Attached files
| file | filename |
|---|---|
| 8-K - 8-K - WELLCARE HEALTH PLANS, INC. | form8-kre2013q2earnings.htm |
Exhibit 99.1
CONTACTS: | ||
Investor relations: | Media relations: | |
Gregg Haddad | Crystal Warwell Walker | |
813-206-3916 | 813-206-2697 | |
gregg.haddad@wellcare.com | crystal.walker@wellcare.com | |
WELLCARE REPORTS SECOND QUARTER 2013 RESULTS
TAMPA, Fla. (August 7, 2013) – WellCare Health Plans, Inc. (NYSE: WCG) today reported results for the second quarter and six months ended June 30, 2013. As determined under generally accepted accounting principles (GAAP), net income for the second quarter of 2013 was $46.9 million, or $1.07 per diluted share, compared with $46.4 million, or $1.06 per diluted share, for the second quarter of 2012. Adjusted (non-GAAP) net income for the second quarter of 2013 was $59.2 million, or $1.35 per diluted share, compared with $54.5 million, or $1.24 per diluted share, for the second quarter of 2012.
“Our second quarter results reflect the ongoing strengthening of our quality, service, and productivity, as well as execution on acquisition integration and organic growth,” said Alec Cunningham, WellCare’s CEO. “We see important opportunities for growth in 2014 and beyond and are continuing to invest in our capabilities to capitalize on those opportunities.”
Highlights of Recent Accomplishments
• | Second quarter premium revenue of $2.3 billion grew 29% year over year, driven by a 67% increase in Medicare Advantage segment premium revenue and a 26% increase in Medicaid segment premium revenue. |
• | In July 2013, the Commonwealth of Kentucky assigned an additional 57,000 members to the Company’s Medicaid managed care contract as a result of another health plan’s departure from the program. As of July, WellCare’s total Kentucky program membership was approximately 280,000. |
• | WellCare’s 2014 Medicare Prescription Drug Plan (PDP) bids were below the benchmarks in 30 of the 33 Centers for Medicare & Medicaid Services (CMS) regions for which the Company submitted bids. This compares to 2013 results, in which the Company’s bids were below the benchmarks in 14 regions. The favorable 2014 outcome resulted from the realignment of the Company’s benefit designs and cost structure to allow for prudent, competitive bids. |
Company Operations for the Second Quarter of 2013
Adjusted net income per diluted share for the second quarter of 2013 increased $0.11 compared with the same period in 2012, primarily due to increased premium revenue, offset in part by the increase in the Company medical benefits ratio (MBR). The decrease in the adjusted administrative expense ratio also contributed to the year over year increase in adjusted net income. Membership as of June 30, 2013, increased 11% to 2.8 million compared with the same period in 2012. Premium revenue for the second quarter of 2013 increased 29% year over year to $2.3 billion. Medical benefits expense for the second quarter of 2013 was $2.0 billion, an increase of 30% from the second quarter of 2012.
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WCG Reports Second Quarter 2013 Results
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August 7, 2013
Selling, general and administrative (SG&A) expense as determined under GAAP was $205 million in the second quarter of 2013, compared with $159 million for the same period in 2012. Adjusted (non-GAAP) SG&A expense was $186 million in the second quarter of 2013, an increase of 27% from $147 million for the same period last year. The increase was driven primarily by increased membership, including membership associated with acquisitions. The adjusted administrative expense ratio was 8.1% in the second quarter of 2013, compared with 8.2% for the same period in 2012. The decrease in the ratio resulted from improved operating leverage and efficiency, offset in part by investments in growth and service initiatives.
Medicaid Segment Operations
Medicaid segment membership increased by 280,000, or 18% year over year, to 1.8 million members as of June 30, 2013. The increase resulted mainly from the Company’s first quarter 2013 acquisitions in Missouri and South Carolina and from growth in the Kentucky and Florida programs. Premium revenue was $1.4 billion for the second quarter of 2013, an increase of 26% year over year, and was driven mainly by membership growth. The Medicaid segment MBR was 87.5% for the second quarter of 2013, which was in line with the Company’s expectation. The MBR decreased from 89.2% in the second quarter of 2012.
