EX-99.1 2 g05649exv99w1.htm EX-99.1 PRESS RELEASE ISSUED BY HEALTHSPRING, INC. DATED FEBRUARY 21, 2007 Ex-99.1
 

(LOGO)
     
Company Contact:
  Lankford Wade
 
  Vice President
 
  HealthSpring, Inc.
 
  (615) 401-4632
HealthSpring, Inc. Reports 2006 Fourth Quarter and Full Year Results
 
Fourth Quarter Net Income of $20.1 Million, or $0.35 per Diluted Share
NASHVILLE, Tenn. (February 21, 2007) — HealthSpring, Inc. (NYSE:HS) today announced its results for the fourth quarter and year ended December 31, 2006. Highlights included:
  Fourth quarter diluted EPS of $0.35. Full year diluted EPS of $1.44 and pro-forma EPS of $1.50.
 
  Medicare Advantage membership of 115,132 at December 31, 2006; up 13.7% year over year.
  Total revenue in the quarter of $335.7 million; an increase of 36.4% over the 2005 fourth quarter.
  Total revenue for the year of $1.3 billion; an increase of 52.8% over 2005.
  Medicare Advantage medical loss ratio (MLR) of 79.6% for the quarter and 78.8% for the year.
  Net cash provided by operating activities for the year of $167.7 million, or 2.1x net income.
  Cash and cash equivalents of $338.4 million at December 31, 2006, including $78.5 million held at unregulated subsidiaries.
Commenting on 2006 fourth quarter results, Herb Fritch, Chairman, President, and Chief Executive Officer, said, “HealthSpring’s fourth quarter results reflect a solid finish to our first year as a public company. With our investments in the fourth quarter in corporate infrastructure and marketing and a strong balance sheet, we believe we are well positioned for 2007.”
Fourth Quarter Results
($ in thousands)
                         
    Three Months Ended        
    December 31,     Percent  
    2006     2005     Change  
Premium revenue
  $ 324,930     $ 240,012       35.4 %
Total revenue
    335,670       246,062       36.4  
Medical expense
    253,858       188,123       34.9  
Adjusted SG&A (1)
    48,530       35,610       36.3  
Adjusted EBITDA (1)
    33,328       22,581       47.6  
Net income
    20,101       7,987       151.7  
Net income available to common stockholders (2)
    20,101       3,139       540.4  
 
(1)   See “Supplemental Information” below and the accompanying reconciliation of HealthSpring’s and the Predecessor’s non-GAAP Adjusted Selling, General & Administrative Expense and non-GAAP Adjusted EBITDA to GAAP Selling, General & Administrative Expense and GAAP Net Income, respectively.
 
(2)   Net income available to common stockholders is used in the calculation of earnings per share.
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HS Reports Fourth Quarter, Year-end Results
Page 2
February 21, 2007
Fourth Quarter Operating Highlights
Revenue (1)
  Medicare Advantage plan membership increased to 115,132. Medicare Advantage (including MA-PD) premiums were $274.7 million for the 2006 fourth quarter, reflecting an increase of 32.3% over the 2005 fourth quarter. The Company received retroactive risk adjustment payments in the 2006 fourth quarter of approximately $5.7 million from the Centers for Medicare and Medicaid Services (CMS). By comparison, retroactive risk adjustment payments from CMS in the quarter ended December 31, 2005 were $1.8 million.
 
  PDP membership at fourth quarter end was 88,753. PDP premium revenue was $23.8 million for the 2006 fourth quarter.
 
  Commercial membership was 31,970 at December 31, 2006. Commercial premiums were $26.4 million for the 2006 fourth quarter. Commercial membership as of January 1, 2007 was approximately 16,500 and the Company expects commercial premium revenue to be less than 4% of total revenue in 2007.
 
