HMS Reports Fourth Quarter and Full Year 2020 Financial Results
HMS Holdings Corp. (HMSY) reported FY'20 revenue of $673.3 million, a 7.5% increase from FY'19. However, net income fell 19.6% to $70.1 million, with GAAP EPS at $0.78, down from $0.98. Adjusted EPS improved to $1.33, up 18.8% year-over-year. Q4 revenue was $194.0 million, up 18.7%, while net income reached $32.8 million. Notably, Coordination of Benefits (COB) revenue surged 32.4% to $130.5 million, although Population Health Management (PHM) revenue declined 20.6%.
- Q4 revenue increased by 18.7% to $194.0 million.
- Adjusted EBITDA for FY'20 was $184.3 million, up 12.6%.
- Adjusted EPS rose to $1.33, up 18.8% year-over-year.
- COB revenue for FY'20 increased by 16.1% to $469.2 million.
- Net income decreased by 19.6% to $70.1 million for FY'20.
- GAAP EPS dropped to $0.78 from $0.98 in FY'19.
- Population Health Management (PHM) revenue fell by 13.3% to $52.1 million.
- FY'20 Total Revenue of
$673.3 Million , +7.5% vs. FY'19 - FY'20 Net Income of
$70.1 Million , -19.6% vs. FY'19 - FY'20 GAAP EPS of
$0.78 per Diluted Share vs.$0.98 per Diluted Share in FY'19 - FY'20 Adjusted EPS of
$1.33 per Diluted Share vs.$1.12 per Diluted Share in FY'19 (excluding net benefit of 2Q-19 Reserve Release, 3Q-19 Gain on Investment and discrete tax benefits) - FY'20 Adjusted EBITDA of
$184.3 Million , +12.6% vs. FY'19 (excluding net benefit of 2Q-19 Reserve Release and 3Q-19 Gain on Investment)
IRVING, Texas, Feb. 26, 2021 (GLOBE NEWSWIRE) -- HMS Holdings Corp. (Nasdaq: HMSY) today announced financial results for the fourth quarter and full year ended December 31, 2020.
Fourth Quarter
Total revenue in the fourth quarter of 2020 was
Coordination of Benefits (COB) revenue was
Payment Integrity (PI) revenue was
Net income in the fourth quarter of 2020 was
Adjusted EBITDA in the fourth quarter of 2020 was
Adjusted EPS in the fourth quarter of 2020 was
Full Year
Total revenue for the twelve months ended December 31, 2020 was
COB revenue for the twelve months ended December 31, 2020 was
PI revenue for the twelve months ended December 31, 2020 was
Net income for the twelve months ended December 31, 2020 was
Adjusted EBITDA for the twelve months ended December 31, 2020 was
Adjusted EPS for the twelve months ended December 31, 2020 was
Cash Flow and Capital Resources
Net cash provided by operating activities for the twelve months ended December 31, 2020 was
The Company's balance sheet at December 31, 2020 included
About HMS
HMS advances healthcare by helping organizations reduce costs and improve health outcomes. Through our industry-leading technology, analytics and engagement solutions, we save billions of dollars annually while helping consumers lead healthier lives. HMS provides a broad range of payment accuracy and population health management solutions that help move healthcare forward. Visit us at www.hms.com.
Trademarks
HMS 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 release.
