Coventry Health Care Reports First Quarter Earnings of $0.66 per Diluted Share
BETHESDA, Md.--(BUSINESS WIRE)-- Coventry Health Care, Inc. (NYSE: CVH) today reported consolidated operating results for the quarter ended March 31, 2010. Operating revenues totaled $2.9 billion for the quarter with net earnings of $97.3 million, or $0.66 earnings per diluted share (EPS). Excluding the favorable impact of Medicare Advantage Private Fee-for-Service (MA-PFFS) results(1) in the quarter, operating revenues totaled $2.9 billion for the quarter with net earnings of $71.9 million, or $0.49 EPS.
“While it is still early in the year, I am pleased with our first quarter financial results particularly given the challenging macroeconomic operating environment,” said Allen F. Wise, chairman and chief executive officer of Coventry. “Coventry will continue to focus on our seven core businesses and strive to improve our cost structure which we feel best positions us for future success.”
Consolidated Highlights
- Commercial risk membership of 1,501,000, up from 1,418,000 at year-end
- Sequential organic membership growth in small group products
- Closed Preferred Health Systems, Inc. acquisition on February 1, 2010
- Continued sequential membership growth in Medicare Advantage Coordinated Care Plans (MA-CCP) and Medicaid
- Awarded Medicaid services contract with the State of Nebraska effective August 1, 2010
- Commenced Medicaid operations in the Pennsylvania Southeast Region effective April 1, 2010
- GAAP cash flows from operations were ($186.9) million
- Excluding the impact of MA-PFFS, cash flows from operations were $110.9 million(1)
- Approximately $450 million of deployable free cash at the parent at quarter-end
- Increasing full year EPS guidance to a range of $2.35 to $2.50 from the prior range of $2.10 to $2.25
- EPS guidance range of $2.18 to $2.33 excluding the $0.17 first quarter impact from MA-PFFS as well as any impact from MA-PFFS for the remainder of the year(1)
| (1) | The Company did not renew the MA-PFFS product line effective January 1, 2010 and is in the process of paying claims liabilities related to prior dates of service. The Company believes that disclosing adjusted earnings and cash flow figures which exclude the 2010 impact of the MA-PFFS results provides a more meaningful measure of its operating results for comparison to future periods and previously announced guidance. |
Selected First Quarter 2010 Highlights
- Health Plan Commercial Group Risk Highlights. Reported commercial group risk premium yields rose to $312.05 PMPM (per member per month) in the quarter, an increase of 5.3% from the prior year quarter. The health plan commercial group risk MLR was 80.2% in the quarter, a decrease of 70 basis points from the prior year quarter.
- Medicare Advantage Highlights. As of March 31, 2010, MA-CCP membership was 190,000, an increase of 14,000 members from the prior year quarter. The MA-CCP MLR was 85.7% in the quarter. During the first quarter, the MA-PFFS product line contributed $0.17 EPS largely due to favorable medical cost experience during the claims run-out process. As previously announced, the Company did not renew this product line effective January 1, 2010.
- Medicare Part D Highlights. As of March 31, 2010, Medicare Part D membership was 1,600,000, an increase of 99,000 members from the prior year quarter. The Medicare Part D MLR was 95.3% in the quarter, a decrease of 650 basis points from the prior year quarter.
- Medicaid Highlights. As of March 31, 2010, Medicaid membership was 406,000, an increase of 31,000 members from the prior year quarter. The Medicaid MLR was 84.0% in the quarter, a decrease of 430 basis points from the prior year quarter.
