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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


 

FORM 10-Q

 


 

(Mark One)

x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the Quarterly Period Ended June 30, 2004

 

OR

 

¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from                      to                     

 

Commission File Number 001-31700

 


 

PACIFICARE HEALTH SYSTEMS, INC.

(Exact name of Registrant as Specified in its Charter)

 

Delaware   95-4591529

(State or Other Jurisdiction of

Incorporation or Organization)

 

(IRS Employer

Identification Number)

 


 

5995 Plaza Drive, Cypress, California 90630

(Address of Principal Executive Offices, Including Zip Code)

 

(Registrant’s 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  ¨

 

Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act)    Yes  x    No  ¨

 

There were approximately 86,024,000 shares of common stock outstanding on July 30, 2004.

 



Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

 

FORM 10-Q

 

INDEX

 

          Page

     PART I. FINANCIAL INFORMATION     

Item 1.

   Financial Statements     
     Condensed Consolidated Balance Sheets as of June 30, 2004 and December 31, 2003    1
     Condensed Consolidated Statements of Income for the three months ended June 30, 2004 and 2003    2
     Condensed Consolidated Statements of Income for the six months ended June 30, 2004 and 2003    3
     Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2004 and 2003    4
     Notes to Condensed Consolidated Financial Statements    6

Item 2.

   Management’s Discussion and Analysis of Financial Condition and Results of Operations    24

Item 3.

   Quantitative and Qualitative Disclosures About Market Risk    45

Item 4.

   Controls and Procedures    46
     PART II. OTHER INFORMATION     

Item 1.

   Legal Proceedings    47

Item 2.

   Changes in Securities, Use of Proceeds and Issuer Purchases of Equity Securities    47

Item 3.

   Defaults Upon Senior Securities    47

Item 4.

   Submission of Matters to a Vote of Security Holders    47

Item 5.

   Other Information    47

Item 6.

   Exhibits and Reports on Form 8-K    48

Signatures

   49

Exhibit Index

   50

 

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Table of Contents

PART I. FINANCIAL INFORMATION

 

Item 1: Financial Statements

 

PACIFICARE HEALTH SYSTEMS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(Amounts in thousands, except per share data)

 

    

June 30,

2004


   

December 31,

2003


 
     (unaudited)        

ASSETS

                

Current assets:

                

Cash and equivalents

   $ 879,792     $ 1,198,422  

Marketable securities

     1,436,613       1,359,720  

Receivables, net

     313,770       265,943  

Prepaid expenses and other current assets

     59,226       57,299  

Deferred income taxes

     128,795       149,817  
    


 


Total current assets

     2,818,196       3,031,201  
    


 


Property, plant and equipment, net

     151,534       149,407  

Marketable securities-restricted

     139,683       166,546  

Goodwill

     983,104       983,104  

Intangible assets, net

     211,215       221,108  

Other assets

     67,299       67,938  
    


 


     $ 4,371,031     $ 4,619,304  
    


 


LIABILITIES AND STOCKHOLDERS’ EQUITY

                

Current liabilities:

                

Medical claims and benefits payable

   $ 1,080,700     $ 1,027,500  

Accounts payable and accrued liabilities

     444,397       490,810  

Unearned premium revenue

     90,873       496,480  

Current portion of long-term debt

     6,142       7,496  
    


 


Total current liabilities

     1,622,112       2,022,286  
    


 


Long-term debt

     474,195       477,700  

Convertible subordinated debentures

     135,000       135,000  

Deferred income taxes

     105,072       104,777  

Other liabilities

     33,481       28,004  

Stockholders’ equity:

                

Common stock, $0.01 par value; 200,000 shares authorized; issued and outstanding 85,418 shares in 2004 and 84,854 shares in 2003

     854       848  

Unearned compensation

     (37,204 )     (16,843 )

Additional paid-in capital

     1,527,196       1,458,310  

Accumulated other comprehensive income (loss)

     (2,573 )     18,815  

Retained earnings

     512,898       390,407  
    


 


Total stockholders’ equity

     2,001,171       1,851,537  
    


 


     $ 4,371,031     $ 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.

 

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Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

(unaudited)

(Amounts in thousands, except per share data)

 

    

Three Months Ended

June 30,


 
     2004

    2003

 

Revenue:

                

Commercial

   $ 1,413,587     $ 1,237,190  

Senior

     1,441,187       1,355,621  

Specialty and other

     170,845       119,592  

Net investment income

     21,829       17,831  
    


 


Total operating revenue

     3,047,448       2,730,234  
    


 


Expenses:

                

Health care services and other:

                

Commercial

     1,198,216       1,046,962  

Senior

     1,248,111       1,135,320  

Specialty and other

     93,420       64,214  
    


 


Total health care services and other

     2,539,747       2,246,496  
    


 


Selling, general and administrative expenses

     372,423       345,612  
    


 


Operating income

     135,278       138,126  

Interest expense

     (10,853 )     (20,410 )
    


 


Income before income taxes

     124,425       117,716  

Provision for income taxes

     48,401       44,718  
    


 


Net income

   $ 76,024     $ 72,998  
    


 


Basic earnings per share

   $ .90     $ 1.00  
    


 


Diluted earnings per share

   $ .80     $ .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.

 

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Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

(unaudited)

(Amounts in thousands, except per share data)

 

    

Six Months Ended

June 30,


 
     2004

    2003

 

Revenue:

                

Commercial

   $ 2,799,905     $ 2,469,306  

Senior

     2,851,300       2,725,369  

Specialty and other

     320,692       236,335  

Net investment income

     39,674       38,819  
    


 


Total operating revenue

     6,011,571       5,469,829  
    


 


Expenses:

                

Health care services and other:

                

Commercial

     2,366,779       2,099,635  

Senior

     2,473,072       2,296,876  

Specialty and other

     174,492       125,748  
    


 


Total health care services and other

     5,014,343       4,522,259  
    


 


Selling, general and administrative expenses

     741,475       676,843  
    


 


Operating income

     255,753       270,727  

Interest expense

     (21,670 )     (39,960 )
    


 


Income before income taxes

     234,083       230,767  

Provision for income taxes

     91,058       86,999  
    


 


Net income

   $ 143,025     $ 143,768  
    


 


Basic earnings per share

   $ 1.69     $ 1.98  
    


 


Diluted earnings per share

   $ 1.51     $ 1.91  
    


 


 

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.

 

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Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited)

(Amounts in thousands)

 

    

Six Months Ended

June 30,


 
     2004

    2003

 

Operating activities:

                

Net income

   $ 143,025     $ 143,768  

Adjustments to reconcile net income to net cash flows used in operating activities:

                

Deferred income taxes

     34,021       6,295  

Depreciation and amortization

     24,721       22,697  

Stock-based compensation expense

     20,377       8,249  

Tax benefit realized upon exercise of stock-based compensation

     13,364       4,663  

Amortization of intangible assets

     9,893       11,047  

Amortization of notes receivable from sale of fixed assets

     (2,751 )     (2,764 )

Amortization of capitalized loan fees

     2,155       5,096  

(Recovery) provision for doubtful accounts

     (1,176 )     2,777  

Loss on disposal of property, plant and equipment

     424       2,680  

Amortization of discount on 10 3/4% senior notes

     142       218  

Employer benefit plan contributions in treasury stock

     —         1,363  

Changes in assets and liabilities:

                

Receivables, net

     (51,200 )     (18,867 )

Prepaid expenses and other assets

     (10,843 )     (30,225 )

Medical claims and benefits payable

     53,200       15,400  

Accounts payable and accrued liabilities:

                

Payments for Office of Personnel Management settlement, net of amounts received

     —         (10,000 )

Accrued taxes

     (8,046 )     24,153  

Other changes in accounts payable and accrued liabilities

     (21,768 )     22,388  

Unearned premium revenue

     (398,307 )     (404,369 )
    


 


Net cash flows used in operating activities

     (192,769 )     (195,431 )
    


 


Investing activities:

                

Purchase of marketable securities, net

     (110,985 )     (102,374 )

Purchase of property, plant and equipment

     (27,272 )     (23,101 )

Sale of marketable securities-restricted, net

     26,863       18,341  

Proceeds from the sale of property, plant and equipment

     —         21  
    


 


Net cash flows used in investing activities

     (111,394 )     (107,113 )
    


 


Financing activities:

                

Purchase and retirement of common stock

     (40,542 )     —    

Proceeds from issuance of common stock

     31,076       13,165  

Payments on software financing agreements

     (4,053 )     (2,187 )

Principal payments on long-term debt

     (948 )     (150,547 )

Proceeds from borrowings of long-term debt

     —         150,000  

Loan fees

     —         (6,949 )
    


 


Net cash flows (used in) provided by financing activities

     (14,467 )     3,482  
    


 


Net decrease in cash and equivalents

     (318,630 )     (299,062 )

Beginning cash and equivalents

     1,198,422       951,689  
    


 


Ending cash and equivalents

   $ 879,792     $ 652,627  
    


 


 

(Table continued on next page)

 

See accompanying notes.

