EXHIBIT 99.1 AMERIGROUP CORPORATION REPORTS $37,278,000 NET INCOME OR $0.71 PER DILUTED SHARE INCLUDING FAVORABLE PRIOR PERIOD DEVELOPMENT 2006 Full-Year EPS Estimate Increased to $1.45 - $1.55 VIRGINIA BEACH, Va., April 27 /PRNewswire-FirstCall/ -- AMERIGROUP Corporation (NYSE: AGP) today announced that net income for the first quarter of 2006 increased 82.4 percent to $37,278,000, or $0.71 per diluted share, compared with net income of $20,443,000, or $0.39 per diluted share, for the first quarter of 2005. The first quarter of 2006 includes the reversal of a prior period revenue accrual of $6,316,000 and favorable prior period medical claims development of $34,467,000. Excluding the impact of these favorable prior period amounts, first quarter net income would have been approximately $12,881,000, or $0.24 per diluted share. Total revenues for the first quarter of 2006 increased 20.9 percent to $673,876,000 compared with $557,512,000 for the first quarter of 2005, resulting from 20.3 percent organic premium revenue growth primarily due to new products and markets. Revenues were positively affected by the reversal of a $6,316,000 accrual, or $0.07 per diluted share, which was established in the third quarter of 2005 with respect to potential premium recoupments in two markets. Membership increased approximately 5.0 percent, or 52,000 members, to 1,099,000 at quarter end, as compared with 1,047,000 members at March 31, 2005. Sequentially, membership decreased by 30,000 members, or 2.7 percent, from the fourth quarter of 2005, due primarily to the continuing state issues with enrollment in Florida and Texas. Highlights for the first quarter include: * Organic premium revenue increased 20.3 percent compared with the prior year; * Entered into the Medicare Special Needs Plan, or SNP, in our Houston market; * Awarded two urban regions in Ohio; * Health benefits ratio of 84.9 percent before the impact of the favorable prior period amounts; * Days in claims payable of 60 or 56 without the prior period claims development, both of which were in line with our expected range of 55 to 65 days; * Unregulated cash and investments of $187,816,000; and * Cash flow from operations of $155,894,000. Commenting on the quarter, Jeffrey L. McWaters, Chairman and CEO of AMERIGROUP Corporation, said, "Our top-to-bottom analysis of 2005 has provided a better understanding of what happened to medical costs and trend and confirmed that the integrity of our business strategy remains strong. We have learned a great deal from this experience and are committed to using that knowledge to become a stronger company. Looking beyond the quarter, our increased estimates for 2006 earnings reflect a number of positive developments in our business and how we are managing our growth." Health Benefits Health benefits as a percent of premium revenues were 78.9 percent for the first quarter of 2006 versus 82.0 percent for the first quarter of 2005. Health benefits reflect favorable prior period development of $34,467,000, or $0.39 per diluted share. Excluding the impact of the favorable prior period amounts, the health benefits ratio would have been 84.9 percent compared to a recast first quarter 2005 of 84.7 percent, which reflects changes in estimates relating to 2005. Selling, General and Administrative Expenses The selling, general and administrative expense ratio was 11.8 percent of total revenues for the first quarter of 2006 versus 11.1 percent in the first quarter of 2005. The increase is primarily due to several components: salary and benefits including the effect of the adoption of SFAS 123(R); an increase in premium tax in certain states; legal fees; development costs in Georgia and elsewhere; as well as actuarial and consulting services associated with key operational initiatives. Balance Sheet and Cash Flow Highlights Cash and investments at March 31, 2006, totaled $794,514,000, of which $187,816,000 was unregulated. Medical claims liabilities totaled $349,587,000, representing 60 days in claims payable or 56 days without the prior period claims development versus 62 days in the previous quarter. Cash flow from operations for the quarter ended March 31, 2006, totaled $155,894,000, compared to $43,683,000 for the same period in the prior year. The key drivers of the change between the two periods relate to the impact of the change in net income, together with the changes in unearned revenue, premium receivables and income tax payable. Outlook The Company is revising its 2006 annual estimates for earnings per diluted share to be $1.45 to $1.55, which reflect the prior period amounts and a favorable moderation in estimated medical cost trend from approximately 7.0 percent down to approximately 6.0 percent. This compares to previously issued earnings per diluted share estimates of $0.70 to $0.85. The revised estimate is based on the following: * Estimates continue to be predicated on the timing of our expansion into the State of Georgia and the assumption that Georgia and other new products and markets operate at underwritten levels. We expect Georgia to be operational in June 2006; * Organic premium revenue growth remains unchanged in the range of 20.0 to 25.0 percent, which includes weighted-average rate increases of approximately 4.5 percent versus the previous estimate of 4.0 percent; * Health benefits of less than 85.0 percent of premium revenues for the full year versus the previous estimate