0001196501-20-000007.txt : 20200221 0001196501-20-000007.hdr.sgml : 20200221 20200221060708 ACCESSION NUMBER: 0001196501-20-000007 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 16 CONFORMED PERIOD OF REPORT: 20200221 ITEM INFORMATION: Results of Operations and Financial Condition ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20200221 DATE AS OF CHANGE: 20200221 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HMS HOLDINGS CORP CENTRAL INDEX KEY: 0001196501 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 113656261 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-50194 FILM NUMBER: 20637291 BUSINESS ADDRESS: STREET 1: 5615 HIGH POINT DRIVE CITY: IRVING STATE: TX ZIP: 75038 BUSINESS PHONE: 214-453-3000 MAIL ADDRESS: STREET 1: 5615 HIGH POINT DRIVE CITY: IRVING STATE: TX ZIP: 75038 8-K 1 hmsy-20200221.htm 8-K hmsy-20200221
0001196501false00011965012020-02-212020-02-21

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934

February 21, 2020
Date of Report (Date of earliest event reported)

HMS HOLDINGS CORP.
(Exact name of registrant as specified in its charter)
Delaware
0-50194
11-3656261
(State or other jurisdiction
of incorporation)
(Commission File Number)
(I.R.S. Employer
Identification No.)
5615 High Point Drive
Irving
Texas
75038
(Address of Principal Executive Offices)
(Zip Code)
(214) 453-3000
Registrant's telephone number, including area code

Not Applicable
(Former name or former address, if changed since last report.)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock $0.01 par valueHMSYThe Nasdaq Stock Market LLC
The Nasdaq Global Select Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging growth company
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.




Item 2.02  Results of Operations and Financial Condition.

On February 21, 2020, HMS Holdings Corp. (the “Company”) issued a press release announcing its financial results for the fourth quarter and full year ended December 31, 2019. A copy of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K.

The information contained in this Item 2.02, including Exhibit 99.1 attached hereto, is being furnished and shall not be deemed “filed” for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liability of that section, and shall not be incorporated by reference into any Company filing under the Securities Act of 1933, as amended, or the Securities Exchange Act of 1934, as amended, except as shall be expressly set forth by specific reference in such filing.

The Company is making reference to non-GAAP financial information in the press release and on the conference call. A reconciliation of the non-GAAP financial measures to the comparable GAAP financial measures is contained in the attached press release.

Item 9.01 Financial Statements and Exhibits.

(d) Exhibits

Exhibit No.Description
99.1
104Cover Page Interactive Data File - the cover page XBRL tags are embedded within the Inline XBRL document







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 hereunto duly authorized.



HMS HOLDINGS CORP.


Date: February 21, 2020 
By: /s/ Jeffrey S. Sherman
Jeffrey S. Sherman
Executive Vice President,
Chief Financial Officer and Treasurer
 


EX-99.1 2 q419erexhibit.htm EX-99.1 Document

EXHIBIT 99.1

hmslogorgba021.jpg

HMS REPORTS FOURTH QUARTER AND FULL YEAR 2019 FINANCIAL RESULTS

FY'19 Total Revenue of $626.4 Million, +4.7% vs. FY'18
FY'19 Net Income of $87.2 Million, +58.5% vs. FY'18
FY'19 GAAP EPS of $0.98 per Diluted Share vs. $0.64 per Diluted Share in FY'18
FY'19 Adjusted EPS of $1.32 per Diluted Share vs. $1.28 per Diluted Share in FY'18
FY'19 Adjusted EBITDA of $179.6 Million, +10.6% vs. FY'18
FY'19 Operating Cash Flow a Record $133.2 Million, +38.1% vs. FY'18

