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Operator
Good day, ladies and gentlemen, and welcome to the third quarter 2016 Providence Service Corporation earnings conference call. At this time, all participants are in a listen-only mode. Later, we will conduct a question-and-answer session, and instructions will follow at that time. (Operator Instructions) And as a reminder, this conference call is being recorded.
I would like to introduce your host for today's conference Mr. Bryan Wong. Sir, you may begin.
Bryan Wong - Corporate Development
Good morning, and thank you for joining Providence's third quarter 2016 conference call and webcast. On the call from Providence today is Jim Lindstrom, CEO; and David Shackelton, CFO.
We have arranged for a replay for this call, which will be available approximately one-hour after today's call, on our website www.prscholdings.com. A replay will also be available until November 23 by dialing 855-859-2056, or 404-537-3406 and using the passcode 7757402.
During this call, Mr. Lindstrom and Mr. Shackelton will be referencing the presentation that can be found on our Investor Relations portion of our website under the events calendar and in our current portion, current report on Form 8-K furnished to the SEC earlier today.
Before we get started, I'd like to remind everyone that during the course of today's call, the Company's management may make statements which may be characterized as forward-looking statements under the Private Securities Litigation Reform Act. These statements involve risks, uncertainties, and other factors which may cause actual results or events to differ materially.
Information regarding these factors is contained in yesterday's press release and the Company's filings with the SEC. the Company will also discuss certain non-GAAP financial measures in an effort to provide additional information to investors. A definition of these non-GAAP measures and reconciliation to the most comparable GAAP measures can be found in our press release, investor presentation and today's current report on Form 8-K.
Finally, for simplicity, we will be speaking in US dollars when referring to such things as contracts and revenue. Amounts translated from other currencies, including the British pound have been translated at the exchange rate in effect for the corresponding time period.
I'd now like to turn the call over to Jim Lindstrom.
Jim Lindstrom - CEO
Great. Thanks, Brian, and thank you all of you for joining today. I'd also like to thank our thousands of colleagues around the world for helping make a difference in over 25 million lives this year. Quite an amazing scale and reach of our organization.
So today, we'll walk you through the quarterly highlights and give you some thoughts on our strategic outlook. We put together a slide deck for a few reasons. First, we're not doing an Investor Day this year and we plan on, on probably doing one next year.
Second, Providence has changed quite a bit over the last year. Third, we have some industry challenges in WD Services that we can shed additional light on and we have some great opportunities in LogistiCare and Matrix, which at LogistiCare as we'll convey is also offset by a short-term challenge.
So turning to page five in the deck on our strategic highlights since the last Investor Day. So it was a little over one year ago when I became CEO and we had our Investor Day. Since then, we've undergone quite a transformation. To look back, we have repaid almost $500 million in debt and now we have over $100 million of cash on the balance sheet. We sold our largely fee-for-service behavioral health business and created shareholder value through that sale and the sale of the majority stake in our Matrix business while at the same time improving Matrix's diversification potential in a new strategic partnership with Frazier Healthcare.
In our WD segment, we've been actively working to reduce our capital exposure to markets that do not meet our return profile, while honoring our client commitments and most importantly respecting the needs of the populations we serve as our services are critical to many in their daily lives.
Lastly, we have increasingly turned our attention and capital towards NET Services or LogistiCare, a scalable asset light business. Supplementing some previous work this spring and summer, Providence and LogistiCare worked together to increase our attention and investment on supplementing our industry leadership capabilities and risk return profile through a variety of operational improvement programs. Many programs that many of us had implemented before at Matrix or other organizations. However, the scale and magnitude of what we're implementing in LogistiCare will have a significant positive impact on the organization.
So turning to page six, our focus on Q3 was as usual creating intrinsic value on a per share basis through operational excellence and disciplined capital allocation. I am pleased to report our results this quarter with 9% year-over-year revenue growth and adjusted EBITDA growing to $17 million, up 50% from the third quarter of last year. And if you include Matrix, adjusted EBITDA grew to over $30 million.
Our most significant strategic achievement during the quarter was the announcement of our entry into the Matrix Medical strategic partnership. Just quickly, we purchased Matrix for $393 million in late 2014. In 2015 after seeing a client acquire a small competitor and witnessing the start of MCO consolidation, we initiated our value enhancement strategy, which included the launch of ancillary services, investment in our sales capability and chronic care initiatives, pushing our IT investment, and finally driving operational efficiencies to maintain margins. This strategy was realized for shareholders through the valuation of almost $538 million in the new partnership with Frazier, where we realized proceeds of $380 million and retained the 47% ownership stake.
Looking forward, the most significant area of focus, which I mentioned on the last call is actually on LogistiCare. Since the end of the second quarter though, we have been notified that we successfully rebid our existing Missouri contract. We won multiple new MCO contracts and successfully appealed the South Carolina Award.
