FORM 10-Q
(Mark One)
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||
x
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QUARTERLY REPORT PURSUANT TO SECTION 13
OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
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For the Quarterly Period Ended March 31, 2004 | ||
OR | ||
o
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TRANSITION REPORT PURSUANT TO SECTION 13
OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
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For the transition period from to | ||
Commission File Number 000-21949 |
PACIFICARE HEALTH SYSTEMS, INC.
Delaware | 95-4591529 | |
(State or Other Jurisdiction of Incorporation or Organization) |
(IRS Employer Identification Number) |
5995 Plaza Drive, Cypress, California 90630
(Registrants Telephone Number, Including Area Code) (714) 952-1121
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
Yes x No o
Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act) Yes x No o
There were approximately 86,138,000 shares of common stock outstanding on April 30, 2004.
PACIFICARE HEALTH SYSTEMS, INC.
FORM 10-Q
INDEX
i
PART I. FINANCIAL INFORMATION
Item 1: | Financial Statements |
PACIFICARE HEALTH SYSTEMS, INC.
March 31, | December 31, | |||||||||
2004 | 2003 | |||||||||
(unaudited) | ||||||||||
ASSETS | ||||||||||
Current assets:
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||||||||||
Cash and equivalents
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$ | 952,289 | $ | 1,198,422 | ||||||
Marketable securities
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1,428,146 | 1,359,720 | ||||||||
Receivables, net
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315,896 | 265,943 | ||||||||
Prepaid expenses and other current assets
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68,550 | 57,299 | ||||||||
Deferred income taxes
|
146,209 | 149,817 | ||||||||
Total current assets
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2,911,090 | 3,031,201 | ||||||||
Property, plant and equipment, net
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151,427 | 149,407 | ||||||||
Marketable securities-restricted
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137,356 | 166,546 | ||||||||
Goodwill
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983,104 | 983,104 | ||||||||
Intangible assets, net
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216,162 | 221,108 | ||||||||
Other assets
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68,225 | 67,938 | ||||||||
$ | 4,467,364 | $ | 4,619,304 | |||||||
LIABILITIES AND STOCKHOLDERS EQUITY | ||||||||||
Current liabilities:
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||||||||||
Medical claims and benefits payable
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$ | 1,104,500 | $ | 1,027,500 | ||||||
Accounts payable and accrued liabilities
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525,939 | 490,810 | ||||||||
Unearned premium revenue
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114,698 | 496,480 | ||||||||
Current portion of long-term debt
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6,232 | 7,496 | ||||||||
Total current liabilities
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1,751,369 | 2,022,286 | ||||||||
Long-term debt
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475,939 | 477,700 | ||||||||
Convertible subordinated debentures
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135,000 | 135,000 | ||||||||
Deferred income taxes
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105,925 | 104,777 | ||||||||
Other liabilities
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31,726 | 28,004 | ||||||||
Stockholders equity:
|
||||||||||
Common stock, $0.01 par value;
200,000 shares authorized; issued 85,976 shares in
2004 and 84,854 shares in 2003
|
859 | 848 | ||||||||
Unearned compensation
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(39,729 | ) | (16,843 | ) | ||||||
Additional paid-in capital
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1,524,080 | 1,458,310 | ||||||||
Accumulated other comprehensive income
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26,011 | 18,815 | ||||||||
Retained earnings
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456,184 | 390,407 | ||||||||
Total stockholders equity
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1,967,405 | 1,851,537 | ||||||||
$ | 4,467,364 | $ | 4,619,304 | |||||||
All applicable share and per share amounts reflect the retroactive effects of the two-for-one common stock split in the form of a stock dividend that was effective January 20, 2004.
See accompanying notes.
1
PACIFICARE HEALTH SYSTEMS, INC.
Three Months Ended | ||||||||||
March 31, | ||||||||||
2004 | 2003 | |||||||||
Revenue:
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||||||||||
Commercial
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$ | 1,386,318 | $ | 1,232,116 | ||||||
Senior
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1,410,113 | 1,369,748 | ||||||||
Specialty and other
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149,847 | 116,743 | ||||||||
Net investment income
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17,845 | 20,988 | ||||||||
Total operating revenue
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2,964,123 | 2,739,595 | ||||||||
Expenses:
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||||||||||
Health care services and other:
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||||||||||
Commercial
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1,168,563 | 1,052,673 | ||||||||
Senior
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1,224,961 | 1,161,556 | ||||||||
Specialty and other
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81,072 | 61,534 | ||||||||
Total health care services and other
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2,474,596 | 2,275,763 | ||||||||
Selling, general and administrative expenses
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369,052 | 331,231 | ||||||||
Operating income
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120,475 | 132,601 | ||||||||
Interest expense
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(10,817 | ) | (19,550 | ) | ||||||
Income before income taxes
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109,658 | 113,051 | ||||||||
Provision for income taxes
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42,657 | 42,281 | ||||||||
Net income
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$ | 67,001 | $ | 70,770 | ||||||
Basic earnings per share
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$ | .80 | $ | .98 | ||||||
Diluted earnings per share
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$ | .71 | $ | .96 | ||||||
All applicable share and per share amounts reflect the retroactive effects of the two-for-one common stock split in the form of a stock dividend that was effective January 20, 2004.
See accompanying notes.
2
PACIFICARE HEALTH SYSTEMS, INC.
Three Months Ended | ||||||||||||
March 31, | ||||||||||||
2004 | 2003 | |||||||||||
Operating activities:
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||||||||||||
Net income
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$ | 67,001 | $ | 70,770 | ||||||||
Adjustments to reconcile net income to net cash
flows used in operating activities:
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||||||||||||
Depreciation and amortization
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12,016 | 11,260 | ||||||||||
Tax benefit realized upon exercise of stock-based
compensation
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9,811 | 236 | ||||||||||
Stock-based compensation expense
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9,452 | 3,158 | ||||||||||
Amortization of intangible assets
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4,946 | 5,566 | ||||||||||
Deferred income taxes
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2,215 | 2,520 | ||||||||||
Amortization of notes receivable from sale of
fixed assets
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(1,360 | ) | (1,368 | ) | ||||||||
Provision for doubtful accounts
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(1,220 | ) | 2,264 | |||||||||
Amortization of capitalized loan fees
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1,077 | 1,222 | ||||||||||
Loss on disposal of property, plant and equipment
and other
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205 | 2,540 | ||||||||||
Amortization of discount on
10 3/4% senior notes
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71 | 109 | ||||||||||
Employer benefit plan contributions in treasury
stock
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| 1,363 | ||||||||||
Changes in assets and liabilities:
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||||||||||||
Receivables, net
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(47,373 | ) | (33,519 | ) | ||||||||
Prepaid expenses and other assets
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(12,615 | ) | (35,706 | ) | ||||||||
Medical claims and benefits payable
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77,000 | 56,200 | ||||||||||
Accounts payable and accrued liabilities
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42,525 | 58,626 | ||||||||||
Unearned premium revenue
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(381,782 | ) | (402,293 | ) | ||||||||
Net cash flows used in operating activities
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(218,031 | ) | (257,052 | ) | ||||||||
Investing activities:
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||||||||||||
(Purchase) sale of marketable securities, net
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(58,689 | ) | 41,950 | |||||||||
Sale (purchase) of marketable
securities-restricted, net
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29,190 | (3,144 | ) | |||||||||
Purchase of property, plant and equipment
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(14,241 | ) | (9,977 | ) | ||||||||
Proceeds from the sale of property, plant and
equipment
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| 15 | ||||||||||
Net cash flows (used in) provided by investing
activities
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(43,740 | ) | 28,844 | |||||||||
Financing activities:
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||||||||||||
Proceeds from issuance of common stock
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21,246 | 2,898 | ||||||||||
Payments on software financing agreement
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(2,605 | ) | (1,089 | ) | ||||||||
Purchase and retirement of common stock
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(2,512 | ) | | |||||||||
Principal payments on long-term debt
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(491 | ) | (20,200 | ) | ||||||||
Net cash flows provided by (used in) financing
activities
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15,638 | (18,391 | ) | |||||||||
Net decrease in cash and equivalents
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(246,133 | ) | (246,599 | ) | ||||||||
Beginning cash and equivalents
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1,198,422 | 951,689 | ||||||||||
Ending cash and equivalents
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$ | 952,289 | $ | 705,090 | ||||||||
Table continued on next page.
See accompanying notes.
3
PACIFICARE HEALTH SYSTEMS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Continued)
Three Months Ended | ||||||||||
March 31, | ||||||||||
2004 | 2003 | |||||||||
Supplemental cash flow information:
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||||||||||
Cash paid during the period for:
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||||||||||
Income taxes, net of refunds
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$ | 439 | $ | (3,741 | ) | |||||
Interest
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$ | 122 | $ | 4,703 | ||||||
Supplemental schedule of noncash investing and
financing activities:
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||||||||||
Details of accumulated other comprehensive income
(loss):
|
||||||||||
Change in market value of marketable securities
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$ | 9,737 | $ | (3,444 | ) | |||||
Less change in deferred income taxes
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(2,541 | ) | 1,364 | |||||||
Change in stockholders equity
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$ | 7,196 | $ | (2,080 | ) | |||||
Stock-based compensation
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$ | 3,674 | $ | 4,768 | ||||||
Discount on 10 3/4% senior notes
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$ | (1,458 | ) | $ | (2,680 | ) | ||||
Table continued from previous page.
See accompanying notes.
4
PACIFICARE HEALTH SYSTEMS, INC.
1. Basis of Presentation
PacifiCare Health Systems, Inc. offers managed care and other health insurance products to employer groups and Medicare beneficiaries primarily in eight western states and Guam. Our commercial and senior medical plans are designed to deliver quality health care and customer service to members cost-effectively. These programs include health maintenance organizations, or HMOs, preferred provider organizations, or PPOs, and Medicare Supplement products. We also offer a variety of specialty managed care products and services that employees can purchase as a supplement to our basic commercial and senior plans or as stand-alone products. These products include pharmacy benefit management, or PBM, services, behavioral health services, group life and health insurance and dental and vision benefit plans.
Following the rules and regulations of the Securities and Exchange Commission, or SEC, we have omitted footnote disclosures that would substantially duplicate the disclosures contained in our annual audited financial statements. The accompanying unaudited condensed consolidated financial statements should be read together with the consolidated financial statements and the notes included in our December 31, 2003 Annual Report on Form 10-K, filed with the SEC in March 2004.
The accompanying unaudited condensed consolidated financial statements reflect all adjustments, consisting solely of normal recurring adjustments, needed to present fairly the financial results for these interim periods. The condensed consolidated results of operations presented for the interim periods are not necessarily indicative of the results for a full year.
Premium revenues are earned from products where we bear insured risk. Non-premium revenues are earned from all other sources, including revenues from our PBM mail order business, administrative fees and other revenue.
All intercompany transactions and accounts are eliminated in consolidation.
We reclassified certain prior year amounts in the accompanying condensed consolidated financial statements to conform to the 2004 presentation.
2. | Stock-Based Compensation |
Effective January 1, 2003, we adopted the fair value recognition provisions of Statements of Financial Accounting Standards, or SFAS, No. 123, Accounting for Stock-Based Compensation, on a prospective basis for all employee and director awards granted, modified or settled on or after January 1, 2003, as provided by SFAS 148, Accounting for Stock-Based Compensation Transition and Disclosure. Awards granted to employees typically vest over four years. Therefore, the cost related to stock-based compensation included in the determination of net income is less than that which would have been recognized if the fair value based method had been applied to all awards granted, modified or settled since October 1, 1995. The following table illustrates the effect on net income and earnings per share, after adjusting for the effect of the two-for-one stock split in
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the form of a dividend that was effective January 20, 2004, as if the fair value method had been applied to all outstanding and unvested awards in each period.
Three Months Ended | |||||||||
March 31, | |||||||||
2004 | 2003 | ||||||||
(Amounts in thousands, | |||||||||
except per share data) | |||||||||
Net income, as reported
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$ | 67,001 | $ | 70,770 | |||||
Add stock-based compensation expense included in
reported net income, net of related tax effect
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4,551 | 1,188 | |||||||
Deduct total stock-based compensation expense
determined under fair value method for all awards, net of
related tax effect
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(5,360 | ) | (4,703 | ) | |||||
Pro forma net income
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$ | 66,192 | $ | 67,255 | |||||
Earnings per share:
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|||||||||
Basic as reported
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$ | .80 | $ | .98 | |||||
Basic pro forma
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$ | .79 | $ | .94 | |||||
Diluted as reported
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$ | .71 | $ | .96 | |||||
Diluted pro forma
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$ | .69 | $ | .91 | |||||
The following table illustrates the components of our stock-based compensation expense for the three months ended March 31, 2004 and 2003:
March 31, 2004 | March 31, 2003 | |||||||||||||||
Net of | Net of | |||||||||||||||
Estimated Tax | Estimated Tax | |||||||||||||||
Pretax Charges | Expense | Pretax Charges | Expense | |||||||||||||
(Amounts in thousands) | ||||||||||||||||
Stock options
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$ | 2,117 | $ | 1,294 | $ | 1,607 | $ | 961 | ||||||||
Employee Stock Purchase Plan
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5,331 | 3,257 | 380 | 227 | ||||||||||||
7,448 | 4,551 | 1,987 | 1,188 | |||||||||||||
Restricted stock
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2,004 | 1,224 | 1,171 | 700 | ||||||||||||
Total
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$ | 9,452 | $ | 5,775 | $ | 3,158 | $ | 1,888 | ||||||||
3. | Long-Term Debt and Other Commitments |
Convertible Subordinated Debentures. We have $135 million in aggregate principal amount of 3% convertible subordinated debentures due in 2032. The debentures are convertible into 6,428,566 shares of common stock under certain conditions, including satisfaction of a market price condition for our common stock, satisfaction of a trading price condition relating to the debentures, upon notice of redemption, or upon specified corporate transactions. Each $1,000 of the debentures is convertible into 47.619 shares of our common stock. The market price condition for conversion of the debentures is satisfied if the closing sale price of our common stock exceeds 110% of the conversion price (which is calculated at $23.10 per share) for the debentures for at least 20 trading days in the 30 consecutive trading days ending on the last trading day of any fiscal quarter. In the event that the market price condition is satisfied during any fiscal quarter, the debentures are convertible, at the option of the holder, during the following fiscal quarter. The market price condition is evaluated each quarter to determine whether the debentures will be convertible at the option of the holder during the following fiscal quarter. For the quarters ended December 31, 2003 and March 31, 2004, the market price condition described above was satisfied. As a result, the debentures were convertible during the quarter ended March 31, 2004 and remain convertible at the option of the holder at any time during the quarter ended June 30, 2004. While no debentures were converted as of March 31, 2004, they are considered common stock equivalents and are included in the
6
calculation of weighted average shares outstanding on a diluted basis for the quarter ended March 31, 2004. All share and per share amounts disclosed above reflect the retroactive effects of the two-for-one common stock split in the form of a stock dividend that was effective January 20, 2004. See Note 4 Stockholders Equity.
Beginning in October 2007, we may redeem for cash all or any portion of the debentures, at a purchase price of 100% of the principal amount plus accrued interest, upon not less than 30 nor more than 60 days written notice to the holders. Beginning in October 2007, and in successive 5-year increments, our holders may require us to repurchase the debentures for cash at a repurchase price of 100% of the principal amount plus accrued interest. Our payment obligations under the debentures are subordinated to our senior indebtedness, and effectively subordinated to all indebtedness and other liabilities of our subsidiaries.
10 3/4% Senior Notes. We have $325 million in aggregate principal amount of 10 3/4% senior notes due in 2009. The 10 3/4% senior notes were issued in May 2002 at 99.389% of the aggregate principal amount representing a discount of $3 million that is being amortized over the term of the notes. In December 2003, in accordance with the applicable provisions of the debt agreement, we redeemed $175 million in principal of the senior notes at a redemption price equal to 110.750%, plus accrued and unpaid interest on the notes as of the redemption date. We expensed approximately $28 million in connection with the redemption, including the pro-rata write-off of the initial discount, the redemption premium and other fees and expenses associated with the transaction. We may redeem the remaining 10 3/4% senior notes at any time on or after June 1, 2006 at an initial redemption price equal to 105.375% of their principal amount plus accrued and unpaid interest. The redemption price will thereafter decline annually. Additionally, at any time on or prior to June 1, 2006, we may redeem the 10 3/4% senior notes upon a change of control, as defined in the indenture for the notes, at 100% of their principal amount plus accrued and unpaid interest and a make-whole premium.
Certain of our domestic, unregulated subsidiaries fully and unconditionally guarantee the 10 3/4% senior notes. Prior to September 15, 2003, some of our domestic, unregulated subsidiaries were restricted from guaranteeing the 10 3/4% senior notes by the terms of the FHP International Corporation, or FHP, senior notes. As the FHP senior notes were repaid in full on September 15, 2003, these subsidiaries now fully and unconditionally guarantee the 10 3/4% senior notes. See FHP Senior Notes below and Note 10, Financial Guarantees.
