[X] | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
[ ] | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
Delaware | 42-1406317 |
(State or other jurisdiction of | (I.R.S. Employer |
incorporation or organization) | Identification Number) |
7700 Forsyth Boulevard | |
St. Louis, Missouri | 63105 |
(Address of principal executive offices) | (Zip Code) |
PAGE | ||
Part I | ||
Financial Information | ||
Item 1. | ||
Item 2. | ||
Item 3. | ||
Item 4. | ||
Part II | ||
Other Information | ||
Item 1. | ||
Item 1A. | ||
Item 2. | ||
Item 6. | ||
• | our ability to accurately predict and effectively manage health benefits and other operating expenses and reserves; |
• | competition; |
• | membership and revenue declines or unexpected trends; |
• | changes in healthcare practices, new technologies, and advances in medicine; |
• | increased health care costs; |
• | inflation; |
• | foreign currency fluctuations; |
• | tax matters; |
• | availability of debt and equity financing, on terms that are favorable to us; |
• | disasters or major epidemics; |
• | changes in economic, political or market conditions; |
• | the outcome of legal and regulatory proceedings; |
• | changes in federal or state laws or regulations, including the Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act and any regulations enacted thereunder; |
• | changes in expected contract start dates; |
• | provider, state, federal and other contract changes and timing of regulatory approval of contracts; |
• | the expiration, suspension, or termination of our contracts with federal or state governments (including but not limited to Medicaid, Medicare, and TRICARE); |
• | challenges to our contract awards; |
• | rate cuts or other payment reductions or delays by governmental payors and other risks and uncertainties affecting our government businesses; |
• | our ability to adequately price products on federally facilitated and state based Health Insurance Marketplaces; |
• | cyber-attacks or other privacy or data security incidents; |
• | the possibility that the expected synergies and value creation from acquired businesses, including, without limitation, the acquisition of Health Net, Inc., will not be realized, or will not be realized within the expected time period, including, but not limited to, as a result of conditions, terms, obligations or restrictions imposed by regulators in connection with their approval of, or consent to, the acquisition; |
• | the exertion of management’s time and our resources, and other expenses incurred and business changes required in connection with complying with the undertakings in connection with certain regulatory approvals; |
• | disruption from the acquisition making it more difficult to maintain business and operational relationships; |
• | the risk that unexpected costs will be incurred in connection with, among other things, the acquisition and/or the integration; |
• | changes in expected closing dates, estimated purchase price and accretion for acquisitions; |
• | the risk that acquired businesses will not be integrated successfully; and |
• | our ability to maintain or achieve improvement in the Centers for Medicare and Medicaid Services (CMS) Star ratings and other quality scores that impact revenue. |
Three Months Ended September 30, | Nine Months Ended September 30, | ||||||||||||||
2016 | 2015 | 2016 | 2015 | ||||||||||||
GAAP general and administrative expenses | $ | 940 | $ | 458 | $ | 2,611 | $ | 1,291 | |||||||
Health Net acquisition related expenses | 10 | 18 | 224 | 20 | |||||||||||
General and administrative expenses, excluding Health Net acquisition related expenses | $ | 930 | $ | 440 | $ | 2,387 | $ | 1,271 | |||||||
GAAP net earnings from continuing operations | $ | 146 | $ | 92 | $ | 300 | $ | 244 | |||||||
Health Net acquisition related expenses | 10 | 18 | 224 | 20 | |||||||||||
Amortization of acquired intangible assets | 43 | 6 | 95 | 18 | |||||||||||
Income tax effects of adjustments (1) | (5 | ) | (9 | ) | (106 | ) | (14 | ) | |||||||
Adjusted net earnings from continuing operations | $ | 194 | $ | 107 | $ | 513 | $ | 268 | |||||||
GAAP diluted earnings per share (EPS) | $ | 0.84 | $ | 0.75 | $ | 1.89 | $ | 1.99 | |||||||
Health Net acquisition related expenses (2) | 0.12 | 0.09 | 0.98 | 0.10 | |||||||||||
Amortization of acquired intangible assets (3) | 0.15 | 0.03 | 0.36 | 0.09 | |||||||||||
Adjusted diluted EPS | $ | 1.11 | $ | 0.87 | $ | 3.23 | $ | 2.18 |
(2) | The Health Net acquisition related expenses per diluted share presented above are net of the income tax benefit (expense) of $(0.06) and $0.05 for the three months ended September 30, 2016 and 2015, respectively, and $0.44 and $0.06 for the nine months ended September 30, 2016 and 2015, respectively. |
(3) | The amortization of acquired intangible assets per diluted share presented above are net of the income tax benefit of $0.09 and $0.02 for the three months ended September 30, 2016 and 2015, respectively, and $0.23 and $0.05 for the nine months ended September 30, 2016 and 2015, respectively. |
September 30, 2016 | December 31, 2015 | ||||||
(Unaudited) | |||||||
ASSETS | |||||||
Current assets: | |||||||
Cash and cash equivalents | $ | 2,982 | $ | 1,760 | |||
Premium and related receivables | 3,445 | 1,279 | |||||
Short term investments | 406 | 176 | |||||
Other current assets | 922 | 390 | |||||
Total current assets | 7,755 | 3,605 | |||||
Long term investments | 4,568 | 1,927 | |||||
Restricted deposits | 137 | 115 | |||||
Property, software and equipment, net | 725 | 518 | |||||
Goodwill | 4,730 | 842 | |||||
Intangible assets, net | 1,566 | 155 | |||||
Other long term assets | 153 | 177 | |||||
Total assets | $ | 19,634 | $ | 7,339 | |||
LIABILITIES AND STOCKHOLDERS’ EQUITY | |||||||
Current liabilities: | |||||||
Medical claims liability | $ | 3,767 | $ | 2,298 | |||
Accounts payable and accrued expenses | 3,187 | 976 | |||||
Return of premium payable | 651 | 207 | |||||
Unearned revenue | 573 | 143 | |||||
Current portion of long term debt | 845 | 5 | |||||
Total current liabilities | 9,023 | 3,629 | |||||
Long term debt | 3,744 | 1,216 | |||||
Other long term liabilities | 995 | 170 | |||||
Total liabilities | 13,762 | 5,015 | |||||
Commitments and contingencies | |||||||
Redeemable noncontrolling interests | 148 | 156 | |||||
Stockholders’ equity: | |||||||
Preferred stock, $0.001 par value; authorized 10,000,000 shares; no shares issued or outstanding at September 30, 2016 and December 31, 2015 | — | — | |||||
Common stock, $0.001 par value; authorized 400,000,000 shares; 176,467,825 issued and 170,860,752 outstanding at September 30, 2016, and 126,855,477 issued and 120,342,981 outstanding at December 31, 2015 | — | — | |||||
Additional paid-in capital | 4,154 | 956 | |||||
Accumulated other comprehensive earnings (loss) | 46 | (10 | ) | ||||
Retained earnings | 1,655 | 1,358 | |||||
Treasury stock, at cost (5,607,073 and 6,512,496 shares, respectively) | (145 | ) | (147 | ) | |||
Total Centene stockholders’ equity | 5,710 | 2,157 | |||||
Noncontrolling interest | 14 | 11 | |||||
Total stockholders’ equity | 5,724 | 2,168 | |||||
Total liabilities and stockholders’ equity | $ | 19,634 | $ | 7,339 |
Three Months Ended September 30, | Nine Months Ended September 30, | ||||||||||||||
2016 | 2015 | 2016 | 2015 | ||||||||||||
Revenues: | |||||||||||||||
Premium | $ | 9,625 | $ | 4,983 | $ | 25,299 | $ | 13,974 | |||||||
Service | 590 | 480 | 1,603 | 1,434 | |||||||||||
Premium and service revenues | 10,215 | 5,463 | 26,902 | 15,408 | |||||||||||
Premium tax and health insurer fee | 631 | 358 | 1,794 | 1,050 | |||||||||||
Total revenues | 10,846 | 5,821 | 28,696 | 16,458 | |||||||||||
Expenses: | |||||||||||||||
Medical costs | 8,376 | 4,433 | 22,072 | 12,475 | |||||||||||
Cost of services | 504 | 413 | 1,386 | 1,234 | |||||||||||
General and administrative expenses | 940 | 458 | 2,611 | 1,291 | |||||||||||
Amortization of acquired intangible assets | 43 | 6 | 95 | 18 | |||||||||||
Premium tax expense | 512 | 274 | 1,460 | 794 | |||||||||||
Health insurer fee expense | 129 | 54 | 333 | 161 | |||||||||||
Total operating expenses | 10,504 | 5,638 | 27,957 | 15,973 | |||||||||||
Earnings from operations | 342 | 183 | 739 | 485 | |||||||||||
Other income (expense): | |||||||||||||||
Investment and other income | 33 | 8 | 80 | 27 | |||||||||||
Interest expense | (57 | ) | (11 | ) | (142 | ) | (32 | ) | |||||||
Earnings from continuing operations, before income tax expense | 318 | 180 | 677 | 480 | |||||||||||
Income tax expense | 171 | 87 | 376 | 234 | |||||||||||
Earnings from continuing operations, net of income tax expense | 147 | 93 | 301 | 246 | |||||||||||
Discontinued operations, net of income tax benefit | (1 | ) | 1 | (3 | ) | — | |||||||||
Net earnings | 146 | 94 | 298 | 246 | |||||||||||
(Earnings) attributable to noncontrolling interests | (1 | ) | (1 | ) | (1 | ) | (2 | ) | |||||||
Net earnings attributable to Centene Corporation | $ | 145 | $ | 93 | $ | 297 | $ | 244 | |||||||
Amounts attributable to Centene Corporation common shareholders: | |||||||||||||||
Earnings from continuing operations, net of income tax expense | $ | 146 | $ | 92 | $ | 300 | $ | 244 | |||||||
Discontinued operations, net of income tax benefit | (1 | ) | 1 | (3 | ) | — | |||||||||
Net earnings | $ | 145 | $ | 93 | $ | 297 | $ | 244 | |||||||
Net earnings (loss) per common share attributable to Centene Corporation: | |||||||||||||||
Basic: | |||||||||||||||
Continuing operations | $ | 0.85 | $ | 0.77 | $ | 1.93 | $ | 2.05 | |||||||
Discontinued operations | — | 0.01 | (0.02 | ) | — | ||||||||||
Basic earnings per common share | $ | 0.85 | $ | 0.78 | $ | 1.91 | $ | 2.05 | |||||||
Diluted: | |||||||||||||||
Continuing operations | $ | 0.84 | $ | 0.75 | $ | 1.89 | $ | 1.99 | |||||||
Discontinued operations | (0.01 | ) | 0.01 | (0.02 | ) | — | |||||||||
Diluted earnings per common share | $ | 0.83 | $ | 0.76 | $ | 1.87 | $ | 1.99 | |||||||
Weighted average number of common shares outstanding: | |||||||||||||||
Basic | 170,774,587 | 119,121,524 | 155,680,769 | 118,970,853 | |||||||||||
Diluted | 174,312,416 | 123,131,810 | 158,960,068 | 122,904,476 |
Three Months Ended September 30, | Nine Months Ended September 30, | ||||||||||||||
2016 | 2015 | 2016 | 2015 | ||||||||||||
Net earnings | $ | 146 | $ | 94 | $ | 298 | $ | 246 | |||||||
Reclassification adjustment, net of tax | (1 | ) | — | — | — | ||||||||||
Change in unrealized gain on investments, net of tax | 5 | 2 | 57 | 3 | |||||||||||
Foreign currency translation adjustments | (1 | ) | — | (1 | ) | (4 | ) | ||||||||
Other comprehensive earnings (loss) | 3 | 2 | 56 | (1 | ) | ||||||||||
Comprehensive earnings | 149 | 96 | 354 | 245 | |||||||||||
Comprehensive (earnings) attributable to noncontrolling interests | (1 | ) | (1 | ) | (1 | ) | (2 | ) | |||||||
Comprehensive earnings attributable to Centene Corporation | $ | 148 | $ | 95 | $ | 353 | $ | 243 |
Centene Stockholders’ Equity | |||||||||||||||||||||||||||||||||
Common Stock | Treasury Stock | ||||||||||||||||||||||||||||||||
$.001 Par Value Shares | Amt | Additional Paid-in Capital | Accumulated Other Comprehensive Earnings (Loss) | Retained Earnings | $.001 Par Value Shares | Amt | Non controlling Interest | Total | |||||||||||||||||||||||||
Balance, December 31, 2015 | 126,855,477 | $ | — | $ | 956 | $ | (10 | ) | $ | 1,358 | 6,512,496 | $ | (147 | ) | $ | 11 | $ | 2,168 | |||||||||||||||
Comprehensive Earnings: | |||||||||||||||||||||||||||||||||
Net earnings | — | — | — | — | 297 | — | — | — | 297 | ||||||||||||||||||||||||
Other comprehensive earnings, net of $20 tax | — | — | — | 56 | — | — | — | — | 56 | ||||||||||||||||||||||||
Common stock issued for acquisitions | 48,218,310 | — | 3,074 | — | — | (1,375,596 | ) | 31 | — | 3,105 | |||||||||||||||||||||||
Common stock issued for employee benefit plans | 1,394,038 | — | 7 | — | — | — | — | — | 7 | ||||||||||||||||||||||||
Common stock repurchases | — | — | — | — | — | 470,173 | (29 | ) | — | (29 | ) | ||||||||||||||||||||||
Stock compensation expense | — | — | 112 | — | — | — | — | — | 112 | ||||||||||||||||||||||||
Excess tax benefits from stock compensation | — | — | 5 | — | — | — | — | — | 5 | ||||||||||||||||||||||||
Contribution from noncontrolling interest | — | — | — | — | — | — | — | 3 | 3 | ||||||||||||||||||||||||
Balance, September 30, 2016 | 176,467,825 | $ | — | $ | 4,154 | $ | 46 | $ | 1,655 | 5,607,073 | $ | (145 | ) | $ | 14 | $ | 5,724 |
Nine Months Ended September 30, | |||||||
2016 | 2015 | ||||||
Cash flows from operating activities: | |||||||
Net earnings | $ | 298 | $ | 246 | |||
Adjustments to reconcile net earnings to net cash provided by operating activities | |||||||
Depreciation and amortization | 189 | 82 | |||||
Stock compensation expense | 112 | 48 | |||||
Deferred income taxes | (17 | ) | (14 | ) | |||
Gain on contingent consideration | (2 | ) | (37 | ) | |||
Goodwill and intangible adjustment | — | 28 | |||||
Changes in assets and liabilities | |||||||
Premium and related receivables | (906 | ) | (360 | ) | |||
Other current assets | (81 | ) | (103 | ) | |||
Medical claims liabilities | 15 | 394 | |||||
Unearned revenue | 301 | (104 | ) | ||||
Accounts payable and accrued expenses | 99 | 209 | |||||
Other long term liabilities | 156 | 101 | |||||
Other operating activities, net | 91 | (33 | ) | ||||
Net cash provided by operating activities | 255 | 457 | |||||
Cash flows from investing activities: | |||||||
Capital expenditures | (211 | ) | (101 | ) | |||
Purchases of investments | (1,528 | ) | (1,077 | ) | |||
Sales and maturities of investments | 955 | 418 | |||||
Investments in acquisitions, net of cash acquired | (848 | ) | (16 | ) | |||
Other investing activities, net | — | 7 | |||||
Net cash used in investing activities | (1,632 | ) | (769 | ) | |||
Cash flows from financing activities: | |||||||
Proceeds from borrowings | 6,956 | 1,305 | |||||
Payment of long term debt | (4,257 | ) | (910 | ) | |||
Common stock repurchases | (29 | ) | (9 | ) | |||
Purchase of noncontrolling interest | (14 | ) | — | ||||
Debt issue costs | (59 | ) | (4 | ) | |||
Other financing activities, net | 1 | (15 | ) | ||||
Net cash provided by financing activities | 2,598 | 367 | |||||
Effect of exchange rate changes on cash and cash equivalents | 1 | — | |||||
Net increase in cash and cash equivalents | 1,222 | 55 | |||||
Cash and cash equivalents, beginning of period | 1,760 | 1,610 | |||||
Cash and cash equivalents, end of period | $ | 2,982 | $ | 1,665 | |||
Supplemental disclosures of cash flow information: | |||||||
Interest paid | $ | 113 | $ | 28 | |||
Income taxes paid | $ | 394 | $ | 229 | |||
Equity issued in connection with acquisitions | $ | 3,105 | $ | 12 |
Assets Acquired and Liabilities Assumed | ||||
Cash and cash equivalents | $ | 1,401 | ||
Premium and related receivables (a) | 1,258 | |||
Short term investments | 74 | |||
Other current assets | 448 | |||
Long term investments | 2,037 | |||
Restricted deposits | 30 | |||
Property, software and equipment, net | 41 | |||
Intangible assets (b) | 1,500 | |||
Other long term assets | 136 | |||
Total assets acquired | 6,925 | |||
Medical claims liability | 1,453 | |||
Borrowings under revolving credit facility | 285 | |||
Accounts payable and accrued expenses (c) | 2,033 | |||
Return of premium payable | 435 | |||
Unearned revenue | 130 | |||