Unfortunately, we were notified late last week that we lost our New York City Medicaid contract. The contract went to a small local New York-based firm and we understand the decision was based entirely due to price. We have lost on price before and sometimes these contracts come back to us after our customers realize the service issues that can come with unsustainable low prices.
While we still believe that dynamic to potentially be true, it is a strategic imperative that we are lowering our cost structure and improving our service delivery. Please note that this New York City contract and a few others that we recently lost are higher margin than our overall portfolio margin profile. They will not materially affect our 2016 financials. However, we will provide you our preliminary thoughts on the 2017 impact of these contract losses and also give you the benefits that we see coming in our value enhancement program.
Turning to page seven. The Providence portfolio, so if you were to look at this a little over a year ago, you would have seen four segments as potential areas for value creation. We still have four areas or four buckets, but the composition has changed. In summary, at LogistiCare, we see long-term value creation primarily by being the tech-enabled service leader in the NET industry. With our new partner at Matrix, we see increased confidence in our ability to grow and diversify the business, targeting 20 plus percent EBITDA margins and high single-digit revenue growth.
As many of you know Ingeus or WD Services continues to undergo industry challenges, which have created contract challenges and thus our outlook for 2017 is tepid. Finally, with no debt, we have capital to return to shareholders via buybacks in a disciplined manner and also towards high quality acquisitions within the US healthcare area or the new high quality verticals.
As you will see in today's strategic discussion, we are actively pursuing value enhancement strategies to create value, including taking the appropriate measures to reduce our cost base, invest and diversify profitable growth. Please note that we will provide some commentary on 2017, but you should know that we have not completed our budgeting processes and our commentary is preliminary and subject to change.
So turning to page nine. The evolving industry landscape. So starting with our US healthcare service businesses, we wanted to update you on the industry landscape. New industry changes, first of all, include lots of talk about ride sharing. As you will see in a few slides, we have implemented ride sharing pilots both in-house and with a potential partner and see it as a part of our solution for a certain part of the populations we serve. We also continue to see a focus on keeping the aging and sick in their homes for as long as possible, increasing their transportation needs.
With MCOs playing a bigger part in Medicaid management, compliance, service and the focus on member outcomes is becoming a bigger part of industry focus. Approximately 37% of NET Services revenue now comes from MCO contracts some of which are actually approaching the scale of our mid-sized state contracts.
On HA Services new entrant capacity has been minimal and nurse practitioner talent remains tight. As competitors evolve into chronic care and in home management, we are seeing those competitors who have move rapidly into the space show uneven results. So we do remain disciplined in that area.
Finally, the tie between assessments and care optimization, particularly in a capitated environment, is becoming increasingly important.
So moving to page ten. Despite the news on the lost contracts recently, we continue to believe that we are the leader in the NET sector with many of the largest state and MCO contracts in the US. We remain focused on saving our state and MCO clients money, reducing their risk and also investing in strategic initiatives to improve quality and efficiency to accommodate an evolving set of requirements.
Looking forward, we currently have 20 work streams in progress that we expect to complete over the 18 to 24 months to maintain our leadership position. Once completed we expect the initiatives to result in annual savings of over $30 million. While our operational plan is fairly specific, the savings is a rough estimate as some of this will be given back to clients in the form of margin or benefit us through increased wins.
Turning to page 11. So a bit more on the strategic initiatives and then we'll start with the call center excellence area. So from the hiring process through the reservation request through oversight and reporting, we are reviewing most of our processes. For example, on hiring, we're now working with a leading RPO partner to improve our hiring process and reduce our turnover. On our reservation request ability, we now have client apps available, which make it easier to book a trip. When people call, we are also investing in robust call center technology to have calls answered faster.
On trip monitoring, we have developed new tools to provide each network fleet with real-time vehicle location systems, which tracks drivers, vehicles and trips via real-time GPS to optimize on-time performance, provide visibility to riders, transportation providers and our operational centers. This system is already active in seven states, California, New Jersey, Florida, Kansas, Missouri, New Mexico and Hawaii.
On oversight and reporting, we are giving members more feedback channels so we can funnel more rides to our best transportation providers. Again, reducing price and improving outcomes. It is also important to note that much of this comes, thanks to our increased IT investment over the last year or two and the development of our proprietary software, LCAD NEXGEN which will be deployed in early 2017.
So moving to page 12 and the transportation network. So as I just mentioned on trip monitoring, our new AVL rollout provides real-time insight into our network. In Q1 2017, we will enhance our network capacity planning by adding predictive analytics to help identify when and where member demand will occur, so we can anticipate fluctuations and deploy appropriate resources. We will continue to roll this out in 2017 to over 30,000 vehicles in our credentialed network, which should positively impact the second half of the year and beyond.
