10.02.2009 11:40:00

Coventry Health Care Reports Fourth Quarter Earnings of $0.60 per Diluted Share

Coventry Health Care, Inc. (NYSE:CVH) today reported consolidated operating results for the quarter ended December 31, 2008. Operating revenues totaled $3.0 billion for the quarter with net earnings of $88.2 million, or $0.60 per diluted share. For the year ended December 31, 2008, total revenues were $11.9 billion with net earnings of $381.9 million, or $2.54 per diluted share.

"With the fourth quarter results as expected and 2008 behind us, we are pleased to reiterate 2009 guidance. The Company is completely focused on achieving 2009 guidance and expanding margins in 2010 and beyond,” said Allen F. Wise, chief executive officer of Coventry.

Fourth Quarter 2008 Highlights

  • Revenues increased 8.3% from the prior year quarter
  • Continued growth in Medicare Advantage, Medicare Part D, and Individual risk membership
  • Strong balance sheet and liquidity position
    • $440 million of deployable free cash and Treasuries on hand
    • Investment portfolio reflects a net unrealized gain position at year-end
  • On a "same store” basis (e.g., excluding Vista), health plan commercial group risk premium yield increased 4.1% over the same prior year period, a sequential increase from 3.8% in the third quarter of 2008

Full Year 2008 Highlights

  • Revenues increased 20.6% from the prior year
  • Medicare Advantage growth of 97,000 members from the prior year, an increase of 34%
  • Third consecutive year of strong performance for Medicare Part D including growth of 227,000 members from the prior year, an increase of 32%
  • Continued growth in commercial small group risk and Individual risk membership
  • GAAP cash flows from operations were $627.4 million, or 164% of net income

2009 Full Year Guidance (All metrics are consistent with previously provided guidance)

  • Risk revenue of $11.8 billion to $12.4 billion
  • Management services revenue of $1.26 billion to $1.33 billion
  • Consolidated revenue of $13.06 billion to $13.73 billion
  • Consolidated Medical Loss Ratio (MLR%) of 84.8% to 85.4%
  • Cost of sales expense of $205.0 million to $220.0 million
  • Selling, general, and administrative expense (SG&A) of $2.275 billion to $2.350 billion
    • Includes 2009 network spend of $40.0 million to $50.0 million
  • Depreciation and amortization expense of $146.0 million to $156.0 million
  • Other income of $77.0 million to $87.0 million
  • Interest expense of $90.0 million to $96.0 million
  • Tax rate of 37.2% to 37.8%
  • Diluted share count of 141.0 million to 145.0 million shares
  • GAAP EPS on a diluted basis of $1.70 to $1.90
    • EPS midpoint of $2.00 excluding 2009 network spend

Mr. Allen F. Wise, chief executive officer of Coventry, will host a conference call at 8:00 a.m. ET on Tuesday, February 10, 2009. To listen to the call, dial toll-free at (888) 726-2459 or, for international callers, (913) 312-0855. Callers will be asked to identify themselves and their affiliations. The conference call will also be broadcast from Coventry’s Investor Relations website 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 4571012.

This press release contains forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are defined as statements that are not historical facts and include those statements relating to future events or future financial performance. Actual performance may be significantly impacted by certain risks and uncertainties including those described in Coventry’s Annual Report on Form 10-K for the year ended December 31, 2007 and Coventry’s Form 10-Q for the quarter ended September 30, 2008. 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. Through its Commercial Business, Individual Consumer & Government Business, and Specialty Business divisions, Coventry provides a full range of risk and fee-based managed care products and services to a broad cross section of individuals, employer and government-funded groups, government agencies, and other insurance carriers and administrators.

   
COVENTRY HEALTH CARE, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands, except per share data)
 
Quarters Ended Years Ended
December 31, December 31,
  2008       2007     2008       2007  
(unaudited) (unaudited) (unaudited)
Operating revenues:
Managed care premiums $ 2,671,463 $ 2,448,048 $ 10,563,163 $ 8,689,633
Management services   348,385     339,846     1,350,483     1,189,898  
Total operating revenues   3,019,848     2,787,894     11,913,646     9,879,531  
 
Operating expenses:
Medical costs 2,237,629 1,918,933 8,868,579 6,920,531
Cost of sales 56,562 36,001 195,600 93,808
Selling, general, administrative 558,986 506,768 2,079,912 1,789,991
Depreciation and amortization   35,707     42,544     150,226     142,569  
Total operating expenses   2,888,884     2,504,246     11,294,317     8,946,899  
 
Operating earnings 130,964 283,648 619,329 932,632
Operating earnings percentage of total revenues 4.3 % 10.2 % 5.2 % 9.4 %
 
Interest expense 25,840 26,195 96,386 82,217
Other income, net   30,444     37,561     82,833     144,455  
 
Earnings before income taxes 135,568 295,014 605,776 994,870
 
Provision for income taxes   47,327     110,679     223,881     368,776  
Net earnings $ 88,241   $ 184,335   $ 381,895   $ 626,094  
 
