EX-99.1 2 exhibit991.htm PRESS RELEASE JULY 24, 2007 exhibit991.htm
Exhibit 99.1
 
N E W S  R E L E A S E
 
Contact:
Edmund E. Kroll
 
Senior Vice President, Finance & Investor Relations
 
(212) 759-0382
   
 
Eric R. Slusser
 
Executive Vice President and Chief Financial Officer
 
(314) 725-4477


CENTENE CORPORATION REPORTS 2007 SECOND QUARTER RESULTS

ST. LOUIS, MISSOURI (July 24, 2007) -- Centene Corporation (NYSE: CNC) today announced its financial results for the quarter ended June 30, 2007.  The revenues, general and administrative expenses and related financial ratios included in this release present premium taxes on a gross basis consistent with our past reporting practice.

 
Q2 2007 Highlights
 
 Total Revenues (in millions)
 
$
727.7
 
 Medicaid/SCHIP HBR
 
 
80.6
%
 Diluted EPS (as reported)
 
$
0.40
 
 Diluted EPS excluding FirstGuard activity
 
$
0.27
 

Second Quarter Summary
 
-  
Quarter-end Medicaid Managed Care membership of 1.1 million
 
-  
Revenues of $727.7 million, a 46.9% increase over the 2006 second quarter.
 
-  
Earnings per diluted share of $0.27, excluding FirstGuard activity, compared to $0.11 in the 2006 second quarter.
 
-  
Health Benefits Ratio (HBR) for Centene’s Medicaid and SCHIP populations, which reflects medical costs as a percent of premium revenues, of 80.6%.
 
-  
Medicaid Managed Care G&A expense ratio of 14.0% and Specialty Services G&A ratio of 15.8%.
 
-  
Operating cash flows of $23.9 million.
 
-  
Days in claims payable of 46.8.
 
Other Events
 
-  
In April 2007, we acquired PhyTrust of South Carolina, a physician-driven company that served over 31,100 members at June 30, 2007.
 
-  
In July 2007, we acquired a minority interest in Access Health Solutions, LLC (Access), the third largest Medicaid managed care entity in Florida.  Access currently serves approximately 90,000 members.
 
Michael F. Neidorff, Centene’s Chairman and Chief Executive Officer, stated, “During the second quarter,  overall results for revenue, membership growth and earnings were consistent with our expectations, and our Medicaid and SCHIP HBR improved by 170 basis points sequentially.
 
“In Texas, we continue to see growing membership in both SCHIP and SSI, with the Texas STAR Plus overall membership consistent with our expectations. To date, we have 31,400 Star Plus members under management.  Recently, the state of Texas indicated its intent to delay the implementation of the Foster Care contract award, which we won in March. We now expect operations to commence in 2008.  The state is currently working on its readiness review and we are supporting them in this process.  We remain confident that our technology platform will enable us to provide the state more effective tracking of these members and offer a more consistent quality of healthcare for the recipients.


Centene Corporation Reports 2007 Second Quarter Results July 24, 2007 / Page 2
 
 
“In Georgia, membership was 281,400, within our guided range.  While cost and utilization trends in the state are high, we began to see those trends moderate later in the quarter. We expect trends to continue to moderate as our medical management initiatives take hold and have implemented margin protection initiatives effective August 1 with the state.
“We will continue to focus our efforts on opportunities to effectively manage our costs as we build the business. There remain numerous avenues to grow on a sustainable basis in Medicaid managed care.” concluded Neidorff.