On costs, we're also implementing real-time cost software and new processes to make sure our best and most cost-efficient providers are rewarded with additional trips, which can help bring down the variation in pricing, a current dynamic that we see in our expense line.
Finally, another area where we are evolving LogistiCare is through the introduction of a ride share strategy. Our in-house ride share model allows us to offer a differentiated product for members, while expanding LogistiCare's reach in a very cost efficient way. Our ride share services operate in a similar manner to other app-based clinical on-demand transportation services, but have the advantage of drivers who are also experienced and certified healthcare professionals. We see a large unmet need for services like this particularly in acute care elderly populations.
We have already seen how effective these partnerships can be through pilot programs in two states to provide members with this low cost, fast response, transportation offering. Finally, we also continue to evaluate additional third party ride share partnerships and look to provide a more robust update in the near future.
So turning to how this translates into our service expense line. So while we have given you a high-level amount of potential savings, we wanted to point out to you where this savings is targeted. And again, we are in the midst of our budgeting process, so these targets can change up or down and we also anticipate that we will give some of the savings back to our customers and also with a lower cost-base and improved service, we will benefit from new business growth. All of this is just too early to predict in any major way and with any certainty.
So turning to page 14 and our outlook for US healthcare services industry, it's important to keep in mind that we remain leaders in each of our niches, niches where we aim to bolster our capabilities over the next 12 to 24 months and over the next 12 months in LogistiCare, we will seek to find ways to improve our sales and marketing, improve our client insight to prevent additional losses like we just saw in New York City, to expand into complementary services and offerings, more of which we will communicate in 2017.
Moving on to workforce development and page 15. So I'd like to remind you that most of the services that we offer today are focused on employment services for governments in what continues to be a low unemployment environment, made more challenging by both fiscal and social pressures that have intensified over the last year.
While we see a lot of need in certain areas of the unemployed population particularly those areas with mental and physical health challenges or with those whose jobs have been replaced by technology and need training.
Unfortunately, those needs are not being met with increased financial resources by many governments, which is pressuring our WD segment at the moment. We are moving to quickly offer new health and training services. However, we are moving in a disciplined manner as some of these new opportunities are still emerging.
So turning to page 17 and a strategic outlook for WD Services. So we have a variety of operations that remain stable and growing and a few larger contracts, which will impact our financials and moderate our previous expectations for 2017.
The UK work program and also France remain challenged due to high employment which means lower volumes for our employment programs. On France, please note that we are working aggressively to mitigate the continued losses in the operation. We hope to report significant progress on the year-end call with regard to this effort.
Looking forward and more significantly, the Department for Work and Pensions announced in October the schedule and set of annual values for the successor to Ingeus' largest contract, the Work and Health Program.
Unfortunately, we previously expected the Work and Health Program to start early in 2017 and generate $50 million to $75 million in annual revenues, assuming we held our market share. While the commencement of the program is expected to start in late 2017 now, the overall market size has been reduced to GBP69 million, which would put our market share at approximately $10 million to $15 million per year. Please note that our existing work program contract will roll off through the year 2019.
Additionally, our probationary services contract which was bid in 2014 and commenced in 2015 is under pressure due to industry wide challenges, such as a decline in volumes for those underwritten in 2014 and a probationer mix that has impacted our revenue profile. Because these challenges are an industry-wide phenomenon, partially due to this being the first generation of the program, there have been discussions to restructure the payment structure.
A joint report by a UK government entity in October reported on these challenges and called for a restructuring of the contract. Although a formal process has not yet been launched, the Ministry of Justice has indicated their intention to do a full review of the contract by March of 2017. So we would expect to begin engaging with the Ministry of Justice by the end of this year. We hope to share more news with you on our fourth quarter conference call. In the meantime, we are preparing for a reduction in revenues in this program in 2017 unless changes are made by the MOJ.
On a positive note, please note that our businesses outside of these major programs are expected to grow 5% to 10% in 2017 with acceptable overall margins. Our UK Youth Program and our new Health Program continue to grow and perform well and our business development team is building a pipeline of smaller contracts more closely aligned with our disciplined and diversified approach to growth.
Unfortunately, growth in these newer programs will not outweigh the effects of these two major programs, which will result in a revenue decline in 2017 for Ingeus. Despite the decline, Jack Sawyer, our CEO, is taking the appropriate step to improve profitability and margin and look for ways to improve our delivery capabilities.
With a new interim CFO and supplemental resources recruited from some industry leading providers, we are reducing our cost base in an appropriate fashion and are investing behind programs with demonstrated historical profitability to emerge from 2017 with a diversified sustainable business.
