HMS Holdings Corp. (Nasdaq:HMSY) today announced financial results
for the first quarter of 2018. Net income for the quarter ended
March 31, 2018 was $6.4 million or $0.07 per diluted share,
compared to net income of $25.7 million or $0.30 per diluted share
in the fourth quarter of 2017 and $1.4 million or $0.02 per diluted
share in the prior year first quarter. Net income in the quarter
included a net benefit of $0.05 per diluted share related to a
reversal of the Company’s reserve liability for open or pending
Medicare RAC appeals following expiration of the RAC contract on
January 31, 2018 (the “Reserve Release”). Net income in the
fourth quarter of 2017 included a non-cash tax benefit of $15.1
million or $0.18 per diluted share, due to the revaluation of the
Company’s deferred tax balances pursuant to the tax rate reduction
included in the federal tax legislation enacted in December of last
year (the “Revaluation of Deferred Tax Balances”).
Adjusted EPS in the first quarter of 2018 was
$0.22 per diluted share compared to adjusted EPS of $0.49 per
diluted share in the fourth quarter of 2017 and adjusted EPS of
$0.13 per diluted share in the prior year first quarter. Adjusted
EPS in the first quarter of 2018 included a net benefit of $0.05
per diluted share related to the Reserve Release. Adjusted
EPS in the fourth quarter of 2017 included a non-cash tax benefit
of $0.25 per diluted share, due to the Revaluation of Deferred Tax
Balances.
Total revenue in the first quarter of 2018 was
$141.4 million, compared to total revenue of $148.5 million in the
fourth quarter of 2017 and $113.7 million in the prior year first
quarter. Revenue in the first quarter of 2018 included $8.4 million
in Medicare RAC revenue resulting from the Reserve Release.
Adjusted EBITDA in the first quarter of 2018 was $34.9 million,
compared to $40.2 million in the fourth quarter of 2017 and $19.9
million in the prior year first quarter.
"Our first quarter financial performance exceeded our
expectations and represents a solid beginning to the new year. The
sequential and year-over-year growth in payment integrity (PI)
revenue is particularly encouraging and further indication that the
enhanced analytics implemented in the back half of last year are
having a sustained impact on throughput in our PI business," said
Bill Lucia, Chairman and CEO. “Payers in recent years have
increasingly focused on better understanding the health status of
their members and effectively communicating with them to improve
outcomes, which we believe creates a favorable environment for
cross-sales of our care management and consumer engagement
solutions in 2018.”
Commercial revenue was $71.8 million in the
first quarter of 2018, compared to $55.1 million in the prior year
first quarter - prior to the April 2017 acquisition of Eliza
Holding Corp. (“Eliza”) - and $77.2 million in the fourth quarter
of 2017. Commercial revenue in the first quarter of 2018 included
$9.7 million from Eliza, compared to $12.9 million in the fourth
quarter of 2017. State government revenue was $54.6 million in the
first quarter of 2018, compared to $53.3 million in the prior year
first quarter and $64.2 million in the fourth quarter of 2017. The
sequential quarterly decline in commercial and state government
revenue was expected and consistent with Company projections.
Federal (including Medicare RAC) and other revenue was $15.0
million in the first quarter of 2018, a $9.7 million increase
compared to the prior year first quarter and $7.9 million higher
than the fourth quarter of 2017. Medicare RAC revenue of $10.0
million in the quarter included $8.4 million related to the Reserve
Release.
Coordination of benefits (COB) revenue was $91.7
million in the first quarter of 2018, compared to $88.5 million in
the prior year first quarter and $105.7 million in the fourth
quarter of 2017. COB accounted for 64.9% of total revenue in the
first quarter, compared to 77.8% in the prior year first quarter
and 71.2% in the fourth quarter of 2017. Revenue from analytical
services, which includes PI, Medicare RAC and care management and
consumer engagement solutions, was $49.7 million in the first
quarter of 2018, compared to $25.2 million in the prior year first
quarter (prior to the Eliza acquisition) and $42.8 million in the
fourth quarter of 2017. PI revenue was $28.7 million in the first
quarter of 2018, compared to $24.3 million in the prior year first
quarter and $26.7 million in the fourth quarter of 2017, and care
management and consumer engagement revenue was $11.0 million.
