Exhibit 99.1
N E W S R E L E A S E
Contact: | Edmund E. Kroll |
| Senior Vice President, Finance & Investor Relations |
| (212) 759-0382 |
| |
| Eric R. Slusser |
| Executive Vice President and Chief Financial Officer |
| (314) 725-4477 |
CENTENE CORPORATION REPORTS 2007 THIRD QUARTER RESULTS
ST. LOUIS, MISSOURI (October 23, 2007) -- Centene Corporation (NYSE: CNC) today announced its financial results for the quarter ended September 30, 2007. The revenues, general and administrative expenses and related financial ratios included in this release present premium taxes on a gross basis, consistent with our past reporting practice.
| | | | | | |
2007 Highlights |
| | Q3 | | | YTD | |
Total Revenues (in millions) | | $ | 749.9 | | | $ | 2,148.5 | |
Medicaid/SCHIP HBR | | | 79.0 | % | | | 80.5 | % |
Diluted EPS (as reported) | | $ | 0.36 | | | $ | 1.61 | |
Diluted EPS excluding FirstGuard Activity | | $ | 0.37 | | | $ | 0.90 | |
| | | | | | | | |
Third Quarter Summary
- | Quarter-end Medicaid Managed Care membership of 1.1 million |
- | Revenues of $749.9 million, an 18.8% increase over the 2006 third quarter. |
- | Earnings per diluted share of $0.37 (excluding FirstGuard Activity), compared to $0.31 in the 2006 third quarter (excluding FirstGuard impairment charges). |
- | Health Benefits Ratio (HBR) for Centene’s Medicaid and SCHIP populations, which reflects medical costs as a percent of premium revenues, of 79.0% on a gross basis. |
- | Medicaid Managed Care G&A expense ratio of 13.6% and Specialty Services G&A ratio of 15.1%, including premium taxes. |
- | Operating cash flows of $104.9 million. |
- | Days in claims payable of 49.2. |
Other Events
- | In July 2007, we acquired a minority interest in Access Health Solutions, LLC, the third largest Medicaid managed care entity in Florida. |
- | Appointed Mark Eggert to position of Executive Vice President, Health Plans. |
- | Stock repurchase program extended through October 31, 2008. |
Michael F. Neidorff, Centene’s Chairman and Chief Executive Officer, stated, “During the third quarter, overall results for revenue, membership growth and earnings were consistent with our expectations, and our Medicaid and SCHIP HBR improved by 160 basis points sequentially.
“In Texas, we experienced growing membership in both SCHIP and in the Texas STAR Plus (SSI) program. Recently, we received notification from the state of Texas that it will launch its Foster Care program on April 1, 2008; we have worked diligently to prepare for this and look forward to serving the needs of these recipients.
“In Georgia, membership was 286,200, within our guided range. Positive momentum in cost and utilization trends in the state continue, and we recently hired Michael Cadger as our plan President and CEO. Michael Cadger brings over 30 years of relevant experience in the health and managed care industry. We are currently waiting to receive our rate increase from the state.
“We are encouraged by the opportunity in South Carolina as the state converts to full-risk later this year, as well as our entry into Florida, where we are preparing for the state’s future conversion. We remain optimistic about the prospects for growth in both new and existing markets in Medicaid managed care and in our specialty businesses.” concluded Neidorff.