I'll now turn the rest the time over to David for an in-depth look at our Q3 financials.
David Shackelton - CFO
Thanks, Jim. I'll start on page 19. As mentioned earlier on October 19th, we completed our strategic partnership with Frazier Healthcare in the ownership and operation of Matrix which constitutes our HA Services segment. Of the approximately $380 million in proceeds, we used $325 million to pay down debt and put $55 million of cash to our balance sheet. Thus, on a pro forma basis as of 9/30, we had no debt and over $100 million in cash.
Note that Matrix is now presented in disc ops. Beginning with our 10-K, we will begin accounting for our 46.8% ownership as an unconsolidated equity investment with financial results flowing through the gain in equity investing lines on our P&L, as we currently do with our other JV investments.
We are also no longer including the results of our JV investments in the calculation of adjusted EBITDA and adjusted EPS as we not control these entities. Thus, to the extent adjusted EBITDA or adjusted EPS is utilized for valuation purposes, I encourage you to make sure you separately account for the value of our equity investments.
Moving to page 20. We see that Matrix or HA Services had a very strong quarter, adjusted EBITDA increased to $13.2 million in the third quarter of 2016 from $11.9 million in third quarter of last year, driven by 250 basis points of margin expansion due to ongoing operational and efficiency initiatives.
Moving into 2017, we expect revenue growth to accelerate under the strategic partnership entered into with Frazier Healthcare.
Moving to our third quarter results from continuing operations on page 21, revenue was $412.5 million, or an 8.7% increase from the third quarter of 2015. Excluding FX, we were up 12%.
Turning to page 22. Income from continuing operations, net of tax was $3.5 million or $0.13 per diluted common share compared to a loss of $4.2 million or negative $0.33 last year. Adjusted net income was $6.9 million or $0.35 per diluted common share, compared to $4 million or $0.16 last year.
Turning to page 23. Segment level adjusted EBITDA was $24.8 million or 6% of revenue compared to $17.2 million or 4.5% of revenue last year. Corporate and other adjusted EBITDA, which is not included in segment level adjusted EBITDA, was negative $7.3 million versus negative $5.7 million last year. Excluding insurance claim reversal last year corporate holding company costs would have been down on a year-over-year basis.
Turning to page 24. We see that cash earnings or cash flow from operations before the impact of working capital was a positive $10.7 million. Working capital in the quarter was a $1.4 million use of cash, yielding $9.3 million of cash earnings after working capital. Year-to-date cash earnings after working capital has been $75 million.
On CapEx, our year-to-date spend excluding disc ops is approximately $25.9 million. We currently estimate full year CapEx from continuing operations will be approximately $32 million. Of this $32 million approximately $14 million is related to new project specific CapEx within WD Services, primarily related to our new offender rehabilitation program in the UK and new employability programs in France.
In 2017, we expect new projects related CapEx to drop significantly within WD Services. However, this will be partially offset by implementation CapEx for NET Services, member experience and value enhancement initiatives.
Moving to page 25. The purpose of this page is to provide an update on how we have been spending your capital so far this year. I spoke about CapEx on the last slide but here, I'll emphasize the attractive opportunities to deploy capital towards technology that we are seeing within NET Services, including technology related to the implementation of the member experience and value enhancement initiative. On these investments, we are expecting a payback period of less than two years.
On share repurchases. Since beginning repurchasing shares in Q4 of last year and through today, we have spent approximately $92 million to repurchase 2.1 million shares or approximately 13% of the common shares outstanding when we began making repurchases. Given our belief that buying back our shares continues to be an attractive use of your capital, our board has approved a new $100 million stock repurchase program. As has been the case with our historical buybacks, we intend to take a conservative multi-year approach in all future buybacks.
And then on acquisitions. Although our M&A team, which includes Jim and myself, have continued to spend time searching for acquisitions, we have been primarily focused on organic value creation and have not yet identified any actionable targets that meet our acquisition criteria and whose risk return profile is superior to share repurchases. We will continue to seek out acquisition opportunities, but we are determined to stay disciplined when deploying your capital at the higher end of the risk return spectrum.
Before turning the page and discussing segment results. I'll note that in addition to Q3, and in addition to a Q3 performance recap, I will also be providing some clarity into the remainder of 2016 as well as some very preliminary high level insight into 2017. While we don't typically provide an outlook into following year performance, especially when our budgeting process still remains opened as it does now, we have decided to do so given the recent movements in NET Services contract portfolio and additional information about current and expected future contracts within WD Services.
Now turning to page 26, we see NET's strong first half performance continued in the second half of the year with Q3 revenue up almost 15% versus last year. Looking forward to 2017, as Jim mentioned, we learned late last week that we were unsuccessful in renewing our contract in New York City to provide ASO transportation services in the city's five boroughs. Although, we are currently evaluating our ability to protest this loss.