Capital expenditures in the first quarter of 2018 were $5.8
million, compared to $10.7 million in the fourth quarter of 2017
and $8.5 million in the prior year first quarter.
Pursuant to the Company’s $50 million share
repurchase program announced in November 2017, the Company
purchased approximately 384,000 shares for approximately $6.0
million in the first quarter of 2018.
"Our previous Medicare RAC contract with CMS ended on January
31, 2018. As a result, the contract obligation to maintain a
reserve for open or pending appeals ceased. The associated reserves
of $8.4 million were, therefore, released in the first quarter
which had a net impact of $0.05 per diluted share on both net
income and adjusted EPS in the first quarter," said Jeff Sherman,
CFO. "Our effective tax rate in the quarter was slightly above the
rate we expect on a full year basis, due primarily to a higher
level of stock compensation related to annual equity grants to
employees made in the first quarter of each year. Net of the
benefit of the reserve release, we believe that normalized total
revenue of $133 million and normalized adjusted EBITDA of $28.6
million in the quarter position us nicely to reach our full year
2018 financial objectives.”
For additional information about the Company’s
first quarter 2018 financial results, see the Q1 2018 Investor
Presentation available on the HMS Investor Relations Website at
http://investor.hms.com/events-and-presentations.
Webcast and Conference Call Information
HMS will report its preliminary first quarter
2018 financial and operating results via webcast at 7:30 AM CT /
8:30 AM ET on May 4, 2018. The webcast may also include discussion
of HMS developments, forward-looking statements and other material
information about business and financial matters. The webcast can
be accessed via phone at (877) 303–7208 or (224) 357–2389 for
international participants, or on the HMS Investor Relations
website at http://investor.hms.com/events-and-presentations. The
webcast will also be archived and available for replay beginning at
approximately 11:00 AM CT / 12:00 PM ET on May 4, 2018 at
http://investor.hms.com/events-and-presentations. This press
release and the financial statements contained herein are also
available on the HMS Investor Relations website at
http://investor.hms.com/releases.cfm.
About HMS
HMS is a leading provider of cost containment
solutions in the U.S. healthcare marketplace. Using innovative
technology as well as extensive data services and powerful
analytics, the Company delivers coordination of benefits, payment
integrity, and care management and consumer engagement solutions to
help healthcare payers improve financial performance and clinical
outcomes. Together our various services help customers recover
improper payments; prevent future improper payments; reduce fraud,
waste and abuse; better manage the care their members receive;
engage healthcare consumers to improve clinical outcomes and
increase retention; and achieve regulatory compliance. The
Company serves commercial health plans, state government agencies,
federal programs, at-risk providers, pharmacy benefit managers,
employers and other healthcare payers and sponsors. The Company
also serves as a subcontractor for certain business outsourcing and
technology firms.
Trademarks
HMS, Eliza and the HMS logo are registered
trademarks of HMS Holdings Corp. and/or its affiliates. Other
names may be trademarks of their respective owners.
Non-GAAP Financial Measures
The Company reports and discusses its operating
results using financial measures consistent with accounting
principles generally accepted in the United States ("GAAP"). From
time to time, in press releases, financial presentations, earnings
conference calls or otherwise, the Company may disclose certain
non-GAAP financial measures. The non-GAAP financial measures
presented in this press release should not be viewed as
alternatives or substitutes for the Company's reported GAAP
results. A reconciliation to the most directly comparable GAAP
financial measure is set forth in the tables that accompany this
press release.
The Company believes that the non-GAAP financial
measures presented in this press release provide useful information
to the Company's management, investors, and other interested
parties about the Company's operating performance because they
allow them to understand and compare the Company's operating
results during the current periods to the prior year periods in a
more consistent manner. The non-GAAP measures presented in this
press release may not be comparable to similarly titled measures
used by other companies. These non-GAAP financial measures are used
in addition to and in conjunction with results presented in
accordance with GAAP and reflect an additional way of viewing
aspects of the Company's operations that, when viewed with GAAP
results and the accompanying reconciliations to corresponding GAAP
financial measures, provides a more complete understanding of the
results of operations and trends affecting the Company's business.
These non-GAAP financial measures should be considered as a
supplement to, and not as a substitute for, or superior to
financial measures calculated in accordance with GAAP.