 

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Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Continued)

(unaudited)

(Amounts in thousands)

 

    

Six Months Ended

June 30,


 
     2004

    2003

 

Supplemental cash flow information:

                

Cash paid during the period for:

                

Income taxes, net of refunds

   $ 48,218     $ 49,749  

Interest

   $ 19,234     $ 35,609  

Supplemental schedule of noncash investing and financing activities:

                

Details of accumulated other comprehensive income (loss):

                

Change in market value of marketable securities

   $ (34,092 )   $ 11,259  

Less change in deferred income taxes

     12,704       (4,194 )
    


 


Change in stockholders’ equity

   $ (21,388 )   $ 7,065  
    


 


Stock-based compensation

   $ 3,722     $ 4,838  
    


 


Discount on 10 3/4% senior notes

   $ (1,387 )   $ (2,571 )
    


 


 

 

 

 

Table continued from previous page.

 

See accompanying notes.

 

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Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

June 30, 2004

(unaudited)

 

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 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.

 

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Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

     Three Months Ended
June 30,


   

Six Months Ended

June 30,


 
     2004

    2003

    2004

    2003

 
     (amounts in thousands, except per-share data)  

Net income, as reported

   $ 76,024     $ 72,998     $ 143,025     $ 143,768  

Add stock-based compensation expense included in reported net income, net of related tax effect

     5,227       2,181       9,778       3,369  

Deduct total stock-based compensation expense determined under fair value method for all awards, net of related tax effect

     (5,984 )     (5,751 )     (11,344 )     (10,454 )
    


 


 


 


Pro forma net income

   $ 75,267     $ 69,428     $ 141,459     $ 136,683  
    


 


 


 


Earnings per share:

                                

Basic — as reported

   $ .90     $ 1.00     $ 1.69     $ 1.98  
    


 


 


 


Basic — pro forma

   $ .89     $ .96     $ 1.67     $ 1.89  
    


 


 


 


Diluted — as reported

   $ .80     $ .96     $ 1.51     $ 1.91  
    


 


 


 


Diluted — pro forma

   $ .79     $ .92     $ 1.49     $ 1.82  
    


 


 


 


 

The following table illustrates the components of our stock-based compensation expense for the three and six months ended June 30, 2004 and 2003:

 

    Three Months Ended June 30,

  Six Months Ended June 30,

    2004

  2003

  2004

  2003

   

Pretax

Charges


 

Net-of-Tax

Amount


 

Pretax

Charges


 

Net-of-Tax

Amount


 

Pretax

Charges


 

Net-of-Tax

Amount


 

Pretax

Charges


 

Net-of-Tax

Amount


    (amounts in thousands)

Stock options

  $ 3,154   $ 1,927   $ 2,676   $ 1,600   $ 5,271   $ 3,221   $ 4,283   $ 2,561

Employee Stock Purchase Plan

    5,401     3,300     971     581     10,732     6,557     1,351     808
   

 

 

 

 

 

 

 

      8,555     5,227     3,647     2,181     16,003     9,778     5,634     3,369

Restricted stock (1)

    2,370     1,449     1,444     864     4,374     2,673     2,615     1,564
   

 

 

 

 

 

 

 

Total

  $ 10,925   $ 6,676   $ 5,091   $ 3,045   $ 20,377   $ 12,451   $ 8,249   $ 4,933
   

 

 

 

 

 

 

 


(1) The recognition and measurement of restricted stock is the same under APB Opinion No. 25 and SFAS No. 123. The related expenses for the fair value of restricted stock were charged to selling, general and administrative expenses and are included in the net income, as reported amounts in the pro forma net income table above. See Note 4, “Stockholders’ Equity.”

 

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

 

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Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

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. Beginning with the quarter ended September 30, 2003 and during each consecutive calendar quarter up through the quarter ended June 30, 2004, the market price condition described above was satisfied. As a result, the debentures were convertible beginning October 1, 2003, and remain convertible at the option of the holder at any time during the quarter ended September 30, 2004. While no debentures were converted as of June 30, 2004, they are considered common stock equivalents and are included in the calculation of weighted average shares outstanding on a diluted basis for the three and six months ended June 30, 2004.

 

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 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 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 current floating rate under the swap agreement was 8.23%, at June 30, 2004 which is based on a 90-day LIBOR of 1.31% 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.

 

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Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

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 June 30, 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 June 30, 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 Bank’s 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 June 30, 2004, our term loan rate was 3.71% per annum, which is based on the 180-day LIBOR as of our February 2004 lock date, 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. In May 2004, we amended the senior credit facility to permit the repurchase of up to $150 million of our common stock. 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 June 30, 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 June 30, 2004, we had $7 million outstanding under various financing agreements related to the purchase of database licenses, financial accounting system software and related

 

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PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

maintenance in connection with the implementation of our information technology, or IT, initiatives. Payments under the financing agreements are due quarterly through October 2006. The interest imputed on the payment plan agreements ranges from 4.0% to 6.5%.

 

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 June 30, 2004 and 2003, respectively. As of June 30, 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 are approximately $1.0 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 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 Repurchase Program. In May 2004, our Board of Directors authorized a share repurchase program under which up to $150 million of our common stock may be repurchased. Under the program, repurchases may be made from time to time in the open market or through privately negotiated transactions using available cash, and may be discontinued at any time. During the three months ended June 30, 2004, we repurchased approximately 1 million shares at a cost of approximately $38 million. The remaining authorization under our stock repurchase program as of June 30, 2004 was $112 million.

 

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 No.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 June 30, 2004 and 2003, we granted 8,500 and 48,800 shares of restricted common stock, respectively, including stock deferred into restricted stock units, as part of an employee recognition and retention program. For the six months ended June 30, 2004 and 2003, we granted 791,900 and 1,436,800 shares in connection with the same program, respectively. 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 24,400 and 17,900 shares were forfeited during the three months ended June 30, 2004 and 2003, respectively. For the six months ended June 30, 2004 and 2003, 59,500 and 17,900 shares were forfeited, respectively.

 

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PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

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 $2.4 million and $1.4 million for the three months ended June 30, 2004 and 2003, respectively. For the six months ended June 30, 2004 and 2003, the related expenses were $4.4 million and $2.6 million, respectively.

 

5. Goodwill and Intangible Assets

 

Effective January 1, 2002, we adopted SFAS No. 142, Goodwill and Other Intangible Assets, which, among other things, eliminates the amortization of goodwill and other intangibles with indefinite lives. Under the rule, intangible assets, including goodwill, that are not subject to amortization are tested for impairment annually 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 six months ended June 30, 2004 and, as a result, impairment testing was not required.

 

Other intangible assets are being amortized over their useful lives. Under current accounting rules and based on our current intangible assets, 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:

 

     Cost

  

Accumulated

Amortization


   Net Balance

     (amounts in thousands)

Intangible assets:

                    

Employer groups

   $ 243,820    $ 132,512    $ 111,308

Provider networks

     121,051      22,606      98,445

Other

     10,729      9,267      1,462
    

  

  

Balance at June 30, 2004

   $ 375,600    $ 164,385    $ 211,215
    

  

  

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
    

  

  

 

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PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

6. Health Care Services and Other Expenses

 

The following table presents the components of total health care services and other expenses for the three and six months ended June 30, 2004 and 2003:

 

     Three Months Ended June 30,

     2004

   2003

     Commercial

   Senior

   Commercial

   Senior

     (amounts in millions)

Capitation expense

   $ 403    $ 711    $ 371    $ 683

All other health care services and other expenses

     795      537      676      452
    

  

  

  

Total health care services and other expenses

   $ 1,198    $ 1,248    $ 1,047    $ 1,135
    

  

  

  

     Six Months Ended June 30,

     2004

   2003

     Commercial

   Senior

   Commercial

   Senior

     (amounts in millions)

Capitation expense

   $ 802    $ 1,413    $ 751    $ 1,370

All other health care services and other expenses

     1,565      1,060      1,349      927
    

  

  

  

Total health care services and other expenses

   $ 2,367    $ 2,473    $ 2,100    $ 2,297
    

  

  

  

 

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 $41 million at June 30, 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. In a limited number of circumstances, we have also taken steps to establish security reserves for insolvency issues. Security reserves are most frequently in the forms of letters of credit or segregated funds that are held in the provider’s name in a third party financial institution. The reserves may be used to pay claims that are the financial responsibility of the provider.