Medicare Advantage Segment Operations
Medicare Advantage segment membership as of June 30, 2013, increased by 114,000 year over year, or 72%, to 272,000 members. Premium revenue for the quarter grew 67% year over year to $760 million. The growth resulted primarily from the Company’s acquisition in California that occurred in November 2012, as well as organic sales activity in New York, Florida, Georgia, and Texas. The Medicare Advantage segment MBR was 86.5% for the second quarter of 2013. The MBR was better than the Company’s expected range of results mainly as a result of higher than anticipated premium revenue. The MBR increased from 83.3% in the second quarter of 2012.
Prescription Drug Plan Segment Operations
PDP segment membership as of June 30, 2013, decreased 114,000 year over year, or 13%. The decrease was primarily due to a reduction in membership automatically assigned to the Company’s plans by CMS, offset in part by growth in WellCare’s enhanced PDP product. Premium revenue for the quarter decreased 28% to $185 million as a result of the membership decline and the outcome of the 2013 bids. The PDP segment MBR was 90.5% in the second quarter of 2013, which was in line with the Company’s expected range of performance. The MBR increased from 80.4% in the second quarter of 2012.
Cash Flow and Financial Condition
Net cash used in operating activities as determined under GAAP was $49 million for the six months ended June 30, 2013, compared with net cash used in operating activities of $194 million for the six months ended June 30, 2012.
On a non-GAAP basis, modified for the timing of receipts from, and payments to, WellCare’s government customers, net cash provided by operating activities was $133 million for the six months ended June 30, 2013, compared with net cash used in operating activities of $47 million for the same period in 2012. The improvement resulted mainly from the Company’s growth.
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As of June 30, 2013, unregulated cash and investments were approximately $267 million, compared with $336 million as of March 31, 2013. The decrease resulted primarily from payments and expenditures associated with the historical government investigations, capital contributions to certain of the Company’s regulated entities, and scheduled principal payments on debt.
Days in claims payable were 40 days as of June 30, 2013, compared with 40 days as of March 31, 2013, and 38 days as of June 30, 2012.
Financial Outlook
The Company is updating its financial outlook for the year ending December 31, 2013:
• | Adjusted net income per diluted share is expected to be between approximately $4.70 and $4.90. The previous guidance was for adjusted net income per diluted share of between $4.60 and $4.90. The change in range results mainly from the incorporation into the guidance of the Company’s second quarter results. |
• | Premium revenue in total is expected to be between $9.15 and $9.25 billion. Previous guidance was for premium revenue to be between $8.9 and $9.0 billion. |
• | Premium revenues and MBRs for each of the Company’s segments are anticipated as follows: |
Segments | Premium Revenue Year-over-year Changes | MBRs |
Medicaid | Increase approximately 24% | 87.75% to 88.50% |
Medicare Advantage | Increase approximately 55% | 86.50% to 87.25% |
Medicare PDP | Decrease approximately 25% | 85.00% to 85.75% |
• | The adjusted administrative expense ratio is expected to be approximately 8.7%. Previous guidance was for the adjusted administrative expense ratio to be between 8.7% and 8.9%. |
All elements of the Company’s outlook exclude the impact of Medicaid premium taxes.
Webcast
A discussion of WellCare’s second quarter 2013 results will be webcast live on Wednesday, August 7, 2013, beginning at 8:30 a.m. Eastern Time. A replay will be available beginning approximately one hour following the conclusion of the live broadcast and will be available for 30 days. The webcast is available via the Company’s web site at www.wellcare.com.
About WellCare Health Plans, Inc.
WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind, and disabled, as well as prescription drug plans. The Company served approximately 2.8 million members nationwide as of June 30, 2013. For more information about WellCare, please visit the Company’s website at www.wellcare.com.
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Basis of Presentation
In addition to results determined under GAAP, premium revenue as described in this news release excludes the impact of premium taxes. Both the Company and segment MBRs, as well as the Company’s administrative expense ratio, are calculated as a percentage of premium revenue, excluding premium taxes. Additionally, net income and certain other operating results described in this news release are reported after adjustment for certain SG&A expenses related to previously disclosed government investigations and related litigation and resolution costs that management believes are not indicative of long-term business operations. Please refer to the schedule in this news release that provides supplemental information reconciling results determined under GAAP to adjusted (non-GAAP) results.