Centene Corporation Reports 2007 Third Quarter Results October 23, 2007 / Page 2
The following table depicts membership in Centene’s managed care organizations by state at September 30, 2007 and 2006:
The following table depicts membership in Centene’s managed care organizations by member category at September 30, 2007 and 2006:
| | 2007 | | | 2006 | |
Medicaid | | | 841,600 | | | | 818,000 | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
Kansas and Missouri Medicaid/SCHIP members | | | | | | | | |
| | | | | | | | |
| | | | | | | | |
(a)65,700 at-risk; 6,500 ASO | | | | | | | | |
(b) 10,000 at-risk; 8,000 ASO | | | | | | | | |
Statement of Operations
- | For the 2007 third quarter, revenues increased 18.8% to $749.9 million from $631.2 million in the 2006 third quarter. |
- | The HBR for Centene’s Medicaid and SCHIP populations, which reflects medical costs as a percent of premium revenues, was 79.0% on a gross basis, a decrease of 3.0% over 2006. The decrease in the current year is primarily attributable to increased premium yield and the effect of higher premium taxes combined with a moderating medical cost trend. Sequentially, our Medicaid and SCHIP HBR decreased from 80.6% in the 2007 second quarter to 79.0% because of higher premium yield combined with a continued moderate medical cost trend. The 2007 third quarter reflects expected claims reserve development and is based on consistent reserving methodology. |
- | G&A expense as a percent of revenues for the Medicaid Managed Care segment was 13.6% in the third quarter of 2007 compared to 13.1% in the third quarter of 2006. The increase in the Medicaid Managed Care G&A expense ratio for the three months ended September 30, 2007 primarily reflects increased premium taxes and start-up costs for our South Carolina and Texas Foster Care operations. Premium taxes were $20.7 million in the 2007 third quarter and $13.8 million in the 2006 third quarter. This increase was offset by a FirstGuard intangible asset impairment charge of $6.0 million in the third quarter of 2006. |
- | Operating earnings were $23.1 million, including $0.8 million of net expense for other FirstGuard Activity. Excluding the FirstGuard Activity in 2007 and the FirstGuard non-cash impairment charges in 2006, operating earnings were $23.9 million in 2007 compared to $20.5 million in the 2006 third quarter. |
- | Reported GAAP earnings per diluted share were $0.36, or $0.37 excluding FirstGuard Activity, compared to $0.31 in the 2006 third quarter (excluding the FirstGuard non-cash impairment charges). |
- | For the nine months ended September 30, 2007, revenues increased 35.8% to $2.1 billion from $1.6 billion for the same period in the prior year. Medicaid Managed Care G&A expenses as a percent of revenues increased to 13.5% in the first nine months of 2007 compared to 12.5% in the first nine months of 2006. Earnings from operations, excluding the FirstGuard Activity in 2007 and the FirstGuard non-cash impairment charges in 2006, increased to $56.7 million in the first nine months of 2007 from $39.4 million in the first nine months of 2006. Net earnings, excluding the FirstGuard Activity, were $40.1 million or $0.90 per diluted share in the first nine months of 2007. |
Balance Sheet and Cash Flow
At September 30, 2007, the Company had cash and investments of $639.5 million, including $593.6 million held by its regulated entities and $45.9 million held by its unregulated entities. Medical claims liabilities totaled $316.6 million, representing 49.2 days in claims payable. Total debt was $202.1 million and debt to capitalization was 33.1%.
A reconciliation of the Company’s change in days in claims payable from the immediately preceding quarter-end is presented below:
Days in claims payable, June 30, 2007 | 46.8 | |
Change in provider accruals | 1.3 | |
Increase in days receipt to paid | 0.6 | |
Specialty segment | 0.5 | |
Days in claims payable, September 30, 2007 | 49.2 | |
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Centene Corporation Reports 2007 Third Quarter Results October 23, 2007 / Page 3
Outlook
The table below depicts the Company’s guidance for the 2007 fourth quarter and full year.
| | Q4 2007 (1) | | | 2007 (1) | |
| | Low | | | High | | | Low | | | High | |
Revenue (in millions) | | $ | 770 | | | $ | 780 | | | $ | 2,915 | | | $ | 2,930 | |
Earnings per diluted share | | $ | 0.46 | | | $ | 0.51 | | | $ | 1.36 | | | $ | 1.41 | |
(1) Excludes FirstGuard Activity | | | | | | | | | | | | | | | | |
Eric R. Slusser, Centene’s Chief Financial Officer, stated, “The 2007 fourth quarter and full year guidance reflects our expectation for the Georgia rate increase. The high end of our guidance range was reduced to reflect our current rate expectations. As mentioned in our second quarter 2007 earnings call, the 2008 guidance will be announced in early December.”
Stock Repurchase Authorization
On October 22, 2007, the Company’s Board of Directors extended the expiration date of the Company’s stock repurchase program to October 31, 2008. The program would have expired October 31, 2007. The program authorizes the repurchase of up to 4,000,000 shares of the Company’s common stock from time to time on the open market or through privately negotiated transactions.
