Attached files
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| 8-K - FORM 8K - COVENTRY HEALTH CARE INC | form8k_04292011.htm |
Contact: John Stelben
Interim Chief Financial Officer
(301) 581-5729
Drew Asher
SVP, Corporate Finance
(301) 581-5717
Coventry Health Care Reports First Quarter Earnings
BETHESDA, Md. (April 29, 2011) - Coventry Health Care, Inc. (NYSE: CVH) today reported consolidated operating results for the quarter ended March 31, 2011. Operating revenues totaled $3.0 billion for the quarter with net earnings of $110.2 million, or earnings per diluted share (EPS) of $0.74. These results include EPS of $0.08 from the Medicare Advantage Private Fee-for-Service (MA-PFFS) product.
“We are pleased to report a strong start to the year with performance across all seven of our core businesses meeting or exceeding our expectations,” said Allen F. Wise, chairman and chief executive officer of Coventry. “In addition, today we are increasing our 2011 EPS guidance driven by an improved revenue outlook coupled with SG&A leverage.”
First Quarter 2011 Consolidated Highlights
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Revenues up 6.6% from the prior year quarter
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EPS up 12.1% from the prior year quarter
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Commercial risk membership of 1,636,000, an increase of 135,000 members from the prior year quarter
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Approximately $750 million of deployable free cash at the parent at quarter-end
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$150.5 million payment into escrow for potential litigation settlement(1) made in February
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Repurchased 1.7 million shares for $50.2 million during the quarter
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Increased share repurchase authorization by 7.5 million shares
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Total remaining share repurchase authorization of 11.0 million shares at quarter-end
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(1)
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On February 2, 2011, in relation to a class action lawsuit filed by providers in Louisiana, the Company entered into a definitive settlement agreement with plaintiffs counsel and attorneys representing the provider class setting forth the settlement terms for an amount payable of $150.5 million. Please refer to the Company’s Form 10-K for the year ended December 31, 2010 for more information, including certain contingencies that must be satisfied before the settlement becomes final.
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Page 1
Selected First Quarter 2011 Highlights
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Health Plan Commercial Risk. As of March 31, 2011, health plan commercial risk membership was 1,636,000, an increase of 135,000 members from the prior year quarter. The health plan commercial group risk medical loss ratio (MLR) of 80.2% in the quarter was unchanged from the MLR reported in the prior year quarter.
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Medicare Advantage. As of March 31, 2011, Medicare Advantage Coordinated Care Plan (MA-CCP) membership was 219,000, an increase of 29,000 members from the prior year quarter, largely driven by the acquisition of Mercy Health Plans which closed on October 1, 2010. The MA-CCP MLR was 84.2% in the quarter, a decrease of 150 basis points (bps) from the prior year quarter. During the first quarter, the MA-PFFS product line contributed $0.08 EPS. As previously announced, the Company did not renew this product line effective January 1, 2010.
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Medicare Part D. As of March 31, 2011, Medicare Part D membership was 1,159,000, a decrease of 441,000 members from the prior year quarter. The Medicare Part D MLR was 95.8% in the quarter, an increase of 50 bps from the prior year quarter.
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Medicaid. As of March 31, 2011, Medicaid membership was 468,000, an increase of 62,000 members from the prior year quarter, largely driven by entry into new markets in Nebraska and Pennsylvania during 2010. The Medicaid MLR was 86.0% in the quarter, an increase of 200 bps from the prior year quarter.