Long term deferred tax liabilities (d) | 330 | |||
Long term debt (e) | 418 | |||
Other long term liabilities | 430 | |||
Total liabilities assumed | 5,514 | |||
Total identifiable net assets | 1,411 | |||
Goodwill (f) | 3,876 | |||
Total assets acquired and liabilities assumed | $ | 5,287 |
(a) | The preliminary fair value of premium and related receivables approximated their historical cost, with the exception of the risk corridor receivable associated with the Health Insurance Marketplace. The fair value of the risk corridor receivable was estimated at $9 million. |
(b) | The identifiable intangible assets acquired are to be measured at fair value as of the completion of the acquisition. The fair value of intangible assets is determined primarily using variations of the "income approach," which is based on the present value of the future after tax cash flows attributable to each identified intangible asset. Other valuation methods, including the market approach and cost approach, were also considered in estimating the fair value. The Company has estimated the preliminary fair value of intangibles to be $1.5 billion with a weighted average life of 10 years. The Company expects the identifiable intangible assets to include purchased contract rights, provider contracts, trade names and developed technology. The Company is still in the process of finalizing its intangible valuation. |
(c) | Accounts payable and accrued expenses includes approximately $285 million related to premium deficiency reserves based on cost trends existing prior to the acquisition date. The premium deficiency reserves are primarily associated with losses in the individual commercial business, largely in California, unfavorable performance in the Arizona commercial business as well as unfavorable performance in the Medicare business primarily in Oregon and Arizona. The premium deficiency reserve for the individual PPO commercial contracts in California includes anticipated future losses in 2016 associated with substance abuse rehabilitation claims. During the third quarter, the Company lowered the premium deficiency reserve by $15 million, reflecting its revised estimate of substance abuse cost trends. |
(d) | The preliminary deferred tax liabilities are presented net of $526 million of deferred tax assets. |
(e) | Debt is required to be measured at fair value under the acquisition method of accounting. The fair value of Health Net's $400 million Senior Notes assumed in the acquisition was $418 million. The $18 million increase will be amortized as a reduction to interest expense over the remaining life of the debt. |
(f) | The acquisition resulted in $3.9 billion of goodwill related primarily to buyer specific synergies expected from the acquisition and the assembled workforce of Health Net. This goodwill is not deductible for income tax purposes. The assignment of goodwill to the Company's respective segments has not been completed at this time. |
Three Months Ended September 30, 2015 | Nine Months Ended September 30, 2015 | ||||||
Total revenues | $ | 9,960 | $ | 28,617 | |||
Net earnings attributable to Centene Corporation | $ | 85 | $ | 215 | |||
Diluted earnings per share | $ | 0.49 | $ | 1.25 |
• | Additional interest income associated with adjusting the amortized cost of Health Net's investment portfolio to fair value. |
• | Elimination of historical Health Net intangible asset amortization expense and addition of amortization expense based on the current preliminary values of identifiable intangible assets. |
• | Interest expense associated with financing the acquisition and amortization of the fair value adjustment to Health Net's debt. |
• | Additional stock compensation expense related to the amortization of the fair value increase to Health Net rollover stock awards. |
• | Increased tax expense due to the assumption that Centene would be subject to the IRS Regulation 162(m)(6) beginning in 2015. |
• | Elimination of acquisition related costs. |
September 30, 2016 | ||||||||||||
Employee Termination Costs | Stock Based Compensation | Total | ||||||||||
Total accrued restructuring costs as of December 31, 2015 | $ | — | $ | — | $ | — | ||||||
Charges incurred | 39 | 40 | 79 | |||||||||
Paid/settled | (25 | ) | (40 | ) | (65 | ) | ||||||
Total accrued restructuring costs as of September 30, 2016 | $ | 14 | $ | — | $ | 14 |
• | invest an additional $30 million through the California Organized Investment Network over the five years following completion of the acquisition; |
• | build a service center in an economically distressed community in California, investing $200 million over ten years and employing at least 300 people; |
• | contribute $65 million to improve enrollee health outcomes ($10 million over ten years), support locally-based consumer assistance programs ($5 million over five years) and strengthen the health care delivery system ($50 million over five years), (of which, the present value of $61 million was expensed in the nine months ended September 30, 2016 and classified as general and administrative expenses in the Consolidated Statements of Operations); and |
• | invest $75 million of its investment portfolio in vehicles supporting California’s health care infrastructure. |
September 30, 2016 | December 31, 2015 | ||||||||||||||||||||||||||||||
Amortized Cost | Gross Unrealized Gains | Gross Unrealized Losses | Fair Value | Amortized Cost | Gross Unrealized Gains | Gross Unrealized Losses | Fair Value | ||||||||||||||||||||||||
U.S. Treasury securities and obligations of U.S. government corporations and agencies | $ | 288 | $ | 2 | $ | — | $ | 290 | $ | 431 | $ | — | $ | (2 | ) | $ | 429 | ||||||||||||||
Corporate securities | 1,915 | 30 | (2 | ) | 1,943 | 859 | 2 | (8 | ) | 853 | |||||||||||||||||||||
Restricted certificates of deposit | 6 | — | — | 6 | 5 | — | — | 5 | |||||||||||||||||||||||
Restricted cash equivalents | 70 | — | — | 70 | 78 | — | — | 78 | |||||||||||||||||||||||
Municipal securities | 1,638 | 24 | (1 | ) | 1,661 | 496 | 2 | (1 | ) | 497 | |||||||||||||||||||||
Asset-backed securities | 289 | 2 | — | 291 | 163 | — | (1 | ) | 162 | ||||||||||||||||||||||
Residential mortgage-backed securities | 215 | 3 | (1 | ) | 217 | 66 | 1 | — | 67 | ||||||||||||||||||||||
Commercial mortgage-backed securities | 341 | 15 | (1 | ) | 355 | 40 | — | — | 40 | ||||||||||||||||||||||
Cost and equity method investments | 162 | — | — | 162 | 71 | — | — | 71 | |||||||||||||||||||||||
Life insurance contracts | 116 | — | — | 116 | 16 | — | — | 16 | |||||||||||||||||||||||
Total | $ | 5,040 | $ | 76 | $ | (5 | ) | $ | 5,111 | $ | 2,225 | $ | 5 | $ | (12 | ) | $ | 2,218 |
September 30, 2016 | December 31, 2015 | ||||||||||||||||||||||||||||||
Less Than 12 Months | 12 Months or More | Less Than 12 Months | 12 Months or More | ||||||||||||||||||||||||||||
Unrealized Losses | Fair Value | Unrealized Losses | Fair Value | Unrealized Losses | Fair Value | Unrealized Losses | Fair Value | ||||||||||||||||||||||||
U.S. Treasury securities and obligations of U.S. government corporations and agencies | $ | — | $ | 4 | $ | — | $ | 2 | $ | (2 | ) | $ | 294 | $ | — | $ | 14 | ||||||||||||||
Corporate securities | (1 | ) | 309 | (1 | ) | 80 | (6 | ) | 561 | (2 | ) | 41 | |||||||||||||||||||
Municipal securities | (1 | ) | 231 | — | 32 | (1 | ) | 208 | — | 5 | |||||||||||||||||||||
Asset-backed securities | — | 29 | — | 21 | (1 | ) | 121 | — | 8 | ||||||||||||||||||||||
Residential mortgage-backed securities | (1 | ) | 45 | — | — | — | 30 | — | — | ||||||||||||||||||||||
Commercial mortgage-backed securities | (1 | ) | 119 | — | 1 | — | 34 | — | — | ||||||||||||||||||||||
Total | $ | (4 | ) | $ | 737 | $ | (1 | ) | $ | 136 | $ | (10 | ) | $ | 1,248 | $ | (2 | ) | $ | 68 |
September 30, 2016 | December 31, 2015 | ||||||||||||||||||||||||||||||
Investments | Restricted Deposits | Investments | Restricted Deposits | ||||||||||||||||||||||||||||
Amortized Cost | Fair Value | Amortized Cost | Fair Value | Amortized Cost | Fair Value | Amortized Cost | Fair Value | ||||||||||||||||||||||||
One year or less | $ | 406 | $ | 406 | $ | 122 | $ | 123 | $ | 176 | $ | 176 | $ | 93 | $ | 93 | |||||||||||||||
One year through five years | 1,978 | 2,000 | 14 | 14 | 1,662 | 1,654 | 22 | 22 | |||||||||||||||||||||||
Five years through ten years | 1,098 | 1,116 | — | — | 267 | 268 | — | — | |||||||||||||||||||||||
Greater than ten years | 577 | 589 | — | — | 5 | 5 | — | — | |||||||||||||||||||||||
Asset-backed securities | 845 | 863 | — | — | — | — | — | — | |||||||||||||||||||||||
Total | $ | 4,904 | $ | 4,974 | $ | 136 | $ | 137 | $ | 2,110 | $ | 2,103 | $ | 115 | $ | 115 |
Level Input: | Input Definition: | |
Level I | Inputs are unadjusted, quoted prices for identical assets or liabilities in active markets at the measurement date. | |
Level II | Inputs other than quoted prices included in Level I that are observable for the asset or liability through corroboration with market data at the measurement date. | |
Level III | Unobservable inputs that reflect management’s best estimate of what market participants would use in pricing the asset or liability at the measurement date. |
Level I | Level II | Level III | Total | ||||||||||||
Assets | |||||||||||||||
Cash and cash equivalents | $ | 2,982 | $ | — | $ | — | $ | 2,982 | |||||||
Investments available for sale: | |||||||||||||||
U.S. Treasury securities and obligations of U.S. government corporations and agencies | $ | 215 | $ | 14 | $ | — | $ | 229 | |||||||
Corporate securities | — | 1,943 | — | 1,943 | |||||||||||
Municipal securities | — | 1,661 | — | 1,661 | |||||||||||
Asset-backed securities | — | 291 | — | 291 | |||||||||||
Residential mortgage-backed securities | — | 217 | — | 217 | |||||||||||
Commercial mortgage-backed securities | — | 355 | — | 355 | |||||||||||
Total investments | $ | 215 | $ | 4,481 | $ | — | $ | 4,696 | |||||||
Restricted deposits available for sale: | |||||||||||||||
Cash and cash equivalents | $ | 70 | $ | — | $ | — | $ | 70 | |||||||
Certificates of deposit | 6 | — | — | 6 | |||||||||||
U.S. Treasury securities and obligations of U.S. government corporations and agencies | 61 | — | — | 61 | |||||||||||
Total restricted deposits | $ | 137 | $ | — | $ | — | $ | 137 | |||||||
Other long term assets: Interest rate swap agreements | $ | — | $ | 25 | $ | — | $ | 25 | |||||||
Total assets at fair value | $ | 3,334 | $ | 4,506 | $ | — | $ | 7,840 |
Level I | Level II | Level III | Total | ||||||||||||
Assets | |||||||||||||||
Cash and cash equivalents | $ | 1,760 | $ | — | $ | — | $ | 1,760 | |||||||
Investments available for sale: | |||||||||||||||
U.S. Treasury securities and obligations of U.S. government corporations and agencies | $ | 325 | $ | 72 | $ | — | $ | 397 | |||||||
Corporate securities | — | 853 | — | 853 | |||||||||||
Municipal securities | — | 497 | — | 497 | |||||||||||
Asset-backed securities | — | 162 | — | 162 | |||||||||||
Residential mortgage-backed securities | — | 67 | — | 67 | |||||||||||
Commercial mortgage-backed securities | — | 40 | — | 40 | |||||||||||
Total investments | $ | 325 | $ | 1,691 | $ | — | $ | 2,016 | |||||||
Restricted deposits available for sale: | |||||||||||||||
Cash and cash equivalents | $ | 78 | $ | — | $ | — | $ | 78 | |||||||
Certificates of deposit | 5 | — | — | 5 | |||||||||||
U.S. Treasury securities and obligations of U.S. government corporations and agencies | 32 | — | — | 32 | |||||||||||
Total restricted deposits | $ | 115 | $ | — | $ | — | $ | 115 | |||||||
Other long term assets: | |||||||||||||||
Interest rate swap agreements | $ | — | $ | 11 | $ | — | $ | 11 | |||||||
Total assets at fair value | $ | 2,200 | $ | 1,702 | $ | — | $ | 3,902 | |||||||
Liabilities | |||||||||||||||
Other long term liabilities: | |||||||||||||||
Interest rate swap agreements | $ | — | $ | 2 | $ | — | $ | 2 | |||||||
Total liabilities at fair value | $ | — | $ | 2 | $ | — | $ | 2 |
September 30, 2016 | December 31, 2015 | ||||||
Risk adjustment | $ | (294 | ) | $ | (108 | ) | |
Reinsurance | 101 | 24 | |||||
Risk corridor | — | (4 | ) | ||||
Minimum medical loss ratio | (18 | ) | (15 | ) |
September 30, 2016 | December 31, 2015 | ||||||
$425 million 5.75% Senior notes, due June 1, 2017 | $ | 426 | $ | 428 | |||
$400 million 6.375% Senior notes, due June 1, 2017 | 411 | — | |||||
$1,400 million 5.625% Senior notes, due February 15, 2021 | 1,400 | — | |||||
$1,000 million 4.75% Senior notes, due May 15, 2022 | 1,008 | 500 | |||||
$1,000 million 6.125% Senior notes, due February 15, 2024 | 1,000 | — | |||||
Fair value of interest rate swap agreements | 25 | 9 | |||||
Total senior notes | 4,270 | 937 | |||||
Revolving credit agreement | 300 | 225 | |||||
Mortgage notes payable | 65 | 67 | |||||
Capital leases and other | 18 | 6 | |||||
Debt issuance costs | (64 | ) | (14 | ) | |||
Total debt | 4,589 | 1,221 | |||||
Less current portion | (845 | ) | (5 | ) | |||
Long term debt | $ | 3,744 | $ | 1,216 |
Three Months Ended September 30, | Nine Months Ended September 30, | ||||||||||||||
2016 | 2015 | 2016 | 2015 | ||||||||||||
Earnings attributable to Centene Corporation: | |||||||||||||||
Earnings from continuing operations, net of tax | $ | 146 | $ | 92 | $ | 300 | $ | 244 | |||||||
Discontinued operations, net of tax | (1 | ) | 1 | (3 | ) | — | |||||||||
Net earnings | $ | 145 | $ | 93 | $ | 297 | $ | 244 | |||||||
Shares used in computing per share amounts: | |||||||||||||||
Weighted average number of common shares outstanding | 170,774,587 | 119,121,524 | 155,680,769 | 118,970,853 | |||||||||||
Common stock equivalents (as determined by applying the treasury stock method) | 3,537,829 | 4,010,286 | 3,279,299 | 3,933,623 | |||||||||||
Weighted average number of common shares and potential dilutive common shares outstanding | 174,312,416 | 123,131,810 | 158,960,068 | 122,904,476 | |||||||||||
Net earnings per common share attributable to Centene Corporation: | |||||||||||||||
Basic: | |||||||||||||||
Continuing operations | $ | 0.85 | $ | 0.77 | $ | 1.93 | $ | 2.05 | |||||||
Discontinued operations | — | 0.01 | (0.02 | ) | — | ||||||||||
Basic earnings per common share | $ | 0.85 | $ | 0.78 | $ | 1.91 | $ | 2.05 | |||||||
Diluted: | |||||||||||||||
Continuing operations | $ | 0.84 | $ | 0.75 | $ | 1.89 | $ | 1.99 | |||||||
Discontinued operations | (0.01 | ) | 0.01 | (0.02 | ) | — | |||||||||
Diluted earnings per common share | $ | 0.83 | $ | 0.76 | $ | 1.87 | $ | 1.99 |
Managed Care | Specialty Services | Eliminations | Consolidated Total | ||||||||||||
Total revenues from external customers | $ | 10,010 | $ | 836 | $ | — | $ | 10,846 | |||||||
Total revenues from internal customers | 55 | 1,525 | (1,580 | ) | — | ||||||||||
Total revenues | $ | 10,065 | $ | 2,361 | $ | (1,580 | ) | $ | 10,846 | ||||||
Earnings from operations | $ | 304 | $ | 38 | $ | — | $ | 342 |
Managed Care | Specialty Services | Eliminations | Consolidated Total | ||||||||||||
Total revenues from external customers | $ | 5,278 | $ | 543 | $ | — | $ | 5,821 | |||||||
Total revenues from internal customers | 23 | 1,274 | (1,297 | ) | — | ||||||||||
Total revenues | $ | 5,301 | $ | 1,817 | $ | (1,297 | ) | $ | 5,821 | ||||||
Earnings from operations | $ | 138 | $ | 45 | $ | — | $ | 183 |
Managed Care | Specialty Services | Eliminations | Consolidated Total | ||||||||||||