Conference Call
As previously announced, the Company will host a conference call Tuesday, October 23, 2007, at 8:30 A.M. (Eastern Time) to review the financial results for the third quarter ended September 30, 2007, and to discuss its business outlook. Michael F. Neidorff and Eric R. Slusser will host the conference call. Investors are invited to participate in the conference call by dialing 800-273-1254 in the U.S. and Canada, 706-679-8592 from abroad, or via a live internet broadcast on the Company's website at www.centene.com, under the Investor Relations section. A replay will be available for on-demand listening shortly after the completion of the call until 11:59 P.M. (Eastern Time) on November 6, 2007 at the aforementioned URL, or by dialing 800-642-1687 in the U.S. and Canada, or 706-645-9291 from abroad, and entering access code 16108117.
Non-GAAP Financial Presentation
The Company is providing certain non-GAAP financial measures in this release as the Company believes these figures are helpful in allowing individuals to more accurately assess the ongoing nature of the Company's operations and measure the Company's performance more consistently.
The 2007 non-GAAP information presented above in the “highlights” table, third bullet under "Third Quarter Summary" and fourth through sixth bullets under "Statement of Operations" excludes the activity for the Kansas and Missouri health plans, collectively, FirstGuard Activity. This exclusion has been made in the non-GAAP financial measures as management believes the 2007 results of the Kansas and Missouri health plans are not indicative of future company operations.
The 2006 non-GAAP information presented above in the third bullet under "Third Quarter Summary" and fourth through sixth bullets under "Statement of Operations" excludes the FirstGuard non-cash goodwill and intangible asset impairment charges related to the loss of our Kansas contract. This exclusion has been made in the non-GAAP financial measures as management believes this charge is an unusual event.
The Company uses the presented non-GAAP financial measures internally to focus management on period-to-period changes in the Company's core business operations. Therefore, the Company believes this information is meaningful in addition to the information contained in the GAAP presentation of financial information. The presentation of this additional non-GAAP financial information is not intended to be considered in isolation or as a substitute for the financial information prepared and presented in accordance with GAAP.
The following tables reconcile the Company’s Statement of Operations for the three and nine months ended September 30, 2007 and 2006 on a GAAP basis to a non-GAAP basis. The 2007 non-GAAP basis excludes the FirstGuard Activity and the 2006 non-GAAP basis excludes the FirstGuard non-cash goodwill and intangible asset impairment charges related to the loss of our Kansas contract (in thousands, except share data).
| | Three Months Ended September 30, 2007 | |
| | GAAP | | | FirstGuard Activity | | | Non-GAAP | |
| | | | | | | | | |
Total revenues | | $ | 749,949 | | | $ | 61 | | | $ | 749,888 | |
Expenses: | | | | | | | | | | | | |
Medical costs | | | 592,128 | | | | 745 | | | | 591,383 | |
Cost of services | | | 13,622 | | | | — | | | | 13,622 | |
General and administrative expenses | | | 121,139 | | | | 167 | | | | 120,972 | |
Total operating expenses | | | 726,889 | | | | 912 | | | | 725,977 | |
Earnings (loss) from operations | | | 23,060 | | | | (851 | ) | | | 23,911 | |
Investment and other income, net | | | 2,181 | | | | — | | | | 2,181 | |
Earnings (loss) before income taxes | | | 25,241 | | | | (851 | ) | | | 26,092 | |
Income tax expense (benefit) | | | 9,305 | | | | (323 | ) | | | 9,628 | |
Net earnings (loss) | | $ | 15,936 | | | $ | (528 | ) | | $ | 16,464 | |
| | | | | | | | | | | | |
Diluted earnings per common share | | $ | 0.36 | | | | | | | $ | 0.37 | |