In April 2003, we entered into an interest rate swap on $300 million of our 10 3/4% senior notes for the purpose of hedging the fair value of our indebtedness. This fair value hedge is accounted for using the short-cut method under SFAS No. 133, Accounting for Derivative Instruments and Hedging Activities, whereby the hedge is reported in our balance sheets at fair value, and the carrying value of the long-term debt is adjusted for an offsetting amount representing changes in fair value attributable to the hedged risk. Under the terms of the agreement, we make interest payments based on the three-month London Interbank Offered Rate, or LIBOR, plus 692 basis points and receive interest payments based on the 10 3/4% fixed rate. Our rate under the swap agreement was 8.04%, at March 31, 2004 which is based on a 90-day LIBOR of 1.12% plus 692 basis points. The three-month LIBOR rate we use to determine our interest payments under the swap agreement was first established on June 2, 2003 and resets every three months thereafter, until expiration in June 2009.
Senior Credit Facility. In June 2003, we replaced our senior credit facility with a new syndicated facility with JPMorgan Chase Bank serving as the Administrative Agent. The new facility consists of a $150 million term loan, which matures on June 3, 2008, and a $150 million revolving line of credit, which matures on June 3, 2006. We used the proceeds from the term loan to repay the $131 million outstanding under the prior facility. The remaining $19 million was used to pay fees and expenses relating to the new facility and for general corporate purposes. As of March 31, 2004, we had $149 million outstanding on the term loan and no balance outstanding on the revolving line of credit. There were no borrowings under the line of credit during the quarter ended March 31, 2004.
On December 17, 2003 our senior credit facility was amended to provide for reduced interest rates per annum applicable to term loan borrowings, with the amount of margin spread for the borrowing being determined by our current debt ratings. The amended applicable rates are, at our option, either JPMorgan Chase Banks prime
7
rate (or, if greater, the Federal Funds Rate plus 0.50%) which we refer to as the alternative base rate, plus a margin spread of 1.25% to 1.75% per annum, or the LIBOR for the applicable interest period, plus a margin spread of 2.25% to 2.75% per annum. All of our borrowings under the term loan are currently LIBOR borrowings, and the current margin spread on our term loan borrowings is 2.50%. As of March 31, 2004, our term loan rate was 3.71% per annum, which is based on a 180-day LIBOR of 1.21% plus the applicable margin spread of 2.50%. The interest rates per annum under the senior credit facility applicable to revolving credit borrowings are, at our option, either the alternate base rate plus a margin spread of between 1.50% to 2.75% per annum, or the LIBOR for the applicable interest period plus a margin spread of between 2.50% to 3.75% per annum, with the amount of the margin for any borrowing being determined based on current credit ratings for the debt under the senior credit facility. Our current margins for revolving credit borrowings are 2.00% per annum for alternate base rate borrowings and 3.00% per annum for LIBOR borrowings.
The terms of the senior credit facility contain various covenants customary for financings of this type which place restrictions on our and/or our subsidiaries ability to incur debt, pay dividends, create liens, make investments, optionally repay, redeem or repurchase our securities, and enter into mergers, dispositions and transactions with affiliates. The senior credit facility also requires us to meet various financial ratios, including a minimum net worth requirement, a minimum fixed-charge coverage requirement and a maximum leverage ratio. At March 31, 2004, we were in compliance with all of these covenants. See FHP Senior Notes below and Note 10, Financial Guarantees.
Certain of our domestic, unregulated subsidiaries provide guarantees and have granted security interests to the lenders in substantially all of their personal property in order to secure our obligations under the senior credit facility. We have also pledged the equity of certain of our subsidiaries to the lenders. Prior to September 15, 2003, some of our domestic, unregulated subsidiaries were restricted from guaranteeing the senior credit facility by the terms of the FHP senior notes. As the FHP senior notes were repaid in full on September 15, 2003, these subsidiaries now fully and unconditionally guarantee the senior credit facility.
FHP Senior Notes. In September 2003, we paid in full the senior notes that we assumed when we acquired FHP in 1997. As a result, some of our domestic, unregulated subsidiaries which were previously restricted from guaranteeing our 10 3/4% senior notes and our senior credit facility by the provisions of the FHP senior notes, now fully and unconditionally guarantee the 10 3/4% senior notes and the senior credit facility. See Note 10, Financial Guarantees.
Database Financing Agreements. As of March 31, 2004, we had $8 million outstanding under various financing agreements related to the purchase of database licenses, financial accounting system software and related maintenance in connection with the implementation of our information technology, or IT, initiatives. Payments under the financing agreements are due quarterly through July 2005. The interest imputed on the payment plan agreement ranges from 4% to 5.3%.
Letters of Credit. Letters of credit are purchased guarantees that assure our performance or payment to third parties in connection with professional liability insurance policies, lease commitments and other potential obligations. Letters of credit commitments totaled $17 million and $18 million at March 31, 2004 and 2003, respectively. As of March 31, 2004, our letters of credit commitments were backed by funds deposited in restricted cash accounts.
Information Technology Outsourcing Contracts. In December 2001, we entered into a 10-year contract to outsource our IT operations to International Business Machines Corporation, or IBM. Under the contract, IBM is the coordinator of our IT outsourcing arrangement, and provides IT services and day-to-day management of our IT infrastructure, including data center operations, support services and information distribution. In January 2002, we entered into a 10-year contract to outsource our IT software applications maintenance and enhancement services to Keane, Inc., or Keane. Our remaining cash obligations for base fees under these contracts over the initial 10-year terms is $1.1 billion, assuming our actual use of services equals the baselines specified in the contracts. However, because we have the ability to reduce services from the vendors under the
8
contracts, our ultimate cash commitment may be less than the stated contract amounts. The contracts also provide for variable fees, based on services provided above certain contractual baselines. Additionally, in the event of contract termination, we may be responsible to pay termination fees to IBM and Keane. These termination fees decline as each successive year of the contract term is completed.
4. | Stockholders Equity |
Stock Split. On December 19, 2003, our board of directors approved a two-for-one split of our common stock in the form of a stock dividend. On January 20, 2004, we distributed one additional share of common stock for every share of common stock outstanding to stockholders of record as of the close of business on January 7, 2004. The par value of our common stock after the split remained at $0.01 per share. The rights of the holders of these securities were not otherwise modified. In accordance with SFAS 128, Earnings per Share, all shares, per share and market price data related to our common shares outstanding and under employee stock plans reflect the retroactive effects of this two-for-one stock split in the form of a dividend.
Restricted Stock Awards. For the three months ended March 31, 2004 and 2003, we granted 783,400 and 1,388,000 shares of restricted common stock, respectively, including stock deferred into restricted stock units, as part of an employee recognition and retention program. Restrictions on these shares will expire and related charges are being amortized as earned over the vesting period of up to four years. A total of approximately 35,100 shares were forfeited during the first quarter of 2004 and none were forfeited in the same period of 2003.
All shares of restricted stock were issued from our 1996 Officer and Key Employee Stock Option Plan, as amended. The amount of unearned compensation recorded is based on the market value of the shares on the date of issuance and is included as a separate component of stockholders equity. Expenses related to the vesting of restricted stock (charged to selling, general and administrative expenses) were $2.0 million and $1.2 million for the three months ended March 31, 2004 and 2003, respectively.
5. | Goodwill and Intangible Assets |
Effective January 1, 2002, we adopted SFAS No. 142, Goodwill and Other Intangible Assets. Under the new rule, goodwill is no longer amortized, but is subject to impairment tests on an annual basis or more frequently if impairment indicators exist. Under the guidance of SFAS No. 142, we use a discounted cash flow methodology to assess the fair values of our reporting units. Impairment is measured by comparing the goodwill derived from the hypothetical purchase price allocation to the carrying value of the goodwill balance. No goodwill impairment indicators existed for the three months ended March 31, 2004 and, as a result, impairment testing was not required.
9
Other intangible assets are being amortized over their useful lives. We estimate our intangible asset amortization will be $20 million in 2004, $16 million in 2005, $15 million in 2006, $15 million in 2007 and $14 million in 2008. The following sets forth balances of identified intangible assets, by major class, for the periods indicated:
Accumulated | ||||||||||||||
Cost | Amortization | Net Balance | ||||||||||||
(Amounts in thousands) | ||||||||||||||
Intangible assets:
|
||||||||||||||
Employer groups
|
$ | 243,820 | $ | 128,341 | $ | 115,479 | ||||||||
Provider networks
|
121,051 | 21,843 | 99,208 | |||||||||||
Other
|
10,729 | 9,254 | 1,475 | |||||||||||
Balance at March 31, 2004
|
$ | 375,600 | $ | 159,438 | $ | 216,162 | ||||||||
Intangible assets:
|
||||||||||||||
Employer groups
|
$ | 243,820 | $ | 124,170 | $ | 119,650 | ||||||||
Provider networks
|
121,051 | 21,080 | 99,971 | |||||||||||
Other
|
10,729 | 9,242 | 1,487 | |||||||||||
Balance at December 31, 2003
|
$ | 375,600 | $ | 154,492 | $ | 221,108 | ||||||||
6. | Health Care Services and Other Expenses |
The following table presents the components of total health care services and other expenses for the three months ended March 31, 2004 and 2003:
Three Months Ended March 31, | ||||||||||||||||
2004 | 2003 | |||||||||||||||
Commercial | Senior | Commercial | Senior | |||||||||||||
(amounts in millions) | ||||||||||||||||
Capitation expense
|
$ | 398 | $ | 702 | $ | 380 | $ | 687 | ||||||||
All other health care services and other expenses
|
771 | 523 | 673 | 475 | ||||||||||||
Total health care services and other expenses
|
$ | 1,169 | $ | 1,225 | $ | 1,053 | $ | 1,162 | ||||||||
7. | Contingencies |
Provider Instability and Insolvency. Our health care services and other expenses include write-offs of certain uncollectible receivables from providers, and the estimated cost of unpaid health care claims normally covered by our capitation payments. Depending on state law, we may be held liable for unpaid health care claims that were previously the responsibility of the capitated provider and for which we have already paid capitation. Insolvency reserves also include estimates for potentially insolvent providers that we have specifically identified, where conditions indicate claims are not being paid or claim payments have slowed considerably, and we have determined that it is probable that we will be required to make the providers claim payments. We continue to monitor the financial condition of our providers where there is perceived risk of insolvency and adjust our insolvency reserves as necessary. Information provided by provider groups may be unaudited, self-reported information or may not ultimately be obtained. The balance of our insolvency reserves included in medical claims and benefits payable totaled $46 million at March 31, 2004 and $37 million at December 31, 2003.
To reduce insolvency risk, we have developed contingency plans that include shifting members to other providers and reviewing operational and financial plans to monitor and maximize financial and network stability. As capitation contracts are renewed for providers we have also taken steps, where feasible, to have security reserves established for insolvency issues. Security reserves are most frequently in the forms of letters of credit or segregated funds that are held in the providers name in a third party financial institution. The reserves may be used to pay claims that are the financial responsibility of the provider.
10
In Re Managed Care. In mid-2000, various federal actions against managed care companies, including us, were joined in a multi-district litigation that was coordinated for pretrial proceedings in the United States District Court for the Southern District of Florida. This litigation is known as In re Managed Care Litigation. Thereafter, Dr. Dennis Breen, Dr. Leonard Klay, Dr. Jeffrey Book and several other physicians, along with several medical associations, including the California Medical Association, joined the In re Managed Care proceeding as plaintiffs. These physicians sued several managed care companies, including us, alleging, among other things, that the companies have systematically underpaid providers for medical services to members, have delayed payments, and that the companies impose unfair contracting terms on providers and negotiate capitation payments that are inadequate to cover the costs of health care services provided.
We sought to compel arbitration of all of Dr. Breens, Dr. Books and other physician claims against us. The District Court granted our motion to compel arbitration against all of these claims except for claims for violations of the Racketeer Influenced and Corrupt Organizations Act, or RICO (Direct RICO Claims), and for their RICO conspiracy and aiding and abetting claims that stem from contractual relationships with other managed care companies. On April 7, 2003, the United States Supreme Court held that the District Court should have compelled arbitration of the Direct RICO Claims filed by Dr. Breen and Dr. Book. On September 15, 2003, the District Court entered another ruling on several of our motions to compel arbitration, ordering arbitration of all claims arising out of our contracts with plaintiffs containing arbitration clauses. The District Court, however, also ruled that (a) plaintiffs RICO conspiracy and aiding and abetting claims against us that stem from contractual relationships with other managed care companies and (b) plaintiffs claims based on services they provided to our members outside of any contractual relationship with us or assignments from our members do not arise out of our contracts with plaintiffs and thus do not need to be arbitrated. As a result, the order to compel arbitration does not cover any claims that may arise relating to our non-contracted providers. We have filed an appeal from the District Courts ruling to the extent it did not compel arbitration of all of plaintiffs claims, and the United States Court of Appeals for the Eleventh Circuit is scheduled to hear oral argument on the appeal on August 12, 2004.
On September 26, 2002, the District Court certified a class action of physicians in the In re Managed Care Litigation. On November 20, 2002, the Court of Appeals granted our petition to appeal the class certification by the District Court. Oral argument for this appeal was held on September 11, 2003 and the Court of Appeals has not issued an opinion as of the date of this report. Discovery in this litigation is currently ongoing. We deny all material allegations and intend to defend the action vigorously.
Several additional lawsuits have been filed against us and the other defendants in the In re Managed Care Litigation by non-physician providers of health care services, such as chiropractors and podiatrists. Those lawsuits have been assigned to the District Court for pretrial proceedings, but are currently stayed while discovery continues in the physician class action.
PacifiCare of Texas v. The Texas Department of Insurance and the State of Texas. In November 2001, our Texas subsidiary, PacifiCare of Texas, filed a lawsuit against the Texas Department of Insurance, or TDI, and the State of Texas challenging the TDIs interpretation and enforcement of state statutes and regulations that would make Texas a double-pay state. The lawsuit relates to the financial insolvency of three physician groups that had capitation contracts with PacifiCare of Texas. Under these contracts, the responsibility for claims payments to health care providers was delegated to the contracted physician groups. We made capitation payments to each of these physician groups, but they failed to pay all of the health care providers who provided health care services covered by the capitation payments. On February 11, 2002, after the date we filed our lawsuit, the Attorney General of Texas, or AG, on behalf of the State of Texas and the TDI, filed a civil complaint against PacifiCare of Texas in the District Court of Travis County, Texas alleging violations of the Texas Health Maintenance Organization Act, Texas Insurance Code and regulations under the Code and the Texas Deceptive Trade Practices Consumer Protection Act. The AGs complaint primarily alleges that despite its capitation payments to the physician groups, PacifiCare of Texas is still financially responsible for the failure of the physician groups to pay the health care providers who provided health care services covered by the
11
capitation payments. The AG sought an injunction requiring us to comply with state laws plus unspecified damages, civil penalties and restitution.
On July 23, 2003, without the admission of any wrongdoing, our Texas subsidiary entered into a definitive settlement agreement with the State of Texas, the AG and the TDI. The settlement agreement provides that all pending litigation and related civil investigations will be stayed for up to twelve months from the date of execution of the settlement agreement or such additional period as the parties may mutually agree. While the proceedings are stayed, the parties will seek to settle the provider creditor claims in the remaining outstanding bankruptcies relating to Medical Select Management and Heritage Southwest Medical Group and engage in a review of provider claims of the Heritage Physicians Network, or HPN. We agreed to use our reasonable best efforts to reach settlements in the bankruptcies and resolve the HPN claims by specified dates and agreed to make contributions to fund provider creditor claims in the bankruptcies subject to the process set forth in the definitive settlement agreement.
As part of the settlement, we agreed to make payments totaling $4.25 million, including attorneys fees totaling $1.25 million to the AG, and administrative services reimbursements totaling $1.5 million and administrative penalties totaling $1.5 million to the TDI. Of the $4.25 million payment, $2.45 million was paid in July 2003, and the remaining $1.8 million will be paid upon the satisfaction of the conditions for the settlement. All amounts paid upon execution of the settlement agreement will be held in trust pending the effectiveness of the settlement. The settlement will become effective upon us completing settlements in the two bankruptcies in accordance with the settlement agreement, timely completion of the HPN claims process, payment of all settlement amounts to the AG and TDI, and compliance with certain Texas prompt payment obligations with respect to members enrolled in our commercial HMO plans. Concurrent with the settlement becoming effective: (i) the parties would enter into a permanent injunction with a term of one year that will require PacifiCare of Texas to comply with applicable provisions of the Texas prompt payment obligations with respect to members enrolled in our commercial HMO plans; (ii) all of the pending litigation between the parties will be dismissed with prejudice or with specified final judgments; and (iii) the parties will enter into mutual releases. We cannot provide any assurances that we will be able to meet the conditions required to cause the settlement to become effective. If the settlement agreement does not become effective, then we are prepared to resume the litigation. We believe that recorded liabilities for this matter are adequate, including the satisfaction of all the terms and conditions of the settlement, or any liabilities that may arise if we are required to resume the litigation.
