EX-99.1 2 dex991.htm PRESS RELEASE Press Release

Exhibit 99.1

 

LOGO

N E W S  R E L E A S E

 

Contact:

  

Karey L. Witty

    

Chief Financial Officer

    

(314) 725-4477

 

    

Lisa M. Wilson

    

Senior Vice President, Investor Relations

    

(212) 759-3929

 

FOR IMMEDIATE RELEASE

 

CENTENE CORPORATION REPORTS THIRD QUARTER

NET EARNINGS OF $0.27 PER SHARE, NET OF ONE-TIME

LITIGATION SETTLEMENT CHARGE

 

ST. LOUIS, MISSOURI (October 25, 2005) — Centene Corporation (NYSE: CNC) today announced its financial results for the quarter ended September 30, 2005.

 

Third Quarter Highlights

 

    Revenues of $400.6 million, a 57.9% increase over the third quarter of 2004.

 

    Arizona behavioral health contract commenced operations effective July 1.

 

    Centene’s Wisconsin health plan subsidiary entered into a settlement agreement with Aurora Health Care, Inc., resulting in a one-time litigation settlement charge of $4.5 million, and a new long-term provider contract.

 

    Health benefits ratio within guided range, exclusive of the one-time charge.

 

    Earnings per diluted share of $0.27, net of a one-time litigation settlement charge of $0.06.

 

    Membership growth of 32.1% over the third quarter of 2004.

 

    Days in claims payable of 41.4, net of claims process improvements and 1.4 days for litigation settlement.

 

    Operating cash flows of $51.9 million for the three months ended, an 89.8% increase over the third quarter of 2004.

 

    Acquired AirLogix, Inc., an industry leader in respiratory disease management.


PAGE 2 : CENTENE CORPORATION REPORTS THIRD QUARTER NET EARNINGS OF $0.27 PER SHARE

 

    Awarded Medicaid contracts by the Georgia Department of Community Health to begin serving three regions in 2006.

 

Michael F. Neidorff, Centene’s chairman and chief executive officer, said, “I am pleased to report that overall, it has been a predictable, in-line quarter, and we remain confident about the manner in which Centene conducts its business. Our consistent earnings growth demonstrates the solid visibility we have over the state of the business and the strength of our operating systems. Membership growth was particularly strong in Indiana, as anticipated, and Kansas posted solid gains during the quarter. Our specialty companies have made consistent progress, including our Arizona behavioral health contract, which provides a strong foundation for continued growth in this business segment.

 

“In keeping with our philosophy of ongoing financial transparency, we hosted for the first time a contracting and claims liability accounting methodology seminar in September. Our goal was to help participants understand the key factors for our ongoing success —claims processing and system reporting, sound contracting, consistent claims liability reserving and provider relationships —all of which enhance the predictability and consistency of our financial results. This disciplined approach, which has been in place for many years, gives consistent control over costs and reduces volatility. It is important that we recognize that the sector and industry are strong and are meeting the needs of recipients and the states in terms of quality, cost-effective care.”

 

There were several nonrecurring events during the quarter that affected our results, including:

 

Aurora one-time litigation settlement charge

   $  (0.06 )

Georgia start-up costs

     (0.04 )

Claims payment process improvements

     (0.02 )

Charitable foundation contribution

     (0.01 )

Tax benefits

     0.03  


PAGE 3 : CENTENE CORPORATION REPORTS THIRD QUARTER NET EARNINGS OF $0.27 PER SHARE

 

The following table depicts membership in Centene’s Medicaid Managed Care segment by state at September 30, 2005 and 2004:

 

     2005

   2004

Indiana

   176,300    150,000

Kansas

   107,600    —  

Missouri

   37,300    —  

New Jersey

   50,900    53,200

Ohio

   58,100    23,500

Texas

   243,600    250,200

Wisconsin

   173,900    164,700
    
  

TOTAL

   847,700    641,600
    
  

 

The following table depicts membership in Centene’s Medicaid Managed Care segment by member category at September 30, 2005 and 2004:

 

     2005

    2004

 

Medicaid

   657,500     479,500  

SCHIP

   176,900     152,100  

SSI

   13,300 (a)   10,000 (b)
    

 

TOTAL

   847,700     641,600  
    

 


(a) 6,800 at-risk, 6,500 ASO
(b) 4,500 at-risk; 5,500 ASO

 

Statement of Earnings Highlights

 

- For the third quarter of 2005, revenues increased 57.9% to $400.6 million from $253.7 million in the third quarter of 2004.