Because this contract as well as other contracts we've recently lost have higher margins than our other existing contracts, including those we have successfully renewed or won this year, we expect adjusted EBITDA margins to contract by approximately 100 to 125 basis points in 2017. However, we do expect our member experience and value enhancement initiatives to offset approximately 50 basis points of this contract mix driven margin pressure for a net negative impact to adjusted EBITDA margins of 50 to 75 basis points in 2017.
As Jim mentioned, we expect the member experience and value enhancement initiatives to ultimately generate over $30 million in annual savings. Although it will take 12 to 18 months to reach this level of annual savings, we will need to invest $10 million to $15 million in implementation OpEx and CapEx over the next nine to 12 months. These implementation costs are excluded from the 50 to 75 basis points of net margin contraction, I just mentioned. So on an unadjusted basis our margins may appear a bit lower.
Moving to WD Services on page 27, while it's not on the page, revenue did decline 7.4% in Q3. However, excluding the impact of FX, revenue increased 4.8%. This constant currency growth was driven by year-over-year growth in our Youth finished chip services partially offset by declining referrals under the work program, as well as the decline in revenue from our offender rehabilitation program primarily due to an unfavorable mix in the intensity of offender sentences being referred to us.
Adjusted EBITDA for the quarter was $4.3 million or 4.5% of revenue versus $0.5 million or 0.4% of revenue last year. This 400 basis points of margin improvement was primarily due to the redundancy program initiated at the end of 2015 in the UK.
For the full year, we are now expecting WD Services' adjusted EBITDA margin to be around 5%, excluding the approximately $5 million of EBITDA losses associated with our French operations and winding down of operations in Sweden and Poland. Including France, Sweden and Poland, we expect full year adjusted EBITDA margins of approximately 2.5% to 3% on revenues of approximately $350 million. Note that this margin range could trend higher if we receive additional contract adjustment payments related to major programs in the UK as we did in Q3.
In 2017, we currently expect combined work program and offender rehabilitation revenue to decrease by approximately $70 million potentially offset by modest net growth elsewhere of approximately $10 million to $15 million. Note that any improvements to our offender rehabilitation program revenue due to contract changes by the Ministry of Justice could partially offset this revenue decline.
Margin-wise, it is still too early to tell, but we do anticipate -- we do not anticipate any major improvements in 2017 despite the fact that we're working hard to decrease our cost infrastructure and position the business for growth and margin expansion in 2018 and beyond. These steps will likely result in restructuring charges which we are not yet prepared to quantify being taken in 2017 within the WD Services segment.
That concludes the financial section of the presentation. And I will now turn the call back over to Jim.
Jim Lindstrom - CEO
Great. Thank you, David. So in closing on page 28, I just want to reiterate that we are laser-focused on successfully carrying out our plans we have discussed today, including our newly announced member experience initiative. We will be more competitive, we will be more efficient, we will continue to innovate to reduce costs and provide a better member experience. And as we come closer to the end of the year, we do maintain an optimistic view and are optimistic that we can continue to create intrinsic value on a per share basis over the long-term.
Finally, I know this has been a bit of a long call and longer than our usual earnings call and we won't get to every question. So please reach out to us directly or stop by our office with any additional questions or ideas.
I'll now open it up to questions. Operator?
Operator
(Operator Instructions). And our first question comes from the line of Bob Labick of CJS Securities. Your line is now open.
Bob Labick - Analyst
Good morning.
Jim Lindstrom - CEO
Good morning.
Bob Labick - Analyst
A lot of information there for us. Back up with the New York City please, just first an easy one on it potentially. The loss of New York, is that a greater impact than the gain coming back on South Carolina, not margin wise, but dollar wise in terms of EBIT or EBITDA?
Jim Lindstrom - CEO
Yes, it does.
Bob Labick - Analyst
Okay. And so and also is the winning bidder in New York competing in New Jersey? I know you, and any update on New Jersey, I guess, right now and I'll just keep going on this path.
Jim Lindstrom - CEO
We don't have any update on New Jersey. And no, they're not competing in New Jersey, they are only as we know it they're only serving actually in New York state.
Bob Labick - Analyst
Okay. And you said it was on price, and so how long is that contract for? Will you be rebidding it in a few years on a lower price or what are your expectations there?
Jim Lindstrom - CEO
I believe it's a three-year contract and we will be rebidding it.
Bob Labick - Analyst
Okay. And how much roughly of the 2016 EBITDA is out for bid into 2017?
Jim Lindstrom - CEO
We don't have that on an EBITDA basis. I can tell you on a revenue basis it's roughly -- now this is assuming that we hear from New Jersey this year, it's roughly a third of the overall revenue.
