Recent Updates
Recently added Catalysts
EVH Neutral Sentiment Score: 45/100

COMBINED FINANCIAL STATEMENTS MAGELLAN SPECIALTY HEALTH (A Business of Magellan Health, Inc.)

Key Takeaway: The independent auditors have completed an audit of the combined financial statements for Magellan Specialty Health for the years ended December 31, 2021 and 2020. Despite a restatement due to a misstatement, the auditors affirmed that the financial statements present the company's position fairly in compliance with U.S. GAAP. However, there was a decline in net income, and an increase in both liabilities and expenses, raising concerns about the company's financial health moving forward.

Market Sentiment Analysis

POSITIVE FACTORS

  • Combined financial statements audit opinion presented fairly.
  • Increase in managed care and other net revenue from 2020 to 2021.
  • Success in maintaining income despite increased expenses.

CONCERNS & RISKS

  • Combined financial statements were restated due to a misstatement.
  • Net income decreased from 2020 to 2021.
  • Existing liabilities showed a significant increase.

Full Press Release Details

COMBINED FINANCIAL STATEMENTS
MAGELLAN SPECIALTY HEALTH
(A Business of Magellan Health, Inc.)
December 31, 2020 and 2021
MAGELLAN SPECIALTY HEALTH
(A Business of Magellan Health, Inc.)
COMBINED FINANCIAL STATEMENTS
Years Ended December 31, 2020 and 2021
Report of Independent Auditors 1
Audited Financial Statements
Combined Balance Sheets 3
Combined Statements of Income 4
Combined Statements of Net Parent Investment 5
Combined Statements of Cash Flows 6
Notes to Combined Financial Statements 7
Independent Auditors' Report
The Board of Directors
Magellan Specialty Health
We have audited the combined financial statements of Magellan Specialty Health (the Company), which comprise the combined balance sheets as of December 31, 2021 and 2020, and the related combined statements of income, net parent investment, and cash flows for the years then ended, and the related notes to the combined financial statements.
In our opinion, the accompanying combined financial statements present fairly, in all material respects, the financial position of the Company as of December 31, 2021 and 2020, and the results of its operations and its cash flows for the years then ended in accordance with U.S. generally accepted accounting principles.
We conducted our audits in accordance with auditing standards generally accepted in the United States of America (GAAS). Our responsibilities under those standards are further described in the Auditors' Responsibilities for the Audit of the Combined Financial Statements section of our report. We are required to be independent of the Company and to meet our other ethical responsibilities, in accordance with the relevant ethical requirements relating to our audits. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.
As discussed in Note 1 to the combined financial statements, the December 31, 2021 and 2020 combined financial statements have been restated to correct a misstatement. Our opinion is not modified with respect to this matter.
Responsibilities of Management for the Combined Financial Statements
Management is responsible for the preparation and fair presentation of the combined financial statements in accordance with U.S. generally accepted accounting principles, and for the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of combined financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the combined financial statements, management is required to evaluate whether there are conditions or events, considered in the aggregate, that raise substantial doubt about the Company's ability to continue as a going concern for one year after the date that the combined financial statements are issued.
Auditors' Responsibilities for the Audit of the Combined Financial Statements
Our objectives are to obtain reasonable assurance about whether the combined financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditors' report that includes our opinion. Reasonable assurance is a high level of assurance but is not absolute assurance and therefore is not a guarantee that an audit conducted in accordance with GAAS will always detect a material misstatement when it exists. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control. Misstatements are considered material if there is a substantial likelihood that, individually or in the aggregate, they would influence the judgment made by a reasonable user based on the combined financial statements.
In performing an audit in accordance with GAAS, we
Exercise professional judgment and maintain professional skepticism throughout the audit.
Identify and assess the risks of material misstatement of the combined financial statements, whether due to fraud or error, and design and perform audit procedures responsive to those risks. Such procedures include examining, on a test basis, evidence regarding the amounts and disclosures in the combined financial statements.
Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company's internal control. Accordingly, no such opinion is expressed.
