock compensation expense

 (4,468) (4,524) (13,935) (14,764) (5,638) (4,472)

Non-controlling interest segment profit (loss)

  (1,330)

Depreciation and amortization

 (15,239) (17,654) (45,172) (50,770) (16,170) (20,229)

Interest expense

 (537) (789) (1,713) (2,191) (610) (836)

Interest income

 350 291 1,619 1,002  353 311 
              

Income before income taxes

 $49,537 $36,572 $130,445 $136,806  $47,168 $49,993 
              
     

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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

MARCH 31, 2014

(Unaudited)

NOTE D—Commitments and Contingencies

Legal

        The management and administration of the delivery of specialty managed healthcare entailsCompany's operating activities entail significant risks of liability. From time to time, the Company is subject to various actions and claims arising from the acts or omissions of its employees, network providers or other parties. In the normal course of business, the Company receives reports relating to deaths and other serious incidents involving patients whose care is being managed by the Company. Such incidents occasionally give rise to malpractice, professional negligence and other related actions and claims against the Company or its


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013

(Unaudited)

NOTE D—Commitments and Contingencies (Continued)

network providers. Many of these actions and claims received by the Company seek substantial damages and therefore require the Company to incur significant fees and costs related to their defense.

        On July 25, 2012, the Company filed a lawsuit currently pending in the United States District Court for the District of Connecticut against two former employees and a corporation partially-owned by one of such former employees asserting claims for violation of contractual restrictive covenants and common law obligations owed to the Company arising from actions of such former employees in connection with their employment by the defendant corporation. The Company's complaint alleges claims for breach of contract and breach of the covenant of good dealing against the individual former employees; tortious interference with contract against the defendant corporation; and violation of the Connecticut Uniform Trade Secrets Act, civil conspiracy, and violation of the Connecticut Unfair Trade Practices Act against all defendants arising out of activity undertaken by the former employees on behalf of the defendant corporation in competition with the Company's specialty pharmacy business. The Company is seeking a permanent injunction and recovery of compensatory and punitive damages and an award of attorneys' fees and costs. On December 18, 2012, the defendant corporation filed counterclaims against the Company in which it asserts tortious interference with business expectancy, abuse of process, and violation of the Connecticut Unfair Trade Practices Act arising out of the Company's efforts to enforce its contractual and legal rights. On June 10, 2013, the defendant corporation disclosed an alleged damages computation in the amount of $155 million in lost profits plus unspecified business diminution damages. The Company believes the counterclaims and damages calculations of the defendant corporation are without merit and is defending them vigorously.

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

Stock Repurchases

        On October 25, 2011 the Company's board of directors approved a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 25, 2013. On July 24, 2013 the Company's board of directors approved an increase and extension of the stock repurchase plan which authorizes the Company to purchase up to $300 million of its outstanding stock through October 25, 2015.

        Stock repurchases under the program may be purchased from time to time in open market transactions (including blocks) or in privately negotiated transactions. The timing of repurchases and the actual amount purchased will depend on a variety of factors including the market price of the Company's shares, general market and economic conditions, and other corporate considerations. Repurchases may be made pursuant to plans intended to comply with Rule 10b5-1 under the Securities Exchange Act of 1934, which could allow the Company to purchase its shares during periods when it


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

September 30, 2013

(Unaudited)

NOTE D—Commitments and Contingencies (Continued)

otherwise might be prevented from doing so under insider trading laws or because of self-imposed trading blackout periods. Repurchases are expected to be funded from working capital and anticipated cash from operations. The repurchase authorization does not require the purchase of a specific number of shares and is subject to suspension or termination by the Company's board of directors at any time. Pursuant to this program, the Company made open market purchases of 671,776 shares of the Company's common stock at an average price of $48.72 per share for an aggregate cost of $32.7 million (excluding broker commissions) during the period from November 11, 2011 through December 31, 2011. Pursuant to this program, the Company made open market purchases of 459,252 shares of the Company's common stock at an average price of $50.27 per share for an aggregate cost of $23.1 million (excluding broker commissions) during 2012. Pursuant to this program, the Company made open market purchases of 955,7761,159,871 shares of the Company's common stock at an average price of $50.23 $51.83


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

MARCH 31, 2014

(Unaudited)

NOTE D—Commitments and Contingencies (Continued)

per share for an aggregate cost of $48.0$60.1 million (excluding broker commissions) during 2013. Pursuant to this program, the Company made open market purchases of 284,889 shares of the Company's common stock at an average price of $59.54 per share for an aggregate cost of $17.0 million (excluding broker commissions) during the ninethree months ended September 30, 2013.March 31, 2014. As of September 30, 2013,March 31, 2014, the total dollar value remaining under the current authorization was $196.2$167.1 million.

        TheDuring the period from April 1, 2014 through April 25, 2014, the Company made noadditional open market purchases of 185,325 shares of the Company's common stock at an aggregate cost of $10.3 million (excluding broker commissions).

Restructuring Activities

        As a result of restructuring activities initiated in 2013, the Company recorded liabilities for employee termination costs. The restructuring activities initiated in 2013 were related to contract terminations and organizational changes made in an effort to improve the Company's ability to execute its strategy. The Company anticipates additional restructuring costs in 2014 associated with employee terminations of $0.9 million and lease termination and exit costs of $2.4 million. The additional projected restructuring costs by segment are Public Sector $2.0 million and Commercial $1.3 million. For the three months ended March 31, 2014, the Company incurred $0.7 million of employee termination costs. The restructuring costs incurred by segment were Public Sector $0.5 million and Commercial $0.2 million. Restructuring costs are included in direct service costs and other operating expenses in the consolidated statements of comprehensive income.

        The following table summarizes the activity related to the restructuring liabilities for the period from October 1, 2013 through October 21, 2013.three months ended March 31, 2014, by reportable segment (in thousands):

 
 Commercial Public
Sector
 Corporate Consolidated 

Liability for employee termination costs at December 31, 2013

 $4,744 $4,296 $3,429 $12,469 

Additions

  202  518    720 

Payments

  (73) (6) (1,143) (1,222)

Liability released

    (235) (58) (293)
          

Liability for employee termination costs at March 31, 2014

 $4,873 $4,573 $2,228 $11,674 
          
          

NOTE E—Subsequent EventsAcquisitions

Acquisition of Partners Rx Management, LLC

        Pursuant to the September 6, 2013 Agreement and Plan of Merger (the "Merger"Partners Agreement") with Partners Rx Management, LLC ("Partners Rx"), on October 1, 2013 the Company acquired (the "Acquisition") all of the outstanding ownership interests of Partners Rx. Partners Rx is a privately held, full-service commercial PBM with a strong focus on health plans and self-funded employers primarily through sales through third party administrators, ("TPAs"), consultants and brokers. As consideration for the Acquisition,transaction, the Company paid $100


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

MARCH 31, 2014

(Unaudited)

NOTE E—Acquisitions (Continued)

$100 million in cash, subject to working capital adjustments. The Company funded the Acquisitionacquisition with cash on hand.

        As of March 31, 2014, settlement of the working capital and certain contractual liabilities remain open and therefore are subject to further estimation. In addition, the amount recognized for deferred tax assets may be impacted by the determination of these items. The Company will make appropriate adjustments to the purchase price allocation prior to the completion of the measurement period as required.

Acquisition of AlphaCare Holdings, Inc.

Pursuant to the MergerAugust 13, 2013 stock purchase agreement (the "AlphaCare Agreement"), on December 31, 2013 the Company acquired a 65% equity interest in AlphaCare Holdings, Inc. ("AlphaCare Holdings"), the holding company for AlphaCare New York, Inc. ("AlphaCare"), a Health Maintenance Organization ("HMO") in New York that operates a New York Managed Long-Term Care Plan in Bronx, New York, Queens, Kings and Westchester Counties, and Medicare Plans in Bronx, New York, Queens and Kings Counties.

        The Company previously held a 7% equity interest in AlphaCare through a previous equity investment of $2.0 million in preferred membership units of AlphaCare's previous holding company, AlphaCare Holdings, LLC on May 17, 2013. The Company also previously loaned $5.9 million to AlphaCare Holdings, LLC. As part of the AlphaCare Agreement, certain principal ownersAlphaCare Holdings, LLC was reorganized into a Delaware corporation, the preferred membership units and the loan were converted into Series A Participating Preferred Stock ("AlphaCare Series A Preferred") of Partners RxAlphaCare Holdings and the Company purchased an additional $17.4 million of AlphaCare Series A Preferred. The Company holds a total65% voting interest and the remaining shareholders hold a 35% voting interest in AlphaCare Holdings.

        Based on the Company's 65% equity and voting interest in AlphaCare Holdings, the Company has included the results of $10 millionoperations in its consolidated financial statements. The Company reports the results of operations of AlphaCare Holdings within the Public Sector segment.

        During the three months ended March 31, 2014, the Company made net retrospective adjustments to provisional amounts related to the AlphaCare Holdings acquisition that were recognized at the acquisition date that, if known, would have affected the measurement amounts recognized as of that date.


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

MARCH 31, 2014

(Unaudited)

NOTE E—Acquisitions (Continued)

        The estimated fair values of AlphaCare Holdings assets acquired and liabilities assumed at the date of acquisition are summarized as follows (in thousands):

 
 Initial Amounts
Recognized at
Acquisition Date(1)
 Measurement
Period
Adjustments(2)
 Current
Amounts
Recognized at
Acquisition Date
 

Assets acquired:

          

Current assets (includes $6,249 of cash and $7,900 of restricted cash)

 $14,766 $(548)$14,218 

Property and equipment, net

  310  (39) 376 

Other assets

  475  66  436 

Other identified intangible assets

  4,590  2,600  7,190 

Goodwill

  20,882  (3) 20,879 
        

Total assets acquired

  41,023  2,076  43,099 
        

Liabilities assumed:

          

Current liabilities

  3,139  1,039  4,178 

Deferred tax liabilities

  1,830  1,037  2,867 
        

Total liabilities assumed

  4,969  2,076  7,045 
        

Net assets acquired

  36,054    36,054 

Less: net assets attributable to noncontrolling interest

  (10,554)   (10,554)
        

Net consideration

 $25,500 $ $25,500 
        
        

(1)
As previously reported in the Company's restricted stock atForm 10-K for the year ended December 31, 2013.

(2)
The measurement period adjustments were recorded to reflect a price equal$2.6 million increase in the customer contracts identified intangible and a $1.0 million increase to the averagedeferred tax liability as a result of finalization of the closing pricesvaluation and other net changes of ($1.6) as a result of changes in the estimated fair values of the Company's stock forassociated assets acquired and liabilities assumed based on factors existing at the five trading day period ended onacquisition date.

NOTE F—Subsequent Events

Acquisition of CDMI, LLC

        On March 31, 2014 the day priorCompany entered into a Purchase Agreement (the "CDMI Agreement") to the executionacquire all of the Merger Agreement.outstanding equity interests of CDMI, LLC ("CDMI"), a privately held company that provides a range of clinical consulting programs and negotiates and administers drug rebates for managed care organizations and other customers.