Irwin v. AdvancePCS, Inc. et al. On March 26, 2003, Robert Irwin filed a complaint in the California Superior Court of Alameda County, California, against our PBM company, Prescription Solutions, as well as nine other PBM companies. On July 17, 2003, the Irwin case was coordinated with American Federation of State, County & Municipal Employees v. AdvancedPCS, et al, and transferred to Los Angeles Superior Court for coordinated proceedings. The case purports to be filed on behalf of members of non-ERISA health plans and individuals with no prescription drug coverage who have purchased drugs at retail rates. The first amended complaint, filed on November 25, 2003, alleges that each of the defendants violated Californias unfair competition law. The complaint challenges alleged business practices of PBMs, including practices relating to pricing, rebates, formulary management, data utilization and accounting and administrative processes. The complaint seeks unspecified monetary damages and injunctive relief. Prescription Solutions intends to file a petition to compel arbitration, which is scheduled to be heard by the Superior Court on June 2, 2004. Discovery is proceeding against most other defendants but is stayed as to Prescription Solutions pending the motion to compel arbitration. We deny all material allegations and intend to defend the action vigorously.
Other Litigation. We are involved in various legal actions in the normal course of business, including claims from our members and providers arising out of decisions to deny or restrict reimbursement for services and claims that seek monetary damages, including claims for punitive damages that are not covered by insurance. Our establishment of drug formularies, support of clinical trials and PBM services may increase our exposure to product liability claims associated with pharmaceuticals and medical devices. Based on current information, including consultation with our lawyers, we believe any ultimate liability that may arise from these actions,
12
including the In re Managed Care litigation, would not materially affect our consolidated financial position, results of operations or cash flows. However, our evaluation of the likely impact of these actions could change in the future and an unfavorable outcome, depending upon the amount and timing, could have a material effect on our results of operations or cash flows of a future period. For example, the loss of even one claim resulting in a significant punitive damage award could have a material adverse effect on our business. Moreover, our exposure to potential liability under punitive damage theories may decrease significantly our ability to settle these claims on reasonable terms.
8. Earnings Per Share
The following table includes a reconciliation of the numerators and denominators for the computation of basic and diluted earnings per share. All share and per share amounts reflect the retroactive effects of the two-for-one common stock split in the form of a stock dividend that was effective January 20, 2004. See Note 4 Stockholders Equity.
Three Months Ended | |||||||||
March 31, | |||||||||
2004 | 2003 | ||||||||
(Amounts in thousands) | |||||||||
Basic Earnings Per Share
Calculation:
|
|||||||||
Numerator
|
|||||||||
Net income
|
$ | 67,001 | $ | 70,770 | |||||
Denominator
|
|||||||||
Shares outstanding at the beginning of the
period(1)
|
83,339 | 71,782 | |||||||
Weighted average number of shares issued:
|
|||||||||
Stock options exercised and treasury stock
reissued, net
|
932 | 302 | |||||||
Denominator for basic earnings per share
|
84,271 | 72,084 | |||||||
Basic earnings per share
|
$ | .80 | $ | .98 | |||||
Diluted Earnings Per Share
Calculation:
|
|||||||||
Numerator
|
|||||||||
Net income
|
$ | 67,001 | $ | 70,770 | |||||
Adjustment for interest expense avoided on
convertible debentures, net of tax
|
618 | | |||||||
Net income, as adjusted for interest expense
avoided on convertible debentures
|
$ | 67,619 | $ | 70,770 | |||||
Denominator
|
|||||||||
Denominator for basic earnings per share
|
84,271 | 72,084 | |||||||
Common stock equivalents related to convertible
subordinated debentures
|
6,429 | | |||||||
Employee stock options and other dilutive
potential common shares(2)
|
4,763 | 1,926 | |||||||
Denominator for diluted earnings per share
|
95,463 | 74,010 | |||||||
Diluted earnings per share
|
$ | .71 | $ | .96 | |||||
(1) | Excludes 1,030,000 and 1,582,000 shares of restricted common stock which have been granted under our stock-based compensation plans but have not vested as of March 31, 2004 and 2003, respectively. |
(2) | Certain options to purchase common stock were not included in the calculation of diluted earnings per share because their exercise prices were greater than the average market price of our common stock for the periods presented. For the three months ended March 31, 2004 and 2003, these excluded weighted options outstanding totaled 1.7 million shares and 7.7 million shares, respectively, with exercise prices ranging from $12.63 to $46.25 per share. For the three months ended March 31, 2004 and 2003, the average market value used in the computation of dilutive employee stock options and other dilutive potential common shares was $34.48 and $12.58, respectively. |
13
9. | Comprehensive Income |
Comprehensive income represents our net income plus changes in equity, other than those changes resulting from investments by, and distributions to, our stockholders. Such changes include unrealized gains or losses on our available-for-sale securities. Our comprehensive income totaled $74 million and $69 million for the three months ended March 31, 2004 and 2003, respectively.
10. | Financial Guarantees |
Certain of our domestic, unregulated subsidiaries, which we refer to as the Initial Guarantor Subsidiaries and certain subsidiaries of PacifiCare Health Plan Administrators, Inc., or PHPA, which we refer to as the PHPA Guarantor Subsidiaries, fully and unconditionally guarantee the 10 3/4% senior notes. Prior to September 15, 2003, the PHPA Guarantor Subsidiaries were restricted from guaranteeing the 10 3/4% senior notes by the terms of the FHP senior notes. As the FHP senior notes were repaid in full on September 15, 2003, these subsidiaries now fully and unconditionally guarantee the 10 3/4% senior notes. The Initial Guarantor Subsidiaries and the PHPA Guarantor Subsidiaries are collectively referred to as the Guarantor Subsidiaries.
The Guarantor Subsidiaries, excluding MEDeMORPHUS Healthcare Solutions, Inc., are also guarantors of our senior credit facility. The following unaudited consolidating condensed financial statements quantify the financial position as of March 31, 2004 and December 31, 2003 and the operations and cash flows for the three months ended March 31, 2004 and 2003 of the Guarantor Subsidiaries listed below. The following unaudited consolidating condensed balance sheets, consolidating condensed statements of income and consolidating condensed statements of cash flows present financial information for the following entities and utilizing the following adjustments:
Parent PacifiCare Health Systems, Inc. on a stand-alone basis (carrying investments in subsidiaries under the equity method); PacifiCare became the parent on February 14, 1997 effective with the acquisition of FHP.
Guarantor Subsidiaries PHPA, PacifiCare eHoldings, Inc., SeniorCo, Inc., MEDeMORPHUS Healthcare Solutions, Inc. on a stand-alone basis (carrying investments in subsidiaries under the equity method), RxSolutions, Inc., doing business as Prescription Solutions, PacifiCare Behavioral Health, Inc., and SecureHorizons USA, Inc. on a stand-alone basis.
Non-Guarantor Subsidiaries Represents all other directly or indirectly wholly owned subsidiaries of the Parent on a condensed consolidated basis.
Consolidating Adjustments Entries that eliminate the investment in subsidiaries and intercompany balances and transactions.
The Company The financial information for PacifiCare Health Systems, Inc. on a condensed consolidated basis.
Provision For Income Taxes PacifiCare and its subsidiaries record the provision for income taxes in accordance with an intercompany tax-sharing agreement. Income tax benefits available to subsidiaries that arise from net operating losses can only be used to offset the subsidiaries taxable income from prior years in accordance with the Federal Tax Law and taxable income in future periods.
14
CONDENSED CONSOLIDATING BALANCE SHEETS
Guarantor | Non-Guarantor | Consolidating | ||||||||||||||||||||
Parent | Subsidiaries | Subsidiaries | Adjustments | Company | ||||||||||||||||||
(Amounts in thousands) | ||||||||||||||||||||||
ASSETS | ||||||||||||||||||||||
Current assets:
|
||||||||||||||||||||||
Cash and equivalents
|
$ | | $ | 350,524 | $ | 601,765 | $ | | $ | 952,289 | ||||||||||||
Marketable securities
|
37 | (92 | ) | 1,428,201 | | 1,428,146 | ||||||||||||||||
Receivables, net
|
9,010 | 160,136 | 152,779 | (6,029 | ) | 315,896 | ||||||||||||||||
Intercompany
|
50,274 | (27,424 | ) | (22,850 | ) | | | |||||||||||||||
Prepaid expenses and other current assets
|
3,258 | 35,153 | 33,807 | (3,668 | ) | 68,550 | ||||||||||||||||
Deferred income taxes
|
(15 | ) | 70,656 | 104,208 | (28,640 | ) | 146,209 | |||||||||||||||
Total current assets
|
62,564 | 588,953 | 2,297,910 | (38,337 | ) | 2,911,090 | ||||||||||||||||
Property, plant and equipment, net
|
| 115,219 | 36,208 | | 151,427 | |||||||||||||||||
Marketable securities-restricted
|
31,592 | 2,456 | 103,308 | | 137,356 | |||||||||||||||||
Deferred income taxes
|
| 89,429 | 26,908 | (116,337 | ) | | ||||||||||||||||
Investment in subsidiaries
|
2,454,464 | 2,357,039 | (4,980 | ) | (4,806,523 | ) | | |||||||||||||||
Goodwill and intangible assets, net
|
| 28,403 | 1,170,863 | | 1,199,266 | |||||||||||||||||
Other assets
|
16,472 | 28,035 | 23,718 | | 68,225 | |||||||||||||||||
$ | 2,565,092 | $ | 3,209,534 | $ | 3,653,935 | $ | (4,961,197 | ) | $ | 4,467,364 | ||||||||||||
LIABILITIES AND STOCKHOLDERS EQUITY | ||||||||||||||||||||||
Current liabilities:
|
||||||||||||||||||||||
Medical claims and benefits payable
|
$ | | $ | 77,282 | $ | 1,027,968 | $ | (750 | ) | $ | 1,104,500 | |||||||||||
Accounts payable and accrued liabilities
|
16,259 | 363,214 | 155,413 | (8,947 | ) | 525,939 | ||||||||||||||||
Deferred income taxes
|
| 17,743 | 10,897 | (28,640 | ) | | ||||||||||||||||
Unearned premium revenue
|
| 1,692 | 113,006 | | 114,698 | |||||||||||||||||
Current portion of long-term debt
|
1,500 | 4,503 | 229 | | 6,232 | |||||||||||||||||
Total current liabilities
|
17,759 | 464,434 | 1,307,513 | (38,337 | ) | 1,751,369 | ||||||||||||||||
Long-term debt
|
470,917 | 3,541 | 1,481 | | 475,939 | |||||||||||||||||
Convertible subordinated debentures
|
135,000 | | | | 135,000 | |||||||||||||||||
Deferred income taxes
|
| 128,840 | 93,422 | (116,337 | ) | 105,925 | ||||||||||||||||
Other liabilities
|
| 31,726 | | | 31,726 | |||||||||||||||||
Stockholders equity:
|
||||||||||||||||||||||
Common stock
|
859 | | | | 859 | |||||||||||||||||
Unearned compensation
|
(39,729 | ) | | | | (39,729 | ) | |||||||||||||||
Additional paid-in capital
|
1,524,080 | | | | 1,524,080 | |||||||||||||||||
Accumulated other comprehensive loss
|
22 | (55 | ) | 26,044 | | 26,011 | ||||||||||||||||
Retained earnings
|
456,184 | | | | 456,184 | |||||||||||||||||
Equity in income of subsidiaries
|
| 2,581,048 | 2,225,475 | (4,806,523 | ) | | ||||||||||||||||
Total stockholders equity
|
1,941,416 | 2,580,993 | 2,251,519 | (4,806,523 | ) | 1,967,405 | ||||||||||||||||
$ | 2,565,092 | $ | 3,209,534 | $ | 3,653,935 | $ | (4,961,197 | ) | $ | 4,467,364 | ||||||||||||
15
CONDENSED CONSOLIDATING BALANCE SHEETS
Guarantor | Non-Guarantor | Consolidating | ||||||||||||||||||||
Parent | Subsidiaries | Subsidiaries | Adjustments | Company | ||||||||||||||||||
(Amounts in thousands) | ||||||||||||||||||||||
ASSETS | ||||||||||||||||||||||
Current assets:
|
||||||||||||||||||||||
Cash and equivalents
|
$ | | $ | 242,847 | $ | 955,575 | $ | | $ | 1,198,422 | ||||||||||||
Marketable securities
|
37 | | 1,359,683 | | 1,359,720 | |||||||||||||||||
Receivables, net
|
991 | 55,510 | 217,138 | (7,696 | ) | 265,943 | ||||||||||||||||
Intercompany
|
10,110 | 62,672 | (72,782 | ) | | | ||||||||||||||||
Prepaid expenses and other current assets
|
8,074 | 39,705 | 13,427 | (3,907 | ) | 57,299 | ||||||||||||||||
Deferred income taxes
|
(15 | ) | 71,008 | 107,464 | (28,640 | ) | 149,817 | |||||||||||||||
Total current assets
|
19,197 | 471,742 | 2,580,505 | (40,243 | ) | 3,031,201 | ||||||||||||||||
Property, plant and equipment, net
|
| 111,494 | 37,913 | | 149,407 | |||||||||||||||||
Marketable securities-restricted
|
33,436 | | 133,110 | | 166,546 | |||||||||||||||||
Deferred income taxes
|
| 89,758 | 26,907 | (116,665 | ) | | ||||||||||||||||
Investment in subsidiaries
|
2,376,929 | 1,726,560 | (7,903 | ) | (4,095,586 | ) | | |||||||||||||||
Goodwill and intangible assets, net
|
| 28,403 | 1,175,809 | | 1,204,212 | |||||||||||||||||
Other assets
|
17,549 | 26,670 | 23,719 | | 67,938 | |||||||||||||||||
$ | 2,447,111 | $ | 2,454,627 | $ | 3,970,060 | $ | (4,252,494 | ) | $ | 4,619,304 | ||||||||||||
LIABILITIES AND STOCKHOLDERS EQUITY | ||||||||||||||||||||||
Current liabilities:
|
||||||||||||||||||||||
Medical claims and benefits payable
|
$ | | $ | 66,455 | $ | 965,704 | $ | (4,659 | ) | $ | 1,027,500 | |||||||||||
Accounts payable and accrued liabilities
|
6,646 | 340,509 | 148,457 | (4,802 | ) | 490,810 | ||||||||||||||||
Deferred income taxes
|
| 17,744 | 10,896 | (28,640 | ) | | ||||||||||||||||
Unearned premium revenue
|
| 1,542 | 497,080 | (2,142 | ) | 496,480 | ||||||||||||||||
Current portion of long-term debt
|
1,500 | 5,766 | 230 | | 7,496 | |||||||||||||||||
Total current liabilities
|
8,146 | 432,016 | 1,622,367 | (40,243 | ) | 2,022,286 | ||||||||||||||||
Long-term debt
|
471,221 | 4,883 | 1,596 | | 477,700 | |||||||||||||||||
Convertible subordinated debentures
|
135,000 | | | | 135,000 | |||||||||||||||||
Deferred income taxes
|
| 128,020 | 93,422 | (116,665 | ) | 104,777 | ||||||||||||||||
Other liabilities
|
| 28,004 | | | 28,004 | |||||||||||||||||
Stockholders equity:
|
||||||||||||||||||||||
Common stock
|
848 | | | | 848 | |||||||||||||||||
Unearned compensation
|
(16,843 | ) | | | | (16,843 | ) | |||||||||||||||
Additional paid-in capital
|
1,458,310 | | | | 1,458,310 | |||||||||||||||||
Accumulated other comprehensive loss
|
22 | | 18,793 | | 18,815 | |||||||||||||||||
Retained earnings
|
390,407 | | | | 390,407 | |||||||||||||||||
Equity in income of subsidiaries
|
| 1,861,704 | 2,233,882 | (4,095,586 | ) | | ||||||||||||||||
Total stockholders equity
|
1,832,744 | 1,861,704 | 2,252,675 | (4,095,586 | ) | 1,851,537 | ||||||||||||||||
$ | 2,447,111 | $ | 2,454,627 | $ | 3,970,060 | $ | (4,252,494 | ) | $ | 4,619,304 | ||||||||||||
16
CONDENSED CONSOLIDATING STATEMENTS OF INCOME
Guarantor | Non-Guarantor | Consolidating | |||||||||||||||||||
Parent | Subsidiaries | Subsidiaries | Adjustments | Company | |||||||||||||||||
(Amounts in thousands) | |||||||||||||||||||||
Operating revenue
|
$ | 221 | $ | 175,151 | $ | 2,904,193 | $ | (115,442 | ) | $ | 2,964,123 | ||||||||||
Income from subsidiaries
|
77,535 | 127,559 | 2,925 | (208,019 | ) | | |||||||||||||||
Total operating revenue
|
77,756 | 302,710 | 2,907,118 | (323,461 | ) | 2,964,123 | |||||||||||||||
Health care services and other expenses
|
| 118,032 | 2,457,772 | (101,208 | ) | 2,474,596 | |||||||||||||||
Selling, general and administrative expenses
|
75 | 105,747 | 276,774 | (13,544 | ) | 369,052 | |||||||||||||||
Operating income
|
77,681 | 78,931 | 172,572 | (208,709 | ) | 120,475 | |||||||||||||||
Interest expense (income)
|
(10,680 | ) | (875 | ) | 48 | 690 | (10,817 | ) | |||||||||||||
Income before income taxes
|
67,001 | 78,056 | 172,620 | (208,019 | ) | 109,658 | |||||||||||||||
Provision (benefit) for income taxes
|
| (12,837 | ) | 55,494 | | 42,657 | |||||||||||||||
Net income
|
$ | 67,001 | $ | 90,893 | $ | 117,126 | $ | (208,019 | ) | $ | 67,001 | ||||||||||
17
CONDENSED CONSOLIDATING STATEMENTS OF INCOME
Guarantor | Non-Guarantor | Consolidating | |||||||||||||||||||
Parent | Subsidiaries | Subsidiaries | Adjustments | Company | |||||||||||||||||
(Amounts in thousands) | |||||||||||||||||||||
Operating revenue
|
$ | 240 | $ | 127,137 | $ | 2,694,488 | $ | (82,270 | ) | $ | 2,739,595 | ||||||||||
Income from subsidiaries
|
88,852 | 120,658 | 1,351 | (210,861 | ) | | |||||||||||||||
Total operating revenue
|