Safe Harbor Statement
The financial results in this press release
reflect preliminary results, which are not final until the
Company’s Form 10-Q for the quarter ended March 31, 2018 is filed
with the Securities and Exchange Commission. This press release
contains "forward-looking statements" within the meaning of the
U.S. Private Securities Litigation Reform Act of 1995. Such
statements relate to our current expectations, projections and
assumptions about our business, the economy and future events or
conditions. They do not relate strictly to historical or current
facts. Forward‐looking statements can be identified by words such
as “aims,” “anticipates,” “believes,” “estimates,” “expects,”
“forecasts,” “intends,” “likely,” “may,” “plans,” “projects,”
“seeks,” “targets,” “will,” “would,” “could,” “should,” and similar
expressions and references to guidance, although some
forward-looking statements may be expressed differently. In
particular, these include statements relating to future actions,
business plans, objectives and prospects, and future operating or
financial performance. In addition, statements in this press
release regarding potential future repurchases of shares of our
common stock under the share repurchase program and expected
results with respect to future share purchases are forward-looking
statements subject to uncertainties. Factors or events that could
cause actual results to differ may emerge from time to time and are
difficult to predict. Should known or unknown risks or
uncertainties materialize, or should underlying assumptions prove
inaccurate, actual results may differ materially from past results
and those anticipated, estimated or projected. We caution you not
to place undue reliance upon any of these forward-looking
statements.
Factors that could cause or contribute to such
differences, include, but are not limited to: our ability to
execute our business plans or growth strategy; our ability to
innovate, develop or implement new or enhanced solutions or
services; the nature of investment and acquisition opportunities we
are pursuing, and the successful execution of such investments and
acquisitions; our ability to successfully integrate acquired
businesses and realize synergies; variations in our results of
operations; our ability to accurately forecast the revenue under
our contracts and solutions; our ability to protect our systems
from damage, interruption or breach, and to maintain effective
information and technology systems and networks; our ability to
protect our intellectual property rights, proprietary technology,
information processes, and know-how; significant competition
relating to solutions and services; our failure to maintain a high
level of customer retention or the unexpected reduction in scope or
termination of key contracts with major customers; customer
dissatisfaction or our non-compliance with contractual provisions
or regulatory requirements; our failure to meet performance
standards triggering significant costs or liabilities under our
contracts; our inability to manage our relationships with
information and data sources and suppliers; our reliance on
subcontractors and other third party providers and parties to
perform services; our ability to continue to secure contracts and
favorable contract terms through the competitive bidding process;
pending or threatened litigation; unfavorable outcomes in legal
proceedings; our success in attracting and retaining qualified
employees and members of our management team; our ability to
generate sufficient cash to cover our interest and principal
payments under our credit facility, or to borrow, obtain financing,
maintain liquidity or use credit; unexpected changes in tax laws,
regulations or guidance and unexpected changes in our effective tax
rates; unanticipated increases in the number or amount of claims
for which we are self-insured; our ability to develop, implement
and maintain effective internal control over financial reporting;
changes in the U.S. healthcare environment or healthcare financing
system, including regulatory, budgetary or political actions that
affect healthcare spending or the practices and operations of
healthcare organizations; our failure to comply with applicable
laws and regulations governing individual privacy and information
security or to protect such information from theft and misuse; our
ability to comply with current and future legal and regulatory
requirements; negative results of government or customer reviews,
audits or investigations; state or federal limitations related to
outsourcing of certain government programs or functions;
restrictions on bidding or performing certain work due to perceived
conflicts of interests; the market price of our common stock and
lack of dividend payments; and anti-takeover provisions in our
corporate governance documents; and other factors, risks and
uncertainties described in our most recent Annual Report on Form
10-K and in our other filings with the Securities and Exchange
Commission. With respect to our expected effective annual tax rate
for 2018, this reflects our current reasonable estimate of the
income tax effects of the recently enacted tax legislation, however
these are provisional amounts subject to adjustment during the
one-year measurement period. Any forward-looking statements are
made as of the date of this press release. Except as may be
required by law, we disclaim any obligation to publicly update
forward-looking statements, whether as a result of new information,
future events or otherwise.