        Under the terms of the CDMI Agreement, the base purchase price is $205 million plus potential contingent payments up to a maximum aggregate amount of $165 million. The shares receivedbase purchase price includes $125 million to be paid in cash at closing, and $80 million to be reinvested in Magellan


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MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Continued)

MARCH 31, 2014

(Unaudited)

NOTE F—Subsequent Events (Continued)

restricted common stock by suchthe principal owners and certain key management of Partners Rx areCDMI. The $80 million in Magellan restricted common stock will be subject to vesting over three years with 50% vesting ona 42-month period, and is conditional upon certain employment and performance targets. In addition to the second anniversarybase purchase price, there is a contingent payment of up to $65 million which will be paid depending upon CDMI's performance relative to certain targets for 2015 rebate retention. In addition, there is a potential earn-out opportunity of up to $100 million, of which up to $65 million is dependent upon the Acquisitionnumber of CDMI customers that become full-service PBM customers during 2015 and 50% vesting on the third anniversary2016, and potential cash payments of the Acquisition, conditioned on continued employment with the Company on the applicable vesting dates.up to $35 million based upon achievement of 2014 and 2015 gross profit performance targets.

        The Company will report the results of Partners Rxoperations of CDMI within its Pharmacy SolutionsManagement segment. All material closing conditions for the transaction involving third parties have been met, and the Company expects that the transaction will be consummated on April 30, 2014.


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

        The following discussion and analysis of the financial condition and results of operations of Magellan and its majority-owned subsidiaries and all VIEs for which Magellan is the primary beneficiary should be read together with the Consolidated Financial Statements and the notes to the Consolidated Financial Statements included elsewhere in this Quarterly Report on Form 10-Q and the Company's Annual Report on Form 10-K for the year ended December 31, 2012,2013, which was filed with the SEC on February 28, 2013.March 3, 2014.

Forward-Looking Statements

        This Form 10-Q includes "forward-looking statements" within the meaning of Section 27A of the Securities Act and Section 21E of the Exchange Act. Although the Company believes that its plans, intentions and expectations as reflected in such forward-looking statements are reasonable, it can give no assurance that such plans, intentions or expectations will be achieved. 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:


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        Further discussion of factors currently known to management that could cause actual results to differ materially from those in forward-looking statements is set forth under the heading "Risk Factors" in Item 1A of Magellan's Annual Report on Form 10-K for the year ended December 31, 2012.2013. When used in this Quarterly Report on Form 10-Q, the words "estimate," "anticipate," "expect," "believe," "should," and similar expressions are intended to be forward-looking statements. Magellan undertakes no obligation to update or revise forward-looking statements to reflect changed assumptions, the occurrence of unanticipated events or changes to future operating results over time, except as required by law.

Business Overview

        The Company is engaged in the specialty managed healthcare business. Through 2005, the Company predominantly operatedmanagement business, and is focused on meeting needs in the managed behavioralareas of healthcare business. As a result of certain acquisitions, the Company expanded into radiology benefits managementthat are fast growing, highly complex and specialty pharmaceutical management during 2006, and into Medicaid administration during 2009.high cost, with an emphasis on special population management. The Company provides services to health plans, MCOs, insurance companies, employers, labor unions, various military and various governmental agencies.agencies, third party administrators, and brokers. The Company's business is divided into the following five segments, based on the services it provides and/or the customers that it serves, as described below.

Managed Behavioral Healthcare

        Two of the Company's segments are in the managed behavioral healthcare business. This line of business generally reflects the Company's: (i) management of behavioral healthcare services, and (ii) the integrated management of physical, behavioral and pharmaceutical healthcare for special populations, delivered through MCC. The Company's coordination and management of the delivery ofphysical and behavioral healthcare treatmentincludes services that are provided through its contractedcomprehensive network of third-party treatment providers, which includes psychiatrists, psychologists, othermedical and behavioral health professionals, psychiatricclinics, hospitals general medical facilitiesand ancillary service providers. This network of credentialed and


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privileged providers is integrated with psychiatric beds, residential treatment centersclinical and other treatment facilities.quality improvement programs to enhance the healthcare experience for individuals in need of care, while at the same time managing the cost of these services for our customers. The treatment services provided through the Company'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


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

        The Company's integrated management of physical and behavioral healthcare includes its full service health plans which provide for the holistic management of special populations. These special populations include individuals with serious mental illness, dual eligibles, those eligible for long term care, intellectually and developmentally disabled individuals, and other populations with unique and often complex healthcare needs.

        The Company provides its management services primarily through: (i) risk-based products, where the Company assumes all or a substantial portion of the responsibility for the cost of providing treatment services in exchange for a fixed per member per month fee, (ii) 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, and (iii) EAPs where the Company provides short-term outpatient behavioral counseling services.

        The managed behavioral healthcare business is managed based on the services provided and/or the customers served, through the following two segments:

        Commercial.    Commercial generally reflects managed behavioral healthcare services and EAP services provided under contracts with health plans, and insurance companies and MCOs for some or all of their commercial, Medicaid and Medicare members, as well as with employers, including corporations, governmental agencies, and labor unions. Commercial's contracts encompass risk-based, ASO and EAP arrangements. As of September 30, 2013,March 31, 2014, Commercial's covered lives were 4.84.0 million, 13.514.8 million and 12.612.8 million for risk-based, ASO and EAP products, respectively. For the ninethree months ended September 30, 2013,March 31, 2014, Commercial's revenue was $382.3$115.5 million, $89.2$31.5 million and $106.5$41.9 million for risk-based, ASO and EAP products, respectively.

        Public Sector.    Public Sector generally reflectsreflects: (i) the management of behavioral health services provided to recipients under Medicaid and other state sponsored programs under contracts with state and local governmental agencies. Public Sector contracts also includeagencies, and (ii) the integrated management services for the integratedof physical, behavioral and pharmaceutical care for special populations covered under Medicaid and other government sponsored programs. Public Sector contracts encompass either risk-based or ASO arrangements. As of September 30, 2013,March 31, 2014, Public Sector's covered lives were 2.12.2 million and 0.91.7 million for risk-based and ASO products, respectively. For the ninethree months ended September 30, 2013,March 31, 2014, Public Sector's revenue was $1,242.4$483.9 million and $24.3$14.1 million for risk-based and ASO products, respectively.

Radiology Benefits ManagementSpecialty Solutions

        Radiology Benefits ManagementSpecialty Solutions generally reflects the management of the delivery of diagnostic imaging (radiology benefits management or "RBM") and a variety of other therapeutic servicesspecialty areas such as radiation oncology, obstetrical ultrasound, cardiology and musculoskeletal management to ensure that such services are clinically appropriate and cost effective. The Company's radiology benefits managementSpecialty Solutions services are currently are provided under contracts with health plans and insurance companies for some or all of their commercial, Medicaid and Medicare members. The Company also contracts with state and local governmental agencies for the provision of such services to Medicaid recipients. The Company offers its radiology benefits managementSpecialty Solutions services through risk-based contracts, where the Company assumes all or a substantial portion of the responsibility for the cost of providing diagnostic imaging services, and through ASO contracts,


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where the Company provides services such as utilization review and claims administration, but does not assume responsibility for the cost of the imaging services. As of September 30, 2013,March 31, 2014, covered lives for Radiology Benefits ManagementSpecialty Solutions were 5.26.0 million and 12.312.5 million for risk-based and ASO products, respectively. For the ninethree months ended September 30, 2013,March 31, 2014, revenue for Radiology Benefits ManagementSpecialty Solutions was $247.3$94.8 million and $29.8$10.6 million for risk-based and ASO products, respectively.


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Pharmacy SolutionsManagement

        Pharmacy SolutionsManagement comprises products and solutions that provide clinical and financial management of drugs paid under medical and pharmacy benefit programs. The Company's Pharmacy SolutionsManagements' services include (i) pharmacy benefit managementtraditional PBM services; (ii) PBA for state Medicaid and other government sponsored programs; (ii)(iii) specialty pharmaceutical dispensing operations, contracting and formulary optimization programs; (iii) specialty pharmaceutical dispensing operations; (iv) medical pharmacy management programs; and (v) programs for the integrated management of drugs that treat complex conditions, regardless of site of service, method of delivery, or benefit reimbursement. In addition, the Company had a subcontract arrangement to provide PBM services on a risk basis for one of Public Sector's customers, which terminated on March 31, 2014.

The Company's pharmacy solutionsPharmacy Management programs are provided under contracts with health plans, employers, Medicaid MCOs, state Medicaid programs, and other government agencies, and encompass risk-based and FFS arrangements. TheDuring the three months ended March 31, 2014, Pharmacy Management paid 1.3 million adjusted commercial network claims in the Company's PBM business. As of March 31, 2014, the Company had a generic dispensing rate of 82.6 percent within its commercial PBM business. In addition, the Company paid 18.3 million adjusted PBA claims and 23.5 thousand specialty dispensing claims. Adjusted claim totals apply a multiple of three for each 90-day and traditional mail claim. In addition, as of March 31, 2014, Pharmacy Solutions segmentManagement served 39 health plans0.4 million commercial PBM members, 9.5 million members in its medical pharmacy management programs, and employers, 25 states and the District of Columbia and several pharmaceutical manufacturers as of September 30, 2013.

        Beginning in the first quarter of 2013, the Company underwent organizational changes. As a result of these changes, the Company concluded that changes to its reportable segments were warranted. This segment contains the operating segments previously defined as the Specialty Pharmaceutical Management segment and the Medicaid Administration segment. Prior period balances have been reclassified to reflect this change.PBA business.

Corporate

        This segment of the Company is comprised primarily of operational support functions such as sales and marketing and information technology, as well as corporate support functions such as executive, finance, human resources and legal.

Significant Customers

        TheThrough March 31, 2014, the Company providesprovided behavioral healthcare management and other related services to approximately 685,000680,000 members in Maricopa County, Arizona as the Regional Behavioral Health Authority ("RHBA"RBHA") for GSA6 ("Maricopa County") pursuant to a contract with the State of Arizona (the "Maricopa Contract").

The Maricopa Contract iswas for the management of the publicly funded behavioral health system that deliversdelivered mental health, substance abuse and crisis services for adults, youth, and children. Under the Maricopa Contract, the Company is responsible for providing covered behavioral health services to persons eligible under Title XIX (Medicaid) and Title XXI (State Children's Health Insurance Program) of the Social Security Act, non-Title XIX and non-Title XXI eligible children and adults with a serious mental illness, and to certain non-Title XIX and non-Title XXI adults with behavioral health or substance abuse disorders. The Maricopa Contract began on September 1, 2007 and was scheduled to expire on October 1, 2013. The Company and the State of Arizona have agreed to extend the Maricopa Contract through March 31, 2014. The State of Arizona has the right to terminate the Maricopa Contract for cause, as defined, upon ten days' notice with an opportunity to cure, and, after January 1, 2014, without cause upon 30 days prior notice to the Company. The Maricopa Contract generated net revenues of $566.2$182.3 million and $557.6$201.0 million for the ninethree months ended September 30, 2012March 31, 2013 and 2013,2014, respectively.