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Page 2
2011 FULL YEAR GUIDANCE
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Risk revenue of $10.50 billion to $10.90 billion
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Management services revenue of $1.175 billion to $1.195 billion
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Consolidated revenue of $11.675 billion to $12.095 billion
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Consolidated MLR of 81.9% to 82.5%
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Cost of sales expense of $264.0 million to $271.0 million
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Selling, general, and administrative expense (SG&A) of $2.00 billion to $2.04 billion
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Depreciation and amortization expense of $136.0 million to $140.0 million
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Other income of $74.0 million to $78.0 million
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Interest expense of $95.0 million to $102.0 million
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Includes projected interest expense that would result from any refinancing activities that the Company may pursue in advance of 2012 debt maturities
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Tax rate of 36.0% to 37.0%
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Diluted share count of 147.0 million to 149.0 million
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EPS of $2.65 to $2.85
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Page 3
Mr. Allen F. Wise, chairman and chief executive officer of Coventry, will host a conference call at 8:30 a.m. ET on Friday, April 29, 2011. To listen to the call, dial toll-free at (800) 316-8317 or, for international callers, (719) 325-2443. Callers will be asked to identify themselves and their affiliations. The conference call will also be webcast from Coventry’s Investor Relations site at www.coventryhealthcare.com. Coventry asks participants on both the call and webcast to review and be familiar with its filings with the Securities and Exchange Commission. A replay of the call will be available for one week at (888) 203-1112 or, for international callers, (719) 457-0820. The access code is 7228999.
This press release contains forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are defined as statements that are not historical facts and include those statements relating to future events or future financial performance, including the guidance herein. Actual performance may be significantly impacted by certain risks and uncertainties including those described in Coventry’s Annual Report on Form 10-K for the year ended December 31, 2010, and Coventry’s subsequent filings with the Securities and Exchange Commission. Among the factors that may materially affect Coventry’s business, operations or financial condition are the ability to accurately estimate and control future health care costs; the ability to increase premiums to offset increases in the Company’s health care costs; general economic conditions and disruptions in the financial markets; changes in laws or regulations or government investigations; potential state guaranty fund assessments; changes in government funding and various other risks associated with our participation in Medicare and Medicaid programs; a reduction in the number of members in the Company’s health plans; the Company’s ability to acquire additional managed care businesses and the Company’s ability to successfully integrate acquired businesses into its operations; an ability to attract new members or to increase or maintain premium rates; the non-renewal or termination of the Company’s government contracts, or unsuccessful bids for business with government agencies; failure of the Company’s independent agents and brokers to continue to market its products to employers; a failure to obtain cost-effective agreements with a sufficient number of providers that could result in higher medical costs and a decrease in membership; negative publicity regarding the managed health care industry generally or the Company in particular; a failure to effectively protect, maintain, and develop our information technology systems; periodic reviews, audits and investigations under the Company’s contracts with federal and state government agencies; litigation, including litigation based on new or evolving legal theories; volatility in the Company’s stock price and trading volume; the Company’s indebtedness, which imposes certain restrictions on its business and operations; an inability to generate sufficient cash to service the Company’s indebtedness; a substantial amount of Coventry’s cash flow is generated by its regulated subsidiaries; the Company’s certificate of incorporation and bylaws and Delaware law, which could delay, discourage or prevent a change in control of the Company that its stockholders may consider favorable; and an impairment of the Company’s intangible assets. Coventry undertakes no obligation to update or revise any forward-looking statements.
Coventry Health Care (www.coventryhealthcare.com) is a diversified national managed healthcare company based in Bethesda, Maryland, operating health plans, insurance companies, network rental and workers’ compensation services companies. Coventry provides a full range of risk and fee-based managed care products and services to a broad cross section of individuals, employer and government-funded groups, government agencies, and other insurance carriers and administrators.