 
Net earnings per share, basic $ 0.60 $ 1.20 $ 2.56 $ 4.04
Net earnings per share, diluted $ 0.60 $ 1.18 $ 2.54 $ 3.98
 
Weighted average shares outstanding, basic 146,813 153,637 148,893 154,884
Weighted average shares outstanding, diluted 147,159 155,961 150,208 157,357
     
COVENTRY HEALTH CARE, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands)
 
December 31, September 30, December 31,
2008 2008 2007
(unaudited) (unaudited)
Assets:
 
Current assets:
Cash and cash equivalents $ 1,123,114 $ 1,058,372 $ 945,535
Short-term investments 338,129 42,923 155,248
Accounts receivable, net 293,636 295,199 263,021
Other receivables, net 524,803 440,328 313,350
Other current assets 130,808 132,449 169,547
Total current assets 2,410,490 1,969,271 1,846,701
 
Long-term investments 1,709,878 1,580,961 1,758,454
Property and equipment, net 308,016 306,729 321,287
Goodwill 2,695,025 2,679,201 2,573,325
Other intangible assets, net 546,168 562,763 590,419
Other long-term assets 57,821 72,213 68,605
Total assets $ 7,727,398 $ 7,171,138 $ 7,158,791
 
 
 
Liabilities and Stockholders’ Equity:
 
Current liabilities:
Medical liabilities $ 1,446,391 $ 1,440,326 $ 1,161,963
Accounts payable and accrued liabilities 474,561 437,093 518,806
Deferred revenue 104,823 121,453 69,052
Total current liabilities 2,025,775 1,998,872 1,749,821
 
Long-term debt, net 1,902,472 1,472,315 1,662,021
Other long-term liabilities 368,482 392,942 445,470
Total liabilities 4,296,729 3,864,129 3,857,312
 
Stockholders’ equity 3,430,669 3,307,009 3,301,479
       
Total liabilities and stockholders’ equity $ 7,727,398 $ 7,171,138 $ 7,158,791
   
COVENTRY HEALTH CARE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Amounts in thousands)
(unaudited)
 
Quarter Ended Year Ended
December 31, 2008 December 31, 2008
 
Cash flows from operating activities:
Net earnings $ 88,241 $ 381,895
Adjustments to earnings:
Depreciation and amortization 35,707 150,226
Amortization of stock compensation 15,027 60,582
Loss on other-than-temporarily impaired securities - 36,160
Changes in assets and liabilities:
Accounts receivable, net 1,563 (28,699 )
Medical liabilities 5,271 276,417
Accounts payable and other accrued liabilities 36,193 (45,115 )
Deferred revenue (16,630 ) 34,703
Other operating activities (119,704 ) (238,813 )
Net cash flows from operating activities 45,668   627,356  
 
Cash flows from investing activities:
Capital expenditures, net (20,819 ) (69,371 )
Payments for investments, net of sales and maturities (391,551 ) (172,052 )
Payments for acquisitions, net of cash acquired (1,690 ) (137,374 )
Net cash flows from investing activities (414,060 ) (378,797 )
 
Cash flows from financing activities:
Proceeds from issuance of stock 360 7,233
Payments for repurchase of stock (201 ) (323,137 )
Proceeds from issuance of debt, net 543,409 668,409
Payments for retirement of debt (108,872 ) (423,872 )
Excess tax benefit from stock compensation (1,562 ) 387  
Net cash flows from financing activities 433,134   (70,980 )
 
Net change in cash and cash equivalents for current period 64,742 177,579
Cash and cash equivalents at beginning of period 1,058,372   945,535  
Cash and cash equivalents at end of period $ 1,123,114   $ 1,123,114  
 
             
 
Cash and Investments:
Cash and cash equivalents $ 1,123,114 $ 1,123,114
Short-term investments 338,129 338,129
Long-term investments 1,709,878   1,709,878  
Total cash and investments $ 3,171,121   $ 3,171,121  
             
COVENTRY HEALTH CARE, INC.
SELECTED OPERATING STATISTICS
(Unaudited)
 
    Total

2008

 

Q4 2008

 

Q3 2008

 

Q2 2008

 

Q1 2008

  Total

2007

  Total

2006

Membership by Product (000s)                            
Commercial Group Risk 1,477 1,497 1,502 1,505 1,580 1,457
Health Plan ASO 714 720 765 761 750 621
Other ASO       633       641       645       646       783       866  
Total Commercial Division 2,824 2,858 2,912 2,912 3,113 2,944
 
Medicare Advantage 380 377 372 319 283 80
Medicare Part D       931       910       874       853       704       687  
Total Medicare 1,311 1,287 1,246 1,172 987 767
 
Medicaid Risk 371 386 493 488 480 373
Individual       122       117       111       104       93       23  
Total Indiv./Gov’t Division 1,804 1,790 1,850 1,764 1,560 1,163
                         
Total Membership       4,628       4,648       4,762       4,676       4,673       4,107  
 