IRVING, Texas – February 21, 2020 – HMS Holdings Corp. (Nasdaq: HMSY) today announced financial results for the fourth quarter and full year ended December 31, 2019.
“HMS posted solid revenue and profit growth in full year 2019, with revenue increasing 4.7%, net income rising 58.5% and adjusted EBITDA increasing 10.6% from the prior year, along with record operating cash flow performance,” said Bill Lucia, Chairman and CEO. “While our business can experience quarterly variability, on an annual basis we continue to experience top and bottom line growth driven by our product innovation, application of new technologies and expansion within both current and new clients.
“We expect our growth in 2020 will be fueled by investments in sales talent, technology, data analytics and product development as well as the strategic acquisitions completed last year as we deliver increasing value to our expanding client base this year and in the future,” Lucia concluded.
Fourth Quarter
Total revenue in the fourth quarter of 2019 was $163.4 million, compared to total revenue of $155.8 million in the fourth quarter of 2018 (+4.9%).
Coordination of Benefits (COB) revenue was $98.6 million in the fourth quarter of 2019 compared to $98.9 million in the fourth quarter of 2018 (-0.3%). Payment Integrity (PI) revenue was $48.4 million in the fourth quarter of 2019, compared to $40.9 million in the fourth quarter of 2018 (+18.3%). Population Health Management (PHM) revenue was $16.6 million in the fourth quarter of 2019, compared to $16.0 million in the prior year fourth quarter (+3.8%).
Net income in the fourth quarter of 2019 was $17.3 million, or $0.20 per diluted share, compared to net income of $33.4 million, or $0.38 per diluted share, in the fourth quarter of 2018.
Adjusted EBITDA in the fourth quarter of 2019 was $42.3 million, compared to $46.1 million in the fourth quarter of 2018 (-8.2%).
Adjusted EPS in the fourth quarter of 2019 was $0.27 per diluted share, compared to adjusted EPS of $0.48 per diluted share in the fourth quarter of 2018, which included discrete tax benefits of $0.17 per diluted share. Excluding the discrete tax benefits, adjusted EPS in the fourth quarter of 2018 was $0.31 per diluted share.

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Full Year
Total revenue for the twelve months ended December 31, 2019 was $626.4 million, compared to $598.3 million in the prior year (+4.7%). For the twelve months ended December 31, 2019, total revenue included $10.5 million from the 2Q 2019 Reserve Release. During the second quarter of 2019, the Company released its remaining contract related balances under its original Medicare RAC Contract (the “2Q 2019 Reserve Release”). For the twelve months ended December 31, 2018, total revenue included $8.4 million from the Medicare RAC reserve release in the first quarter of 2018 (the "1Q 2018 Reserve Release"). Excluding the 2Q 2019 Reserve Release and the 1Q 2018 Reserve Release (the "Reserve Releases"), total revenue increased 4.4% compared to the prior year.
COB revenue for the twelve months ended December 31, 2019 was $404.1 million, compared to $397.1 million in the prior year (+1.8%). PI revenue for the twelve months ended December 31, 2019 was $162.2 million, compared to $144.0 million in the prior year (+12.6%). Excluding the Reserve Releases, PI revenue increased 11.9% compared to the prior year. PHM revenue for the twelve months ended December 31, 2019 was $60.1 million, compared to $57.1 million in the prior year (+5.2%).
Net income for the twelve months ended December 31, 2019 was $87.2 million, or $0.98 per diluted share, compared to $55.0 million, or $0.64 per diluted share, in the prior year. For the twelve months ended December 31, 2019, net income included $0.07 per diluted share related to the 2Q 2019 Reserve Release, a net benefit of $0.06 per diluted share related to a gain on the sale of an investment (the "3Q 2019 Gain on Investment"), and discrete tax benefits recorded in the first quarter totaling $0.07 per diluted share. For the twelve months ended December 31, 2018, net income included a net benefit of $0.05 per diluted share related to the 1Q 2018 Reserve Release, discrete tax benefits recorded during the year totaling $0.19 per diluted share and an expense of $20.0 million relating to the settlement of litigation in connection with an acquisition the Company completed in 2010 (the "Settlement Expense").
Adjusted EBITDA for the twelve months ended December 31, 2019 was $179.6 million including a net benefit of $8.2 million related to the 2Q 2019 Reserve Release and $7.7 million related to the 3Q 2019 Gain on Investment, compared to $162.3 million in the prior year (+10.6%), including a net benefit of $6.3 million related to the 1Q 2018 Reserve Release. Excluding those benefits, Adjusted EBITDA increased 4.9% compared to the prior year.
Adjusted EPS for the twelve months ended December 31, 2019 was $1.32 per diluted share, including $0.07 per diluted share related to the 2Q 2019 Reserve Release, $0.06 per diluted share related to the 3Q 2019 Gain on Investment, and discrete tax benefits recorded in the first quarter totaling $0.07 per diluted share. Adjusted EPS was $1.28 per diluted share in the prior year, including a net benefit of $0.05 per diluted share related to the 1Q 2018 Reserve Release and discrete tax benefits recorded during the year totaling $0.19 per diluted share. Excluding the 2Q 2019 Reserve Release, the 3Q 2019 Gain on Investment, discrete tax items in 2019 and 2018, and the 1Q 2018 Reserve Release, adjusted EPS for the twelve months ended December 31, 2019 was $1.12 per diluted share, compared to $1.04 per diluted share in the prior year (+7.7%).
Cash Flow and Capital Resources
Net cash provided by operating activities for the twelve months ended December 31, 2019 was a record $133.2 million compared to $96.5 million in the prior year (+38.1%). Capital expenditures were $21.6 million for the twelve months ended December 31, 2019, compared to $30.4 million in the prior year (-28.9%).
During the third quarter of 2019, the Company acquired VitreosHealth, a privately-held company that offers predictive and prescriptive health insights for population risk models. HMS acquired VitreosHealth for approximately $36.6 million, which was funded with cash on hand. During the fourth quarter of 2019, the Company acquired Accent, a payment accuracy and cost containment business. HMS acquired Accent for approximately $158.6 million, which was funded with cash on hand.
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The Company's balance sheet at December 31, 2019 included $139.3 million of cash and cash equivalents and $240.0 million in outstanding bank debt, compared to cash and cash equivalents of $178.9 million and outstanding bank debt of $240.0 million at December 31, 2018.
Financial Guidance
The Company initiated its full year 2020 financial guidance, as follows:
($ in millions)Reported FY 2019Adjusted FY 2019 FY 2020 GuidanceY - Y % Change from Adjusted FY 2019
Total Revenue$626  $616  (1)$ 705 - 715  14.5 - 16.2%
Net Income$87  $69  (2)$ 76 - 80  10.1 - 15.9%
Adjusted EBITDA$180  $164  (3)$ 185 - 192  12.8 - 17.1%