 

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

 

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PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

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. Breen’s, Dr. Book’s 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 need to be arbitrated. As a result, the order to compel arbitration does not cover part of the conspiracy and aiding and abetting claims of all plaintiffs or any of the direct claims by a subset of plaintiffs (non-contracted plaintiffs who provide services to our members but do not accept assignments from them). We have filed an appeal from the District Court’s 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, Inc. v. The Texas Department of Insurance and the State of Texas. In November 2001, our Texas subsidiary, PacifiCare of Texas, Inc., filed a lawsuit against the Texas Department of Insurance, or TDI, and the State of Texas challenging the TDI’s 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.

 

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PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

The AG’s complaint primarily alleged that despite its capitation payments to the physician groups, PacifiCare of Texas, Inc. was still financially responsible for the failure of the physician groups to pay the health care providers who provided health care services covered by the 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 provided that all pending litigation and related civil investigations were to be stayed for up to twelve months from the date of execution of the settlement agreement or such additional period as agreed to by the parties. While the proceedings were stayed, the parties sought 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, with the remaining $1.8 million to be paid upon the satisfaction of the conditions for the settlement.

 

The AG, State of Texas and TDI have provided us with notice of satisfaction of the conditions for the settlement. On July 23, 2004, all settlement amounts were paid to the AG and the TDI, and the settlement and mutual releases between the parties became effective. On July 26, 2004, the Court entered orders dismissing with prejudice all of the pending litigation between the parties and issued a final judgment in the lawsuit.

 

Also, on July 20, 2004, the Texas Medical Association and various physicians and providers who had intervened as plaintiffs were severed from the lawsuit. Litigation regarding payment of claims of the physicians and providers who intervened in the lawsuit will continue under the case name Texas Medical Association, et al. v. PacifiCare of Texas, Inc. We deny all material allegations and intend to defend this action vigorously.

 

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 California’s 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. On May 5, 2004, Prescription Solutions filed a petition to compel arbitration. On July 9, 2004, the Superior Court granted the petition, holding that Irwin’s request for monetary relief can only be resolved in arbitration and staying Irwin’s request for injunctive relief against Prescription Solutions until an appropriate arbitration is completed. Discovery is proceeding against most other defendants but is stayed as to Prescription Solutions pending arbitration. We deny all material allegations and intend to defend the action vigorously.

 

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PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

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, 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.

 

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PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

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 June 30,


  

Six Months

Ended June 30,


    2004

    2003

   2004

    2003

    (Amounts in thousands, except per share data)

Basic Earnings Per Share Calculation:

                            

Numerator

                            

Net income

  $ 76,024     $ 72,998    $ 143,025     $ 143,768
   


 

  


 

Denominator

                            

Shares outstanding at the beginning of the period(1)

    84,946       72,233      83,339       71,782

Weighted average number of shares issued:

                            

Treasury stock repurchases

    (267 )     —        (200 )     —  

Stock options exercised and treasury stock reissued, net

    254       621      1,463       690
   


 

  


 

Denominator for basic earnings per share

    84,933       72,854      84,602       72,472
   


 

  


 

Basic earnings per share

  $ 0.90     $ 1.00    $ 1.69     $ 1.98
   


 

  


 

Diluted Earnings Per Share Calculation:

                            

Numerator

                            

Net income

  $ 76,024     $ 72,998    $ 143,025     $ 143,768

Adjustment for interest expense avoided on convertible subordinated debentures, net of tax

    618       —        1,237       —  
   


 

  


 

Net income, as adjusted for interest expense avoided on convertible subordinated debentures

  $ 76,642     $ 72,998    $ 144,262     $ 143,768
   


 

  


 

Denominator

                            

Denominator for basic earnings per share

    84,933       72,854      84,602       72,471

Common stock equivalents related to convertible subordinated debentures

    6,429       —        6,429       —  

Employee stock options and other dilutive potential common shares(2)

    4,770       3,186      4,818       2,636
   


 

  


 

Denominator for diluted earnings per share

    96,132       76,040      95,849       75,107
   


 

  


 

Diluted earnings per share

  $ 0.80     $ 0.96    $ 1.51     $ 1.91
   


 

  


 


(1) Excludes 997,000 and 1,572,000 shares of restricted common stock which have been granted under our stock-based compensation plans but have not vested as of June 30, 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 June 30, 2004 and 2003, these excluded weighted options outstanding totaled 1.5 million shares and 6.0 million shares, respectively, with exercise prices ranging from $12.63 to $46.25 per share. For the six months ended June 30, 2004 and 2003, these weighted options outstanding totaled 1.5 million shares and 6.0 million shares, respectively, with exercise prices ranging from

 

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PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

 

$11.54 to $46.25 per share. For the three months ended June 30, 2004 and 2003, the average market value used in the computation of dilutive employee stock options and other dilutive potential common shares was $37.65 and $18.34, respectively. For the six months ended June 30, 2004 and 2003, the average market value used was $36.06 and $15.51, respectively.

 

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 $47 million and $82 million for the three months ended June 30, 2004 and 2003, respectively. For the six months ended June 30, 2004 and 2003, our comprehensive income totaled $122 million and $151 million, 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 June 30, 2004 and December 31, 2003, the operations for the three and six months ended June 30, 2004 and 2003 and the cash flows for the six months ended June 30, 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.

 

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PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

CONDENSED CONSOLIDATING BALANCE SHEETS

June 30, 2004

 

    Parent

   

Guarantor

Subsidiaries


   

Non-Guarantor

Subsidiaries


   

Consolidating

Adjustments


    Company

 
    (Amounts in thousands)  
ASSETS  

Current assets:

                                       

Cash and equivalents

  $ (302 )   $ 327,099     $ 552,995     $ —       $ 879,792  

Marketable securities

    —         —         1,436,613       —         1,436,613  

Receivables, net

    1,043       110,564       203,267       (1,104 )     313,770  

Intercompany

    19,318       (28,244 )     8,926       —         —    

Prepaid expenses and other current assets

    11,073       31,493       20,530       (3,870 )     59,226  

Deferred income taxes

    —         35,248       122,187       (28,640 )     128,795  
   


 


 


 


 


Total current assets

    31,132       476,160       2,344,518       (33,614 )     2,818,196  
   


 


 


 


 


Property, plant and equipment, net

    —         115,713       35,821       —         151,534  

Marketable securities-restricted

    32,064       4,501       103,118       —         139,683  

Deferred income taxes

    —         90,473       26,908       (117,381 )     —    

Investment in subsidiaries

    2,540,934       2,437,566       (2,737 )     (4,975,763 )     —    

Goodwill and intangible assets, net

    —         28,403       1,165,916       —         1,194,319  

Other assets

    15,395       28,186       23,718       —         67,299  
   


 


 


 


 


    $ 2,619,525     $ 3,181,002     $ 3,697,262     $ (5,126,758 )   $ 4,371,031  
   


 


 


 


 


LIABILITIES AND STOCKHOLDERS’ EQUITY  

Current liabilities:

                                       

Medical claims and benefits payable

  $ —       $ 56,589     $ 1,024,149     $ (38 )   $ 1,080,700  

Accounts payable and accrued liabilities

    8,668       257,755       182,910       (4,936 )     444,397  

Deferred income taxes

    —         17,743       10,897       (28,640 )     —    

Unearned premium revenue

    —         1,768       89,105       —         90,873  

Current portion of long-term debt

    1,500       4,413       229       —         6,142  
   


 


 


 


 


Total current liabilities

    10,168       338,268       1,307,290       (33,614 )     1,622,112  
   


 


 


 


 


Long-term debt

    470,613       2,183       1,399       —         474,195  

Convertible subordinated debentures

    135,000       —         —         —         135,000  

Deferred income taxes

    —         129,031       93,422       (117,381 )     105,072  

Other liabilities

    —         33,481       —         —         33,481  

Stockholders’ equity:

                                       

Common stock

    854       —         —         —         854  

Unearned compensation

    (37,204 )     —         —         —         (37,204 )

Additional paid-in capital

    1,527,196       —         —         —         1,527,196  

Accumulated other comprehensive loss

    —         (7 )     (2,566 )     —         (2,573 )

