Delaware | 001-32209 | 47-0937650 | |||||
(State or other jurisdiction | (Commission File Number) | (IRS Employer | |||||
of incorporation) | Identification No.) | ||||||
8735 Henderson Road, Renaissance One | |||||||
Tampa, Florida | 33634 | ||||||
(Address of principal executive offices) | (Zip Code) |
o | Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
o | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
o | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
o | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
Emerging growth company | o |
Exhibit No. | Exhibit | |
2.1 | ||
23.1 | ||
99.1 | ||
99.2 | ||
99.3 | ||
WELLCARE HEALTH PLANS, INC. | |
October 30, 2018 | /s/ Andrew L. Asher Andrew L. Asher Executive Vice President and Chief Financial Officer |
Consolidated Financial Statements | |
Balance Sheet as of June 30, 2018 (unaudited) and December 31, 2017 | 1-2 |
Statement of Operations for the six months ended June 30, 2018 and 2017 (unaudited) | 3 |
Statement of Comprehensive Income for the six months ended June 30, 2018 and 2017 (unaudited) | 4 |
Statement of Stockholders' Equity for the six months ended June 30, 2018 and 2017 (unaudited) | 5 |
Statement of Cash Flows for the six months ended June 30, 2018 and 2017 (unaudited) | 6 |
Notes to Consolidated Financial Statements | 7-16 |
June 30, 2018 (Unaudited) | December 31, 2017 | |||||
Assets | ||||||
Current Assets | ||||||
Cash and cash equivalents | $ | 410,932,893 | $ | 430,253,280 | ||
Investments at fair value (Notes 3 and 4) | 83,771,505 | 90,812,846 | ||||
Accounts receivable: | ||||||
Uncollected premiums | 436,251,326 | 339,508,336 | ||||
Healthcare receivables | 92,378,017 | 50,656,031 | ||||
Uninsured plans (Note 10) | 5,649,687 | 11,000,688 | ||||
Accrued retrospective premiums (Note 9) | 13,467,210 | 14,004,028 | ||||
Pharmacy rebates and other receivables | 16,572,732 | 8,218,635 | ||||
Related party receivable (Note 5) | 497,861 | 497,861 | ||||
Note receivable | 1,155,714 | 47,897 | ||||
Other current assets: | ||||||
Prepaid expenses | 11,101,308 | 8,685,570 | ||||
Deferred health insurer fee (Note 11) | 33,148,901 | - | ||||
Accrued interest income | 27,799,545 | 28,776,299 | ||||
Reinsurance receivable | 4,847,280 | 7,814,420 | ||||
Taxes receivable | 13,008,025 | 5,275,916 | ||||
Other current assets | 589,073 | 1,016,147 | ||||
Total current assets | 1,151,171,077 | 996,567,954 | ||||
Property and Equipment ‑ Net | 46,428,078 | 51,462,985 | ||||
Internally Developed Software ‑ Net | 16,235,191 | 15,214,087 | ||||
Funds Maintained Under Statutory Requirements | 2,657,262 | 2,649,509 | ||||
Investments at Equity (Note 5) | 18,186,304 | 17,410,462 | ||||
Investments at Fair Value (Notes 3 and 4) | 125,510,899 | 121,484,961 | ||||
Other Assets | ||||||
Related party note receivable | 2,712,266 | 2,712,266 | ||||
Deferred tax asset | 970,437 | 970,437 | ||||
Notes receivable ‑ Net of current portion | - | 1,155,715 | ||||
Acquired membership - Net (Note 2) | 3,703,263 | - | ||||
Deposits and other assets | 534,330 | 590,923 | ||||
Total assets | $ | 1,368,109,107 | $ | 1,210,219,299 |
See notes to unaudited consolidated financial statements. | 1 |
June 30, 2018 (Unaudited) | December 31, 2017 | |||||
Liabilities and Stockholders' Equity | ||||||
Current Liabilities | ||||||
Accounts payable | $ | 80,672,687 | $ | 73,851,820 | ||
Line of credit payable (Note 7) | 81,944,159 | 82,091,073 | ||||
Accrued healthcare costs payable (Note 6) | 523,760,500 | 425,759,600 | ||||
Aggregate health policy reserves (Note 9) | 10,550,262 | 12,021,510 | ||||
Liabilities for amounts held under uninsured plans (Note 10) | 64,495,760 | 90,684,095 | ||||
Related party payable (Note 5) | 236,217 | 236,217 | ||||
Capital lease obligation | 190,680 | 182,230 | ||||
Note payable (Note 7) | 19,250,644 | 17,968,144 | ||||
Accrued and other current liabilities: | ||||||
Accrued compensation and employee-related obligations | 12,371,832 | 11,279,188 | ||||
Stock redemption obligation | - | 3,207,345 | ||||
Unearned premiums | 28,044,473 | 553,748 | ||||
Taxes payable | 4,347,928 | 62,358 | ||||
Deferred rent | 33,623 | 33,623 | ||||
Accrued health insurer fee (Note 11) | 66,297,801 | - | ||||
Other accrued liabilities | 23,887,572 | 22,615,049 | ||||
Total current liabilities | 916,084,138 | 740,546,000 | ||||
Capital Lease Obligation ‑ Net of current portion | 272,038 | 378,007 | ||||
Long‑term Notes Payable ‑ Net of current portion (Note 7) | 112,797,243 | 122,456,315 | ||||