        The State of Arizona had previously issued a Solicitation for a new RBHA for Maricopa County (the "New Contract") to replace the current contract with the Company to be effective on October 1, 2013. The New Contract is for the management of the publicly funded behavioral health system currently provided by the Company under the Maricopa Contract, and also includes an integrated behavioral and physical health carehealthcare system for a small number of individuals with serious mental illness. Magellan Complete Care of Arizona ("MCCAZ"), a joint venture owned 80% by the Company and


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Magellan Complete Care of Arizona, a joint venture owned 80% by the Company and 20% by Vanguard/Phoenix Health Plan, previously submitted a bid for the Contract.

On March 25, 2013, the Company was notified that Magellan Complete Care of ArizonaMCCAZ was not selected as the RBHA for the New Contract. On April 3, 2013,

        Subsequent to the Companyannouncement of the winning bidder for the New Contract, Magellan has filed a formal protestvarious protests and appeals regarding the State's decision to awarddecision. Most recently, in December 2013, Magellan filed an appeal in the RBHAArizona Superior Court in Maricopa County to another vendor.(the "Superior Court") and a motion seeking a judicial stay of the implementation of the New Contract until after the court's decision on the appeal. On April 17, 2013,February 18, 2014 the Arizona Department of Health Services deniedSuperior Court issued an order denying the Company's protest. On May 9, 2013, the Company filed an appealmotion for stay. The denial of the denialmotion for stay does not impact the final decision on the merits of its protest (the "Appeal") withMagellan's appeal, which will continue to proceed in the Arizona Department of Administration (the "DOA"), the agency responsible for considering appeals of procurement protest denials.Superior Court. The Company also previously filed a separate civil lawsuit in the Superior Court challenging the legal authority of the public entity that is one of the key members of the non-profit winning bidder to invest in and participate in the winning bidder's performance under the New Contract. In connection with such civil suit, the DOACompany previously filed a motion to stay the award and implementationseeking a preliminary injunction that, if granted, could prohibit such public entity from participation as a member of the contract pending a decision onwinning bidder in the Appeal.New Contract. On May 21, 2013,March 14, 2014, the DOA grantedSuperior Court issued an order dismissing the Company's motion and issued a stayclaims that formed the basis of the awardmotion for preliminary injunction and implementation ofdenying the contract pending resolution of the Appeal by the DOA (the "Stay").

        On June 13, 2013 the DOA referred the Appealmotion for a hearing before an independent administrative law judge in the Arizona Office of Administrative Hearings (the "OAH"). The OAH held an evidentiary hearing on the Appeal on September 18-27, 2013. Post-hearing briefing will be completed by October 29, 2013 and the Company anticipates the administrative law judge will issue her decision and recommendation to DOA on or before November 18, 2013. The DOA will then have 30 days to review the administrative law judge's decision and recommendation and issue its decision on Magellan's appeal of the protest denial.preliminary injunction as moot. There is no assurance that the Company will prevail on the Appeal or that the Stay will remain in effect. In the event that the Company does not prevail on the Appeal, the Company will likely incur shutdown costs pertainingits appeal to the contract, including severance and lease termination charges. As of September 30, 2013, the Company has not accrued any such shutdown costs, which are estimated to be $8 to $12 million.Superior Court.

        In addition to the Maricopa Contract previously discussed, the following customers generated in excess of ten percent of net revenues for the respective segment for the ninethree months ended September 30, 2012March 31, 2013 and 20132014 (in thousands):

Segment
 Term Date 2012 2013  Term Date 2013 2014 

Commercial

      

Customer A

 Mid-2014(1) $144,499 $156,269  June 30, 2014(1) $51,641 $55,540 

Customer B

 December 31, 2019 101,249 106,433  December 31, 2019 35,811 42,898 

Customer C

 December 31, 2012 to December 14, 2013(2)(3) 89,592 58,246  August 14, 2017 15,254* 22,652 

Public Sector

  

 

 
 
 
 
 

Customer D

 June 30, 2014(4) 175,440 209,266  June 30, 2015 64,312 103,171 

Radiology Benefits Management

 

Specialty Solutions

 

 

 
 
 
 
 

Customer E

 December 31, 2015 83,158 96,402  December 31, 2015 31,361 33,390 

Customer F

 June 30, 2014 44,959 43,490  June 30, 2016(2) 15,235 12,574 

Customer G

 July 31, 2015 42,458 47,161  July 31, 2015 16,083 16,552 

Customer A

 November 30, 2016 768* 12,379 

Customer H

 January 31, 2014 27,824 34,338  January 31, 2016 9,759 11,307 

Pharmacy Solutions

 

Pharmacy Management

 

 

 
 
 
 
 

Customer I

 November 30, 2013 to December 31, 2013(2) 98,128 99,599  November 30, 2014 to December 31, 2014(3) 33,311 28,579 

Customer J

 December 31, 2013(5) 45,018 43,315* December 31, 2013(4) 15,297 6,029*

Customer K

 December 31, 2013(5) 53,640 68,166  September 27, 2013 to December 31, 2013(3)(4) 21,641 1,130*

Customer L

 September 30, 2013(6) 53,259 48,527  March 31, 2014(5)(6) 15,245 18,055*

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


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(1)
The customer has informed the Company that, after a competitive evaluation process, it has decided not to renew its contract. The contract after the contract expires on December 31, 2013. The Company anticipates the contract will extendwas extended through mid-2014June 30, 2014 to allow for transition to the new vendor.

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(2)
This contract will transition from risk to ASO based services effective July 1, 2014.

(2)(3)
The customer has more than one contract. The individual contracts are scheduled to terminate at various points during the time period indicated above.

(3)(4)
Revenues for the nine months ended September 30, 2012 of $38.0 million relate to aThe contract thathas terminated, as of December 31, 2012. The customer has informedhowever, the Company that is has decided notcontinues to renew the remaining contract afterprovide services as the contract expires on December 14, 2013.

(4)
Contract has options foris transitioned to the customer to extend the term for two additional one-year periods.new vendor.

(5)
The Companycontract has received notification that the customer will not renew its contracts for specialty pharmacy and related services. The Company has multiple contracts that are currently scheduled to terminate on December 31, 2013.terminated.

(6)
This customer represents a subcontract with a Public Sector customer and is eliminated in consolidation.

Concentration of Business

        The Company also has a significant concentration of business with various counties in the State of Pennsylvania (the "Pennsylvania Counties") which are part of the Pennsylvania Medicaid program,program. Net revenues from the Pennsylvania Counties in the aggregate totaled $86.7 million and $90.1 million for the three months ended March 31, 2013 and 2014, respectively.

        In addition, the Company has a significant concentration of business with the State of Florida. The Company currently has behavioral healthcare contracts with various areas in the State of Florida (the "Florida Areas") which are part of the Florida Medicaid program. The State of Florida is implementing a new system of mandated managed care through which Medicaid enrollees will receive integrated healthcare services, and it will phase out the behavioral healthcare programs under which the Florida Areas' contracts operate by July 31, 2014. The Company has a contract with the State of Florida to provide integrated healthcare services under the new program. Net revenues from the Pennsylvania CountiesState of Florida in the aggregate totaled $269.8$33.3 million and $269.1$31.8 million for the ninethree months ended September 30, 2012March 31, 2013 and 2013, respectively. Net revenues from the Florida Areas in the aggregate totaled $100.6 million and $97.8 million for the nine months ended September 30, 2012 and 2013,2014, respectively.

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

Critical Accounting Policies and Estimates

        The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Significant estimates of the Company include, among other things, accounts receivable realization, valuation allowances for deferred tax assets, valuation of goodwill and intangible assets, medical claims payable, other medical liabilities, stock compensation assumptions, tax contingencies and legal liabilities. Actual results could differ from those estimates. Except as noted below, the Company's critical accounting policies are summarized in the Company's Annual Report on Form 10-K, filed with the SEC on February 28, 2013.March 3, 2014.


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Income Taxes

        The Company's effective income tax rates were 12.640.5 percent and 22.051.2 percent for the ninethree months ended September 30, 2012March 31, 2013 and 2013,2014, respectively. These rates differ from the federal statutory income tax rate primarily due to state income taxes, permanent differences between book and tax income, and changes to recorded tax contingencies. The Company also accrues interest and penalties related to unrecognized tax benefits in its provision for income taxes. The effective income tax rate for the ninethree months ended September 30, 2012March 31, 2013 is lower than the effective rate for the ninethree months ended September 30, 2013March 31, 2014 mainly due to lower reversals of tax contingencies in the current year from the closure of statutes of limitation.non-deductible ACA fees.

        The Company files a consolidated federal income tax return for the Company and its eighty percent or more owned subsidiaries, and the Company and its subsidiaries file income tax returns in various states and local jurisdictions. With few exceptions, the Company is no longer subject to state or local income tax assessments by tax authorities for years ended prior to 2009. Further, the statutes of limitation regarding the assessment of federal and certain state and local income taxes for 2009 closed during the current quarter. As a result, $27.2 million of unrecognized tax benefits (excluding interest costs) recorded as of December 31, 2012 were reversed in the current quarter, of which $22.7 million is reflected as a discrete reduction to income tax expense, $3.9 million as an increase to additional paid-in capital, and the remainder as a decrease to deferred tax assets. Additionally, $2.1 million of accrued interest was reversed in the current quarter and reflected as a reduction to income tax expense due to the closing of statutes of limitation on tax assessments.2010.

Results of Operations

        The accounting policies of the Company's segments are the same as those described in Note A—"General." The Company evaluates performance of its segments based on 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. Effective September 1, 2010, Public Sector has subcontractedsubcontracts with Pharmacy SolutionsManagement to provide pharmacy benefits management services on a risk basis for onecertain of Public Sector's customers. In addition, Pharmacy Management provides pharmacy benefits management for the Company's employees covered under its medical plan. As such, revenue, and cost of care, cost of goods sold and direct service costs and other related to this intersegment arrangementthese arrangements are eliminated. The Company's segments are defined above. The Pharmacy Solutions segment contains the operating segments previously defined as the Specialty Pharmaceutical Management segment and the Medicaid Administration segment. Prior period balances have been reclassified to reflect this change.


