EX-99.1 2 dex991.htm PRESS RELEASE Press Release

Exhibit 99.1

 

NEWS RELEASE   LOGO

 

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 FOURTH QUARTER

AND YEAR-END RESULTS

 

- Company achieves $1.5 billion in full year revenue -

 

ST. LOUIS, MISSOURI (February 7, 2006) — Centene Corporation (NYSE: CNC) today announced its financial results for the fourth quarter and year ended December 31, 2005.

 

Fourth Quarter Highlights


 

Full Year Highlights


•      Revenues increased 46.9% to $423.2 million

 

•      Revenues increased 50.4% to $1.5 billion

•      Earnings from operations increased 17.0% to $20.4 million

 

•      Earnings from operations increased 22.7% to $79.2 million

•      EPS increased 14.8% to $0.31

 

•      EPS increased 21.6% to $1.24

•      Operating cash flows of $29.1 million

 

•      Operating cash flows of $74.0 million

 

Additional Highlights

 

    Acquired US Script, Inc., a pharmacy benefits manager.

 

    Membership growth of 12.8% over the fourth quarter of 2004; organic membership growth of 7.8% over the same prior year period.

 

    Days in claims payable of 45.4.

 

    Authorized stock repurchase program of up to 4 million shares of Centene’s common stock.

 

    Announced key management appointments to support stated goal of building a multi-line healthcare enterprise.

 

    Named to The Forbes Platinum 400, a list of America’s Best Big Companies.


PAGE 2: CENTENE CORPORATION REPORTS FOURTH QUARTER AND YEAR-END RESULTS

 

Michael F. Neidorff, Centene’s Chairman and Chief Executive Officer, stated, “We are pleased with our 2005 results, given some market specific challenges that we faced during the year. The strength of our information systems, disciplined contracting methodology and growing business diversification give us ongoing visibility and confidence in the stability and predictability of our business model.

 

“During the quarter, growth in our Kansas, Indiana and New Jersey markets was strong. Specifically, Indiana completed the conversion of its remaining counties to mandatory status. We are pleased that, despite intense competition for these recipients, we achieved this significant growth in Indiana while remaining disciplined in contracting and in our approach to gaining membership. The primary challenge in converting recipients into a managed care setting is educating them on how best to access the healthcare system, which takes time and temporarily increases our medical costs. We saw this occur in the Indiana expansion and expect a similar impact as we roll out Georgia later this year. We are well-positioned for growth in Kansas and the State has plans to extend its existing Medicaid contract through the end of 2006.

 

“In Texas, there were a number of factors that affected our membership results during the fourth quarter, including the State’s conversion to both a new enrollment broker and a new eligibility system. We achieved increased penetration in our existing service areas, while the overall market contracted. We believe that this market condition could continue to cause enrollment issues similar to those that were experienced in this fourth quarter. However, we still anticipate the service area expansion awards to be effective September 1, 2006.

 

“Regarding Georgia, our newest state, we anticipate that membership operations will commence on April 1; we are fully prepared to meet that schedule, and are working with the State to minimize further delays.

 

“We are pleased with our recent acquisition of US Script, Inc., a pharmacy benefits manager, which adds another important service component to our specialty company business and will help us to contain and manage the most significant cost driver in healthcare—prescription drug costs.

 

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PAGE 3: CENTENE CORPORATION REPORTS FOURTH QUARTER AND YEAR-END RESULTS

 

“We are looking forward to the opportunities in 2006, and are confident that we are well positioned with strong operating systems, growing depth of management and financial resources to meet them,” concluded Neidorff.

 

The following table depicts Medicaid Managed Care membership by state at December 31, 2005 and 2004:

 

     2005

    2004

 

Indiana

   193,300     150,600  

Kansas

   113,300     94,200  

Missouri

   36,000     41,200  

New Jersey

   56,500     52,800  

Ohio

   58,700     23,800  

Texas

   242,000     244,300  

Wisconsin

   172,100     165,800  
    

 

TOTAL

   871,900     772,700  
    

 

     2005

    2004

 

Medicaid

   681,100     580,200  

SCHIP

   175,900     182,100  

SSI

   14,900 (a)   10,400 (b)
    

 

TOTAL

   871,900     772,700  
    

 


(a) 8,100 at-risk; 6,800 ASO
(b) 4,600 at-risk; 5,800 ASO

 

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PAGE 4: CENTENE CORPORATION REPORTS FOURTH QUARTER AND YEAR-END RESULTS

 

The following table depicts Specialty Services membership (1) by state at December 31, 2005 and 2004:

 

     2005

   2004

Arizona

   94,700    —  

Kansas

   38,800    —  
    
  

TOTAL

   133,500    —  
    
  

(1) Includes behavioral health contracts only.