(1) Reported FY 2019 revenue includes $10.5 million related to the 2Q 2019 Reserve Release. Including the 2Q 2019 Reserve Release, total FY 2020 revenue growth is expected to be 12.6 - 14.2%. Excluding the 2Q 2019 Reserve Release, then total FY 2020 revenue growth is expected to be 14.5 - 16.2%.
(2) Reported FY 2019 net income includes $6.0 million related to the 2Q 2019 Reserve Release, $5.6 million related to the 3Q 2019 Gain on Investment and $6.5 million related to discrete tax benefits. Including the 2Q 2019 Reserve Release, 3Q 2019 Gain on Investment and discrete tax benefits, then FY 2020 net income growth is expected to be (12.6) - (8.0)%. Excluding the 2Q 2019 Reserve Release and 3Q 2019 Gain on Investment, net income growth is expected to be 10.1 - 15.9%.
(3) Reported 2019 adjusted EBITDA includes $8.2 million related to the 2Q 2019 Reserve Release and $7.7 million related to the 3Q 2019 Gain on Investment. Including the 2Q 2019 Reserve Release and 3Q 2019 Gain on Investment, adjusted EBITDA growth is expected to be 2.8 - 6.7%.  Excluding the 2Q 2019 Reserve Release and 3Q 2019 Gain on Investment, then FY 2020 adjusted EBITDA growth is expected to be 12.8 - 17.1%.

Key assumptions underlying the Company's full year 2020 financial guidance include:
Depreciation and amortization of approximately $51 million
Stock-based compensation expense of approximately $23 million
Net interest expense of approximately $6 million
An effective tax rate of 28-30%
Capital expenditures of approximately $30-35 million
Webcast and Conference Call Information
HMS will report its preliminary fourth quarter and full year 2019 financial and operating results via webcast at 7:30 AM CT / 8:30 AM ET on Friday, February 21, 2020. The webcast will 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 (224-357–2389 for international participants), or on the HMS Investor Relations website at http://investor.hms.com/events-and-presentations. The webcast will be archived and available for replay 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/press-releases.
About HMS
HMS advances the healthcare system by helping healthcare 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 coordination of benefits, payment integrity and
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population health management solutions that help move the healthcare system forward. Visit us at www.hms.com and follow us on Twitter at @HMSHealthcare.
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 Form 10-K is filed. 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,” “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. In particular, these include statements relating to future actions, including potential future share repurchases, business plans, objectives and prospects, future operating or financial performance and projections, including our full year guidance for 2020. 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 and growth strategy; our ability to innovate, develop or implement new or enhanced solutions or services; the nature of investment, acquisition, strategic relationship and divestiture opportunities we are pursuing, and our ability to execute on such opportunities; our ability to successfully integrate acquired businesses and realize synergies; significant and increased competition for our solutions and services; variations in our results of operations; our ability to accurately forecast the revenue
4