Retained earnings

    512,898       —         —         —         512,898  

Equity in income of subsidiaries

    —         2,678,046       2,297,717       (4,975,763 )     —    
   


 


 


 


 


Total stockholders’ equity

    2,003,744       2,678,039       2,295,151       (4,975,763 )     2,001,171  
   


 


 


 


 


    $ 2,619,525     $ 3,181,002     $ 3,697,262     $ (5,126,758 )   $ 4,371,031  
   


 


 


 


 


 

18


Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

CONDENSED CONSOLIDATING BALANCE SHEETS

December 31, 2003

 

    Parent

   

Guarantor

Subsidiaries


 

Non-Guarantor

Subsidiaries


   

Consolidating

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  
   


 

 


 


 


 

19


Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

CONDENSED CONSOLIDATING STATEMENTS OF INCOME

For the Three Months Ended June 30, 2004

 

    Parent

   

Guarantor

Subsidiaries


   

Non-Guarantor

Subsidiaries


   

Consolidating

Adjustments


    Company

 
    (Amounts in thousands)  

Operating revenue

  $ 186     $ 199,805     $ 2,966,702     $ (119,245 )   $ 3,047,448  

Income from subsidiaries

    86,470       130,859       2,241       (219,570 )     —    
   


 


 


 


 


Total operating revenue

    86,656       330,664       2,968,943       (338,815 )     3,047,448  

Health care services and other expenses

    —         136,854       2,511,736       (108,843 )     2,539,747  

Selling, general and administrative expenses

    39       114,025       268,574       (10,215 )     372,423  
   


 


 


 


 


Operating income

    86,617       79,785       188,633       (219,757 )     135,278  

Interest expense

    (10,593 )     (371 )     (76 )     187       (10,853 )
   


 


 


 


 


Income before income taxes

    76,024       79,414       188,557       (219,570 )     124,425  

Provision (benefit) for income taxes

    —         (17,576 )     65,977       —         48,401  
   


 


 


 


 


Net income

  $ 76,024     $ 96,990     $ 122,580     $ (219,570 )   $ 76,024  
   


 


 


 


 


 

For the Six Months Ended June 30, 2004

 

    Parent

   

Guarantor

Subsidiaries


   

Non-Guarantor

Subsidiaries


   

Consolidating

Adjustments


    Company

 
    (Amounts in thousands)  

Operating revenue

  $ 407     $ 374,956     $ 5,870,895     $ (234,687 )   $ 6,011,571  

Income from subsidiaries

    164,005       258,418       5,166       (427,589 )     —    
   


 


 


 


 


Total operating revenue

    164,412       633,374       5,876,061       (662,276 )     6,011,571  

Health care services and other expenses

    —         254,886       4,969,508       (210,051 )     5,014,343  

Selling, general and administrative expenses

    114       219,772       545,348       (23,759 )     741,475  
   


 


 


 


 


Operating income

    164,298       158,716       361,205       (428,466 )     255,753  

Interest expense

    (21,273 )     (1,246 )     (28 )     877       (21,670 )
   


 


 


 


 


Income before income taxes

    143,025       157,470       361,177       (427,589 )     234,083  

Provision (benefit) for income taxes

    —         (30,413 )     121,471       —         91,058  
   


 


 


 


 


Net income

  $ 143,025     $ 187,883     $ 239,706     $ (427,589 )   $ 143,025  
   


 


 


 


 


 

20


Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

CONSOLIDATING CONDENSED STATEMENTS OF INCOME

For the Three Months Ended June 30, 2003

 

    Parent

   

Guarantor

Subsidiaries


   

Non-Guarantor

Subsidiaries


   

Consolidating

Adjustments


    Company

 
    (Amounts in thousands)  

Operating revenue

  $ 168     $ 135,981     $ 2,680,538     $ (86,453 )   $ 2,730,234  

Income from subsidiaries

    92,155       124,471       (25 )     (216,601 )     —    
   


 


 


 


 


Total operating revenue

    92,323       260,452       2,680,513       (303,054 )     2,730,234  

Health care services and other expenses

    —         88,871       2,234,356       (76,731 )     2,246,496  

Selling, general and administrative expenses

    43       83,123       271,501       (9,055 )     345,612  
   


 


 


 


 


Operating income

    92,280       88,458       174,656       (217,268 )     138,126  

Interest expense

    (19,282 )     (1,575 )     (218 )     665       (20,410 )
   


 


 


 


 


Income before income taxes

    72,998       86,883       174,438       (216,603 )     117,716  

Provision (benefit) for income taxes

    —         (13,730 )     58,448       —         44,718  
   


 


 


 


 


Net income

  $ 72,998     $ 100,613     $ 115,990     $ (216,603 )   $ 72,998  
   


 


 


 


 


 

For the Six Months Ended June 30, 2003

 

    Parent

   

Guarantor

Subsidiaries


   

Non-Guarantor

Subsidiaries


   

Consolidating

Adjustments


    Company

 
    (Amounts in thousands)  

Operating revenue

  $ 408     $ 263,118     $ 5,375,026     $ (168,723 )   $ 5,469,829  

Income from subsidiaries

    181,007       245,129       1,326       (427,462 )     —    
   


 


 


 


 


Total operating revenue

    181,415       508,247       5,376,352       (596,185 )     5,469,829  

Health care services and other expenses

    —         172,787       4,498,873       (149,401 )     4,522,259  

Selling, general and administrative expenses

    95       159,155       535,600       (18,007 )     676,843  
   


 


 


 


 


Operating income

    181,320       176,305       341,879       (428,777 )     270,727  

Interest expense

    (37,552 )     (3,286 )     (436 )     1,314       (39,960 )
   


 


 


 


 


Income before income taxes

    143,768       173,019       341,443       (427,463 )     230,767  

Provision (benefit) for income taxes

    —         (21,311 )     108,310       —         86,999  
   


 


 


 


 


Net income

  $ 143,768     $ 194,330     $ 233,133     $ (427,463 )   $ 143,768  
   


 


 


 


 


 

21


Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS

For the Six Months Ended June 30, 2004

 

    Parent

   

Guarantor

Subsidiaries


   

Non-Guarantor

Subsidiaries


   

Consolidating

Adjustments


    Company

 
    (Amounts in thousands)  

Operating activities:

                                       

Net income

  $ 143,025     $ 187,883     $ 239,706     $ (427,589 )   $ 143,025  

Adjustments to reconcile net income to net cash flows provided by (used in) operating activities:

                                       

Equity in income of subsidiaries

    (164,005 )     (258,418 )     (5,166 )     427,589       —    

Deferred income taxes

    —         36,048       (2,027 )     —         34,021  

Depreciation and amortization

    —         20,315       4,406       —         24,721  

Stock-based compensation expense

    20,377       —         —         —         20,377  

Tax benefit realized upon exercise of stock-based compensation

    13,364       —         —         —         13,364  

Amortization of intangible assets

    —         —         9,893       —         9,893  

Amortization of notes receivable from sale of fixed assets

    —         (2,751 )     —         —         (2,751 )

Amortization of capitalized loan fees

    2,155       —         —         —         2,155  

Recovery for doubtful accounts

    —         (1,176 )     —         —         (1,176 )

Loss (gain) on disposal of property, plant and equipment

    —         492       (68 )     —         424  

Amortization of discount on 10 3/4% senior notes

    142       —         —         —         142  

Changes in assets and liabilities

    (6,516 )     (40,627 )     (389,821 )     —         (436,964 )
   


 


 


 


 


Net cash flows provided by (used in) operating activities

    8,542       (58,234 )     (143,077 )     —         (192,769 )
   


 


 


 


 


Investing activities:

                                       

Purchase of marketable securities, net

    —         —         (110,985 )     —         (110,985 )

Purchase of property, plant and equipment

    —         (24,791 )     (2,481 )     —         (27,272 )

Sale (purchase) of marketable securities - restricted, net

    1,372       (4,501 )     29,992       —         26,863  
   


 


 


 


 


Net cash flows provided by (used in) investing activities

    1,372       (29,292 )     (83,474 )     —         (111,394 )
   


 


 


 


 


Financing activities:

                                       

Purchase and retirement of common stock

    (40,542 )     —         —         —         (40,542 )

Proceeds from issuance of common stock

    31,076       —         —         —         31,076  

Payments on software financing agreement

    —         (4,053 )     —         —         (4,053 )

Principal payments on long-term debt

    (750 )     —         (198 )     —         (948 )