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

 
 Commercial Public
Sector
 Radiology
Benefits
Management
 Pharmacy
Solutions
 Corporate
and
Elimination
 Consolidated 

Three Months Ended September 30, 2012

                   

Managed care and other revenue

 $176,713 $407,265 $88,126 $54,421 $(15,433)$711,092 

Dispensing revenue

        87,345    87,345 

Cost of care

  (100,973) (358,959) (58,080) (13,659) 15,433  (516,238)

Cost of goods sold

        (81,662)   (81,662)

Direct service costs and other

  (43,007) (22,948) (14,045) (27,565) (28,009) (135,574)

Stock compensation expense(1)

  293  278  419  238  3,240  4,468 
              

Segment profit (loss)

 $33,026 $25,636 $16,420 $19,118 $(24,769)$69,431 
              


 
 Commercial Public
Sector
 Radiology
Benefits
Management
 Pharmacy
Solutions
 Corporate
and
Elimination
 Consolidated 

Three Months Ended September 30, 2013

                   

Managed care and other revenue

 $190,655 $445,260 $94,125 $63,008 $(17,091)$775,957 

Dispensing revenue

        97,641    97,641 

Cost of care

  (118,022) (382,913) (65,403) (20,940) 17,091  (570,187)

Cost of goods sold

        (91,853)   (91,853)

Direct service costs and other

  (47,032) (27,826) (13,990) (32,281) (35,705) (156,834)

Stock compensation expense(1)

  124  259  384  198  3,559  4,524 
              

Segment profit (loss)

 $25,725 $34,780 $15,116 $15,773 $(32,146)$59,248 
              



 Commercial Public
Sector
 Radiology
Benefits
Management
 Pharmacy
Solutions
 Corporate
and
Elimination
 Consolidated  Commercial Public
Sector
 Specialty
Solutions
 Pharmacy
Management
 Corporate
and
Elimination
 Consolidated 

Nine Months Ended September 30, 2012

 

Three Months Ended March 31, 2013

             

Managed care and other revenue

 $535,464 $1,206,289 $253,809 $171,846 $(53,259)$2,114,149  $187,837 $406,620 $90,278 $53,099 $(15,245)$722,589 

Dispensing revenue

    262,974  262,974 

PBM and dispensing revenue

    99,172  99,172 

Cost of care

 (323,992) (1,058,384) (166,364) (47,880) 53,259 (1,543,361) (113,271) (355,379) (58,067) (13,555) 15,245 (525,027)

Cost of goods sold

    (245,555)  (245,555)    (93,512)  (93,512)

Direct service costs and other

 (127,825) (66,850) (41,113) (83,532) (93,176) (412,496) (41,392) (25,643) (13,371) (29,561) (29,660) (139,627)

Stock compensation expense(1)

 830 835 1,179 704 10,387 13,935  133 307 434 320 4,444 5,638 
                          

Segment profit (loss)

 $84,477 $81,890 $47,511 $58,557 $(82,789)$189,646  $33,307 $25,905 $19,274 $15,963 $(25,216)$69,233 
                          
             

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 Commercial Public
Sector
 Radiology
Benefits
Management
 Pharmacy
Solutions
 Corporate
and
Elimination
 Consolidated  Commercial Public
Sector
 Specialty
Solutions
 Pharmacy
Management
 Corporate
and
Elimination
 Consolidated 

Nine Months Ended September 30, 2013

 

Three Months Ended March 31, 2014

             

Managed care and other revenue

 $578,030 $1,266,739 $277,118 $182,418 $(48,557)$2,255,748  $188,891 $497,943 $105,434 $55,378 $(18,055)$829,591 

Dispensing revenue

    282,359  282,359 

PBM and dispensing revenue

    139,624 (2,740) 136,884 

Cost of care

 (354,520) (1,095,694) (182,212) (59,075) 48,557 (1,642,944) (111,202) (422,518) (73,652) (16,391) 18,055 (605,708)

Cost of goods sold

    (265,440)  (265,440)    (128,031) 2,733 (125,298)

Direct service costs and other

 (129,823) (82,403) (41,224) (93,216) (94,292) (440,958) (40,276) (42,958) (15,141) (35,551) (30,796) (164,722)

Stock compensation expense(1)

 390 833 1,275 898 11,368 14,764  155 274 414 303 3,326 4,472 

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

  (1,330)    (1,330)
                          

Segment profit (loss)

 $94,077 $89,475 $54,957 $47,944 $(82,924)$203,529  $37,568 $34,071 $17,055 $15,332 $(27,477)$76,549 
                          
             

(1)
Stock compensation expense is included in direct service costs and other operating expenses, however this amount is excluded from the computation of Segment Profit since it is managed on a consolidated basis.

(2)
The non-controlling portion of AlphaCare's segment profit (loss) is excluded from the computation of Segment Profit.

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


 Three Months Ended
September 30,
 Nine Months Ended
September 30,
  Three Months Ended
March 31,
 

 2012 2013 2012 2013  2013 2014 

Segment profit

 $69,431 $59,248 $189,646 $203,529  $69,233 $76,549 

Stock compensation expense

 (4,468) (4,524) (13,935) (14,764) (5,638) (4,472)

Non-controlling interest segment profit (loss)

  (1,330)

Depreciation and amortization

 (15,239) (17,654) (45,172) (50,770) (16,170) (20,229)

Interest expense

 (537) (789) (1,713) (2,191) (610) (836)

Interest income

 350 291 1,619 1,002  353 311 
              

Income before income taxes

 $49,537 $36,572 $130,445 $136,806  $47,168 $49,993 
              
     

Quarter ended September 30, 2013March 31, 2014 ("Current Year Quarter"), compared to the quarter ended September 30, 2012March 31, 2013 ("Prior Year Quarter")

Commercial

Net Revenue

        Net revenue related to Commercial increased by 7.90.6 percent or $13.9$1.1 million from the Prior Year Quarter to the Current Year Quarter. The increase in revenue is mainly due to favorable rate changes of $10.8 million, new contracts implemented after (or during) the Prior Year Quarter of $19.1$4.0 million, increasedfavorable prior period rate, membership and other adjustments of $2.6 million in the Current Year Quarter, increase in membership from existing customers of $7.4 million, favorable rate changes of $5.3 million, retroactive risk share adjustments recorded in the Prior Year Quarter of $1.6$1.0 million and other net favorable


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increases of $1.0 million.$6.7 million (mainly related to higher care utilization). These increases were partially offset by terminated contracts of $19.1 million and retroactive rate and membership adjustments of $1.4 million recorded in the Prior Year Quarter.$24.0 million.

Cost of Care

        Cost of care increaseddecreased by 16.91.8 percent or $17.0$2.1 million from the Prior Year Quarter to the Current Year Quarter. The increasedecrease in cost of care is primarily due to newterminated contracts of $12.1$20.0 million, favorable prior period medical claims development recorded in the Prior Year Quarter of $4.9 million,


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membership from existing customers of $4.8 million and unfavorable care trends and other net variances of $12.4 million. These increases werewhich decrease was partially offset by terminated contracts of $14.9 million and favorableunfavorable medical claims development for the Prior Year Quarter which was recorded after the Prior Year Quarter of $2.3$4.1 million, care associated with rate changes of $1.2 million, favorable prior period medical claims development recorded in the Prior Year Quarter of $0.8 million, new business of $0.7 million and unfavorable care trends and other net variances of $11.1 million. Cost of care increased as a percentage of risk revenue (excluding EAP business) from 73.976.4 percent in the Prior Year Quarter to 80.277.0 percent in the Current Year Quarter, mainly due to unfavorable care trendschanges in excess of favorable rate changes.business mix.

Direct Service Costs

        Direct service costs increaseddecreased by 9.42.7 percent or $4.0$1.1 million from the Prior Year Quarter to the Current Year Quarter primarily due to severance and restructuring costs pertaining to terminated contracts of $5.0$3.1 million, which increasedecrease was partially offset by new contracts implemented of $1.5 million and other net favorableunfavorable variances of $1.0$0.5 million. Direct service costs increaseddecreased as a percentage of revenue from 24.322.0 percent in the Prior Year Quarter to 24.721.3 percent in the Current Year Quarter, mainly due to the severance and restructuring charges incurredchanges in the Current Year Quarter.business mix.

Public Sector

Net Revenue

        Net revenue related to Public Sector increased by 9.322.5 percent or $38.0$91.3 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to new contracts implemented after the Prior Year Quarter of $29.5$69.1 million, favorable rate changes of $14.2 million, revenue recorded for ACA tax of $3.8 million, increased membership from existing customers of $5.1 million, additional revenue for providerperformance incentives of $1.8 million, the revenue impact of favorable prior period care development recorded in the Current Year Quarter of $1.3$1.0 million and other net favorable variances of $3.7 million. These increases were partially offset by unfavorable rate changes of $3.4$3.2 million.

Cost of Care

        Cost of care increased by 6.718.9 percent or $24.0$67.1 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to new contracts of $27.3$57.6 million, increased membership from existing customerscare associated with rate changes for contracts with minimum care requirements of $3.7$12.8 million and unfavorable care trends and other net variancesmedical claims development for the Prior Year Quarter which was recorded after the Prior Year Quarter of $6.4$1.4 million. These increases were partially offset by favorable prior period care development recorded in the Current Year Quarter of $10.7$2.2 million and care associated with rate changes for contracts with minimum care requirementsother net favorable variances of $2.7$2.5 million. Cost of care decreased as a percentage of risk revenue from 89.989.2 percent in the Prior Year Quarter to 87.687.3 percent in the Current Year Quarter mainly due to favorable prior period care development.

Direct Service Costs

        Direct service costs increased by 21.367.5 percent or $4.9$17.3 million from the Prior Year Quarter to the Current Year Quarter, mainly due to the accrual for ACA tax in the Current Year Quarter, costs to support new business and development costs for the Magellan Complete Care product. Direct service costs increased as a percentage of revenue from 5.66.3 percent for the Prior Year Quarter to 6.38.6 percent in the Current Year Quarter mainly due to ACA taxes, cost to support new business and development costs for the Magellan Complete Care product.


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Radiology Benefits ManagementSpecialty Solutions

Net Revenue

        Net revenue related to Radiology Benefits ManagementSpecialty Solutions increased by 6.816.8 percent or $6.0$15.2 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to new contracts implemented after (or during) the Prior Year Quarter of $11.3$20.3 million, increase in


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membership from existing customers of $2.0$6.1 million and other netthe revenue impact of favorable variancesprior period medical claims development recorded in the Prior Year Quarter of $3.6$2.0 million. These increases were partially offset by unfavorable rate changes of $6.4$9.4 million, terminated contracts of $3.8$2.1 million and retroactive rate and membership adjustments recorded in the Prior Year Quarterother net unfavorable variances of $0.7$1.7 million.

Cost of Care

        Cost of care increased by 12.626.8 percent or $7.3$15.6 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily attributed to new contracts of $8.9$16.6 million, increased membership from existing customers of $1.0$4.2 million and care trends and other net unfavorable variancesfavorable prior period medical claims development recorded in the Prior Year Quarter of $2.6$4.1 million. These increases were partially offset by terminated contracts of $3.1 million and favorable medical claims development for the Prior Year Quarter which was recorded after the Prior Year Quarter of $2.1$4.2 million, terminated contracts of $1.9 million, favorable prior period medical claims development for the Current Year Quarter of $1.3 million and other net favorable variances of $1.9 million. Cost of care increased as a percentage of risk revenue from 74.072.5 percent in the Prior Year Quarter to 77.877.7 percent in the Current Year Quarter mainly due to unfavorable rate changes and care trends.