89,092 | 247,795 | 2,695,839 | (293,131 | ) | 2,739,595 | |||||||||||||||
Health care services and other expenses
|
| 83,916 | 2,264,517 | (72,670 | ) | 2,275,763 | |||||||||||||||
Selling, general and administrative expenses
|
52 | 76,033 | 264,098 | (8,952 | ) | 331,231 | |||||||||||||||
Operating income
|
89,040 | 87,846 | 167,224 | (211,509 | ) | 132,601 | |||||||||||||||
Interest expense
|
(18,270 | ) | (1,711 | ) | (218 | ) | 649 | (19,550 | ) | ||||||||||||
Income before income taxes
|
70,770 | 86,135 | 167,006 | (210,860 | ) | 113,051 | |||||||||||||||
Provision (benefit) for income taxes
|
| (7,581 | ) | 49,862 | | 42,281 | |||||||||||||||
Net income
|
$ | 70,770 | $ | 93,716 | $ | 117,144 | $ | (210,860 | ) | $ | 70,770 | ||||||||||
18
CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS
Guarantor | Non-Guarantor | Consolidating | |||||||||||||||||||||
Parent | Subsidiaries | Subsidiaries | Adjustments | Company | |||||||||||||||||||
(Amounts in thousands) | |||||||||||||||||||||||
Operating activities:
|
|||||||||||||||||||||||
Net income
|
$ | 67,001 | $ | 90,893 | $ | 117,126 | $ | (208,019 | ) | $ | 67,001 | ||||||||||||
Adjustments to reconcile net income to net cash
flows provided by (used in) operating activities:
|
|||||||||||||||||||||||
Equity in income of subsidiaries
|
(77,535 | ) | (127,559 | ) | (2,925 | ) | 208,019 | | |||||||||||||||
Depreciation and amortization
|
| 9,962 | 2,054 | | 12,016 | ||||||||||||||||||
Tax benefit realized upon exercise of stock-based
compensation
|
9,811 | | | | 9,811 | ||||||||||||||||||
Stock-based compensation expense
|
9,452 | | | | 9,452 | ||||||||||||||||||
Amortization of intangible assets
|
| | 4,946 | | 4,946 | ||||||||||||||||||
Deferred income taxes
|
| 1,547 | 668 | | 2,215 | ||||||||||||||||||
Amortization of notes receivable from sale of
fixed assets
|
| (1,360 | ) | | | (1,360 | ) | ||||||||||||||||
Provision for doubtful accounts
|
| (1,220 | ) | | | (1,220 | ) | ||||||||||||||||
Amortization of capitalized loan fees
|
1,077 | | | | 1,077 | ||||||||||||||||||
Loss on disposal of property, plant and equipment
and other
|
| 271 | (66 | ) | | 205 | |||||||||||||||||
Amortization of discount on
10 3/4% senior notes
|
71 | | | | 71 | ||||||||||||||||||
Changes in assets and liabilities
|
(30,080 | ) | 28,542 | (320,707 | ) | | (322,245 | ) | |||||||||||||||
Net cash flows provided by (used in) operating
activities
|
(20,203 | ) | 1,076 | (198,904 | ) | | (218,031 | ) | |||||||||||||||
Investing activities:
|
|||||||||||||||||||||||
Purchase of marketable securities, net
|
| | (58,689 | ) | | (58,689 | ) | ||||||||||||||||
Sale (purchase) of marketable
securities-restricted
|
1,844 | (2,456 | ) | 29,802 | | 29,190 | |||||||||||||||||
Purchase of property, plant and equipment
|
| (13,838 | ) | (403 | ) | | (14,241 | ) | |||||||||||||||
Net cash flows provided by (used in) investing
activities
|
1,844 | (16,294 | ) | (29,290 | ) | | (43,740 | ) | |||||||||||||||
Financing activities:
|
|||||||||||||||||||||||
Proceeds from issuance of common stock
|
21,246 | | | | 21,246 | ||||||||||||||||||
Payments on software financing agreement
|
| (2,605 | ) | | | (2,605 | ) | ||||||||||||||||
Purchase and retirement of common stock
|
(2,512 | ) | | | | (2,512 | ) | ||||||||||||||||
Principal payments on long-term debt
|
(375 | ) | | (116 | ) | | (491 | ) | |||||||||||||||
Intercompany activity:
|
|||||||||||||||||||||||
Dividends received (paid)
|
| 125,500 | (125,500 | ) | | | |||||||||||||||||
Net cash flows provided by (used in) financing
activities
|
18,359 | 122,895 | (125,616 | ) | | 15,638 | |||||||||||||||||
Net increase (decrease) in cash and equivalents
|
| 107,677 | (353,810 | ) | | (246,133 | ) | ||||||||||||||||
Beginning cash and equivalents
|
| 242,847 | 955,575 | | 1,198,422 | ||||||||||||||||||
Ending cash and equivalents
|
$ | | $ | 350,524 | $ | 601,765 | $ | | $ | 952,289 | |||||||||||||
19
CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS
Guarantor | Non-Guarantor | Consolidating | |||||||||||||||||||||
Parent | Subsidiaries | Subsidiaries | Adjustments | Company | |||||||||||||||||||
(Amounts in thousands) | |||||||||||||||||||||||
Operating activities:
|
|||||||||||||||||||||||
Net income
|
$ | 70,770 | $ | 93,716 | $ | 117,144 | $ | (210,860 | ) | $ | 70,770 | ||||||||||||
Adjustments to reconcile net income to net cash
flows provided by (used in) operating activities:
|
|||||||||||||||||||||||
Equity in income of subsidiaries
|
(88,852 | ) | (120,658 | ) | (1,350 | ) | 210,860 | | |||||||||||||||
Depreciation and amortization
|
| 8,856 | 2,404 | | 11,260 | ||||||||||||||||||
Amortization of intangible assets
|
| | 5,566 | | 5,566 | ||||||||||||||||||
Stock-based compensation expense
|
3,158 | | | | 3,158 | ||||||||||||||||||
Loss on disposal of property, plant and equipment
and other
|
| 2,540 | | | 2,540 | ||||||||||||||||||
Deferred income taxes
|
| 3,821 | (1,301 | ) | | 2,520 | |||||||||||||||||
Provision for doubtful accounts
|
| 2,264 | | | 2,264 | ||||||||||||||||||
Amortization of notes receivable from sale of
fixed assets
|
| (1,368 | ) | | | (1,368 | ) | ||||||||||||||||
Employer benefit plan contributions in treasury
stock
|
1,363 | | | | 1,363 | ||||||||||||||||||
Amortization of capitalized loan fees
|
1,222 | | | | 1,222 | ||||||||||||||||||
Tax benefit realized for stock option exercises
|
236 | | | | 236 | ||||||||||||||||||
Amortization of discount on
10 3/4% senior notes
|
109 | | | | 109 | ||||||||||||||||||
Changes in assets and liabilities, net
|
14,118 | (115,408 | ) | (255,402 | ) | | (356,692 | ) | |||||||||||||||
Net cash flows (used in) provided by operating
activities
|
2,124 | (126,237 | ) | (132,939 | ) | | (257,052 | ) | |||||||||||||||
Investing activities:
|
|||||||||||||||||||||||
Sale of marketable securities, net
|
| | 41,950 | | 41,950 | ||||||||||||||||||
Purchase of property, plant and equipment
|
| (8,050 | ) | (1,927 | ) | | (9,977 | ) | |||||||||||||||
Purchase of marketable securities-restricted, net
|
(1,535 | ) | | (1,609 | ) | | (3,144 | ) | |||||||||||||||
Proceeds from sale of property, plant and
equipment
|
| 15 | | | 15 | ||||||||||||||||||
Net cash flows provided by (used in) investing
activities
|
(1,535 | ) | (8,035 | ) | 38,414 | | 28,844 | ||||||||||||||||
Financing activities:
|
|||||||||||||||||||||||
Principal payments on long-term debt
|
(20,200 | ) | | | | (20,200 | ) | ||||||||||||||||
Proceeds from issuance of common stock
|
2,898 | | | | 2,898 | ||||||||||||||||||
Payments on software financing agreement
|
| (1,089 | ) | | | (1,089 | ) | ||||||||||||||||
Intercompany activity:
|
|||||||||||||||||||||||
Royalty dividends and loans received (paid)
|
| 27,708 | (27,708 | ) | | | |||||||||||||||||
Dividends received (paid)
|
| 158,816 | (158,816 | ) | | | |||||||||||||||||
Net cash flows (used in) provided by financing
activities
|
(17,302 | ) | 185,435 | (186,524 | ) | | (18,391 | ) | |||||||||||||||
Net (decrease) increase in cash and equivalents
|
(16,713 | ) | 51,163 | (281,049 | ) | | (246,599 | ) | |||||||||||||||
Beginning cash and equivalents
|
16,207 | 104,378 | 831,104 | | 951,689 | ||||||||||||||||||
Ending cash and equivalents
|
$ | (506 | ) | $ | 155,541 | $ | 550,055 | $ | | $ | 705,090 | ||||||||||||
20
Item 2: | Managements Discussion and Analysis of Financial Condition and Results of Operations |
Results of Operations
In this Quarterly Report on Form 10-Q, we refer to PacifiCare Health Systems, Inc. as PacifiCare, the Company, we, us, or our. Statements that are not historical facts are forward-looking statements within the meaning of the Federal Securities laws, and may involve a number of risks and uncertainties which could cause actual results to differ materially from those anticipated as of the date of this report. In addition, past financial and/or operating performance is not necessarily a reliable indicator of future performance and you should not use our historical performance to anticipate results or future period trends. In evaluating these forward-looking statements, you should specifically consider the risks described below under Cautionary Statements which follows our discussion on Critical Accounting Policies and Estimates and in other parts of this report.
Overview. We offer managed care and other health insurance products to employer groups and Medicare beneficiaries primarily in eight western states and Guam. Our commercial and senior plans are designed to deliver quality health care and customer service to members cost-effectively. These programs include health maintenance organizations, or HMOs, preferred provider organizations, or PPOs, and Medicare Supplement products. We also offer a variety of specialty managed care products and services that employees can purchase as a supplement to our basic commercial and senior medical plans or as stand-alone products. These products include pharmacy benefit management, or PBM, services, behavioral health services, group life and health insurance, dental and vision benefit plans.
All intercompany transactions and accounts are eliminated in consolidation.
Revenue
Commercial and Senior. Our commercial and senior revenues include all premium revenue we receive from our health plans, indemnity insurance subsidiary and Medicare Supplement and Senior Supplement products, as well as fee revenue we receive from administrative services we offer through our commercial and senior health plans and related subsidiaries. We receive a monthly payment on behalf of each subscriber enrolled in our commercial HMOs and our indemnity insurance service plans. Generally, our Medicare+Choice contracts entitle us to per member per month payments from the Centers for Medicare and Medicaid Services, or CMS, on behalf of each enrolled Medicare beneficiary. We report prepaid health care premiums received from our commercial plans enrolled groups, CMS, and our Medicare plans members as revenue in the month that members are entitled to receive health care. We record premiums received in advance as unearned premium revenue.
Premiums for our commercial products and Medicare+Choice products are generally fixed in advance of the periods covered. Of our commercial business, more than 50% of our membership renews on January 1 of each year, with premiums that are generally fixed for a period of one year. In addition, each of our subsidiaries that offers Medicare+Choice products must submit adjusted community rate proposals, generally by county or service area, to CMS, in early September for each Medicare+Choice product that will be offered in the subsequent year. As a result, increases in the costs of health care services in excess of the estimated future health care services expense reflected in the premiums or the adjusted community rate proposals generally cannot be recovered in the applicable contract year through higher premiums or changes in benefit designs.
Specialty and Other. Our specialty and other revenues include all premium revenues we receive from our behavioral health and dental and vision service plans and fee revenue we receive from administrative services we offer though our specialty companies, primarily from our PBM subsidiary. Our PBM subsidiary generates mail order revenue where we, rather than network retail pharmacies, collect the member copayments for both affiliated and unaffiliated members. Additionally, we record revenues for prescription drug costs and administrative fees charged on prescriptions dispensed by our mail order pharmacy when the prescription is filled. Beginning in January 2004, our PBM subsidiary began entering into retail service contracts where we assume margin or pricing risk. Under these retail service contracts, we are separately obligated to pay our network pharmacy providers for benefits provided to our plan sponsors members, and as a result, we have included the total revenues we are contracted to receive from the plan sponsors as Specialty and Other Revenue. Payments we are obligated to make under these retail service contracts to the network pharmacy providers are
21
Net Investment Income. Net investment income consists of interest income and gross realized gains and losses incurred on cash investments during each period.
Expenses
Commercial and Senior Health Care Services and Other. Health care services and other expenses for our commercial plans and our senior plans primarily comprise payments to physicians, hospitals and other health care providers under capitated or risk-based contracts for services provided to our commercial and senior health plan members and indemnity insurance plan members.
Our risk-based health care services expenses consist mostly of four cost of care components: outpatient care, inpatient care, professional services (primarily physician care) and pharmacy benefit costs. All four components are affected by both unit costs and utilization rates. Unit costs, for example, are the cost of outpatient medical procedures, inpatient hospital stays, physician fees for office visits and prescription drug prices. Utilization rates represent the volume of consumption of health services and vary with the age and health of our members and broader social and lifestyle patterns of the population as a whole.
The cost of health care provided is accrued in the month services are provided to members, based in part on estimates of claims for hospital services and other health care costs that have been incurred but not yet reported (including those claims received but not yet paid), or IBNR, under our risk-based provider contracts as well as some services under our capitation contracts for which we retain financial liability, or carve-outs, primarily using standard actuarial methodologies based on historical data. These standard actuarial methodologies include, among other factors, contractual requirements, historical utilization trends, the interval between the date services are rendered and the date claims are paid, denied claims activity, disputed claims activity, benefit changes, expected health care cost inflation, seasonality patterns and changes in membership. These estimates are adjusted in future periods as we receive actual paid claims data, and can either increase or reduce our accrued health care costs. Included in health care services and other expenses for the first quarter of last year were net favorable adjustments of prior period medical cost estimates of approximately $40 million. For the three months ended March 31, 2003, both commercial and seniors net favorable adjustments were mainly from our Texas and California markets and were the result of lower than anticipated health care costs that materialized primarily in senior markets that we exited and recoveries of claims overpayments made in prior periods at rates higher than historic recovery patterns. The cost of prescription drugs covered under our commercial and senior plans is expensed when the prescription drugs are dispensed. Our commercial and senior plans also provide incentives, through a variety of programs, for health care providers that participate in those plans to control health care costs while providing quality health care. Expenses related to these programs, which are based in part on estimates, are recorded in the period in which the related services are provided. Historically, we have primarily arranged health care services for our members by contracting with health care providers on a capitated basis, regardless of the services provided to each member. Under our risk-based contracts, we generally bear or partially share the risk of excess health care expenses with health care providers, meaning that if member utilization of health care services exceeds agreed-upon amounts, we bear or partially share the excess expenses with the applicable health care provider.
Specialty and Other Health Care Services and Other. Health care services and other expenses for our specialty companies primarily comprise payments to physicians, hospitals and other health care providers under capitated or risk-based contracts for services provided to our behavioral health and dental and vision members and the cost of acquiring drugs for our mail order pharmacy benefit management subsidiary. Health care services and other expenses also include expenses for administrative services performed by our specialty companies.
22
Three Months Ended March 31, 2004 Compared to Three Months Ended March 31, 2003
Membership. Total managed care membership increased 2% to approximately 2,929,000 members at March 31, 2004 from approximately 2,875,900 members at March 31, 2003.