The Company believes that the non-GAAP financial measures presented in this press release are relevant and provide useful information to the Company's management, investors, and other interested parties about the Company's operating performance because the measures allow them to understand and compare the Company's actual and expected operating results during the prior, current and future 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, unaudited results, which are not final until the Company’s Annual Report on Form 10-K for the year ended December 31, 2020 is filed. This press release, and other written or oral statements made by management from time to time, may contain "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,” “assumes,” “believes,” “estimates,” “expects,” “forecasts,” “future,” “intends,” “likely,” “may,” “outlook,” “plans,” “potential,” “projects,” “seeks,” “strategy,” “targets,” “trends,” “will,” “would,” “could,” “should,” variations of such terms and similar expressions and references to guidance, although some forward-looking statements may be expressed differently. 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: the occurrence of any event, change, or other circumstances that could delay or prevent closing of the proposed acquisition of HMS by Gainwell Acquisition Corp. ("Gainwell"), or give rise to the termination of that certain Agreement and Plan of Merger, dated December 20, 2020, by and among HMS, Gainwell, Mustang MergerCo Inc. and Gainwell Intermediate Holding Corp.; the course of the COVID-19 pandemic and the responses to the pandemic, and their effects on our business and operations, including those of our customers and partners, and general economic, business and market conditions; our ability to execute our business plans or growth strategy; our ability to innovate, develop, implement and deliver new or enhanced solutions or services; the nature of any strategic acquisition, investment, partnership and divestiture opportunities we are pursuing, and our ability to successfully execute on such opportunities; our ability to successfully integrate or merge acquired businesses and realize synergies; significant and increased competition for our solutions and services; changes in the 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 ability to protect our systems from damage, interruption or breach, and to maintain effective information and technology systems and networks, including during a catastrophic or extraordinary event, such as the COVID-19 pandemic; 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 data and IT suppliers; our reliance on subcontractors and other third party providers and parties to perform services; our ability to secure future contracts and favorable contract terms through the competitive bidding process; our success in attracting and retaining qualified employees and members of our management team; risks relating to our international operations, including political, regulatory, economic, foreign exchange, cybersecurity, tax compliance and other risks; variations in our results of operations; our ability to accurately forecast the revenue under our contracts and solutions; our ability to generate sufficient cash to cover our interest and principal payments under our credit facility; changes in tax laws, regulations or guidance or unexpected changes in our effective tax rate; unanticipated increases in the number or amount of claims for which we are self-insured; accounting changes or revisions; our ability to protect our intellectual property rights, proprietary technology, information processes, and know-how; our failure to comply with applicable laws and regulations governing individual privacy and information security, domestically and internationally, 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; pending or threatened litigation; unfavorable outcomes in legal proceedings; 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; 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. Any forward-looking statements herein speak only as of the date such statements are first made. 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: | |
Robert Borchert | Lacey Hautzinger | |
SVP, Investor Relations | Sr. Director, External Communications | |
robert.borchert@hms.com | lacey.hautzinger@hms.com | |
469-284-2140 | 469-284-7240 |