(1)   See supplemental non-GAAP schedule entitled “Medicare Advantage Results” at www.myhealthspring.com under the Investor Relations link for a schedule that conforms the presentation of Medicare premium revenue in the first two quarters of 2006 to the presentation for the third and fourth quarters. The schedule also includes pro-forma adjustments that allocate the CMS risk adjustment payment, received in the third quarter of 2006, over the first two quarters of 2006.
Medical Expense
  Medicare Advantage (including MA-PD) MLR was 79.6% for the 2006 fourth quarter, compared with 78.4% for the prior year’s fourth quarter. The increase in MLR was primarily the result of increases in medical cost trends and the inclusion of MA-PD drug costs in the current period.
  The MLR for the Company’s PDP was 45.8% for the 2006 fourth quarter and 73.4% for the year ended December 31, 2006. PDP expenses, as anticipated under the benefit design, were disproportionately higher in the first half of the year, compared with the last half of the year.
Adjusted SG&A
  Adjusted SG&A expense represented 14.5% of total revenue in the 2006 fourth quarter and in the same prior-year period.
  Adjusted SG&A expense in the 2006 fourth quarter increased $12.9 million, or 36.3%, over the 2005 fourth quarter, primarily as a result of growth in personnel, increases in marketing expenses associated with open enrollment, stock compensation expense, and public company expenses, including costs related to complying with Sarbanes-Oxley Section 404 in 2007.
  Adjusted SG&A expense in the fourth quarter of 2006 includes $1.8 million of stock compensation expense measured in accordance with FAS 123R.
Income Taxes
  The Company’s effective tax rate for the three-months ended December 31, 2006, was 34.0%. The tax rate for the fourth quarter reflects adjustments related primarily to the completion of the 2005 consolidated tax return and state tax planning.
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HS Reports Fourth Quarter, Year-end Results
Page 3
February 21, 2007
Full Year Results
($ in thousands)
                         
    Year Ended        
    December 31,     Percent  
    2006     2005     Change  
Premium revenue
  $ 1,270,348     $ 832,549       52.6 %
Total revenue
    1,308,956       856,763       52.8  
Medical expense
    1,008,526       660,179       52.8  
Adjusted SG&A (1)
    156,940       111,854       40.3  
Adjusted EBITDA (1)
    143,799       85,012       69.2  
Net income
    80,836       29,256       176.3  
Net income available to common stockholders (2)
    78,815       13,649       477.4  
 
(1)   See “Supplemental Information” below and the accompanying reconciliation of HealthSpring’s and the Predecessor’s non-GAAP Adjusted Selling, General & Administrative Expense and non-GAAP Adjusted EBITDA to GAAP Selling, General & Administrative Expense and GAAP Net Income, respectively.
 