March 31, 2004 | March 31, 2003 | |||||||||||||||||||||||||
Senior | Senior | |||||||||||||||||||||||||
Commercial | M+C | Total | Commercial | M+C | Total | |||||||||||||||||||||
Managed Care
Membership(1)
|
||||||||||||||||||||||||||
Arizona
|
162,500 | 92,000 | 254,500 | 153,500 | 87,300 | 240,800 | ||||||||||||||||||||
California
|
1,477,100 | 357,500 | 1,834,600 | 1,387,300 | 359,800 | 1,747,100 | ||||||||||||||||||||
Colorado
|
247,600 | 52,200 | 299,800 | 213,700 | 55,200 | 268,900 | ||||||||||||||||||||
Guam
|
27,100 | | 27,100 | 31,400 | | 31,400 | ||||||||||||||||||||
Nevada
|
34,600 | 25,200 | 59,800 | 25,900 | 26,600 | 52,500 | ||||||||||||||||||||
Oklahoma
|
83,400 | 15,800 | 99,200 | 102,100 | 19,200 | 121,300 | ||||||||||||||||||||
Oregon
|
58,200 | 23,400 | 81,600 | 64,300 | 24,900 | 89,200 | ||||||||||||||||||||
Texas
|
86,200 | 74,700 | 160,900 | 121,500 | 79,100 | 200,600 | ||||||||||||||||||||
Washington
|
63,300 | 48,200 | 111,500 | 69,600 | 54,500 | 124,100 | ||||||||||||||||||||
Total Managed Care Membership
|
2,240,000 | 689,000 | 2,929,000 | 2,169,300 | 706,600 | 2,875,900 | ||||||||||||||||||||
Total Membership
|
||||||||||||||||||||||||||
Commercial
|
||||||||||||||||||||||||||
HMO
|
1,973,100 | 2,039,700 | ||||||||||||||||||||||||
PPO
|
240,000 | 99,700 | ||||||||||||||||||||||||
Employer self-funded
|
26,900 | 29,900 | ||||||||||||||||||||||||
Total Commercial
|
2,240,000 | 2,169,300 | ||||||||||||||||||||||||
Senior
|
||||||||||||||||||||||||||
Medicare+Choice
|
689,000 | 706,600 | ||||||||||||||||||||||||
Medicare Supplement
|
30,400 | 21,200 | ||||||||||||||||||||||||
Total Senior
|
719,400 | 727,800 | ||||||||||||||||||||||||
Total Membership
|
2,959,400 | 2,897,100 | ||||||||||||||||||||||||
As of March 31, 2004 | As of March 31, 2003 | |||||||||||||||||||||||
PacifiCare | Unaffiliated | Total | PacifiCare | Unaffiliated | Total | |||||||||||||||||||
Specialty Membership:
|
||||||||||||||||||||||||
Pharmacy benefit management (2)
|
2,959,400 | 2,425,900 | 5,385,300 | 2,897,100 | 1,796,000 | 4,693,100 | ||||||||||||||||||
Behavioral health(3)
|
2,000,700 | 1,788,900 | 3,789,600 | 2,009,800 | 1,768,400 | 3,778,200 | ||||||||||||||||||
Dental and vision(3)
|
581,800 | 226,000 | 807,800 | 458,100 | 236,600 | 694,700 |
(1) | Managed care membership includes HMO and PPO membership whether risk or self-funded. |
(2) | Pharmacy benefit management PacifiCare membership represents members that are in our commercial, Medicare+Choice or Medicare Supplement plans. All of these members either have a prescription drug benefit or are able to purchase their prescriptions utilizing our retail network contracts or our mail service. |
(3) | Behavioral health, dental and vision PacifiCare membership represents members in our commercial, Medicare+Choice, and Medicare Supplement that are also enrolled in our behavioral health, dental and/or vision plans. |
Commercial membership increased approximately 3% at March 31, 2004 compared to the prior year primarily due to an increase in PPO membership mainly as a result of enhanced marketing efforts and new product initiatives primarily in California and Texas. The increase in PPO membership was slightly offset by a decrease in commercial HMO membership primarily due to planned pricing increases, elimination of unprofitable commercial business and termination of contracts with network providers resulting in decreases of 55,200 members in Texas, 26,200 members in Oklahoma, 14,600 members in Washington and 14,200 members in Oregon. Membership decreases were offset in part by an increase of 36,000 members in California due to the addition of 43,000 members from one large employer group, offset by decreases resulting from the elimination of unprofitable commercial business.
23
Medicare+Choice membership decreased approximately 2% at March 31, 2004 compared to the prior year primarily due to member disenrollment attributable to benefit restructure and increased premiums, as well as termination of contracts with network providers resulting in decreases of 6,300 members in Washington, 4,400 members in Texas, 3,400 members in Oklahoma, and 3,000 members in Colorado, offset in part by an increase of 4,700 members in Arizona.
PBM unaffiliated membership at March 31, 2004 increased approximately 35% compared to the prior year primarily due to an increase of additional members associated with existing clients and the addition of 20 new clients. PBM PacifiCare membership at March 31, 2004 was slightly higher as compared to the prior year.
Dental and vision PacifiCare membership at March 31, 2004, increased approximately 27% compared to the prior year primarily due to the new vision product offerings which resulted in increased membership for these products in Arizona, California, and Nevada. Dental and vision unaffiliated membership at March 31, 2004 was slightly lower compared to the prior year.
We anticipate that total specialty membership will increase in 2004.
Commercial Revenue. Commercial revenue increased 13%, or $154 million, to $1.4 billion for the three months ended March 31, 2004, from $1.2 billion for the three months ended March 31, 2003 as follows:
Three Months Ended | ||||
March 31, 2004 | ||||
(Amounts in millions) | ||||
Revenue increases primarily due to premium rate
increases of approximately 10% for the three months ended
March 31, 2004
|
$ | 126 | ||
Net membership increases, primarily in California
and Colorado
|
28 | |||
Increase over the comparable period of the prior
year
|
$ | 154 | ||
We anticipate revenue increases in 2004 primarily due to membership and rate increases. However, we do not expect the same percentage premium rate increases in 2004 that we experienced in 2003.
Senior Revenue. Senior revenue increased 3%, or $40 million, to $1.41 billion for the three months ended March 31, 2004 from $1.37 billion for the three months ended March 31, 2003 as follows:
Three Months Ended | ||||
March 31, 2004 | ||||
(Amounts in millions) | ||||
Revenue increases primarily due to premium rate
increases of approximately 5% for the three months ended
March 31, 2004
|
$ | 62 | ||
Net membership decreases
|
(22 | ) | ||
Increase over the comparable period of the prior
year
|
$ | 40 | ||
We anticipate revenue increases in 2004 primarily due to membership and rate increases, and from changes as a result of newly enacted Medicare Prescription Drug, Improvement, and Modernization Act of 2003, or MMA, legislation.
Specialty and Other Revenue. Specialty and other revenue increased 28%, or $33 million, to $150 million for the three months ended March 31, 2004, from $117 million for the three months ended March 31, 2003. The increase was primarily due to the growth of unaffiliated PBM membership which resulted in increased service fee revenue charged to external customers and overall growth in the volume of mail service business which generated increased co-payments from mail service customers of our PBM subsidiary.
Net Investment Income. Net investment income decreased 15%, or $3 million, to $18 million for the three months ended March 31, 2004, from $21 million for the three months ended March 31, 2003 primarily due to lower realized gains in the current quarter.
24
Commercial Margin. Our commercial margin increased 22%, or $39 million, to $218 million for the three months ended March 31, 2004, from $179 million for the three months ended March 31, 2003 as follows:
Three Months Ended | ||||
March 31, 2004 | ||||
(Amounts in millions) | ||||
Commercial revenue increases (as noted above)
|
$ | 154 | ||
Increases in health care services and other
expenses as a result of net HMO and PPO membership increases,
primarily in California and Colorado
|
(25 | ) | ||
Increases in health care services and other
expenses as a result of health care cost trends and increases in
capitation expense
|
(93 | ) | ||
Other
|
3 | |||
Increase over the comparable period of the prior
year
|
$ | 39 | ||
We anticipate our commercial margin as a percentage of commercial revenues for the year ending December 31, 2004 will be slightly higher than 2003.
Senior Margin. Our senior margin decreased 11%, or $23 million, to $185 million for the three months ended March 31, 2004, from $208 million for the three months ended March 31, 2003 as follows:
Three Months Ended | ||||
March 31, 2004 | ||||
(Amounts in millions) | ||||
Senior revenue increases (as noted above)
|
$ | 40 | ||
Decreases in health care services and other
expenses as a result of Medicare+Choice membership decreases
|
18 | |||
Increases in health care services and other
expenses as a result of health care cost trends, partially
offset by benefit adjustments
|
(83 | ) | ||
Other
|
2 | |||
Decrease over the comparable period of the prior
year
|
$ | (23 | ) | |
We anticipate our senior margin as a percentage of senior revenues for the year ending December 31, 2004 will be lower than in 2003 as we expect health care costs, including the expected enhanced benefits, will exceed our revenue increases from Medicare+Choice.
Specialty and Other Margin. Our specialty and other margin increased 25%, or $14 million, to $69 million for the three months ended March 31, 2004, from $55 million for the three months ended March 31, 2003, which was primarily driven by rate increases in our behavioral health business and increases in external membership in our behavioral health and PBM businesses.
Medical Loss Ratio. Our medical loss ratios, or MLRs, are calculated using premium revenue and related health care services and other expenses and cannot be directly calculated from the line items in the Condensed Consolidated Statement of Income. Our MLRs are calculated using the following categories of revenue and expenses:
| Private Commercial: includes premium revenue and related health care services and other expenses for our commercial HMO products (including Federal Employees Health Benefit Program, or FEHBP, and state and local government contracts), PPO products, and other indemnity, behavioral, dental and vision plans; | |
| Private Senior: includes premium revenue and related health care services and other expenses for our Medicare Supplement and Senior Supplement products where premiums are paid in full by the employer or the consumer; | |
| Government Senior: includes premium revenue and related health care services and other expenses for our Medicare+Choice, HMO and PPO products and other senior products where premiums are paid principally through government programs. |
All non-premium revenues and related health care services and other expenses are excluded from the calculation of our MLR.
25
The consolidated MLR and its components for the three months ended March 31, 2004 and 2003 are as follows:
Three Months | |||||||||
Ended | |||||||||
March 31, | |||||||||
2004 | 2003 | ||||||||
Medical loss ratio:
|
|||||||||
Consolidated
|
85.1 | % | 84.8 | % | |||||
Private Commercial
|
83.6 | % | 84.9 | % | |||||
Private Senior
|
83.1 | % | 63.1 | % | |||||
Private Consolidated
|
83.6 | % | 84.6 | % | |||||
Government Senior
|
86.6 | % | 85.0 | % | |||||
Government Consolidated
|
86.6 | % | 85.0 | % |
Private Commercial Medical Loss Ratio. Our private commercial medical loss ratio decreased to 83.6% for the three months ended March 31, 2004 compared to 84.9% for the same period in 2003. The decrease was primarily driven by a 12% increase in premium revenue, offset by an 11% increase in health care services and other expenses.
Private Senior Medical Loss Ratio. Our private senior medical loss ratio increased to 83.1% for the three months ended March 31, 2004 compared to 63.1% for the same period in 2003. The increase was driven by increases in health care services and other expenses that outpaced increases in premium revenue.
Government Senior Medical Loss Ratio. Our government senior medical loss ratio increased to 86.6% for the three months ended March 31, 2004 compared to 85.0% for the same period in 2003. The increase was driven by a 5% increase in health care services and other expenses that outpaced the 3% increase in premium revenue.
Selling, General and Administrative Expenses. Selling, general and administrative expenses increased 11%, or $38 million, to $369 million for the three months ended March 31, 2004, from $331 million for the three months ended March 31, 2003. Selling, general and administrative expenses increased primarily due to increased spending for new product development and marketing costs, increased broker commissions as a result of higher membership, higher expenses related to the employee stock purchase plan and increased labor expense to support new product development and membership growth.
Selling, general and administrative expenses as a percentage of operating revenue (excluding net investment income) increased compared to the same period in the prior year primarily due to the increase in selling, general and administrative expenses as described above.
Three Months | ||||||||
Ended | ||||||||
March 31, | ||||||||
2004 | 2003 | |||||||
Selling, general and administrative expenses as a
percentage of operating revenue (excluding net investment income)
|
12.5 | % | 12.2 | % |
Interest Expense. Interest expense decreased 45%, or $9 million, to $11 million for the three months ended March 31, 2004, from $20 million for the three months ended March 31, 2003. The decrease was due to the following:
| the redemption of $175 million in principal of our 10 3/4% senior notes in December 2003; |
| the favorable effect of the interest rate swap on $300 million of our 10 3/4% senior notes with no comparable activity in 2003; |
| the payment of the $43 million in remaining principal of our FHP International Corporation, or FHP, senior notes in September 2003; and |
| lower interest rates on our senior credit facility which was replaced in June 2003. |
Provision for Income Taxes. The effective income tax rate was 38.9% for the quarter ended March 31, 2004, compared with 37.4% for the quarter ended March 31, 2003. We have revised our effective income tax rate primarily due to increases in non-deductible stock-based compensation and state tax expense in 2004.
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Our effective tax rate is based on statutory tax rates, reported income, certain permanent tax differences, and tax planning opportunities available to us in the various jurisdictions in which we operate. Significant judgment is required in determining our effective tax rate and in evaluating our tax positions. Despite our belief that our tax return positions are fully supportable, we may establish reserves when we believe that certain tax positions are likely to be challenged and we may not fully prevail in overcoming these challenges. We may adjust these reserves as relevant circumstances evolve, such as the progress of a tax audit. Our effective tax rate includes the impact of reserve provisions and changes to reserves that we consider appropriate, as well as related interest. In the event that there is a significant unusual or one-time item recognized in our operating results, the tax attributable to that item would be separately calculated and recorded at the same time that the unusual or one-time item is recognized.
Liquidity and Capital Resources
Operating Cash Flows. Our consolidated cash and equivalents and marketable securities decreased $178 million or 7% to $2.4 billion at March 31, 2004, from $2.6 billion at December 31, 2003.
Cash flows used in operations were $218 million (or $164 million, excluding the impact of unearned premium revenue) for the three months ended March 31, 2004 compared to cash flows used in operations of $257 million (or cash flows provided by operations of $145 million, excluding the impact of unearned premium revenue) for the three months ended March 31, 2003. The increase was primarily related to the changes in assets and liabilities as discussed below in Other Balance Sheet Change Explanations.
Investing Activities. For the three months ended March 31, 2004, investing activities used $44 million of cash, compared to $29 million provided during the three months ended March 31, 2003. The change was primarily related to increases in the purchases of marketable securities and property, plant and equipment, offset in part by the increase in sales of restricted marketable securities.
Financing Activities. For the three months ended March 31, 2004, financing activities provided $16 million of cash, compared to $18 million used during the three months ended March 31, 2003. The changes were as follows:
| We received $21 million from the issuance of common stock for three months ended March 31, 2004 in connection with exercises of employee stock options and our employee stock purchase plan compared to $3 million during the same period in 2003. |
| We paid $3 million on our software financing agreement during the three months ended March 31, 2004 and paid $1 million during the same period in 2003. |
| We purchased and retired $3 million of our common stock related to the withholding of shares under our employee stock plan awards to satisfy tax withholding obligations, with no comparable activity in the three months ended March 31, 2003. |
| We paid $0.5 million on our long-term debt during the three months ended March 31, 2004 compared to $20 million during the same period in 2003. |
We have $135 million in aggregate principal amount of 3% convertible subordinated debentures due in 2032. The debentures are convertible into 6,428,566 shares of common stock under certain conditions, including satisfaction of a market price condition for our common stock, satisfaction of a trading price condition relating to the debentures, upon notice of redemption, or upon specified corporate transactions. Each $1,000 of the debentures is convertible into 47.619 shares of our common stock. The market price condition for conversion of the debentures is satisfied if the closing sale price of our common stock exceeds 110% of the conversion price (which is calculated at $23.10 per share) for the debentures for at least 20 trading days in the 30 consecutive trading days ending on the last trading day of any fiscal quarter. In the event that the market price condition is satisfied during any fiscal quarter, the debentures are convertible, at the option of the holder, during the following fiscal quarter. The market price condition is evaluated each quarter to determine whether the debentures will be convertible at the option of the holder during the following fiscal quarter. For the quarters ended December 31, 2003 and March 31, 2004, the market price condition described above was satisfied. As a result, the debentures were convertible during the quarter ended March 31, 2004 and remain convertible at the option of the holder at any time during the quarter ended June 30, 2004. While no debentures were converted as
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Beginning in October 2007, we may redeem for cash all or any portion of the debentures, at a purchase price of 100% of the principal amount plus accrued interest, upon not less than 30 nor more than 60 days written notice to the holders. Beginning in October 2007, and in successive 5-year increments, our holders may require us to repurchase the debentures for cash at a repurchase price of 100% of the principal amount plus accrued interest. Our payment obligations under the debentures are subordinated to our senior indebtedness, and effectively subordinated to all indebtedness and other liabilities of our subsidiaries.