Total revenues from external customers | $ | 26,439 | $ | 2,257 | $ | — | $ | 28,696 | |||||||
Total revenues from internal customers | 143 | 4,384 | (4,527 | ) | — | ||||||||||
Total revenues | $ | 26,582 | $ | 6,641 | $ | (4,527 | ) | $ | 28,696 | ||||||
Earnings from operations | $ | 618 | $ | 121 | $ | — | $ | 739 |
Managed Care | Specialty Services | Eliminations | Consolidated Total | ||||||||||||
Total revenues from external customers | $ | 14,857 | $ | 1,601 | $ | — | $ | 16,458 | |||||||
Total revenues from internal customers | 73 | 3,525 | (3,598 | ) | — | ||||||||||
Total revenues | $ | 14,930 | $ | 5,126 | $ | (3,598 | ) | $ | 16,458 | ||||||
Earnings from operations | $ | 358 | $ | 127 | $ | — | $ | 485 |
• | periodic compliance and other reviews by various federal and state regulatory agencies with respect to requirements applicable to the Company's business, including, without limitation, payment of out-of-network claims, rules relating to pre-authorization penalties, timely review of grievances and appeals, timely and accurate payment of claims, and the Health Insurance Portability and Accountability Act of 1996; |
• | litigation arising out of general business activities, such as tax matters, disputes related to health care benefits coverage or reimbursement, and medical malpractice, privacy, real estate, intellectual property and employment-related claims; |
• | disputes regarding reinsurance arrangements, claims arising out of the acquisition or divestiture of various assets, class actions and claims relating to the performance of contractual and non-contractual obligations to providers, members, employer groups and others, including, but not limited to, the alleged failure to properly pay claims and challenges to the manner in which the Company processes claims, and claims alleging that the Company has engaged in unfair business practices. |
• | Managed care membership of 11.4 million, an increase of 6.6 million members, or 137% year over year. |
• | Total revenues of $10.8 billion, representing 86% growth year over year. |
• | Health benefits ratio of 87.0%, compared to 89.0% in 2015. |
• | General and administrative expense ratio of 9.2%, or 9.1% excluding Health Net acquisition related expenses for the third quarter of 2016, compared to 8.4% in the third quarter of 2015. |
• | Operating cash flows of $480 million for the third quarter of 2016. |
• | Diluted earnings per share (EPS) for the third quarter of 2016 of $0.84, or $1.11 of Adjusted diluted EPS, including a $0.05 diluted EPS charge related to a revised reconciliation of the 2015 risk adjustment under the Affordable Care Act (ACA) in connection with our Health Insurance Marketplace business. In comparison, diluted EPS for the third quarter of 2015 was $0.75, or $0.87 Adjusted diluted EPS. A reconciliation of GAAP diluted EPS to Adjusted diluted EPS is highlighted below and additional detail is provided above under the heading "Non-GAAP Financial Presentation": |
Three Months Ended September 30, | |||||||
2016 | 2015 | ||||||
GAAP diluted EPS | $ | 0.84 | $ | 0.75 | |||
Health Net acquisition related expenses | 0.12 | 0.09 | |||||
Amortization of acquired intangible assets | 0.15 | 0.03 | |||||
Adjusted diluted EPS | $ | 1.11 | $ | 0.87 |
• | Arizona. In October 2015, our subsidiary, Cenpatico Integrated Care, in partnership with University of Arizona Health Plan, began operating under a contract with the Arizona Department of Health Services/Division of Behavioral Health Services to be the Regional Behavioral Health Authority for the new southern geographic service area. |
• | Centurion. In February 2015, Centurion began operating under a new contract with the State of Vermont Department of Corrections to provide comprehensive correctional healthcare services. |
• | Florida. In October 2015, our Florida subsidiary, Sunshine Health began operating under a two-year, statewide contract with the Florida Healthy Kids Corporation to manage healthcare services for children ages five through 18 in all 11 regions of Florida. |
• | Health Insurance Marketplaces (HIM). In January 2016, we began serving members enrolled in the federally facilitated Health Insurance Marketplace in the state of New Hampshire. |
• | Health Net. On March 24, 2016, we acquired all of the issued and outstanding shares of Health Net for approximately $6.0 billion, including the assumption of debt. This strategic acquisition broadened our service offerings, providing expansion in Medicaid and Medicare programs. This acquisition provided further diversification across our markets and products through the addition of commercial products and government-sponsored care under federal contracts with the Department of Defense (DoD) and the U.S. Department of Veteran's Affairs (VA), as well as Medicare Advantage. Health Net's operations are primarily concentrated in the states of California, Arizona, Oregon, and Washington. |
• | Indiana. In February 2015, our Indiana subsidiary, Managed Health Services, began operating under an expanded contract with the Indiana Family & Social Services Administration to provide Medicaid services under the state's Healthy Indiana Plan 2.0 program. |
• | Louisiana. In February 2015, our Louisiana subsidiary, Louisiana Healthcare Connections, began operating under a new contract with the Louisiana Department of Health to serve Healthy Louisiana (Medicaid) beneficiaries. Members previously served under the shared savings program were transitioned to the at-risk program on February 1, 2015. |
• | Michigan. In May 2015, we completed the acquisition of Fidelis SecureCare of Michigan, Inc. (Fidelis). Fidelis began operating under a new contract with the Michigan Department of Community Health and the Centers for Medicare and Medicaid Services to provide integrated healthcare services to members who are dually eligible for Medicare and Medicaid in Macomb and Wayne counties in May 2015. Passive enrollment began in July 2015. |
• | Mississippi. In July 2014, our Mississippi subsidiary, Magnolia Health, began operating as one of two contractors under a new statewide managed care contract serving members enrolled in the Mississippi Coordinated Access Network program. Program expansion began in December 2014 and continued through July 2015. |
• | Oregon. In September 2015, we completed the acquisition of Agate Resources, Inc., a diversified holding company, that offers primarily Medicaid and other healthcare products and services to Oregon residents through Trillium Community Health Plan. |
• | South Carolina. In February 2015, our South Carolina subsidiary, Absolute Total Care, began operating under a new contract with the South Carolina Department of Health and Human Services and the Centers for Medicare and Medicaid Services to serve dual-eligible members as part of the state's dual demonstration program. |
• | Texas. In March 2015, we began operating under an expanded STAR+PLUS contract with the Texas Health and Human Services Commission (HHSC) to include nursing facility benefits. |
• | Washington. In April 2016, our subsidiary, Coordinated Care of Washington, began operating as the sole contractor with the Washington State Health Care Authority to provide foster care services through the Apple Health Foster Care contract. |
• | We expect to realize benefits from the Health Net acquisition completed on March 24, 2016. |
• | We expect to realize the full year benefit in 2016 of business commenced during 2015 in Arizona, Florida, Indiana, Louisiana, Michigan, Mississippi, Oregon, South Carolina, Texas and Vermont as discussed above. |
• | In October 2016, our subsidiary, Home State Health, was selected to provide managed care services to MO HealthNet Managed Care beneficiaries. Under the new contract, Home State Health expects to serve MO HealthNet Managed Care beneficiaries in all 114 counties in Missouri. The contract is expected to commence May 1, 2017, pending regulatory approval. |
• | In September 2016, the Alabama legislature approved the funding needed to create its regional care organization (RCO) structure. Our subsidiary, AHA Administrative Services, has contracted with five nonprofit RCOs in Alabama to provide management services. Operations are expected to commence July 1, 2017. |
• | In August 2016, we announced our filing with the Arizona Department of Insurance and the Centers for Medicare and Medicaid Services to continue our participation as a qualified health plan issuer in the Arizona Health Insurance Marketplace in 2017. We have exited the Health Net preferred provider organization offerings in Arizona, effective January 1, 2017. |
• | In August 2016, our Pennsylvania subsidiary, Pennsylvania Health & Wellness, was selected by the department of Human Services and Aging to serve enrollees in the Community HealthChoices program statewide. Expected contract commencement dates vary by zone, starting July 2017, and will be fully implemented by January 2019, pending regulatory approval. |
• | In July 2016, it was announced that the Department of Defense awarded our wholly-owned subsidiary, Health Net Federal Services, the TRICARE West Region contract. We currently administer services for the TRICARE program in the North Region. In connection with this latest generation of TRICARE contracts, the Department of Defense has consolidated the prior North, South and West TRICARE regions into two: the West and East Regions (the East combining the current North and South Regions). The contract awards for both the West Region and East Region are subject to pending bid protests. We will continue to operate in the TRICARE North Region pending the resolution of these protests. |
• | In June 2016, Managed Health Services, was selected by the Indiana Family & Social Services Administration to begin contract negotiations to provide risk-based managed care services for enrollees in the Healthy Indiana Plan and Hoosier Healthwise programs. This new contract is expected to commence on January 1, 2017. |
• | In May 2016, our specialty solutions division, Envolve, Inc. was selected by Maryland Care Inc. d/b/a Maryland Physicians Care MCO to provide health plan management services for its Medicaid operations in Maryland effective July 1, 2017. |
• | In April 2016, our Pennsylvania subsidiary, Pennsylvania Health & Wellness, was selected by the Pennsylvania Department of Human Services to service Medicaid recipients enrolled in the HealthChoices program in three zones. In July 2016, the Commonwealth reissued the request for proposal with an anticipated commencement of April 2017. |
• | In April 2016, our Nebraska subsidiary, Nebraska Total Care, executed a contract with the Nebraska Department of Health and Human Services' Division of Medicaid and Long-Term Care as one of three managed care organizations to administer its new Heritage Health Program for Medicaid, ABD, CHIP, Foster Care and LTC enrollees. The contract is expected to commence in the first quarter of 2017. |
• | In October 2015, our subsidiary, Superior HealthPlan, Inc., was awarded a contract by the Texas HHSC to serve seven delivery areas for STAR Kids Medicaid recipients, more than any other successful bidder. The new contract is expected to commence on November 1, 2016. |
• | In September 2015, our subsidiary, Peach State Health Plan, was one of the Care Management Organizations selected to serve Medicaid recipients enrolled in the Georgia Families, PeachCare for Kids and Planning for Healthy Babies programs. The expiration of the current contract was extended for one year and expires June 30, 2017. |
September 30, 2016 | December 31, 2015 | September 30, 2015 | ||||||
Arizona | 601,500 | 440,900 | 223,600 | |||||
Arkansas | 57,700 | 41,900 | 40,900 | |||||
California | 3,004,500 | 186,000 | 183,900 | |||||
Florida | 732,700 | 510,400 | 486,500 | |||||
Georgia | 498,000 | 408,600 | 406,700 | |||||
Illinois | 236,700 | 207,500 | 211,300 | |||||
Indiana | 289,600 | 282,100 | 276,700 | |||||
Kansas | 145,100 | 141,000 | 137,500 | |||||
Louisiana | 455,600 | 381,900 | 358,800 | |||||
Massachusetts | 45,300 | 61,500 | 63,700 | |||||
Michigan | 2,100 | 4,800 | 6,600 | |||||
Minnesota | 9,400 | 9,600 | 9,400 | |||||
Mississippi | 313,900 | 302,200 | 301,000 | |||||
Missouri | 104,700 | 95,100 | 88,400 | |||||
New Hampshire | 78,400 | 71,400 | 71,900 | |||||
New Mexico | 7,100 | — | — | |||||
Ohio | 319,500 | 302,700 | 308,100 | |||||
Oregon | 218,400 | 98,700 | 99,800 | |||||
South Carolina | 119,700 | 104,000 | 104,800 | |||||
Tennessee | 21,600 | 20,000 | 20,200 | |||||
Texas | 1,041,600 | 983,100 | 976,500 | |||||
Vermont | 1,700 | 1,700 | 1,500 | |||||
Washington | 240,500 | 209,400 | 208,600 | |||||
Wisconsin | 75,100 | 77,100 | 78,100 | |||||
Total at-risk membership | 8,620,400 | 4,941,600 | 4,664,500 | |||||
TRICARE eligibles | 2,815,700 | — | — | |||||
Non-risk membership | — | 166,300 | 169,900 | |||||
Total | 11,436,100 | 5,107,900 | 4,834,400 |
September 30, 2016 | December 31, 2015 | September 30, 2015 | ||||||
Medicaid: | ||||||||
TANF, CHIP & Foster Care | 5,583,900 | 3,763,400 | 3,719,900 | |||||
ABD & LTC | 754,900 | 478,600 | 473,700 | |||||
Behavioral Health | 465,300 | 456,800 | 216,700 | |||||
Commercial | 1,365,600 | 146,100 | 155,600 | |||||
Medicare & Duals | 300,900 | 37,400 | 39,300 | |||||
Correctional | 149,800 | 59,300 | 59,300 | |||||
Total at-risk membership | 8,620,400 | 4,941,600 | 4,664,500 | |||||
TRICARE eligibles | 2,815,700 | — | — | |||||
Non-risk membership | — | 166,300 | 169,900 | |||||
Total | 11,436,100 | 5,107,900 | 4,834,400 |
Three Months Ended September 30, | Nine Months Ended September 30, | ||||||||||||||||||||
2016 | 2015 | % Change 2015-2016 | 2016 | 2015 | % Change 2015-2016 | ||||||||||||||||
Premium | $ | 9,625 | $ | 4,983 | 93 | % | $ | 25,299 | $ | 13,974 | 81 | % | |||||||||
Service | 590 | 480 | 23 | % | 1,603 | 1,434 | 12 | % | |||||||||||||
Premium and service revenues | 10,215 | 5,463 | 87 | % | 26,902 | 15,408 | 75 | % | |||||||||||||
Premium tax and health insurer fee | 631 | 358 | 76 | % | 1,794 | 1,050 | 71 | % | |||||||||||||
Total revenues | 10,846 | 5,821 | 86 | % | 28,696 | 16,458 | 74 | % | |||||||||||||
Medical costs | 8,376 | 4,433 | 89 | % | 22,072 | 12,475 | 77 | % | |||||||||||||
Cost of services | 504 | 413 | 22 | % | 1,386 | 1,234 | 12 | % | |||||||||||||
General and administrative expenses | 940 | 458 | 105 | % | 2,611 | 1,291 | 102 | % | |||||||||||||
Amortization of acquired intangible assets | 43 | 6 | n.m. | 95 | 18 | n.m. | |||||||||||||||
Premium tax expense | 512 | 274 | 87 | % | 1,460 | 794 | 84 | % | |||||||||||||
Health insurer fee expense | 129 | 54 | 139 | % | 333 | 161 | 107 | % | |||||||||||||
Earnings from operations | 342 | 183 | 87 | % | 739 | 485 | 52 | % | |||||||||||||
Other income (expense), net | (24 | ) | (3 | ) | n.m. | (62 | ) | (5 | ) | n.m. | |||||||||||
Earnings from continuing operations, before income tax expense | 318 | 180 | 77 | % | 677 | 480 | 41 | % | |||||||||||||
Income tax expense | 171 | 87 | 97 | % | 376 | 234 | 61 | % | |||||||||||||
Earnings from continuing operations, net of income tax expense | 147 | 93 | 58 | % | 301 | 246 | 22 | % | |||||||||||||
Discontinued operations, net of income tax benefit | (1 | ) | 1 | (200 | )% | (3 | ) | — | n.m. | ||||||||||||
Net earnings | 146 | 94 | 55 | % | 298 | 246 | 21 | % | |||||||||||||