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Centene Corporation Reports 2007 Third Quarter Results October 23, 2007 / Page 4
| | Nine Months Ended September 30, 2007 | |
| | GAAP | | | FirstGuard Activity | | | Non-GAAP | |
| | | | | | | | | |
Total revenues | | $ | 2,148,522 | | | $ | 6,669 | | | $ | 2,141,853 | |
Expenses: | | | | | | | | | | | | |
Medical costs | | | 1,702,396 | | | | 7,347 | | | | 1,695,049 | |
Cost of services | | | 45,922 | | | | — | | | | 45,922 | |
General and administrative expenses | | | 350,601 | | | | 6,465 | | | | 344,136 | |
Gain on sale of FirstGuard Missouri | | | (7,472 | ) | | | (7,472 | ) | | | — | |
Total operating expenses | | | 2,091,447 | | | | 6,340 | | | | 2,085,107 | |
Earnings (loss) from operations | | | 57,075 | | | | 329 | | | | 56,746 | |
Investment and other income, net | | | 5,285 | | | | (2,156 | ) | | | 7,441 | |
Earnings (loss) before income taxes | | | 62,360 | | | | (1,827 | ) | | | 64,187 | |
Income tax expense (benefit) | | | (9,569 | ) | | | (33,660 | ) | | | 24,091 | |
Net earnings (loss) | | $ | 71,929 | | | $ | 31,833 | | | $ | 40,096 | |
| | | | | | | | | | | | |
Diluted earnings per common share | | $ | 1.61 | | | | | | | $ | 0.90 | |
| | Three Months Ended September 30, 2006 | |
| | GAAP | | | FirstGuard Impairment Charges | | | Non-GAAP | |
| | | | | | | | | |
Total revenues | | $ | 631,249 | | | $ | — | | | $ | 631,249 | |
Expenses: | | | | | | | | | | | | |
Medical costs | | | 501,350 | | | | — | | | | 501,350 | |
Cost of services | | | 15,373 | | | | — | | | | 15,373 | |
General and administrative expenses | | | 99,984 | | | | (5,993 | ) | | | 93,991 | |
Impairment loss | | | 81,098 | | | | (81,098 | ) | | | — | |
Total operating expenses | | | 697,805 | | | | (87,091 | ) | | | 610,714 | |
Earnings (loss) from operations | | | (66,556 | ) | | | 87,091 | | | | 20,535 | |
Investment and other income, net | | | 1,543 | | | | — | | | | 1,543 | |
Earnings (loss) before income taxes | | | (65,013 | ) | | | 87,091 | | | | 22,078 | |
Income tax expense | | | 6,180 | | | | 2,098 | | | | 8,278 | |
Net earnings (loss) | | $ | (71,193 | ) | | $ | 84,993 | | | $ | 13,800 | |
| | | | | | | | | | | | |
Diluted earnings (loss) per common share | | $ | (1.65 | ) | | | | | | $ | 0.31 | |
| | Nine Months Ended September 30, 2006 | |
| | GAAP | | | FirstGuard Impairment Charges | | | Non-GAAP | |
| | | | | | | | | |
Total revenues | | $ | 1,581,620 | | | $ | — | | | $ | 1,581,620 | |
Expenses: | | | | | | | | | | | | |
Medical costs | | | 1,263,251 | | | | — | | | | 1,263,251 | |
Cost of services | | | 45,278 | | | | — | | | | 45,278 | |
General and administrative expenses | | | 239,647 | | | | (5,993 | ) | | | 233,654 | |
Impairment loss | | | 81,098 | | | | (81,098 | ) | | | — | |
Total operating expenses | | | 1,629,274 | | | | (87,091 | ) | | | 1,542,183 | |
Earnings (loss) from operations | | | (47,654 | ) | | | 87,091 | | | | 39,437 | |
Investment and other income, net | | | 4,520 | | | | — | | | | 4,520 | |
Earnings (loss) before income taxes | | | (43,134 | ) | | | 87,091 | | | | 43,957 | |
Income tax expense | | | 14,328 | | | | 2,098 | | | | 16,426 | |
Net earnings (loss) | | $ | (57,462 | ) | | $ | 84,993 | | | $ | 27,531 | |
| | | | | | | | | | | | |
Diluted earnings (loss) per common share | | $ | (1.33 | ) | | | | | | $ | 0.62 | |
Centene Corporation Reports 2007 Third Quarter Results October 23, 2007 / Page 5
Premium Tax Presentation
The Company reports premium taxes as a component of revenues and general and administrative expenses, or on a gross basis. Effective with the reporting of our results for the fourth quarter of 2007, the Company intends to report premium taxes on the face of the statement of operations as a component of revenues and a component of operating expenses. The following statement of operations, for the three months ended September 30, 2007 and 2006, displays the intended format.