HMS HOLDINGS CORP. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF INCOME
(in thousands, except per share amounts)
(unaudited)
Three Months Ended December 31, | Twelve Months Ended December 31, | ||||||||||||||||||
2020 | 2019 | 2020 | 2019 | ||||||||||||||||
Revenue | $ | 193,981 | $ | 163,445 | $ | 673,283 | $ | 626,395 | |||||||||||
Cost of services: | |||||||||||||||||||
Compensation | 67,521 | 59,288 | 261,199 | 231,321 | |||||||||||||||
Direct project and other operating expenses | 24,967 | 26,376 | 96,182 | 90,069 | |||||||||||||||
Information technology | 16,245 | 14,323 | 61,433 | 53,950 | |||||||||||||||
Occupancy | 4,012 | 4,100 | 16,528 | 16,375 | |||||||||||||||
Amortization of acquisition related software and intangible assets | 5,389 | 4,509 | 21,964 | 16,999 | |||||||||||||||
Total cost of services | 118,134 | 108,596 | 457,306 | 408,714 | |||||||||||||||
Selling, general and administrative expenses | 33,889 | 29,151 | 122,750 | 114,665 | |||||||||||||||
Total operating expenses | 152,023 | 137,747 | 580,056 | 523,379 | |||||||||||||||
Operating income | 41,958 | 25,698 | 93,227 | 103,016 | |||||||||||||||
Interest expense | (1,451 | ) | (2,634 | ) | (7,586 | ) | (11,013 | ) | |||||||||||
Interest income | 5 | 857 | 271 | 4,148 | |||||||||||||||
Other income | (386 | ) | 514 | 1,358 | 8,211 | ||||||||||||||
Income before income taxes | 40,126 | 24,435 | 87,270 | 104,362 | |||||||||||||||
Income taxes | 7,307 | 7,089 | 17,121 | 17,138 | |||||||||||||||
Net income | $ | 32,819 | $ | 17,346 | $ | 70,149 | $ | 87,224 | |||||||||||
Basic income per common share: | |||||||||||||||||||
Net income per common share — basic | $ | 0.37 | $ | 0.20 | $ | 0.79 | $ | 1.00 | |||||||||||
Diluted income per common share: | |||||||||||||||||||
Net income per common share — diluted | $ | 0.36 | $ | 0.20 | $ | 0.78 | $ | 0.98 | |||||||||||
Weighted average shares: | |||||||||||||||||||
Basic | 88,546 | 86,328 | 88,438 | 87,222 | |||||||||||||||
Diluted | 90,369 | 87,987 | 90,081 | 89,317 |
HMS HOLDINGS CORP. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share amounts)
(unaudited)
December 31, 2020 | December 31, 2019 | ||||||||
Assets | |||||||||
Current assets: | |||||||||
Cash and cash equivalents | $ | 207,124 | $ | 139,268 | |||||
Accounts receivable, net | 265,717 | 223,443 | |||||||
Prepaid expenses and other current assets | 26,332 | 30,925 | |||||||
Income tax receivable | — | 3,210 | |||||||
Deferred financing costs, net | 564 | 564 | |||||||
Total current assets | 499,737 | 397,410 | |||||||
Property and equipment, net | 81,539 | 86,947 | |||||||
Goodwill | 594,561 | 599,351 | |||||||
Intangible assets, net | 117,193 | 131,849 | |||||||
Operating lease right-of-use assets | 14,428 | 17,493 | |||||||
Deferred financing costs, net | 545 | 1,109 | |||||||
Other assets | 21,674 | 10,117 | |||||||
Total assets | $ | 1,329,677 | $ | 1,244,276 | |||||
Liabilities and Shareholders' Equity | |||||||||
Current liabilities: | |||||||||
Accounts payable, accrued expenses and other liabilities | $ | 96,322 | $ | 97,747 | |||||
Liability for appeals | 6,047 | 3,570 | |||||||
Total current liabilities | 102,369 | 101,317 | |||||||
Long-term liabilities: | |||||||||
Revolving credit facility | 240,000 | 240,000 | |||||||
Operating lease liabilities | 11,991 | 14,881 | |||||||
Net deferred tax liabilities | 18,906 | 25,587 | |||||||
Other liabilities | 8,082 | 7,626 | |||||||
Total long-term liabilities | 278,979 | 288,094 | |||||||
Total liabilities | 381,348 | 389,411 | |||||||
Commitments and contingencies | |||||||||
Shareholders' equity: | |||||||||
Preferred stock -- | — | — | |||||||
Common stock -- | 1,022 | 1,018 | |||||||
Capital in excess of par value | 503,275 | 479,964 | |||||||
Retained earnings | 579,608 | 509,459 | |||||||
Treasury stock, at cost: 13,663,194 shares at December 31, 2020 and 13,663,194 shares at December 31, 2019 | (135,576 | ) | (135,576 | ) | |||||
Total shareholders' equity | 948,329 | 854,865 | |||||||
Total liabilities and shareholders' equity | $ | 1,329,677 | $ | 1,244,276 |
HMS HOLDINGS CORP. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands, unaudited)
Years Ended December 31, | ||||||||||||||
2020 | 2019 | 2018 | ||||||||||||
Operating activities: | ||||||||||||||
Net income | $ | 70,149 | $ | 87,224 | $ | 54,989 | ||||||||
Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||||||||