We have $325 million in aggregate principal amount of 10 3/4% senior notes due in 2009 outstanding. The 10 3/4% senior notes were issued in May 2002 at 99.389% of the aggregate principal amount representing a discount of $3 million that is being amortized over the term of the notes. In December 2003, in accordance with the applicable provisions of the indenture, we redeemed $175 million in principal of the senior notes at a redemption price equal to 110.750%, plus accrued and unpaid interest on the notes as of the redemption date. We expensed approximately $28 million in connection with the redemption, including the pro-rata write-off of the initial discount, the redemption premium and other fees and expenses associated with the transaction. We may redeem the remaining 10 3/4% senior notes at any time on or after June 1, 2006 at an initial redemption price equal to 105.375% of their principal amount plus accrued and unpaid interest. The redemption price will thereafter decline annually. Additionally, at any time on or prior to June 1, 2006, we may redeem the 10 3/4% senior notes upon a change of control, as defined in the indenture for the notes, at 100% of their principal amount plus accrued and unpaid interest and a make-whole premium.
Certain of our domestic, unregulated subsidiaries fully and unconditionally guarantee the 10 3/4% senior notes. Prior to September 15, 2003, some of our domestic, unregulated subsidiaries were restricted from guaranteeing the 10 3/4% senior notes by the terms of the FHP senior notes. As the FHP senior notes were repaid in full on September 15, 2003, these subsidiaries now fully and unconditionally guarantee the 10 3/4% senior notes. See Note 10 of the Notes to Condensed Consolidated Financial Statements.
In April 2003, we entered into an interest rate swap on $300 million of our 10 3/4% senior notes for the purpose of hedging the fair value of our indebtedness. This fair value hedge is accounted for using the short-cut method under SFAS No. 133, Accounting for Derivative Instruments and Hedging Activities, whereby the hedge is reported in our balance sheets at fair value, and the carrying value of the long-term debt is adjusted for an offsetting amount representing changes in fair value attributable to the hedged risk. Under the terms of the agreement, we make interest payments based on the three-month London Interbank Offered Rate, or LIBOR, plus 692 basis points and receive interest payments based on the 10 3/4% fixed rate. Our rate under the swap agreement was 8.04%, at March 31, 2004 which is based on a 90-day LIBOR of 1.12% plus 692 basis points. The three-month LIBOR rate we use to determine our interest payments under the swap agreement was first established on June 2, 2003 and resets every three months thereafter, until expiration in June 2009.
In June 2003, we replaced our senior credit facility with a new syndicated facility with JPMorgan Chase Bank serving as the Administrative Agent. The new facility consists of a $150 million term loan, which matures on June 3, 2008, and a $150 million revolving line of credit, which matures on June 3, 2006. We used the proceeds from the term loan to repay the $131 million outstanding under the prior facility. The remaining $19 million was used to pay fees and expenses relating to the new facility and for general corporate purposes. As of March 31, 2004, we had $149 million outstanding on the term loan and no balance outstanding on the revolving line of credit. There were no borrowings under the line of credit during the quarter ended March 31, 2004.
On December 17, 2003, our senior credit facility was amended to provide for reduced interest rates per annum applicable to term loan borrowings, with the amount of margin spread for the borrowing being determined by our current debt ratings. The amended applicable rates are, at our option, either JPMorgan Chase Banks prime rate (or, if greater, the Federal Funds Rate plus 0.50%) which we refer to as the alternative base rate, plus a margin spread of 1.25% to 1.75% per annum, or the LIBOR for the applicable interest period, plus a margin spread of 2.25% to 2.75% per annum. All of our borrowings under the term loan are currently LIBOR borrowings, and the current margin spread on our term loan borrowings is 2.50%. As of March 31, 2004, our term loan rate was 3.71% per annum, which is based on a 180-day LIBOR of 1.21% plus the applicable margin spread of 2.50%. The interest rates per annum under the senior credit facility applicable to revolving credit borrowings are, at our option, either the alternate base rate plus a margin spread of between 1.50% to 2.75% per
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The terms of the senior credit facility contain various covenants customary for financings of this type which place restrictions on our and/or our subsidiaries ability to incur debt, pay dividends, create liens, make investments, optionally repay, redeem or repurchase our securities, and enter into mergers, dispositions and transactions with affiliates. The senior credit facility also requires us to meet various financial ratios, including a minimum net worth requirement, a minimum fixed-charge coverage requirement and a maximum leverage ratio. At March 31, 2004, we were in compliance with all of these covenants. See Note 3 of the Notes to Condensed Consolidated Financial Statements.
Certain of our domestic, unregulated subsidiaries provide guarantees and have granted security interests to the lenders in substantially all of their personal property in order to secure our obligations under the senior credit facility. We have also pledged the equity of certain of our subsidiaries to the lenders. Prior to September 15, 2003, some of our domestic, unregulated subsidiaries were restricted from guaranteeing the senior credit facility by the terms of the FHP senior notes. As the FHP senior notes were repaid in full on September 15, 2003, these subsidiaries now fully and unconditionally guarantee the senior credit facility.
In April 2004, our debt was rated below investment grade by the major credit rating agencies as follows:
Senior | 10 3/4% | Convertible | ||||||||||||||
Credit | Senior | Subordinated | ||||||||||||||
Agency | Outlook | Facility | Notes | Debentures | ||||||||||||
Moodys
|
Positive | Ba3 | B1 | B2 | ||||||||||||
Standard & Poors
|
Stable | BB+ | BB+ | B | ||||||||||||
Fitch IBCA
|
Stable | BB+ | BB+ | BB |
Consequently, if we seek to raise funds in capital markets transactions, our ability to do so will be limited to issuing additional non-investment grade debt or issuing equity and/or equity-linked instruments.
We expect to fund our working capital requirements and capital expenditures during the next twelve months from our cash flow from operations or from capital market transactions. We have taken a number of steps to increase our internally generated cash flow, including increasing premiums, increasing our marketing of specialty product lines, introducing new products to generate new revenue sources and reducing our health care expenses by, among other things, exiting from unprofitable markets and cost savings initiatives. If our cash flow is less than we expect due to one or more of the risk factors described in Cautionary Statements, or our cash flow requirements increase for reasons we do not currently foresee or we make any acquisitions as part of our growth strategy, then we may need to draw down available funds on our revolving line of credit which matures in June 2006 or issue additional debt or equity securities. A failure to comply with any covenant in the senior credit facility could make funds under our revolving line of credit unavailable. We also may be required to take additional actions to reduce our cash flow requirements, including the deferral of planned investments aimed at reducing our selling, general and administrative expenses. The deferral or cancellation of any investments could have a material adverse impact on our ability to meet our short-term business objectives. We regularly evaluate cash requirements for current operations and commitments, and for capital acquisitions and other strategic transactions. We may elect to raise additional funds for these purposes either through additional debt or equity, the sale of investment securities or otherwise as appropriate. We have an effective shelf registration statement on file with the Securities and Exchange Commission under which we may sell common stock, preferred stock, depositary shares, debt securities, warrants, stock purchase contracts and stock purchase units in one or more offerings from time to time up to a total dollar amount of $600 million. As of March 31, 2004, we have approximately $400 million available under the shelf registration after our common stock offering in November 2003. The actual amount of any securities issued, the terms of those securities and the intended use of the proceeds from any sale, will be determined at the time of sale, if any such sale occurs.
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Other Balance Sheet Change Explanations
Receivables, Net. Receivables, net as of March 31, 2004, increased $50 million from December 31, 2003 primarily due to an increase in our PBM receivables from higher claims utilization on external growth business and the timing of rebate billings, commercial premium and membership increases, and the increase in interest receivable from our swap agreement. We also had a reserve related to outstanding receivables from the United Food and Commercial Workers, or UFCW, union at December 31, 2003. As the account is now paid on a current basis, the reserve was released in March 2004.
Medical Claims and Benefits Payable. The majority of our medical claims and benefits payable represent liabilities related to our risk-based contracts. Under risk-based contracts, claims are payable once incurred and cash disbursements are made to health care providers for services provided to members after the related claim has been submitted and adjudicated. Under capitated contracts, health care providers are prepaid on a fixed-fee per-member per-month basis, regardless of the services provided to members. The liabilities that arise for capitated contracts relate to timing issues primarily due to membership changes that may occur. As of March 31, 2004, approximately 85% of medical claims and benefits payable was attributable to risk-based contracts.
The following table presents the breakdown of our medical claims and benefits payable:
March 31, | December 31, | |||||||
2004 | 2003 | |||||||
(Amount in millions) | ||||||||
Incurred But Not Reported (IBNR)
|
$ | 892 | $ | 826 | ||||
Capitation and All Other Medical Claims and
Benefits Payable
|
213 | 202 | ||||||
Medical Claims and Benefits Payable
|
$ | 1,105 | $ | 1,028 | ||||
Medical claims and benefits payable as of March 31, 2004 increased $77 million from the balance as of December 31, 2003, primarily due to a $65 million increase in IBNR as a result of an increase in commercial and senior at risk membership and health care costs per member.
Accounts Payable and Accrued Liabilities. Accounts payable and accrued liabilities increased $35 million from December 31, 2003, primarily due to an increase of $41 million related to increases in liabilities for reinsurance expense and the timing of payments of trade accounts payable and other accruals, an increase of $32 million in accrued taxes, partially offset by a decrease of $38 million in accrued compensation primarily as a result of payments of incentive compensation.
Stockholders Equity. The increase in additional paid-in capital from December 31, 2003 was primarily due to the exercise of 1,080,700 stock options and 783,400 shares of restricted common stock that we granted as part of an employee recognition and retention program during the first quarter of 2004.
Critical Accounting Policies and Estimates
When we prepare our condensed consolidated financial statements, we use estimates and assumptions that may affect reported amounts and disclosures. The accounting estimates that we believe involve the most complex judgments, and are the most critical to the accurate reporting of our financial condition and results of operations include the following:
Incurred But Not Reported or Paid Claims Reserves. We estimate the amount of our reserves for claims incurred but not reported (including those received but not yet paid), or IBNR, under our risk-based provider contracts and our fee-for service carve-outs from our capitated provider contracts, primarily using standard actuarial methodologies based on historical data. These standard actuarial methodologies include, among other factors, contractual requirements, historical utilization trends, the interval between the date services are rendered and the date claims are paid, denied claims activity, disputed claims activity, benefit changes, expected health care cost inflation, seasonality patterns and changes in membership. In developing the IBNR estimate, we apply different estimation methods depending on the month for which incurred claims are being estimated. For example, we actuarially calculate completion factors using our analysis of claims payment patterns over the most recent 36-month period. The completion factor is an actuarial estimate, based upon historical experience, of the percentage of claims incurred during a given period that has been adjudicated by us as of the date of estimation.
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The completion factors and claims PMPM trend factors are the most significant factors we use in estimating our IBNR. The following table illustrates the sensitivity of these factors and the estimated potential impact on the Companys operating results caused by these factors:
Completion Factor(a) | Increase (Decrease) in | |||||
Increase (Decrease) in Factor | Medical Claims Payable | |||||
(Amounts in millions) | ||||||
(3 | )% | $ | 43 | |||
(2 | )% | 29 | ||||
(1 | )% | 14 | ||||
1 | % | (14 | ) | |||
2 | % | (28 | ) | |||
3 | % | (41 | ) |
Claims Trend(b) | Increase (Decrease) in | |||||
Increase (Decrease) in Factor | Medical Claims Payable | |||||
(Amounts in millions) | ||||||
(3 | )% | $ | (5 | ) | ||
(2 | )% | (3 | ) | |||
(1 | )% | (2 | ) | |||
1 | % | 2 | ||||
2 | % | 3 | ||||
3 | % | 4 |
(a) | Reflects estimated potential changes in medical claims payable caused by changes in completion factors in each of the most recent four months. | |
(b) | Reflects estimated potential changes in medical claims payable caused by changes in annualized claims trend used for the estimation of per member per month claims for the most recent four months. |
In addition, assuming a hypothetical 1% difference between our March 31, 2004 estimated claims liability and the actual claims incurred run-out, net income for the three months ended March 31, 2004 would increase or decrease by approximately $8.9 million, while diluted net income per share would increase or decrease by $0.06 per share, net of tax.
The estimates for submitted claims and IBNR claims liabilities are made on an accrual basis and adjusted, based on actual claims data, in future periods as required. Adjustments to prior period estimates, if any, are included in the current period. We also consider exceptional situations that might require judgmental adjustments in establishing our best estimate, such as system conversions, processing interruptions, or environmental changes. None of these factors had a material impact on the development of our claims payable estimates during any of the periods reflected in this filing.
For new products, estimates are initially based on health care cost data provided by third parties. This data includes assumptions for member age, gender and geography. The models that we use to prepare estimates for each product are adjusted to be in line with the approach discussed above as we accumulate actual claims data. Such estimates could materially understate or overstate our actual liability for medical claims and benefits payable.
Provider Insolvency Reserves. We maintain insolvency reserves for our capitated contracts with providers that include estimates for potentially insolvent providers, where conditions indicate claims are not being paid or have slowed considerably, and we have determined that it is probable that we will be required to make the providers
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Ordinary Course Legal Proceedings. From time to time, we are involved in legal proceedings that involve claims for coverage and tort liability encountered in the ordinary course of business. The loss of even one of these claims, if it results in a significant punitive damage award, could have a material adverse effect on our business. In addition, our exposure to potential liability under punitive damage theories may significantly decrease our ability to settle these claims on reasonable terms.
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CAUTIONARY STATEMENTS
In connection with the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, we are hereby filing cautionary statements identifying important risk factors that could cause our actual results to differ materially from those projected in forward looking statements of the Company made by or on behalf of the Company (in this report or otherwise), within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and Section 27A of the Securities Act of 1933, as amended. These forward looking statements relate to future events or our future financial and/or operating performance and can generally be identified as such because the context of the statement will include words such as may, will, intends, plans, believes, anticipates, expects, estimates, predicts, potential, continue, or opportunity, the negative of these words or words of similar import. Similarly, statements that describe our reserves and our future plans, strategies, intentions, expectations, objectives, goals or prospects are also forward looking statements. These forward looking statements are based largely on our expectations and projections about future events and future trends affecting our business, and so are subject to risks and uncertainties, including the risks and uncertainties set forth below, that could cause actual results to differ materially from those anticipated as of the date of this report. In addition, past financial and/or operating performance is not necessarily a reliable indicator of future performance and you should not use our historical performance to anticipate results or future period trends. In evaluating these statements, you should specifically consider the risks described below and in other parts of this report. Except as required by law, we undertake no obligation to publicly revise these forward looking statements to reflect events or circumstances that arise after the date of this report.
Risks Relating to Us and Our Industry
Our profitability will depend in part on accurately pricing our products and predicting health care costs and on our ability to control future health care costs.
Our profitability depends in part on our ability to price our products accurately, predict our health care costs and control future health care costs through underwriting criteria, medical and disease management programs, product design and negotiation of favorable provider and hospital contracts. We use our underwriting systems to establish and assess premium rates based on accumulated actuarial data, with adjustments for factors such as claims experience and hospital and physician contract changes. We may be less able to accurately price our new products than our other products because of our relative lack of experience and accumulated data for our new products. Premiums on our commercial products are generally fixed for one-year periods. Each of our subsidiaries that offers Medicare+Choice products must submit adjusted community rate proposals, generally by county or service area, to CMS in early September for each Medicare+Choice product that will be offered in a subsequent year. As a result, increases in the costs of health care services in excess of the estimated future health care costs reflected in the premiums or the adjusted community rate proposals generally cannot be recovered in the applicable contract year through higher premiums or benefit designs.
Our actual health care costs may exceed our estimates reflected in premiums and adjusted community rates due to various factors, including increased utilization of medical facilities and services, including prescription drugs, changes in demographic characteristics, the regulatory environment, changes in health care practices, medical cost inflation, new treatment and technologies, continued consolidation of physician, hospital and other provider groups, termination of capitation arrangements resulting in transfer of membership to risk based arrangements and contractual disputes with providers. Our failure to adequately price our products or predict and control health care costs may result in a material adverse effect on our financial condition, results of operations or cash flows.
If we fail to implement successfully our strategic initiatives, our revenues could decline and our results of operations could be adversely affected.
Our performance depends in part upon our ability to implement our business strategy of expanding our product portfolio and increasing our commercial and specialty memberships, managing our participation in the Medicare+Choice program in light of the new Medicare legislation and growth opportunity, and ultimately evolving into a consumer health organization. In 2002 and 2003, we experienced a decline in revenue from our reduced participation in Medicare+Choice and a loss of unprofitable commercial membership. We are seeking to replace revenue and increase our commercial business through a number of new product initiatives. Our
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| the effect of premium increases, benefit changes and member-paid supplemental premiums and copayments on the retention of existing members and the enrollment of new members; |
| the members assessment of our benefits, quality of service, our ease of use and our network stability for members in comparison to competing health plans; |
| reductions in work force by existing customers and/or reductions in benefits purchased by existing customers; and |
| negative publicity and news coverage about us or litigation or threats of litigation against us. |
Our operating results could be adversely affected if our actual health care claims exceed our reserves or our liability for unpaid claims of insolvent providers under capitation agreements exceeds our insolvency reserves.
We estimate the amount of our reserves for submitted claims and claims that have been incurred but not yet reported, or IBNR, claims primarily using standard actuarial methodologies based upon historical data. The estimates for submitted claims and IBNR claims liabilities are made on an accrual basis, are continually reviewed and are adjusted in current operations as required. Given the uncertainties inherent in such estimates, the reserves could materially understate or overstate our actual liability for claims and benefits payable. Any increases to these prior estimates could adversely affect our results of operations in future periods.