Intercompany activity:

                                       

Dividends received (paid)

    —         207,831       (207,831 )     —         —    

Capital contributions (paid) received

    —         (32,000 )     32,000       —         —    
   


 


 


 


 


Net cash flows provided by (used in) financing activities

    (10,216 )     171,778       (176,029 )     —         (14,467 )
   


 


 


 


 


Net increase (decrease) in cash and equivalents

    (302 )     84,252       (402,580 )     —         (318,630 )

Beginning cash and equivalents

    —         242,847       955,575       —         1,198,422  
   


 


 


 


 


Ending cash and equivalents

  $ (302 )   $ 327,099     $ 552,995     $ —       $ 879,792  
   


 


 


 


 


 

22


Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)

June 30, 2004

(unaudited)

 

CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS

For the Six Months Ended June 30, 2003

 

    Parent

   

Guarantor

Subsidiaries


   

Non-Guarantor

Subsidiaries


   

Consolidating

Adjustments


    Company

 
    (Amounts in thousands)  

Operating activities:

                                       

Net income

  $ 143,768     $ 194,330     $ 233,133     $ (427,463 )   $ 143,768  

Adjustments to reconcile net income to net cash flows used in operating activities:

                                       

Equity in income of subsidiaries

    (181,007 )     (245,129 )     (1,327 )     427,463       —    

Deferred income taxes

    —         7,958       (1,663 )     —         6,295  

Depreciation and amortization

    —         17,675       5,022       —         22,697  

Stock-based compensation expense

    8,249       —         —         —         8,249  

Tax benefit realized upon exercise of stock-based compensation

    4,663       —         —         —         4,663  

Amortization of intangible assets

    —         —         11,047       —         11,047  

Amortization of notes receivable from sale of fixed assets

    —         (2,764 )     —         —         (2,764 )

Amortization of capitalized loan fees

    5,096       —         —         —         5,096  

Provision for doubtful accounts

    —         2,777       —         —         2,777  

Loss (gain) on disposal of property, plant and equipment

    —         2,681       (1 )     —         2,680  

Amortization of discount on 10 3/4% senior notes

    218       —         —         —         218  

Employer benefit plan contributions in treasury stock

    1,363       —         —         —         1,363  

Changes in assets and liabilities

    (6,336 )     (130,942 )     (264,242 )     —         (401,520 )
   


 


 


 


 


Net cash flows used in operating activities

    (23,986 )     (153,414 )     (18,031 )     —         (195,431 )
   


 


 


 


 


Investing activities:

                                       

Sale (purchase) of marketable securities, net

    2,110       —         (104,484 )     —         (102,374 )

Purchase of property, plant and equipment

    —         (20,133 )     (2,968 )     —         (23,101 )

Sale of marketable securities-restricted, net

    —         —         18,341       —         18,341  

Proceeds from the sale of property, plant and equipment

    —         20       1       —         21  
   


 


 


 


 


Net cash flows provided by (used in) investing activities

    2,110       (20,113 )     (89,110 )     —         (107,113 )
   


 


 


 


 


Financing activities:

                                       

Proceeds from issuance of common stock

    13,165       —         —         —         13,165  

Payments on software financing agreement

    —         (2,187 )     —         —         (2,187 )

Principal payments on long-term debt

    (150,547 )     —         —         —         (150,547 )

Proceeds from borrowing of long-term debt

    150,000       —         —         —         150,000  

Loan fees

    (6,949 )     —         —         —         (6,949 )

Intercompany activity:

                                       

Dividends and loans received (paid)

    —         289,506       (289,506 )     —         —    
   


 


 


 


 


Net cash flows provided by (used in) financing activities

    5,669       287,319       (289,506 )     —         3,482  
   


 


 


 


 


Net (decrease) increase in cash and equivalents

    (16,207 )     113,792       (396,647 )     —         (299,062 )

Beginning cash and equivalents

    16,207       104,378       831,104       —         951,689  
   


 


 


 


 


Ending cash and equivalents

  $ —       $ 218,170     $ 434,457     $ —       $ 652,627  
   


 


 


 


 


 

23


Table of Contents

Item 2: Management’s 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 subsidiaries 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

 

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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 recorded as health care services and other expenses. For all contracts where we earn a fixed fee per transaction and we do not assume margin or pricing risk, specialty and other revenue and specialty and other health care services and other expenses do not include the network pharmacies’ drug costs and dispensing fees. Instead, we record administrative services fees that we are entitled to receive, in specialty and other revenue. In all retail pharmacy transactions, revenues recognized and expenses recorded are always exclusive of the member’s applicable co-payment. Collection of co-payments from members is the responsibility of the retail pharmacies.

 

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 three and six months ended June 30th of last year were net favorable adjustments of 2002 and prior period medical cost estimates of approximately $14 million and $54 million, respectively. During 2003, both commercial and senior 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.

 

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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.

 

Three and Six Months Ended June 30, 2004 Compared to Three and Six Months Ended June 30, 2003

 

Membership. Total managed care membership increased 4% to approximately 3.0 million members at June 30, 2004 from approximately 2.9 million members at June 30, 2003.

 

Commercial membership increased approximately 5% at June 30, 2004 compared to the prior year primarily due to increased membership in our PPO products in Texas, Colorado and California. The PPO increase is offset by a net decrease in HMO membership. The net HMO decrease is primarily due to the planned termination of large employer groups in Texas and Oklahoma, partially offset by increases in Colorado and California.

 

Medicare+Choice membership decreased approximately 1% at June 30, 2004 compared to the prior year primarily due to member disenrollment in Washington and provider terminations in Oklahoma, partially offset by membership increases in Arizona of 7,200 members.

 

Below is a summary of our commercial and senior membership.

 

    June 30, 2004

  June 30, 2003

    Commercial

 

Senior

M+C


  Total

  Commercial

 

Senior

M+C


  Total

Managed Care Membership(1)

                       

Arizona

  167,200   93,600   260,800   152,200   86,400   238,600

California

  1,493,100   357,100   1,850,200   1,383,000   354,700   1,737,700

Colorado

  247,900   52,100   300,000   213,100   54,200   267,300

Guam

  27,500   —     27,500   31,400   —     31,400

Nevada

  36,000   25,200   61,200   28,100   25,900   54,000

Oklahoma

  83,900   15,300   99,200   100,900   19,100   120,000

Oregon

  58,300   23,200   81,500   62,600   24,600   87,200

Texas

  89,800   76,800   166,600   120,600   77,400   198,000

Washington

  66,300   46,300   112,600   71,100   53,600   124,700
   
 
 
 
 
 

Total Managed Care Membership

  2,270,000   689,600   2,959,600   2,163,000   695,900   2,858,900
   
 
 
 
 
 

Total Membership

                       

Commercial

                       

HMO

          1,963,000           2,016,300

PPO

          279,500           120,100

Employer self-funded

          27,500           26,600
           
         

Total Commercial

          2,270,000           2,163,000
           
         

Senior

                       

Medicare+Choice

          689,600           695,900

Medicare Supplement

          32,800           25,600
           
         

Total Senior

          722,400           721,500
           
         

Total Membership

          2,992,400           2,884,500
           
         

(1) Managed care membership includes HMO and PPO membership whether risk or self-funded.

 

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PBM unaffiliated membership at June 30, 2004 increased approximately 19% compared to the prior year primarily due to membership growth with existing clients and the addition of 20 new clients. PBM PacifiCare membership at June 30, 2004 was slightly higher as compared to the prior year as a result of overall managed care membership growth.

 

Dental and vision PacifiCare membership at June 30, 2004, increased approximately 26% compared to the prior year primarily due to new vision product offerings which resulted in increased membership in Arizona, California, and Nevada. Dental and vision unaffiliated membership at June 30, 2004 was slightly lower compared to the prior year.

 

Below is a summary of our specialty membership.

 

     As of June 30, 2004

   As of June 30, 2003

     PacifiCare

   Unaffiliated

   Total

   PacifiCare

   Unaffiliated

   Total

Specialty Membership:

                             

Pharmacy benefit management(1)

   2,992,400    2,552,700    5,545,100    2,884,500    2,144,300    5,028,800

Behavioral health(2)

   1,995,600    1,757,000    3,752,600    1,989,000    1,766,600    3,755,600

Dental and vision(2)

   577,300    231,700    809,000    458,700    239,000    697,700

(1) 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.

 

(2) Behavioral health, dental and vision PacifiCare membership represents members in our commercial, Medicare+Choice, and Medicare Supplement plans that are also enrolled in our behavioral health, dental and/or vision plans.