Evaluate the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluate the overall presentation of the combined financial statements.
Conclude whether, in our judgment, there are conditions or events, considered in the aggregate, that raise substantial doubt about the Company's ability to continue as a going concern for a reasonable period of time.
We are required to communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit, significant audit findings, and certain internal control related matters that we identified during the audit.
MAGELLAN SPECIALTY HEALTH (A Business of Magellan Health, Inc.) COMBINED BALANCE SHEETS AS OF DECEMBER 31,
(In thousands)
As Restated 2020 As Restated 2021
ASSETS
Current Assets
Cash $ - $ -
Accounts receivable, net 41,731 53,975
Other current assets 1,154 990
Total Current Assets 42,885 54,965
Property and equipment, net 7,795 7,743
Other long-term assets 939 318
Goodwill 113,214 113,214
Other intangible assets, net 1,112 410
Total Assets $ 165,945 $ 176,650
LIABILITIES AND EQUITY
Current Liabilities
Accounts payable $ 1,500 $ 2,279
Accrued liabilities 12,854 15,030
Total Current Liabilities 14,354 17,309
Deferred income taxes 969 1,203
Note payable to affiliate 35,000 -
Other long-term liabilities 1,445 281
Total Liabilities 51,768 18,793
Net Parent investment 114,177 157,857
Total Liabilities and Equity $ 165,945 $ 176,650
See accompanying notes to Combined Financial Statements.
MAGELLAN SPECIALTY HEALTH (A Business of Magellan Health, Inc.) COMBINED STATEMENTS OF INCOME FOR THE YEARS ENDED DECEMBER 31,
(In thousands)
As Restated 2020 As Restated 2021
Net revenue
Managed care and other $ 197,362 $ 227,169
Total net revenue 197,362 227,169
Costs and expenses
Direct service costs and other operating expenses (1) 153,545 185,768
Depreciation and amortization 5,228 6,616
Interest expense for note payable to affiliate 1,900 1,663
Special charges 282 22
Total costs and expenses 160,955 194,069
Income before income taxes 36,407 33,100
Provision for income taxes 9,545 8,635
Net income $ 26,862 $ 24,465
(1) Includes stock compensation expense of $1,420 and $1,315 for the years ended December 31, 2020 and 2021, respectively. Refer to Note 2 Summary of Significant Accounting Policies for further detail.
See accompanying notes to Combined Financial Statements.
MAGELLAN SPECIALTY HEALTH (A Business of Magellan Health, Inc.) COMBINED STATEMENTS OF NET PARENT INVESTMENT
(In thousands)
As Restated Total
Balance at December 31, 2019 $ 99,394
Stock compensation expense 1,420
Net income 26,862
Net transfers to Parent (13,499)
Balance at December 31, 2020 114,177
Stock compensation expense 1,315
Net income 24,465
Contribution of note receivable from Parent 35,000
Net transfers to Parent (17,100)
Balance at December 31, 2021 $ 157,857
See accompanying notes to Combined Financial Statements.
MAGELLAN SPECIALTY HEALTH (A Business of Magellan Health, Inc.) COMBINED STATEMENTS OF CASH FLOWS FOR THE YEARS ENDED DECEMBER 31,
(In thousands)
As Restated 2020 As Restated 2021
Cash flows from operating activities
Net income $ 26,862 $ 24,465
Adjustments to reconcile net income to net cash from operating activities
Depreciation and amortization 5,228 6,616
Special charges 282 22
Non-cash stock compensation expense 1,420 1,315
Non-cash income tax provision (393) 234
Changes in assets and liabilities, net of effects from acquisitions of businesses
Accounts receivable, net (10,151) (12,244)
Accounts payable and accrued liabilities 532 2,933
Other assets and liabilities (328) (379)
Net cash provided by operating activities 23,452 22,962
Cash flows from investing activities
Capital expenditures (4,953) (5,862)
Net cash used in investing activities (4,953) (5,862)
Cash flows from financing activities
Net transfers (to) from Parent (13,499) (17,100)
Payments on note payable to affiliate (1) (5,000) -
Net cash used in financing activities (18,499) (17,100)
Net increase (decrease) in cash - -
Cash at beginning of period - -
Cash at end of period $ - $ -
(1) Refer to Note 6 Related Party Transactions for further detail.
See accompanying notes to Combined Financial Statements.
MAGELLAN SPECIALTY HEALTH
(A business of Magellan Health, Inc.)
NOTES TO COMBINED FINANCIAL STATEMENTS
1. Organization and Nature of Operations
The accompanying combined carve-out financial statements include the historical accounts of Magellan Specialty Health (referred to as Specialty Health or the "Company"), part of the Healthcare segment of Magellan Health, Inc. ( Magellan or the Parent ). Magellan was acquired by, and became a wholly owned subsidiary of, Centene Corporation ("Centene") effective as of January 4, 2022.
The Company is focused on delivering innovative specialty solutions for the fastest growing, most complex areas of healthcare. The Company develops innovative solutions that combine advanced analytics, agile technology and clinical excellence to drive better decision making and positively impact members' health outcomes. The Company provides its management services primarily through (i) risk-based contractual arrangements or (ii) administrative services only ("ASO") contractual arrangements. Additional information regarding the Company's contractual arrangements is provided in "Revenue Recognition" below.