David Shackelton - CFO
Yes, it's approximately $275 million to $300 million.
Jim Lindstrom - CEO
So a little bit less. Sorry.
Bob Labick - Analyst
Okay. And the biggest chunks there is Virginia one or what or is that too much detail?
Jim Lindstrom - CEO
No, no. Virginia is one. We current --
David Shackelton - CFO
Yes, so Virginia is one. We have multiple contracts in Virginia but there is some revenue in Virginia coming up for rebid. Also Georgia, Philadelphia and Connecticut. And I was including in that $260 million to $270 million -- I was including South Carolina because we do expect to be rebidding that now in 2017.
Bob Labick - Analyst
Okay.
Jim Lindstrom - CEO
There are also other states that are coming up that we don't have like Mississippi, Indiana, Arkansas, potentially the rest of Pennsylvania.
David Shackelton - CFO
And West Virginia.
Jim Lindstrom - CEO
And West Virginia.
Bob Labick - Analyst
Okay. So those are effectively new bid opportunities for you?
Jim Lindstrom - CEO
Exactly.
Bob Labick - Analyst
Okay, great. And then just shifting over to WD Services, what's the medium or long-term outlook. And then the rationale for staying in that, I know it's a tough question. But given the human capital cost, management cost and then also the capital cost that you've put into this so far, just give us the medium to long-term outlook as to why this is worth the effort to keep going down this path where increasingly it's breakeven or losses?
Jim Lindstrom - CEO
Well we are subject to government contracts in terms of -- and we're dealing with some populations such as in the investor -- in the probationary services where we are vital to delivering that service. So in terms of us holding it, we have -- we're fulfilling everything that we have to fulfill, most importantly. Anywhere where we can wind down contracts that are unprofitable, we are doing that like we've done in Sweden and Poland. So we are getting pretty aggressive on that.
If you're -- I expect you're also asking about strategically if we'd sell the business, we can't comment on that publicly, but I think if you look at what we've done to-date over the past year, we do look at this from an investment point of view as well and that there's no reason why we're not looking at this business the same way, but everything that you've mentioned those challenges we're living and breathing every day particularly around the human capital. There is a high cost to this business. So I think our thinking is aligned. But again, there's only so much I can say on a call.
Bob Labick - Analyst
Understood, yes, And just a last one, I'll let others. So I just to -- I think you've mentioned this, but just to make sure I got it or we got it. The value enhancement initiatives are over how long? How much of the 50 basis points that we'll see next year and is like the vast majority of the benefits going to be in 2018 or help us kind of put that all together in terms of when that flows into P&L because I understand it's difficult obviously to say because we're going to lower prices we can therefore win more and that kind of stuff. But when is the actual work done in terms of value enhancement initiatives?
And then obviously, whatever you give back to clients or give back in lower cost to get more revenue is understood but just trying to see like the process itself, how long does it take?
David Shackelton - CFO
Yes, so we've already started some of the implementation -- started planning for this earlier this year. We've been using resources from third parties, but the bulk of the implementation is going to take place in 2017 and as I mentioned that's going to drive next year $10 million to $15 million of implementation costs and that will come in the form of OpEx and CapEx.
We won't see the majority of the benefits, however, until 2018 -- in 2017, I'd mentioned that we expected to get 50 -- approximately 50 basis points of margin expansion from the initiatives which was helping to offset the change in our contract mix -- change in the margin profile of our contracts which if you apply 50 basis points to our current year the expected revenue at somewhere around $5 million to $10 million of benefit in 2017. So again, the majority of the benefit is going to kick in in 2018 and by the end of 2018 we feel we should be run rating annual savings -- should be run rating over $30 million.
Jim Lindstrom - CEO
And just to reiterate, we went through a bunch of specific examples in here, some of the items out of the 20 work streams that we have. None of this is rocket science in terms of what we're doing. It is 20 work streams though across 20 different call centers and working with a lot of transportation providers. So again we feel pretty confident about it. We've done a lot of work in terms of the design and planning so we're pretty excited about it.
Bob Labick - Analyst
Okay, great. Thank you very much.
Operator
Thank you. And our next question comes from Shane Svenpladsen of Avondale Partners. Your line is now open.
Shane Svenpladsen - Analyst
Good morning.
Jim Lindstrom - CEO
Morning.
Shane Svenpladsen - Analyst
When the work program cuts were initially announced, it was looking like the Work and Health Program would be a GBP120 million to GBP130 million annually. What was behind the change to where you're saying now it's $69 million annually for the whole program?