Depreciation and amortization of property, equipment and software | 32,104 | 33,293 | 33,254 | |||||||||||
Amortization of intangible assets | 14,656 | 9,691 | 24,342 | |||||||||||
Amortization of deferred financing costs | 564 | 564 | 564 | |||||||||||
Gain on sale of cost basis investment | — | (7,697 | ) | — | ||||||||||
Stock-based compensation expense | 24,044 | 21,901 | 21,507 | |||||||||||
Deferred income taxes | (6,681 | ) | 7,290 | (3,504 | ) | |||||||||
Noncash lease expense | 3,065 | 4,133 | — | |||||||||||
Change in fair value of contingent consideration | — | — | (35 | ) | ||||||||||
Release of estimated liability for appeals, net | — | (10,478 | ) | (8,436 | ) | |||||||||
Changes in operating assets and liabilities: | ||||||||||||||
Accounts receivable | (39,977 | ) | (16,292 | ) | (17,312 | ) | ||||||||
Prepaid expenses and other current assets | 4,593 | (10,487 | ) | (2,785 | ) | |||||||||
Other assets | (8,169 | ) | (2,173 | ) | 245 | |||||||||
Income taxes receivable / payable | 9,790 | 15,607 | (16,925 | ) | ||||||||||
Accounts payable, accrued expenses and other liabilities | (4,677 | ) | 4,744 | 11,181 | ||||||||||
Operating lease liabilities | (2,890 | ) | (5,315 | ) | — | |||||||||
Liability for appeals | 2,477 | 1,227 | (628 | ) | ||||||||||
Net cash provided by operating activities | 99,048 | 133,232 | 96,457 | |||||||||||
Investing activities: | ||||||||||||||
Acquisition of businesses, net of cash acquired | 1,529 | (185,790 | ) | — | ||||||||||
Proceeds from sale of cost basis investment | — | 9,776 | — | |||||||||||
Investment in common stock | (3,388 | ) | (7,421 | ) | — | |||||||||
Purchases of property and equipment | (11,253 | ) | (8,276 | ) | (11,264 | ) | ||||||||
Investment in capitalized software | (16,636 | ) | (13,348 | ) | (19,149 | ) | ||||||||
Net cash used in investing activities | (29,748 | ) | (205,059 | ) | (30,413 | ) | ||||||||
Financing activities: | ||||||||||||||
Proceeds from exercise of stock options | 2,779 | 39,332 | 38,362 | |||||||||||
Payments of tax withholdings on behalf of employees for net-share settlements | (3,508 | ) | (6,988 | ) | (2,818 | ) | ||||||||
Payments on capital lease obligations | (715 | ) | (195 | ) | — | |||||||||
Purchases of treasury stock | — | — | (5,955 | ) | ||||||||||
Net cash (used in)/provided by financing activities | (1,444 | ) | 32,149 | 29,589 | ||||||||||
Net increase/(decrease) in cash and cash equivalents | 67,856 | (39,678 | ) | 95,633 | ||||||||||
Cash and Cash Equivalents | ||||||||||||||
Cash and cash equivalents at beginning of year | 139,268 | 178,946 | 83,313 | |||||||||||
Cash and cash equivalents at end of period | $ | 207,124 | $ | 139,268 | $ | 178,946 | ||||||||
Supplemental disclosure of cash flow information: | ||||||||||||||
Cash paid for income taxes/(refunds received), net of refunds | $ | 13,734 | $ | (5,298 | ) | $ | 22,225 | |||||||
Cash paid for interest | $ | 5,928 | $ | 10,457 | $ | 10,326 | ||||||||
Supplemental disclosure of non-cash activities: | ||||||||||||||
Change in balance of accrued property and equipment purchases | $ | 1,193 | $ | (1,303 | ) | $ | 1,305 |
HMS HOLDINGS CORP. AND SUBSIDIARIES
(unaudited)
Reconciliation of Net Income to EBITDA and Adjusted EBITDA
Three Months Ended | |||||||
(in thousands, except percentages) | December 31, 2020 | December 31, 2019 | |||||
Net income | $ | 32,819 | $ | 17,346 | |||
Net interest expense | 1,446 | 1,777 | |||||
Income taxes | 7,307 | 7,089 | |||||
Depreciation and amortization of property and equipment and intangible assets | 11,545 | 11,256 | |||||
Earnings before interest, taxes, depreciation and amortization (EBITDA) | 53,117 | 37,468 | |||||
Stock-based compensation expense | 2,961 | 3,186 | |||||
Transaction and integration costs | 8,783 | 1,638 | |||||
Adjusted EBITDA | $ | 64,861 | $ | 42,292 | |||
% of Revenue | 33.4 | % | 25.9 | % |
Twelve Months Ended | |||||||
(in thousands, except percentages) | December 31, 2020 | December 31, 2019 | |||||
Net income | $ | 70,149 | $ | 87,224 | |||
Net interest expense | 7,315 | 6,865 | |||||
Income taxes | 17,121 | 17,138 | |||||
Depreciation and amortization of property and equipment and intangible assets | 46,760 | 42,984 | |||||
Earnings before interest, taxes, depreciation and amortization (EBITDA) | 141,345 | 154,211 | |||||
Stock-based compensation expense | 24,044 | 21,901 | |||||
Transaction and integration costs | 18,894 | 3,489 | |||||