2010 Full Year Guidance
- Risk revenue of $10.00 billion to $10.35 billion
- Management services revenue of $1.130 billion to $1.175 billion
- Consolidated revenue of $11.130 billion to $11.525 billion
- Consolidated MLR of 82.4% to 83.0%
- Cost of sales expense of $235.0 million to $245.0 million
- Selling, general, and administrative expense (SG&A) of $1.94 billion to $1.98 billion
- Depreciation and amortization expense of $137.0 million to $145.0 million
- Other income of $78.0 million to $84.0 million
- Interest expense of $80.0 million to $86.0 million
- Tax rate of 37.0% to 38.0%
- Diluted share count of 146.5 million to 148.0 million
- EPS of $2.35 to $2.50
- EPS guidance range of $2.18 to $2.33 excluding the $0.17 first quarter impact from MA-PFFS as well as any impact from MA-PFFS for the remainder of the year(1)
Mr. Allen F. Wise, chairman and chief executive officer of Coventry, will host a conference call at 8:30 a.m. ET on Friday, April 30, 2010. To listen to the call, dial toll-free at (888) 542-1139 or, for international callers, (719) 325-2192. Callers will be asked to identify themselves and their affiliations. The conference call will also be webcast from Coventry’s Investor Relations site at www.coventryhealthcare.com. Coventry asks participants on both the call and webcast to review and be familiar with its filings with the Securities and Exchange Commission. A replay of the call will be available for one week at (888) 203-1112 or, for international callers, (719) 457-0820. The access code is 5425706.
This press release contains forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are defined as statements that are not historical facts and include those statements relating to future events or future financial performance. Actual performance may be significantly impacted by certain risks and uncertainties including those described in Coventry’s Annual Report on Form 10-K for the year ended December 31, 2009, as may be updated from time to time in Coventry’s quarterly reports on Form 10-Q. Coventry undertakes no obligation to update or revise any forward-looking statements.
Coventry Health Care (www.coventryhealthcare.com) is a diversified national managed healthcare company based in Bethesda, Maryland, operating health plans, insurance companies, network rental and workers’ compensation services companies. Coventry provides a full range of risk and fee-based managed care products and services to a broad cross section of individuals, employer and government-funded groups, government agencies, and other insurance carriers and administrators.
| COVENTRY HEALTH CARE, INC. | |||||||
| CONSOLIDATED STATEMENTS OF OPERATIONS | |||||||
| (Amounts in thousands, except per share data) | |||||||
| Quarters Ended | |||||||
| March 31, | |||||||
| 2010 | 2009 | ||||||
| Operating revenues: | (unaudited) | (unaudited) | |||||
| Managed care premiums | $ | 2,570,575 | $ | 3,240,812 | |||
| Management services | 288,403 | 292,083 | |||||
| Total operating revenues | 2,858,978 | 3,532,895 | |||||
| Operating expenses: | |||||||
| Medical costs | 2,114,343 | 2,832,997 | |||||
| Cost of sales | 59,145 | 57,876 | |||||
| Selling, general, administrative | 494,905 | 544,020 | |||||
| Depreciation and amortization | 35,519 | 34,677 | |||||
| Total operating expenses | 2,703,912 | 3,469,570 | |||||
| Operating earnings | 155,066 | 63,325 | |||||