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; 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 sources and 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; 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; 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; risks relating to our international operations, including political, regulatory, economic, foreign exchange, cybersecurity, tax compliance and other risks; 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 failure to comply with applicable laws and regulations governing individual privacy and information security, domestically or 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; 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 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:
Robert BorchertLacey Hautzinger
SVP, Investor RelationsSr. Director, External Communications
robert.borchert@hms.comlacey.hautzinger@hms.com
469-284-2140469-284-7240


5


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,
2019201820192018
Revenue$163,445  $155,828  $626,395  $598,290  
Cost of services:
Compensation59,288  55,438  231,321  224,893  
Direct project and other operating expenses26,376  20,511  90,069  74,346  
Information technology14,323  13,946  53,950  53,428  
Occupancy4,100  4,071  16,375  15,968  
Amortization of acquisition related software and intangible assets4,509  7,280  16,999  32,975  
Total cost of services108,596  101,246  408,714  401,610  
Selling, general and administrative expenses29,151  26,734  114,665  113,442  
Settlement expense—  —  —  20,000  
Total operating expenses137,747  127,980  523,379  535,052  
Operating income25,698  27,848  103,016  63,238  
Interest expense(2,634) (2,748) (11,013) (11,310) 
Interest income857  489  4,148  1,089  
Other income514  —  8,211  —  
Income before income taxes24,435  25,589  104,362  53,017  
Income taxes7,089  (7,802) 17,138  (1,972) 
Net income17,346  33,391  $87,224  $54,989  
Basic income per common share:
Net income per common share — basic$0.20  $0.40  $1.00  $0.66  
Diluted income per common share:
Net income per common share — diluted$0.20  $0.38  $0.98  $0.64  
Weighted average shares:
Basic86,328  83,983  87,222  83,625  
Diluted87,987  87,521  89,317  86,144  

6


HMS HOLDINGS CORP. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share amounts)
(unaudited)

December 31,
2019
December 31,
2018
Assets
Current assets:
Cash and cash equivalents$139,268  $178,946  
Accounts receivable, net223,443  206,772  
Prepaid expenses and other current assets30,925  20,210  
Income tax receivable3,210  18,817  
Deferred financing costs, net564  564  
Total current assets397,410  425,309  
Property and equipment, net86,947  94,435  
Goodwill599,351  487,617  
Intangible assets, net131,849  67,140  
Operating lease right-of-use assets17,493  —  
Deferred financing costs, net1,109  1,673  
Other assets10,117  2,344  
Total assets$1,244,276  $1,078,518  
Liabilities and Shareholders' Equity
Current liabilities:
Accounts payable, accrued expenses and other liabilities$97,747  $74,902  
Liability for appeals3,570  21,723  
Total current liabilities101,317  96,625  
Long-term liabilities:
Revolving credit facility240,000  240,000  
Operating lease liabilities14,881  —  
Net deferred tax liabilities25,587  18,485  
Other liabilities7,626  10,012  
Total long-term liabilities288,094  268,497  
Total liabilities389,411  365,122  
Commitments and contingencies
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;101,766,468, shares issued and 88,103,566 shares outstanding at December 31, 2019; 98,924,501 shares issued and 85,261,664 shares outstanding at December 31, 20181,018  989  
Capital in excess of par value479,964  425,748  
Retained earnings509,459  422,235  
Treasury stock, at cost: 13,663,194 shares at December 31, 2019 and 13,663,194 shares at December 31, 2018(135,576) (135,576) 
Total shareholders' equity854,865  713,396  
Total liabilities and shareholders' equity$1,244,276  $1,078,518  