Direct Service Costs

        Direct service costs decreasedincreased by 0.413.2 percent or $0.1$1.8 million from the Prior Year Quarter to the Current Year Quarter. As a percentage of revenue, direct service costs decreased from 15.914.8 percent in the Prior Year Quarter to 14.914.4 percent in the Current Year Quarter, as the Company was able to add net new business without increasing direct service costs.

Pharmacy SolutionsManagement

NetManaged Care and Other Revenue

        NetManaged care and other revenue related to Pharmacy SolutionsManagement increased by 13.34.3 percent or $18.9 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to net increased dispensing activity from existing customers of $9.8 million, new business of $7.1 million (mainly PBM), increased revenue from a subcontract with Public Sector of $1.6 million and other net increases of $1.0 million. These increases were partially offset by retroactive revenue adjustments recorded in the Prior Year Quarter of $0.6 million.

Cost of Care

        Cost of care increased by 53.3 percent or $7.3$2.3 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to new PBM business of $5.7 million and unfavorable care trends of $1.6 million. Cost of care increased as a percentage of risk revenue from 88.5 percent incontracts implemented after the Prior Year Quarter of $3.9 million, increased revenue from a subcontract with Public Sector of $2.8 million and other net increases of $0.7 million. These increases were partially offset by terminated contracts of $3.9 million and decreased rebate revenue related to 91.4 percent in the Current Year Quarter, mainly due to business mix.term changes of $1.2 million.

Cost of Goods SoldPBM/Distribution Revenue

        Cost of goods soldPBM and Distribution revenue related to Pharmacy Management increased by 12.540.8 percent or $10.2$40.5 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to increasedrevenue of $79.6 million for Partners Rx which was acquired on October 1, 2013 and other net increases of $0.5 million. These increases were partially offset by terminated distribution contracts of $35.9 million and net decreased dispensing activity from existing customers.customers of $3.7 million.

Cost of Care

        Cost of care increased by 20.9 percent or $2.8 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to unfavorable care trends. Cost of care increased as a


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percentage of risk revenue from 88.9 percent in the Prior Year Quarter to 90.8 percent in the Current Year Quarter mainly due to unfavorable care trends.

Cost of Goods Sold

        Cost of goods sold increased by 36.9 percent or $34.5 million from the Prior Year Quarter to the Current Year Quarter. This increase is primarily due to cost of goods sold for Partners Rx which was acquired October 1, 2013 of $71.7 million and other net increases of $0.1 million. These increases were partially offset by terminated contracts of $33.8 million and decreased dispensing activity from existing customers of $3.5 million. As a percentage of the portion of net revenue that relates to PBM and dispensing activity, cost of goods sold increaseddecreased from 93.494.3 percent in the Prior Year Quarter to 94.191.7 percent in the Current Year Quarter, mainly due to business mix.

Direct Service Costs

        Direct service costs increased by 17.120.3 percent or $4.7$6.0 million from the Prior Year Quarter to the Current Year Quarter. This increase mainly relates to the Partners Rx acquisition, implementation costs and ongoing costs to support new business. As a percentage of revenue, direct service costs increaseddecreased from 19.4 percent in


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the Prior Year Quarter to 20.118.2 percent in the Current Year Quarter, mainly due to implementation costs and ongoing costs to support new business.business mix.

Corporate and Other

Other Operating Expenses

        Other operating expenses related to the Corporate and Other segment increased by 27.53.8 percent or $7.7$1.1 million from the Prior Year Quarter to the Current Year Quarter. The increase relates primarily from discretionary benefitsdiligence costs of $4.3$0.8 million and severance andlegal fees of $0.5 million, partially offset by other net favorable one time items in the Current Year Quarter of $3.4$0.2 million. As a percentage of total net revenue, other operating expenses increaseddecreased from 3.53.6 percent for the Prior Year Quarter to 4.13.2 percent for the Current Year Quarter primarily due to severance and other one time items.business mix.

Depreciation and Amortization

        Depreciation and amortization expense increased by 15.925.1 percent or $2.4$4.1 million from the Prior Year Quarter to the Current Year Quarter, primarily due to asset additions after the Prior Year Quarter.Quarter and acquisition activity.

Interest Expense

        Interest expense increased by 46.937.0 percent or $0.3$0.2 million from the Prior Year Quarter to the Current Year Quarter, mainly due to capital lease additions after the Prior Year Quarter.

Interest Income

        Interest income decreased by 16.9 percent or $0.1 million from thewas consistent with Prior Year Quarter to the Current Year Quarter, mainly due to lower yields on investments in Current Year Quarter.Year.

Income Taxes

        The Company's effective income tax rates were (33.8)40.5 percent and (29.2)51.2 percent for the Prior Year Quarter and Current Year Quarter, respectively. The effective income tax rate for the Current Year Quarter differs from the Prior Year Quarter effective rate mainly due to lower reversals of tax contingencies in the Current Year Quarter from the closure of statutes of limitation.

        The statutes of limitation regarding the assessment of federal and certain state and local income taxes for 2009 closed during the Current Year Quarter. As a result, $27.2 million of unrecognized tax benefits recorded as of December 31, 2012 were reversed in the Current Year Quarter, of which $22.7 million is reflected as a discrete reduction to income tax expense, $3.9 million as an increase to additional paid-in capital, and the remainder as a decrease to deferred tax assets. Additionally, $2.1 million of accrued interest was reversed in the Current Year Quarter and reflected as a reduction to income tax expense due to the closing of statutes of limitation on tax assessments.

        The statutes of limitation regarding the assessment of federal and certain state and local income taxes for 2008 closed during the Prior Year Quarter. As a result, $41.6 million of unrecognized tax benefits recorded as of December 31, 2011 were reversed in the Prior Year Quarter, of which $34.7 million was reflected as a discrete reduction to income tax expense, $6.2 million as an increase to additional paid-in capital, and the remainder as a decrease to deferred tax assets. Additionally, $1.1 million of accrued interest and $1.0 million of unrecognized state tax benefits were reversed in the Prior Year Quarter and reflected as reductions to income tax expense due to the closing of statutes of limitation on tax assessments and changes in tax return elections, respectively.non-deductible ACA fees.


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Nine months ended September 30, 2013 ("Current Year Period"), compared to the nine months ended September 30, 2012 ("Prior Year Period")

Commercial

Net Revenue

        Net revenue related to Commercial increased by 7.9 percent or $42.6 million from the Prior Year Period to the Current Year Period. The increase in revenue is mainly due to new contracts implemented after (or during) the Prior Year Period of $50.0 million, favorable rate changes of $28.1 million, increased membership from existing customers of $14.0 million, customers settlements in the Current Year Period of $6.7 million, retroactive rate and membership adjustments recorded in the Current Year Period of $1.4 million and retroactive risk share adjustments recorded in the Prior Year Period of $1.2 million. These increases were partially offset by terminated contracts of $45.8 million, performance-based revenue recorded in the Prior Year Period of $10.5 million and other net decreases of $2.5 million.

Cost of Care

        Cost of care increased by 9.4 percent or $30.5 million from the Prior Year Period to the Current Year Period. The increase in cost of care is primarily due to new contracts of $32.9 million, increased membership from existing customers of $8.5 million, favorable prior period medical claims development recorded in the Prior Year Period of $3.2 million and unfavorable care trends and other net variances of $28.1 million. These increases were partially offset by terminated contracts of $36.1 million, favorable prior period medical claims development recorded in the Current Year Period of $4.5 million and favorable medical claims development for the Prior Year Period which was recorded after the Prior Year Period of $1.6 million. Cost of care increased as a percentage of risk revenue (excluding EAP business) from 79.1 percent in the Prior Year Period to 79.4 percent in the Current Year Period, mainly due to business mix.

Direct Service Costs

        Direct service costs increased by 1.6 percent or $2.0 million from the Prior Year Period to the Current Year Period primarily due to severance and restructuring costs pertaining to terminated contracts of $5.0 million, partially offset by reduced costs as a result of cost containment efforts. Direct service costs decreased as a percentage of revenue from 23.9 percent in the Prior Year Period to 22.5 percent in the Current Year Period, mainly due to cost containment efforts and the impact of increased revenue from favorable rate changes.

Public Sector

Net Revenue

        Net revenue related to Public Sector increased by 5.0 percent or $60.5 million from the Prior Year Period to the Current Year Period. This increase is primarily due to new contracts implemented after (or during) the Prior Year Period of $71.2 million, performance incentive revenue in the Current Year Period of $2.7 million and other net favorable variances of $3.1 million. These increases were partially offset by unfavorable rate changes of $11.8 million and decreased membership from existing customers of $4.7 million.

Cost of Care

        Cost of care increased by 3.5 percent or $37.3 million from the Prior Year Period to the Current Year Period. This increase is primarily due to new contracts of $60.3 million, favorable contractual settlements of $2.2 million in the Prior Year Period and unfavorable care trends and other net


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unfavorable variances of $16.3 million. These increases were partially offset by favorable prior period medical claims development recorded in the Current Year Period of $18.0 million, care associated with rate changes for contracts with minimum care requirements of $9.7 million, favorable medical claims development for prior year period recorded after the prior year period of $7.6 million and decreased membership from existing customers of $6.2 million. Cost of care decreased as a percentage of risk revenue from 89.2 percent in the Prior Year Period to 88.2 percent in the Current Year Period mainly due to favorable medical claims development.

Direct Service Costs

        Direct service costs increased by 23.3 percent or $15.6 million from the Prior Year Period to the Current Year Period, mainly due to costs to support new business and development costs for the Magellan Complete Care product. Direct service costs increased as a percentage of revenue from 5.5 percent for the Prior Year Period to 6.5 percent in the Current Year Period mainly due to development costs for the Magellan Complete Care product.

Radiology Benefits Management

Net Revenue

        Net revenue related to Radiology Benefits Management increased by 9.2 percent or $23.3 million from the Prior Year Period to the Current Year Period. This increase is primarily due to new contracts implemented after (or during) the Prior Year Period of $33.2 million, increased membership from existing customers of $9.0 million and other net favorable variances of $1.4 million. These increases were partially offset by unfavorable rate changes of $7.1 million, terminated contracts of $6.8 million, favorable contractual settlements of $4.4 million in the Prior Year Period and the revenue impact of favorable prior period care development recorded in the Current Year Period of $2.0 million.