of 86.0 percent, excluding the impact from the favorable prior period amounts and including the impact of new products and markets; * Selling, general and administrative expenses of less than 12.0 percent of total revenues versus the previous estimate of 11.0 percent, which include expenses to build our infrastructure to complete operational improvement efforts and support future growth. Excluding premium taxes, selling, general and administrative expenses are estimated to be just over 10.0 percent; * Compensation expense due to the adoption of SFAS 123(R) continues to be estimated at $0.09 per diluted share for the year, slightly weighted towards the first half of the year; * Income tax rate of approximately 40.0 percent; and * Fully diluted shares outstanding of approximately 52,800,000. AMERIGROUP senior management will discuss the Company's first quarter results on a conference call, Friday, April 28th at 9:30 a.m. Eastern Time. The conference call can be accessed by dialing 888-202-2422 (domestic) or 913- 981-5592 (international) and providing passcode 4265009 approximately ten minutes prior to the start time of the call. A recording of the call may be accessed by dialing 888-203-1112 (domestic) or 719-457-0820 (international) and providing passcode 4265009. The replay will be available beginning Friday, April 28th at 12:30 p.m. Eastern Time until Friday, May 5th at 11:59 p.m. Eastern Time. The conference call will also be available through the investors' page of the Company's Web site, http://www.amerigroupcorp.com, or through http://www.earnings.com. A 30-day replay of this webcast will be available on these Web sites approximately two hours following the conclusion of the live broadcast. AMERIGROUP Corporation, headquartered in Virginia Beach, Virginia, improves healthcare access and quality for low-income Americans by developing innovative managed health services for the public sector. Through its subsidiaries, AMERIGROUP serves 1.1 million people in New York, New Jersey, Maryland, the District of Columbia, Virginia, Georgia, Florida, Texas, Ohio and Illinois. For more information, visit http://www.amerigroupcorp.com. This release is intended to be disclosure through methods reasonably designed to provide broad, non-exclusionary distribution to the public in compliance with the Securities and Exchange Commission's Fair Disclosure Regulation. This release contains certain "forward-looking" statements, including statements related to expected 2006 performance such as membership, revenues, organic premium revenues, rate increases, operating cash flows, health benefits expenses, trend levels, our ability to manage our medical costs generally, seasonality of health benefits expenses, selling, general and administrative expenses, days in claims payable, income tax rates, earnings per share, and net income growth, as well as expectations of our successful implementation of operational improvements and expectations on the effective date and successful integration of any pending acquisition as well as expansions and debt levels, made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements involve known and unknown risks and uncertainties that may cause the Company's actual results in future periods to differ materially from those projected or contemplated in the forward-looking statements. These risks and uncertainties include, but are not limited to, national, state and local economic conditions, including their effect on the rate-setting process, timing of payments, as well as the availability and cost of labor, utilities and materials; the effect of government regulations and changes in regulations governing the healthcare industry, including our compliance with such regulations and their effect on our ability to manage our medical costs; changes in Medicaid payment levels, membership eligibility and methodologies and the application of such methodologies by the government; liabilities and other claims asserted against the Company; our ability to attract and retain qualified personnel; our ability to maintain compliance with all minimum capital requirements; the availability and terms of capital to fund acquisitions and capital improvements; the competitive environment in which we operate; our ability to maintain and increase membership levels; and demographic changes. Investors should also refer to our Annual Report on Form 10-K for the year ended December 31, 2005, filed with the Securities and Exchange Commission on March 1, 2006, for a discussion of risk factors. Given these risks and uncertainties, we can give no assurances that any forward-looking statements will, in fact, transpire and, therefore, caution investors not to place undue reliance on them. We specifically disclaim any obligation to update or revise any forward-looking statements, whether as a result of new information, future developments or otherwise. Investors: Julie Loftus Trudell News Media: Kent Jenkins Jr. Senior Vice President, Senior Vice President, Investor Relations Communications AMERIGROUP Corporation AMERIGROUP Corporation (757) 321-3597 (757) 518-3671 AMERIGROUP CORPORATION AND SUBSIDIARIES CONDENSED CONSOLIDATED INCOME STATEMENTS (dollars in thousands, except for per share data) Three months ended March 31, -------------------------- 2006 2005 ------------ ------------ Revenues: Premium $ 666,158 $ 553,888 Investment income and other 7,718 3,624 Total revenues 673,876 557,512 