(Earnings) attributable to noncontrolling interests | (1 | ) | (1 | ) | — | % | (1 | ) | (2 | ) | 50 | % | |||||||||
Net earnings attributable to Centene Corporation | $ | 145 | $ | 93 | 56 | % | $ | 297 | $ | 244 | 22 | % | |||||||||
Amounts attributable to Centene Corporation common shareholders: | |||||||||||||||||||||
Earnings from continuing operations, net of income tax expense | $ | 146 | $ | 92 | 59 | % | $ | 300 | $ | 244 | 23 | % | |||||||||
Discontinued operations, net of income tax benefit | (1 | ) | 1 | (200 | )% | (3 | ) | — | n.m. | ||||||||||||
Net earnings | $ | 145 | $ | 93 | 56 | % | $ | 297 | $ | 244 | 22 | % | |||||||||
Diluted earnings (loss) per common share attributable to Centene Corporation: | |||||||||||||||||||||
Continuing operations | $ | 0.84 | $ | 0.75 | 12 | % | $ | 1.89 | $ | 1.99 | (5 | )% | |||||||||
Discontinued operations | (0.01 | ) | 0.01 | (200 | )% | (0.02 | ) | — | n.m. | ||||||||||||
Total diluted earnings per common share | $ | 0.83 | $ | 0.76 | 9 | % | $ | 1.87 | $ | 1.99 | (6 | )% |
2016 | 2015 | ||||||
Investment and other income | $ | 33 | $ | 8 | |||
Interest expense | (57 | ) | (11 | ) | |||
Other income (expense), net | $ | (24 | ) | $ | (3 | ) |
2016 | 2015 | % Change 2015-2016 | ||||||||
Total Revenues | ||||||||||
Managed Care | $ | 10,065 | $ | 5,301 | 90 | % | ||||
Specialty Services | 2,361 | 1,817 | 30 | % | ||||||
Eliminations | (1,580 | ) | (1,297 | ) | (22 | )% | ||||
Consolidated Total | $ | 10,846 | $ | 5,821 | 86 | % | ||||
Earnings from Operations | ||||||||||
Managed Care | $ | 304 | $ | 138 | 120 | % | ||||
Specialty Services | 38 | 45 | (16 | )% | ||||||
Consolidated Total | $ | 342 | $ | 183 | 87 | % |
2016 | 2015 | ||||||
Investment and other income | $ | 80 | $ | 27 | |||
Interest expense | (142 | ) | (32 | ) | |||
Other income (expense), net | $ | (62 | ) | $ | (5 | ) |
2016 | 2015 | % Change 2015-2016 | ||||||||
Total Revenues | ||||||||||
Managed Care | $ | 26,582 | $ | 14,930 | 78 | % | ||||
Specialty Services | 6,641 | 5,126 | 30 | % | ||||||
Eliminations | (4,527 | ) | (3,598 | ) | (26 | )% | ||||
Consolidated Total | $ | 28,696 | $ | 16,458 | 74 | % | ||||
Earnings from Operations | ||||||||||
Managed Care | $ | 618 | $ | 358 | 73 | % | ||||
Specialty Services | 121 | 127 | (5 | )% | ||||||
Consolidated Total | $ | 739 | $ | 485 | 52 | % |
Nine Months Ended September 30, | |||||||
2016 | 2015 | ||||||
Net cash provided by operating activities | $ | 255 | $ | 457 | |||
Net cash used in investing activities | (1,632 | ) | (769 | ) | |||
Net cash provided by financing activities | 2,598 | 367 | |||||
Net increase in cash and cash equivalents | $ | 1,222 | $ | 55 |
Payments Due by Period | |||||||||||||||||||
Total | Less Than 1 Year | 1-3 Years | 3-5 Years | Thereafter | |||||||||||||||
Medical claims liability | $ | 3,767 | $ | 3,767 | $ | — | $ | — | $ | — | |||||||||
Debt and interest | 5,800 | 1,049 | 408 | 299 | 4,044 | ||||||||||||||
Operating lease obligations | 619 | 124 | 213 | 161 | 121 | ||||||||||||||
Purchase obligations | 679 | 417 | 256 | 6 | — | ||||||||||||||
Other long term liabilities 1 | — | — | — | — | — | ||||||||||||||
Total | $ | 10,865 | $ | 5,357 | $ | 877 | $ | 466 | $ | 4,165 |
• | invest an additional $30 million through the California Organized Investment Network over the five years following completion of the acquisition; |
• | build a service center in an economically distressed community in California, investing $200 million over ten years and employing at least 300 people; |
• | contribute $65 million to improve enrollee health outcomes ($10 million over ten years), support locally-based consumer assistance programs ($5 million over five years) and strengthen the health care delivery system ($50 million over five years), (of which, the present value of $61 million was expensed in the nine months ended September 30, 2016 and classified as general and administrative expenses in the Consolidated Statements of Operations); and |
• | invest $75 million of its investment portfolio in vehicles supporting California’s health care infrastructure. |
• | the diversion of management’s attention from ongoing business concerns and performance shortfalls as a result of the devotion of management’s attention to the integration; |
• | managing a larger combined company; |
• | maintaining employee morale and retaining key management and other employees; |
• | the possibility of faulty assumptions underlying expectations regarding the integration process; |
• | retaining existing business and operational relationships and attracting new business and operational relationships; |
• | consolidating corporate and administrative infrastructures and eliminating duplicative operations; |
• | coordinating geographically separate organizations; |
• | unanticipated issues in integrating information technology, communications and other systems; |
• | unanticipated changes in federal or state laws or regulations, including the ACA and any regulations enacted thereunder; and |
• | unforeseen expenses or delays associated with the acquisition and/or integration. |
Issuer Purchases of Equity Securities Third Quarter 2016 | |||||||||||
Period | Total Number of Shares Purchased 1 | Average Price Paid per Share | Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs | Maximum Number of Shares that May Yet Be Purchased Under the Plans or Programs2 | |||||||
July 1 - July 31, 2016 | 17,452 | $ | 70.76 | — | 3,335,448 | ||||||
August 1 - August 31, 2016 | 6,840 | 69.66 | — | 3,335,448 | |||||||
September 1 - September 30, 2016 | 4,354 | 68.13 | — | 3,335,448 | |||||||
Total | 28,646 | $ | 70.10 | — | 3,335,448 | ||||||
(1) Shares acquired represent shares relinquished to the Company by certain employees for payment of taxes or option cost upon vesting of restricted stock units or option exercise. (2) Our Board of Directors adopted a stock repurchase program which allows for repurchases of up to a remaining amount of 3,335,448 shares. No duration has been placed on the repurchase program. |
EXHIBIT NUMBER | DESCRIPTION | ||
12.1 | Computation of ratio of earnings to fixed charges. | ||
31.1 | Certification of Chairman, President and Chief Executive Officer pursuant to Rule 13(a)-14(a) under the Securities Exchange Act of 1934, as amended. | ||
31.2 | Certification of Executive Vice President and Chief Financial Officer pursuant to Rule 13(a)-14(a) under the Securities Exchange Act of 1934, as amended. | ||
32.1 | Certification of Chairman, President and Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. | ||
32.2 | Certification of Executive Vice President and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. | ||
101.1 | XBRL Taxonomy Instance Document. | ||
101.2 | XBRL Taxonomy Extension Schema Document. | ||
101.3 | XBRL Taxonomy Extension Calculation Linkbase Document. | ||
101.4 | XBRL Taxonomy Extension Definition Linkbase Document. | ||
101.5 | XBRL Taxonomy Extension Label Linkbase Document. | ||
101.6 | XBRL Taxonomy Extension Presentation Linkbase Document. | ||
CENTENE CORPORATION | ||
By: | /s/ MICHAEL F. NEIDORFF | |
Chairman, President and Chief Executive Officer (principal executive officer) |
By: | /s/ JEFFREY A. SCHWANEKE | |
Executive Vice President and Chief Financial Officer (principal financial officer) |
By: | /s/ CHRISTOPHER R. ISAAK | |
Senior Vice President, Corporate Controller and Chief Accounting Officer (principal accounting officer) |
Nine Months Ended | Year Ended December 31, | ||||||||||||||||||||||
09/30/16 | 2015 | 2014 | 2013 | 2012 | 2011 | ||||||||||||||||||
Earnings: | |||||||||||||||||||||||
Pre-tax earnings from continuing operations | $ | 677 | $ | 697 | $ | 457 | $ | 269 | $ | 123 | $ | 188 | |||||||||||
Addback: | |||||||||||||||||||||||
Fixed charges | 175 | 65 | 50 | 37 | 29 | 28 | |||||||||||||||||
Subtract: | |||||||||||||||||||||||
Noncontrolling interest | (1 | ) | (2 | ) | 7 | (1 | ) | 13 | 3 | ||||||||||||||
Interest capitalized | — | — | — | — | — | — | |||||||||||||||||
Total earnings | $ | 851 | $ | 760 | $ | 514 | $ | 305 | $ | 165 | $ | 219 | |||||||||||
Fixed Charges: | |||||||||||||||||||||||
Interest expensed and capitalized | $ | 142 | $ | 43 | $ | 35 | $ | 27 | $ | 20 | $ | 20 | |||||||||||
Interest component of rental payments (1) | 33 | 22 | 15 | 10 | 9 | 8 | |||||||||||||||||
Total fixed charges | $ | 175 | $ | 65 | $ | 50 | $ | 37 | $ | 29 | $ | 28 | |||||||||||
Ratio of earnings to fixed charges | 4.9 | 11.7 | 10.3 | 8.2 | 5.7 | 7.8 | |||||||||||||||||
(1) Estimated at 33% of rental expense as a reasonable approximation of the interest factor. |
1. | I have reviewed this Quarterly Report on Form 10-Q of Centene Corporation; |
2. | Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report; |
3. | Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report; |
4. | The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: |
a. | Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared; |
b. | Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles; |
c. | Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and |
d. | Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and |
5. | The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions): |
a. | All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and |
b. | Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting. |
Dated: | October 25, 2016 | /s/ MICHAEL F. NEIDORFF | |
Chairman, President and Chief Executive Officer (principal executive officer) |
1. | I have reviewed this Quarterly Report on Form 10-Q of Centene Corporation; |
2. | Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report; |
3. | Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report; |
4. | The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: |
a. | Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared; |
b. | Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles; |
c. | Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and |
d. | Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; |
5. | The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions): |
a. | All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and |
b. | Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting. |
Dated: | October 25, 2016 | /s/ JEFFREY A. SCHWANEKE | |
Executive Vice President and Chief Financial Officer (principal financial officer) |
(1) | the Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and |
(2) | the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company. |
Dated: | October 25, 2016 | /s/ MICHAEL F. NEIDORFF | |
Chairman, President and Chief Executive Officer (principal executive officer) |
(1) | the Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and |
(2) | the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company. |
Dated: | October 25, 2016 | /s/ JEFFREY A. SCHWANEKE | |
Executive Vice President and Chief Financial Officer (principal financial officer) |
Document And Entity Information - shares |
9 Months Ended | |
---|---|---|
Sep. 30, 2016 |
Oct. 14, 2016 |
|
Document and Entity Information [Abstract] | ||
Entity Registrant Name | CENTENE CORP | |
Entity Central Index Key | 0001071739 | |
Current Fiscal Year End Date | --12-31 | |
Entity Filer Category | Large Accelerated Filer | |
Document Type | 10-Q | |
Document Period End Date | Sep. 30, 2016 | |
Document Fiscal Year Focus | 2016 | |
Document Fiscal Period Focus | Q3 | |
Amendment Flag | false | |
Entity Common Stock, Shares Outstanding | 170,892,049 |
Consolidated Balance Sheets (Parenthetical) - $ / shares |
Sep. 30, 2016 |
Dec. 31, 2015 |
---|---|---|
Stockholders' equity | ||
Preferred stock, par value (in dollars per share) | $ 0.001 | $ 0.001 |
Preferred stock, shares authorized | 10,000,000 | 10,000,000 |
Preferred stock, shares issued | 0 | 0 |
Preferred stock, shares outstanding | 0 | 0 |
Common stock, par value (in dollars per share) | $ 0.001 | $ 0.001 |
Common stock, shares authorized | 400,000,000 | 400,000,000 |
Common stock, shares issued | 176,467,825 | 126,855,477 |
Common stock, shares outstanding | 170,860,752 | 120,342,981 |
Treasury stock (in shares) | 5,607,073 | 6,512,496 |
Consolidated Statements of Comprehensive Earnings - USD ($) $ in Millions |
3 Months Ended | 9 Months Ended | ||
---|---|---|---|---|
Sep. 30, 2016 |
Sep. 30, 2015 |
Sep. 30, 2016 |
Sep. 30, 2015 |
|
Statement of Comprehensive Income [Abstract] | ||||
Net earnings | $ 146 | $ 94 | $ 298 | $ 246 |
Reclassification adjustment, net of tax | (1) | 0 | 0 | 0 |
Change in unrealized gain on investments, net of tax | 5 | 2 | 57 | 3 |
Foreign currency translation adjustments | (1) | 0 | (1) | (4) |
Other comprehensive earnings (loss) | 3 | 2 | 56 | (1) |
Comprehensive earnings | 149 | 96 | 354 | 245 |
Comprehensive (earnings) attributable to noncontrolling interests | (1) | (1) | (1) | (2) |
Comprehensive earnings attributable to Centene Corporation | $ 148 | $ 95 | $ 353 | $ 243 |
Consolidated Statement of Stockholders' Equity (Parenthetical) - USD ($) $ in Millions |
9 Months Ended | |
---|---|---|
Sep. 30, 2016 |
Dec. 31, 2015 |
|
Common stock, par value (in dollars per share) | $ 0.001 | $ 0.001 |
Other comprehensive earnings, tax | $ 20 | |
Common Stock | ||
Common stock, par value (in dollars per share) | $ 0.001 | 0.001 |
Treasury Stock | ||
Common stock, par value (in dollars per share) | $ 0.001 | $ 0.001 |
Basis of Presentation |
9 Months Ended |
---|---|