 

Statement of Earnings Highlights

 

    For the fourth quarter of 2005, revenues increased 46.9% to $423.2 million from $288.1 million in the fourth quarter of 2004.

 

    For the fourth quarter of 2005, the health benefits ratio (HBR) for Centene’s Medicaid and SCHIP populations was 82.1%, within the guided range of 81.5% to 83.5%, which primarily reflected increased costs associated with transitioning Indiana membership from an unmanaged setting into Medicaid managed care. Centene’s HBR for the SSI population was 105.4% during the quarter, primarily due to growth in its Wisconsin market. One of the factors which affected the SSI HBR is a sixty-day continuity of care requirement in Wisconsin. The continuity of care requirement limits our ability to implement generic drug substitution or formulary utilization, appropriately manage inpatient utilization and monitor excessive durable medical equipment utilization. As Centene begins to manage these specific cost drivers, it expects the SSI HBR to fall into the target range of 84% to 86%. For the Specialty Services segment, the HBR was 85.0%, reflecting the receipt of an anticipated positive settlement associated with the Kansas behavioral health contract.

 

    The table below depicts Centene’s HBR by member category:

 

    

Three Months Ended

December 31,


 
     2005

    2004

 

Medicaid and SCHIP

   82.1 %   80.2 %

SSI

   105.4     84.7  

Specialty Services

   85.0     —    

 

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PAGE 5: CENTENE CORPORATION REPORTS FOURTH QUARTER AND YEAR-END RESULTS

 

    Our Medicaid Managed Care general and administrative (G&A) expenses as a percent of revenues was 10.3% in the fourth quarter of 2005 compared to 11.4% in the fourth quarter of 2004. This reduction reflected lower compensation costs related to Centene’s year-end performance bonuses, which in part is driven by stock performance.

 

    Earnings from operations increased 17.0% to $20.4 million in the fourth quarter of 2005 from $17.4 million in the fourth quarter of 2004.

 

    Net earnings were $13.9 million, or $0.31 per diluted share, for the fourth quarter of 2005 compared to $12.0 million, or $0.27 per diluted share, for the fourth quarter of 2004.

 

    For the year ended December 31, 2005, revenues increased 50.4% to $1.5 billion from $1.0 billion in 2004. The HBR for the Medicaid and SCHIP population was 81.7% in 2005 compared to 80.4% in 2004. The increase is comprised of 0.3% of Aurora litigation settlement costs and 0.3% for medical costs experience in the new Indiana service areas. The remaining balance is normal variations. Earnings from operations increased 22.7% to $79.2 million in 2005 from $64.5 million in 2004. Net earnings improved to $55.6 million, or $1.24 per diluted share, in 2005 compared to $44.3 million, or $1.02 per diluted share, in 2004.

 

Balance Sheet Highlights

 

At December 31, 2005, the Company had cash and investments of $350.3 million, of which $322.6 million was held by Centene’s regulated entities. Medical claims liabilities totaled $170.5 million, representing 45.4 days in claims payable. A reconciliation of the Company’s change in days in claims payable from the immediately preceding quarter is presented below:

 

Days in claims payable, September 30, 2005

   41.4  

Increase in claims inventory

   4.3  

Payment of quarterly provider settlements

   (0.3 )
    

Days in claims payable, December 31, 2005

   45.4  
    

 

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PAGE 6: CENTENE CORPORATION REPORTS FOURTH QUARTER AND YEAR-END RESULTS

 

Outlook

 

Karey L. Witty, Centene’s Chief Financial Officer, commented, “Our first quarter 2006 revenue guidance is in the range of $444 million to $449 million, and we anticipate net earnings of $0.17 to $0.21 per diluted share. For full year 2006, we anticipate revenue in the range of $2.15 billion to $2.25 billion, and net earnings per diluted share of $1.61 to $1.78.” Guidance for 2006 includes the effect of new accounting rules requiring the expensing of stock options. The Financial Accounting Standards Board (FASB) has issued FASB Statement No. 123R, “Share-Based Payment,” which covers a range of share-based compensation arrangements, including stock options. Centene began expensing stock options effective January 1, 2006, in accordance with the requirements of FASB Statement No. 123R, the effect of which is expected to reduce diluted earnings per share by approximately $0.04 per share in the first quarter of 2006 and $0.15 per share for the full year.