                             
Revenues by Product (000s)                            
Commercial Group Risk $ 5,169,773 $ 1,294,554 $ 1,295,519 $ 1,291,560 $ 1,288,140 $ 4,785,095 $ 4,580,165
Commercial ASO(1)   351,699       96,832       86,402       82,323       86,142       410,071       418,304  
Total Commercial Division $ 5,521,472 1,391,386 1,381,921 1,373,883 1,374,282 5,195,166 4,998,469
 
Medicare Risk 4,024,946 1,039,130 995,987 997,406 992,423 2,871,605 1,484,548
Medicaid Risk 1,087,189 259,926 260,060 285,024 282,179 928,259 762,093
Medicaid ASO 179,526 43,130 49,593 43,191 43,612 185,490 184,503
Individual Risk   234,792       62,826       60,519       57,892       53,555       104,673       30,495  
Total Indiv./Gov’t Division 5,526,453 1,405,012 1,366,159 1,383,513 1,371,769 4,090,027 2,461,639
 
Specialty Premium Revenue 82,202 29,768 25,855 18,842 7,737 - -
Specialty Services Revenue   826,884       210,658       214,040       210,454       191,732       599,940       280,209  
Specialty Division(1) 909,086 240,426 239,895 229,296 199,469 599,940 280,209
 
Total Premiums 10,598,902 2,686,204 2,637,940 2,650,724 2,624,034 8,689,633 6,857,301
Total Management Services 1,358,109 350,620 350,035 335,968 321,486 1,195,501 883,016
Other/Eliminations   (43,365 )     (16,976 )     (12,690 )     (8,788 )     (4,912 )     (5,603 )     (6,561 )
Total Revenue $ 11,913,646     $ 3,019,848     $ 2,975,285     $ 2,977,904     $ 2,940,608     $ 9,879,531     $ 7,733,756  
 
                             
Consolidated Coventry                            
 
Operating Income % of Revenues 5.2 % 4.3 % 5.6 % 4.2 % 6.6 % 9.4 % 10.9 %
 
SGA % of Revenues 17.5 % 18.5 % 17.3 % 16.7 % 17.3 % 18.1 % 17.3 %

 

Total Medical Liabilities (000s)(2) $ 1,243,620 $ 1,209,560 $ 1,126,396 $ 1,027,194 $ 996,859 $ 719,426

Days in Claims Payable (DCP) (2)

54.75 54.94 49.69 50.71 50.82 54.97
 
Total Debt (millions) $ 1,902.5 $ 1,472.3 $ 1,472.3 $ 1,662.1 $ 1,662.0 $ 760.5
Total Capital (millions) $ 5,333.1 $ 4,779.3 $ 4,789.0 $ 4,949.5 $ 4,963.5 $ 3,713.5
Debt to Capital 35.7 % 30.8 % 30.7 % 33.6 % 33.5 % 20.5 %
             
COVENTRY HEALTH CARE, INC.
REVENUE AND MEDICAL COST STATISTICS
(Unaudited)
 

 

  Total

2008

 

Q4 2008

 

Q3 2008

 

Q2 2008

 

Q1 2008

  Total

2007

  Total

2006

Revenue PMPM                            
Health Plan Commercial Group Risk $ 286.30 $ 289.71 $ 286.73 $ 285.32 $ 283.50 $ 273.76 $ 260.69
Medicare Advantage(3) $ 862.60 $ 862.79 $ 856.90 $ 879.79 $ 849.60 $ 837.69 $ 857.28
Medicare Part D(4) $ 88.34 $ 89.16 $ 85.64 $ 89.92 $ 88.64 $ 99.57 $ 103.77
Medicaid Risk $ 208.50 $ 228.33 $ 226.08 $ 193.59 $ 194.16 $ 183.77 $ 167.30
 
                             
MLR %                            
Consolidated Total 84.0 % 83.8 % 83.8 % 85.8 % 82.5 % 79.6 % 79.3 %
 
Health Plan Commercial Group Risk 81.7 % 83.2 % 82.3 % 82.7 % 78.8 % 78.3 % 77.8 %
Medicare Advantage 89.0 % 90.9 % 88.4 % 93.2 % 82.8 % 80.5 % 79.4 %
Medicare Part D 84.1 % 58.8 % 78.5 % 86.0 % 103.2 % 78.1 % 84.5 %
Medicaid Risk 85.3 % 85.9 % 84.2 % 86.4 % 84.4 % 87.3 % 85.6 %

Explanatory Notes

1) The Specialty Business Division includes revenue from the rental network line of business (previously reported in the Commercial Business Division) effective January 1, 2008. Prior period balances have been reclassified for consistency.

2) "Total Medical Liabilities” and "Days in Claims Payable” are calculated consistently with prior disclosures to include the results from health plan and Medicare Advantage PFFS businesses.

3) Revenue PMPM excludes the impact of revenue ceded to external parties.

4) Revenue PMPM excludes the impact of CMS risk-share premium adjustments and revenue ceded to external parties.

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