Sep. 30, 2016 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Basis of Presentation | Basis of Presentation Basis of Presentation The accompanying interim financial statements have been prepared under the presumption that users of the interim financial information have either read or have access to the audited financial statements included in the Form 10-K for the fiscal year ended December 31, 2015. The unaudited interim financial statements herein have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission. Accordingly, footnote disclosures which would substantially duplicate the disclosures contained in the December 31, 2015 audited financial statements have been omitted from these interim financial statements where appropriate. In the opinion of management, these financial statements reflect all adjustments, consisting only of normal recurring adjustments, which are necessary for a fair presentation of the results of the interim periods presented. Certain 2015 amounts in the notes to the consolidated financial statements have been reclassified to conform to the 2016 presentation. These reclassifications have no effect on net earnings or stockholders’ equity as previously reported. On March 24, 2016, the Company completed the acquisition of Health Net, Inc. (Health Net) for approximately $6.0 billion, including the assumption of debt. The acquisition was accounted for as a business combination, which requires that assets acquired and liabilities assumed be recognized at their fair values as of the acquisition date. Those estimated amounts are reflected in the accompanying financial statements. As a result of the completion of the Health Net acquisition, the Company's results of operations for the three and nine months ended September 30, 2016 include the results of operations of Health Net from March 24, 2016 to September 30, 2016. The Health Net segment previously known as the Western Region Operations, with the exception of certain operations of its pharmaceutical services and behavioral health subsidiaries, is included in the Company's Managed Care segment. The portions of Health Net's Western Region Operations segment included in the Managed Care segment consist of the following Health Net operations: commercial, Medicare, Medicaid and dual eligible health plans, primarily in Arizona, California, Oregon, and Washington. The Company's Specialty Services segment includes the Health Net segment previously known as Government Contracts as well as certain operations of its pharmaceutical services and behavioral health subsidiaries, primarily in Arizona, California, Oregon and Washington (which Health Net previously included in its Western Region Operations segment). Health Net's Government Contracts segment included its federal government-sponsored managed care support contract with the U.S. Department of Defense (DoD) under the TRICARE program in the North Region, its Military and Family Life Counseling (MFLC) contract with the DoD and other health care related government contracts, including the Veterans Choice and Patient Centered Community Care program (PC3/Choice) with the U.S. Department of Veterans Affairs (VA). Recent Accounting Pronouncements In February 2016, the Financial Accounting Standards Board (FASB) issued an Accounting Standards Update (ASU) which introduces a lessee model that requires the majority of leases to be recognized on the balance sheet. The new standard also aligns many of the underlying principles of the new lessor model with those in Accounting Standards Codification 606, the FASB's new revenue recognition standard, and addresses other concerns related to the current lessee model. The standard also requires lessors to increase the transparency of their exposure to changes in value of their residual assets and how they manage that exposure. It is effective for annual and interim periods beginning after December 15, 2018. Early adoption is permitted. The Company is currently evaluating the effect of the new lease guidance. In March 2016, the FASB issued an ASU which simplifies several aspects of the accounting for employee share-based payment transactions, including the accounting for income taxes, forfeitures, and statutory tax withholding requirements, as well as classification in the statement of cash flows. Under the new guidance, an entity recognizes all excess tax benefits and tax deficiencies as income tax expense or benefit in the income statement. The ASU also allows an entity to elect as an accounting policy either to continue to estimate the total number of awards for which the requisite service period will not be rendered, as currently required, or to account for forfeitures when they occur. Finally, the ASU modifies the current exception to liability classification of an award when an employer uses a net-settlement feature to withhold shares to meet the employee's minimum statutory tax withholding requirement. The new standard is effective for annual periods beginning after December 15, 2016, including interim periods within those annual reporting periods. Early adoption is permitted. The Company is currently evaluating the effect of the employee share-based payment guidance. In August 2016, the FASB issued an ASU which clarifies how entities should classify certain cash receipts and cash payments on the Consolidated Statements of Cash Flows. The new guidance also clarifies how the predominance principle should be applied when cash receipts and cash payments have aspects of more than one class of cash flows. The new standard is effective for annual periods beginning after December 15, 2017, including interim periods within those annual reporting periods. Early adoption is permitted. The Company is currently evaluating the effect of the new statement of cash flows guidance. |
Summary of Significant Accounting Policies |
9 Months Ended |
---|---|
Sep. 30, 2016 | |
Accounting Policies [Abstract] | |
Summary of Significant Accounting Policies | Summary of Significant Accounting Policies A summary of the Company’s significant accounting policies is included in Note 2 entitled “Summary of Significant Accounting Policies” to the company’s Annual Report on Form 10-K for the year ended December 31, 2015. As a result of the Health Net acquisition, material changes to the Company's significant accounting policies during the three and nine months ended September 30, 2016 are described below: Business Combinations Business combinations are accounted for using the acquisition method of accounting. The Company allocates the fair value of purchase consideration to the assets acquired and liabilities assumed based on their fair values at the acquisition date. The excess of the fair value of consideration transferred over the fair value of the net assets acquired is recorded as goodwill. Goodwill is generally attributable to the value of the synergies between the combined companies and the value of the acquired assembled workforce, neither of which qualifies for recognition as an intangible asset. The Company uses its best estimates and assumptions to value assets acquired and liabilities assumed at the acquisition date; however, these estimates are sometimes preliminary and in some instances, all information required to value the assets acquired and liabilities assumed may not be available or final as of the end of a reporting period subsequent to the business combination. If the accounting for the business combination is incomplete, provisional amounts are recorded. The provisional amounts are updated during the period determined, up to one year from the acquisition date. The Company includes the results of operations of acquired businesses in the Company's consolidated results prospectively from the date of acquisition. Acquisition related expenses and post-acquisition restructuring costs are recognized separately from the business combination and are expensed as incurred. Revenue Recognition The Company's health plans generate revenues primarily from premiums received from the states in which it operates health plans. The Company receives a fixed premium per member per month pursuant to its state contracts. The Company generally receives premium payments during the month it provides services and recognizes premium revenue during the period in which it is obligated to provide services to its members. In some instances, the Company's base premiums are subject to an adjustment, or risk score, based on the acuity of its membership. Generally, the risk score is determined by the State analyzing submissions of processed claims data to determine the acuity of the Company's membership relative to the entire state's Medicaid membership. Some states enact premium taxes, similar assessments and provider pass-through payments, collectively premium taxes, and these taxes are recorded as a separate component of both revenues and operating expenses. Some contracts allow for additional premiums related to certain supplemental services provided such as maternity deliveries. Revenues are recorded based on membership and eligibility data provided by the states, which is adjusted on a monthly basis by the states for retroactive additions or deletions to membership data. These eligibility adjustments are estimated monthly and subsequent adjustments are made in the period known. The Company continuously reviews and updates those estimates as new information becomes available. It is possible that new information could require us to make additional adjustments, which could be significant, to these estimates. The Company's Medicare Advantage contracts are with the CMS. CMS deploys a risk adjustment model which apportions premiums paid to all health plans according to health severity and certain demographic factors. The CMS risk adjustment model pays more for members whose medical history would indicate that they are expected to have higher medical costs. Under this risk adjustment methodology, CMS calculates the risk adjusted premium payment using diagnosis data from hospital inpatient, hospital outpatient and physician treatment settings. The Company and the health care providers collect, compile and submit the necessary and available diagnosis data to CMS within prescribed deadlines. The Company estimates risk adjustment revenues based upon the diagnosis data submitted and expected to be submitted to CMS. The Company's specialty services generate revenues under contracts with state and federal programs, healthcare organizations, and other commercial organizations, as well as from our own subsidiaries. Revenues are recognized when the related services are provided or as ratably earned over the covered period of services. The Company recognizes revenue related to administrative services under the T-3 TRICARE government-sponsored managed care support contract in the North Region for the DoD's TRICARE program (T-3 contract) on a straight-line basis over the option period, when the fees become fixed and determinable. The T-3 contract includes various performance-based incentives and penalties. For each of the incentives or penalties, the Company adjusts revenue accordingly based on the amount that it has earned or incurred at each interim date and are legally entitled to in the event of a contract termination. Premium and Related Receivables and Unearned Revenue Premium and service revenues collected in advance are recorded as unearned revenue. For performance-based contracts the Company does not recognize revenue subject to refund until data is sufficient to measure performance. Premiums and service revenues due to the Company are recorded as premium and related receivables and are recorded net of an allowance based on historical trends and management's judgment on the collectibility of these accounts. As the Company generally receives payments during the month in which services are provided, the allowance is typically not significant in comparison to total revenues and does not have a material impact on the presentation of the financial condition or results of operations. Amounts receivable under government contracts are comprised primarily of contractually defined billings, accrued contract incentives under the terms of the contract and amounts related to change orders for services not originally specified in the contract. Pursuant to the Company's T-3 contract, the government has the right to unilaterally modify the contract in certain respects by issuing change orders directing it to implement terms or services that were not originally included in the contract. Following receipt of a change order, the Company has a contractual right to negotiate an equitable adjustment to the contract terms to account for the impact of the change order. The Company starts to perform under such change orders and begins to incur associated costs after it receives the government's unilateral modification, but before it has negotiated the final scope and/or value of the change order. In these situations, costs are expensed as incurred, and the Company estimates and records revenue when it has met all applicable revenue recognition criteria. These criteria include the requirements that change order amounts are determinable, that the Company has performed under the change orders, and that collectability of amounts payable to the Company is reasonably assured. |
Health Net |
9 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Business Combinations [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Health Net | Health Net On March 24, 2016, the Company acquired all of the issued and outstanding shares of Health Net, a publicly traded managed care organization that delivers health care services through health plans and government-sponsored managed care plans. The transaction was valued at approximately $5,990 million, including the assumption of $703 million of outstanding debt. The acquisition allows the Company to offer a more comprehensive and scalable portfolio of solutions and provides opportunity for additional growth across the combined company's markets. The total consideration for the acquisition was $5,287 million, consisting of Centene common shares valued at $3,038 million (based on Centene's stock price of $62.70), $2,247 million in cash, and $2 million related to the fair value adjustment to stock based compensation associated with pre-combination service. Each Health Net share was converted into 0.622 of a validly issued, fully paid, non-assessable share of Centene common stock and $28.25 in cash. In total, 48,449,444 shares of Centene common stock were issued in connection with the transaction. The cash portion of the acquisition consideration was funded through the issuance of long-term debt as further discussed in Note 7. Debt. For the three and nine months ended September 30, 2016, the Company also recognized acquisition related expenses of $10 million and $224 million, respectively, that were recorded in general and administrative expense in the Consolidated Statements of Operations. The acquisition of Health Net has been accounted for as a business combination using the acquisition method of accounting which requires assets acquired and liabilities assumed to be recognized at fair value as of the acquisition date. The valuation of all the assets acquired and liabilities assumed has not yet been finalized. As a result, preliminary estimates have been recorded and are subject to change. Any necessary adjustments from our preliminary estimates will be finalized within one year from the date of acquisition. Measurement period adjustments will be recorded in the period in which they are determined, as if they had been completed at the acquisition date. Since the initial allocation of purchase price, the Company made adjustments and reclassifications to the fair value of certain assets and liabilities acquired, including the premium and related receivables, medical claims liability, accrued liabilities, return of premium payable and deferred taxes, resulting in a net increase of $275 million to goodwill. The Company will continue to revise its preliminary purchase price allocation as additional information becomes available during the remainder of the measurement period. The Company's preliminary allocation of the fair value of assets acquired and liabilities assumed as of the acquisition date of March 24, 2016 is as follows ($ in millions):
The Company has made certain preliminary fair value adjustments based on information reviewed through September 30, 2016. Significant preliminary fair value adjustments are noted as follows:
Statement of Operations From the acquisition date through September 30, 2016, the Company's Consolidated Statements of Operations include total Health Net revenues of $3,981 million and $8,604 million for the three and nine months ended September 30, 2016, respectively. It is impracticable to determine the effect on net income resulting from the Health Net acquisition for the three and nine months ended September 30, 2016, as the Company immediately integrated Health Net into its ongoing operations. Unaudited Pro Forma Financial Information The unaudited pro forma total revenues for the nine months ended September 30, 2016 were $32,369 million. The following table presents supplemental pro forma information for the three and nine months ended September 30, 2015 ($ in millions, except per share data).