Cost of Care

        Cost of care increased by 9.5 percent or $15.8 million from the Prior Year Period to the Current Year Period. This increase is primarily attributed to new contracts of $26.8 million and increased membership from existing customers of $5.3 million. These increases were partially offset by favorable prior period medical claims development recorded in the Current Year Period of $5.5 million, terminated contracts of $5.1 million, favorable medical claims development for the Prior Year Period recorded after the Prior Year Period of $4.7 million and care trends and other net favorable variances of $1.0 million. Cost of care decreased as a percentage of risk revenue from 74.5 percent in the Prior Year Period to 73.7 percent in the Current Year Period mainly due to favorable medical claims development and care trends.

Direct Service Costs

        Direct service costs increased by 0.3 percent or $0.1 million from the Prior Year Period to the Current Year Period. As a percentage of revenue, direct service costs decreased from 16.2 percent in the Prior Year Period to 14.9 percent in the Current Year Period, mainly due to changes in business mix.

Pharmacy Solutions

Net Revenue

        Net revenue related to Pharmacy Solutions increased by 6.9 percent or $30.0 million from the Prior Year Period to the Current Year Period. This increase is primarily due to net increased dispensing activity from existing customers of $23.1 million, new business of $17.5 million (mainly PBM) and


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increased other net favorable variances of $2.7 million. These increases were partially offset by terminated contracts of $5.6 million, a reduction to revenue associated with profit share recorded due to favorable cost of care trends of $4.7 million, decreased formulary optimization revenue of $2.1 million and retroactive revenue adjustments recorded in the Prior Year Period of $0.9 million.

Cost of Care

        Cost of care increased by 23.4 percent or $11.2 million from the Prior Year Period to the Current Year Period. This increase is primarily due to new PBM business of $15.8 million, partially offset by favorable care trends of $4.6 million. Cost of care increased as a percentage of risk revenue from 89.9 percent in the Prior Year Period to 91.1 percent in the Current Year Period, mainly due to business mix.

Cost of Goods Sold

        Cost of goods sold increased by 8.1 percent or $19.9 million from the Prior Year Period to the Current Year Period. This increase is primarily due to increased dispensing activity of $23.7 million, partially offset by terminated contracts of $3.8 million. As a percentage of the portion of net revenue that relates to dispensing activity, cost of goods sold increased from 93.4 percent in the Prior Year Period to 94.0 percent in the Current Year Period, mainly due to business mix.

Direct Service Costs

        Direct service costs increased by 11.6 percent or $9.7 million from the Prior Year Period to the Current Year Period. This increase mainly relates to implementation costs and ongoing costs to support new business. As a percentage of revenue, direct service costs increased from 19.2 percent in the Prior Year Period to 20.1 percent in the Current Year Period, mainly due to implementation costs and ongoing costs to support new business.

Corporate and Other

Other Operating Expenses

        Other operating expenses related to the Corporate and Other segment increased by 1.2 percent or $1.1 million from the Prior Year Period to the Current Year Period. The increase results primary from severance and other one time items in the Current Year Period of $3.8 million and an increase in stock compensation expense of $1.0 million, which increases were partially offset by expenses incurred to support growth initiatives in the Prior Year Period. As a percentage of total net revenue, other operating expenses decreased from 3.9 percent for the Prior Year Period to 3.7 percent for the Current Year Period, primarily due to increased revenue from new business, as well as the inclusion in the Prior Year Period of expenses incurred to support growth initiatives.

Depreciation and Amortization

        Depreciation and amortization expense increased by 12.4 percent or $5.6 million from the Prior Year Period to the Current Year Period, primarily due to asset additions after the Prior Year Period.

Interest Expense

        Interest expense increased by 27.9 percent or $0.5 million from the Prior Year Period to the Current Year Period, primarily due to capital leases additions after the Prior Year Period.


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Interest Income

        Interest income decreased by 38.1 percent or $0.6 million from the Prior Year Period to the Current Year Period, primarily due to lower yields on investments in the Current Year Period.

Income Taxes

        The Company's effective income tax rates were 12.6 percent and 22.0 percent for the Prior Year Period and Current Year Period, respectively. The effective income tax rate for the Prior Year Period is lower than the Current Year Period effective rate mainly due to lower reversals of tax contingencies in the Current Year Period from the closure of statutes of limitation.

        The statutes of limitation regarding the assessment of federal and certain state and local income taxes for 2009 closed during the Current Year Period. As a result, $27.2 million of unrecognized tax benefits recorded as of December 31, 2012 were reversed in the Current Year Period, of which $22.7 million is reflected as a discrete reduction to income tax expense, $3.9 million as an increase to additional paid-in capital, and the remainder as a decrease to deferred tax assets. Additionally, $2.1 million of accrued interest was reversed in the Current Year Period and reflected as a reduction to income tax expense due to the closing of statutes of limitation on tax assessments.

        The statutes of limitation regarding the assessment of federal and certain state and local income taxes for 2008 closed during the Prior Year Period. As a result, $41.6 million of unrecognized tax benefits recorded as of December 31, 2011 were reversed in the Prior Year Period, of which $34.7 million was reflected as a discrete reduction to income tax expense, $6.2 million as an increase to additional paid-in capital, and the remainder as a decrease to deferred tax assets. Additionally, $1.1 million of accrued interest and $1.0 million of unrecognized state tax benefits were reversed in the Prior Year Period and reflected as reductions to income tax expense due to the closing of statutes of limitation on tax assessments and changes in tax return elections, respectively.

Outlook—Results of Operations

        The Company's Segment Profit and net income are subject to significant fluctuations from period to period. These fluctuations may result from a variety of factors such as those set forth under Item 2—1A—"Forward-Looking Statements"Risk Factors" as well as a variety of other factors including: (i) changes in utilization levels by enrolled members of the Company's risk-based contracts, including seasonal utilization patterns; (ii) contractual adjustments and settlements; (iii) retrospective membership adjustments; (iv) timing of implementation of new contracts, enrollment changes and contract terminations; (v) pricing adjustments upon contract renewals (and price competition in general); (vi) the timing of acquisitions; and (vi)(vii) changes in estimates regarding medical costs and IBNR.

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

        In relation to the managed behavioral healthcare business, the Company is a market leader in a mature market with many viable competitors. The Company is continuing its attempts to grow its business in the managed behavioral healthcare industry through aggressive marketing and development of new products; however, due to the maturity of the market, the Company believes that the ability to grow its current business lines may be limited. In addition, as previously discussed, substantially all of the Company's Commercial segment revenues are derived from Blue Cross Blue Shield health plans and other managed care companies, health insurers and health plans. In the past, certain of the


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managed care customers of the Company have decided not to renew all or part of their contracts with the Company, and to instead manage the behavioral healthcare services directly for their subscribers.

        Care Trends.    The Company expects that same-store normalized cost of care trend for the 12-month forward outlook to be 6 to 8 percent for Commercial, 0 to 2 percent for Public Sector and 3 to 5 percent for Radiology Benefits Management.Specialty Solutions.

        Interest Rate Risk.    Changes in interest rates affect interest income earned on the Company's cash equivalents and investments, as well as interest expense on variable interest rate borrowings under the Company's 2011 Credit Facility. Based on the amount of cash equivalents and investments and the borrowing levels under the 2011 Credit Facility as of September 30, 2013,March 31, 2014, a hypothetical 10 percent increase or decrease in the interest rate associated with these instruments, with all other variables held constant, would not materially affect the Company's future earnings and cash outflows.

Historical—Liquidity and Capital Resources

        Operating Activities.    The Company reported net cash provided by operating activities of $111.7$45.9 million and $171.3$82.8 million for the Prior Year PeriodQuarter and Current Year Period,Quarter, respectively. The $59.6$36.9 million increase in operating cash flows from the Prior Year PeriodQuarter to the Current Year PeriodQuarter is primarily attributable to the increase in Segment Profit between periods and the impact of the net shift of restricted funds between cash and investments that results in an operating cash flow change that is directly offset by an investing cash flow change.change, the increase in Segment Profit between periods, and net favorable working capital changes between periods. Partially offsetting these items is an increase in tax payments and the net unfavorable impact of working capital changes between periods.

        Segment ProfitRestricted cash of $5.0 million and $28.2 million for the Current Year Period increased $13.9 million from the Prior Year Period. During the PriorQuarter and Current Year Period, restricted investments of $27.4 millionQuarter, respectively, were shifted to restricted cash that reduced operating cash flows, with restricted cash of $33.6 million shifted to restricted investments during the Current Year Period that increased operating cash flows. The net impact of the shift in restricted funds between periods is an increase in operating cash flows of $61.0$23.2 million. Tax paymentsSegment Profit for the Current Year Period totaled $55.0 million, which represents an increase of $15.1Quarter increased $7.3 million from the Prior Year Period. The net unfavorable impact of working capital changesQuarter. Operating cash flows for the Prior Year PeriodQuarter and Current Year Period totaled $10.6Quarter were impacted by


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net unfavorable working capital changes of $25.0 million and $10.8$18.0 million, respectively, largely attributable to discretionary bonus payments. Tax payments for the Prior Year Quarter and Current Year Quarter totaled $3.3 million and $3.9 million, respectively.

        During the Current Year Period,Quarter, the Company's restricted cash decreased $18.0increased $27.9 million. The change in restricted cash is attributable to the net shift of restricted cash to restricted investments of $33.6 million, partially offset by an increaseincreases in restricted cash of $14.7$36.5 million associated with the Company's regulated entities, $18.8 million related to funds received from a customer for the payment of ASO claims, and $0.8 million for other net increasesactivity. Partially offsetting these items is the net shift of $0.9 million.restricted cash of $28.2 million to restricted investments. The net change in restricted cash for the Company's regulated entities is attributable to a net increaseincreases of $15.8$12.6 million in restricted cash requirements that resulted in an operating cash flow use partially offset by aand net decreaseincreases in restricted cash of $1.1$23.9 million that is offset by changes in other assets and liabilities, primarily accounts receivable, accrued liabilities, medical claims payable and other medical liabilities, thus having no impact on operating cash flows.

        Investing Activities.    The Company utilized $53.0$11.4 million and $42.1$11.1 million during the Prior Year PeriodQuarter and Current Year Period,Quarter, respectively, for capital expenditures. The additions related to hard assets (equipment, furniture, leaseholds) and capitalized software for the Prior Year PeriodQuarter were $26.3$2.8 million and $26.7$8.6 million, respectively, as compared to additions for the Current Year PeriodQuarter related to hard assets and capitalized software of $12.1$2.0 million and $30.0$9.1 million, respectively. DuringIn addition, during the Prior Year PeriodQuarter and Current Year Quarter the Company receivedused net cash of $17.6$18.9 million for the net maturity of "available for sale" securities, with the Company using net cash of $2.2and $2.1 million, during the Current Year Periodrespectively, for the net purchase of "available-for-sale""available for sale" securities. In addition, during the Current Year Period the Company executed a note receivable in the amount of $5.9 million and purchased preferred stock of


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$2.0 million from a third party. These transactions were made to support the growth initiatives involving Medicaid and other special populations.