 

A review of the results for the fourth quarter and additional details on management’s outlook for 2006 will take place during the Company’s scheduled fourth quarter earnings call.

 

     2006

 
     Q1

    Year

 
     Low

    High

    Low

    High

 

Revenue (in millions)

   $ 444     $ 449     $ 2,150     $ 2,250  

Earnings per share

   $ 0.34     $ 0.35     $ 1.72     $ 1.87  

Georgia implementation costs

     (0.11 )     (0.09 )     *       *  

SFAS No. 123R

     (0.04 )     (0.04 )     (0.15 )     (0.15 )

US Script

     (0.02 )     (0.01 )     0.04       0.06  
    


 


 


 


Adjusted earnings per share

   $ 0.17     $ 0.21     $ 1.61     $ 1.78  
    


 


 


 



* Georgia effective April 1, 2006

 

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PAGE 7: CENTENE CORPORATION REPORTS FOURTH QUARTER AND YEAR-END RESULTS

 

Conference Call

 

As previously announced, the Company will host a conference call today, February 7, 2006, at 8:30 a.m. (Eastern Time) to review the financial results for the quarter and year ended December 31, 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 February 21, 2006 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 3978030.

 

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, pharmacy benefit management and treatment compliance. Information regarding Centene is available via the Internet at www.centene.com.

 

The information provided in the second, third and fourth paragraphs immediately following the bulleted listings under “Additional Highlights,” the second bulleted listing under “Statement of Earnings Highlights,” and the paragraphs under “Outlook” above contain forward-looking statements that relate to future events and future financial performance of Centene. These forward-looking statements represent the Company’s estimates as of February 7, 2006. 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

 

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PAGE 8: CENTENE CORPORATION REPORTS FOURTH QUARTER AND YEAR-END RESULTS

 

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. In addition, the actual effect of SFAS 123R on Centene’s earnings per share may vary significantly due to changes in its future stock-based compensation strategy, stock price volatility, forfeitures and employee stock option exercise behavior.

 

[Tables Follow]

 

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PAGE 9: CENTENE CORPORATION REPORTS FOURTH QUARTER AND YEAR-END RESULTS

 

CENTENE CORPORATION AND SUBSIDIARIES

 

CONSOLIDATED BALANCE SHEETS

(In thousands, except share data)

 

     December 31,

 
     2005

    2004

 
ASSETS                 

Current assets:

                

Cash and cash equivalents

   $ 147,358     $ 84,105  

Premium and related receivables, net of allowances of $343 and $462, respectively

     44,108       31,475  

Short-term investments, at fair value (amortized cost $56,863 and $94,442, respectively)

     56,700       94,283  

Other current assets

     24,439       14,429  
    


 


Total current assets

     272,605       224,292  

Long-term investments, at fair value (amortized cost $126,039 and $117,177, respectively)

     123,661       116,787  

Restricted deposits, at fair value (amortized cost $22,821 and $22,295, respectively)

     22,555       22,187  

Property, software and equipment, net

     67,199       43,248  

Goodwill

     157,278       101,631  

Other intangible assets, net

     17,368       14,439  

Other assets

     7,364       5,350  
    


 


Total assets

   $ 668,030     $ 527,934  
    


 


LIABILITIES AND STOCKHOLDERS’ EQUITY                 

Current liabilities:

                

Medical claims liabilities

   $ 170,514     $ 165,980  

Accounts payable and accrued expenses

     29,790       31,737  

Unearned revenue

     13,648       3,956  

Current portion of long-term debt and notes payable

     699       486  
    


 


Total current liabilities

     214,651       202,159  

Long-term debt

     92,448       46,973  

Other liabilities

     8,883       7,490  
    


 


Total liabilities

     315,982       256,622  

Stockholders’ equity:

                

Common stock, $.001 par value; authorized 100,000,000 shares; issued and outstanding 42,988,230 and 41,316,122 shares, respectively