The Company's customers include health plans for whom Magellan provides carve-out management services for areas of specialty healthcare including diagnostic imaging, musculoskeletal management, cardiac and physical medicine. These management services can be applied broadly across commercial, Medicaid and Medicare populations, or on a more targeted basis for our health plan customers.
Restatement of Previously Issued Combined Financial Statements
Subsequent to the issuance of the combined financial statements as of and for the years ended December 31, 2020 and December 31, 2021, we identified an error in the application of ASC Topic 606, Revenue Recognition, related to principal accounting (gross accounting) versus agent accounting (net accounting) for risk-based contractual arrangements as well as the classification of certain assets and liabilities that were subject to offset. It was determined that we should have applied net accounting to the risk-based contractual arrangements, so the variable consideration is based on the premiums related to the contracts less the costs to provide such services, where our previously issued combined financial statements accounted for the transactions on a gross accounting basis. Additionally, due to the right of offset terms in certain contracts, certain assets and liabilities should have been netted against each other. These errors overstated managed care and other revenues and cost of care, along with the associated subtotals, in our previously issued combined statements of income. These errors also overstated accounts receivable, net, medical claims payable, and other medical liabilities, along with the associated subtotals, in our previously issued combined balance sheets. The correction of these errors also indirectly impacted other accounts, including accrued liabilities, deferred income taxes, and net parent investment, in our previously issued combined balance sheets, combined statement of net parent investment, and combined statements of cash flows or disclosures, as presented in the table below.
We evaluated the effect of the error corrections detailed in the tables below on the previously issued combined financial statements, both individually and in the aggregate, in accordance with the guidance in ASC Topic 250, Accounting Changes and Error Corrections, and concluded that the effect of such errors was material to the previously issued combined financial statements as of and for the years ended December 31, 2020 and December 31, 2021. These corrections do not relate to or have any impact on the Company's income before income taxes and net income, which are unchanged from the previously issued combined financial statements.
The Company has also made other corrections to the previously issued combined financial statements related to reclassifications between depreciation and amortization expense and direct service costs and other operating expenses in the amount of $1.6 million and $1.5 million for December 31, 2020 and 2021, respectively. The tables below reflect the line items of the Company's combined financial statements that were impacted by the errors as well as these other corrections.
Combined Balance Sheets
(In thousands) December 31, 2020 December 31, 2021
As Originally Reported Adjustments As Restated As Originally Reported Adjustments As Restated
Assets
Accounts receivable, net $ 76,128 $ (34,397) $ 41,731 $ 133,653 $ (79,678) $ 53,975
Total Current Assets 77,282 (34,397) 42,885 134,643 (79,678) 54,965
Total Assets 200,342 (34,397) 165,945 256,328 (79,678) 176,650
Liabilities and Equity
Accrued liabilities 18,058 (5,204) 12,854 13,718 1,312 15,030
Medical claims payable 11,682 (11,682) - 51,752 (51,752) -
Other medical liabilities 17,511 (17,511) - 29,238 (29,238) -
Total Current Liabilities 48,751 (34,397) 14,354 96,987 (79,678) 17,309
Deferred income taxes 445 524 969 8 1,195 1,203
Total Liabilities 85,641 (33,873) 51,768 97,276 (78,483) 18,793
Net Parent investment 114,701 (524) 114,177 159,052 (1,195) 157,857
Total Liabilities and Equity 200,342 (34,397) 165,945 256,328 (79,678) 176,650
Combined Statement of Income
(In thousands) For the Year Ended December 31, 2020 For the Year Ended December 31, 2021
As Originally Reported Adjustments As Restated As Originally Reported Adjustments As Restated
Managed care and other $ 459,067 $ (261,705) $ 197,362 $ 694,378 $ (467,209) $ 227,169
Total net revenue 459,067 (261,705) 197,362 694,378 (467,209) 227,169
Cost of care 261,705 (261,705) - 467,209 (467,209) -
Direct service costs and other operating expenses 151,961 1,584 153,545 184,267 1,501 185,768
Depreciation and amortization 6,812 (1,584) 5,228 8,117 (1,501) 6,616
Total costs and expenses 422,660 (261,705) 160,955 661,277 (467,208) 194,069
Combined Statements of Net Parent Investment
(In thousands) For the Years Ended December 31, 2020 and 2021
As Originally Reported Adjustments As Restated
Balance at December 31, 2019 $ 100,035 $ (641) $ 99,394