Page 4
COVENTRY HEALTH CARE, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands, except per share data)
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Quarters Ended
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March 31,
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2011
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2010
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Operating revenues:
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(unaudited)
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(unaudited)
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Managed care premiums
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$ | 2,755,336 | $ | 2,570,575 | ||||
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Management services
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293,602 | 288,403 | ||||||
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Total operating revenues
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3,048,938 | 2,858,978 | ||||||
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Operating expenses:
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Medical costs
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2,275,161 | 2,114,343 | ||||||
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Cost of sales
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67,898 | 59,145 | ||||||
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Selling, general, and administrative
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498,590 | 494,905 | ||||||
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Depreciation and amortization
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35,816 | 35,519 | ||||||
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Total operating expenses
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2,877,465 | 2,703,912 | ||||||
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Operating earnings
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171,473 | 155,066 | ||||||
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Operating earnings percentage of total revenues
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5.6 | % | 5.4 | % | ||||
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Interest expense
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20,038 | 20,130 | ||||||
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Other income, net
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19,469 | 20,287 | ||||||
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Earnings before income taxes
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170,904 | 155,223 | ||||||
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Provision for income taxes
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60,671 | 57,898 | ||||||
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Net earnings
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$ | 110,233 | $ | 97,325 | ||||
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Net earnings per share:
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Basic earnings per share
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$ | 0.75 | $ | 0.67 | ||||
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Diluted earnings per share
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$ | 0.74 | $ | 0.66 | ||||
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Weighted average shares outstanding, basic
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147,219 | 145,782 | ||||||
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Weighted average shares outstanding, diluted
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149,184 | 147,281 | ||||||
Page 5
COVENTRY HEALTH CARE, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands)
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March 31,
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December 31,
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2011
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2010
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(unaudited)
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Assets:
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Current assets:
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Cash and cash equivalents
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$ | 1,358,531 | $ | 1,853,988 | ||||
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Restricted cash – litigation escrow
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150,500 | - | ||||||
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Short-term investments
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308,845 | 16,849 | ||||||
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Accounts receivable, net
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275,821 | 276,694 | ||||||
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Other receivables, net
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566,170 | 515,882 | ||||||
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Other current assets
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331,612 | 371,528 | ||||||
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Total current assets
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2,991,479 | 3,034,941 | ||||||
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Long-term investments
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2,349,200 | 2,184,606 | ||||||
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Property and equipment, net
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262,365 | 262,282 | ||||||
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Goodwill
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2,554,966 | 2,550,570 | ||||||
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Other intangible assets, net
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415,706 | 431,886 | ||||||
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Other long-term assets
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30,267 | 31,300 | ||||||
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Total assets
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$ | 8,603,983 | $ | 8,495,585 | ||||
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Liabilities and Stockholders’ Equity:
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Current liabilities:
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Medical liabilities
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$ | 1,307,378 | $ | 1,237,690 | ||||
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Accounts payable and accrued liabilities
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849,479 | 942,226 | ||||||
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Deferred revenue
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161,409 | 103,082 | ||||||
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Current portion of long-term debt
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233,903 | - | ||||||
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Total current liabilities
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2,552,169 | 2,282,998 | ||||||
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Long-term debt
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1,365,585 | 1,599,396 | ||||||
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Other long-term liabilities
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416,391 | 414,025 | ||||||
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Total liabilities
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4,334,145 | 4,296,419 | ||||||
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Stockholders’ equity
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4,269,838 | 4,199,166 | ||||||
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Total liabilities and stockholders’ equity
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$ | 8,603,983 | $ | 8,495,585 | ||||
Page 6
COVENTRY HEALTH CARE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Amounts in thousands)
(unaudited)
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Quarter Ended
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March 31, 2011
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Cash flows from operating activities:
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Net earnings
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$ | 110,233 | ||
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Adjustments to earnings:
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Depreciation and amortization
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35,816 | |||
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Amortization of stock compensation
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8,227 | |||
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Changes in assets and liabilities:
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Accounts receivable, net
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1,693 | |||
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Medical liabilities
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68,942 | |||
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Accounts payable and other accrued liabilities
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(35,478 | ) | ||
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Restricted cash – litigation escrow
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(150,500 | ) | ||
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Deferred revenue
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58,409 | |||
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Other operating activities
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(68,728 | ) | ||
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Net cash flows from operating activities
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28,614 | |||
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Cash flows from investing activities:
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Capital expenditures, net
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(19,658 | ) | ||
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Payments for investments, net of sales and maturities
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(463,320 | ) | ||
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Net cash flows from investing activities
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(482,978 | ) | ||
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Cash flows from financing activities:
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Proceeds from issuance of stock
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8,865 | |||
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Payments for repurchase of stock
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(51,784 | ) | ||
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Excess tax benefit from stock compensation
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1,826 | |||
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Net cash flows from financing activities
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(41,093 | ) | ||
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Net change in cash and cash equivalents for current period
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(495,457 | ) | ||
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Cash and cash equivalents at beginning of period
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1,853,988 | |||
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Cash and cash equivalents at end of period
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$ | 1,358,531 | ||
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Cash and Investments:
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Cash and cash equivalents
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$ | 1,358,531 | ||
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Short-term investments
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308,845 | |||
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Long-term investments
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2,349,200 | |||
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Total cash and investments
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$ | 4,016,576 | ||
Page 7
COVENTRY HEALTH CARE, INC.