Cautionary Statement Regarding Forward-Looking Statements
This news release contains “forward-looking” statements that are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Statements that are predictive in nature, that depend upon or refer to future events or conditions, or that include words such as “expects,” “anticipates,” “intends,” “plans,” “believes,” “estimates,” and similar expressions are forward-looking statements. For example, statements regarding the Company’s financial outlook contain forward-looking statements. Forward-looking statements involve known and unknown risks and uncertainties that may cause WellCare’s actual future results to differ materially from those projected or contemplated in the forward-looking statements. These risks and uncertainties include, but are not limited to, WellCare’s progress on top priorities such as improving health care quality and access, ensuring a competitive cost position, and delivering prudent, profitable growth, WellCare’s ability to effectively manage growth, WellCare’s ability to address operational challenges relating to new business, WellCare’s ability to effectively integrate acquisitions, potential reductions in Medicaid and Medicare revenue, including due to sequestration, and WellCare’s ability to estimate and manage medical benefits effectively.
Additional information concerning these and other important risks and uncertainties can be found in the Company’s filings with the U.S. Securities and Exchange Commission (the SEC), included under the captions “Forward-Looking Statements” and “Risk Factors” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2012 and the Company’s Quarterly Report on Form 10-Q for the period ended March 31, 2013, and other subsequent filings by WellCare with the SEC, which contain discussions of WellCare’s business and the various factors that may affect it. WellCare undertakes no duty to update these forward-looking statements to reflect any future events, developments, or otherwise.
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WCG Reports Second Quarter 2013 Results
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August 7, 2013
WELLCARE HEALTH PLANS, INC.
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME DATA
(Unaudited; dollars in thousands except share and per share data)
For the Three Months Ended June 30, | For the Six Months Ended June 30, | |||||||||||
2013 | 2012 | 2013 | 2012 | |||||||||
Revenues: | ||||||||||||
Premium | $ | 2,306,497 | $ | 1,789,116 | $ | 4,537,481 | $ | 3,557,287 | ||||
Medicaid premium taxes | 20,873 | 20,091 | 42,214 | 40,467 | ||||||||
Total premium | 2,327,370 | 1,809,207 | 4,579,695 | 3,597,754 | ||||||||
Investment and other income | 4,750 | 1,968 | 9,082 | 4,754 | ||||||||
Total revenues | 2,332,120 | 1,811,175 | 4,588,777 | 3,602,508 | ||||||||
Expenses: | ||||||||||||
Medical benefits | 2,015,909 | 1,546,164 | 4,003,192 | 3,067,955 | ||||||||
Selling, general and administrative | 205,423 | 159,008 | 418,799 | 320,696 | ||||||||
Medicaid premium taxes | 20,873 | 20,091 | 42,214 | 40,467 | ||||||||
Depreciation and amortization | 10,585 | 7,541 | 20,762 | 14,511 | ||||||||
Interest | 2,154 | 997 | 3,761 | 2,147 | ||||||||
Total expenses | 2,254,944 | 1,733,801 | 4,488,728 | 3,445,776 | ||||||||
Income before income taxes | 77,176 | 77,374 | 100,049 | 156,732 | ||||||||
Income tax expense | 30,276 | 30,932 | 31,631 | 59,058 | ||||||||
Net income | $ | 46,900 | $ | 46,442 | $ | 68,418 | $ | 97,674 | ||||
Net income per common share: | ||||||||||||
Basic | $ | 1.08 | $ | 1.08 | $ | 1.58 | $ | 2.27 | ||||
Diluted | $ | 1.07 | $ | 1.06 | $ | 1.56 | $ | 2.23 | ||||
Weighted average common shares outstanding: | ||||||||||||
Basic | 43,478,267 | 43,092,737 | 43,401,824 | 43,030,006 | ||||||||
Diluted | 43,926,957 | 43,775,312 | 43,939,709 | 43,713,391 | ||||||||
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WELLCARE HEALTH PLANS, INC.