Expenses: Health benefits 525,466 454,404 Selling, general and administrative 79,224 62,041 Depreciation and amortization 6,752 7,091 Interest 116 160 Total expenses 611,558 523,696 Income before income taxes 62,318 33,816 Income tax expense 25,040 13,373 Net income $ 37,278 $ 20,443 Weighted average number of common shares and dilutive potential common shares outstanding 52,591,485 52,961,652 Diluted net income per share $ 0.71 $ 0.39 The following table sets forth selected operating ratios. All ratios, with the exception of the health benefits ratio, are shown as a percentage of total revenues. Three months ended March 31, ------------------------- 2006 2005 ----------- ----------- Premium revenue 98.9% 99.3% Investment income and other 1.1 0.7 Total revenues 100.0% 100.0% Health benefits (1) 78.9% 82.0% Selling, general and administrative expenses 11.8% 11.1% Income before income taxes 9.2% 6.1% Net income 5.5% 3.7% (1) The health benefits ratio is shown as a percentage of premium revenue because there is a direct relationship between the premium received and the health benefits provided. The following table sets forth the approximate number of our members we served in each state as of March 31, 2006 and 2005. March 31, ------------------------- 2006 2005 ----------- ----------- Texas 386,000 392,000 Florida 206,000 219,000 Maryland 142,000 131,000 New York 134,000 119,000 New Jersey 105,000 107,000 Illinois 40,000 38,000 District of Columbia 41,000 41,000 Ohio 24,000 - Virginia 21,000 - Total 1,099,000 1,047,000 The following table sets forth the approximate number of our members in each of our products as of March 31, 2006 and 2005. SNP members are counted in both the AMERIVANTAGE and AMERIPLUS products as we received two premiums for those members. March 31, ------------------------- Product 2006 2005 - --------------------------------------------------- ----------- ----------- AMERICAID (Medicaid-TANF) 768,000 735,000 AMERIKIDS (SCHIP) 192,000 194,000 AMERIPLUS (Medicaid-SSI) 87,000 82,000 AMERIFAM (FamilyCare) 45,000 36,000 AMERIVANTAGE (SNP) 7,000 - Total 1,099,000 1,047,000 AMERIGROUP CORPORATION AND SUBSIDIARIES CONDENSED CONSOLIDATED BALANCE SHEETS March 31, December 31, 2006 2005 ----------- ----------- (in thousands) Assets Current assets: Cash and cash equivalents $ 260,394 $ 272,169 Short-term investments 264,684 130,054 Premium receivables 50,653 76,142 Deferred income taxes 17,411 11,972 Prepaid expenses, provider receivables and other current assets 41,609 37,792 Total current assets 634,751 528,129 Property, equipment and software, net 62,049 61,664 Goodwill and other intangible assets, net 253,669 255,115 Long-term investments, including investments on deposit for licensure 269,436 241,540 Other long-term assets 7,300 7,140 $ 1,227,205 $ 1,093,588 Liabilities and Stockholders' Equity Current liabilities: Claims payable $ 349,587 $ 348,679 Unearned revenue 93,432 32,598 Accounts payable 5,914 7,243 Accrued expenses, capital leases and other current liabilities 80,902 46,350 Total current liabilities 529,835 434,870 Deferred income taxes, capital leases and other long-term liabilities 15,612 17,164 Total liabilities 545,447 452,034 Stockholders' equity: Common stock, $.01 par value 516 516 Additional paid-in capital 374,587 371,744 Retained earnings 306,655 269,294 Total stockholders' equity 681,758 641,554 $ 1,227,205 $ 1,093,588 AMERIGROUP CORPORATION AND SUBSIDIARIES CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS Three months ended March 31, ------------------------- 2006 2005 ----------- ----------- (in thousands) Cash flows from operating activities: Net income $ 37,278 $ 20,443 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization 6,752 7,091 Deferred tax benefit (5,850) (1,480) Stock compensation expense 2,009 - Tax benefit related to exercise of stock options - 6,210 Changes in assets and liabilities increasing (decreasing) cash flows from operations: Premium receivables 25,489 10,561 Prepaid expenses, provider receivables and other current assets (3,817) 1,118 Other assets (287) (608) Claims payable 908 (14,373) Unearned revenue 60,834 28,110 Accounts payable, accrued expenses and other current liabilities, net 33,552 (12,666) Other long-term liabilities (974) (723) Net cash provided by operating activities 155,894 43,683 Cash flows from investing activities: (Purchase of) proceeds from sale of investments, net (157,470) 123,294 Purchase of investments on deposit for licensure, net (4,973) (5,596) Purchase of property, equipment and software (5,564) (4,894) Stock acquisition, net of cash acquired - (99,030) Net cash (used in) provided by investing activities (168,007) 13,774 Cash flows from financing activities: Payment of capital lease obligations (496) (933) Proceeds from exercise of stock options 674 5,913 Tax benefit related to exercise of stock options 160 - Net cash provided by financing activities 338 4,980 Net (decrease) increase in cash and cash equivalents (11,775) 62,437 Cash and cash equivalents at beginning of period 272,169 227,130 Cash and cash equivalents at end of period $ 260,394 $ 289,567 SOURCE AMERIGROUP Corporation -0- 04/27/2006 /CONTACT: Investors: Julie Loftus Trudell, Senior Vice President, Investor Relations, +1-757-321-3597 or News Media: Kent Jenkins Jr., Senior Vice President, Communications, +1-757-518-3671, both of AMERIGROUP Corporation/ /Web site: http://www.amerigroupcorp.com/ (AGP)