| | | |
| | Three Months Ended September 30, | |
| | 2007 | | | 2006 | |
| | (Unaudited) | |
Revenues: | | | | | | |
Premium | | $ | 709,516 | | | $ | 596,831 | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
General and administrative expenses | | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
Earnings (loss) from operations | | | | | | | (66,556 | ) |
| | | | | | | | |
Investment and other income | | | | | | | | |
| | | (4,171 | ) | | | (3,082 | ) |
Earnings (loss) before income taxes | | | | | | | (65,013 | ) |
| | | | | | | | |
| | $ | 15,936 | | | $ | (71,193 | ) |
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The Company also intends to alter the definition of its HBR and G&A ratios to a net basis. On a net basis, the HBR is calculated as Medical costs divided by Premium revenues. On a net basis, the G&A ratio is recorded as G&A expense divided by the sum of Premium revenue and Service revenue. The following table shows the Company’s Medicaid/SCHIP HBR and the Medicaid Managed Care G&A ratio on a gross basis as reported as well as on a net basis for analytical purposes.
| | | | | Medicaid/SCHIP HBR | | | Medicaid Managed Care G&A Ratio | |
| | Premium Taxes (in thousands) | | | Current (Gross) | | | Net | | | Current (Gross) | | | Net | |
2007 | | | | | | | | | | | | | | | |
Q1 | | $ | 18,216 | | | | 82.3 | % | | | 84.8 | % | | | 13.0 | % | | | 10.5 | % |
Q2 | | | 19,874 | | | | 80.6 | | | | 83.1 | | | | 14.0 | | | | 11.5 | |
Q3 | | | 20,737 | | | | 79.0 | | | | 81.5 | | | | 13.6 | | | | 11.0 | |
Year to Date | | $ | 58,827 | | | | 80.5 | | | | 83.0 | | | | 13.5 | | | | 11.0 | |
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2006 | | | | | | | | | | | | | | | | | | | | |
Q1 | | $ | 4,305 | | | | 82.8 | % | | | 83.7 | % | | | 11.9 | % | | | 11.0 | % |
Q2 | | | 6,876 | | | | 84.0 | | | | 85.3 | | | | 12.3 | | | | 11.0 | |
Q3 | | | 13,830 | | | | 82.0 | | | | 84.0 | | | | 13.1 | | | | 11.0 | |
Q4 | | | 17,442 | | | | 82.1 | | | | 84.4 | | | | 12.7 | | | | 10.4 | |
Total Year | | $ | 42,453 | | | | 82.6 | | | | 84.3 | | | | 12.6 | | | | 10.8 | |
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About Centene Corporation
Centene Corporation is a leading multi-line healthcare enterprise that provides programs and related services to individuals receiving benefits under Medicaid, including the State Children’s Health Insurance Program (SCHIP) and Supplemental Security Income (SSI). The Company operates health plans in Florida, Georgia, Indiana, New Jersey, Ohio, South Carolina, Texas and Wisconsin. In addition, the Company contracts with other healthcare and commercial organizations to provide specialty services including behavioral health, health management, long-term care, managed vision, nurse triage, pharmacy benefits management and treatment compliance. Information regarding Centene is available via the Internet at www.centene.com.
The information provided in this press release contains forward-looking statements that relate to future events and future financial performance of Centene. Subsequent events and developments may cause the Company's estimates to change. The Company disclaims any obligation to update this forward-looking financial information in the future. Readers are cautioned that matters subject to forward-looking statements involve known and unknown risks and uncertainties, including economic, regulatory, competitive and other factors that may cause Centene's or its industry's actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking statements. Actual results may differ from projections or estimates due to a variety of important factors, including Centene's ability to accurately predict and effectively manage health benefits and other operating expenses, competition, changes in healthcare practices, changes in federal or state laws or regulations, inflation, provider contract changes, new technologies, reduction in provider payments by governmental payors, major epidemics, disasters and numerous other factors affecting the delivery and cost of healthcare. The expiration, cancellation or suspension of Centene's Medicaid Managed Care contracts by state governments would also negatively affect Centene.