Our capitated providers could become insolvent and expose us to unanticipated expenses. We maintain insolvency reserves that include estimates for potentially insolvent providers, where conditions indicate claims are not being paid or have slowed considerably. Depending on states laws, we may be held liable for unpaid health care claims that were previously the responsibility of the capitated provider and for which we have already paid capitation. We may also incur additional health care costs in the event of provider instability that causes us to replace a provider at less cost-effective rates to continue providing health care services to our members.
To reduce insolvency risk, we have developed contingency plans that include shifting members to other providers and reviewing operational and financial plans to monitor and maximize financial and network stability. As capitation contracts are renewed for providers we have also taken steps, where feasible, to have security reserves established for insolvency issues. Security reserves are most frequently in the forms of letters of credit or segregated funds that are held in the providers name in a third party financial institution. The reserves may be used to pay claims that are the financial responsibility of the provider. These security reserves may not be adequate to cover claims that are the financial responsibility of the provider.
A disruption in our health care provider network could have an adverse effect on our ability to market our products and our profitability.
Our profitability is dependent in part upon our ability to contract with health care providers on favorable terms. In any particular market, health care providers could refuse to contract with us, demand higher payments or take other actions that could result in higher health care costs or our difficulty in meeting regulatory or accreditation requirements. In some markets, health care providers may have significant market positions or may be the only available health care provider. If health care providers refuse to contract with us, use their market position to negotiate favorable contracts, or place us at a competitive disadvantage, then our ability to market products or to be profitable in those markets could be adversely affected. Our provider networks could also be disrupted by the financial insolvency of large provider groups. Any disruption in our provider network could result in a loss of membership or higher health care costs.
We may be exposed to liability or fail to estimate IBNR accurately if we cannot process our increased volume of claims accurately and timely.
We have regulatory risk for the timely processing and payment of claims. If we, or any entities with whom we subcontract to process or pay claims, are unable to handle continued increased claims volume, or if we are unable to pay claims timely we may be subject to regulatory censure and penalties, which could have a material adverse effect on our operations and results of operations. In addition, if our claims processing system is unable
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Our profitability may be adversely affected if we are unable to adequately control our prescription drug costs.
Overall, prescription drug costs have been rising for the past few years. The increases are due to the introduction of new drugs that treat new conditions or have fewer side effects, new medications costing significantly more than existing drugs, direct consumer advertising by the pharmaceutical industry creating consumer demand for particular brand drugs, patients seeking medications to address lifestyle changes, higher prescribed doses of medications and enhanced pharmacy benefits for members such as reduced copayments and higher benefit maximums. We may be unable to predict these costs when establishing our premiums or completely manage these costs, which could adversely impact our profitability.
Increases in our selling, general and administrative expenses could harm our profitability.
Our selling, general and administrative expenses have been rising due in part to our continued investment in strategic initiatives and could increase more than we anticipate as a result of a number of factors, which could adversely impact our profitability. These factors include:
| our need for additional investments in PBM expansion, branding and advertising campaigns, medical management, underwriting and actuarial resources and technology; |
| our need for additional investments in information technology projects, including consolidation of our existing systems that manage membership, eligibility, capitation, claims processing and payment information and other important information; |
| our need for increased claims administration, personnel and systems; |
| our greater emphasis on small group and individual health insurance products, which may result in an increase in the broker commissions we pay; |
| the necessity to comply with regulatory requirements; |
| the success or lack of success of our marketing and sales plans to attract new customers, and create customer acceptance for new products; |
| our ability to estimate costs for our self-insured retention for medical malpractice claims; and |
| our ability to estimate legal expenses and settlements associated with litigation that has been or could be brought against us. |
In addition, our selling, general and administrative expenses as a percentage of our revenue could increase due to changes in our product mix among commercial, senior and specialty products and unexpected declines in our membership and related revenue. If we do not generate expected cash flow from operations, we could be forced to postpone or cancel some of these planned investments, which would adversely affect our ability to meet our short-term strategic plan.
The inability or failure to properly maintain management information systems, or any inability or failure to successfully update or expand processing capability or develop new capabilities to meet our business needs could result in operational disruptions and other adverse consequences.
Our business depends significantly on effective information systems. The information gathered and processed by our management information systems assists us in among other things, marketing and sales tracking, underwriting, billing, claims processing, capitation processing, medical management, medical cost and utilization trending, financial and management accounting, reporting, planning and analysis and e-commerce. These systems also support our on-line customer service functions, provider and member administrative functions and support our tracking and extensive analyses of health care costs and outcome data. Any inability or failure to properly maintain management information systems, or any inability or failure to successfully update or expand processing capability or develop new capabilities to meet our business needs, could result in operational disruptions, loss of existing customers, difficulty in attracting new customers, disputes with customers and providers, regulatory problems, increases in administrative expenses and other adverse consequences.
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We are subject to class action lawsuits that could result in material liabilities to us or cause us to incur material costs, to change our operating procedures or comply with increased regulatory requirements.
Efforts to bring suit against health plans continue, with a number of lawsuits brought against us and other health plans, including In re Managed Care. In general, the class action lawsuits brought by health care providers allege that health plans claims processing systems automatically and impermissibly alter codes included on providers reimbursement/claims forms to reduce the amount of reimbursement, and that health plans impose unfair contracting terms on health care providers, delay making capitated payments under their capitated contracts, and negotiate capitation payments that are inadequate to cover the costs of health care services provided.
These lawsuits, including those filed to date against us, may take years to resolve and cause us to incur substantial litigation expenses. Depending upon the outcomes of these cases, these lawsuits may cause or force changes in practices of the health care industry. These cases also may cause additional regulation of the industry through new federal or state laws. These actions and actions brought by state attorney generals ultimately could adversely affect the health care industry and, whether due to damage awards, required changes to our operating procedures, increased regulatory requirements or otherwise have a material adverse effect on our financial position, results of operations or cash flows and prospects.
We are subject to other litigation in the ordinary course of business that may result in material liabilities to us, including liabilities for which we may not be insured.
We are, in the ordinary course of business, subject to the claims of our members arising out of decisions to deny or restrict reimbursement for services, including medical malpractice claims related to our taking a more active role in managing the cost of medical care. The loss of even one of these claims, if it results in a significant punitive damage award, could have a material adverse effect on our business. In addition, our exposure to potential liability under punitive damage theories may significantly decrease our ability to settle these claims on reasonable terms. We maintain general liability, property, excess managed care errors and omissions and medical malpractice insurance coverage. We are at risk for our self-insured retention on these claims, and are substantially self-insured for errors and omissions and medical malpractice claims through a combination of retention and through premiums we pay to a captive insurance carrier. Coverages typically include varying and increasing levels of self-insured retention or deductibles that increase our risk of loss.
As a government contractor, we are exposed to risks that could materially affect our revenue or profitability from our Medicare+Choice products or our willingness to participate in the Medicare program.
The Medicare program has accounted for 49% of our total revenue in 2003 and more than 50% of our total revenue in each of the prior five years. CMS regulates the benefits provided, premiums paid, quality assurance procedures, marketing and advertising for our Medicare+Choice products. CMS may terminate our Medicare+Choice contracts or elect not to renew those contracts when those contracts come up for renewal every 12 months. Although we are receiving increased government funding under the newly enacted MMA legislation, we may still face the risk of reduced or insufficient government reimbursement and the need to continue to exit unprofitable markets. The loss of Medicare contracts or changes in the regulatory requirements governing the Medicare+Choice program or the program itself could have a material adverse effect on our financial position, results of operations or cash flows.
We compete in highly competitive markets and our inability to compete effectively for any reason in any of those markets could adversely affect our profitability.
We operate in highly competitive markets. Consolidation of acute care hospitals and continuing consolidation of insurance carriers, other health plans, employer self-funded programs and PPOs, some of which have substantially larger enrollments or greater financial resources than ours, has created competition for hospitals, physicians and members, impacting profitability and the ability to influence medical management. The cost of providing benefits is in many instances the controlling factor in obtaining and retaining employer groups as clients and some of our competitors have set premium rates at levels below our rates for comparable products. We anticipate that premium pricing will continue to be highly competitive. In addition, PBM companies have continued to consolidate, competing with our PBM, Prescription Solutions. Some PBMs possess greater
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Our business activities are highly regulated and new and proposed government regulation or legislative reforms could increase our cost of doing business, reduce our membership or subject us to additional litigation.
Our health plans are subject to substantial federal and state government regulations, including those relating to:
| maintenance of minimum net worth or risk based capital; |
| licensing requirements; |
| approval of policy language and benefits; |
| mandated benefits and administrative processes; |
| Employment Retirement Income Security Act of 1974, or ERISA, claims and appeals review procedures for employer-sponsored and self-insured plans; |
| provider compensation arrangements; |
| member disclosure; |
| periodic audits and investigations by state and federal agencies; |
| restrictions on some investment activities; and |
| restrictions on our subsidiaries ability to make dividend payments, loans, loan repayments or other payments to us. |
The laws and regulations governing our business and interpretations of these laws and regulations are subject to frequent change. In recent years, significant federal and state laws have been enacted that have increased our cost of doing business, exposed us to increased liability and had other adverse effects on our business. State and federal governments are continually considering changes to the laws and regulations regulating our industry, and are currently considering laws and regulations relating to:
| increasing minimum capital or risk based capital requirements; |
| mandating benefits and products; |
| restricting a health plans ability to limit coverage to medically necessary care; |
| reducing the reimbursement or payment levels for government funded programs; |
| imposing guidelines for pharmaceutical manufacturers that could cause pharmaceutical companies to restructure the financial terms of their business arrangements with PBMs or health plans; |
| patients bill of rights legislation at the state and federal level that could hold health plans liable for medical malpractice; |
| limiting a health plans ability to capitate physicians and hospitals or delegate financial risk, utilization review, quality assurance or other medical decisions to our contracting physicians and hospitals; |
| restricting a health plans ability to select and terminate providers in our networks; |
| allowing independent physicians to collectively bargain with health plans on a number of issues, including financial compensation; |
| adding further restrictions and administrative requirements on the use, retention, transmission, processing, protection and disclosure of personally identifiable health information; and |
| tightening time periods for the timely payment and administration of health care claims and imposing financial and other penalties for non-compliance. |
All of these proposals could apply to us and could increase our health care costs, decrease our membership or otherwise adversely affect our revenue and our profitability.
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Our investment portfolio is subject to economic and market conditions as well as regulation that may adversely affect the performance of the portfolio.
The market value of our investments fluctuates depending upon economic and market conditions. The investment income we earn has been negatively impacted by the lower interest rates prevailing in United States financial markets. In periods of declining interest rates, bond calls and mortgage loan prepayments generally increase, resulting in the reinvestment of these funds at the then lower market rates. Our regulated subsidiaries are also subject to state laws and regulations that require diversification of our investment portfolio and limit the amount of investments we can make in riskier investments that could generate higher returns. In some cases, these laws could require the sale of investments in our portfolio. We cannot be certain that our investment portfolio will produce total positive returns in future periods or that we will not sell investments at prices that are less than the carrying value of these investments.
We have a significant amount of indebtedness and may incur additional indebtedness in the future, which could adversely affect our operations.
We have substantial indebtedness outstanding and have available borrowing capacity under our senior credit facility of up to $150 million. We may also incur additional indebtedness in the future.
Our significant indebtedness poses risks to our business, including the risks that:
| we could use a substantial portion of our condensed consolidated cash flow from operations to pay principal and interest on our debt, thereby reducing the funds available to fund our strategic initiatives and working capital requirements; |
| insufficient cash flow from operations may force us to sell assets, or seek additional capital, which we may be unable to do at all or on terms favorable to us; |
| our level of indebtedness may make us more vulnerable to economic or industry downturns; and |
| our debt service obligations increase our vulnerabilities to competitive pressures, because many of our competitors are less leveraged than we are. |
Our ability to repay debt depends in part on dividends and cash transfers from our subsidiaries.
Nearly all of our subsidiaries are subject to health plan regulations or insurance regulations and may be subject to substantial supervision by one or more health plan or insurance regulators. Subsidiaries subject to regulation must meet or exceed various capital standards imposed by health plan or insurance regulations, which may from time to time impact the amount of funds the subsidiaries can pay to us. Our subsidiaries are not obligated to make funds available to us. Additionally, from time to time, we advance funds in the form of a loan or capital contribution to our subsidiaries to assist them in satisfying state financial requirements. We may provide additional funding to a subsidiary if a state regulator imposes additional financial requirements due to concerns about the financial position of the subsidiary or if there is an adverse effect resulting from changes to the risk-based capital requirements. This may in turn affect the subsidiarys ability to pay state-regulated dividends or make other cash transfers.
Our senior credit facility and our 10 3/4% senior notes contain restrictive covenants that may limit our ability to expand or pursue our business strategy.
Our senior credit facility and our 10 3/4% senior notes limit, and in some circumstances prohibit, our ability to incur additional indebtedness, pay dividends, make investments or other restricted payments, sell or otherwise dispose of assets, effect a consolidation or merger and engage in other activities.
We are required under the senior credit facility to maintain compliance with certain financial ratios. We may not be able to maintain these ratios. Covenants in the senior credit facility and our 10 3/4% senior notes may impair our ability to expand or pursue our business strategies. Our ability to comply with these covenants and other provisions of the senior credit facility and our 10 3/4% senior notes may be affected by our operating and financial performance, changes in business conditions or results of operations, adverse regulatory developments or other events beyond our control. In addition, if we do not comply with these covenants, the lenders under the senior credit facility and our 10 3/4% senior notes may accelerate our debt repayment under the senior credit
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The concentration of our commercial and government senior business in eight western states and Guam subjects us to risks from economic downturns in this region.
We offer managed care and other health insurance products to employer groups and Medicare beneficiaries primarily in eight western states and Guam. Due to this concentration of business in a small number of states, we are exposed to potential losses resulting from the risk of an economic downturn in these states and region of the country. If economic conditions deteriorate in any of these states, particularly in California where we have our largest membership, our membership and our margins may decline, which could have a material adverse effect on our business, financial conditions and results of operations.
We could incur unexpected health care and other costs as a result of terrorism or natural disasters.
We cannot predict or prevent the occurrence of bioterrorism or other acts of terrorism or natural disasters, such as earthquakes, which could cause increased and unexpected utilization of health care services. These events could also have adverse effects on general economic conditions in the states where we offer products, the price and availability of products and services we purchase, the availability and morale of our employees, our operations and facilities or the demand for our products. We maintain disaster recovery plans intended to enable us to continue to operate without major disruptions in service following disasters. However, a disaster could severely impair or delay service to our members, cause us to incur significant cost of recovery and cause a loss of members.
Our PBM subsidiary, Prescription Solutions, faces regulatory and other risks associated with the pharmacy benefits management industry that differ from the risks of providing managed care and health insurance products.
Our PBM is also subject to federal and state anti-remuneration laws that govern its relationships with pharmaceutical manufacturers. Federal and state legislatures are considering new regulations for the industry that could adversely affect current industry practices, including the receipt of rebates from pharmaceutical companies. In addition, if a court were to determine that our PBM acts as a fiduciary under ERISA, we could be subject to claims for alleged breaches of fiduciary obligations in implementation of formularies, preferred drug listings and therapeutic intervention programs and other transactions. We also conduct business as a mail order pharmacy, which subjects us to extensive federal, state and local regulation, as well as risks inherent in the packaging and distribution of pharmaceuticals and other health care products. The failure to adhere to these regulations could expose our PBM subsidiary to civil and criminal penalties. We also face potential claims in connection with claimed errors by our mail order pharmacy.
Our forecasts and other forward looking statements are based upon various assumptions that are subject to significant uncertainties that may result in our failure to achieve our forecasted results.
From time to time in press releases, conference calls and otherwise, we may publish or make forecasts or other forward looking statements regarding our future results, including estimated earnings per share and other operating and financial metrics. Our forecasts are based upon various assumptions that are subject to significant uncertainties and any number of them may prove incorrect. Our estimated earnings per share are based in part upon a forecast of our weighted average shares outstanding at the time of our estimate. Our convertible subordinated debentures include a contingent conversion feature that may materially affect our weighted average shares outstanding in any quarter. If the conditions to conversion are satisfied during a quarter, then the debentures are convertible during the next quarter and the underlying shares of common stock into which they are convertible are included in the calculation of our weighted average shares outstanding. If the conditions to conversion are not met, then the underlying shares are excluded from the calculation.
Our achievement of any forecasts depends upon numerous factors, many of which are beyond our control. Consequently, we cannot assure you that our performance will be consistent with management forecasts. Variations from forecasts and other forward looking statements may be material and adverse.
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Item 3: | Quantitative and Qualitative Disclosures About Market Risk |
Market Risk
The principal objective of our asset/liability management activities is to maximize net investment income, while maintaining acceptable levels of interest rate risk and facilitating our funding needs. Our net investment income and interest expense are subject to the risk of interest rate fluctuations. To mitigate the impact of fluctuations in interest rates, we manage the structure of the maturity of debt and investments and may use derivative financial instruments, primarily interest rate swaps.