| Operating earnings percentage of total revenues | 5.4% | 1.8% | |||||
| Interest expense | 20,130 | 22,131 | |||||
| Other income, net | 20,287 | 19,867 | |||||
| Earnings before income taxes | 155,223 | 61,061 | |||||
| Provision for income taxes | 57,898 | 22,953 | |||||
| Income from continuing operations | 97,325 | 38,108 | |||||
| Discontinued operations: | |||||||
| Income from discontinued operations | - | 9,607 | |||||
| Income tax provision | - | 3,547 | |||||
| Income from discontinued operations | - | 6,060 | |||||
| Net earnings | $ | 97,325 | $ | 44,168 | |||
| Net earnings per share: | |||||||
| Basic earnings per share from continuing operations | $ | 0.67 | $ | 0.26 | |||
| Basic earnings per share from discontinued operations | - | 0.04 | |||||
| Total basic earnings per share | $ | 0.67 | $ | 0.30 | |||
| Diluted earnings per share from continuing operations | $ | 0.66 | $ | 0.26 | |||
| Diluted earnings per share from discontinued operations | - | 0.04 | |||||
| Total diluted earnings per share | $ | 0.66 | $ | 0.30 | |||
| Weighted average shares outstanding, basic | 145,782 | 146,847 | |||||
| Weighted average shares outstanding, diluted | 147,281 | 147,303 | |||||
| COVENTRY HEALTH CARE, INC. | |||||||
| CONDENSED CONSOLIDATED BALANCE SHEETS | |||||||
| (Amounts in thousands) | |||||||
| March 31, | December 31, | ||||||
| 2010 | 2009 | ||||||
| (unaudited) | |||||||
| Assets: | |||||||
| Current assets: | |||||||
| Cash and cash equivalents | $ | 1,370,243 | $ | 1,418,554 | |||
| Short-term investments | 6,000 | 442,106 | |||||
| Accounts receivable, net | 264,334 | 258,993 | |||||
| Other receivables, net | 502,535 | 496,059 | |||||
| Other current assets | 232,732 | 234,446 | |||||
| Total current assets | 2,375,844 | 2,850,158 | |||||
| Long-term investments | 2,297,901 | 1,994,987 | |||||
| Property and equipment, net | 266,027 | 271,931 | |||||
| Goodwill | 2,551,884 | 2,529,284 | |||||
| Other intangible assets, net | 464,906 | 471,693 | |||||
| Other long-term assets | 33,526 | 48,479 | |||||
| Total assets | $ | 7,990,088 | $ | 8,166,532 | |||
| Liabilities and Stockholders’ Equity: | |||||||
| Current liabilities: | |||||||
| Medical liabilities | $ | 1,417,027 | $ | 1,605,407 | |||
| Accounts payable and accrued liabilities | 606,479 | 682,171 | |||||
| Deferred revenue | 126,781 | 110,855 | |||||
| Total current liabilities | 2,150,287 | 2,398,433 | |||||
| Long-term debt | 1,599,119 | 1,599,027 | |||||
| Other long-term liabilities | 421,571 | 456,518 | |||||
| Total liabilities | 4,170,977 | 4,453,978 | |||||
| Stockholders’ equity | 3,819,111 | 3,712,554 | |||||
| Total liabilities and stockholders’ equity | $ | 7,990,088 | $ | 8,166,532 | |||
| COVENTRY HEALTH CARE, INC. | ||||
| CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS | ||||
| (Amounts in thousands) | ||||
| (unaudited) | ||||
| Quarter Ended | ||||
| March 31, 2010 | ||||
| Cash flows from operating activities: | ||||
| Net earnings | $ | 97,325 | ||
| Adjustments to earnings: | ||||
| Depreciation and amortization | 35,519 | |||
| Amortization of stock compensation | 10,515 | |||
| Changes in assets and liabilities: | ||||
| Accounts receivable, net | 3,599 | |||
| Medical liabilities | (231,146) | |||
| Accounts payable and other accrued liabilities | (104,960) | |||
| Deferred revenue | 12,301 | |||
| Other operating activities | (10,076) | |||