The following table depicts membership in Centene’s managed care organizations by state at June 30, 2007 and 2006:

 
 
2007
   
2006
 
 Georgia
   
281,400
     
216,000
 
 Indiana
   
161,700
     
193,000
 
 New Jersey
   
59,100
     
59,000
 
 Ohio
   
128,200
     
73,100
 
 South Carolina
   
31,100
     
 
 Texas
   
333,900
     
235,800
 
 Wisconsin
   
136,100
     
174,600
 
 Subtotal
   
1,131,500
     
951,500
 
 
               
 Kansas and Missouri
   
     
150,000
 
 Total
   
1,131,500
     
1,101,500
 
                 

The following table depicts membership in Centene’s managed care organizations by member category at June 30, 2007 and 2006:

 
 
2007
   
2006
 
 Medicaid
   
846,900
     
755,400
 
 SCHIP
   
216,500
     
179,700
 
 SSI
   
68,100
(a)     
16,400
 (b)
 Subtotal
   
1,131,500
     
951,500
 
 
               
 Kansas and Missouri Medicaid/SCHIP members
   
     
150,000
 
 Total
   
1,131,500
     
1,101,500
 
                 
 (a)64,000 at-risk; 4,100 ASO
               
 (b)   8,900 at-risk; 7,500 ASO
               

Statement of Operations

-  
For the 2007 second quarter, revenues increased 46.9% to $727.7 million from $495.3 million in the 2006 second quarter.
 
-  
The HBR for Centene’s Medicaid and SCHIP populations, which reflects medical costs as a percent of premium revenues, was 80.6%, a decrease of 3.4% over 2006. The HBR for the three months ended June 30, 2006, includes approximately 2.2% ($9.7 million) for adverse medical cost development in estimated medical claims liabilities from the first quarter of 2006.  The decrease in the current year is primarily attributable to the adverse development in the prior year and increased premium taxes.  Sequentially, our Medicaid and SCHIP HBR decreased from 82.3% in the 2007 first quarter to 80.6% because of decreases in our Indiana, Texas, and Wisconsin markets, primarily related to inpatient and pharmacy cost trends.  The 2007 second quarter reflects expected claims reserve development and is based on consistent reserving methodology.
 
-  
G&A expense as a percent of revenues for the Medicaid Managed Care segment was 14.0% in the second quarter of 2007 compared to 12.3% in the second quarter of 2006.  The increase in the Medicaid Managed Care G&A expense ratio for the three months ended June 30, 2007 primarily reflects increased premium taxes.  Premium taxes were $19.9 million in the 2007 second quarter and $6.9 million in the 2006 second quarter.  This increase was offset by the leveraging of our expenses over higher revenues, especially in our Georgia health plan.  The second quarter of 2006 included two months of Georgia implementation costs for which there was no associated revenue.
 
-  
Operating earnings were $16.9 million, including a $3.3 million gain on the sale of FirstGuard Missouri and $3.4 million of net expense for other FirstGuard activity.  Excluding the gain and other FirstGuard activity, operating earnings were $17.0 million compared to $6.3 million in the 2006 second quarter.
 
-  
The second quarter results included a tax benefit from the stock abandonment of our Missouri health plan, a gain from the sale of our Missouri health plan, a contribution to our charitable foundation from the sale proceeds and additional FirstGuard activity.  The net effect of these activities was $0.13 accretive to earnings per diluted share.
 
-  
Earnings per diluted share of $0.40.  Earnings per diluted share of $0.27, excluding the FirstGuard activity, compared to $0.11 in the 2006 second quarter.
 
-  
For the six months ended June 30, 2007, revenues increased 47.2% to $1.4 billion from $950.4 million for the same period in the prior year. Medicaid Managed Care G&A expenses as a percent of revenues increased to 13.5% in the first six months of 2007 compared to 12.1% in the first six months of 2006. Earnings from operations, excluding the FirstGuard activity, increased to $32.8 million in the first six months of 2007 from $18.9 million in the first six months of 2006. Net earnings, excluding the FirstGuard activity, were $23.6 million or $0.53 per diluted share in the first six months of 2007.
 
Balance Sheet and Cash Flow

At June 30, 2007, the Company had cash and investments of $593.7 million, including $527.9 million held by its regulated entities and $65.8 million held by its unregulated entities.  Medical claims liabilities totaled $295.3 million, representing 46.8 days in claims payable.  Total debt was $201.1 million and debt to capitalization was 34.0%.
 