Adjusted EBITDA | $ | 184,283 | $ | 179,601 | |||
% of Revenue | 27.4 | % | 28.7 | % | |||
Adjusted EBITDA excluding 2Q 2019 Reserve Release and 3Q 2019 Gain on Investment | $ | 184,283 | $ | 163,701 | |||
% of Revenue | 27.4 | % | 26.6 | % |
HMS HOLDINGS CORP. AND SUBSIDIARIES
(unaudited)
Reconciliation of Net Income to GAAP EPS (Diluted) and Adjusted EPS (Diluted)
Three Months Ended | |||||||||
(in thousands, except per share amounts) | December 31, 2020 | December 31, 2019 | |||||||
Net income | $ | 32,819 | $ | 17,346 | |||||
Stock-based compensation expense | 2,961 | 3,186 | |||||||
Transaction and integration costs | 8,783 | 1,638 | |||||||
Amortization of acquisition related software and intangible assets | 5,389 | 4,509 | |||||||
Income tax related to adjustments¹ | (4,009 | ) | (2,595 | ) | |||||
Adjusted net income | $ | 45,943 | $ | 24,084 | |||||
Weighted average common shares, diluted | 90,369 | 87,987 | |||||||
Diluted EPS² | $ | 0.36 | $ | 0.20 | |||||
Diluted adjusted EPS² | $ | 0.51 | $ | 0.27 |
Twelve Months Ended | |||||||||
(in thousands, except per share amounts) | December 31, 2020 | December 31, 2019 | |||||||
Net income | $ | 70,149 | $ | 87,224 | |||||
Stock-based compensation expense | 24,044 | 21,901 | |||||||
Transaction and integration costs | 18,894 | 3,489 | |||||||
Settlement expense | — | — | |||||||
Amortization of acquisition related software and intangible assets | 21,964 | 16,999 | |||||||
Income tax related to adjustments¹ | (15,187 | ) | (11,784 | ) | |||||
Adjusted net income | $ | 119,864 | $ | 117,829 | |||||
Weighted average common shares, diluted | 90,081 | 89,317 | |||||||
Diluted EPS² | $ | 0.78 | $ | 0.98 | |||||
Diluted adjusted EPS² | $ | 1.33 | $ | 1.32 | |||||
Discrete tax benefits | $ | — | $ | 0.07 | |||||
2Q 2019 Reserve Release benefit³ | $ | — | $ | 0.07 | |||||
3Q 2019 Gain on Investment³ | $ | — | $ | 0.06 | |||||
Diluted adjusted EPS excluding 2Q 2019 Reserve Release, 3Q 2019 Gain on Investment, and discrete tax benefits | $ | 1.33 | $ | 1.12 |
(1) Tax effect of adjustments is computed as the pre-tax effect of the adjustments multiplied by the adjusted annual effective tax rate at period end.
(2) Diluted GAAP EPS and Diluted adjusted EPS for the twelve months ended December 31, 2019 included (i) discrete tax benefits of
(3) The 2Q 2019 Reserve Release benefit of
HMS HOLDINGS CORP. AND SUBSIDIARIES
(unaudited)
Reconciliation of Total Debt to Net Leverage Ratio
(in thousands, except ratios) | December 31, 2020 | December 31, 2019 | |||||||
Total Debt (revolving credit facility) | $ | 240,000 | $ | 240,000 | |||||
Cash and cash equivalents | (207,124 | ) | (139,268 | ) | |||||
Total net debt⁴ | $ | 32,876 | $ | 100,732 | |||||
Net income⁵ | $ | 70,149 | $ | 87,224 | |||||
Adjusted EBITDA⁶ | $ | 184,283 | $ | 179,601 | |||||
Net leverage ratio⁷ | 0.18 | 0.56 |
(4) Total Debt consists of the outstanding principal under our senior secured revolving credit facility
(5) Trailing twelve months Net income
(6) Trailing twelve months Adjusted EBITDA
(7) The Company's net leverage ratio is calculated by dividing total net debt by trailing twelve months' Adjusted EBITDA
Reconciliation of Net Cash Provided by Operating Activities to Free Cash Flow
Twelve Months Ended | |||||||||
(In thousands) | December 31, 2020 | December 31, 2019 | |||||||
Net cash provided by operating activities | $ | 99,048 | $ | 133,232 | |||||
Purchases of property and equipment | (11,253 | ) | (8,276 | ) | |||||
Investment in capitalized software | (16,636 | ) | (13,348 | ) | |||||
Non-GAAP free cash flow | $ | 71,159 | $ | 111,608 |
The Company believes that the non-GAAP free cash flow financial measures presented in this press release provide useful information regarding how much cash flow is available, after purchases of property and equipment and investment in capitalized software, to be used for working capital needs or for other opportunities. It should not be inferred that the entire non-GAAP free cash flow amount is available for discretionary expenditures. These non-GAAP measures may not be comparable to similarly titled measures used by other companies.
FAQ
What were HMS Holdings' Q4 2020 earnings results?
How did HMS Holdings perform financially in FY'20?
What was the main driver of revenue growth for HMS Holdings in FY'20?
What financial metrics showed decline for HMS Holdings in FY'20?