        Financing Activities.    During the Prior Year Period, the Company received $13.1 million from the exercise of stock options and had other net unfavorable items of $0.1 million.

        During the Current Year Period,Quarter, the Company paid $49.5$24.8 million for the repurchase of treasury stock under the Company's share repurchase program and paid $2.3 million on capital lease obligations.had other net unfavorable items of $1.5 million. In addition, the Company received $24.6$9.7 million from the exercise of stock optionsoptions.

        During the Current Year Quarter, the Company paid $17.0 million for the repurchase of treasury stock under the Company's share repurchase program, paid $1.1 million on capital lease obligations, and had other net favorableunfavorable items of $0.5$0.6 million. In addition, the Company received $7.2 million from the exercise of stock options.

Outlook—Liquidity and Capital Resources

        Liquidity.    During the remainder of 2013,2014, the Company expects to fund its estimated capital expenditures of $10$35.9 million to $20$45.9 million with cash from operations. The Company does not anticipate that it will need to draw on amounts available under the 2011 Credit Facility for cash flow needs related to its operations, capital needs or debt service in 2013.2014. The Company also currently expects to have adequate liquidity to satisfy its existing financial commitments over the periods in which they will become due. The Company may draw on the 2011 Credit Facility to fund a portion of cash required for its acquisition activities. The Company plans to maintain its current investment strategy of investing in a diversified, high quality, liquid portfolio of investments and continues to closely monitor the situation in the financial markets. The Company estimates that it has no risk of any material permanent loss on its investment portfolio; however, there can be no assurance that the Company will not experience any such losses in the future.

        Stock Repurchases.    On October 25, 2011 the Company's board of directors approved a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 25, 2013. On July 24, 2013 the Company's board of directors approved an increase and extension of the stock repurchase plan which authorizes the Company to purchase up to $300 million of its outstanding stock through October 25, 2015.


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        Stock repurchases under the program may be purchased from time to time in open market transactions (including blocks) or in privately negotiated transactions. The timing of repurchases and the actual amount purchased will depend on a variety of factors including the market price of the Company's shares, general market and economic conditions, and other corporate considerations. Repurchases may be made pursuant to plans intended to comply with Rule 10b5-1 under the Securities Exchange Act of 1934, which could allow the Company to purchase its shares during periods when it otherwise might be prevented from doing so under insider trading laws or because of self-imposed trading blackout periods. Repurchases are expected to be funded from working capital and anticipated cash from operations. The repurchase authorization does not require the purchase of a specific number of shares and is subject to suspension or termination by the Company's board of directors at any time. Pursuant to this program, the Company made open market purchases of 671,776 shares of the Company's common stock at an average price of $48.72 per share for an aggregate cost of $32.7 million (excluding broker commissions) during the period from November 11, 2011 through December 31, 2011. Pursuant to this program, the Company made open market purchases of 459,252 shares of the Company's common stock at an average price of $50.27 per share for an aggregate cost of $23.1 million (excluding broker commissions) during 2012. Pursuant to this program, the Company made open market purchases of 955,7761,159,871 shares of the Company's common stock at an average price of $50.23$51.83 per share for an aggregate cost of $48.0$60.1 million (excluding broker commissions) during 2013. Pursuant to this program, the Company made open market purchases of 284,889 shares of the Company's common stock at an average price of $59.54 per share for an aggregate cost of $17.0 million (excluding broker commissions) during the ninethree months ended September 30, 2013.March 31, 2014. As of September 30, 2013,March 31, 2014, the total dollar value remaining under the current authorization was $196.2$167.1 million.

        TheDuring the period from April 1, 2014 through April 25, 2014, the Company made noadditional open market purchases forof 185,325 shares of the period from October 1, 2013 through October 21, 2013.


TableCompany's common stock at an aggregate cost of Contents$10.3 million (excluding broker commissions).

        Off-Balance Sheet Arrangements.    As of September 30, 2013,March 31, 2014, the Company has no material off-balance sheet arrangements.

        2011 Credit Facility.    On December 9, 2011, the Company entered into a Senior Secured Revolving Credit Facility Credit Agreement with Citibank, N.A., Wells Fargo Bank, N.A., Bank of America, N.A., and U.S. Bank, N.A. that provides for up to $230.0 million of revolving loans with a sublimit of up to $70.0 million for the issuance of letters of credit for the account of the Company (the "2011 Credit Facility"). Citibank, N.A., has assigned a portion of its interest in the 2011 Credit Facility to Bank of Tokyo. The 2011 Credit Facility 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. The 2011 Credit Facility will mature on December 9, 2014.

        Under the 2011 Credit Facility, the annual interest rate on revolving loan borrowings is equal to (i) in the case of U.S. dollar denominated loans, the sum of a borrowing margin of 0.75 percent plus the higher of the prime rate, one-half of one percent in excess of the overnight "federal funds" rate, or the Eurodollar rate for one month plus 1.00 percent, or (ii) in the case of Eurodollar denominated loans, the sum of a borrowing margin of 1.75 percent plus the Eurodollar rate for the selected interest period. The Company has the option to borrow in U.S. dollar denominated loans or Eurodollar denominated loans at its discretion. Letters of credit issued under the Revolving Loan Commitment bear interest at the rate of 1.875 percent. The commitment commission on the 2011 Credit Facility is 0.375 percent of the unused Revolving Loan Commitment.


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        Restrictive Covenants in Debt Agreements.    The 2011 Credit Facility contains covenants that limit management's discretion in operating the Company's business by restricting or limiting the Company's ability, among other things, to:

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

        The 2011 Credit Facility also requires the Company to comply with specified financial ratios and tests. Failure to do so, unless waived by the lenders under the 2011 Credit Facility pursuant to its terms, would result in an event of default under the 2011 Credit Facility. As of September 30, 2013,March 31, 2014, the Company was in compliance with all covenants, including financial covenants, under the 2011 Credit Facility.

        Although the 2011 Credit Facility expires on December 9, 2014, the Company believes it will be able to obtain a new facility or, if not, to use cash on hand to fund letters of credit and other liquidity needs.


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        Net Operating Loss Carryforwards.    The Company hadhas federal net operating loss carryforwards ("NOLs")NOLs as of December 31, 20122013 of approximately $4.2$3.6 million available to reduce future federal taxable income. These NOLs, if not used, will expire in 2017 through 2019 and are subject to examination and adjustment by the IRS.Internal Revenue Service. Utilization of these NOLs is also subject to certain timing limitations, although the Company does not believe these limitations will restrict its ability to use any federal NOLs before they expire. The Company has state NOLs as of December 31, 2013 of $152.3 million available to reduce future state taxable income at certain subsidiaries. Most of these NOLs, if not used, will expire in 2017 through 2022 and are subject to examination and adjustment by the respective state tax authorities.

        Deferred tax assets as of September 30, 2012December 31, 2013 and 2013March 31, 2014 are shown net of valuation allowances of $3.4$3.1 million and $3.2$3.8 million, respectively. These valuation allowances mostly relate to uncertainties regarding the eventual realization of certain state NOLs. Determination of the amount of deferred tax assets considered realizable requires significant judgment and estimation regarding the forecasts of future taxable income which are consistent with the plans and estimates the Company uses to manage the underlying businesses. Future changes in the estimated realizable portion of deferred tax assets could materially affect the Company's financial condition and results of operations.

Recent Accounting Pronouncements

        In October 2012,July 2011, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2011-06, "Other Expenses (Topic 720): Fees Paid to the Federal Government by Health Insurers (a consensus of the FASB issued Emerging Issues Task Force)" ("ASU 2012-04, "Technical Corrections2011-06"), which addresses how fees mandated by the Patient Protection and Improvements"the Affordable Care Act ("ASC 2012-04"ACA"). The amendments in this update cover a wide range, as


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amended by the Health Care and Education Reconciliation Act of 2010 (collectively, the "Health Reform Law"), should be recognized and classified in the Accounting Standards Codification. These amendments include technical corrections and improvementsincome statements of health insurers. The Health Reform Law imposes a mandatory annual fee on health insurers for each calendar year beginning on or after January 1, 2014. ASU 2011-06 stipulates that the liability incurred for that fee be amortized to expense over the Accounting Standards Codification and conforming amendments related to fair value measurements. The amendmentscalendar year in this guidance that will not have transition guidance are effective upon issuance. The amendments that are subject to transition guidance arewhich it is payable. This ASU is effective for fiscal periodscalendar years beginning after December 15, 201231, 2013, when the fee initially becomes effective. The Company is currently pursuing rate adjustments to cover the direct costs of these fees and were adopted bythe impact from non-deductibility of such fees for federal income tax purposes. To the extent the Company duringhas a state public sector customer that does not renew, there may be some impact due to taxes paid where the quartertiming and amount of recoupment of these additional costs is uncertain. In the event the Company is unable to obtain rate adjustments to cover the financial impact of the annual fee, the fee may have a material impact on the Company. For 2014, the projected ACA fee is currently estimated to be $20.2 million, of which $5.1 million was expensed in the three months ended March 31, 2013. The guidance did not impact the Company's consolidated results of operations, financial position, or cash flows.

        In February 2013, the FASB issued ASU No. 2013-02, "Comprehensive Income (Topic 220): Reporting of Amounts Reclassified out of Accumulated Comprehensive Income" ("ASU 2013-02"). ASU 2013-02 requires companies to report the effect of significant reclassifications out of accumulated2014, which is included in direct service costs and other comprehensive income on the respective line items in net income if the amount being reclassified is required under GAAP to be reclassified in its entirety to net income. Entities are required to provide information about significant reclassifications by component, and to present those reclassifications either on the face of the statement where net income is presented oroperating expenses in the notes. For other amounts that are not required to be reclassified in their entirety to net income, entities are required to cross-reference other disclosures that provide additional details about those amounts. The amendments in this ASU do not change the current requirements for reporting net income or otherconsolidated statements of comprehensive income in financial statements. The amendments in this ASU are effective prospectively for reporting periods beginning after December 15, 2012 and were adopted by the Company during the quarter ended March 31, 2013. The guidance did not impact the Company's consolidated results of operations, financial position, or cash flows.income.

        In July 2013, the FASB issued ASU No. 2013-11, "Income Taxes (Topic 740): Presentation of an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Carryforward Exists" ("ASU 2013-11"). ASU 2013-11 provides guidance on the financial statement presentation of an unrecognized tax benefit when a net operating loss carryforward, a similar tax loss, or a tax credit carryforward exists. An unrecognized tax benefit should be presented in the financial statements as a reduction to a deferred tax asset for a net operating loss carryforward, a similar tax loss, or a tax credit carryforward with certain exceptions, in which case such an unrecognized tax benefit should be presented in the financial statements as a liability. The amendments in this ASU do not require new recurring disclosures. The amendments in this ASU are effective for reporting periods beginning after December 15, 2013.2013 and were adopted by the Company during the quarter ended March 31, 2014. The effect of the guidance is not expectedimmaterial to materially impact the Company's consolidated results of operations, financial position, orand cash flows.