The pro forma results do not reflect any anticipated synergies, efficiencies, or other cost savings of the acquisition. Accordingly, the unaudited pro forma financial information is not indicative of the results if the acquisition had been completed on January 1, 2015 and is not a projection of future results. It is impracticable for the Company to determine the pro forma earnings information for the nine months ended September 30, 2016 due to the nature of obtaining that information as the Company immediately integrated Health Net into its ongoing operations. The unaudited pro forma financial information reflects the historical results of Centene and Health Net adjusted as if the acquisition had occurred on January 1, 2015, primarily for the following:
Restructuring Related Charges In connection with the Health Net acquisition, the Company undertook a restructuring plan as a result of the integration of Health Net's operations into its business, resulting in a reduction in workforce beginning in 2016 and expected to continue through early 2017. The restructuring related costs are classified as general and administrative expenses in the Consolidated Statements of Operations. Changes in the restructuring liability for the nine months ended September 30, 2016 were as follows ($ in millions):
For the three and nine months ended September 30, 2016, the Company recorded employee termination costs of $7 million and $39 million and stock based compensation of $2 million and $40 million, respectively, in the Managed Care Segment. The Company expects to record a total of approximately $50 million of employee termination costs and $44 million of stock based compensation in connection with the acquisition, the majority of which is expected to be incurred through 2016 and early 2017. Commitments In connection with obtaining regulatory approval of the Health Net acquisition from the California Department of Insurance and the California Department of Managed Health Care, the Company committed to certain undertakings (the Undertakings). The Undertakings included, among other items, operational commitments around premiums, dividend restrictions, minimum Risk Based Capital (RBC) levels, local offices, growth, accreditation, HEDIS scores and other quality measures, network adequacy, certifications, investments and capital expenditures. Specifically, the Company agreed to, among other things:
|
Short term and Long term Investments, Restricted Deposits |
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Investments, Debt and Equity Securities [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Short term and Long term Investments, Restricted Deposits | Short term and Long term Investments, Restricted Deposits Short term and long term investments and restricted deposits by investment type consist of the following ($ in millions):
The Company’s investments are classified as available-for-sale with the exception of life insurance contracts and certain cost and equity method investments. The Company’s investment policies are designed to provide liquidity, preserve capital and maximize total return on invested assets with the focus on high credit quality securities. The Company limits the size of investment in any single issuer other than U.S. treasury securities and obligations of U.S. government corporations and agencies. As of September 30, 2016, 95% of the Company’s investments in rated securities carry an investment grade rating by S&P and Moody's. At September 30, 2016, the Company held certificates of deposit, life insurance contracts and cost and equity method investments which did not carry a credit rating. The Company's residential mortgage-backed securities are primarily issued by the Federal National Mortgage Association, Government National Mortgage Association or Federal Home Loan Mortgage Corporation, which carry implicit or explicit guarantees of the U.S. government. The Company's commercial mortgage-backed securities are primarily senior tranches with a weighted average rating of AA+ and a weighted average duration of 3.3 years at September 30, 2016. In January 2016, the Company completed a 19% investment in a data analytics business and as a result, issued 1.1 million shares of Centene common stock, valued at $68 million, to the selling stockholders. The investment is being accounted for using the equity method of accounting. The fair value of available-for-sale investments with gross unrealized losses by investment type and length of time that individual securities have been in a continuous unrealized loss position were as follows ($ in millions):
As of September 30, 2016, the gross unrealized losses were generated from 569 positions out of a total of 2,731 positions. The change in fair value of fixed income securities is primarily a result of movement in interest rates subsequent to the purchase of the security. For each security in an unrealized loss position, the Company assesses whether it intends to sell the security or if it is more likely than not the Company will be required to sell the security before recovery of the amortized cost basis for reasons such as liquidity, contractual or regulatory purposes. If the security meets this criterion, the decline in fair value is other-than-temporary and is recorded in earnings. The Company does not intend to sell these securities prior to maturity and it is not likely that the Company will be required to sell these securities prior to maturity; therefore, there is no indication of other-than-temporary impairment for these securities. The contractual maturities of short term and long term investments and restricted deposits are as follows ($ in millions):
Actual maturities may differ from contractual maturities due to call or prepayment options. Cost and equity method investments and life insurance contracts are included in the five years through ten years category. The Company has an option to redeem at amortized cost substantially all of the securities included in the greater than ten years category listed above. The Company continuously monitors investments for other-than-temporary impairment. Certain investments have experienced a decline in fair value due to changes in credit quality, market interest rates and/or general economic conditions. The Company recognizes an impairment loss for cost and equity method investments when evidence demonstrates that it is other-than-temporarily impaired. Evidence of a loss in value that is other-than-temporary may include the absence of an ability to recover the carrying amount of the investment or the inability of the investee to sustain a level of earnings that would justify the carrying amount of the investment. |
Fair Value Measurements |
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Fair Value Disclosures [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Fair Value Measurements | Fair Value Measurements Assets and liabilities recorded at fair value in the Consolidated Balance Sheets are categorized based upon observable or unobservable inputs used to estimate fair value. Level inputs are as follows:
The following table summarizes fair value measurements by level at September 30, 2016, for assets and liabilities measured at fair value on a recurring basis ($ in millions):
The following table summarizes fair value measurements by level at December 31, 2015, for assets and liabilities measured at fair value on a recurring basis ($ in millions):
The Company periodically transfers U.S. Treasury securities and obligations of U.S. government corporations and agencies between Level I and Level II fair value measurements dependent upon the level of trading activity for the specific securities at the measurement date. The Company’s policy regarding the timing of transfers between Level I and Level II is to measure and record the transfers at the end of the reporting period. At September 30, 2016, there were no transfers from Level I to Level II and $46 million of transfers from Level II to Level I. The Company utilizes matrix pricing services to estimate fair value for securities which are not actively traded on the measurement date. The Company designates these securities as Level II fair value measurements. The aggregate carrying amount of the Company’s life insurance contracts and other non-majority owned investments, which approximates fair value, was $278 million and $87 million as of September 30, 2016 and December 31, 2015, respectively. |
Affordable Care Act |
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Affordable Care Act [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Affordable Care Act | Affordable Care Act The Affordable Care Act (ACA) established risk spreading premium stabilization programs effective January 1, 2014. These programs, commonly referred to as the “three Rs,” include a permanent risk adjustment program, a transitional reinsurance program, and a temporary risk corridor program. Additionally, the ACA established a minimum annual medical loss ratio. Each of the three R programs are taken into consideration to determine if the Company’s estimated annual medical costs are less than the minimum loss ratio and require an adjustment to Premium revenue to meet the minimum medical loss ratio. During the second quarter of 2016, the Company recognized a $70 million net pre-tax benefit related to the reconciliation of 2015 risk adjustment and reinsurance programs. During the third quarter of 2016, the Company received information from CMS, indicating that some of the participants in the Arizona risk adjustment program were unable to pay the amounts owed. As a result, the uncollected portion has been allocated pro-rata to other insurers in the market. Accordingly, the Company reduced the pre-tax earnings by $19 million during the third quarter. The Company's receivables (payables) for each of these programs are as follows ($ in millions):
|
Debt |
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Debt Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Debt | Debt Debt consists of the following ($ in millions):
Senior Notes In February 2016, a wholly owned unrestricted subsidiary of the Company (Escrow Issuer) issued $1,400 million in aggregate principal amount of 5.625% Senior Notes ($1,400 Million Notes) at par due 2021 and $1,000 million in aggregate principal amount of 6.125% Senior Notes ($1,000 Million Notes) at par due 2024. In July 2016, the Company completed an exchange offer, whereby it offered to exchange all of the outstanding $1,400 Million Notes and the $1,000 Million Notes for identical securities that have been registered under the Securities Act of 1933. The Company used the net proceeds of the offering, together with borrowings under the Company's new $1,000 million revolving credit facility and cash on hand, primarily to fund the cash consideration for the Health Net acquisition, and to pay acquisition and offering related fees and expenses. In connection with the February 2016 issuance, the Company entered into interest rate swap agreements for notional amounts of $600 million and $1,000 million, at floating rates of interest based on the three month LIBOR plus 4.22% and the three month LIBOR plus 4.44%, respectively. Gains and losses due to changes in the fair value of the interest rate swaps completely offset changes in the fair value of the hedged portion of the underlying debt and are recorded as an adjustment to the $1,400 Million Notes and $1,000 Million Notes. In connection with the closing of the Health Net acquisition, the Company assumed the $400 million in aggregate principal amount of Health Net's 6.375% Senior Notes due 2017, recorded at acquisition date fair value of $418 million. In June 2016, the Company issued an additional $500 million in aggregate principal amount of 4.75% Senior Notes due 2022 ($500 Million Add-on Notes) at a premium to yield of 4.41%. The $500 Million Add-on Notes were offered as additional debt securities under the indenture governing the $500 million in aggregate principal amount of 4.75% Senior Notes issued in April 2014. The Company used the net proceeds of the offering to repay amounts outstanding under its Revolving Credit Facility and to pay offering related fees and expenses. The indentures governing the $425 million in aggregate principal amount of 5.75% Senior Notes due 2017, the $1,400 Million Notes, the $1,000 million of its 4.75% Senior Notes due 2022, and the $1,000 Million Notes contain non-financial and financial covenants of Centene Corporation, including requirements of a minimum fixed charge coverage ratio. The indentures governing the $400 million notes due 2017 contain non-financial and financial covenants of Health Net, Inc., including requirements of a minimum fixed charge coverage ratio. At September 30, 2016, the Company was in compliance with all covenants. Interest Rate Swaps The Company uses interest rate swap agreements to convert a portion of its interest rate exposure from fixed rates to floating rates to more closely align interest expense with interest income received on its cash equivalent and variable rate investment balances. The Company has $2,350 million of notional amount of interest rate swap agreements consisting of: •$250 million expiring on June 1, 2017; •$600 million expiring on February 15, 2021; •$500 million expiring on May 15, 2022; and, •$1,000 million expiring on February 15, 2024. Under the Swap Agreements, the Company receives a fixed rate of interest and pays an average variable rate of the three month LIBOR plus 3.88% adjusted quarterly. At September 30, 2016, the weighted average rate was 4.69%. The Swap Agreements are formally designated and qualify as fair value hedges and are recorded at fair value in the Consolidated Balance Sheets in other assets or other liabilities. Gains and losses due to changes in fair value of the interest rate swap agreements completely offset changes in the fair value of the hedged portion of the underlying debt. Therefore, no gain or loss has been recognized due to hedge ineffectiveness. Offsetting changes in fair value of both the interest rate swaps and the hedged portion of the underlying debt both were recognized in interest expense in the Consolidated Statements of Operations. The Company does not hold or issue any derivative instrument for trading or speculative purposes. Revolving Credit Agreement In connection with the closing of the Health Net acquisition on March 24, 2016, the Company's existing unsecured $500 million revolving credit facility was terminated and simultaneously replaced with a new $1,000 million unsecured revolving credit facility. Borrowings under the agreement bear interest based upon LIBOR rates, the Federal Funds Rate or the Prime Rate. The agreement has a maturity date of March 24, 2021. As of September 30, 2016, the Company had $300 million of borrowings outstanding under the agreement with a weighted average interest rate of 4.25%, and the Company was in compliance with all covenants. The revolving credit facility contains non-financial and financial covenants, including requirements of minimum fixed charge coverage ratios and maximum debt-to-EBITDA ratios. The Company is required to not exceed a maximum debt-to-EBITDA ratio of 3.5 to 1.0 prior to December 31, 2016 and 3.0 to 1.0 on and subsequent to December 31, 2016. As of September 30, 2016, there were no limitations on the availability under the revolving credit agreement as a result of the debt-to-EBITDA ratio. Also, upon the closing of the Health Net acquisition, the Company assumed, fully repaid $285 million in outstanding borrowings under, and terminated the existing Health Net revolving credit facility. Letters of Credit & Surety Bonds The Company had outstanding letters of credit of $43 million as of September 30, 2016, which were not part of the revolving credit facility. The Company also had letters of credit for $48 million (valued at September 30, 2016 conversion rate), or €42 million, representing its proportional share of the letters of credit issued to support Ribera Salud’s outstanding debt, which are a part of the revolving credit facility. Collectively, the letters of credit bore interest at 1.44% as of September 30, 2016. The Company had outstanding surety bonds of $370 million as of September 30, 2016. |
Stockholders' Equity |
9 Months Ended |
---|---|
Sep. 30, 2016 | |
Equity [Abstract] | |
Stockholders' Equity | Stockholders' Equity In March 2016, the Company issued 48,449,444 shares of Centene common stock, with a fair value of approximately $3,038 million, paid approximately $2,247 million in cash in exchange for all the outstanding shares of Health Net common stock and outstanding equity awards, and recorded $2 million related to the fair value adjustment to stock based compensation associated with pre-combination service. In January 2016, the Company completed a 19% investment in a data analytics business and as a result, issued 1,144,462 shares of Centene common stock to the selling stockholders. The investment is being accounted for using the equity method of accounting. |
Earnings Per Share |
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Earnings Per Share [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Earnings Per Share | Earnings Per Share The following table sets forth the calculation of basic and diluted net earnings per common share ($ in millions, except per share data):
The calculation of diluted earnings per common share for the three and nine months ended September 30, 2016 excludes the impact of 51,593 and 48,380 shares, respectively, related to anti-dilutive restricted stock and restricted stock units. The calculation of diluted earnings per common share for the three and nine months ended September 30, 2015 excludes the impact of 28,716 and 84,644 shares, respectively, related to anti-dilutive restricted stock and restricted stock units. |
Segment Information |