CONSOLIDATED BALANCE SHEETS
(Unaudited; Dollars in thousands except share data)
June 30, 2013 | Dec. 31, 2012 | |||||
ASSETS | ||||||
Current Assets: | ||||||
Cash and cash equivalents | $ | 1,195,049 | $ | 1,100,495 | ||
Investments | 311,390 | 220,344 | ||||
Premiums receivable, net | 584,825 | 387,294 | ||||
Pharmacy rebates receivable, net | 127,123 | 126,832 | ||||
Funds receivable for the benefit of members | 53,092 | 126,646 | ||||
Income taxes receivable | – | 15,615 | ||||
Prepaid expenses and other current assets, net | 97,803 | 96,276 | ||||
Deferred income tax asset | 22,971 | 27,208 | ||||
Total current assets | 2,392,253 | 2,100,710 | ||||
Property, equipment and capitalized software, net | 143,389 | 131,518 | ||||
Goodwill | 236,756 | 223,839 | ||||
Other intangible assets, net | 70,179 | 53,028 | ||||
Long-term investments | 103,664 | 96,700 | ||||
Restricted investments | 80,588 | 67,364 | ||||
Other assets | 2,896 | 2,357 | ||||
Total Assets | $ | 3,029,725 | $ | 2,675,516 | ||
LIABILITIES AND STOCKHOLDERS' EQUITY | ||||||
Current Liabilities: | ||||||
Medical benefits payable | $ | 890,897 | $ | 732,994 | ||
Unearned premiums | 162 | 146 | ||||
Accounts payable | 12,302 | 18,582 | ||||
Income taxes payable | 486 | – | ||||
Other accrued expenses and liabilities | 181,594 | 221,055 | ||||
Current portion of amount payable related to investigation resolution | 35,678 | 37,305 | ||||
Current portion of long-term debt | 38,000 | 15,000 | ||||
Other payables to government partners | 67,670 | 88,344 | ||||
Total current liabilities | 1,226,789 | 1,113,426 | ||||
Deferred income tax liability | 51,455 | 42,058 | ||||
Amount payable related to investigation resolution | 33,565 | 68,171 | ||||
Long-term debt | 308,000 | 120,000 | ||||
Other liabilities | 7,293 | 8,697 | ||||
Total liabilities | 1,627,102 | 1,352,352 | ||||
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Commitments and contingencies | – | – | ||||
Stockholders' Equity: | ||||||
Preferred stock, $0.01 par value (20,000,000 authorized, no shares issued or outstanding) | – | – | ||||
Common stock, $0.01 par value (100,000,000 authorized, 43,518,147 and 43,212,375 shares issued and outstanding at June 30, 2013 and December 31, 2012, respectively) | 435 | 432 | ||||
Paid-in capital | 481,097 | 469,434 | ||||
Retained earnings | 922,504 | 854,086 | ||||
Accumulated other comprehensive loss | (1,413) | (788) | ||||
Total stockholders' equity | 1,402,623 | 1,323,164 | ||||
Total Liabilities and Stockholders' Equity | $ | 3,029,725 | $ | 2,675,516 | ||
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WELLCARE HEALTH PLANS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited; dollars in thousands)
For the Six Months Ended June 30, | ||||||
2013 | 2012 | |||||
Cash used in operating activities: | ||||||
Net income | $ | 68,418 | $ | 97,674 | ||
Adjustments to reconcile net income to net cash used in operating activities: | ||||||
Depreciation and amortization | 20,762 | 14,511 | ||||
Equity-based compensation expense | 7,058 | 9,541 | ||||
Incremental tax benefit from equity-based compensation | (2,619) | (2,628) | ||||
Deferred taxes, net | 12,410 | (11,998) | ||||
Provision for doubtful receivables | 5,565 | 8,398 | ||||
Changes in operating accounts, net of effects from acquisitions: | ||||||
Premiums receivable, net | (166,475) | (396,042) | ||||
Pharmacy rebates receivable, net | (291) | (23,991) | ||||
Prepaid expenses and other current assets, net | 3,102 | 14,173 | ||||
Medical benefits payable | 86,468 | (90,725) | ||||
Unearned premiums | 16 | 240,540 | ||||
Accounts payables and other accrued expenses | (44,842) | (20,088) | ||||
Other payables to government partners | (20,674) | 593 | ||||
Amount payable related to investigation resolution | (36,233) | (47,418) | ||||
Income taxes receivable/payable, net | 18,560 | 13,654 | ||||
Other, net | 150 | 222 | ||||
Net cash used in operating activities | (48,625) | (193,584) | ||||
Cash used in investing activities: | ||||||