|
|
Investor Contact: |
Media Contact: |
|
|
Dennis Oakes |
Maria Perrin |
SVP, Investor
Relations |
Media Relations |
dennis.oakes@hms.com |
maria.perrin@hms.com |
212-857-5786 |
925-858-4881 |
|
|
|
HMS HOLDINGS CORP. AND
SUBSIDIARIESCONSOLIDATED STATEMENTS OF
INCOME(in thousands, except per share
amounts) (unaudited) |
|
|
Three Months EndedMarch
31, |
|
|
2018 |
|
|
|
2017 |
|
Revenue |
$ |
141,425 |
|
|
$ |
113,733 |
|
Cost of services: |
|
|
|
Compensation |
|
56,079 |
|
|
|
48,920 |
|
Information technology |
|
12,263 |
|
|
|
9,783 |
|
Occupancy |
|
4,383 |
|
|
|
3,547 |
|
Direct
project expenses |
|
10,083 |
|
|
|
10,443 |
|
Other
operating expenses |
|
6,565 |
|
|
|
7,203 |
|
Amortization of acquisition related software and intangible
assets |
|
8,132 |
|
|
|
6,286 |
|
Total
cost of services |
|
97,505 |
|
|
|
86,182 |
|
Selling,
general and administrative expenses |
|
31,998 |
|
|
|
23,608 |
|
Total operating expenses |
|
129,503 |
|
|
|
109,790 |
|
Operating income |
|
11,922 |
|
|
|
3,943 |
|
Interest expense |
|
(2,648 |
) |
|
|
(2,286 |
) |
Interest
income |
|
120 |
|
|
|
155 |
|
Income before income taxes |
|
9,394 |
|
|
|
1,812 |
|
Income
taxes |
|
3,003 |
|
|
|
370 |
|
Net income |
$ |
6,391 |
|
|
$ |
1,442 |
|
|
|
|
|
Basic income
per common share: |
|
|
|
Net income per common share -- basic |
$ |
0.08 |
|
|
$ |
0.02 |
|
Diluted income
per common share: |
|
|
|
Net income per common share -- diluted |
$ |
0.07 |
|
|
$ |
0.02 |
|
Weighted
average shares: |
|
|
|
Basic |
|
83,933 |
|
|
|
83,617 |
|
Diluted |
|
85,682 |
|
|
|
85,580 |
|
|
|
|
|
|
|
|
|
|
HMS HOLDINGS CORP. AND
SUBSIDIARIESCONSOLIDATED BALANCE
SHEETS(in thousands, except share and per share
amounts) |
|
|
March 31, 2018 |
|
December 31,2017 |
Assets |
(unaudited) |
|
|
Current assets: |
|
Cash and
cash equivalents |
$ |
83,898 |
|
|
$ |
83,313 |
|
Accounts
receivable, net of allowance of $14,371 and $14,799, |
|
|
|
at
March 31, 2018 and December 31, 2017, respectively |
|
187,132 |
|
|
|
189,460 |
|
Prepaid
expenses |
|
14,050 |
|
|
|
16,589 |
|
Income
tax receivable |
|
— |
|
|
|
1,892 |
|
Deferred
financing costs, net |
|
564 |
|
|
|
564 |
|
Other current assets |
|
367 |
|
|
|
836 |
|
Total
current assets |
|
286,011 |
|
|
|
292,654 |
|
Property and equipment,
net |
|
96,037 |
|
|
|
98,581 |
|
Goodwill |
|
487,617 |
|
|
|
487,617 |
|
Intangible assets,
net |
|
85,361 |
|
|
|
91,482 |
|
Deferred financing
costs, net |
|
2,096 |
|
|
|
2,237 |
|
Other
assets |
|
2,614 |
|
|
|
2,589 |
|
Total assets |
$ |
959,736 |
|
|
$ |
975,160 |
|
|
|
|
|
Liabilities and
Shareholders' Equity |
|
|
|
Current
liabilities: |
|
|
|
Accounts
payable, accrued expenses and other liabilities |
$ |
45,445 |
|
|
$ |
61,900 |
|
Income
tax payable |
|
1,027 |
|
|
|
— |
|
Estimated liability for appeals |
|
22,622 |
|
|
|
30,787 |
|
Total current liabilities |
|
69,094 |
|
|
|
92,687 |
|
Long-term
liabilities: |
|
|
|
Revolving
credit facility |
|
240,000 |
|
|
|
240,000 |
|
Net
deferred tax liabilities |
|
21,212 |
|
|
|
21,989 |
|