Long‑term Deferred Rent ‑ Net of current portion | 4,147,523 | 4,029,418 | ||||
Other Long‑term Liabilities | 1,600,108 | 1,398,727 | ||||
Stockholders' Equity | 333,208,057 | 341,410,832 | ||||
Total liabilities and stockholders' equity | $ | 1,368,109,107 | $ | 1,210,219,299 |
See notes to unaudited consolidated financial statements. | 2 |
For the Six Months Ended June 30, | ||||||
2018 | 2017 | |||||
Revenue | ||||||
Net premiums earned | $ | 2,013,992,001 | $ | 1,596,677,726 | ||
Pharmacy revenue | 164,677,634 | 101,651,594 | ||||
Miscellaneous | 1,578,117 | 2,109,968 | ||||
Total revenue | 2,180,247,752 | 1,700,439,288 | ||||
Operating Expenses | ||||||
Program expenses ‑ Healthcare delivery (Note 6) | 1,476,341,860 | 1,190,878,470 | ||||
Pharmacy expense | 479,996,278 | 329,237,192 | ||||
General and administrative | 182,313,418 | 133,839,800 | ||||
Total operating expenses | 2,138,651,556 | 1,653,955,462 | ||||
Operating Income | 41,596,196 | 46,483,826 | ||||
Nonoperating Income (Expense) | ||||||
Interest and dividend income from investments | 3,887,166 | 1,672,634 | ||||
Income from equity method investments (Note 5) | 775,842 | 440,501 | ||||
Realized gains on sale of investments | 3,980 | 15,162 | ||||
Interest expense on unpaid claims | (2,669) | (19,826) | ||||
Interest expense | (4,464,491) | (5,218,234) | ||||
Total nonoperating income (expense) | 199,828 | (3,109,763) | ||||
Income ‑ Before income taxes | 41,796,024 | 43,374,063 | ||||
Income Tax Expense (Recovery) | 4,209,556 | (4,985,849) | ||||
Consolidated Net Income | $ | 37,586,468 | $ | 48,359,912 |
See notes to unaudited consolidated financial statements. | 3 |
For the Six Months Ended June 30, | ||||||
2018 | 2017 | |||||
Consolidated Net Income | $ | 37,586,468 | $ | 48,359,912 | ||
Other Comprehensive (Loss) Income ‑ Net of tax | ||||||
Unrealized (loss) gain on debt securities: | ||||||
Arising during the year | (1,314,736) | 1,680,770 | ||||
Reclassification adjustment | 8,493 | (15,162) | ||||
Total other comprehensive (loss) income | (1,306,243) | 1,665,608 | ||||
Comprehensive Income | $ | 36,280,225 | $ | 50,025,520 |
See notes to unaudited consolidated financial statements. | 4 |
Common Stock | Additional Paid‑in Capital | Retained Earnings | Accumulated Other Comprehensive Income (Loss) | Total | |||||||||||
Balance ‑ January 1, 2017 | $ | 278,300 | $ | 2,000 | $ | 308,417,149 | $ | 229,322 | $ | 308,926,771 | |||||
Comprehensive income: | |||||||||||||||
Consolidated net income | - | - | 48,359,912 | - | 48,359,912 | ||||||||||
Other comprehensive income | - | - | - | 1,665,608 | 1,665,608 | ||||||||||
Dividends declared | - | - | (44,685,000) | - | (44,685,000) | ||||||||||
Balance – June 30, 2017 | $ | 278,300 | $ | 2,000 | $ | 312,092,061 | $ | 1,894,930 | $ | 314,267,291 | |||||
Balance – January 1, 2018 | $ | 278,300 | $ | 2,000 | $ | 339,868,084 | $ | 1,262,448 | $ | 341,410,832 | |||||
Reclassification adjustment: | |||||||||||||||
Unrealized gain on equity securities (Note 2) | - | - | 2,193,108 | (2,193,108) | - | ||||||||||
Comprehensive income: | |||||||||||||||
Consolidated net income | - | - | 37,586,468 | - | 37,586,468 | ||||||||||
Other comprehensive income (loss) | - | - | - | (1,306,243) | (1,306,243) | ||||||||||
Dividends declared | - | - | (44,483,000) | - | (44,483,000) | ||||||||||
Balance – June 30, 2018 | $ | 278,300 | $ | 2,000 | $ | 335,164,660 | $ | (2,236,903 | ) | $ | 333,208,057 |
See notes to unaudited consolidated financial statements. | 5 |
For the Six Months Ended June 30, | ||||||
2018 | 2017 | |||||
Cash Flows from Operating Activities | ||||||
Consolidated net income | $ | 37,586,468 | $ | 48,359,912 | ||
Adjustments to reconcile consolidated net income to net cash from operating activities: | ||||||
Depreciation and amortization | 6,222,798 | 6,330,576 | ||||
Amortization of internally developed software | 472,833 | 231,050 | ||||
Amortization of investment discounts | 1,271,910 | 1,740,121 | ||||
Amortization of loan acquisition costs | 433,877 | 1,761,697 | ||||
Amortization of acquired membership costs | 529,037 | - | ||||
Gain on sale of investments | (3,980) | (15,162) | ||||
Gain on equity method investments, net of distributions | (955,184) | (256,537) | ||||
Loss on disposal of property and equipment | - | 43,255 | ||||
Changes in operating assets and liabilities which (used) provided cash: | ||||||
Accounts receivable | (140,931,254) | (345,097,994) | ||||