Net transfers to Parent (13,616) 117 (13,499)
Balance at December 31, 2020 114,701 (524) 114,177
Net transfers to Parent (16,429) (671) (17,100)
Balance at December 31, 2021 159,052 (1,195) 157,857
Combined Statements of Cash Flows
(In thousands) For the Year Ended December 31, 2020 For the Year Ended December 31, 2021
As Originally Reported Adjustments As Restated As Originally Reported Adjustments As Restated
Cash flows from operating activities
Depreciation and amortization $ 6,812 $ (1,584) $ 5,228 $ 8,117 $ (1,501) $ 6,616
Non-cash income tax provision (275) (118) (393) (437) 671 234
Changes in assets and liabilities, net of effects from acquisitions of businesses
Accounts receivable, net (9,983) (168) (10,151) (57,525) 45,281 (12,244)
Accounts payable and accrued liabilities 6,303 (5,771) 532 (3,583) 6,516 2,933
Medical claims payable and other medical liabilities (6,847) 6,847 - 51,797 (51,797) -
Other assets and liabilities (1,005) 677 (328) (1,880) 1,501 (379)
Net cash provided by operating activities 23,569 (117) 23,452 22,291 671 22,962
Cash flows from financing activities
Net transfers (to) from Parent (13,616) 117 (13,499) (16,429) (671) (17,100)
Net cash used in financing activities (18,616) 117 (18,499) (16,429) (671) (17,100)
The accompanying applicable Notes to the combined financial statements have been updated to reflect the restatement, as well as other corrections, as of and for the years ended December 31, 2020 and December 31, 2021.
2. Summary of Significant Accounting Policies
Basis of Presentation
The accompanying Combined Financial Statements have been prepared in accordance with accounting principles generally accepted in the United States ( U.S. GAAP ) from the consolidated financial statements and accounting records of Magellan using the historical results of operations and historical cost basis of the assets and liabilities of Magellan that comprise Specialty Health. The Company has historically operated as part of Magellan and not as a stand-alone company and has no separate legal status or existence. Consequently, stand-alone financial statements have not historically been prepared by Specialty Health. The accompanying Combined Financial Statements have been prepared from Magellan's historical consolidated financial statements and accounting records and are presented on a stand-alone basis as if the Company's operations had been conducted independently from Magellan. All intercompany accounts within Specialty Health have been eliminated within these statements.
The operations comprising Specialty Health are in various legal entities, owned 100% by the Parent, in which Specialty Health has no direct ownership relationship. References in these Combined Financial Statements to subsidiaries of Magellan Specialty Health refers to legal entities that are primarily engaged in operating activities that are dedicated to the business of Specialty Health. The Company's business is primarily composed of all of the business of National Imaging Associates, Inc. ("NIA"), as well as the specialty risk business written by Magellan Providers of Texas, Inc. ("MPT") and Magellan Life Insurance Company ("MLIC"). Effective January 1, 2022, the risk business written by MPT and MLIC converted to non-risk contracts. This non-risk business is written by NIA as of January 1, 2022. The financial statements have been derived from Magellan's historical accounting records and are presented on a carve-out basis.
The Combined Statements of Income include revenues and costs directly attributable to Specialty Health as well as an allocation of expenses related to functions and services provided by our Parent. The allocation methodologies have been described within the notes to the Combined Financial Statements where appropriate. The allocation methodology was revised in 2021, with more costs being allocated using a value-added basis percentage compared to 2020, where costs were primarily allocated based on a level of effort. Management assessed the impact of retroactively applying the change in methodology and determined the change would have an immaterial impact to the Company. As such, there are different methodologies applied in 2020 and 2021 results. These allocated costs are primarily related to corporate administrative expenses, and other corporate support services. The allocated costs are deemed to be settled by Specialty Health to the Parent in the period in which the expense was recorded in the Combined Statements of Income. The Combined Statements of Cash Flows present these allocated Parent functional costs as cash flows from operating activities. Due to the inherent limitation of allocations, there can be no assurance that allocated costs represent arm's length transactions.
Current and deferred income taxes and related tax expense have been determined based on the stand-alone results of the Company by applying Accounting Standards Codification No. 740, Income Taxes ("ASC 740"), to Specialty Health's operations as if it was a separate taxpayer (i.e. following the Separate Return Methodology).