     43       41  

Additional paid-in capital

     191,840       165,391  

Accumulated other comprehensive income:

                

Unrealized loss on investments, net of tax

     (1,754 )     (407 )

Retained earnings

     161,919       106,287  
    


 


Total stockholders’ equity

     352,048       271,312  
    


 


Total liabilities and stockholders’ equity

   $ 668,030     $ 527,934  
    


 


 

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PAGE 10: CENTENE CORPORATION REPORTS FOURTH QUARTER AND YEAR-END RESULTS

 

CENTENE CORPORATION AND SUBSIDIARIES

 

CONSOLIDATED STATEMENTS OF EARNINGS

(In thousands, except share data)

 

    

THREE MONTHS ENDED

DECEMBER 31,


   

YEAR ENDED

DECEMBER 31,


 
     2005

    2004

    2005

    2004

 
     (Unaudited)        
Revenues:                                 

Premium

   $ 416,872     $ 286,117     $ 1,491,899     $ 991,673  

Service

     6,346       1,947       13,965       9,267  
    


 


 


 


Total revenues

     423,218       288,064       1,505,864       1,000,940  
    


 


 


 


Expenses:                                 

Medical costs

     345,888       229,756       1,226,909       800,476  

Cost of services

     2,278       1,916       5,851       8,065  

General and administrative expenses

     54,639       38,948       193,913       127,863  
    


 


 


 


Total operating expenses

     402,805       270,620       1,426,673       936,404  
    


 


 


 


Earnings from operations

     20,413       17,444       79,191       64,536  
Other income (expense):                                 

Investment and other income

     3,194       1,902       10,655       6,431  

Interest expense

     (1,604 )     (363 )     (3,990 )     (680 )
    


 


 


 


Earnings before income taxes

     22,003       18,983       85,856       70,287  
Income tax expense      8,137       6,973       30,224       25,975  
    


 


 


 


Net earnings

   $ 13,866     $ 12,010     $ 55,632     $ 44,312  
    


 


 


 


Earnings per share:                                 

Basic earnings per common share

   $ 0.32     $ 0.29     $ 1.31     $ 1.09  

Diluted earnings per common share

   $ 0.31     $ 0.27     $ 1.24     $ 1.02  
Weighted average number of shares outstanding:                                 

Basic

     42,885,900       41,199,463       42,312,522       40,820,909  

Diluted

     44,812,159       44,309,636       45,027,633       43,616,445  

 

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PAGE 11: CENTENE CORPORATION REPORTS FOURTH QUARTER AND YEAR-END RESULTS

 

CENTENE CORPORATION AND SUBSIDIARIES

 

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

 

     Year Ended December 31,

 
     2005

    2004

 
Cash flows from operating activities:                 

Net earnings

   $ 55,632     $ 44,312  

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

                

Depreciation and amortization

     13,069       10,014  

Tax benefits related to stock options

     6,469       3,316  

Stock compensation expense

     4,974       650  

Loss (gain) on sale of investments

     70       (138 )

Loss on disposal of property and equipment

     454       —    

Deferred income taxes

     1,786       (1,638 )

Changes in assets and liabilities—

                

Premium and related receivables

     (10,305 )     (425 )

Other current assets

     (6,177 )     (786 )

Other assets

     (525 )     (728 )

Medical claims liabilities

     4,534       34,501  

Unearned revenue

     8,182       283  

Accounts payable and accrued expenses

     (4,215 )     9,951  

Other operating activities

     100       93  
    


 


Net cash provided by operating activities

     74,048       99,405  
    


 


Cash flows from investing activities:                 

Purchase of property, software and equipment

     (26,909 )     (25,009 )

Purchase of investments

     (150,444 )     (254,358 )

Sales and maturities of investments

     176,387       243,623  

Acquisitions, net of cash acquired

     (55,485 )     (86,739 )
    


 


Net cash used in investing activities

     (56,451 )     (122,483 )
    


 


Cash flows from financing activities:                 

Proceeds from exercise of stock options

     5,621       4,066  

Proceeds from borrowings

     45,000       45,860  

Reduction of long-term debt and notes payable

     (4,552 )     (6,596 )

Other financing activities

     (413 )     (493 )
    


 


Net cash provided by financing activities

     45,656       42,837  
    


 


Net increase in cash and cash equivalents

     63,253       19,759  
    


 