[Tables Follow]
Centene Corporation Reports 2007 Third Quarter Results October 23, 2007 / Page 6
CENTENE CORPORATION AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(In thousands, except share data)
| | September 30, 2007 | | | December 31, 2006 | |
| | (Unaudited) | |
ASSETS | | | | | | |
Current assets: | | | | | | |
Cash and cash equivalents | | $ | 275,048 | | | $ | 271,047 | |
Premium and related receivables | | | | | | | | |
Short-term investments, at fair value (amortized cost $48,312 and $67,199, respectively) | | | | | | | | |
| | | | | | | | |
| | | | | | | | |
Long-term investments, at fair value (amortized cost $288,732 and $146,980, respectively) | | | | | | | | |
Restricted deposits, at fair value (amortized cost $26,667 and $25,422, respectively) | | | | | | | | |
Property, software and equipment, net | | | | | | | | |
| | | | | | | | |
Other intangible assets, net | | | | | | | | |
| | | | | | | | |
| | $ | 1,086,240 | | | $ | 894,980 | |
| | | | | | | | |
LIABILITIES AND STOCKHOLDERS’ EQUITY | | | | | | | | |
| | | | | | | | |
Medical claims liabilities | | $ | 316,617 | | | $ | 280,441 | |
Accounts payable and accrued expenses | | | | | | | | |
| | | | | | | | |
Current portion of long-term debt | | | | | | | | |
Total current liabilities | | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
| | | | | | | | |
Common stock, $.001 par value; authorized 100,000,000 shares; issued and outstanding 43,496,447 and 43,369,918 shares, respectively | | | | | | | | |
Additional paid-in capital | | | | | | | | |
Accumulated other comprehensive income: | | | | | | | | |
Unrealized gain (loss) on investments, net of tax | | | | | | | (1,251 | ) |
| | | | | | | | |
Total stockholders’ equity | | | | | | | | |
Total liabilities and stockholders’ equity | | $ | 1,086,240 | | | $ | 894,980 | |
Centene Corporation Reports 2007 Third Quarter Results October 23, 2007 / Page 7
CENTENE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except share data)
| | | | | | | | | | | | |
| | | | | | | | | | | | |
| | Three Months Ended September 30, | | | Nine Months Ended September 30, | |
| | 2007 | | | 2006 | | | 2007 | | | 2006 | |
| | (Unaudited) | | | (Unaudited) | |
| | | | | | | | | | | | |
Revenues: | | | | | | | | | | | | |
Premium | | $ | 730,253 | | | $ | 610,661 | | | $ | 2,087,219 | | | $ | 1,522,302 | |
Service | | 19,696 | | | 20,588 | | | 61,303 | | | 59,318 | |
Total revenues | | 749,949 | | | 631,249 | | | 2,148,522 | | | 1,581,620 | |
Expenses: | | | | | | | | | | | | | | | | |
Medical costs | | | 592,128 | | | | 501,350 | | | | 1,702,396 | | | | 1,263,251 | |
Cost of services | | | 13,622 | | | | 15,373 | | | | 45,922 | | | | 45,278 | |
General and administrative expenses | | | 121,139 | | | | 99,984 | | | | 350,601 | | | | 239,647 | |
Impairment loss | | — | | | 81,098 | | | — | | | 81,098 | |
Gain on sale of FirstGuard Missouri | | — | | | — | | | (7,472 | ) | | — | |
Total operating expenses | | 726,889 | | | 697,805 | | | 2,091,447 | | | 1,629,274 | |
Earnings (loss) from operations | | | 23,060 | | | | (66,556 | ) | | | 57,075 | | | | (47,654 | ) |
Other income (expense): | | | | | | | | | | | | | | | | |
Investment and other income | | | 6,352 | | | | 4,625 | | | | 16,801 | | | | 12,056 | |
Interest expense | | (4,171 | ) | | (3,082 | ) | | (11,516 | ) | | (7,536 | ) |
Earnings (loss) before income taxes | | | 25,241 | | | | (65,013 | ) | | | 62,360 | | | | (43,134 | ) |
Income tax expense (benefit) | | 9,305 | | | 6,180 | | | (9,569 | ) | | 14,328 | |
Net earnings (loss) | | $ | 15,936 | | | $ | (71,193 | ) | | $ | 71,929 | | | $ | (57,462 | ) |