 

Commercial Revenue. Commercial revenue increased 14%, or $176 million, to $1.41 billion for the three months ended June 30, 2004, from $1.24 billion for the three months ended June 30, 2003 and increased 13%, or $331 million, to $2.80 billion for the six months ended June 30, 2004, from $2.47 billion for the six months ended June 30, 2003 as follows:

 

    

Three Months Ended

June 30, 2004


  

Six Months Ended

June 30, 2004


     (Amounts in millions)

Premium rate increases

   $ 121    $ 248

Net membership increases, primarily in California and Colorado

     55      83
    

  

Increase over the comparable period of the prior year

   $ 176    $ 331
    

  

 

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 6%, or $86 million, to $1.44 billion for the three months ended June 30, 2004 from $1.36 billion for the three months ended June 30, 2003 and increased 5%, or $126 million, to $2.85 billion for the six months ended June 30, 2004, from $2.73 billion for the six months ended June 30, 2003 as follows:

 

    

Three Months Ended

June 30, 2004


   

Six Months Ended

June 30, 2004


 
     (Amounts in millions)  

Premium rate increases

   $ 87     $ 149  

Net membership decreases

     (1 )     (23 )
    


 


Increase over the comparable period of the prior year

   $ 86     $ 126  
    


 


 

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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 43%, or $51 million, to $171 million for the three months ended June 30, 2004, from $120 million for the three months ended June 30, 2003 and increased 36%, or $85 million, to $321 million for the six months ended June 30, 2004, from $236 million for the six months ended June 30, 2003. The increase was primarily due to growth of unaffiliated PBM membership which resulted in increased service fee revenue charged to external customers, overall growth in the volume of mail service business which generated increased co-payments from mail service customers of our PBM subsidiary and premium rate increases in our behavioral health business.

 

Net Investment Income. Net investment income increased 22%, or $4 million, to $22 million for the three months ended June 30, 2004, from $18 million for the three months ended June 30, 2003. Net investment income of $40 million for the six months ended June 30, 2004 was comparable to the same period in 2003.

 

Commercial Margin. Our commercial margin increased 13%, or $25 million, to $215 million for the three months ended June 30, 2004, from $190 million for the three months ended June 30, 2003 and increased 17%, or $63 million, to $433 million for the six months ended June 30, 2004, from $370 million for the six months ended June 30, 2003 as follows:

 

    

Three Months Ended

June 30, 2004


   

Six Months Ended

June 30, 2004


 
     (Amounts in millions)  

Commercial revenue increases (as noted above)

   $ 176     $ 331  

Increases in health care services and other expenses as a result of net commercial membership increases, primarily in California and Colorado

     (47 )     (72 )

Increases in health care services and other expenses as a result of health care cost trends and increases in capitation expense

     (107 )     (201 )

Other

     3       5  
    


 


Increase over the comparable period of the prior year

   $ 25     $ 63  
    


 


 

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 12%, or $27 million, to $193 million for the three months ended June 30, 2004, from $220 million for the three months ended June 30, 2003 and decreased 12%, or $50 million, to $378 million for the six months ended June 30, 2004, from $428 million for the six months ended June 30, 2003 as follows:

 

    

Three Months Ended

June 30, 2004


   

Six Months Ended

June 30, 2004


 
     (Amounts in millions)  

Senior revenue increases (as noted above)

   $ 86     $ 126  

Decreases in health care services and other expenses as a result of Medicare+Choice membership decreases

     1       19  

Increases in health care services and other expenses as a result of health care cost trends, partially offset by benefit adjustments

     (116 )     (199 )

Other

     2       4  
    


 


Decrease over the comparable period of the prior year

   $ (27 )   $ (50 )
    


 


 

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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 40%, or $22 million, to $77 million for the three months ended June 30, 2004, from $55 million for the three months ended June 30, 2003 and increased 32%, or $35 million, to $146 million for the six months ended June 30, 2004, from $111 million for the six months ended June 30, 2003, which was primarily driven by rate increases in our behavioral health business and increases in external membership in our PBM business.

 

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.

 

The consolidated MLR and its components for the three and six months ended June 30, 2004 and 2003 are as follows:

 

     Three Months Ended
June 30,


    

Six Months Ended

June 30,


          2004

   2003

               2004

   2003

    

Medical loss ratio:

                                         

Consolidated

        85.1%    83.8%                85.1%    84.3%     

Private — Commercial

        84.3%    84.1%                83.9%    84.5%     

Private — Senior

        64.9%    72.5%                73.8%    67.8%     

Private — Consolidated

        83.9%    83.9%                83.8%    84.3%     

Government — Senior

        86.4%    83.7%                86.5%    84.4%     

Government — Consolidated

        86.4%    83.7%                86.5%    84.4%     

 

Private — Commercial MLR. Our private — commercial MLR increased to 84.3% for the three months ended June 30, 2004 compared to 84.1% for the same period in 2003. The increase was primarily due to a 15% increase in health care services and other expenses, offset by a 14% increase in premium revenue. For the six months ended June 30, 2004, our private – commercial MLR decreased to 83.9% compared to 84.5% for the same period in 2003. The decrease was primarily due to a 6% increase in our commercial HMO premium revenue, offset by a 5% increase in our commercial HMO health care services and other expenses.

 

Private — Senior MLR. Our private — senior MLR decreased to 64.9% for the three months ended June 30, 2004 compared to 72.5% for the same period in 2003 primarily due to lower health care services and other

 

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expenses on a per member per month basis. Our private — senior MLR increased to 73.8% for the six months ended June 30, 2004 compared to 67.8% for the same period in 2003 primarily due to increases in health care services and other expenses that outpaced increases in premium revenue on a per member per month basis.

 

Government — Senior MLR. Our government — senior MLR increased to 86.4% for the three months ended June 30, 2004 compared to 83.7% for the same period in 2003 and increased to 86.5% for the six months ended June 30, 2004 compared to 84.4% for the same period in 2003. The increases were driven by a 10% increase in health care services and other expenses that outpaced a 6% increase in premium revenue for the three months ended June 30, 2004 and a 7% increase in health care services and other expenses that outpaced a 5% increase in premium revenue for the six months ended June 30, 2004.

 

Selling, General and Administrative Expenses. Selling, general and administrative expenses increased 8%, or $26 million, to $372 million for the three months ended June 30, 2004, from $346 million for the three months ended June 30, 2003. Selling, general and administrative expenses increased 10%, or $64 million, to $741 million for the six months ended June 30, 2004 from $677 million for the six months ended June 30, 2003. Selling, general and administrative expenses increased primarily due to increased spending for new product development and marketing costs, increased broker and in-house commissions as a result of increased membership, higher expenses related to the employee stock purchase plan and increased labor expense to support new product development and membership growth.

 

For the three and six months ended June 30, 2004, selling, general and administrative expenses as a percentage of operating revenue (excluding net investment income) decreased compared to the same period in the prior year primarily due to an increase in operating revenue (excluding net investment income) that outpaced the increase in selling, general and administrative expenses described above. Operating revenue (excluding net investment income) increased $313 million and $541 million for the three and six months ended June 30, 2004, respectively.

 

    

Three Months Ended
June 30,


  

Six Months Ended
June 30,


    

    2004    


  

    2003    


  

    2004    


  

    2003    


Selling, general and administrative expenses as a percentage of
operating revenue (excluding net investment income)

   12.3%    12.7%    12.4%    12.5%

 

Interest Expense. Interest expense decreased 47%, or $9 million, to $11 million for the three months ended June 30, 2004, from $20 million for the three months ended June 30, 2003 and decreased 46%, or $18 million, to $22 million for the six months ended June 30, 2004, from $40 million for the six months ended June 30, 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 which we entered into in April 2003;

 

the payment of the $43 million in remaining principal of our FHP International Corporation, or FHP, senior notes in September 2003;

 

the write-off of unamortized loan fees in the second quarter of 2003 with no comparable activity in 2004; 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 three and six months ended June 30, 2004, compared with 38.0% and 37.7% for the three and six months ended June 30, 2003, respectively. We 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 $242 million or 9% to $2.3 billion at June 30, 2004, from $2.6 billion at December 31, 2003.