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Item 3.    Quantitative and Qualitative Disclosures about Market Risk.

        Changes in interest rates affect interest income earned on the Company's cash equivalents and investments, as well as interest expense on variable interest rate borrowings under the Company's 2011 Credit Facility. Based on the amount of cash equivalents and investments and the borrowing levels under the 2011 Credit Facility as of September 30, 2013,March 31, 2014, a hypothetical 10 percent increase or decrease in the interest rate associated with these instruments, with all other variables held constant, would not materially affect the Company's future earnings and cash outflows.

Item 4.    Controls and Procedures.

        a)    The Company's management evaluated, with the participation of the Company's principal executive and principal financial officers, the effectiveness of the Company's disclosure controls and procedures (as defined in Rules 13a-15(e) under the Exchange Act), as of September 30, 2013.March 31, 2014. Based on their evaluation, the Company's principal executive and principal financial officers concluded that the Company's disclosure controls and procedures were effective as of September 30, 2013.March 31, 2014.

        b)    Under the supervision and with the participation of management, including the Company's principal executive and principal financial officers, the Company has determined that there has been no change in the Company's internal control over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act) that occurred during the Company's quarter ended September 30, 2013March 31, 2014 that has materially affected, or is reasonably likely to materially affect, the Company's internal control over financial reporting.


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PART II—OTHER INFORMATION

Item 1.    Legal Proceedings.

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

        On July 25, 2012, the Company filed a lawsuit currently pending in the United States District Court for the District of Connecticut against two former employees and a corporation partially-owned by one of such former employees asserting claims for violation of contractual restrictive covenants and common law obligations owed to the Company arising from actions of such former employees in connection with their employment by the defendant corporation. The Company's complaint alleges claims for breach of contract and breach of the covenant of good dealing against the individual former employees; tortious interference with contract against the defendant corporation; and violation of the Connecticut Uniform Trade Secrets Act, civil conspiracy, and violation of the Connecticut Unfair Trade Practices Act against all defendants arising out of activity undertaken by the former employees on behalf of the defendant corporation in competition with the Company's specialty pharmacy business. The Company is seeking a permanent injunction and recovery of compensatory and punitive damages and an award of attorneys' fees and costs. On December 18, 2012, the defendant corporation filed counterclaims against the Company in which it asserts tortious interference with business expectancy, abuse of process, and violation of the Connecticut Unfair Trade Practices Act arising out of the Company's efforts to enforce its contractual and legal rights. On June 10, 2013, the defendant corporation disclosed an alleged damages computation in the amount of $155 million in lost profits plus unspecified business diminution damages. The Company believes the counterclaims and damages calculations of the defendant corporation are without merit and is defending them vigorously.

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

Item 1A.    Risk Factors.

        There has been no material change in our risk factors as disclosed in Part I—Item 1A—"Risk Factors" of the Company's Annual Report on Form 10-K for the year ended December 31, 20122013 which was filed with the SEC on February 28, 2013.March 3, 2014.

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

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


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        On October 25, 2011 the Company's board of directors approved a stock repurchase plan which authorized the Company to purchase up to $200 million of its outstanding common stock through October 25, 2013. On July 24, 2013 the Company's board of directors approved an increase and extension of the stock repurchase plan which authorizes the Company to purchase up to $300 million of its outstanding stock through October 25, 2015.

        Stock repurchases under the program may be purchased from time to time in open market transactions (including blocks) or in privately negotiated transactions. The timing of repurchases and the actual amount purchased will depend on a variety of factors including the market price of the Company's shares, general market and economic conditions, and other corporate considerations. Repurchases may be made pursuant to plans intended to comply with Rule 10b5-1 under the Securities Exchange Act of 1934, which could allow the Company to purchase its shares during periods when it otherwise might be prevented from doing so under insider trading laws or because of self-imposed trading blackout periods. Repurchases are expected to be funded from working capital and anticipated cash from operations. The repurchase authorization does not require the purchase of a specific number of shares and is subject to suspension or termination by the Company's board of directors at any time. Pursuant to this program, the Company made open market purchases of 671,776 shares of the Company's common stock at an average price of $48.72 per share for an aggregate cost of $32.7 million (excluding


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(excluding broker commissions) during the period from November 11, 2011 through December 31, 2011. Pursuant to this program, the Company made open market purchases of 459,252 shares of the Company's common stock at an average price of $50.27 per share for an aggregate cost of $23.1 million (excluding broker commissions) during 2012. Pursuant to this program, the Company made open market purchases of 955,7761,159,871 shares of the Company's common stock at an average price of $50.23$51.83 per share for an aggregate cost of $48.0$60.1 million (excluding broker commissions) during 2013.

        Following is a summary of stock repurchases made during the ninethree months ended September 30, 2013. As of September 30, 2013, the total dollar value remainingMarch 31, 2014:

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

January 1 - 31, 2014

  96,507  59.77  96,507 $178,299 

February 1 - 28, 2014

  87,283  59.62  87,283  173,095 

March 1 - 31, 2014

  101,099  59.24  101,099  167,105 
            

  284,889     284,889    
            
            

(1)
Excludes amounts that could be used to repurchase shares acquired under the current authorization was $196.2 million. TheCompany's equity incentive plans to satisfy withholding tax obligations of employees and non-employee directors upon the vesting of restricted stock units.

(2)
Excludes broker commissions.

        During the period from April 1, 2014 through April 25, 2014, the Company made noadditional open market purchases duringof 185,325 shares of the quarter ended September 30, 2013 or for the period from October 1, 2013 through October 21, 2013.Company's common stock at an aggregate cost of $10.3 million (excluding broker commissions).

Item 3.    Defaults Upon Senior Securities.

        None.

Item 4.    Mine Safety Disclosures.

        None.

Item 5.    Other Information.

Acquisition of Partners Rx Management LLC

        Pursuant to the September 6, 2013 Agreement and Plan of Merger (the "Merger Agreement") with Partners Rx Management, LLC ("Partners Rx"), on October 1, 2013 the Company acquired (the "Acquisition") all of the outstanding ownership interests of Partners Rx. Partners Rx is a privately held, full-service commercial PBM with a strong focus on health plans and self-funded employers primarily through sales through third party administrators ("TPAs"), consultants and brokers. As consideration for the Acquisition, the Company paid $100 million in cash, subject to working capital adjustments. The Company funded the Acquisition with cash on hand.

        Pursuant to the Merger Agreement, certain principal owners of Partners Rx purchased a total of $10 million in the Company's restricted stock at a price equal to the average of the closing prices of the Company's stock for the five trading day period ended on the day prior to the execution of the Merger Agreement. The shares received by such principal owners of Partners Rx are subject to vesting over three years with 50% vesting on the second anniversary of the Acquisition and 50% vesting on the        None.


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third anniversary of the Acquisition, conditioned on continued employment with the Company on the applicable vesting dates.

        The Company will report the results of Partners Rx within its Pharmacy Solutions segment.

Acquisition of AlphaCare Holdings, Inc.

        The Company holds a 7% equity interest in AlphaCare of New York, Inc. ('AlphaCare") through an equity investment of $2.0 million in preferred membership units of AlphaCare's current holding company, AlphaCare Holdings, LLC on May 17, 2013. During the current year, the Company also loaned $5.9 million to AlphaCare Holdings, LLC pursuant to a promissory note (the "Note") which was secured by a pledge of all of the outstanding stock of AlphaCare. AlphaCare is a newly licensed HMO in New York that operates a New York Managed Long-Term Care Plan ("MLTCP") in Bronx, New York, Queens, Kings and Westchester Counties, and Medicare Plans in Bronx, New York, Queens and Kings Counties.

        On August 13, 2013, the Company entered into a stock purchase agreement (the "Stock Purchase Agreement") under which it agreed to acquire a 65% equity interest in AlphaCare through an investment in its holding company.

        As contemplated by the Stock Purchase Agreement, AlphaCare Holdings, LLC will merge with and into AlphaCare Holdings, Inc. ("AlphaCare Holdings"), a recently-formed Delaware holding corporation, and the Company's 7% equity interest and the Note will be converted into shares of Series A Participating Preferred Stock ("Series A Preferred") of AlphaCare Holdings. The Company will also purchase additional shares of Series A Preferred stock such that it will own 65% of the outstanding shares of AlphaCare Holdings for an aggregate acquisition price of $25.5 million, including its original investment of $7.9 million.

        The closing of the Stock Purchase Agreement is subject to various conditions, including approval of the New York State Department of Health. The Company expects that the closing of the Stock Purchase Agreement will occur in late 2013 or early 2014.


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Item 6.    Exhibits.

Exhibit No. Description
31.12.1 Purchase Agreement, dated as of March 31, 2014, among Magellan Health Services, Inc., CDMI, LLC, and each Seller's party thereto, which was filed as Exhibit 2.1 to the Company's current report on Form 8-K, which was filed on April 1, 2014 and is incorporated herin by reference.


10.1


Form of Stock Option Agreement, relating to options granted under the Company's 2011 Management Incentive Plan, which was filed as Exhibit 10.1 to the Company's current report on Form 8-K, which was filed on March 7, 2014 and is incorporated herin by reference.


10.2


Form of Notice of Stock Option Grant, relating to options granted under the Company's 2011 Management Incentive Plan, which was filed as Exhibit 10.2 to the Company's current report on Form 8-K, which was filed on March 7, 2014 and is incorporated herin by reference.


10.3


Form of Restricted Stock Unit Agreement, relating to restricted stock units granted under the Company's 2011 Management Incentive Plan, which was filed as Exhibit 10.3 to the Company's current report on Form 8-K, which was filed on March 7, 2014 and is incorporated herin by reference.


10.4


Form of Notice of Stock Unit Award, relating to restricted stock units granted under the Company's 2011 Management Incentive Plan, which was filed as Exhibit 10.4 to the Company's current report on Form 8-K, which was filed on March 7, 2014 and is incorporated herin by reference.


10.5


Amendment to Employment Agreement, dated April 28, 2014, between the Company and Jonathan N. Rubin, which was filed as Exhibit 10.1 to the Company's current report on Form 8-K, which was filed on April 28, 2014 and is incorporated herein by reference.


31.1


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


31.2

 

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


32.1

 

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


32.2

 

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


101

 

The following materials from the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2013March 31, 2014 formatted in Extensible Business Reporting Language (XBRL): (i) the Consolidated Statements of Comprehensive Income, (ii) the Consolidated Balance Sheets, (iii) the Consolidated Statements of Cash Flows and (iv) related notes.

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SIGNATURES

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

Date: October 24, 2013April 29, 2014 MAGELLAN HEALTH SERVICES, INC.
(Registrant)

 

 

By:

 

/s/ JONATHAN N. RUBIN

Jonathan N. Rubin
Executive Vice President and Chief Financial
Officer (Principal Financial Officer and
Duly Authorized Officer)