7


HMS HOLDINGS CORP. AND SUBSIDIARIES
CONSOLIDATED STATEMENT OF CASH FLOWS
(in thousands, unaudited)
Years Ended December 31,
201920182017
Operating activities:
Net income$87,224  $54,989  $40,054  
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization of property, equipment and software33,293  33,254  27,724  
Amortization of intangible assets9,691  24,342  22,555  
Amortization of deferred financing costs564  564  2,258  
Gain on sale of cost basis investment(7,697) —  —  
Stock-based compensation expense21,901  21,507  24,143  
Deferred income taxes7,290  (3,504) (20,409) 
Noncash lease expense4,133  —  —  
Change in fair value of contingent consideration—  (35) (2,865) 
Release of estimated liability for appeals, net(10,478) (8,436) —  
Changes in operating assets and liabilities:
Accounts receivable(16,292) (17,312) (6,976) 
Prepaid expenses and other current assets(10,487) (2,785) (1,298) 
Other assets(2,173) 245  124  
Income taxes receivable / (payable)15,607  (16,925) 1,462  
Accounts payable, accrued expenses and other liabilities4,744  11,181  (340) 
Operating lease liabilities(5,315) —  —  
Liability for appeals1,227  (628) 32  
Net cash provided by operating activities133,232  96,457  86,464  
Investing activities:
Acquisition of businesses, net of cash acquired(185,790) —  (171,321) 
Proceeds from sale of cost basis investment9,776  —  —  
Investment in common stock(7,421) —  —  
Purchases of property and equipment(8,276) (11,264) (17,318) 
Investment in capitalized software(13,348) (19,149) (15,725) 
Net cash used in investing activities(205,059) (30,413) (204,364) 
Financing activities:
Proceeds from credit facility—  —  42,204  
Payments for deferred financing costs—  —  (2,269) 
Proceeds from exercise of stock options39,332  38,362  2,720  
Payments of tax withholdings on behalf of employees for net-share settlements(6,988) (2,818) (3,161) 
Payments on capital lease obligations(195) —  (143) 
Purchases of treasury stock—  (5,955) (14,137) 
Net cash provided by financing activities32,149  29,589  25,214  
Net (decrease)/increase in cash and cash equivalents(39,678) 95,633  92,686  
Cash and Cash Equivalents
Cash and cash equivalents at beginning of year178,946  83,313  175,999  
Cash and cash equivalents at end of period$139,268  $178,946  $83,313  
Supplemental disclosure of cash flow information:
Cash (refunds received)/paid for income taxes, net of refunds$(5,298) $22,225  $17,995  
Cash paid for interest$10,457  $10,326  $9,944  
Supplemental disclosure of non-cash activities:
Change in balance of accrued property and equipment purchases$(1,303) $1,305  $51  

8


HMS HOLDINGS CORP. AND SUBSIDIARIES
(unaudited)


Reconciliation of Net Income to EBITDA and Adjusted EBITDA

Three Months Ended
(in thousands, except percentages)December 31, 2019December 31, 2018
Net income$17,346  $33,391  
Net interest expense1,777  2,259  
Income taxes7,089  (7,802) 
Depreciation and amortization of property and equipment and intangible assets11,256  14,376  
Earnings before interest, taxes, depreciation and amortization (EBITDA)37,468  42,224  
Stock-based compensation expense3,186  3,862  
Transaction and integration costs1,638  —  
Adjusted EBITDA$42,292  $46,086  
% of Revenue25.9 %29.6 %



Twelve Months Ended
(in thousands, except percentages)December 31, 2019December 31, 2018
Net income$87,224  $54,989  
Net interest expense6,865  10,221  
Income taxes17,138  (1,972) 
Depreciation and amortization of property and equipment and intangible assets42,984  57,596  
Earnings before interest, taxes, depreciation and amortization (EBITDA)154,211  120,834  
Stock-based compensation expense21,901  21,507  
Transaction and integration costs3,489  —  
Settlement Expense—  20,000  
Adjusted EBITDA$179,601  $162,341  
% of Revenue28.7 %27.1 %
Adjusted EBITDA, excluding Reserve Releases and 3Q 2019 Gain on Investment$163,701  $156,041  
% of Revenue26.6 %26.4 %

9


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, 2019December 31, 2018
Net income$17,346  $33,391  
Stock-based compensation expense3,186  3,862  
Transaction and integration costs1,638  —  
Amortization of acquisition related software and intangible assets4,509  7,280  
Income tax related to adjustments¹(2,595) (2,262) 
Adjusted net income$24,084  $42,271  
Weighted average common shares, diluted87,987  87,521  
Diluted GAAP EPS²$0.20  $0.38  
Diluted adjusted EPS²$0.27  $0.48  
Discrete tax benefits$—  $0.17  
Diluted adjusted EPS excluding discrete tax benefits$0.27  $0.31  