| Net cash flows from operating activities | (186,923) | |||
| Cash flows from investing activities: | ||||
| Capital expenditures, net | (12,481) | |||
| Proceeds from investments, net of purchases | 218,149 | |||
| Payments for acquisitions, net of cash acquired | (66,894) | |||
| Net cash flows from investing activities | 138,774 | |||
| Cash flows from financing activities: | ||||
| Proceeds from issuance of stock | 380 | |||
| Payments for repurchase of stock | (1,279) | |||
| Excess tax benefit from stock compensation | 737 | |||
| Net cash flows from financing activities | (162) | |||
| Net change in cash and cash equivalents for current period | (48,311) | |||
| Cash and cash equivalents at beginning of period | 1,418,554 | |||
| Cash and cash equivalents at end of period | $ | 1,370,243 | ||
| Cash and Investments: | ||||
| Cash and cash equivalents | $ | 1,370,243 | ||
| Short-term investments | 6,000 | |||
| Long-term investments | 2,297,901 | |||
| Total cash and investments | $ | 3,674,144 | ||
| COVENTRY HEALTH CARE, INC. | |||||||||||||||||||||
| SELECTED OPERATING STATISTICS | |||||||||||||||||||||
| (Unaudited) | |||||||||||||||||||||
|
Q1 2010 |
Total
2009 |
Q4 2009 |
Q3 2009 |
Q2 2009 |
Q1 2009 |
Total
2008 |
|||||||||||||||
| Membership by Product (000s) | |||||||||||||||||||||
| Health Plan Commercial Risk | 1,501 | 1,418 | 1,431 | 1,477 | 1,501 | 1,575 | |||||||||||||||
| Health Plan Commercial ASO | 663 | 685 | 689 | 697 | 702 | 714 | |||||||||||||||
| Medicare Advantage CCP | 190 | 186 | 185 | 182 | 176 | 137 | |||||||||||||||
| Medicaid Risk | 406 | 402 | 391 | 385 | 375 | 371 | |||||||||||||||
| Health Plan Total | 2,760 | 2,691 | 2,696 | 2,741 | 2,754 | 2,797 | |||||||||||||||
| Medicare Advantage PFFS | - | 329 | 336 | 329 | 318 | 243 | |||||||||||||||
| Other National Risk | - | 2 | 5 | 15 | 21 | 24 | |||||||||||||||
| Other National ASO | 482 | 564 | 567 | 571 | 575 | 633 | |||||||||||||||
| Total Medical Membership | 3,242 | 3,586 | 3,604 | 3,656 | 3,668 | 3,697 | |||||||||||||||
| Medicare Part D | 1,600 | 1,683 | 1,636 | 1,555 | 1,501 | 931 | |||||||||||||||
| Total Membership | 4,842 | 5,269 | 5,240 | 5,211 | 5,169 | 4,628 | |||||||||||||||
| Revenues by Product Type (000s) | |||||||||||||||||||||
| Commercial Risk | $ | 1,317,221 | $ | 5,174,772 | $ | 1,257,335 | $ | 1,279,571 | $ | 1,310,645 | $ | 1,327,221 | $ | 5,421,984 | |||||||
| Commercial Management Services | 82,957 | 346,042 | 96,896 | 81,661 | 83,675 | 83,810 | 352,369 | ||||||||||||||
| Medicare Advantage | 507,592 | 4,901,918 | 1,247,725 | 1,268,592 | 1,224,011 | 1,161,590 | 3,177,244 | ||||||||||||||
| Medicaid Risk | 265,771 | 1,066,231 | 261,208 | 281,146 | 263,039 | 260,838 | 1,087,189 | ||||||||||||||
| Total Health Plan and Medical Services Businesses | 2,173,541 | 11,488,963 | 2,863,164 | 2,910,970 | 2,881,370 | 2,833,459 | 10,038,786 | ||||||||||||||
| Medicare Part D | 473,809 | 1,545,858 | 347,991 | 316,654 | 397,090 | 484,123 | 847,702 | ||||||||||||||
| Other Premiums | 25,105 | 94,562 | 23,291 | 23,568 | 23,746 | 23,957 | 64,783 | ||||||||||||||
| Other Management Services | 207,904 | 850,184 | 212,054 | 211,769 | 215,468 | 210,893 | 826,321 | ||||||||||||||
| Total Specialized Managed Care Businesses | 706,818 | 2,490,604 | 583,336 | 551,991 | 636,304 | 718,973 | 1,738,806 | ||||||||||||||
| Total Premiums | 2,589,498 | 12,783,341 | 3,137,550 | 3,169,531 | 3,218,531 | 3,257,729 | 10,598,902 | ||||||||||||||
