Coventry Health Care Reports First Quarter Earnings of $0.66 per Diluted Share - Insurance News | InsuranceNewsNet

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April 30, 2010
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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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