The Combined Balance Sheets include all assets and liabilities that are attributable to the Specialty Health business. Assets and liabilities in shared entities were included in the stand-alone financial statements to the extent the asset is primarily used by Specialty Health. If Specialty Health is not the primary user of the asset, it was excluded entirely from the Combined Financial Statements. Any such items which exist in other entities, whether shared or otherwise, are outside of the control of Specialty Health and have been excluded from the Combined Financial Statements. Our Parent's third-party debt and the related interest have not been allocated to us for any of the periods presented because our Parent's borrowings are primarily for corporate cash purposes and are not directly attributable to the Company. In addition, the Company did not guarantee the debt nor is the Company jointly and severally liable for Parent's debt.
The Company utilizes the Parent's centralized processes and systems for cash management, payroll, purchasing, and distribution. Accordingly, cash, related party debt and related party interest have been attributed to Specialty Health in the Combined Financial Statement only to the extent such items have been legal entitled to the Company. The net results of these cash transactions between the Company and the Parent are reflected within net Parent investment in the accompanying combined balance sheets. In addition, net Parent investment represents the Parent's interest in the recorded net assets of Specialty Health and represents the cumulative net investment by the Parent in Specialty Health through the dates presented, inclusive of cumulative operating results.
The financial information included herein may not necessarily reflect the combined financial position, results of operations, changes in net Parent investment and cash flows of Specialty Health in the future or what they would have been had the Company been a separate, stand-alone entity during the periods presented.
Basis of Combination
The Combined Financial Statements are presented on a stand-alone basis and include the financial position, statements of income and cash flows of Specialty Health. All significant intercompany accounts and transactions within Specialty Health have been eliminated in the accompanying Combined Financial Statements. All intercompany balance receivables and payables between our Parent and Specialty Health are considered settled through net transfers to Parent.
Net Parent Investment
Specialty Health 's equity on the Combined Balance Sheets represents our Parent's historical net investment in the Company, and is presented as net Parent investment in lieu of stockholders' equity given Specialty Health has no direct ownership relationship in the various entities comprising its operations. The Combined Statements of net Parent investment include corporate allocations, net cash transfers and other property transfers between our Parent and the Company. All transactions reflected in net Parent investment in the accompanying Combined Balance Sheets have been considered cash receipts and payments for purposes of the Combined Statements of Cash Flows and are reflected as financing activities in the accompanying Combined Statements of Cash Flows.
Recent Accounting Pronouncements
In June 2016, the FASB issued ASU No. 2016-13, "Financial Instruments-Credit Losses (Topic 326) Measurement of Credit Losses on Financial Instruments" ("ASU 2016-13" or "ASC 326"). This ASU amends the accounting on reporting credit losses for assets held at amortized cost basis and available for sale debt securities. This guidance is effective for annual and interim periods of public entities beginning after December 15, 2019, with early adoption permitted for fiscal years beginning after December 31, 2018. The Company adopted ASC 326 on a modified retrospective basis on January 1, 2020. The adoption of ASC 326 did not have a material impact on the Company's combined results of operation, financial position and cash flows.
In August 2018, the FASB issued ASU No. 2018-15, "Intangibles-Goodwill and Other-Internal-Use Software (Subtopic 350-40) Customer's Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That Is a Service Contract" ("ASU 2018-15"). This ASU aligns the requirements for capitalizing implementation costs incurred in a hosting arrangement that is a service contract with the requirements for capitalizing implementation costs incurred to develop or obtain internal-use software. This guidance is effective for annual and interim periods of public entities beginning after December 15, 2019, and was adopted by the Company in the quarter ended March 31, 2020. The effect of this guidance was immaterial to the Company's results of operations, financial position and cash flows.
In December 2019, the FASB issued ASU 2019-12, "Income Taxes (Topic 740) Simplifying the Accounting for Income Taxes," which is intended to simplify various aspects related to accounting for income taxes. ASU 2019-12 removes certain exceptions to the general principles in Topic 740 and also clarifies and amends existing guidance to improve consistent application. ASU 2019-12 was effective for the Company on January 1,