Reinsurance receivable | 2,967,140 | 2,537,991 | ||||
Other assets | (966,770) | (1,249,218) | ||||
Accounts payable | 7,598,209 | 24,651,903 | ||||
Accrued and other current liabilities | 30,057,273 | 14,933,029 | ||||
Accrued healthcare costs payable | 70,341,317 | 209,136,817 | ||||
Health insurer fee - net | 33,148,900 | - | ||||
Deferred rent | 118,105 | 178,654 | ||||
Taxes payable | 4,285,570 | - | ||||
Taxes receivable | (7,732,109) | (5,743,515) | ||||
Net cash provided by (used in) operating activities | 44,444,140 | (42,457,421) | ||||
Cash Flows from Investing Activities | ||||||
Purchases of property and equipment | (1,965,233) | (7,472,661) | ||||
Proceeds from sale of property and equipment | - | 11,130 | ||||
Payments for internally developed software | (1,493,937) | (3,753,998) | ||||
Purchases of investments | (63,766,107) | (45,166,720) | ||||
Proceeds from sales and maturities of investments | 64,390,378 | 50,235,642 | ||||
Payments received on note receivable | 47,898 | 44,763 | ||||
Purchase of acquired membership | (4,232,300) | - | ||||
Net cash used in investing activities | (7,019,301) | (6,101,844) | ||||
Cash Flows from Financing Activities | ||||||
Net repayments on line of credit | (208,613) | 13,384,400 | ||||
Proceeds from issuance of long-term debt | - | 146,648,777 | ||||
Payments on long‑term debt | (8,748,750) | (98,750,000) | ||||
Payments on stockholder's liability | (3,207,345) | (2,788,883) | ||||
Payments on capital lease obligations | (97,519) | (103,522) | ||||
Dividends paid | (44,483,000) | (44,685,000) | ||||
Net cash used in financing activities | (56,745,227) | 13,705,772 | ||||
Net Decrease in Cash and Cash Equivalents | (19,320,387) | (34,853,493) | ||||
Cash and Cash Equivalents ‑ Beginning of year | 430,253,280 | 429,069,699 | ||||
Cash and Cash Equivalents ‑ End of year | $ | 410,932,893 | $ | 394,216,206 |
See notes to unaudited consolidated financial statements. | 6 |
7 |
8 |
9 |
June 30, 2018 | ||||||||||||
Cost/Amortized Cost | Gross Unrealized Gains | Gross Unrealized Losses | Estimated Fair Value | |||||||||
Equity securities: | ||||||||||||
Common stocks | $ | 15,016,963 | $ | 2,452,543 | $ | (53,353 | ) | $ | 17,416,153 | |||
Mutual funds | 2,653,478 | - | (15,575) | 2,637,903 | ||||||||
Bonds: | ||||||||||||
Mortgage‑backed securities | 76,044,856 | 105,827 | (1,440,278) | 74,710,405 | ||||||||
Corporate securities | 82,140,858 | 79,107 | (165,492) | 82,054,473 | ||||||||
Debt securities issued by the U.S. Treasury | 8,513,020 | - | (33,689) | 8,479,331 | ||||||||
Debt securities issued by the states of the U.S. | 20,151,301 | 26,866 | (163,807) | 20,014,360 | ||||||||
Total | $ | 204,520,476 | $ | 2,664,343 | $ | (1,872,194 | ) | $ | 205,312,625 | |||
December 31, 2017 | ||||||||||||
Cost/Amortized Cost | Gross Unrealized Gains | Gross Unrealized Losses | Estimated Fair Value | |||||||||
Equity securities: | ||||||||||||
Common stocks | $ | 15,028,728 | $ | 2,246,199 | $ | (53,091 | ) | $ | 17,221,836 | |||
Mutual funds | 2,513,452 | 4,536 | (10,342) | 2,507,646 | ||||||||
Bonds: | ||||||||||||
Mortgage‑backed securities | 73,611,348 | 239,363 | (725,365) | 73,125,346 | ||||||||
Corporate securities | 79,406,575 | 358,522 | (232,752) | 79,532,345 | ||||||||
Debt securities issued by the U.S. Treasury | 7,755,348 | 1,615 | (4,577) | 7,752,386 | ||||||||
Debt securities issued by the states of the U.S. | 27,933,350 | 156,121 | (87,871) | 28,001,600 | ||||||||
Total | $ | 206,248,801 | $ | 3,006,356 | $ | (1,113,998 | ) | $ | 208,141,159 |
Cost/Amortized Cost | Estimated Fair Value | |||||
Due in one year or less | $ | 81,628,388 | $ | 81,514,369 | ||
Due in one year through five years | 30,007,074 | 29,905,939 | ||||
Due after five years through ten years | 14,031,622 | 13,931,778 | ||||
Due after ten years | 61,182,951 | 59,906,483 | ||||
Total | $ | 186,850,035 | $ | 185,258,569 |
10 |
June 30, 2018 | ||||||||||||
Quoted Prices in Active Markets for Identical Assets (Level 1) | Significant Other Observable Inputs (Level 2) | Significant Unobservable Inputs (Level 3) | Total | |||||||||
Equity securities: | ||||||||||||
Common stocks | $ | 17,416,153 | $ - | $ - | $ | 17,416,153 | ||||||
Mutual funds | 2,637,903 | - | - | 2,637,903 | ||||||||
Total equity securities | 20,054,056 | - | - | 20,054,056 | ||||||||
Bonds: | ||||||||||||
Mortgage‑backed securities | - | 74,710,405 | - | 74,710,405 | ||||||||
Corporate securities | - | 82,054,473 | - | 82,054,473 | ||||||||