A reconciliation of the Company’s change in days in claims payable from the immediately preceding quarter-end is presented below:
 
 Days in claims payable, March 31, 2007
46.4
 Remaining FirstGuard reserves
0.4
 Days in claims payable, June 30, 2007
46.8
   


Centene Corporation Reports 2007 Second Quarter Results July 24, 2007 / Page 3
 
Outlook

The table below depicts the Company’s guidance for the 2007 third quarter and full year.

 
Q3 2007 (1)
 
2007 (1)
 
 
Low
 
High
 
Low
 
High 
 
Revenue (in millions)
$    740
 
$   750
 
$  2,900
 
$  2,940
 
Earnings per diluted share
$   0.35
 
  $  0.38
 
$    1.36
 
$    1.45
 
                 
 (1) Excludes FirstGuard Activity                

Eric R. Slusser, Centene’s Chief Financial Officer, stated, “The 2007 third quarter and full year guidance reflects continued in-range HBR performance, reasonable rate increases, continued SSI earnings growth and rigorous G&A focus.  The tightened ranges for 2007 revenue and earnings per share reflect the delay of the Texas Foster Care Program from the 2007 fourth quarter to 2008.”

Conference Call
 
As previously announced, the Company will host a conference call Tuesday, July 24, 2007, at 8:30 A.M. (Eastern Time) to review the financial results for the second quarter ended June 30, 2007, and to discuss its business outlook.  Michael F. Neidorff, Eric R. Slusser and J. Per Brodin will host the conference call.  Investors are invited to participate in the conference call by dialing 800-273-1254 in the U.S. and Canada, 706-679-8592 from abroad, or via a live internet broadcast on the Company's website at www.centene.com, under the Investor Relations section.  A replay will be available for on-demand listening shortly after the completion of the call until 11:59 P.M. (Eastern Time) on August 7, 2007 at the aforementioned URL, or by dialing 800-642-1687 in the U.S. and Canada, or 706-645-9291 from abroad, and entering access code 1100685.
 
Non-GAAP Financial Presentation
 
The Company is providing certain non-GAAP financial measures in this release as the Company believes that these figures are helpful in allowing individuals to more accurately assess the ongoing nature of the Company's operations and measure the Company's performance more consistently.
 
The non-GAAP information presented above in the “highlights” table, third bullet under "Second Quarter Summary" and fourth through seventh bullets under "Statement of Operations" excludes the tax benefit related to the stock of our Kansas and Missouri health plans and other activity for the Kansas and Missouri health plans, collectively, FirstGuard Activity.  This exclusion has been made in the non-GAAP financial measures as management believes that the tax benefit is an unusual event and the Kansas and Missouri health plans are not indicative of future company operations.
 
The Company uses the presented non-GAAP financial measures internally to focus management on period-to-period changes in the Company's core business operations.  Therefore, the Company believes that this information is meaningful in addition to the information contained in the GAAP presentation of financial information.  The presentation of this additional non-GAAP financial information is not intended to be considered in isolation or as a substitute for the financial information prepared and presented in accordance with GAAP.
 
The following table reconciles the Company’s Statement of Operations for the second quarter of 2007 on a GAAP basis to a non-GAAP basis.  The non-GAAP basis excludes the FirstGuard Activity (in thousands, except share data).
 
   
Three Months Ended
June 30, 2007
 
 
 
GAAP
   
FirstGuard Activity
   
Non-GAAP
 
                   
Total revenues
  $
727,738
    $
7
    $
727,731
 
Expenses:
                       
Medical costs
   
574,862
      (284 )    
575,146
 
Cost of services
   
16,670
     
     
16,760
 
General and administrative expenses
   
122,596
     
3,715
     
118,881
 
Gain on sale of FirstGuard Missouri
    (3,254 )     (3,254 )    
 
Total operating expenses
   
710,874
     
177
     
710,697
 
Earnings (loss) from operations
   
16,864
      (170 )    
17,034
 
Investment and other income, net
   
1,735
      (640 )    
2,375
 
Earnings (loss) before income taxes
   
18,599
      (810 )    
19,409
 
Income tax (benefit) expense
   
817
      (6,557 )    
7,374
 
Net earnings
  $
17,782
    $
5,747
    $
12,035
 
                         
Diluted earnings per common share
  $
0.40
            $
0.27
 
                         



Centene Corporation Reports 2007 Second Quarter Results July 24, 2007 / Page 4
 
Premium Tax Presentation

The Company reports premium taxes as a component of revenues and general and administrative expenses (gross basis).  The following table shows the Company’s Medicaid/SCHIP HBR and the Medicaid Managed Care G&A ratio on a gross basis as reported as well as on a net basis with premium taxes recorded as a reduction of revenues for analytical purposes.