2021. The adoption of this standard did not have a material impact on the Company's Combined Financial Statements and related disclosures.
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 net revenue during the reporting period. Significant estimates of the Company can include, among other things, valuation of intangible assets, valuation of goodwill, stock compensation assumptions, tax contingencies and legal liabilities. In addition, the Company also makes estimates in relation to revenue recognition under Accounting Standard Codification 606 ("ASC 606") which are explained in more detail in "Revenue Recognition" below. Actual results could differ from those estimates.
All of the Company's revenues are derived from business in North America. The following tables disaggregate our revenue for the years ended December 31, 2020 and 2021 by major service line, type of customer and timing of revenue recognition (in thousands)
2020 2021
Major Service Lines
Risk-based $ 79,004 $ 81,240
ASO 118,358 145,929
Total net revenue $ 197,362 $ 227,169
Type of Customer
Government $ - $ -
Non-government 197,362 227,169
Total net revenue $ 197,362 $ 227,169
Timing of Revenue Recognition
Transferred at a point in time $ - $ -
Transferred over time 197,362 227,169
Total net revenue $ 197,362 $ 227,169
Per Member Per Month ("PMPM") Revenue. The Company provides its management services primarily through (i) risk-based contractual arrangements, where the Company assumes all or a substantial portion of the responsibility for the cost of providing treatment services in exchange for a fixed PMPM capitation payment, or (ii) ASO contractual arrangements, where the Company provides services such as utilization review, but does not assume full responsibility for the cost of the treatment services, in exchange for an administrative fee and, in some instances, shared savings. The risk-based contracts have provision that include "profit share." Under a contract with profit share provisions, if the cost to provide the care is below certain specified levels, the Company will "share" the cost savings with the customer at the percentages set forth in the contract. In addition, certain contracts include provisions to provide the Company additional funding if the cost of care is above the specified levels. Based on right to offset terms in certain contracts, the Company reflected accounts receivable net of the accrued liabilities related to the cost of the treatment services and profit share liability by customer. If the customer was in a payable position the net liability was included within accrued liabilities.
Almost all of the Specialty Health revenue is paid on a PMPM basis and is inclusive of revenue from the Company's risk-based contracts and ASO contracts for services provided to its customers. PMPM contracts generally have a term of one year or longer. All managed care contracts have a single performance obligation that
constitutes a series for the provision of managed healthcare services for a population of enrolled members for the duration of the contract. The transaction price for risk-based contracts or ASO contracts is entirely variable as it primarily includes PMPM fees associated with unspecified membership that fluctuates throughout the contract. In certain contracts, PMPM fees also include adjustments for things such as performance incentives, performance guarantees and risk shares.
The Company generally estimates the transaction price using an expected value methodology and amounts are only included in the net transaction price to the extent that it is probable that a significant reversal of cumulative revenue will not occur once any uncertainty is resolved. The majority of the Company's net PMPM transaction price relates specifically to its efforts to transfer the service for a distinct increment of the series (e.g. day or month) and is recognized as revenue in the month in which members are entitled to service. The remaining transaction price is recognized over the contract period (or portion of the series to which it specifically relates) based upon estimated membership as a measure of progress.
The performance obligation on an activity-based contract is to stand ready to provide the activity or services purchased by the customer. The performance obligation represents a series for the duration of the arrangement. The PMPM rate is fixed per the contract however, the level of activity is variable. A majority of the Company's transaction price relates specifically to its efforts to transfer the service for a distinct increment of the series (e.g. day or month) and is recognized as revenue when the portion of the series for which it relates has been provided.