Debt securities issued by the U.S. Treasury | - | 8,479,331 | - | 8,479,331 | ||||||||
Debt securities issued by states of the U.S. | - | 20,014,360 | - | 20,014,360 | ||||||||
Total bonds | - | 185,258,569 | - | 185,258,569 | ||||||||
Limited Partnerships and Limited Liability Companies | - | - | 4,680,546 | 4,680,546 | ||||||||
Cash equivalents ‑ Money market mutual funds | 45,370,475 | - | - | 45,370,475 | ||||||||
Total | $ | 65,424,531 | $ | 185,258,569 | $ | 4,680,546 | $ | 255,363,646 | ||||
December 31, 2017 | ||||||||||||
Quoted Prices in Active Markets for Identical Assets (Level 1) | Significant Other Observable Inputs (Level 2) | Significant Unobservable Inputs (Level 3) | Total | |||||||||
Equity securities: | ||||||||||||
Common stocks | $ | 17,221,836 | $ - | $ - | $ | 17,221,836 | ||||||
Mutual funds | 2,507,646 | - | - | 2,507,646 | ||||||||
Total equity securities | 19,729,482 | - | - | 19,729,482 | ||||||||
Bonds: | ||||||||||||
Mortgage‑backed securities | - | 73,125,346 | - | 73,125,346 | ||||||||
Corporate securities | - | 79,532,345 | - | 79,532,345 | ||||||||
Debt securities issued by the U.S. Treasury | - | 7,752,386 | - | 7,752,386 | ||||||||
Debt securities issued by states of the U.S. | - | 28,001,600 | - | 28,001,600 | ||||||||
Total bonds | - | 188,411,677 | - | 188,411,677 | ||||||||
Limited Partnerships and Limited Liability Companies | - | - | 4,871,115 | 4,871,115 | ||||||||
Cash equivalents ‑ Money market mutual funds | 34,925,102 | - | - | 34,925,102 | ||||||||
Total | $ | 54,654,584 | $ | 188,411,677 | $ | 4,871,115 | $ | 247,937,376 |
11 |
For the Six Months Ended June 30, | ||||||
2018 | 2017 | |||||
Gross Revenue | $ | 18,803,705 | $ | 17,655,536 | ||
Gross Profit | $ | 9,476,288 | $ | 8,323,733 | ||
Net income | $ | 1,551,684 | $ | 881,001 | ||
Share of adjusted income | $ | 775,842 | $ | 440,501 |
For the Six Months Ended June 30, | ||||||
2018 | 2017 | |||||
Accrued healthcare costs payable ‑ Beginning of period | $ | 457,632,602 | $ | 428,952,619 | ||
Incurred claim: | ||||||
Provision for claims incurred in current year | 1,839,897,839 | 1,460,277,622 | ||||
Increase in provision for claims incurred in prior years | 2,902,585 | 1,263,126 | ||||
Total incurred | 1,842,800,424 | 1,461,540,748 | ||||
Payments related to: | ||||||
Current year | 1,240,843,714 | 762,741,866 | ||||
Prior years | 462,049,757 | 459,731,089 | ||||
Total paid | 1,702,893,471 | 1,222,472,955 | ||||
Accrued healthcare costs payable ‑ End of period | $ | 597,539,555 | $ | 668,020,412 |
12 |
June 30, 2018 | December 31, 2017 | |||||||
Line of credit payable: | ||||||||
Revolving credit facility, due August 25, 2020 | $ | 82,112,006 | $ | 82,112,006 | ||||
Revolving credit facility, due October 31, 2067 | - | 208,883 | ||||||
Debt issuance costs | (167,847) | (229,816) | ||||||
Total line of credit payable, net | $ | 81,944,159 | $ | 82,091,073 | ||||
Long-term debt, net: | ||||||||
Draw to Term Loan, due August 25, 2020 | $ | 130,001,250 | $ | 138,750,000 | ||||
4% Promissory Note, due January 26, 2021 | 4,900,000 | 4,900,000 | ||||||
Debt issuance costs | (2,853,363) | (3,225,541) | ||||||
Total long-term debt, net | $ | 132,047,887 | $ | 140,424,459 |
13 |
14 |
15 |
16 |
• | historical audited consolidated financial statements of the Company as of and for the year ended December 31, 2017, and the related notes, included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2017; |
• | historical audited consolidated financial statements of Meridian Consolidated as of and for the year ended December 31, 2017, and the related notes, included in the Company’s Current Report on Form 8-K filed on August 6, 2018; |
• | historical unaudited interim consolidated financial statements of the Company as of and for the six months ended June 30, 2018, and the related notes, included in the Company’s Quarterly Report on Form 10-Q for the period ended June 30, 2018; and |
• | historical unaudited interim consolidated financial statements of Meridian Consolidated as of and for the six months ended June 30, 2018, and the related notes, included in the Company’s Current Report on Form 8-K/A filed on October 30, 2018. |
WellCare | Meridian Consolidated(1) | Pro Forma Adjustments (Note 6) | Pro Forma Combined | ||||||||||||
Revenues: | |||||||||||||||
Premium | $ | 16,960.3 | $ | 3,433.3 | $ | — | $ | 20,393.6 | |||||||
Investment and other income | 46.9 | 37.3 | (5.8 | ) | (a) | 78.4 | |||||||||
Total revenues | 17,007.2 | 3,470.6 | (5.8 | ) | 20,472.0 | ||||||||||