| Total Management Services | 290,861 | 1,196,226 | 308,950 | 293,430 | 299,143 | 294,703 | 1,178,690 | ||||||||||||||
| Other/Eliminations | (21,381) | (76,041) | (18,353) | (18,851) | (19,300) | (19,537) | (43,365) | ||||||||||||||
| Total Revenue | $ | 2,858,978 | $ | 13,903,526 | $ | 3,428,147 | $ | 3,444,110 | $ | 3,498,374 | $ | 3,532,895 | $ | 11,734,227 | |||||||
| Consolidated Coventry | |||||||||||||||||||||
| Operating Income % of Revenues | 5.4% | 3.6% | 5.4% | 4.4% | 2.9% | 1.8% | 5.0% | ||||||||||||||
| SGA % of Revenues | 17.3% | 15.5% | 15.9% | 15.3% | 15.3% | 15.4% | 16.5% | ||||||||||||||
| Total Medical Liabilities (000s)(2) | $ | 979,173 | $ | 900,402 | $ | 939,678 | $ | 904,711 | $ | 898,224 | $ | 846,004 | |||||||||
| Days in Claims Payable (DCP) (2) | 54.14 | 49.45 | 50.39 | 48.35 | 48.54 | 47.57 | |||||||||||||||
| Total Debt (millions) | $ | 1,599.1 | $ | 1,599.0 | $ | 1,708.9 | $ | 1,806.8 | $ | 1,902.6 | $ | 1,902.5 | |||||||||
| Total Capital (millions) | $ | 5,418.2 | $ | 5,311.6 | $ | 5,311.6 | $ | 5,332.9 | $ | 5,402.8 | $ | 5,333.1 | |||||||||
| Debt to Capital | 29.5% | 30.1% | 32.2% | 33.9% | 35.2% | 35.7% | |||||||||||||||
| (2) | “Total Medical Liabilities” and “Days in Claims Payable” are calculated consistent with prior disclosures but exclude MA-PFFS for all periods presented due to the Company’s non-renewal of this product line effective January 1, 2010. These statistics also exclude the effect of the Preferred Health Systems acquisition due to the timing of closing in the middle of the first quarter of 2010. |
| COVENTRY HEALTH CARE, INC. | ||||||||||||||
| SELECTED REVENUE AND MEDICAL COST STATISTICS | ||||||||||||||
| (Unaudited) | ||||||||||||||
|
|
Q1 2010 |
Total
2009 |
Q4 2009 |
Q3 2009 |
Q2 2009 |
Q1 2009 |
Total
2008 |
|||||||
| Revenue PMPM | ||||||||||||||
| Health Plan Commercial Group Risk | $312.05 | $301.63 | $306.75 | $304.13 | $299.79 | $296.36 | $286.30 | |||||||
| Medicare Advantage(3), (4) | $885.26 | $855.16 | $849.62 | $853.90 | $857.05 | $860.46 | $862.60 | |||||||
| Medicare Part D(5) | $88.05 | $ 84.40 | $ 83.42 | $ 84.63 | $ 85.27 | $ 84.35 | $ 88.34 | |||||||
| Medicaid Risk | $218.76 | $229.94 | $218.62 | $239.22 | $230.27 | $231.93 | $208.50 | |||||||
| MLR% | ||||||||||||||
| Consolidated Total | 82.3% | 85.4% | 83.2% | 84.4% | 86.4% | 87.4% | 84.0% | |||||||
| Health Plan Commercial Group Risk | 80.2% | 81.9% | 82.9% | 82.1% | 81.7% | 80.9% | 81.7% | |||||||
| Medicare Advantage(4) | 85.7% | 89.9% | 89.4% | 89.4% | 90.4% | 90.5% | 89.0% | |||||||
| Medicare Part D | 95.3% | 85.7% | 64.4% | 79.4% | 89.9% | 101.8% | 84.1% | |||||||
| Medicaid Risk | 84.0% | 87.6% | 85.8% | 86.1% | 90.2% | 88.3% | 85.3% | |||||||
| (3) | Revenue PMPM excludes the impact of revenue ceded to external parties. | |
| (4) | Beginning with Q1 2010, Medicare Advantage revenue and medical cost statistics represent the MA-CCP business only as the Company did not renew the MA-PFFS product line effective January 1, 2010. | |
| (5) | Revenue PMPM excludes the impact of CMS risk-share premium adjustments and revenue ceded to external parties. |
Coventry Health Care, Inc.
John Stelben
Interim Chief Financial Officer
301-581-5729
or
Drew Asher
SVP, Corporate Finance
301-581-5717
Source: Coventry Health Care, Inc.



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