| | | | | | | | | | | | | | | | |
Earnings per share: | | | | | | | | | | | | | | | | |
Basic earnings (loss) per common share | | $ | 0.37 | | | $ | (1.65 | ) | | $ | 1.65 | | | $ | (1.33 | ) |
Diluted earnings (loss) per common share | | $ | 0.36 | | | $ | (1.65 | ) | | $ | 1.61 | | | $ | (1.33 | ) |
| | | | | | | | | | | | | | | | |
Weighted average number of shares outstanding: | | | | | | | | | | | | | | | | |
Basic | | | 43,532,832 | | | | 43,219,053 | | | | 43,528,201 | | | | 43,126,062 | |
Diluted | | | 44,628,560 | | | | 43,219,053 | | | | 44,787,981 | | | | 43,126,062 | |
Centene Corporation Reports 2007 Third Quarter Results October 23, 2007 / Page 8
CENTENE CORPORATION AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
| | Nine Months Ended September 30, | |
| | 2007 | | | 2006 | |
| | (Unaudited) | |
| | | | | | |
Cash flows from operating activities: | | | | | | |
Net earnings (loss) | | $ | 71,929 | | | $ | (57,462 | ) |
Adjustments to reconcile net earnings (loss) to net cash provided by operating activities — | | | | | | | | |
Depreciation and amortization | | | | | | | | |
Stock compensation expense | | | | | | | | |
| | | | | | | | |
| | | (859 | ) | | | (4,493 | ) |
Gain on sale of FirstGuard Missouri | | | (7,472 | ) | | | | |
Changes in assets and liabilities — | | | | | | | | |
Premium and related receivables | | | | | | | (34,209 | ) |
| | | (15,540 | ) | | | | |
| | | (934 | ) | | | (455 | ) |
Medical claims liabilities | | | | | | | | |
| | | | | | | | |
Accounts payable and accrued expenses | | | | | | | | |
Other operating activities | | | | | | | (188 | ) |
Net cash provided by operating activities | | | | | | | | |
Cash flows from investing activities: | | | | | | | | |
Purchases of property, software and equipment | | | (41,774 | ) | | | (39,494 | ) |
| | | (464,378 | ) | | | (235,501 | ) |
Sales and maturities of investments | | | | | | | | |
Proceeds from asset sales | | | | | | | | |
Investments in acquisitions and equity method investee, net of cash acquired | | | (26,425 | ) | | | (66,921 | ) |
Net cash used in investing activities | | | (177,025 | ) | | | (141,761 | ) |
Cash flows from financing activities: | | | | | | | | |
Proceeds from exercise of stock options | | | | | | | | |
| | | | | | | | |
Payment of long-term debt | | | (176,729 | ) | | | (12,505 | ) |
Excess tax benefits from stock compensation | | | | | | | | |
| | | (8,581 | ) | | | (7,214 | ) |
| | | (5,181 | ) | | | | |
Net cash provided by financing activities | | | | | | | | |
Net increase in cash and cash equivalents | | | | | | | | |
Cash and cash equivalents, beginning of period | | | | | | | | |
Cash and cash equivalents, end of period | | $ | 275,048 | | | $ | 200,480 | |
| | | | | | | | |
| | $ | 4,480 | | | $ | 7,582 | |
| | $ | 6,965 | | | $ | 5,223 | |
Centene Corporation Reports 2007 Third Quarter Results October 23, 2007 / Page 9
CENTENE CORPORATION
SUPPLEMENTAL FINANCIAL DATA
| Q3 | | Q2 | | Q1 | | Q4 |
| 2007 | | 2007 | | 2007 | | 2006 |
MEMBERSHIP | | | | | | | |
Medicaid Managed Care: | | | | | | |
Georgia | 286,200 | | 281,400 | | 291,300 | | 308,800 |
Indiana | 156,300 | | 161,700 | | 176,700 | | 183,100 |
New Jersey | 58,300 | | 59,100 | | 59,100 | | 58,900 |
Ohio | 127,500 | | 128,200 | | 118,300 | | 109,200 |
South Carolina | 29,300 | | 31,100 | | — | | — |
Texas | 347,000 | | 333,900 | | 318,500 | | 298,500 |
Wisconsin | 132,700 | | 136,100 | | 139,400 | | 164,800 |
Subtotal | 1,137,300 | | 1,131,500 | | 1,103,300 | | 1,123,300 |
Kansas and Missouri | — | | — | | — | | 138,900 |
TOTAL | 1,137,300 | | 1,131,500 | | 1,103,300 | | 1,262,200 |
| | | | | | | |