Expenses: | |||||||||||||||
Medical benefits | 14,744.8 | 3,073.7 | (0.2 | ) | (a) | 17,818.3 | |||||||||
Selling, general and administrative | 1,484.7 | 274.7 | (10.4 | ) | (a) | 1,749.0 | |||||||||
Medicaid premium taxes | 119.8 | — | — | 119.8 | |||||||||||
Depreciation and amortization | 120.4 | 13.1 | 88.3 | (a),(c) | 221.8 | ||||||||||
Interest | 68.5 | 13.0 | 36.1 | (a),(d) | 117.6 | ||||||||||
Total expenses | 16,538.2 | 3,374.5 | 113.8 | 20,026.5 | |||||||||||
Income from operations | 469.0 | 96.1 | (119.6 | ) | 445.5 | ||||||||||
Loss on extinguishment of debt | 26.1 | — | — | 26.1 | |||||||||||
Income before income taxes and equity in earnings of unconsolidated subsidiaries | 442.9 | 96.1 | (119.6 | ) | 419.4 | ||||||||||
Equity in earnings of unconsolidated subsidiaries | 18.7 | — | — | 18.7 | |||||||||||
Income before income taxes | $ | 461.6 | $ | 96.1 | $ | (119.6 | ) | $ | 438.1 | ||||||
Income taxes | 87.9 | (1.0 | ) | (7.7 | ) | (a),(e) | 79.2 | ||||||||
Net income | $ | 373.7 | $ | 97.1 | $ | (111.9 | ) | $ | 358.9 | ||||||
Earnings per common share | |||||||||||||||
Basic | $ | 8.40 | $ | 7.22 | |||||||||||
Diluted | $ | 8.31 | $ | 7.15 | |||||||||||
Weighted average common shares outstanding: | |||||||||||||||
Basic | 44,474,016 | 5,207,547 | (f) | 49,681,563 | |||||||||||
Diluted | 44,967,061 | 5,207,547 | (f) | 50,174,608 |
WellCare | Meridian Consolidated (1) | Pro Forma Adjustments (Note 6) | Pro Forma Combined | ||||||||||||
Revenues: | |||||||||||||||
Premium | $ | 9,238.9 | $ | 2,178.7 | $ | 0.4 | (a) | $ | 11,418.0 | ||||||
Investment and other income | 46.3 | 6.3 | (2.4 | ) | (a) | 50.2 | |||||||||
Total revenues | 9,285.2 | 2,185.0 | (2.0 | ) | 11,468.2 | ||||||||||
Expenses: | |||||||||||||||
Medical benefits | 7,828.0 | 1,956.3 | 0.3 | (a) | 9,784.6 | ||||||||||
Selling, general and administrative | 733.8 | 142.0 | (13.3 | ) | (a),(b) | 862.5 | |||||||||
ACA industry fee | 160.5 | 33.2 | — | 193.7 | |||||||||||
Medicaid premium taxes | 62.7 | — | — | 62.7 | |||||||||||
Depreciation and amortization | 70.9 | 7.2 | 43.6 | (a),(c) | 121.7 | ||||||||||
Interest | 34.2 | 4.5 | 20.6 | (a),(d) | 59.3 | ||||||||||
Total expenses | 8,890.1 | 2,143.2 | 51.2 | 11,084.5 | |||||||||||
Income from operations | 395.1 | 41.8 | (53.2 | ) | 383.7 | ||||||||||
Loss on extinguishment of debt | — | — | — | — | |||||||||||
Income before income taxes and equity in losses of unconsolidated subsidiaries | 395.1 | 41.8 | (53.2 | ) | 383.7 | ||||||||||
Equity in losses of unconsolidated subsidiaries | (6.7 | ) | — | — | (6.7 | ) | |||||||||
Income before income taxes | 388.4 | 41.8 | (53.2 | ) | 377.0 | ||||||||||
Income taxes | 135.1 | 4.2 | (8.2 | ) | (a),(f) | 131.1 | |||||||||
Net income | $ | 253.3 | $ | 37.6 | $ | (45.0 | ) | $ | 245.9 | ||||||
Earnings per common share | |||||||||||||||
Basic | $ | 5.67 | $ | 4.93 | |||||||||||
Diluted | $ | 5.60 | $ | 4.87 | |||||||||||
Weighted average common shares outstanding: | |||||||||||||||
Basic | 44,682,850 | 5,207,547 | (f) | 49,890,397 | |||||||||||
Diluted | 45,239,210 | 5,207,547 | (f) | 50,446,757 |
Unaudited Pro Forma Condensed Combined Balance Sheet As of June 30, 2018 (In millions, except shares) | |||||||||||||||
WellCare | Meridian Consolidated (1) | Pro Forma Adjustments (Note 7) | Pro Forma Combined | ||||||||||||
Assets | |||||||||||||||
Current Assets: | |||||||||||||||
Cash and cash equivalents | $ | 5,098.5 | $ | 410.9 | $ | (154.8 | ) | (a),(b) | $ | 5,354.6 | |||||
Short-term investments | 793.5 | $ | 83.8 | (6.0 | ) | (a) | 871.3 | ||||||||
Premiums receivable, net | 700.1 | $ | 547.8 | — | 1,247.9 | ||||||||||
Pharmacy rebates receivable, net | 433.1 | $ | 16.6 | — | 449.7 | ||||||||||
Receivables from government partners | 77.2 | — | — | 77.2 | |||||||||||
Funds receivable for the benefit of members | 29.0 | — | — | 29.0 | |||||||||||
Deferred ACA industry fee | 160.5 | $ | 33.1 | — | 193.6 | ||||||||||
Prepaid expenses and other current assets, net | 311.1 | $ | 59.0 | 7.6 | (a),(f) | 377.7 | |||||||||
Total current assets | 7,603.0 | 1,151.2 | (153.2 | ) | 8,601.0 | ||||||||||
Property, equipment and capitalized software, net | 331.1 | 62.6 | (12.7 | ) | (a) | 381.0 | |||||||||
Goodwill | 677.4 | — | 1,013.1 | (c) | 1,690.5 | ||||||||||
Other intangible assets, net | 346.6 | 3.7 | 996.3 | (a), (c) | 1,346.6 | ||||||||||
Long-term investments | 722.0 | 143.7 | (27.9 | ) | (a) | 837.8 | |||||||||