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Segment Reporting [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Segment Information | Segment Information Centene operates in two segments: Managed Care and Specialty Services. The Managed Care segment consists of Centene’s health plans including all of the functions needed to operate them. Subsequent to the closing of the Health Net acquisition, the Managed Care segment also includes the operations previously included in Health Net's Western Region Operations Segment, with the exception of certain operations of its pharmaceutical services and behavioral health subsidiaries. The portions of Health Net's Western Region Operations segment included in the Managed Care segment consist of the following Health Net operations: commercial, Medicare, Medicaid and dual eligible health plans, primarily in Arizona, California, Oregon and Washington. The Specialty Services segment consists of Centene’s specialty companies offering auxiliary healthcare services and products. Subsequent to the closing of the Health Net acquisition, the Specialty Services segment also includes the operations previously included in the Government Contracts segment of Health Net as well as certain operations of its pharmaceutical services and behavioral health subsidiaries, the latter of which Health Net previously included in its Western Region Operations segment. The Government Contracts business includes the Company's government-sponsored managed care support contract with the DoD under the TRICARE program in the North Region, the MFLC contract with the DoD, and other health care related government contracts, including PC3/Choice with the VA. Segment information for the three months ended September 30, 2016, follows ($ in millions):
Segment information for the three months ended September 30, 2015, follows ($ in millions):
Segment information for the nine months ended September 30, 2016, follows ($ in millions):
Segment information for the nine months ended September 30, 2015, follows ($ in millions):
As discussed in Note 3. Health Net, the assignment of goodwill to the Company's segments has not been completed at this time. The Company will update segment asset disclosures once an allocation is finalized. |
Contingencies |
9 Months Ended | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||
Commitments and Contingencies Disclosure [Abstract] | |||||||||||||
Contingencies | Contingencies Overview The Company records reserves and accrues costs for certain legal proceedings and regulatory matters to the extent that it determines an unfavorable outcome is probable and the amount of the loss can be reasonably estimated. While such reserves and accrued costs reflect the Company's best estimate of the probable loss for such matters, the recorded amounts may differ materially from the actual amount of any such losses. In some cases, no estimate of the possible loss or range of loss in excess of amounts accrued, if any, can be made because of the inherently unpredictable nature of legal and regulatory proceedings, which may be exacerbated by various factors, including but not limited to, they may involve indeterminate claims for monetary damages or may involve fines, penalties or punitive damages; present novel legal theories or legal uncertainties; involve disputed facts; represent a shift in regulatory policy; involve a large number of parties, claimants or regulatory bodies; are in the early stages of the proceedings; involve a number of separate proceedings and/or a wide range of potential outcomes; or result in a change of business practices. As of the date of this report, amounts accrued for legal proceedings and regulatory matters were not material. However, it is possible that in a particular quarter or annual period the Company’s financial condition, results of operations, cash flow and/or liquidity could be materially adversely affected by an ultimate unfavorable resolution of or development in legal and/or regulatory proceedings, including as described below under the headings "Kentucky" and "California." Except for the "Kentucky" and "California" proceedings, the Company believes that the ultimate outcome of any of the regulatory and legal proceedings that are currently pending against it should not have a material adverse effect on financial condition, results of operations, cash flow or liquidity. Kentucky On July 5, 2013, the Company's subsidiary, Kentucky Spirit Health Plan, Inc. (Kentucky Spirit), terminated its contract with the Commonwealth of Kentucky (the Commonwealth). Kentucky Spirit believed it had a contractual right to terminate the contract and filed a lawsuit in Franklin Circuit Court seeking a declaration of this right. In response, the Commonwealth alleged that Kentucky Spirit's exit would constitute a material breach of contract. The Commonwealth seeks to recover substantial damages and to enforce its rights under Kentucky Spirit's $25 million performance bond. The Commonwealth has asserted that the Commonwealth's expenditures due to Kentucky Spirit's departure range from $28 million to $40 million plus interest, and that the associated CMS expenditures range from $92 million to $134 million. Kentucky Spirit disputes the Commonwealth's alleged damages on several grounds. Prior to terminating the contract, Kentucky Spirit filed a legal complaint in April 2013, amended in October 2014, in Franklin Circuit Court seeking damages against the Commonwealth for losses sustained due to the Commonwealth's alleged breaches. On February 6, 2015, the Kentucky Court of Appeals affirmed a Franklin Circuit Court ruling that Kentucky Spirit did not have a contractual right to terminate the contract early. The Court of Appeals also found that the contract’s liquidated damages provision “is applicable in the event of a premature termination of the Contract term.” On April 27, 2016, the Kentucky Supreme Court declined discretionary review, thereby making the Court of Appeals decision final. The question of damages is pending and will be determined by the Franklin Circuit Court. Kentucky Spirit believes it is not liable for damages because there was a prior breach of the contract by the Commonwealth, as alleged in Kentucky Spirit’s complaint. On May 26, 2015, the Commonwealth issued a demand for indemnification to its actuarial firm, for "all defense costs, and any resultant monetary awards in favor of Kentucky Spirit, arising from or related to Kentucky Spirit's claims which are predicated upon the alleged omissions and errors in the Data Book and the certified actuarially sound rates." The actuarial firm moved to intervene in the litigation and the Franklin Circuit Court granted that motion on September 8, 2015. Also, on August 19, 2015, the actuarial firm filed a petition seeking a declaratory judgment that it is not liable to the Commonwealth for indemnification related to the claims asserted by Kentucky Spirit against the Commonwealth. On October 5, 2015, the Commonwealth filed an answer to the actuarial firm's petition and asserted counterclaims/cross-claims against the firm. On March 9, 2015, the Secretary of the Kentucky Cabinet for Health and Family Services (CHFS) issued a determination letter finding that Kentucky Spirit owed the Commonwealth $40 million in actual damages plus prejudgment interest at 8% percent. On March 18, 2015, in a letter to the Kentucky Finance and Administration Cabinet (FAC), Kentucky Spirit contested CHFS' jurisdiction to make such a determination. The FAC did not issue a decision within the required 120 days. On August 13, 2015, Kentucky Spirit filed a declaratory judgment action against the Commonwealth in Franklin Circuit Court seeking a declaration that the Commonwealth may not purport to issue a decision against Kentucky Spirit awarding damages to itself when the matter is already before the Kentucky courts. The Commonwealth filed counterclaims seeking a Declaration of Rights and Entry of Judgment on its determination letter. On December 1, 2015 the Franklin Circuit Court consolidated this declaratory judgment action with Kentucky Spirit’s other litigation claims against the Commonwealth. On August 19, 2016, the Franklin Circuit Court held a status conference with all parties. Discovery is continuing in the consolidated litigation matters. If the litigation is not settled, a trial is expected in the latter half of 2017. The resolution of the Kentucky litigation matters are subject to numerous uncertainties and may result in a range of possible outcomes. If Kentucky Spirit prevails on its claims, it would be entitled to damages. If the Commonwealth prevails, a liability to the Commonwealth could be recorded. California The Company's California subsidiary, Health Net of California, Inc. (Health Net California), has been named as a defendant in a California taxpayer action filed in Los Angeles County Superior Court, captioned as Michael D. Myers v. State Board of Equalization, et al., Los Angeles Superior Court Case No. BS158655. This action is brought under a California statute that permits an individual taxpayer to sue a governmental agency when the taxpayer believes the agency has failed to enforce governing law. Plaintiff contends that Health Net California, a California licensed Health Care Service Plan (HCSP), is an “insurer” for purposes of taxation despite acknowledging it is not an “insurer” under regulatory law. Under California law, “insurers” must pay a gross premiums tax (GPT), calculated as 2.35% on gross premiums. As a licensed HCSP, Health Net California has paid the California Corporate Franchise Tax (CFT), the tax generally paid by California businesses. Plaintiff contends that Health Net California must pay the GPT rather than the CFT. Plaintiff seeks a writ of mandate directing the California taxing agencies to collect the GPT, and seeks an order requiring Health Net California to pay GPT, interest and penalties for a period dating to eight years prior to the October 20, 2015 filing of the complaint. This lawsuit is being coordinated with similar lawsuits filed against other entities. The Company expects an initial status conference shortly after the assignment of a presiding judge. The Company intends to vigorously defend itself against these claims; however this matter is subject to many uncertainties. Miscellaneous Proceedings Excluding the "Kentucky" and "California" matters discussed above, the Company is also routinely subjected to legal and regulatory proceedings in the normal course of business. These matters can include, without limitation:
Among other things, these matters may result in awards of damages, fines or penalties, which could be substantial, and/or could require changes to the Company’s business. The Company intends to vigorously defend itself against the miscellaneous legal and regulatory proceedings to which it is currently a party; however, these proceedings are subject to many uncertainties. In some of the cases pending against the Company, substantial non-economic or punitive damages are being sought. |
Summary of Significant Accounting Policies (Policies) |
9 Months Ended |
---|---|
Sep. 30, 2016 | |
Accounting Policies [Abstract] | |
Business Combinations | Business Combinations Business combinations are accounted for using the acquisition method of accounting. The Company allocates the fair value of purchase consideration to the assets acquired and liabilities assumed based on their fair values at the acquisition date. The excess of the fair value of consideration transferred over the fair value of the net assets acquired is recorded as goodwill. Goodwill is generally attributable to the value of the synergies between the combined companies and the value of the acquired assembled workforce, neither of which qualifies for recognition as an intangible asset. The Company uses its best estimates and assumptions to value assets acquired and liabilities assumed at the acquisition date; however, these estimates are sometimes preliminary and in some instances, all information required to value the assets acquired and liabilities assumed may not be available or final as of the end of a reporting period subsequent to the business combination. If the accounting for the business combination is incomplete, provisional amounts are recorded. The provisional amounts are updated during the period determined, up to one year from the acquisition date. The Company includes the results of operations of acquired businesses in the Company's consolidated results prospectively from the date of acquisition. Acquisition related expenses and post-acquisition restructuring costs are recognized separately from the business combination and are expensed as incurred. |
Revenue Recognition | Revenue Recognition The Company's health plans generate revenues primarily from premiums received from the states in which it operates health plans. The Company receives a fixed premium per member per month pursuant to its state contracts. The Company generally receives premium payments during the month it provides services and recognizes premium revenue during the period in which it is obligated to provide services to its members. In some instances, the Company's base premiums are subject to an adjustment, or risk score, based on the acuity of its membership. Generally, the risk score is determined by the State analyzing submissions of processed claims data to determine the acuity of the Company's membership relative to the entire state's Medicaid membership. Some states enact premium taxes, similar assessments and provider pass-through payments, collectively premium taxes, and these taxes are recorded as a separate component of both revenues and operating expenses. Some contracts allow for additional premiums related to certain supplemental services provided such as maternity deliveries. Revenues are recorded based on membership and eligibility data provided by the states, which is adjusted on a monthly basis by the states for retroactive additions or deletions to membership data. These eligibility adjustments are estimated monthly and subsequent adjustments are made in the period known. The Company continuously reviews and updates those estimates as new information becomes available. It is possible that new information could require us to make additional adjustments, which could be significant, to these estimates. The Company's Medicare Advantage contracts are with the CMS. CMS deploys a risk adjustment model which apportions premiums paid to all health plans according to health severity and certain demographic factors. The CMS risk adjustment model pays more for members whose medical history would indicate that they are expected to have higher medical costs. Under this risk adjustment methodology, CMS calculates the risk adjusted premium payment using diagnosis data from hospital inpatient, hospital outpatient and physician treatment settings. The Company and the health care providers collect, compile and submit the necessary and available diagnosis data to CMS within prescribed deadlines. The Company estimates risk adjustment revenues based upon the diagnosis data submitted and expected to be submitted to CMS. The Company's specialty services generate revenues under contracts with state and federal programs, healthcare organizations, and other commercial organizations, as well as from our own subsidiaries. Revenues are recognized when the related services are provided or as ratably earned over the covered period of services. The Company recognizes revenue related to administrative services under the T-3 TRICARE government-sponsored managed care support contract in the North Region for the DoD's TRICARE program (T-3 contract) on a straight-line basis over the option period, when the fees become fixed and determinable. The T-3 contract includes various performance-based incentives and penalties. For each of the incentives or penalties, the Company adjusts revenue accordingly based on the amount that it has earned or incurred at each interim date and are legally entitled to in the event of a contract termination. |
Premium and Related Receivables and Unearned Revenue | Premium and Related Receivables and Unearned Revenue Premium and service revenues collected in advance are recorded as unearned revenue. For performance-based contracts the Company does not recognize revenue subject to refund until data is sufficient to measure performance. Premiums and service revenues due to the Company are recorded as premium and related receivables and are recorded net of an allowance based on historical trends and management's judgment on the collectibility of these accounts. As the Company generally receives payments during the month in which services are provided, the allowance is typically not significant in comparison to total revenues and does not have a material impact on the presentation of the financial condition or results of operations. Amounts receivable under government contracts are comprised primarily of contractually defined billings, accrued contract incentives under the terms of the contract and amounts related to change orders for services not originally specified in the contract. Pursuant to the Company's T-3 contract, the government has the right to unilaterally modify the contract in certain respects by issuing change orders directing it to implement terms or services that were not originally included in the contract. Following receipt of a change order, the Company has a contractual right to negotiate an equitable adjustment to the contract terms to account for the impact of the change order. The Company starts to perform under such change orders and begins to incur associated costs after it receives the government's unilateral modification, but before it has negotiated the final scope and/or value of the change order. In these situations, costs are expensed as incurred, and the Company estimates and records revenue when it has met all applicable revenue recognition criteria. These criteria include the requirements that change order amounts are determinable, that the Company has performed under the change orders, and that collectability of amounts payable to the Company is reasonably assured. |
Health Net (Tables) |
9 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Business Combinations [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed | The Company's preliminary allocation of the fair value of assets acquired and liabilities assumed as of the acquisition date of March 24, 2016 is as follows ($ in millions):
The Company has made certain preliminary fair value adjustments based on information reviewed through September 30, 2016. Significant preliminary fair value adjustments are noted as follows:
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Unaudited Pro Forma Financial Information | The following table presents supplemental pro forma information for the three and nine months ended September 30, 2015 ($ in millions, except per share data).