Acquisitions, net of cash acquired | (40,493) | – | ||||
Purchases of investments | (297,735) | (237,376) | ||||
Proceeds from sale and maturities of investments | 236,758 | 181,597 | ||||
Purchases of restricted investments | (25,950) | (19,815) | ||||
Proceeds from maturities of restricted investments | 14,332 | 14,232 | ||||
Additions to property, equipment and capitalized software, net | (30,930) | (34,592) | ||||
Net cash used in investing activities | (144,018) | (95,954) | ||||
Cash provided by financing activities: | ||||||
Proceeds from debt, net of financing costs paid | 228,563 | – | ||||
Proceeds from exercises of stock options | 4,961 | 8,481 | ||||
Incremental tax benefit from equity-based compensation | 2,619 | 2,628 | ||||
Repurchase and retirement of shares to satisfy tax withholding agreements | (2,812) | (4,019) | ||||
Payments on debt | (19,000) | (3,750) | ||||
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Payments on capital leases | (688) | (915) | ||||
Funds receivable for the benefit of members, net | 73,554 | 112,261 | ||||
Net cash provided by financing activities | 287,197 | 114,686 | ||||
Increase (decrease) in cash and cash equivalents | 94,554 | (174,852) | ||||
Balance at beginning of period | 1,100,495 | 1,325,098 | ||||
Balance at end of period | $ | 1,195,049 | $ | 1,150,246 | ||
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION: | ||||||
Cash paid for taxes | $ | 3,493 | $ | 73,298 | ||
Cash paid for interest | $ | 2,471 | $ | 1,935 | ||
SUPPLEMENTAL DISCLOSURES OF NON-CASH TRANSACTIONS: | ||||||
Non-cash additions to property, equipment, and capitalized software | $ | 1,262 | $ | 1,000 | ||
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WELLCARE HEALTH PLANS, INC.
MEMBERSHIP STATISTICS
(Unaudited)
June 30, 2013 | June 30, 2012 | |
Membership by Program | ||
Medicaid Membership | ||
TANF | 1,382,000 | 1,201,000 |
CHIP | 213,000 | 172,000 |
SSI, ABD, and duals | 177,000 | 125,000 |
Other programs | 26,000 | 20,000 |
Total Medicaid Membership | 1,798,000 | 1,518,000 |
Medicare Membership | ||
Medicare Advantage | 272,000 | 158,000 |
Prescription Drug Plan | 772,000 | 886,000 |
Total Medicare Membership | 1,044,000 | 1,044,000 |
Total Membership | 2,842,000 | 2,562,000 |
Medicaid Membership by State | ||
Georgia | 574,000 | 569,000 |
Florida | 478,000 | 436,000 |
Kentucky | 225,000 | 154,000 |
Illinois | 143,000 | 134,000 |
Missouri | 108,000 | 16,000 |
Ohio | 90,000 | 102,000 |
Other states | 180,000 | 107,000 |
Total Medicaid Membership | 1,798,000 | 1,518,000 |
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August 7, 2013
WELLCARE HEALTH PLANS, INC.
SEGMENT INFORMATION
(Unaudited; dollars in thousands)
Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||
2013 | 2012 | 2013 | 2012 | |||||||||
Premium revenue: | ||||||||||||
Medicaid: | ||||||||||||
Georgia | $ | 361,882 | $ | 371,065 | $ | 729,459 | $ | 742,064 | ||||
Kentucky | 281,571 | 166,055 | 578,105 | 323,409 | ||||||||
Florida | 264,424 | 241,765 | 525,395 | 470,219 | ||||||||
Other states | 453,265 | 298,453 | 817,202 | 595,922 | ||||||||
Medicaid premium taxes | 20,873 | 20,091 | 42,214 | 40,467 | ||||||||
Total Medicaid | 1,382,015 | 1,097,429 | 2,692,375 | 2,172,081 | ||||||||
Medicare: | ||||||||||||
Medicare Advantage plans | 760,021 | 455,519 | 1,478,886 | 893,749 | ||||||||
Prescription Drug plans | 185,334 | 256,259 | 408,434 | 531,924 | ||||||||
Total Medicare | 945,355 | 711,778 | 1,887,320 | 1,425,673 | ||||||||
Total Premium Revenue | $ | 2,327,370 | $ | 1,809,207 | $ | 4,579,695 | $ | 3,597,754 | ||||
Medical benefits ratios: | ||||||||||||
Medicaid, including premium tax | 86.2 | % | 87.5 | % | 86.2 | % | 85.8 | % | ||||
Medicaid | 87.5 | % | 89.2 | % | 87.6 | % | 87.5 | % | ||||
Medicare Advantage | 86.5 | % | 83.3 | % | 86.7 | % | 81.1 | % | ||||
Prescription Drug Plans | 90.5 | % | 80.4 | % | 97.6 | % | 90.0 | % | ||||
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August 7, 2013
WELLCARE HEALTH PLANS, INC.