Restricted cash, cash equivalents and investments | 229.3 | 2.7 | (0.2 | ) | (a) | 231.8 | |||||||||
Other assets | 11.9 | 4.2 | (2.7 | ) | (a) | 13.4 | |||||||||
Assets of discontinued operations | 213.1 | — | — | 213.1 | |||||||||||
Total Assets | $ | 10,134.4 | $ | 1,368.1 | $ | 1,812.7 | $ | 13,315.2 | |||||||
Liabilities and Stockholders' Equity | |||||||||||||||
Current Liabilities: | |||||||||||||||
Medical benefits payable | $ | 2,345.4 | 534.4 | $ | — | $ | 2,879.8 | ||||||||
Unearned premiums | 580.0 | 28.0 | — | 608.0 | |||||||||||
ACA industry fee liability | 321.0 | 66.3 | — | 387.3 | |||||||||||
Accounts payable and accrued expenses | 604.1 | 121.7 | 77.0 | (a),(f) | 802.8 | ||||||||||
Funds payable for the benefit of members | 1,674.5 | 64.5 | — | 1,739.0 | |||||||||||
Other payables to government partners | 452.3 | — | — | 452.3 | |||||||||||
Short-term debt | — | 101.2 | (101.2 | ) | (a) | — | |||||||||
Total current liabilities | 5,977.3 | 916.1 | (24.2 | ) | 6,869.2 | ||||||||||
Deferred income tax liability, net | 56.1 | — | — | 56.1 | |||||||||||
Long-term debt, net | 1,183.8 | 112.8 | 847.5 | (a),(d) | 2,144.1 | ||||||||||
Other liabilities | 32.2 | 6.0 | (2.3 | ) | (a) | 35.9 | |||||||||
Liabilities of discontinued operations | 213.1 | — | — | 213.1 | |||||||||||
Total Liabilities | 7,462.5 | 1,034.9 | 821.0 | 9,318.4 | |||||||||||
Commitments and contingencies (2) |
Unaudited Pro Forma Condensed Combined Balance Sheet (continued) As of June 30, 2018 (In millions, except shares) | |||||||||||||||
WellCare | Meridian Consolidated (1) | Pro Forma Adjustments (Note 6) | Pro Forma Combined | ||||||||||||
Stockholders' Equity: | |||||||||||||||
Preferred stock, $0.01 par value (20,000,000 authorized, no shares issued or outstanding) | — | — | — | — | |||||||||||
Common stock, $0.01 par value (3) | 0.4 | — | 0.1 | (e) | 0.5 | ||||||||||
Paid-in capital | 601.3 | — | 1,342.1 | (e) | 1,943.4 | ||||||||||
Retained earnings | 2,080.8 | — | (17.3 | ) | (f) | 2,063.5 | |||||||||
Accumulated other comprehensive loss | (10.6 | ) | — | — | (10.6 | ) | |||||||||
Total Stockholders' Equity | 2,671.9 | — | 1,324.9 | 3,996.8 | |||||||||||
Net Assets | $ | 333.2 | $ | (333.2 | ) | (g) | |||||||||
Total liabilities and stockholders' equity | $ | 10,134.4 | $ | 1,368.1 | $ | 1,812.7 | $ | 13,315.2 |
(1) - | Certain reclassifications have been made to conform to WellCare’s financial statement classifications. | |||
(2) - | Refer to Note 13 - Commitments and Contingencies to the consolidated financial statements included in our Quarterly Report on Form 10-Q for the three and six months ended June 30, 2018. | |||
(3) - | On a historical basis, common stock information of the Company is as follows: 100,000,000 shares authorized, 44,767,277 shares issued and outstanding at June 30, 2018. On a pro forma combined basis, common stock information is as follows: 100,000,000 shares authorized; 49,974,824 shares issued and outstanding. | |||
See the accompanying notes to the unaudited pro forma condensed combined financial statements, which are an integral part of this statement. The pro forma adjustments are explained in Note 7 - Balance Sheet Pro Forma Adjustments. |
As of June 30, 2018 | |||
Assets Acquired and Liabilities Assumed: | |||
Net book value of net assets acquired | $ | 490.6 | |
Less: historical intangible assets | (3.7 | ) | |
Adjusted book value of net assets acquired | $ | 486.9 | |
Goodwill (a) | $ | 1,013.1 | |
Identified intangible assets (b) | 1,000.0 | ||
Adjustment to Property, equipment and capitalized software, net (c) | — | ||
Consideration transferred | $ | 2,500.0 |
(a) | Goodwill is calculated as the difference between the acquisition date fair value of the total consideration expected to be transferred and the aggregate values assigned to the assets acquired and liabilities assumed. Goodwill is not amortized. |