 

- The health benefits ratio (HBR), which reflects medical costs as a percent of premium revenues, now includes a larger component of behavioral health claims and was 83.7% compared to 80.7% for the same period in 2004. The effect of the behavioral health business increased the HBR by 0.4%. The current quarter also reflects a $4.5 million


PAGE 4 : CENTENE CORPORATION REPORTS THIRD QUARTER NET EARNINGS OF $0.27 PER SHARE

 

litigation settlement increasing the ratio by 1.2%. Additionally, the Company’s SSI HBR was 96.2% compared to 92.8% in 2004. While growing, Centene’s small SSI member base can experience a volatile HBR. The table below depicts Centene’s HBR by member category:

 

    

Three Months Ended

September 30,


 
     2005*

    2004

 

Medicaid and SCHIP

   81.7 %   80.4 %

SSI

   96.2     92.8  

Medicaid Managed Care Total

   82.1     80.7  

Specialty Services

   89.7     —    

Total

   82.5     80.7  

* Excludes one-time litigation settlement charge.

 

- General and administrative (G&A) expenses as a percent of revenues were 13.1% in the third quarter of 2005, compared to 12.7% in the third quarter of 2004. Centene’s total G&A ratio increased due to implementation costs related to its new contracts in Georgia, and as discussed later, higher spending on information systems process improvements and increased contributions to its charitable foundation.

 

- Earnings from operations decreased 8.1% to $15.1 million from $16.4 million in the third quarter of 2004, reflecting the one-time settlement charge and increased G&A spending.

 

- Centene’s effective tax rate for the quarter was 27.8% compared to 37.0% in 2004. The decrease was primarily due to a lower state income tax expense resulting from the resolution of state examinations and the recognition of deferred tax benefits related to a change in tax law during the quarter. These tax benefits, totaling $2.4 million gross of federal taxes, were reinvested in the business through the corresponding increase in G&A spending as noted above.

 

- Net of the one-time charge of $0.06 and increased G&A spending, net earnings were $12.1 million, or $0.27 per diluted share, which was in-line with previous guidance and compares to $11.3 million, or $0.26 per diluted share, for the third quarter of 2004.


PAGE 5 : CENTENE CORPORATION REPORTS THIRD QUARTER NET EARNINGS OF $0.27 PER SHARE

 

- For the nine months ended September 30, 2005, revenues increased 51.9% to $1,082.6 million from $712.9 million for the same period in the prior year. The HBR was 82.0%, compared to 80.9% for the same period in 2004. G&A expenses as a percent of revenues were 12.9% as compared to 12.5% in 2004. Earnings from operations increased 24.8% to $58.8 million from $47.1 million in 2004. Net earnings improved to $41.8 million, or $0.93 per diluted share.

 

Balance Sheet Highlights

 

At September 30, 2005, the Company had cash and investments of $332.8 million, including $27.7 million held by its unregulated entities and $305.1 million held by its regulated entities. Medical claims liabilities totaled $148.9 million, representing 41.4 days in claims payable versus 49.5 days from the previous quarter. Medical claims liabilities were affected by a reduction in pended claims from 54,000 to 21,000, many of which were large liability claims. Additionally, the average cost per claim held in inventory at September 30 was $144.00 and compares to $204.00 in the immediately preceding quarter.

 

A reconciliation of the Company’s change in days in claims payable from the immediately preceding quarter-end is presented below:

 

Days in claims payable, June 30, 2005

   49.5  

Increased efficiencies in claims processing

   (5.2 )

Effect of AZ behavioral health block payment business

   (1.5 )

Payment of Aurora settlement

   (1.4 )
    

Days in claims payable, September 30, 2005

   41.4  
    

 

As predicted, cash flows provided by operating activities were $51.9 million for the three months ended and $44.9 million for the nine months ended September 30, 2005. Centene received the State of Wisconsin’s June capitation payment of $29 million in July.