         
Medicaid/SCHIP HBR
   
Medicaid Managed Care G&A Ratio
 
   
Premium Taxes
(in thousands)
   
Current (Gross)
   
Net
   
Current (Gross)
   
Net
 
2007
                             
Q1
  $
18,216
      82.3 %     84.8 %     13.0 %     10.5 %
Q2
   
19,874
     
80.6
     
83.1
     
14.0
     
11.5
 
Year to Date
  $
38,090
     
81.5
     
84.0
     
13.5
     
11.0
 
                                         
2006
                                       
Q1
  $
4,305
      82.8 %     83.7 %     11.9 %     11.0 %
Q2
   
6,876
     
84.0
     
85.3
     
12.3
     
11.0
 
Q3
   
13,830
     
82.0
     
84.0
     
13.0
     
11.0
 
Q4
   
17,442
     
82.1
     
84.4
     
12.7
     
10.4
 
Total Year
  $
42,453
     
82.6
     
84.3
     
12.6
     
10.8
 
                                         

About Centene Corporation

Centene Corporation is a leading multi-line healthcare enterprise that provides programs and related services to individuals receiving benefits under Medicaid, including the State Children’s Health Insurance Program (SCHIP) and Supplemental Security Income (SSI). The Company operates health plans in Georgia, Indiana, New Jersey, Ohio, South Carolina, Texas and Wisconsin. In addition, the Company contracts with other healthcare and commercial organizations to provide specialty services including behavioral health, health management, long-term care, managed vision, nurse triage, pharmacy benefits management and treatment compliance. Information regarding Centene is available via the Internet at www.centene.com.

The information provided in this press release contains forward-looking statements that relate to future events and future financial performance of Centene.  Subsequent events and developments may cause the Company's estimates to change.  The Company disclaims any obligation to update this forward-looking financial information in the future.  Readers are cautioned that matters subject to forward-looking statements involve known and unknown risks and uncertainties, including economic, regulatory, competitive and other factors that may cause Centene's or its industry's actual results, levels of activity, performance or achievements to be materially different from any future results, levels of activity, performance or achievements expressed or implied by these forward-looking statements.  Actual results may differ from projections or estimates due to a variety of important factors, including Centene's ability to accurately predict and effectively manage health benefits and other operating expenses, competition, changes in healthcare practices, changes in federal or state laws or regulations, inflation, provider contract changes, new technologies, reduction in provider payments by governmental payors, major epidemics, disasters and numerous other factors affecting the delivery and cost of healthcare.  The expiration, cancellation or suspension of Centene's Medicaid Managed Care contracts by state governments would also negatively affect Centene.


[Tables Follow]


Centene Corporation Reports 2007 Second Quarter Results July 24, 2007 / Page 5
 

CENTENE CORPORATION AND SUBSIDIARIES

CONSOLIDATED BALANCE SHEETS
(In thousands, except share data)

 
 
June 30, 2007
   
December 31, 2006
 
 
 
(Unaudited)
 
ASSETS
 
 
   
 
 
Current assets:
 
 
   
 
 
Cash and cash equivalents
  $
236,443
    $
271,047
 
Premium and related receivables
   
113,491
     
91,664
 
Short-term investments, at fair value (amortized cost $43,636 and $67,199, respectively)
   
43,360
     
66,921
 
Other current assets
   
46,257
     
22,189
 
Total current assets
   
439,551
     
451,821
 
Long-term investments, at fair value (amortized cost $288,993 and $146,980, respectively)
   
287,719
     
145,417
 
Restricted deposits, at fair value (amortized cost $26,328 and $25,422, respectively)
   