In accordance with ASC 606-10-50-13, the Company is required to include disclosure on its remaining performance obligations as of the end of the current reporting period. The majority of the Company's contracts meet certain exemptions as defined in ASC 606-10-50-14 through 606-10-50-14A, including (i) performance obligation is part of a contract that has an original expected duration of one year or less (ii) the right to invoice practical expedient and (iii) variable consideration related to unsatisfied performance obligations that is allocated entirely to a wholly unsatisfied promise to transfer a distinct service that forms part of a single performance obligation, and the terms of that variable consideration relate specifically to our efforts to transfer the distinct service, or to a specific outcome from transferring the distinct service. For the Company's contracts that pertain to these exemptions (i) the remaining performance obligations primarily relate to the provision of managed healthcare services to the customers' membership (ii) the estimated remaining duration of these performance obligations ranges from the remainder of the current calendar year to three years and (iii) variable consideration for these contracts as determined in accordance with the methodology above associated with unspecified membership that fluctuates throughout the contract.
Accounts Receivable and Contract Assets
Accounts receivable and contract assets consisted of the following (in thousands)
December 31, 2020 December 31, 2021
Accounts receivable, net $ 41,288 $ 50,898
Contract assets 1,364 3,028
Based on the right to offset contractual provisions, the Company reflected accounts receivable net of accrued medical costs for treatment, customer settlements, and profit share as these are all included in the annual settlements with the respective customers. Accounts receivable, net for December 31, 2020, includes gross accounts receivable of $66.4 million, which was offset by profit share of $17.5 million, customer settlements of $6.5 million and accrued medical costs for treatment of $1.1 million. Accounts receivable, net for December 31, 2021, includes gross accounts receivable of $130.6 million, which was offset by accrued medical costs for treatment of $50.0 million, profit share of $29.2 million and customer settlements of $0.5 million. Accounts receivable, net which are included in accounts receivable, net on the combined balance sheets, increased by $9.6 million, mainly due to new business. Contract assets, which are included in accounts receivable and in other current assets on the combined
balance sheets, increased by $1.6 million, mainly due to a new contract provision with a customer for shared savings which are earned over the contract year. This increase was partially offset by a reduction in prepaid contract discounts.
The Company's accounts receivable consists of amounts due from customers throughout the United States. Collateral is generally not required. A majority of the Company's contracts have payment terms in the month of service, or within a few months thereafter. The timing of payments from customers from time to time generates contract assets or contract liabilities, however these amounts are immaterial.
The Company's accounts receivable is net of an allowance for credit losses. The estimate of current expected credit losses on trade receivables considers historical credit loss information that is adjusted for current conditions and reasonable and supportable forecasts. Management elected to disaggregate trade receivables into business segments due to risk characteristics unique to each platform given the individual lines of business and market. Pooling was further disaggregated based on either geography or product type.
The Company leveraged historical write offs over a defined lookback period in deriving a historical loss rate. The expected credit loss model further considers current conditions and reasonable and supportable forecasts through the use of an adjustment for current and projected macroeconomic factors. Management identified appropriate macroeconomic indicators based on tangible correlation to historical losses, giving consideration to the location and risks associated with the Company's customers.
Concentration of Credit Risk
Accounts receivable subjects the Company to a concentration of credit risk with third party payors that include health insurance companies, managed healthcare organizations and healthcare providers.
Significant Customers
Customers exceeding ten percent of the combined Company's net revenues
There was one customer that generated in excess of ten percent of net revenues for the years ended December 31, 2020 and 2021 (in thousands)

Frequently Asked Questions

What does Magellan Specialty Health's financial statements cover?

They encompass the combined balance sheets, income statements, net parent investment, and cash flows for 2020 and 2021.

Who conducted the audit for Magellan Specialty Health's financials?

An independent auditor audited the combined financial statements, ensuring conformity with U.S. accounting principles.

What was Magellan Specialty Health's net income for 2021?

The net income for 2021 was $24,465,000.

How much did Magellan's total assets amount to in 2021?

Total assets for 2021 were $176,650,000.

What were the total liabilities for Magellan Specialty Health in 2021?

The total liabilities amounted to $18,793,000 in 2021.

Last updated: Sep 26, 2023