PAGE 6 : CENTENE CORPORATION REPORTS THIRD QUARTER NET EARNINGS OF $0.27 PER SHARE

 

Outlook

 

Karey L. Witty, Centene’s chief financial officer, stated, “For the fourth quarter of 2005, we expect revenue in the range of $415 million to $420 million and net earnings of $0.30 to $0.32 per diluted share. Additionally, we expect organic membership growth in excess of 10% for 2005. Our preliminary outlook for 2006 includes revenue in the range of $2.03 billion to $2.18 billion and net earnings of $1.72 to $1.87 per diluted share. This guidance excludes the potential impact of any other acquisitions we may undertake during the remainder of 2005 as well as expenses related to stock option grants under SFAS 123R (“Share Based Payment”), which is required to be adopted on January 1, 2006.

 

Conference Call

 

As previously announced, the Company will host a conference call this morning, October 25, 2005, at 8:30 a.m. (Eastern Time) to review the financial results for the third quarter ended September 30, 2005, and to discuss its business outlook. Michael F. Neidorff and Karey L. Witty will host the conference call. Investors are invited to participate in the conference call by dialing 800-273-1254 in the U.S. and Canada, 706-679-8592 from abroad, or via a live Internet broadcast on the Company’s website at www.centene.com, under the Investor Relations section. A replay will be available for on demand listening shortly after the completion of the call until 11:59 p.m. (Eastern Time) on November 8, 2005 at the aforementioned URL, or by dialing 800-642-1687 in the U.S. and Canada, or 706-645-9291 from abroad, and entering access code 1255588.


PAGE 7 : CENTENE CORPORATION REPORTS THIRD QUARTER NET EARNINGS OF $0.27 PER SHARE

 

About Centene Corporation

 

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

 

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

 

[Tables Follow]


PAGE 8 : CENTENE CORPORATION REPORTS THIRD QUARTER NET EARNINGS OF $0.27 PER SHARE

 

CENTENE CORPORATION AND SUBSIDIARIES

 

CONSOLIDATED BALANCE SHEETS

(In thousands, except share data)

 

     September 30,     December 31,  
     2005

    2004

 
     (Unaudited)        
ASSETS                 

Current assets:

                

Cash and cash equivalents

   $ 121,424     $ 84,105  

Premium and related receivables, net of allowances of $156 and $462, respectively

     43,235       31,475  

Short-term investments, at fair value (amortized cost $58,760 and $94,442, respectively)

     58,642       94,283  

Other current assets

     20,500       14,429  
    


 


Total current assets

     243,801       224,292  

Long-term investments, at fair value (amortized cost $132,394 and $117,177, respectively)

     130,347       116,787  

Restricted deposits, at fair value (amortized cost $22,614 and $22,295, respectively)

     22,344       22,187  

Property, software and equipment

     55,073       43,248  

Goodwill

     159,579       101,631  

Other intangible assets

     21,217       14,439  

Other assets

     7,250       5,350  
    


 


Total assets

   $ 639,611     $ 527,934  
    


 


LIABILITIES AND STOCKHOLDERS’ EQUITY                 

Current liabilities:

                

Medical claims liabilities

   $ 148,889     $ 165,980  

Accounts payable and accrued expenses

     47,302       31,737  

Unearned revenue

     12,437       3,956  

Current portion of long-term debt and notes payable

     486       486  
    


 


Total current liabilities

     209,114       202,159  

Long-term debt

     87,650       46,973  

Other liabilities

     9,614       7,490  
    


 


Total liabilities

     306,378       256,622  

Stockholders’ equity:

                

Common stock, $.001 par value; authorized 100,000,000 shares; issued and outstanding 42,646,184 and 41,316,122 shares, respectively

     43       41  

Additional paid-in capital

     186,659       165,391  

Accumulated other comprehensive income:

                

Unrealized loss on investments, net of tax

     (1,522 )     (407 )

Retained earnings

     148,053       106,287  
    


 


Total stockholders’ equity

     333,233       271,312  
    


 


Total liabilities and stockholders’ equity

   $ 639,611     $ 527,934  
    


 



PAGE 9 : CENTENE CORPORATION REPORTS THIRD QUARTER NET EARNINGS OF $0.27 PER SHARE

 