SELECTED OPERATING STATISTICS
(Unaudited)
| Q1 2011 |
Total
2010
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Q4 2010 | Q3 2010 | Q2 2010 | Q1 2010 | |||||||||||||
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Membership by Product (000s)
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Health Plan Commercial Risk
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1,636 | 1,641 | 1,533 | 1,522 | 1,501 | |||||||||||||
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Health Plan Commercial ASO
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688 | 698 | 636 | 657 | 663 | |||||||||||||
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Medicare Advantage CCP
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219 | 224 | 193 | 192 | 190 | |||||||||||||
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Medicaid Risk
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468 | 468 | 462 | 413 | 406 | |||||||||||||
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Health Plan Total
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3,011 | 3,031 | 2,824 | 2,784 | 2,760 | |||||||||||||
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Other National ASO
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383 | 459 | 462 | 466 | 482 | |||||||||||||
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Total Medical Membership
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3,394 | 3,490 | 3,286 | 3,250 | 3,242 | |||||||||||||
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Medicare Part D
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1,159 | 1,628 | 1,618 | 1,631 | 1,600 | |||||||||||||
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Total Membership
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4,553 | 5,118 | 4,904 | 4,881 | 4,842 | |||||||||||||
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Revenues by Product Type (000s)
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Commercial Risk
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$ | 1,491,099 | $ | 5,540,470 | $ | 1,475,773 | $ | 1,380,019 | $ | 1,367,457 | $ | 1,317,221 | ||||||
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Commercial Management Services
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77,842 | 327,084 | 81,861 | 79,869 | 82,395 | 82,957 | ||||||||||||
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Medicare Advantage
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591,242 | 2,114,205 | 579,329 | 522,202 | 505,084 | 507,592 | ||||||||||||
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Medicaid Risk
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311,066 | 1,133,353 | 312,359 | 286,762 | 268,460 | 265,771 | ||||||||||||
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Total Health Plan and Medical Services Businesses
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2,471,249 | 9,115,112 | 2,449,322 | 2,268,852 | 2,223,396 | 2,173,541 | ||||||||||||
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Medicare Part D
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358,445 | 1,604,198 | 357,941 | 348,784 | 423,664 | 473,809 | ||||||||||||
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Other Premiums
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26,415 | 100,130 | 24,770 | 25,054 | 25,201 | 25,105 | ||||||||||||
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Other Management Services
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218,141 | 856,072 | 215,279 | 215,185 | 217,706 | 207,904 | ||||||||||||
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Total Specialized Managed Care Businesses
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603,001 | 2,560,400 | 597,990 | 589,023 | 666,571 | 706,818 | ||||||||||||
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Total Premiums
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2,778,267 | 10,492,356 | 2,750,172 | 2,562,821 | 2,589,866 | 2,589,498 | ||||||||||||
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Total Management Services
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295,983 | 1,183,156 | 297,140 | 295,054 | 300,101 | 290,861 | ||||||||||||
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Other/Eliminations
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(25,312 | ) | (87,596 | ) | (22,296 | ) | (22,094 | ) | (21,826 | ) | (21,381 | ) | ||||||
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Total Revenue
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$ | 3,048,938 | $ | 11,587,916 | $ | 3,025,016 | $ | 2,835,781 | $ | 2,868,141 | $ | 2,858,978 | ||||||
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Consolidated Coventry
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Operating Income % of Revenues