Medicaid | 841,600 | | 846,900 | | 839,600 | | 887,300 |
SCHIP | 223,500 | | 216,500 | | 211,200 | | 216,200 |
SSI | 72,200 | | 68,100 | | 52,500 | | 19,800 |
Subtotal | 1,137,300 | | 1,131,500 | | 1,103,300 | | 1,123,300 |
Kansas and Missouri Medicaid and SCHIP members | — | | — | | — | | 138,900 |
TOTAL | 1,137,300 | | 1,131,500 | | 1,103,300 | | 1,262,200 |
| | | | | | | |
Specialty Services(a): |
Arizona | 99,000 | | 95,200 | | 93,600 | | 94,500 |
Kansas | 35,600 | | 37,500 | | 36,600 | | 36,600 |
TOTAL | 134,600 | | 132,700 | | 130,200 | | 131,100 |
| | | | | | | |
(a) Includes behavioral health contracts only. |
| | | | | | | | | | | |
REVENUE PER MEMBER(b) | $ | 207.25 | | $ | 198.98 | | $ | 185.90 | | $ | 173.75 |
| | | | | | | |
CLAIMS(b) | | | | | | | |
Period-end inventory | 266,600 | | 284,800 | | 326,000 | | 296,100 |
Average inventory | 320,100 | | 244,600 | | 239,400 | | 195,700 |
Period-end inventory per member.. | 0.24 | | 0.26 | | 0.30 | | 0.23 |
|
(b) Revenue per member and claims information are presented for the Medicaid Managed Care segment. |
Centene Corporation Reports 2007 Third Quarter Results October 23, 2007 / Page 10
| Q3 | | Q2 | | Q1 | | Q4 |
| 2007 | | 2007 | | 2007 | | 2006 |
| | | | | | | |
DAYS IN CLAIMS PAYABLE (c) | 49.2 | | 46.8 | | 46.4 | | 46.4 |
(c) Days in Claims Payable is a calculation of Medical Claims Liabilities at the end of the period divided by average claims expense per calendar day for such period. |
| | | | | | | |
CASH AND INVESTMENTS (in millions) | | | | | | | |
Regulated | $ | 593.6 | | $ | 527.9 | | $ | 491.0 | | $ | 479.8 |
Unregulated | | 45.9 | | | 65.8 | | | 71.8 | | | 28.9 |
TOTAL | $ | 639.5 | | $ | 593.7 | | $ | 562.8 | | $ | 508.7 |
| | | | | | | |
DEBT TO CAPITALIZATION (d) | 33.1% | | 34.0% | | 35.3% | | 35.0% |
(d) Debt to Capitalization is calculated as follows: total debt divided by (total debt + equity). |
HEALTH BENEFITS RATIO BY CATEGORY:
| | Three Months Ended September 30, | | | Nine Months Ended September 30, | |
| | 2007 | | | 2006 | | | 2007 | | | 2006 | |
Medicaid and SCHIP | | | 79.0 | % | | | 82.0 | % | | | 80.5 | % | | | 82.8 | % |
SSI | | | 89.6 | | | | 84.1 | | | | 88.2 | | | | 86.2 | |
Specialty Services | | | 81.7 | | | | 82.9 | | | | 78.9 | | | | 83.5 | |
GENERAL AND ADMINISTRATIVE EXPENSE RATIO BY BUSINESS SEGMENT:
| | Three Months Ended September 30, | | | Nine Months Ended September 30, | |
| | 2007 | | | 2006 | | | 2007 | | | 2006 | |
Medicaid Managed Care | | | 13.6 | % | | | 13.1 | % | | | 13.5 | % | | | 12.5 | % |
Specialty Services | | | 15.1 | | | | 17.0 | | | | 15.5 | | | | 18.3 | |
MEDICAL CLAIMS LIABILITIES (In thousands)
Four rolling quarters of the changes in medical claims liabilities are summarized as follows:
Balance, September 30, 2006 | | $ | 246,669 | |
Incurred related to: | | | | |
Current period | | | 2,275,172 | |
Prior period | | | (16,216 | ) |
Total incurred | | | 2,258,956 | |
Paid related to: | | | | |
Current period | | | 1,961,044 | |
Prior period | | | 227,964 | |
Total paid | | | 2,189,008 | |
Balance, September 30, 2007 | | $ | 316,617 | |
Centene’s claims reserving process utilizes a consistent actuarial methodology to estimate Centene’s ultimate liability. Any reduction in the “Incurred related to: Prior period” claims may be offset as Centene actuarially determines “Incurred related to: Current period.” As such, only in the absence of a consistent reserving methodology would favorable development of prior period claims liability estimates reduce medical costs. Centene believes it has consistently applied its claims reserving methodology in each of the periods presented.