26,220
     
25,265
 
Property, software and equipment, net
   
131,829
     
110,688
 
Goodwill
   
136,316
     
135,877
 
Other intangible assets, net
   
14,472
     
16,202
 
Other assets
   
13,895
     
9,710
 
Total assets
  $
1,050,002
    $
894,980
 
 
               
LIABILITIES AND STOCKHOLDERS’ EQUITY
               
Current liabilities:
               
Medical claims liabilities
  $
295,340
    $
280,441
 
Accounts payable and accrued expenses
   
111,697
     
72,723
 
Unearned revenue
   
42,019
     
33,816
 
Current portion of long-term debt
   
972
     
971
 
Total current liabilities
   
450,028
     
387,951
 
Long-term debt
   
200,162
     
174,646
 
Other liabilities
   
8,779
     
5,960
 
Total liabilities
   
658,969
     
568,557
 
Stockholders’ equity:
               
Common stock, $.001 par value; authorized 100,000,000 shares; issued and outstanding 43,664,105 and 43,369,918 shares, respectively
   
44
     
44
 
Additional paid-in capital
   
217,705
     
209,340
 
Accumulated other comprehensive income:
               
Unrealized loss on investments, net of tax
    (1,046 )     (1,251 )
Retained earnings
   
174,330
     
118,290
 
Total stockholders’ equity
   
391,033
     
326,423
 
Total liabilities and stockholders’ equity
  $
1,050,002
    $
894,980
 
 


Centene Corporation Reports 2007 Second Quarter Results July 24, 2007 / Page 6
 


CENTENE CORPORATION AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except share data)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
For the Three Months Ended June 30,
 
 
For the Six Months Ended June 30,
 
 
 
2007
 
 
2006
 
 
2007
 
 
2006
 
 
 
(Unaudited)
 
 
(Unaudited)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenues:
 
 
 
 
 
 
 
 
 
 
 
 
Premium
 
$
707,723
 
 
$
476,079
 
 
$
1,356,966
 
 
$
911,641
 
Service
 
20,015
 
 
19,214
 
 
41,607
 
 
38,730
 
Total revenues
 
727,738
 
 
495,293
 
 
1,398,573
 
 
950,371
 
Expenses:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Medical costs
 
 
574,862
 
 
 
400,229
 
 
 
1,110,268
 
 
 
761,901
 
Cost of services
 
 
16,670
 
 
 
14,317
 
 
 
32,300
 
 
 
29,905
 
General and administrative expenses
 
 
122,596
 
 
 
74,441
 
 
 
229,462
 
 
 
139,663
 
Gain on sale of FirstGuard Missouri
 
(3,254
)
 
 
 
(7,472
)
 
 
Total operating expenses
 
710,874
 
 
488,987
 
 
1,364,558
 
 
931,469
 
Earnings from operations
 
 
16,864
 
 
 
6,306
 
 
 
34,015
 
 
 
18,902
 
Other income (expense):
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Investment and other income
 
 
5,948
 
 
 
3,891
 
 
 
10,449
 
 
 
7,431
 
Interest expense
 
(4,213
)
 
(2,456
)
 
(7,345
)
 
(4,454
)
Earnings before income taxes
 
 
18,599
 
 
 
7,741
 
 
 
37,119
 
 
 
21,879
 
Income tax (benefit) expense
 
817
 
 
2,776
 
 
(18,874
)
 
8,148
 
Net earnings
 
$
17,782
 
 
$
4,965
 
 
$
55,993
 
 
$
13,731
 
                                 
Earnings per share:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Basic earnings per common share
 
$
0.41
 
 
$
0.12
 
 
$
1.29
 
 
$
0.32
 
Diluted earnings per common share
 
$
0.40
 
 
$
0.11
 
 
$
1.25
 
 
$
0.31
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Weighted average number of shares outstanding:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Basic
 
 
43,617,360
 
 
 
43,169,590
 
 
 
43,525,848
 
 
 
43,079,243
 
Diluted
 
 
44,815,369
 
 
 