Cash and cash equivalents, beginning of period

     84,105       64,346  
    


 


Cash and cash equivalents, end of period

   $ 147,358     $ 84,105  
    


 


Interest paid

   $ 3,291     $ 494  

Income taxes paid

   $ 31,287     $ 20,518  
Supplemental schedule of non-cash investing and financing activities:                 

Common stock issued for acquisitions

   $ 8,991     $ —    

Property acquired under capital leases

   $ 5,026     $ —    

 

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PAGE 12: CENTENE CORPORATION REPORTS FOURTH QUARTER AND YEAR-END RESULTS

 

CENTENE CORPORATION

 

SUPPLEMENTAL FINANCIAL DATA

 

    

Q4

2005


   

Q3

2005


   

Q2

2005


   

Q1

2005


 

MEMBERSHIP

                                

Medicaid Managed Care:

                                

Indiana

     193,300       176,300       152,800       149,900  

Kansas

     113,300       107,600       103,000       94,900  

Missouri

     36,000       37,300       39,900       41,300  

New Jersey

     56,500       50,900       52,900       52,700  

Ohio

     58,700       58,100       59,600       23,900  

Texas

     242,000       243,600       243,800       243,700  

Wisconsin

     172,100       173,900       173,400       170,900  
    


 


 


 


TOTAL

     871,900       847,700       825,400       777,300  
    


 


 


 


Medicaid

     681,100       657,500       637,300       588,100  

SCHIP

     175,900       176,900       176,200       178,500  

SSI

     14,900       13,300       11,900       10,700  
    


 


 


 


TOTAL

     871,900       847,700       825,400       777,300  
    


 


 


 


Specialty Services:

                                

Arizona

     94,700       94,300       —         —    

Kansas

     38,800       37,500       37,100       35,400  
    


 


 


 


TOTAL

     133,500       131,800       37,100       35,400  
    


 


 


 


REVENUE PER MEMBER(a)

   $ 152.48     $ 147.73     $ 143.41     $ 142.15  

CLAIMS(a)

                                

Period-end inventory

     255,000       206,900       195,500       227,700  

Average inventory

     153,500       148,300       170,300       191,900  

Period-end inventory per member

     0.29       0.24       0.24       0.29  

(a)      Revenue per member and claims information are presented for the Medicaid Managed Care segment.

        

DAYS IN CLAIMS PAYABLE (b)

     45.4       41.4       49.5       59.7  

(b)      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

   $ 322.6     $ 305.1     $ 260.5     $ 295.0  

Unregulated

     27.7       27.7       27.4       42.1  
    


 


 


 


TOTAL

   $ 350.3     $ 332.8     $ 287.9     $ 337.1  
    


 


 


 


ANNUALIZED RETURN ON EQUITY (c)

     16.2 %     14.9 %     20.0 %     20.5 %

 

(c) 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).

 

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PAGE 13: CENTENE CORPORATION REPORTS FOURTH QUARTER AND YEAR-END RESULTS

 

HEALTH BENEFITS RATIO BY CATEGORY:

 

     Three Months Ended
December 31,


    Twelve Months Ended
December 31,


 
     2005

    2004

    2005

    2004

 

Medicaid and SCHIP

   82.1 %   80.2 %   81.7 %   80.4 %

SSI

   105.4     84.7     97.5     93.8  

Specialty Services

   85.0     —       88.1     —    

 

GENERAL AND ADMINISTRATIVE EXPENSE RATIO BY BUSINESS SEGMENT:

 

     Three Months Ended
December 31,


    Twelve Months Ended
December 31,


 
     2005

    2004

    2005

    2004

 

Medicaid Managed Care

   10.3 %   11.4 %   10.5 %   10.7 %

Specialty Services

   30.3     53.7     35.4     52.3  

 

MEDICAL CLAIMS LIABILITIES

(In thousands)

 

Changes in medical claims liabilities during 2005 are summarized as follows:

 

Balance, January 1, 2005

   $ 165,980  

Acquisitions

     —    

Incurred related to:

        

Current period

     1,244,600  

Prior period

     (17,691 )
    


Total incurred

     1,226,909  
    


Paid related to:

        

Current period

     1,075,204  

Prior period

     147,171  
    


Total paid

     1,222,375  
    


Balance, December 31, 2005

   $ 170,514  
    


 

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.

 

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