Jim Lindstrom - CEO
So they had a report in October where they actually went up to bidders and I think it's publicly available on the DWP website where they actually spelled out in the provision documents the move downward, and what they attribute it to are if you look to our slide we basically took some of the reasons around unemployment directly from the report. Again that's out there on the website and it's mostly related to the unemployment -- the employment statistics.
Shane Svenpladsen - Analyst
Okay. And that doesn't include any kind of benefit from Scotland, is that correct?
Jim Lindstrom - CEO
That's correct.
Shane Svenpladsen - Analyst
Okay.
David Shackelton - CFO
And there may be supplemental revenue contributed to the program by municipalities within the UK, but we're less certain on those figures so we're just speaking to the core Work and Health program.
Shane Svenpladsen - Analyst
Sure, sure. That makes sense. And then moving to Matrix, when you put out the press release regarding the updated deal terms there, it said part of the reason for the change was due to a desire to change the capital structure so that Matrix could do more M&A. just generally you know what kind of opportunities you and Frazier seeing on that front?
Jim Lindstrom - CEO
So the activity has picked up, I'd say they're smaller -- actually one that came in over the summer but they all are -- they are preliminary and on the smaller side. I'd also say that they're more limited in terms of, I think, competitive nature around them and potentially have some good both sales and cost synergies. So I think what we're seeing is, we're quite enthused about, but again nothing -- we're in one process and who knows how it turns out or not.
Shane Svenpladsen - Analyst
Okay, I appreciate. And then just lastly, with the number of rebids coming up in the NET Services segment, are you seeing kind of a continued trend to more aggressive pricing on the part of your competitors or are these kind of more one-off type situations?
Jim Lindstrom - CEO
Well, the one situation that we've referred today, we feel like was a one-off situation but because it was a higher margin contract. However, the move towards MCOs will continue overall pressure but I think we're all on the same -- feeling the same pressures as our few competitors that are out there. So I think it is an overall trend, but I don't think that the competitive dynamic as we just saw in New York City, where we obviously lost, will continue.
Shane Svenpladsen - Analyst
All right. Thanks for the questions. I'll get back in the queue.
Jim Lindstrom - CEO
Thank you.
Operator
Thank you. And our next question comes from the line of Mike Petusky of Barrington Research. Your line is now open.
Mike Petusky - Analyst
Hi, a few questions. So when you talked about the loss of New York City, I thought I heard others. Were there -- but I didn't hear others specifically cited. Can you speak to that?
David Shackelton - CFO
Yes, so when we say others so there's New York City and then we have mentioned before the state of Nevada, which is smaller and then a small handful of MCO contracts.
Mike Petusky - Analyst
Okay. And so when you kind of balance that off against what you get back in South Carolina what's kind of the net revenue loss between those two pieces of business coming in and going out?
David Shackelton - CFO
So when we consider our contract losses as well as how that's offset by recent contracts wins and renewals and kind of discrete membership and pricing increases in certain markets, it does come out as a -- on the revenue side about a wash, but again the margin mix is different between the contracts that we lost and the contracts that we won or retained.
Jim Lindstrom - CEO
And just to be clear that is if you're thinking about that for 2017 that is preliminary; that's based on what we won or what we're about to sign, hopefully very near-term and doesn't include some of these additional contracts that we mentioned earlier that could be new additions.
David Shackelton - CFO
Yes. And again, we are rebidding as we do normally every year, rebidding a portion of our portfolio. It's a little bit above average just because New -- if you include New Jersey in there.
Jim Lindstrom - CEO
If New Jersey doesn't get awarded this year.
Mike Petusky - Analyst
Do you guys have any sense of whether that's likely to be extended again for a few months or any sense at all?
Jim Lindstrom - CEO
I don't think we can comment on it at this point on the extension part.
Mike Petusky - Analyst
Okay. So on the timing of the business that you guys will have out for bid, the $275 million to $300 million, can you just talk about the timing of some of the bigger ones there, Virginia or some of the other ones that you cited? Are they mid-year, are they towards the end of the year? Can you speak to that?
David Shackelton - CFO
Yes, I would say if you average it out, it would be closer to mid year. So we wouldn't feel that full impact starting day one. It would be more midyear where the renewed contracts would kick in.
Mike Petusky - Analyst
Okay. That's what I was trying to get at. And then last one on this side --
Jim Lindstrom - CEO
I'd just also add to that that it's also going to enable us. We've already starting to include some of these initiatives in our RFPs and so it will give us a little more time over the first quarter to continue to roll out some of these initiatives which we think will make us competitively stronger in those RFPs as well.
Mike Petusky - Analyst
OK, great. Great. And then on the new ones that you guys cited West Virginia, Mississippi, Arkansas, a couple others, how much either if you have chunks of revenue associated with some of the bigger ones or how much revenue is associated with those new possibilities?