(b) | As of completion of the Meridian Acquisition, identifiable intangible assets are required to be measured at fair value, and these acquired assets could include assets that are not intended to be used or sold or that are intended to be used in a manner other than their highest and best use. For purposes of these unaudited pro forma condensed combined financial statements and consistent with the ASC 820 requirements for fair value measurements, it is assumed that all assets will be used, and that all assets will be used in a manner that represents the highest and best use of those assets, but it is not assumed that any market participant synergies will be achieved. The fair value of identifiable 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, are also considered in estimating the fair value. Under the Hart-Scott-Rodino Antitrust Improvements Act and other relevant laws and regulations, there were significant limitations on our ability to obtain specific information about the Meridian Group intangible assets prior to completion of the Meridian Acquisition on September 1, 2018; as such, estimates are still preliminary, and our final estimated fair values could be significantly different than the estimates used in this analysis. At this time, we do not have sufficient information as to the amount, timing and risk of cash flows of all of the Meridian Group’s identifiable intangible assets to determine their fair value. Some of the more significant assumptions inherent in the development of intangible asset values, from the perspective of a market participant, include: the amount and timing of projected future cash flows (including revenue and profitability); the discount rate selected to measure the risks inherent in the future cash flows; and the assessment of the asset’s life cycle and the competitive trends impacting the asset. However, for purposes of these unaudited pro forma condensed combined financial statements and using publicly available information, such as historical revenues, the Meridian Group’s cost structure, industry information for comparable intangible assets and certain other high-level assumptions, the fair value of the Meridian Group’s identifiable intangible assets and their weighted-average useful lives have been estimated at $1.0 billion and 11 years, respectively. The identifiable intangible assets resulting from our acquisitions typically include provider networks, broker networks, trademarks, state contracts, licenses and permits. We amortize other intangible assets over their estimated useful lives ranging from approximately one to 15 years. These preliminary estimates of fair value and weighted-average useful life will likely be different from the final acquisition accounting, and the difference could have a material impact on the accompanying unaudited pro forma condensed combined financial statements. Once we have full access to information about the Meridian Group’s intangible assets, additional insight will be gained that could affect (i) the estimated total value assigned to intangible assets, (ii) the estimated allocation of value between finite-lived and indefinite-lived intangible assets and/or (iii) the estimated useful lives of intangible assets. The estimated intangible asset values and their useful lives could be affected by a variety of factors that may become known to us only upon access to additional information and/or by changes in such factors that may occur prior to completion of the Meridian Acquisition. These factors include, but are not limited to, changes in the regulatory, legislative, legal, technological and competitive environments. Increased knowledge about these and/or other elements could result in a change to the estimated fair value of the identifiable Meridian Group intangible assets and/or to the estimated weighted-average useful lives from what was assumed in these unaudited pro forma condensed combined financial statements. The combined effect of any such changes could then also result in a significant increase or decrease to the Company’s estimate of associated amortization expense. |
(c) | As of completion of the Meridian Acquisition, property, equipment and capitalized software is required to be measured at fair value, unless those assets are classified as held-for-sale on the acquisition date. The acquired assets can include assets that are not intended to be used or sold, or that are intended to be used in a manner other than their highest and best use. We do not have sufficient information at this time as to the specific nature, age, condition or location of Meridian Group’s property, equipment and capitalized softer and we do not know the appropriate valuation premise, in-use or in-exchange, as the valuation premise requires a certain level of knowledge about the assets being evaluated as well as a profile of the associated market participants. All of these elements can cause differences between fair value and net book value. Accordingly, for the purposes of these unaudited pro forma condensed combined financial statements, we have assumed that the current Meridian Group book values represent the best estimate of fair value. This estimate is preliminary and subject to change and could vary materially from the actual value on the date the Meridian Acquisition is completed. |