CENTENE CORPORATION AND SUBSIDIARIES

 

CONSOLIDATED STATEMENTS OF EARNINGS

(In thousands, except share data)

 

     Three Months Ended
September 30,


    Nine Months Ended
September 30,


 
     2005

    2004

    2005

    2004

 
     (Unaudited)     (Unaudited)  

Revenues:

                                

Premiums

   $ 395,667     $ 251,536     $ 1,075,027     $ 705,556  

Services

     4,975       2,207       7,619       7,320  
    


 


 


 


Total revenues

     400,642       253,743       1,082,646       712,876  
    


 


 


 


Expenses:

                                

Medical costs

     331,050       202,974       881,021       570,720  

Cost of services

     2,002       2,111       3,573       6,149  

General and administrative expenses

     52,450       32,187       139,274       88,915  
    


 


 


 


Total operating expenses

     385,502       237,272       1,023,868       665,784  
    


 


 


 


Earnings from operations

     15,140       16,471       58,778       47,092  

Other income (expense):

                                

Investment and other income

     2,818       1,683       7,461       4,529  

Interest expense

     (1,190 )     (126 )     (2,386 )     (317 )
    


 


 


 


Earnings before income taxes

     16,768       18,028       63,853       51,304  

Income tax expense

     4,662       6,677       22,087       19,002  
    


 


 


 


Net earnings

   $ 12,106     $ 11,351     $ 41,766     $ 32,302  
    


 


 


 


Earnings per share:

                                

Basic earnings per common share

   $ 0.28     $ 0.28     $ 0.99     $ 0.79  

Diluted earnings per common share

   $ 0.27     $ 0.26     $ 0.93     $ 0.74  

Weighted average number of shares outstanding:

                                

Basic

     42,582,129       40,972,858       42,120,149       40,693,804  

Diluted

     45,278,328       43,640,180       45,078,852       43,364,120  


PAGE 10 : CENTENE CORPORATION REPORTS THIRD QUARTER NET EARNINGS OF $0.27 PER SHARE

 

CENTENE CORPORATION AND SUBSIDIARIES

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

 

     Nine Months Ended
September 30,


 
     2005

    2004

 
     (Unaudited)  

Cash flows from operating activities:

                

Net earnings

   $ 41,766     $ 32,302  

Adjustments to reconcile net earnings to net cash provided by operating activities —

                

Depreciation and amortization

     9,658       7,219  

Deferred income taxes

     (3,567 )     (303 )

Tax benefits related to stock options

     4,511       1,858  

Stock compensation expense

     3,557       44  

Loss (gain) on sale of investments

     58       (212 )

Changes in assets and liabilities —

                

Premium and related receivables

     (9,396 )     (2,431 )

Other current assets

     (1,990 )     (4,803 )

Other assets

     (1,380 )     (1,773 )

Medical claims liabilities

     (17,091 )     19,825  

Unearned revenue

     5,892       (3 )

Accounts payable and accrued expenses

     11,798       5,184  

Other operating activities

     1,096       568  
    


 


Net cash provided by operating activities

     44,912       57,475  
    


 


Cash flows from investing activities:

                

Purchase of property, software and equipment

     (16,837 )     (9,487 )

Purchase of investments

     (108,630 )     (207,385 )

Sales and maturities of investments

     129,095       188,918  

Acquisitions, net of cash acquired

     (55,410 )     (7,005 )
    


 


Net cash used in investing activities

     (51,782 )     (34,959 )
    


 


Cash flows from financing activities:

                

Reduction of long-term debt and notes payable

     (4,323 )     (507 )

Proceeds from borrowings

     45,000        

Proceeds from stock options and employee stock purchase plan

     3,925       2,332  

Other financing activities

     (413 )      
    


 


Net cash provided by financing activities

     44,189       1,825  
    


 


Net increase in cash and cash equivalents

     37,319       24,341  
    


 


Cash and cash equivalents, beginning of period

     84,105       64,346  
    


 


Cash and cash equivalents, end of period

   $ 121,424     $ 88,687  
    


 


Interest paid

   $ 2,184     $ 324  

Income taxes paid

   $ 19,658     $ 18,844  

Supplemental schedule of non-cash investing and financing activities:

                

Common stock issued for acquisitions

   $ 8,991     $  


PAGE 11 : CENTENE CORPORATION REPORTS THIRD QUARTER NET EARNINGS OF $0.27 PER SHARE

 

CENTENE CORPORATION AND SUBSIDIARIES

 

SUPPLEMENTAL FINANCIAL DATA

 

    

Q3

2005


   

Q2

2005


   

Q1

2005


   

Q4

2004


 

MEMBERSHIP

                                

Indiana

     176,300       152,800       149,900       150,600  

Kansas

     107,600       103,000       94,900       94,200  

Missouri

     37,300       39,900       41,300       41,200  

New Jersey

     50,900       52,900       52,700       52,800  

Ohio

     58,100       59,600       23,900       23,800  

Texas

     243,600       243,800       243,700       244,300  

Wisconsin

     173,900       173,400       170,900       165,800  
    


 


 


 


TOTAL

     847,700       825,400       777,300       772,700  
    


 


 


 


Medicaid

     657,500       637,300       588,100       580,200  

SCHIP

     176,900       176,200       178,500       182,100  

SSI

     13,300       11,900       10,700       10,400  
    


 


 


 


TOTAL

     847,700       825,400       777,300       772,700  
    


 


 


 


REVENUE PER MEMBER

   $ 147.73     $ 143.41     $ 142.15     $ 139.38  

CLAIMS

                                

Period-end inventory

     206,900       195,500       227,700       150,300  

Average inventory

     148,300       170,300       191,900       128,300  

Period-end inventory per member

     0.24       0.24       0.29       0.19  

DAYS IN CLAIMS PAYABLE (a)

     41.4       49.5       59.7       66.5  

(a)       Days in Claims Payable is a calculation of Medical Claims Liabilities at the end of the period divided by average claims expense per calendar day for such period.

         

       

CASH AND INVESTMENTS (in millions)

                                

Regulated

   $ 305.1     $ 260.5     $ 295.0     $ 271.4  

Unregulated

     27.7       27.4       42.1       46.0  
    


 


 


 


TOTAL

   $ 332.8     $ 287.9     $ 337.1     $ 317.4  
    


 


 


 


ANNUALIZED RETURN ON EQUITY (b)

     14.9 %     20.0 %     20.5 %     18.2 %

(b) Annualized Return on Equity is calculated as follows: (net income for quarter x 4) divided by ((beginning of period equity + end of period equity) divided by 2).


PAGE 12 : CENTENE CORPORATION REPORTS THIRD QUARTER NET EARNINGS OF $0.27 PER SHARE

 

HEALTH BENEFITS RATIO BY CATEGORY:

 

    

Three Months Ended

September 30,


   

Nine Months Ended

September 30,


 
     2005

    2004

    2005

    2004

 

Medicaid and SCHIP

   83.0 %   80.4 %   81.5 %   80.5 %

SSI

   96.2     92.8     92.6     96.6  

Medicaid Managed Care Total

   83.3     80.7     81.7     80.9  

Specialty Services

   89.7     —       91.0     —    

Total

   83.7     80.7     82.0     80.9  

 

GENERAL AND ADMINISTRATIVE EXPENSE RATIO BY BUSINESS SEGMENT:

 

    

Three Months Ended

September 30,


   

Nine Months Ended

September 30,


 
     2005

    2004

    2005

    2004

 

Medicaid Managed Care

   10.6 %   10.5 %   10.6 %   10.4 %

Specialty Services

   30.2     56.0     38.9     51.8  

Total

   13.1     12.7     12.9     12.5  

 

MEDICAL CLAIMS LIABILITIES

(In thousands)

 

Four rolling quarters of the changes in medical claims liabilities are summarized as follows:

 

Balance, September 30, 2004

   $ 126,394  

Acquisitions

     24,909  

Incurred related to:

        

Current period

     1,123,677  

Prior period

     (12,900 )
    


Total incurred

     1,110,777  
    


Paid related to:

        

Current period

     1,000,533  

Prior period

     112,658  
    


Total paid

     1,113,191  
    


Balance, September 30, 2005

   $ 148,889  
    


 

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