In April 2003, we entered into an interest rate swap on $300 million of our 10 3/4% senior notes for the purpose of hedging the fair value of our indebtedness. This fair value hedge is accounted for using the short-cut method under SFAS No. 133, Accounting for Derivative Instruments and Hedging Activities, whereby the hedge is reported in our balance sheets at fair value, and the carrying value of the long-term debt is adjusted for an offsetting amount representing changes in fair value attributable to the hedged risk. Under the terms of the agreement, we make interest payments based on the three-month London Interbank Offered Rate, or LIBOR, plus 692 basis points and receive interest payments based on the 10 3/4% fixed rate. The three-month LIBOR rate we use to determine our interest payments under the swap agreement was first established on June 2, 2003 and resets every three months thereafter, until expiration in June 2009.
Item 4: | Controls and Procedures |
Under the supervision and with the participation of our management, including our chief executive officer, or CEO, and chief financial officer, or CFO, an evaluation was performed on the effectiveness of the design and operation of our disclosure controls and procedures as of the end of the period covered by this quarterly report. Based on that evaluation, our management, including the CEO and CFO, concluded that our disclosure controls and procedures were effective as of March 31, 2004.
An evaluation was also performed under the supervision and with the participation of our management, including our CEO and CFO, of any change in our internal controls over financial reporting that occurred during our last fiscal quarter and that has materially affected, or is reasonably likely to materially affect, our internal controls over financial reporting. That evaluation did not identify any change in our internal controls over financial reporting that occurred during our latest fiscal quarter and that has materially affected, or is reasonably likely to materially affect, our internal controls over financial reporting.
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PART II: OTHER INFORMATION
Item 1: | Legal Proceedings |
See Note 7 of the Notes to Condensed Consolidated Financial Statements. |
Item 2: | Changes In Securities and Use of Proceeds |
None. |
Item 3: | Defaults Upon Senior Securities |
None. |
Item 4: | Submission of Matters to a Vote of Security Holders |
None. |
Item 5: | Other Information |
(a) Other information not previously reported on Form 8-K | |
None. | |
(b) Information required by Item 401(j) of Regulation S-K (§229.401) | |
None. |
Item 6: | Exhibits and Reports on Form 8-K |
(a) Exhibits | |
An Exhibit Index is filed as part of this Form 10-Q on page 43 and is incorporated by reference. | |
(b) Reports on Form 8-K | |
The following reports on Form 8-K were filed during the quarter ended March 31, 2004: | |
On January 9, 2004, we filed a Form 8-K that filed a press release wherein we commented on the potential effect of the ongoing labor dispute between United Food and Commercial Workers and several major Southern California grocery chains on our business. | |
On February 12, 2004, we filed a Form 8-K that filed a press release wherein we announced our fourth quarter and full year 2003 financial and operating results. |
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
PACIFICARE HEALTH SYSTEMS, INC. | |
(Registrant) |
Date: May 7, 2004
By: | /s/ GREGORY W. SCOTT |
|
|
Gregory W. Scott | |
Executive Vice President and | |
Chief Financial Officer | |
(Principal Financial Officer) |
Date: May 7, 2004
By: | /s/ PETER A. REYNOLDS |
|
|
Peter A. Reynolds | |
Senior Vice President and | |
Corporate Controller | |
(Chief Accounting Officer) |
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EXHIBIT INDEX
3.01 | Amended and Restated Certificate of Incorporation of Registrant (incorporated by reference to Exhibit 99.1 to Registrants Registration Statement on Form S-3 (File No. 333-83069)). | |||
3.02 | Certificate of Designation of Series A Junior Participating Preferred Stock (incorporated by reference to Exhibit 4.1 to Registrants Form 8-K, dated November 19, 1999). | |||
3.03 | Amendment to Amended and Restated Certificate of Incorporation of Registrant (incorporated by reference to Exhibit 3.03 to the Registrants Form 10-Q for the quarter ended June 30, 2003). | |||
3.04 | First Amended and Restated Bylaws of Registrant (incorporated by reference to Exhibit 3.04 to Registrants Form 10-K for the year ended December 31, 2003). | |||
4.01 | Form of Specimen Certificate For Registrants Common Stock (incorporated by reference to Exhibit 4.02 to Registrants Form 10-K for the year ended December 31, 1999). | |||
4.02 | Indenture, dated as of November 22, 2002, between Registrant and U.S. Bank National Association (as Trustee) (incorporated by reference to Exhibit 4.4 to Registrants Registration Statement on Form S-3 (File No. 333-102909)). | |||
4.03 | Registration Rights Agreement, dated as of November 22, 2002, between the Registrant and Morgan Stanley & Co. Incorporated and Goldman, Sachs & Co. (incorporated by reference to Exhibit 4.6 to Registrants Registration Statement on Form S-3 (File No. 333-102909)). | |||
4.04 | Indenture, dated as of May 21, 2002, among PacifiCare Health Systems, Inc., as issuer of 10 3/4% Senior Notes due 2009, PacifiCare Health Plan Administrators, Inc., PacifiCare eHoldings, Inc., Rx-Connect, Inc. and SeniorCo, Inc., as initial subsidiary guarantors, and State Street Bank and Trust Company of California, N.A., as trustee (incorporated by reference to Exhibit 4.1 to Registrants Registration Statement on Form S-4 (File No. 333-91704)). | |||
4.05 | Registration Rights Agreement, dated May 21, 2002, by and among PacifiCare Health Systems, Inc., PacifiCare Health Plan Administrators, Inc., PacifiCare eHoldings, Inc., Rx-Connect, Inc., SeniorCo, Inc., Morgan Stanley & Co. Incorporated, and UBS Warburg LLC (incorporated by reference to Exhibit 4.5 to Registrants Registration Statement on Form S-4 (File No. 333-91704)). | |||
4.06 | Supplemental Indenture, dated as of September 15, 2003, by and among PacifiCare Health Systems, Inc., PacifiCare Health Plan Administrators, Inc., PacifiCare eHoldings, Inc., Rx-Connect, Inc., and SeniorCo, Inc., as initial subsidiary guarantors, Rx Solutions, Inc., PacifiCare Behavioral Health, Inc., and SecureHorizons USA, Inc., as PHPA subsidiary guarantors, U.S. Bank National Association, as successor to the State Street Bank and Trust Company of California, N.A., as trustee (incorporated by reference to Exhibit 4.06 to Registrants Form 10-K for the year ended December 31, 2003). | |||
4.07 | Specimen form of Exchange Global Note for the 10 3/4% Senior Notes due 2009 (incorporated by reference to Exhibit 4.4 to Registrants Registration Statement on Form S-4 (File No. 333-91704). | |||
4.08 | Rights Agreement, dated as of November 19, 1999, between the Registrant and ChaseMellon Shareholder Services, L.L.C. (incorporated by reference to Exhibit 99.2 to Registrants Form 8-K, dated November 19, 1999). | |||
*10.01 | Senior Executive Employment Agreement, dated as of March 30, 2004, between the Registrant and Howard G. Phanstiel, a copy of which is filed herewith. | |||
10.02 | Senior Executive Employment Agreement, dated as of August 1, 2001, between the Registrant and Gregory W. Scott (incorporated by reference to Exhibit 10.04 to Registrants Form 10-K for the year ended December 31, 2001). | |||
10.03 | Senior Executive Employment Agreement, dated as of March 1, 2002, between Registrant and Bradford A. Bowlus (incorporated by reference to Exhibit 99.4 to Registrants Form 10-Q for the quarter ended March 31, 2002). | |||
10.04 | Senior Executive Employment Agreement, dated as of July 22, 2002, between the Registrant and Jacqueline B. Kosecoff, Ph.D. (incorporated by reference to Exhibit 10.2 to Registrants Form 10-Q for the quarter ended September 30, 2002). | |||
*10.05 | Senior Executive Employment Agreement, dated as of March 31, 2004, between the Registrant and Katherine F. Feeny, a copy of which is filed herewith. | |||
10.06 | Senior Executive Employment Agreement, dated as of January 1, 2002, between the Registrant and Joseph S. Konowiecki (incorporated by reference to Exhibit 10.26 to Registrants Form 10-K for the year ended December 31, 2001). |
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10.07 | Senior Executive Employment Agreement, dated as of December 2, 2002, between the Registrant and Sharon D. Garrett (incorporated by reference to Exhibit 10.10 to Registrants Form 10-K for the year ended December 31, 2002). | |||
10.08 | Senior Executive Employment Agreement, dated as of October 3, 2002, between the Registrant and Peter A. Reynolds (incorporated by reference to Exhibit 10.10 to Registrants Form 10-K for the year ended December 31, 2003). | |||
10.09 | 1996 Stock Option Plan for Officers and Key Employees of the Registrant (incorporated by reference to Exhibit 10.05 to Registrants Form 8-B, dated January 23, 1997). | |||
10.10 | First Amendment to 1996 Stock Option Plan for Officers and Key Employees of the Registrant (incorporated by reference to Exhibit D to Registrants Proxy Statement, dated May 25, 1999). | |||
10.11 | Second Amendment to the 1996 Stock Option Plan for Officers and Key Employees of the Registrant (incorporated by reference to Exhibit 10.13 to the Registrants Form 10-Q for the quarter ended June 30, 2003). | |||
*10.12 | Form of Restricted Stock Grant Notice and Restricted Stock Grant Agreement under the 1996 Stock Option Plan for Officers and Key Employees of the Registrant, as amended, a copy of which is filed herewith. | |||
*10.13 | Form of Stock Option Agreement under the 1996 Stock Option Plan for Officers and Key Employees of the Registrant, as amended, a copy of which is filed herewith. | |||
10.14 | 2000 Employee Plan (incorporated by reference to Exhibit 4.1 to Registrants Registration Statement on Form S-8 (File No. 333-44038)). | |||
10.15 | First Amendment to the 2000 Employee Plan of the Registrant (incorporated by reference to Exhibit 10.15 to the Registrants Form 10-Q for the quarter ended June 30, 2003). | |||
*10.16 | Form of Restricted Stock Grant Notice and Restricted Stock Grant Agreement under the 2000 Employee Plan of the Registrant, as amended, a copy of which is filed herewith. | |||
*10.17 | Form of Stock Option Agreement under the 2000 Employee Plan of the Registrant, as amended, a copy of which is filed herewith. | |||
10.18 | Amended and Restated 2000 Non-Employee Directors Stock Plan (incorporated by reference to Exhibit 1 to Registrants Proxy Statement, dated May 18, 2001). | |||
10.19 | First Amendment to the Amended and Restated 2000 Non-Employee Directors Stock Plan (incorporated by reference to Exhibit 10.17 to the Registrants Form 10-Q for the quarter ended June 30, 2003). | |||
10.20 | Second Amendment to the Amended and Restated 2000 Non-Employee Directors Stock Plan (incorporated by reference to Exhibit 10.18 to Registrants Form 10-Q for the quarter ended September 30, 2003). | |||
*10.21 | Form of Stock Option Agreement under the Amended and Restated 2000 Non-Employee Directors Stock Plan of the Registrant, as amended, a copy of which is filed herewith. | |||
10.22 | Amended and Restated 1996 Non-Officer Directors Stock Plan (incorporated by reference to Exhibit E to Registrants Proxy Statement, dated May 25, 1999). | |||
10.23 | First Amendment to Amended and Restated 1996 Non-Officer Directors Stock Option Plan (incorporated by reference to Exhibit 4.4 to Registrants Registration Statement on Form S-8, (File No. 333-49272)). | |||
*10.24 | Form of Stock Option Agreement under the Amended and Restated 1996 Non-Officer Directors Stock Option Plan of the Registrant, as amended, a copy of which is filed herewith. | |||
10.25 | 2003 Incentive Bonus Plan of the Registrant (incorporated by reference to Exhibit 10.21 to Registrants Form 10-K for the year ended December 31, 2003). | |||
10.26 | 2003 Management Incentive Compensation Plan of the Registrant (incorporated by reference to Annex B to Registrants Proxy Statement, dated May 8, 2003). | |||
10.27 | Amended 1997 Premium Priced Stock Option Plan of the Registrant (incorporated by reference to Exhibit A to Registrants Definitive Proxy Statement, dated April 28, 1998). | |||
10.28 | First Amendment to Amended 1997 Premium Priced Stock Option Plan, dated as of August 27, 1998 (incorporated by reference to Exhibit 10.12 to Registrants Form 10-K for the year ended December 31, 1998). |
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10.29 | Third Amended and Restated PacifiCare Health Systems, Inc. Stock Unit Deferred Compensation Plan, dated January 1, 2002 (incorporated by reference to Exhibit 10.20 to Registrants Form 10-K for the year ended December 31, 2002). | |||
10.30 | First Amendment, dated as of January 22, 2003, to the Third Amended and Restated PacifiCare Health Systems, Inc. Stock Unit Deferred Compensation Plan, dated January 1, 2002 (incorporated by reference to Exhibit 10.21 to Registrants Form 10-K for the year ended December 31, 2002). | |||
10.31 | Third Amended and Restated PacifiCare Health Systems, Inc. Non-Qualified Deferred Compensation Plan, dated as of October 23, 2003 (incorporated by reference to Exhibit 10.27 to Registrants Form 10-Q for the quarter ended September 30, 2003). | |||
10.32 | Second Amended and Restated PacifiCare Health Systems, Inc. Statutory Restoration Plan, dated as of January 1, 2002 (incorporated by reference to Exhibit 10.23 to Registrants Form 10-K for the year ended December 31, 2002). | |||
10.33 | 2001 Employee Stock Purchase Plan (incorporated by reference to Exhibit 1 to PacifiCare Health Systems, Inc.s Proxy Statement dated May 8, 2002 (File No. 000-21949)). | |||
10.34 | Form of Contract with Eligible Medicare+Choice Organization and the Centers for Medicare and Medicaid Services for the period January 1, 2004 to December 31, 2004 (incorporated by reference to Exhibit 10.30 to Registrants Form 10-K for the year ended December 31, 2003). | |||
10.35 | Form of Indemnification Agreement by and between the Registrant and certain of its Directors and Executive Officers (incorporated by reference to Exhibit 10.26 to Registrants Form 10-Q for the quarter ended March 31, 2003). | |||
10.36 | Information Technology Services Agreement, dated as of December 31, 2001, between the Registrant and International Business Machines Corporation (incorporated by reference to Exhibit 10.27 to Registrants Form 10-K for the year ended December 31, 2001). | |||
10.37 | Information Technology Services Agreement, dated as of January 11, 2002, between the Registrant and Keane, Inc. (incorporated by reference to Exhibit 10.28 to Registrants Form 10-K for the year ended December 31, 2001). | |||
10.38 | Credit Agreement, dated as of June 3, 2003, between the Registrant, the Subsidiary Guarantors party thereto, the Lenders party thereto and JPMorgan Chase Bank as Administrative Agent and Collateral Agent (incorporated by reference to Exhibit 10.33 to the Registrants Form 10-Q for the quarter ended June 30, 2003). | |||
10.39 | Amendment No. 1 to the Credit Agreement, dated as of November 13, 2003, between the Registrant, the Subsidiary Guarantors party thereto and JPMorgan Chase Bank as Administrative Agent (incorporated by reference to Exhibit 10.35 to Registrants Form 10-K for the year ended December 31, 2003). | |||
10.40 | Amendment No. 2 to the Credit Agreement, dated as of December 17, 2003, between the Registrant, the Subsidiary Guarantors party thereto and JPMorgan Chase Bank as Administrative Agent (incorporated by reference to Exhibit 10.36 to Registrants Form 10-K for the year ended December 31, 2003). | |||
10.41 | Memorandum of Understanding, dated as of March 21, 2003, by and among the State of Texas, the Office of the Attorney General, the Texas Department of Insurance, including the Texas Insurance Commissioner, and PacifiCare of Texas, Inc. (incorporated by reference to Exhibit 10.35 to Registrants Form 10-Q for the quarter ended March 31, 2003). | |||
10.42 | Definitive Settlement Agreement, dated as of July 23, 2003, by and among the State of Texas, the Office of the Attorney General, the Texas Department of Insurance, including the Texas Insurance Commissioner, and PacifiCare of Texas, Inc. (incorporated by reference to Exhibit 10.36 to the Registrants Form 10-Q for the quarter ended June 30, 2003). | |||
11.1 | Statement regarding computation of per share earnings (included in Note 8 to the Notes to Condensed Consolidated Financial Statements contained in this Quarterly Report on Form 10-Q). | |||
14.1 | Financial Code of Ethics (incorporated by reference to Exhibit 14.1 to Registrants Form 10-K for the year ended December 31, 2003). | |||
*15.1 | Letter re: Unaudited Interim Financial Information, a copy of which is filed herewith. | |||
*20.1 | Independent Accountants Review Report, a copy of which is filed herewith. | |||
*31.1 | Certification of Principal Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, a copy of which is filed herewith. |
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*31.2 | Certification of Principal Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, a copy of which is filed herewith. | |||
*32.1 | Certification of Principal Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, a copy of which is filed herewith. | |||
*32.2 | Certification of Principal Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, a copy of which is filed herewith. |
* | A copy of this exhibit is being filed with this Quarterly Report on Form 10-Q. |
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