 

Cash flows used in operations were $193 million (or cash flows provided by operations of $206 million, excluding the impact of unearned premium revenue) for the six months ended June 30, 2004 compared to cash flows used in operations of $195 million (or cash flows provided by operations of $209 million, excluding the impact of unearned premium revenue) for the six months ended June 30, 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 six months ended June 30, 2004, investing activities used $111 million of cash, compared to $107 million used during the six months ended June 30, 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 six months ended June 30, 2004, financing activities used $15 million of cash, compared to $3 million provided during the six months ended June 30, 2003. The changes were as follows:

 

We repaid $0.9 million of our long-term debt during the six months ended June 30, 2004. During the six months ended June 30, 2003, we repaid $151 million under our previous senior credit facility and received $150 million of proceeds from our new syndicated facility with JPMorgan Chase Bank.

 

We paid $41 million for the purchase and retirement of our common stock during the six months ended June 30, 2004, primarily in connection with repurchases under our stock repurchase program, with no comparable activity during the same period in 2003.

 

We received $31 million from the issuance of common stock for the six months ended June 30, 2004 in connection with our employee stock purchase plan and exercises of employee stock options and received $13 million during the same period in 2003.

 

We paid $7 million in loan fees in connection with the replacement of our senior credit facility during the six months ended June 30, 2003 with no comparable activity during the same period in 2004.

 

We paid $4 million on our software financing agreement during the six months ended June 30, 2004 as compared to $2 million during the same period in 2003.

 

In May 2004, our Board of Directors authorized the repurchase of up to $150 million of our common stock under a share repurchase program. Share repurchases are made under our stock repurchase program from time to time through open market purchases or through privately negotiated transactions using available cash, and may be discontinued at any time. Also, in connection with our employee equity incentive plans, we may repurchase shares of common stock from employees for the satisfaction of their individual payroll tax withholdings upon vesting of restricted stock.

 

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A summary of our repurchase activity for the six months ended June 30, 2004 is as follows:

 

    

Total Number

of Shares

Purchased(1)


  

Average

Price Paid

Per Share


  

Total Number

Of Shares

Purchased Under
Our Stock
Repurchase
Program(2)


  

Dollar Value of

Shares that May Yet

Be Purchased Under

the Program(2)


January 1 – January 31

   70,200    $ 33.87    —      $ —  

February 1 – February 29

   3,875    $ 31.72    —      $ —  

March 1 – March 31

   303    $ 37.16    —      $ —  

April 1 – April 30

   5,035    $ 41.04    —      $ —  

May 1 – May 31

   221,928    $ 35.84    218,500    $ 142,172,000

June 1 – June 30

   818,326    $ 36.50    818,300    $ 112,304,000
    
         
      

Total

   1,119,667           1,036,800       
    
         
      

(1) The total number of shares purchased includes shares delivered to, or withheld by us in connection with employee payroll tax withholding upon vesting of restricted stock and shares purchased under our stock repurchase program.

 

(2) Authorized repurchase of up to $150 million of our common stock.

 

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. Beginning with the quarter ended September 30, 2003 and during each consecutive calendar quarter up through the quarter ended June 30, 2004 the market price condition described above was satisfied. As a result, the debentures were convertible beginning October 1, 2003, and remain convertible at the option of the holder at any time during the quarter ended September 30, 2004. While no debentures were converted as of June 30, 2004, they are considered common stock equivalents and are included in the calculation of weighted average shares outstanding on a diluted basis for the three and six months ended June 30, 2004.

 

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 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

 

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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 current floating rate under the swap agreement was 8.23%, at June 30, 2004 which is based on a 90-day LIBOR of 1.31% 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 June 30, 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 June 30, 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 Bank’s 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 June 30, 2004, our term loan rate was 3.71% per annum, which is based on the 180-day LIBOR as of our February 2004 lock date, 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. In May 2004, we amended the senior credit facility to permit the repurchase of up to $150 million of our common stock. The senior credit facility also requires us to meet various financial ratios,

 

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including a minimum net worth requirement, a minimum fixed-charge coverage requirement and a maximum leverage ratio. At June 30, 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 July 2004, our debt was rated below investment grade by the major credit rating agencies as follows:

 

Agency


   Outlook

  

Senior

Credit

Facility


  

10 3/4%

Senior

Notes


  

Convertible

Subordinated

Debentures


Moody’s

   Positive    Ba3    B1    B2

Standard & Poor’s

   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 June 30, 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.

 

Other Balance Sheet Change Explanations

 

Receivables, Net. Receivables, net as of June 30, 2004, increased $48 million from December 31, 2003 primarily due to commercial premium rate and membership increases.

 

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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 June 30, 2004, approximately 86% 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:

 

    

June 30,

2004


  

December 31,

2003


     (Amount in millions)

Incurred But Not Reported (IBNR)

   $ 894    $ 826

Capitation and All Other Medical Claims and Benefits Payable

     187      202
    

  

Medical Claims and Benefits Payable

   $ 1,081    $ 1,028
    

  

 

Medical claims and benefits payable as of June 30, 2004 increased $53 million from the balance as of December 31, 2003, primarily due to a $68 million increase in IBNR as a result of a 6% increase in total risk membership and increases in health care costs, offset by an increase in claims paid.

 

Accounts Payable and Accrued Liabilities. Accounts payable and accrued liabilities decreased $46 million from December 31, 2003, primarily due to a decrease of $39 million in accrued compensation as a result of payments of incentive compensation and an $8 million net decrease in accrued taxes as a result of payments.

 

Stockholders’ Equity. The increase in additional paid-in capital from December 31, 2003 was primarily due to the exercise of approximately 1,564,300 stock options and 791,900 shares of restricted common stock that we granted as part of an employee recognition and retention program and the expense related to our employee stock purchase plan, partially offset by approximately 1 million shares repurchased under our stock repurchase program.

 

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. We then apply these completion factors to the actual claims paid to-date for each incurral month, except for the most recent months, to estimate the expected amount of ultimate incurred claims for each of these months. We do not believe that completion factors are a reliable basis for estimating claims incurred for the most recent two to four months, because claims likely have not had enough time to achieve a trendable level of completion.

 

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Therefore, for the more recent months, we estimate our claims incurred by applying observed trend factors to the per member per month, or PMPM, costs for prior months, which costs have been estimated using completion factors, in order to estimate the PMPMs for the most recent months. We validate our estimates of the most recent PMPMs by comparing the most recent months’ utilization levels to the utilization levels in older months. This approach is consistently applied from period to period.

 

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 our operating results caused by these factors:

 

Completion Factor(a)

Increase (Decrease) in Factor


  

Increase (Decrease) in

Medical Claims Payable


     (Amounts in millions)

(3)%

   $46

(2)%

     30

(1)%

     15

1%

     (15)

2%

     (29)

3%

     (43)

Claims Trend(b)

Increase (Decrease) in Factor


  

Increase (Decrease) in

Medical Claims Payable


     (Amounts in millions)

(3)%

   $(16)

(2)%

     (10)

(1)%

       (5)

1%

       5

2%

     10

3%

     15

(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 PMPM claims for the most recent four months.

 

In addition, assuming a hypothetical 1% difference between our June 30, 2004 estimated claims liability and the actual claims incurred run-out, net income for the three months ended June 30, 2004 would increase or decrease by approximately $8.9 million, while diluted net income per share would increase or decrease by $.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.

 

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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’ claim payments. These insolvency reserves include the estimated cost of unpaid health care claims that were previously the responsibility of the capitated provider. 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. These estimates could materially understate or overstate our actual liability for medical claims and benefits payable.

 

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 the 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 MMA and ultimately evolving into a consumer health organization. In

 

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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 revenues could decline if we lose membership, fail to increase membership in targeted markets or fail to gain market acceptance for new products for any reason, including:

 

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 member’s 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. In a limited number of circumstances, we have also taken steps to establish security reserves for insolvency issues. Security reserves are most frequently in the forms of letters of credit or segregated funds that are held in the provider’s 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.

 

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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 to process claims accurately, the data we use for our IBNR estimates could be incomplete and our ability to estimate claims liabilities and establish adequate reserves could be adversely affected.

 

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 higher unit costs for currently available medications, 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.

 

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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.

 

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

 

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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 MMA, 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 financial, marketing and other resources than we possess. If we are unable to compete effectively in any of our markets, our business may be adversely affected.

 

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;

 

mandated claims and appeals review procedures;

 

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;

 

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restricting a health plan’s 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 plan’s 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 plan’s 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;

 

tightening time periods for the timely payment and administration of health care claims and imposing financial and other penalties for non-compliance; and

 

allowing employers to leverage their purchasing power through associations or other multiple employer arrangements.

 

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.