Deferred
rent |
|
4,673 |
|
|
|
4,852 |
|
Other liabilities |
|
9,614 |
|
|
|
9,403 |
|
Total long-term liabilities |
|
275,499 |
|
|
|
276,244 |
|
Total liabilities |
|
344,593 |
|
|
|
368,931 |
|
Commitments and
contingencies (Note 12) |
|
|
|
Shareholders'
equity: |
|
|
|
Preferred stock --
$0.01 par value; 5,000,000 shares authorized; none issued |
|
— |
|
|
|
— |
|
Common stock -- $0.01
par value; 175,000,000 shares authorized; |
|
|
|
96,876,154 shares issued and 83,212,960 shares outstanding at March
31, 2018; |
|
|
|
96,536,251 shares issued and 83,256,858 shares outstanding at
December 31, 2017 |
|
965 |
|
|
|
965 |
|
Capital in excess of
par value |
|
375,772 |
|
|
|
368,721 |
|
Retained earnings |
|
373,982 |
|
|
|
366,164 |
|
Treasury stock, at
cost: 13,663,194 shares at March 31, 2018 |
|
|
|
and 13,279,393 shares at December 31, 2017 |
|
(135,576 |
) |
|
|
(129,621 |
) |
Total shareholders' equity |
|
615,143 |
|
|
|
606,229 |
|
Total liabilities and shareholders' equity |
$ |
959,736 |
|
|
$ |
975,160 |
|
|
|
|
|
|
|
|
|
|
HMS HOLDINGS CORP. AND
SUBSIDIARIESCONSOLIDATED STATEMENTS OF CASH
FLOWS(in thousands) |
|
|
Three Months EndedMarch
31, |
|
|
2018 |
|
|
|
2017 |
|
Operating
activities: |
|
|
|
Net income |
$ |
6,391 |
|
|
$ |
1,442 |
|
Adjustments to reconcile net income to net cash provided by
operating activities: |
|
|
|
Depreciation and amortization of property, equipment and
software |
|
7,345 |
|
|
|
6,235 |
|
Amortization of intangible assets |
|
6,121 |
|
|
|
4,327 |
|
Amortization of deferred financing costs |
|
141 |
|
|
|
521 |
|
Stock-based compensation expense |
|
9,494 |
|
|
|
5,386 |
|
Deferred
income taxes |
|
(777 |
) |
|
|
248 |
|
Loss on
disposal of assets |
|
72 |
|
|
|
- |
|
Release
of estimated liability for appeals |
|
(8,436 |
) |
|
|
- |
|
Changes
in operating assets and liabilities: |
|
|
|
Accounts
receivable |
|
2,328 |
|
|
|
6,978 |
|
Prepaid
expenses |
|
2,539 |
|
|
|
(2,677 |
) |
Other
current assets |
|
469 |
|
|
|
433 |
|
Other
assets |
|
(25 |
) |
|
|
84 |
|
Income
taxes receivable / (payable) |
|
2,919 |
|
|
|
(734 |
) |
Accounts
payable, accrued expenses and other liabilities |
|
(14,115 |
) |
|
|
(19,646 |
) |
Estimated liability for appeals |
|
271 |
|
|
|
789 |
|
Net cash provided by operating activities |
|
14,737 |
|
|
|
3,386 |
|
Investing
activities: |
|
|
|
Purchases
of property and equipment |
|
(791 |
) |
|
|
(6,282 |
) |
Investment in capitalized software |
|
(4,963 |
) |
|
|
(2,206 |
) |
Net cash used in investing activities |
|
(5,754 |
) |
|
|
(8,488 |
) |
Financing
activities: |
|
|
|
Proceeds
from exercise of stock options |
|
144 |
|
|
|
2 |
|
Payments
of tax withholdings on behalf of employees for net-share settlement
for stock-based compensation |
|
(2,587 |
) |
|
|
(2,608 |
) |
Payments
on capital lease obligations |
|
- |
|
|
|
(2 |
) |
Purchases of treasury stock |
|
(5,955 |
) |
|
|
- |
|
Net cash used in financing activities |
|
(8,398 |
) |
|
|
(2,608 |
) |
Net increase (decrease) in cash and cash
equivalents |
|
585 |