Year Ended December 31, 2017 | Six months ended June 30, 2018 | ||||||
Total revenues | $ | (5.8 | ) | $ | (2.0 | ) | |
Expenses | (26.1 | ) | (10.3 | ) | |||
Income before income taxes | 20.3 | 8.3 | |||||
Net Income | $ | 18.7 | $ | 8.3 |
Year Ended December 31, 2017 | Six months ended June 30, 2018 | ||||||
Estimated intangible asset amortization expense (*) | $ | 90.9 | $ | 45.5 |
(*) | Assumes an estimated $1.0 billion of finite-lived intangibles and a weighted average amortization period of 11 years (Refer to Note 5. Estimate of Assets to be Acquired and Liabilities to be Assumed ). |
• | Additional interest expense of approximately $46.8 million and $23.9 million for the year ended December 31, 2017 and the six months ended June 30, 2018, respectively. The additional interest expense is based on the $750.0 million of long term fixed-rate indebtedness and $225.0 million of borrowings under the New Revolving Credit Facility the Company incurred to finance a portion of the Meridian Acquisition and to pay related fees and expenses. The calculation of interest expense on the long-term indebtedness is based on the eight year maturity and the stated annual interest rate of 5.375%. Additionally, the calculation of interest expense on the New Revolving Credit Facility assumes an estimated weighted average annual interest rate of approximately 0.3%. |
• | Additional interest expense of approximately $2.2 million and $1.1 million for the year ended December 31, 2017 and the six months ended June 30, 2018, respectively. The additional interest expense is related to the amortization of debt issuance costs associated with the long-term indebtedness and New Revolving Credit Facility we incurred to finance a portion of the Meridian Acquisition and to pay related fees and expenses. Issuance costs related to such long-term indebtedness and New Revolving Credit Facility are being amortized over a weighted average term of approximately eight years. |
(a) | To eliminate assets of the Meridian Group that are not acquired in the Meridian Acquisition and liabilities of the Meridian Group that are not assumed in the Meridian Acquisition: |
As of June 30, 2018 | |||
Assets | |||
Cash | $ | (9.8 | ) |
Investments, including restricted investments | (34.1 | ) | |
Property, equipment and capitalized software, net | (12.7 | ) | |
Other assets | (5.3 | ) | |
Total Assets | $ | (61.9 | ) |
Liabilities | |||
Accounts payable and accrued expenses | $ | (5.3 | ) |
Short-term debt | (101.2 | ) | |
Long-term debt | (112.8 | ) | |
Total Liabilities | $ | (219.3 | ) |
Total, net | $ | 157.4 |
(b) | Includes $225 million of the Company’s cash on hand used to partially fund the Meridian Acquisition. |
(c) | To adjust goodwill and intangible assets to an estimate of acquisition-date goodwill and intangible assets: |
Eliminate the Meridian historical goodwill and intangible assets | $ | (3.7 | ) |
Estimated transaction goodwill | $ | 1,013.1 | |
Estimated transaction intangible assets | $ | 1,000.0 |
(d) | Includes approximately $750.0 million of long-term indebtedness and approximately $225.0 million of borrowings under the New Revolving Credit Facility incurred to finance a portion of the Meridian Acquisition and to pay related fees and expenses, including debt issuance costs, of approximately $14.7 million. |
(e) | Includes approximately $1.34 billion of net proceeds from the issuance and sales of 5,207,547 equity securities used to finance a portion of the Meridian Acquisition, and to pay related fees and expenses, including equity issuance costs, of approximately $37.8 million. |
(f) | To record estimated transaction-related expenses: |
• | Total transaction-related expenses estimated to be incurred by the Company are approximately $27.5 million and are recorded as an increase to accounts payable and accrued expenses. These transaction-related expenses are not included in the pro forma condensed combined statements of operations. |
• | Estimated current tax asset for transaction-related expenses of approximately $10.2 million. |
• | Retained earnings adjustment for the after-tax transaction-related expenses incurred of approximately $17.3 million. |
(g) | To eliminate the Meridian Group’s historical net assets of $333.2 million. |