Twelve Months Ended
(in thousands, except per share amounts)December 31, 2019December 31, 2018
Net income$87,224  $54,989  
Stock-based compensation expense21,901  21,507  
Transaction and integration costs3,489  —  
Settlement expense—  20,000  
Amortization of acquisition related software and intangible assets16,999  32,975  
Income tax related to adjustments¹(11,784) (19,216) 
Adjusted net income$117,829  $110,255  
Weighted average common shares, diluted89,317  86,144  
Diluted GAAP EPS²$0.98  $0.64  
Diluted adjusted EPS²$1.32  $1.28  
Discrete tax benefits$0.07  $0.19  
Reserve Releases benefit³$0.07  $0.05  
3Q 2019 Gain on Investment³$0.06  $—  
Diluted adjusted EPS excluding Reserve Releases, 3Q 2019 Gain on Investment, and discrete tax benefits$1.12  $1.04  

(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 included discrete tax benefits of $0.17 per diluted share for the fourth quarter of 2018. Diluted GAAP EPS and Diluted Adjusted EPS included (i) discrete tax benefits of $0.07 per diluted share primarily related to the exercise of employee stock options, $0.07 per diluted share related to the Reserve Releases benefit and a $0.06 per diluted share benefit related to the 3Q 2019 Gain on
10


Investment benefit for the twelve months ended December 31, 2019, and (ii) discrete tax benefits of $.0.19 per diluted share and $0.05 per diluted share related to the Reserve Releases benefit for the twelve months ended December 31, 2018. The discrete tax benefits recorded in the three months and twelve months ended December 31, 2018 primarily related to state tax apportionments, the closure of routine outstanding prior year tax audits, the exercise of employee stock options, the abandonment of subsidiary stock related to a 2010 acquisition, and year-end federal and state tax adjustments or provision true ups.

(3) The Reserve Releases benefit of $0.07 per diluted share for the twelve months ended December 31, 2019 is net of income tax of approximately $0.03 per diluted share and the 3Q 2019 Gain on Investment benefit of $0.06 per diluted share for the twelve months ended December 31, 2019 is net of income tax of approximately $0.02 per diluted share. The Reserve Releases benefit of $0.05 per diluted share for the twelve months ended December 31, 2018 is net of income tax of approximately $0.02 per diluted share.
11


HMS HOLDINGS CORP. AND SUBSIDIARIES
(unaudited)


Reconciliation of Total Debt to Net Leverage Ratio

(in thousands, except ratios)December 31, 2019December 31, 2018
Total Debt (revolving credit facility)$240,000  $240,000  
Cash and cash equivalents(139,268) (178,946) 
Total net debt⁴$100,732  $61,054  
Net income⁵$87,224  $54,989  
Adjusted EBITDA⁶$179,601  $162,341  
Net leverage ratio⁷0.56  0.38  


(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, 2019December 31, 2018
Net cash provided by operating activities$133,232  $96,457  
Purchases of property and equipment(8,276) (11,264) 
Investment in capitalized software(13,348) (19,149) 
Non-GAAP free cash flow$111,608  $66,044  

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. 
12


HMS HOLDINGS CORP. AND SUBSIDIARIES
(unaudited)


Reconciliation of Projected 2020 Net Income to Projected 2020 EBITDA and Adjusted EBITDA

Twelve Months Ended December 31, 2020  
Estimated Range  
( in millions)LowHigh
Net Income$76  $80  
Net interest expense  
Income taxes29  32  
Depreciation and amortization of property and equipment and intangible assets51  51  
Earnings before interest, taxes, depreciation and amortization (EBITDA)$162  $169  
Stock-based compensation expense23  23  
Adjusted EBITDA$185  $192  

13
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Document and Entity Information Document
Feb. 21, 2020
Entity Information [Line Items]  
Document Type 8-K
Document Period End Date Feb. 21, 2020
Entity Registrant Name HMS HOLDINGS CORP.
Entity Central Index Key 0001196501
Amendment Flag false
Entity Incorporation, State or Country Code DE
Entity File Number 0-50194
Entity Tax Identification Number 11-3656261
Entity Address, Address Line One 5615 High Point Drive
Entity Address, City or Town Irving
Entity Address, State or Province TX
Entity Address, Postal Zip Code 75038
City Area Code 214
Local Phone Number 453-3000
Entity Information, Former Legal or Registered Name Not Applicable
Written Communications false
Soliciting Material false
Pre-commencement Tender Offer false
Pre-commencement Issuer Tender Offer false
Title of 12(b) Security Common Stock $0.01 par value
Trading Symbol HMSY
Security Exchange Name NASDAQ
Entity Emerging Growth Company false

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