44,839,149
 
 
 
44,871,114
 
 
 
44,794,558
 
 
 

Centene Corporation Reports 2007 Second Quarter Results July 24, 2007 / Page 7
 
CENTENE CORPORATION AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)
 
 
 
Six Months Ended June 30,
 
 
 
2007
   
2006
 
 
 
(Unaudited)
 
 
 
 
   
 
 
Cash flows from operating activities:
 
 
   
 
 
Net earnings
  $
55,993
    $
13,731
 
Adjustments to reconcile net earnings to net cash provided by operating activities —
               
Depreciation and amortization
   
12,991
     
9,541
 
Stock compensation expense
   
7,837
     
7,154
 
Deferred income taxes
    (327 )     (287 )
Gain on sale of FirstGuard Missouri
    (7,472 )    
 
Changes in assets and liabilities —
               
Premium and related receivables
    (21,823 )     (45,710 )
Other current assets
    (24,583 )    
1,859
 
Other assets
    (931 )     (1,123 )
Medical claims liabilities
   
15,035
     
16,690
 
Unearned revenue
   
8,203
     
1,705
 
Accounts payable and accrued expenses
   
11,832
     
10,658
 
Other operating activities
   
3,119
     
224
 
Net cash provided by operating activities
   
59,874
     
14,442
 
Cash flows from investing activities:
               
Purchases of property, software and equipment
    (29,352 )     (23,472 )
Purchases of investments
    (290,962 )     (113,665 )
Sales and maturities of investments
   
196,407
     
97,445
 
Proceeds from asset sales
   
14,102
     
 
Acquisitions, net of cash acquired
    (5,336 )     (60,710 )
Net cash used in investing activities
    (115,141 )     (100,402 )
Cash flows from financing activities:
               
Proceeds from exercise of stock options
   
2,651
     
3,761
 
Proceeds from borrowings
   
191,000
     
71,967
 
Payment of long-term debt
    (165,484 )     (4,487 )
Excess tax benefits from stock compensation
   
797
     
1,977
 
Common stock repurchases
    (3,231 )     (3,180 )
Debt issue costs
    (5,070 )    
 
Net cash provided by financing activities
   
20,663
     
70,038
 
Net decrease in cash and cash equivalents
    (34,604 )     (15,922 )
Cash and cash equivalents, beginning of period
   
271,047
     
147,358
 
Cash and cash equivalents, end of period
  $
236,443
    $
131,436
 
                 
Interest paid
  $
3,738
    $
4,598
 
Income taxes paid
  $
6,049
    $
1,645
 
 
 

Centene Corporation Reports 2007 Second Quarter Results July 24, 2007 / Page 8
 
CENTENE CORPORATION

SUPPLEMENTAL FINANCIAL DATA

 
Q2
 
Q1
 
Q4
 
Q3
 
2007
 
2007
 
2006
 
2006
MEMBERSHIP
             
Medicaid Managed Care:
           
Georgia                                          
281,400
 
291,300
 
308,800
 
252,600
Indiana                                          
161,700
 
176,700
 
183,100
 
198,100
New Jersey                                          
59,100
 
59,100
 
58,900
 
59,100
Ohio                                          
128,200
 
118,300
 
109,200
 
88,300
South Carolina                                          
31,100
 
 
 
Texas                                          
333,900
 
318,500
 
298,500
 
259,900
Wisconsin                                          
136,100
 
139,400
 
164,800
 
167,100
Subtotal                                      
1,131,500
 
1,103,300
 
1,123,300
 
1,025,100
Kansas and Missouri                                          
— 
 
— 
 
138,900
 
144,600
TOTAL                                   
1,131,500
 
1,103,300
 
1,262,200
 
1,169,700
               
Medicaid                                          
846,900
 
839,600
 
887,300
 
818,000
SCHIP                                          
216,500
 
211,200
 
216,200
 
189,100
SSI                                          
68,100
 
52,500
 
19,800
 
18,000
Subtotal                                      
1,131,500
 
1,103,300
 
1,123,300
 
1,025,100
Kansas and Missouri Medicaid and SCHIP members
— 
 
— 
 
138,900
 
144,600
TOTAL                                   
1,131,500
 
1,103,300
 
1,262,200
 
1,169,700
               
Specialty Services(a):
Arizona                                          
95,200
 
93,600
 
94,500
 
94,500
Kansas                                          
37,500
 
36,600
 
36,600
 
37,500
TOTAL                                   
132,700
 
130,200
 
131,100
 
132,000
               
(a) Includes behavioral health contracts only.
                       