|
|
|
(7,710 |
) |
Cash and Cash
Equivalents |
|
|
|
Cash and
cash equivalents at beginning of year |
|
83,313 |
|
|
|
175,999 |
|
Cash and cash equivalents at end of period |
$ |
83,898 |
|
|
$ |
168,289 |
|
|
|
|
|
Supplemental
disclosure of cash flow information: |
|
|
|
Cash paid for income taxes |
$ |
626 |
|
|
$ |
734 |
|
Cash paid for interest |
$ |
2,055 |
|
|
$ |
1,686 |
|
|
|
|
|
Supplemental
disclosure of non-cash
activities: |
|
|
|
Change in balance of accrued property and equipment purchases |
$ |
881 |
|
|
($ |
1,244 |
) |
|
|
|
|
|
|
|
|
HMS HOLDINGS CORP. AND
SUBSIDIARIES (in
thousands)(unaudited)
Reconciliation of Net Income to EBITDA
and Adjusted EBITDA
As summarized in the following table, earnings
before interest, taxes, depreciation and amortization and
stock-based compensation expense (adjusted EBITDA) was $34.9
million for the first quarter of 2018, which includes $6.3 million
of adjusted EBITDA related to the Reserve Release.
|
|
Three Months Ended |
|
March 31, 2018 |
|
December 31, 2017 |
|
March 31, 2017 |
Net
Income |
$ |
6,391 |
|
$ |
25,723 |
|
|
$ |
1,442 |
|
Net interest
expense |
|
2,528 |
|
|
3,044 |
|
|
|
2,131 |
Income taxes |
|
3,003 |
|
|
(9,501 |
) |
|
|
370 |
Depreciation and
amortization of property and equipment and intangible assets |
|
13,466 |
|
|
13,564 |
|
|
|
10,562 |
|
|
|
|
|
|
Earnings before
interest, taxes, depreciation and amortization (EBITDA) |
|
25,388 |
|
|
32,830 |
|
|
|
14,505 |
Stock
based compensation expense |
|
9,494 |
|
|
7,382 |
|
|
|
5,386 |
Adjusted
EBITDA |
$ |
34,882 |
|
$ |
40,212 |
|
|
$ |
19,891 |
|
|
|
|
|
|
|
|
|
|
HMS HOLDINGS CORP. AND
SUBSIDIARIES (in thousands, except per share
amounts) (unaudited)
Reconciliation of Net Income to GAAP EPS
(Diluted) and Adjusted EPS (Diluted)
As summarized in the following table, diluted
earnings per share adjusted for stock-based compensation expense,
amortization of acquisition related software and intangible assets
and for the related taxes (adjusted EPS) was $0.22 for the first
quarter of 2018, which includes a net benefit of $0.05 per
diluted share related to the Reserve Release.
|
|
Three Months Ended |
|
March 31, 2018 |
|
December 31, 2017 |
|
March 31, 2017 |
Net Income |
$ |
6,391 |
|
|
$ |
25,723 |
|
$ |
1,442 |
|
|
Stock-based
compensation expense |
|
9,494 |
|
|
|
7,382 |
|
|
5,386 |
|
Amortization of
acquisition related software and intangible assets |
|
8,132 |
|
|
|
8,568 |
|
|
6,286 |
|
Income
tax related to adjustments (1) |
|
(5,505 |
) |
|
|
80 |
|
|
(2,323 |
) |
|
|
|
|
|
|
Adjusted net income |
$ |
18,512 |
|
|
$ |
41,753 |
|
$ |
10,791 |
|
|
|
|
|
|
|
Weighted average common shares, diluted |
|
85,682 |
|
|
|
84,936 |
|
|
85,580 |
|
|
|
|
|
|
|
Diluted GAAP EPS |
$ |
0.07 |
|
|
$ |
0.30 |
|
$ |
0.02 |
|
Diluted adjusted EPS |
$ |
0.22 |
|
|
$ |
0.49 |
|
$ |
0.13 |
|
(1) Tax effect of adjustments is computed as the
pre-tax effect of the adjustments multiplied by the annual
effective tax rate for the period.
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