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5.6 | % | 5.9 | % | 7.8 | % | 10.3 | % | 0.2 | % | 5.4 | % | ||||||
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SGA % of Revenues
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16.4 | % | 16.9 | % | 17.6 | % | 17.0 | % | 15.8 | % | 17.3 | % | ||||||
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Total Health Plan Medical Liabilities (000s)(2)
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$ | 1,087,137 | $ | 1,021,667 | $ | 952,810 | $ | 1,026,355 | $ | 979,173 | ||||||||
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Health Plan Days in Claims Payable (DCP) (2)
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50.40 | 48.62 | 51.70 | 55.47 | 54.14 | |||||||||||||
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Total Debt (millions)
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$ | 1,599.5 | $ | 1,599.4 | $ | 1,599.3 | $ | 1,599.2 | $ | 1,599.1 | ||||||||
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Total Capital (millions)
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$ | 5,869.3 | $ | 5,798.6 | $ | 5,655.7 | $ | 5,442.7 | $ | 5,418.2 | ||||||||
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Debt to Capital
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27.3 | % | 27.6 | % | 28.3 | % | 29.4 | % | 29.5 | % | ||||||||
Page 8
COVENTRY HEALTH CARE, INC.
SELECTED REVENUE AND MEDICAL COST STATISTICS
(Unaudited)
| Q1 2011 |
Total
2010
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Q4 2010 | Q3 2010 | Q2 2010 | Q1 2010 | |||||||||||||||||||
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Revenue PMPM
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Health Plan Commercial Group Risk
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$ | 320.97 | $ | 314.58 | $ | 316.34 | $ | 315.82 | $ | 313.92 | $ | 312.05 | ||||||||||||
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Medicare Advantage(3), (4)
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$ | 883.09 | $ | 876.67 | $ | 857.39 | $ | 899.89 | $ | 867.43 | $ | 885.26 | ||||||||||||
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Medicare Part D(5)
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$ | 90.86 | $ | 87.96 | $ | 85.74 | $ | 87.56 | $ | 90.49 | $ | 88.05 | ||||||||||||
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Medicaid
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$ | 221.16 | $ | 218.98 | $ | 223.54 | $ | 215.51 | $ | 217.77 | $ | 218.76 | ||||||||||||
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MLR%
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Consolidated Total
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82.6 | % | 79.4 | % | 79.0 | % | 77.2 | % | 79.1 | % | 82.3 | % | ||||||||||||
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Health Plan Commercial Group Risk
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80.2 | % | 79.2 | % | 81.3 | % | 76.8 | % | 78.3 | % | 80.2 | % | ||||||||||||
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Medicare Advantage(4)
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84.2 | % | 82.0 | % | 84.1 | % | 77.0 | % | 81.2 | % | 85.7 | % | ||||||||||||
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Medicare Part D
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95.8 | % | 83.7 | % | 64.7 | % | 79.0 | % | 90.7 | % | 95.3 | % | ||||||||||||
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Medicaid
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86.0 | % | 85.7 | % | 85.4 | % | 89.0 | % | 84.2 | % | 84.0 | % | ||||||||||||
Explanatory Notes
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(2)
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“Total Health Plan Medical Liabilities” and “Health Plan Days in Claims Payable” are calculated consistent with prior disclosures to exclude MA-PFFS for all periods presented due to the Company’s non-renewal of this product line effective January 1, 2010. These statistics exclude the effect of the Preferred Health Systems acquisition for the first quarter of 2010 due to the timing of closing (February 1, 2010).
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(3)
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Revenue PMPM excludes the impact of revenue ceded to external parties.
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(4)
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Beginning with Q1 2010, Medicare Advantage revenue and medical cost statistics represent the MA-CCP business only as the Company did not renew the MA-PFFS product line effective January 1, 2010.
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(5)
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Revenue PMPM excludes the impact of CMS risk-share premium adjustments and revenue ceded to external parties.
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Page 9