SUPPLEMENTAL INFORMATION
Reconciliation of Certain GAAP Financial Information
Associated with Government Investigation-Related Matters
(Unaudited; dollars in thousands except per share data)
The Company reports adjusted operating results on a non-GAAP basis to exclude certain expenses that management believes are not indicative of longer-term business trends and operations. Following is certain financial information for the three months ended June 30, 2013 and 2012, as determined under GAAP, reconciled to the adjusted financial information for the same periods.
For the Three Months Ended June 30, 2013 | For the Three Months Ended June 30, 2012 | |||||||||||||||||||
GAAP | Adjustments | Adjusted (Non-GAAP) | GAAP | Adjustments | Adjusted (Non-GAAP) | |||||||||||||||
Selling, general, and administrative expense | $ | 205,423 | $ | (19,254 | ) | (a) (b) | $ | 186,169 | $ | 159,008 | $ | (12,504 | ) | (a) (b) | $ | 146,504 | ||||
Income tax expense | 30,276 | 6,981 | (c) | 37,257 | 30,932 | 4,473 | (c) | 35,405 | ||||||||||||
Net income | 46,900 | 12,273 | 59,173 | 46,442 | 8,031 | 54,473 | ||||||||||||||
Net income per share: | ||||||||||||||||||||
Basic | $ | 1.08 | $ | 0.28 | $ | 1.36 | $ | 1.08 | $ | 0.18 | $ | 1.26 | ||||||||
Diluted | $ | 1.07 | $ | 0.28 | $ | 1.35 | $ | 1.06 | $ | 0.18 | $ | 1.24 | ||||||||
(a) | Investigation-related legal, accounting, and other costs: Administrative expenses associated with the government investigations and related litigation amounted to $18.7 million and $11.7 million, respectively, during the three months ended June 30, 2013 and 2012. |
(b) | Liability for government investigation-related litigation resolution: Based on the status of government investigation-related litigation, the Company recorded expense of $0.6 million and $0.8 million, respectively, during the three months ended June 30, 2013 and 2012. |
(c) | Income tax expense: Had the Company not recorded the government investigation-related items described above, the Company estimates that its income tax expense would be increased by $7.0 million and $4.5 million, respectively, during the three months ended June 30, 2013 and 2012, based on the effective income tax rates applicable to adjusted (non-GAAP) results. |
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August 7, 2013
WELLCARE HEALTH PLANS, INC.
SUPPLEMENTAL INFORMATION (Continued)
Reconciliation of Certain GAAP Financial Information
Associated with Government Investigation-Related Matters
(Unaudited; dollars in thousands except per share data)
The Company reports adjusted operating results on a non-GAAP basis to exclude certain expenses that management believes are not indicative of longer-term business trends and operations. Following is certain financial information for the six months ended June 30, 2013 and 2012, as determined under GAAP, reconciled to the adjusted financial information for the same periods.