REVENUE PER MEMBER(b)
$
198.98
 
$
185.90
 
$
173.75
 
$
169.98
               
CLAIMS(b)
             
Period-end inventory                                          
284,800
 
326,000
 
296,100
 
233,500
Average inventory                                          
244,600
 
239,400
 
195,700
 
188,600
Period-end inventory per member..
0.26
 
0.30
 
0.23
 
0.20
 
(b) Revenue per member and claims information are presented for the Medicaid Managed Care segment.



Centene Corporation Reports 2007 Second Quarter Results July 24, 2007 / Page 9
 
 
Q2
 
Q1
 
Q4
 
Q3
 
2007
 
2007
 
2006
 
2006
               
DAYS IN CLAIMS PAYABLE (c)
46.8
 
46.4
 
46.4
 
45.3
(c) Days in Claims Payable is a calculation of Medical Claims Liabilities at the end of the period divided by average claims expense per calendar day for such period.
               
CASH AND INVESTMENTS (in millions)
             
Regulated                                          
$
527.9
 
$
491.0
 
$
479.8
 
$
411.1
Unregulated                                          
 
65.8
   
71.8
   
28.9
   
29.0
TOTAL                                  
$
593.7
 
$
562.8
 
$
508.7
 
$
440.1
               
DEBT TO CAPITALIZATION (d)
34.0%
 
35.3%
 
35.0%
 
35.6%
(d) Debt to Capitalization is calculated as follows: total debt divided by (total debt + equity).
 
HEALTH BENEFITS RATIO BY CATEGORY:
 
 
Three Months Ended June 30,   
 
 
Six Months Ended June 30,  
 
 
 
2007
 
 
2006
 
 
2007
 
 
2006
 
Medicaid and SCHIP
 
 
80.6
%
 
 
84.0
%
 
 
81.5
%
 
 
83.4
%
SSI
 
 
87.5
 
 
 
87.6
 
 
 
87.2
 
 
 
87.6
 
Specialty Services
 
 
75.9
 
 
 
83.7
 
 
 
77.5
 
 
 
83.9
 
 
GENERAL AND ADMINISTRATIVE EXPENSE RATIO BY BUSINESS SEGMENT:
 
 
Three Months Ended June 30,   
 
 
Six Months Ended June 30,  
 
 
 
2007
 
 
2006
 
 
2007
 
 
2006
 
Medicaid Managed Care
 
 
14.0
%
 
 
12.3
%
 
 
13.5
%
 
 
12.1
%
Specialty Services
 
 
15.8
 
 
 
17.4
 
 
 
15.8
 
 
 
19.3
 
 
MEDICAL CLAIMS LIABILITIES (In thousands)
Four rolling quarters of the changes in medical claims liabilities are summarized as follows:

Balance, June 30, 2006
  $
187,204
 
Acquisitions
   
1,788
 
Incurred related to:
       
Current period
   
2,180,604
 
Prior period
    (12,426 )
Total incurred
   
2,168,178
 
Paid related to:
       
Current period
   
1,889,731
 
Prior period
   
172,099
 
Total paid
   
2,061,830
 
Balance, June 30, 2007
  $
295,340
 

Centene’s claims reserving process utilizes a consistent actuarial methodology to estimate Centene’s ultimate liability.  Any reduction in the “Incurred related to:  Prior period” claims may be offset as Centene actuarially determines “Incurred related to: Current period.”  As such, only in the absence of a consistent reserving methodology would favorable development of prior period claims liability estimates reduce medical costs.  Centene believes it has consistently applied its claims reserving methodology in each of the periods presented.