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Restructuring Related Charges | Changes in the restructuring liability for the nine months ended September 30, 2016 were as follows ($ in millions):
|
Short term and Long term Investments, Restricted Deposits (Tables) |
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Investments, Debt and Equity Securities [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Short-Term and Long-Term Investments and Restricted Deposits by Investment Type | Short term and long term investments and restricted deposits by investment type consist of the following ($ in millions):
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Fair Value of Available-For-Sale Investments With Gross Unrealized Losses by Investment Type and Length of Time | The fair value of available-for-sale investments with gross unrealized losses by investment type and length of time that individual securities have been in a continuous unrealized loss position were as follows ($ in millions):
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Contractual Maturities of Short-Term and Long-Term Investments and Restricted Deposits | The contractual maturities of short term and long term investments and restricted deposits are as follows ($ in millions):
|
Fair Value Measurements (Tables) |
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Fair Value Disclosures [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Fair Value Measurements by Level for Assets and Liabilities Measured at Fair Value on a Recurring Basis | The following table summarizes fair value measurements by level at September 30, 2016, for assets and liabilities measured at fair value on a recurring basis ($ in millions):
The following table summarizes fair value measurements by level at December 31, 2015, for assets and liabilities measured at fair value on a recurring basis ($ in millions):
|
Affordable Care Act (Tables) |
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Affordable Care Act [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Receivables (Payables) Related to the Affordable Care Act Programs | The Company's receivables (payables) for each of these programs are as follows ($ in millions):
|
Debt (Tables) |
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Debt Disclosure [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Schedule of Debt | Debt consists of the following ($ in millions):
|
Earnings Per Share (Tables) |
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Earnings Per Share [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Calculation of Basic and Diluted Net Earnings Per Common Share | The following table sets forth the calculation of basic and diluted net earnings per common share ($ in millions, except per share data):
|
Segment Information (Tables) |
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2016 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Segment Reporting [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Segment Information | Segment information for the three months ended September 30, 2016, follows ($ in millions):
Segment information for the three months ended September 30, 2015, follows ($ in millions):
Segment information for the nine months ended September 30, 2016, follows ($ in millions):
Segment information for the nine months ended September 30, 2015, follows ($ in millions):
|
Basis of Presentation (Details) $ in Millions |
Mar. 24, 2016
USD ($)
|
---|---|
Health Net, Inc. | |
Business Acquisition [Line Items] | |
Business combination, consideration transferred, including assumed debt | $ 5,990.0 |
Health Net (Schedule of Unaudited Pro Forma Financial Information) (Details) - Health Net, Inc. - USD ($) $ / shares in Units, $ in Millions |
3 Months Ended | 9 Months Ended | |
---|---|---|---|
Sep. 30, 2015 |
Sep. 30, 2016 |
Sep. 30, 2015 |
|
Business Acquisition [Line Items] | |||
Total revenues | $ 9,960 | $ 32,369 | $ 28,617 |
Net earnings attributable to Centene Corporation | $ 85 | $ 215 | |
Diluted earnings per share (in dollars per share) | $ 0.49 | $ 1.25 |
Short term and Long term Investments, Restricted Deposits (Narrative) (Details) $ in Millions |
1 Months Ended | 9 Months Ended |
---|---|---|
Jan. 31, 2016
USD ($)
shares
|
Sep. 30, 2016
position
|
|
Schedule Of Investments And Restricted Deposits By Type [Line Items] | ||
Investments recorded at fair value that carry rating of AA, weighted average (in years) | 3 years 3 months 18 days | |
Percentage of acquisition | 19.00% | |
New stock issued (in shares) | shares | 1,144,462 | |
Common stock issued for acquisition | $ | $ 68 | |
Positions from which gross unrealized losses were generated | 569 | |
Total unrealized investment positions | 2,731 | |
Rated Securities | External Credit Rating, Investment Grade | ||
Schedule Of Investments And Restricted Deposits By Type [Line Items] | ||
Percentage of investments in rated securities carry an investment grade rating by S&P and Moody's | 95.00% |
Fair Value Measurements (Narrative) (Details) - USD ($) |
Sep. 30, 2016 |
Dec. 31, 2015 |
---|---|---|
Fair Value Disclosures [Abstract] | ||
Transfers from Level I to Level II | $ 0 | |
Transfers from Level II to Level I | 46,000,000 | |
Life insurance contracts and other non-majority owned investments, fair value | $ 278,000,000 | $ 87,000,000 |
Affordable Care Act (Details) - USD ($) $ in Millions |
3 Months Ended | ||
---|---|---|---|
Sep. 30, 2016 |
Jun. 30, 2016 |
Dec. 31, 2015 |
|
Affordable Care Act [Abstract] | |||
Pre-tax benefit | $ 70 | ||
Reduction in pre-tax benefit | $ 19 | ||
Risk adjustment | (294) | $ (108) | |
Reinsurance | 101 | 24 | |
Risk corridor | 0 | (4) | |
Minimum medical loss ratio | $ (18) | $ (15) |
Debt (Interest Rate Swaps) (Details) - USD ($) |
Sep. 30, 2016 |
Feb. 29, 2016 |
---|---|---|
Interest Rate Swap | ||
Debt Instrument [Line Items] | ||
Notional amount of interest rate swap agreements | $ 2,350,000,000 | |
Average variable rate, interest rate swap agreements (percent) | 3.88% | |
Weighted average rate, interest rate swap agreements (percent) | 4.69% | |
June 1, 2017 Expiration, Interest Rate Swap | ||
Debt Instrument [Line Items] | ||
Notional amount of interest rate swap agreements | $ 250,000,000 | |
LIBOR plus 4.22%, Interest Rate Swap | ||
Debt Instrument [Line Items] | ||
Notional amount of interest rate swap agreements | $ 600,000,000 | |
May 15, 2022 Expiration, Interest Rate Swap | ||
Debt Instrument [Line Items] | ||
Notional amount of interest rate swap agreements | $ 500,000,000 | |
LIBOR plus 4.44%, Interest Rate Swap | ||
Debt Instrument [Line Items] | ||
Notional amount of interest rate swap agreements | $ 1,000,000,000 |
Debt (Revolving Credit Agreement) (Details) - Revolving credit agreement |
9 Months Ended | |||
---|---|---|---|---|
Mar. 24, 2016
USD ($)
|
Sep. 30, 2016
USD ($)
|
Mar. 23, 2016
USD ($)
|
Dec. 31, 2015
USD ($)
|
|
Debt Instrument [Line Items] | ||||
Maximum borrowing capacity | $ 1,000,000,000 | $ 500,000,000 | ||
Revolving credit agreement | $ 300,000,000 | $ 225,000,000 | ||
Weighted average interest rate (percent) | 4.25% | |||
Ratio of debt to EBITDA, current year | 3.5 | |||
Ratio of debt to EBITDA, after current year | 3.0 | |||
Line of Credit | ||||
Debt Instrument [Line Items] | ||||
Termination of revolving credit facility | $ 285,000,000 |
Debt (Letters of Credit & Surety Bonds) (Details) € in Millions, $ in Millions |
Sep. 30, 2016
USD ($)
|
Sep. 30, 2016
EUR (€)
|
---|---|---|
Surety Bond | ||
Debt Instrument [Line Items] | ||
Surety bonds | $ 370 | |
Letter of Credit | ||
Debt Instrument [Line Items] | ||
Borrowings outstanding | $ 43 | |
Letters of credit, effective yield (percent) | 1.44% | 1.44% |
Letter of Credit | Ribera Salud | ||
Debt Instrument [Line Items] | ||
Borrowings outstanding | $ 48 | € 42 |
Stockholders' Equity (Details) - USD ($) $ in Millions |
1 Months Ended | |
---|---|---|
Mar. 24, 2016 |
Jan. 31, 2016 |
|
Business Acquisition [Line Items] | ||
Percentage of acquisition | 19.00% | |
New stock issued (in shares) | 1,144,462 | |
Health Net, Inc. | ||
Business Acquisition [Line Items] | ||
Common stock issued for acquisitions (in shares) | 48,449,444 | |
Common stock issued for acquisition | $ 3,038 | |
Payments to acquire business | 2,247 | |
Fair value adjustment to stock based compensation | $ 2 |
)^;=YE=7X*8?=
MA7]+9FP9FA^6?ZPH]__X+#LO<6W[JZ"?S([!^F!C*N?::C/L&]63"ZM?SJV^
M 4;6?*'U7AY_5P?55"8"A%$H!R>4,!6"LA&3B
MO[/F-:4BKO<7]>_:K:S^A#@4%/_I*M'*8GW7J:!&(Q9O=/H!LX6M$BPIYOKK
ME",7E%PHKD/0AUF[7J^3N4G]F68GA#,A7 A+'CLAF@G1E1!KIZ8R[>L;$BC/
M&)T<9O[%@-0O#_:1[%RI@KI1^DXZXS)ZSH,XR+RS$IHQ1X,)UY@%X4GU)45H
M2W$,[^CAYP2%!1'9,T16$Y'FQRM^LKOQ8""IAO0:XF]\_\9I\0CUJ9;86DM\
M5TL0W_@]&LQNE2;T[3FVUAS;^QQ?"216@>1QPY*G&F900?! A 0 L0, !D !X;"]W;W)K N)U?U7^&:EWV9VK@
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MUD^_N;F>FV->6#5<6WU];ZI/4$L#!!0 ( %RB6$DT706RO@$ 'L$ 9
M >&PO=V]R:W-H965T :8] Z:(8
M#" NW.3JM:PZSB-JQ"(F*ZIWF1:@:SBMNP
MB@-63=3I'FCU\KAG[Y$.Z9/XGE9/65D[C[)I9-&_.-I)V8@VG?>Y;86]2+>G
M@USLFFXW:O>KX07@<-#(P_O[S--+U=4_4$L#!!0 ( %RB6$F>NO-2IP,
M '$3 9 >&PO=V]R:W-H965T CE@>#T0>JHLM/2R\ ,=0ZL=PW*'.T93
M4J.D6UR,21ZXZQ)!@:K7+[? Q)PBXE-/%*W$+")*/+'H RW%$-Q>8J %#PC!
MDC@PC;%9Y J4@4$K]/G)\I
M(W!YOK%_2=4&]1?AX G53UGY-HC-**F@%KWRKSA\A:F$?20L4;FTDK)W'O4-
M0HD6'^,N3=J'\69_FK #X!^ PX9$GXF"C)?!9>%+G%@=BQM9V(+[@Y\M"(
M,CI3W>DN"'7!>RTVAWW.KI%HBCF/,7P9,T>PP#ZGX&LISOP?.%^';U<5;A-\
M^X?"^W6"W2K!+A'L_EOB6LS#7TG8HJ<:;)-&QY$2>Y,&=>&=I_.1IS?Y#"_R
M3C3P7=A&&D
&PO=V]R:W-H965T)%WM('?5#=,&G11UMW1<)-JI2RX5-([
M5W#K7H)YP:&V?GKOYGILCG%A57=K]?F]*3X!4$L#!!0 ( %RB6$FW B 0
MH $ +$# 9 >&PO=V]R:W-H965T
ZYSHF5R9
M>N7M5]K7L#&"1\ZD_76.5ZEX=:>X3D7>N[:L;=MV*XG7TV""WQ/\@8##?Q*"
MGA!,"*C+S-;UF2B2I8*WCN@.HR'FS/$NT#MW-)-VH^R:KDSJV5L6)E&*;D:H
MQSQW&/\!$S]B\CG&'Q!(9S"DX8-I^)8>C.E># L$H$!@!<*'')-)CATFMIBZ
M"[*!8X1@C'"69)AL88$-*+"9)[GU)IN]F249>G","(P1 3'P) :$63BN& P2
M P(!+)" LGZK=R" MO_;V7>8:+Q>2=P#.-TR!P>$"5