For the Six Months Ended June 30, 2013 | For the Six Months Ended June 30, 2012 | |||||||||||||||||||
GAAP | Adjustments | Adjusted (Non-GAAP) | GAAP | Adjustments | Adjusted (Non-GAAP) | |||||||||||||||
Selling, general, and administrative expense | $ | 418,799 | $ | (41,171 | ) | (a) (b) | $ | 377,628 | $ | 320,696 | $ | (25,255 | ) | (a) (b) | $ | 295,441 | ||||
Income tax expense | 31,631 | 22,948 | (c) | 54,579 | 59,058 | 11,120 | (c) | 70,178 | ||||||||||||
Net income | 68,418 | 18,223 | 86,641 | 97,674 | 14,135 | 111,809 | ||||||||||||||
Net income per share: | ||||||||||||||||||||
Basic | $ | 1.58 | $ | 0.42 | $ | 2.00 | $ | 2.27 | $ | 0.33 | $ | 2.60 | ||||||||
Diluted | $ | 1.56 | $ | 0.41 | $ | 1.97 | $ | 2.23 | $ | 0.33 | $ | 2.56 | ||||||||
(a) | Investigation-related legal, accounting, and other costs: Administrative expenses associated with the government investigations and related litigation amounted to $39.8 million and $23.1 million, respectively, during the six months ended June 30, 2013 and 2012. |
(b) | Liability for government investigation-related litigation resolution: Based on the status of government investigation-related litigation, the Company recorded expense of $1.4 million and $2.2 million, respectively, during the six months ended June 30, 2013 and 2012. |
(c) | Income tax expense: Had the Company not recorded the government investigation-related items described above, the Company estimates that its income tax expense would be increased by $22.9 million and $11.1 million, respectively, during the six months ended June 30, 2013 and 2012, based on the effective income tax rates applicable to adjusted (non-GAAP) results. |
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August 7, 2013
WELLCARE HEALTH PLANS, INC.
SUPPLEMENTAL INFORMATION (Continued)
Reconciliation of Administrative Expense Ratios
(Unaudited; dollars in thousands)
The Company reports the administrative expense ratio on an adjusted or non-GAAP basis modified to reflect the impact of Medicaid premium taxes and expenses associated with government investigations and related litigation on this ratio.
Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||
2013 | 2012 | 2013 | 2012 | |||||||||
Company premium revenue: | ||||||||||||
As determined under GAAP | $ | 2,327,370 | $ | 1,809,207 | $ | 4,579,695 | $ | 3,597,754 | ||||
Medicaid premium taxes | 20,873 | 20,091 | 42,214 | 40,467 | ||||||||
Total premium revenue net of Medicaid premium taxes (non-GAAP) | $ | 2,306,497 | $ | 1,789,116 | $ | 4,537,481 | $ | 3,557,287 | ||||
Administrative expense ratio: | ||||||||||||
As determined under GAAP | 8.8 | % | 8.8 | % | 9.1 | % | 8.9 | % | ||||
Impact of Medicaid premium taxes | 0.1 | % | 0.1 | % | 0.1 | % | 0.1 | % | ||||
Excluding Medicaid premium taxes | 8.9 | % | 8.9 | % | 9.2 | % | 9.0 | % | ||||
Selling, general and administrative expense adjustments(a) | (0.80 | )% | (0.70 | )% | (0.90 | )% | (0.70 | )% | ||||
Adjusted (non-GAAP) | 8.1 | % | 8.2 | % | 8.3 | % | 8.3 | % | ||||
(a) | Results from expenses associated with government investigation-related legal, accounting, and other costs, as well as liabilities for litigation resolution for each of the respective periods, which dollar amounts are disclosed on the schedules above. |
Reconciliation of GAAP Net Cash Used in or Provided by Operating Activities
to Net Cash Provided by Operating Activities,
Modified for the Timing of Receipts from, and Payments to, Government Customers
(Unaudited; dollars in thousands)
The Company reports cash used in or provided by operating activities on a non-GAAP basis modified to exclude the changes in premium receivables, provision for doubtful receivables, unearned premiums, and other net receivables from, and payables to, government customers. The Company believes that cash used in or provided by operating activities modified to exclude these changes is a useful measure for investors, as the excluded changes are a function of the timing of cash receipts from, and payments to, federal and state government agencies at the end of each period.
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WCG Reports Second Quarter 2013 Results
Page 15
August 7, 2013
For the Six Months Ended June 30, | ||||||
2013 | 2012 | |||||
Net cash used in operating activities, as reported | $ | (48,625 | ) | $ | (193,584 | ) |
Modifications to eliminate changes in: | ||||||
Premiums receivable, net | 166,475 | 396,042 | ||||
Provision for doubtful receivables | (5,565) | (8,398) | ||||
Unearned premiums | (16) | (240,540) | ||||
Other payables to government customers | 20,674 | (593) | ||||
Net cash provided by (used in) operating activities, modified for the timing of receipts from, and payments to, government customers (non-GAAP) | $ | 132,943 | $ | (47,073 | ) | |
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