David Shackelton - CFO
Yes. If we look at our pipeline of -- I'm not going to go into specific revenues for specific contracts. But if you look at the potential additional revenue from new state and MCO contracts, it is approximately $100 million.
Mike Petusky - Analyst
And then switching over to Matrix, the margins there were again really strong and I think you guys had almost sort of tried to talk them down or at least signaled, hey, be conservative in the third quarter. Can you just, I guess, speak to that and just speak to how you're thinking about that business' margins going forward?
Jim Lindstrom - CEO
Sure. Yes, we continue to be surprised as well, frankly, gladly to the upside. And so two things are driving it. We think one is frankly our process improvement team, which is pretty large in the business in terms of size and people they touch just continues to drive down direct and indirect costs per CHA. And in terms of pricing, we've always talked about prices coming down. However, our teams continually sort of are rolling out additional solutions. So our most recent one is we're starting to pilot a diabetes in home service as part that we can tack onto our assessment. And so that's helping keep margins a little bit higher as well. So (multiple speakers) --
Mike Petusky - Analyst
So I mean would your hope be that kind of you could keep segment margins there above 20% for the foreseeable future or is there even more upside than that?
Jim Lindstrom - CEO
Yes. We don't see them coming significantly down anytime soon. Other factors that are playing into it are nurse practitioner talent, as I mentioned is tough. And so our model has worked pretty well in terms of keeping turnover down and creating a good model to attract nurse practitioners.
Our nationwide structure as well, so we can ramp up very quickly in new markets and the MCOs like that. We've also been with the new sales structure going out to smaller regional players. And [Mike Lansell] and the team, Michael just came on last year earlier this year -- sorry -- have been doing a great job with some of the smaller clients as well. So we don't see any sort of short-term change in that margin, but as always we are acting like we are getting pressured down in terms of how we're running the business. That's all.
David Shackelton - CFO
I would also say the kind of -- some of care management programs that they're undertaking could cause margins around the edge to fluctuate as there's quarters of investment and as Jim mentioned towards the end of the year looking to launch three more Care Direct programs, which is our care management, but should not have significant impacts on margin.
Mike Petusky - Analyst
Okay. All right. Last one, and you may have touched on this and I may have missed it. You're giving a ton of information here, so appreciate that. But on Mission Providence, I think there was an expectation that somewhere near year end that would turn profitable. Is that -- I don't know if you said that earlier; is that still kind of the guesstimate there or can you just talk about that -- speak to that?
Jim Lindstrom - CEO
So we are still hopeful that towards the end of the year, it will turn profitable. I think it's still frankly it's uncertain, it's still a pretty challenged industry. In Australia, we actually have teams, from Providence and from Ingeus there right now working with management, on operational efficiencies, literally, there today.
And I will say some of the initiative work that we did over the summer or going into the summer has started to pay off. And so some of the early metrics around, for example, job placements per advisor, which is a key one for us has started to exceed our expectations a little bit. I mean it's only been a few months. But we are doing a little bit better there than we expected. And so it might not be December, but I feel like we're starting to see some light there.
Mike Petusky - Analyst
Okay, and just a real quick one. I think also you talked about maybe the expense infrastructures in France. Have you guys been able to kind of do anything there or is that kind of in the same place it was 90 days ago?
Jim Lindstrom - CEO
So that's another area where we have deployed Providence teams as well. And I should say the Providence team is quite small. I don't mean to make it sound like we have 20 people; we're talking about under five and working again with Ingeus there. And that one is just because of the regulatory environment, as I'm sure a lot of people on the phone know, it's a bit more difficult to work through. But it is, I would say, we're working as aggressively as possible and hope to have more news on the year end call. But I can't say much more than that at this point.
Mike Petusky - Analyst
Okay.
David Shackelton - CFO
Michael, I'll also point out that we are attempting to provide a bit more. Although we're not including our JV investments in adjusted EBITDA or adjusted EPS anymore, we are attempting to provide a bit more disclosure and insight into our JVs including Mission Providence. So in our press release, for example, we've started including a couple more tables that should hopefully help.
Mike Petusky - Analyst
Yes, no. Absolutely. Great detail across the board. Really appreciate it. Thank you.
Operator
Thank you. And I'm showing no further questions at this time. I would like to now turn the call over to Mr. Jim Lindstrom for closing remarks.
Jim Lindstrom - CEO
Great. Thank you, everybody for the time. We appreciate running up to an hour now everybody's commitment to learning more about the business today. And as always, please feel free to reach out directly to us or come out and visit us in Sanford to talk more about the business. So thank you. Have a great day.
Operator
Ladies and gentlemen, thank you for participating in today's conference. This concludes today's program. You may all disconnect. Everyone have a great day.