 

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;

 

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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 subsidiary’s 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 ¾% senior notes may accelerate our debt repayment under the senior credit facility and our 10 3/4% senior notes. If the indebtedness under the senior credit facility or our 10 3/4% senior notes is accelerated, we could not assure you that our assets would be sufficient to repay all outstanding indebtedness in full.

 

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

 

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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.

 

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

 

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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

 

We maintain disclosure controls and procedures, which are designed to ensure that information required to be disclosed in the reports we file or submit under the Securities Exchange Act of 1934, as amended, is recorded, processed, summarized and reported within the time periods specified in the Securities and Exchange Commission’s rules and forms, and that such information is accumulated and communicated to our management, including our chief executive officer, or CEO, and chief financial officer, or CFO, as appropriate to allow timely decisions regarding required disclosure.

 

Under the supervision and with the participation of our management, including our CEO and 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 June 30, 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, Use of Proceeds and Issuer Purchases of Equity Securities

 

A description of our stock repurchase program and tabular disclosure of the information required under this Item 2 is contained under the caption “Financing Activities” in Management’s Discussion and Analysis of Financial Condition and Results of Operations included in Part I of this Quarterly Report on Form 10-Q.

 

Item 3: Defaults Upon Senior Securities

 

None.

 

Item 4: Submission of Matters to a Vote of Security Holders

 

We held our Annual Meeting of Stockholders on May 20, 2004. On March 31, 2004, the record date for our annual meeting, there were 86,012,469 shares of common stock outstanding and entitled to vote at the annual meeting. The following is a brief description of each matter voted on at the meeting and a statement of the number of votes cast with respect to each matter.

 

  (1) The stockholders approved the election of the nominees to PacifiCare’s Board of Directors.

 

Director


   For

   Withhold Authority

Aida Alvarez

   76,394,453    1,962,295

Bradley C. Call

   75,906,885    2,449,863

Terry O. Hartshorn

   51,174,720    27,182,028

Dominic Ng

   76,374,780    1,981,968

Howard G. Phanstiel

   75,204,880    3,151,868

Warren E. Pinckert II

   74,862,777    3,493,971

David A. Reed

   75,416,148    2,940,600

Charles R. Rinehart

   75,923,194    2,433,554

Linda Rosenstock

   76,394,923    1,961,825

Lloyd E. Ross

   74,893,966    3,462,782

 

  (2) The stockholders approved the amendment and restatement of the Employee Stock Purchase Plan to increase by 1,500,000 the number of shares of the common stock available for issuance under the plan.

 

For


 

Against


 

Abstain


 

Broker Non-Votes


61,545,200

  7,187,936   125,703   9,497,909

 

  (3) The stockholders ratified the selection of Ernst & Young LLP as our independent auditors for 2004.

 

For


 

Against


 

Abstain


 

Broker Non-Votes


76,541,890

  1,520,749   294,109   —  

 

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.

 

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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 50 and is incorporated by reference.

 

(b) Reports on Form 8-K

 

On April 29, 2004, we furnished a Form 8-K that included a press release wherein we announced our financial and operating results for the quarter ended March 31, 2004.

 

On May 21, 2004, we filed a Form 8-K that filed a press release wherein we announced that our Board of Directors has authorized a share repurchase program under which up to $150 million of our common stock may be repurchased.

 

On June 14, 2004, we furnished a Form 8-K that included a press release wherein we reaffirmed our earnings per share guidance for the full year 2004 and provided new guidance for our Medicare+Choice business for 2005.

 

On June 18, 2004, we furnished a Form 8-K attaching text of certain information presented by us at an investor conference held on June 11, 2004, along with reconciliations of the differences between certain non-GAAP financial measures presented at the investor conference to the most directly comparable GAAP financial measures.

 

The information furnished pursuant to the current reports on Form 8-K on April 29, 2004, June 14, 2004 and June 18, 2004 described above was intended to be furnished under Item 12 of the Form 8-K and is not to be considered “filed” under the Securities Exchange Act of 1934, as amended, nor shall it be incorporated by reference into this filing or future filings by us under the Securities Act of 1933, as amended or under the Securities Exchange Act of 1934, as amended, unless we expressly set forth in such future filing that such information is to be considered “filed” or incorporated by reference therein.

 

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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: August 4, 2004

 

By:

 

/s/    GREGORY W. SCOTT        


       

Gregory W. Scott

Executive Vice President and

Chief Financial Officer

(Principal Financial Officer)

Date: August 4, 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 Registrant’s 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 Registrant’s 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 Registrant’s 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 Registrant’s Form 10-K for the year ended December 31, 2003).
4.01    Form of Specimen Certificate For Registrant’s Common Stock (incorporated by reference to Exhibit 4.02 to Registrant’s 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 Registrant’s 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 Registrant’s 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 Registrant’s 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 Registrant’s 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 Secure Horizons 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 Registrant’s 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 Registrant’s Registration Statement on Form S-4 (File No. 333-91704)).
4.08    Rights Agreement, dated as of November 19, 1999, between the Registrant and Chase Mellon Shareholder Services, L.L.C. (incorporated by reference to Exhibit 99.2 to Registrant’s 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 (incorporated by reference to Exhibit 10.01 to Registrant’s Form 10-Q for the quarter ended March 31, 2004).
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 Registrant’s Form 10-K for the year ended December 31, 2001).

 

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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 Registrant’s 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 Registrant’s 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 (incorporated by reference to Exhibit 10.05 to Registrant’s Form 10-Q for the quarter ended March 31, 2004).
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 Registrant’s Form 10-K for the year ended December 31, 2001).
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 Registrant’s 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 Registrant’s 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 Registrant’s 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 Registrant’s 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 Registrant’s 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 (incorporated by reference to Exhibit 10.12 to Registrant’s Form 10-Q for the quarter ended March 31, 2004).
10.13    Form of Stock Option Agreement under the 1996 Stock Option Plan for Officers and Key Employees of the Registrant, as amended (incorporated by reference to Exhibit 10.13 to Registrant’s Form 10-Q for the quarter ended March 31, 2004).
10.14    2000 Employee Plan (incorporated by reference to Exhibit 4.1 to Registrant’s 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 Registrant’s 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 (incorporated by reference to Exhibit 10.16 to Registrant’s Form 10-Q for the quarter ended March 31, 2004).
10.17    Form of Stock Option Agreement under the 2000 Employee Plan of the Registrant, as amended (incorporated by reference to Exhibit 10.17 to Registrant’s Form 10-Q for the quarter ended March 31, 2004).
10.18    Amended and Restated 2000 Non-Employee Directors Stock Plan (incorporated by reference to Exhibit 1 to Registrant’s 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 Registrant’s Form 10-Q for the quarter ended June 30, 2003).

 

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10.20    Second Amendment to the Amended and Restated 2000 Non-Employee Directors Stock Plan (incorporated by reference to Exhibit 10.18 to Registrant’s 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 (incorporated by reference to Exhibit 10.21 to Registrant’s Form 10-Q for the quarter ended March 31, 2004).
10.22    Amended and Restated 1996 Non-Officer Directors Stock Plan (incorporated by reference to Exhibit E to Registrant’s 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 Registrant’s 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 (incorporated by reference to Exhibit 10.24 to Registrant’s Form 10-Q for the quarter ended March 31, 2004).
10.25    2003 Incentive Bonus Plan of the Registrant (incorporated by reference to Exhibit 10.21 to Registrant’s 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 Registrant’s 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 Registrant’s 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 Registrant’s Form 10-K for the year ended December 31, 1998).
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 Registrant’s 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 Registrant’s 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 Registrant’s 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 Registrant’s Form 10-K for the year ended December 31, 2002).
10.33    Amended and Restated 2001 Employee Stock Purchase Plan (incorporated by reference to Exhibit A to Registrant’s Proxy Statement dated April 22, 2004).
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 Registrant’s 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 Registrant’s 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 Registrant’s Form 10-K for the year ended December 31, 2001).

 

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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 Registrant’s 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 Registrant’s 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 Registrant’s 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 Registrant’s Form 10-K for the year ended December 31, 2003).
*10.41    Amendment No. 3 to the Credit Agreement, dated as of May 19, 2004, between the Registrant, the Subsidiary Guarantors party thereto and JPMorgan Chase Bank as Administrative Agent, a copy of which is filed herewith.
10.42    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 Registrant’s Form 10-Q for the quarter ended March 31, 2003).
10.43    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 Registrant’s 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 Registrant’s 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 Registered Public Accounting Firm’s 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.
*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 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 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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