(2)   Net income available to common stockholders is used in the calculation of earnings per share.
Full Year 2006 Operating Highlights
  Medicare Advantage (including MA-PD) premiums were $1.05 billion for 2006, reflecting an increase of 48.6% over the prior year. PDP premiums were $101.4 million.
  Medicare premiums (including premiums related to Part D) represented 90.5% of total premium revenue and 87.8% of total revenue for 2006.
  Fee and investment income for the year was $38.6 million, an increase of $14.4 million, or 59.4%, over 2005. Approximately $4.7 million of this amount ($1.3 million in the fourth quarter of 2006) related to the Company’s management agreement with a health plan in Florida, which was terminated as of December 31, 2006.
  Medicare Advantage (including MA-PD) MLR was 78.8% in 2006, a 40-basis-point increase over 78.4% in the prior year. The increase in MLR was primarily the result of the inclusion of MA-PD drug costs in the current year.
  PDP MLR was 73.4% in 2006.
  Adjusted SG&A increased $45.0 million, or 40.3% compared with the prior year, primarily as the result of membership growth, the implementation of Part D, stock compensation expense resulting from FAS 123R, and public company expenses, including costs related to complying with Sarbanes-Oxley Section 404. Adjusted SG&A was 12.0% of total revenue compared with 13.1% in the prior year.
Balance Sheet Highlights
  At December 31, 2006, the Company’s cash and cash equivalents were $338.4 million, $78.5 million of which was held at unregulated subsidiaries.
  Days in claims payable were 44 at the end of the 2006 fourth quarter compared with 40 at the end of 2005. Medical claims payable at December 31, 2006 includes amounts payable for Part D claims to CMS under CMS’s state-to-plan reconciliation process and to other health plans under CMS’s plan-to-plan reconciliation process. Similar amounts are not included in claims payable at December 31, 2005 as the Part D program did not exist in 2005. Excluding these amounts, days in claims payable at the end of 2006 would have been 41.
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HS Reports Fourth Quarter, Year-end Results
Page 4
February 21, 2007
2007 Guidance
As previously reported:
  Membership: The Company estimates that its Medicare Advantage membership (including MA-PD and MA-only) will be in the range of 130,000 to 135,000 by the end of 2007, compared with 115,132 at the end of 2006. Medicare Advantage membership (including MA-PD and MA-only) for January 2007 was 117,615. January 2007 PDP membership approximated 108,000.
  Revenue: The Company estimates that 2007 total revenue will be between $1.5 billion and $1.6 billion, with approximately 96% of total revenue for the year attributable to the Medicare business.
  Medical Loss Ratios (MLRs): The Company projects Medicare Advantage MLRs will be at or below 80.0% for the full year. PDP MLRs are expected to range between 85.0% and 90.0% for the year.
  EPS: The Company estimates earnings per share for 2007, on a fully diluted basis, will be in the range of $1.55 to $1.65, on weighted average shares outstanding of approximately 57.6 million.
Recapitalization
HealthSpring, Inc. completed a recapitalization on March 1, 2005, which was accounted for as a purchase, of NewQuest, LLC (its “Predecessor”), resulting in the Predecessor becoming a wholly owned subsidiary of HealthSpring. The information included in this release compares results for HealthSpring for the year ended December 31, 2006, with the combined results of the Predecessor for the two months ended February 28, 2005, and for HealthSpring for the ten-month period from March 1, 2005 to December 31, 2005. Per share amounts for the 12-month period ended December 31, 2005, are not comparable with results for the same period in 2006 because the ownership of the Predecessor was composed of member units for the first two months of 2005, and HealthSpring ownership is represented by common stock.
Conference Call
A live audio webcast of the conference call regarding fourth quarter and year-end results, 2007 guidance, and other recent developments, will begin at 9:00 a.m. ET on Thursday, February 22, 2007. The public may access the conference call through HealthSpring’s website, www.myhealthspring.com, under the Investor Relations tab. The conference call can also be accessed by dialing (913) 981-5568, confirmation number 1105405. An online replay will be available approximately two hours following the conclusion of the live broadcast and will continue for 30 days.
About HealthSpring, Inc.
HealthSpring is one of the largest managed care organizations in the United States whose primary focus is the Medicare Advantage market. The Company currently owns and operates Medicare Advantage and stand-alone Medicare prescription drug plans in Tennessee, Texas, Alabama, Illinois, and Mississippi. Effective January 1, 2007, HealthSpring also offers Medicare Part D prescription drug plans on a nationwide basis to persons in all 50 states who are eligible for Medicare. The Company also uses its infrastructure and provider networks in Tennessee and Alabama to offer commercial health plans to employer groups.
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HS Reports Fourth Quarter, Year-end Results
Page 5
February 21, 2007
Cautionary Statement Regarding Forward Looking Statements
Statements contained in this release that are not historical fact are forward-looking statements, which the Company intends to be covered by the safe harbor provisions for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995. Statements that are predictive in nature, that depend on or refer to future events or conditions, or that include words such as “anticipates,” “believes,” “could,” “estimates,” “expects,” “intends,” “may,” “plans,” “potential,” “predicts,” “projects,” “should,” “will,” “would,” and similar expressions are forward-looking statements. Such statements include statements regarding future operating and earnings guidance. The Company cautions that forward-looking statements involve known and unknown risks, uncertainties, and other factors that may cause its actual results, performance, or achievements to be materially different from any future results, performance, or achievements expressed or implied by the forward-looking statements.
The following important factors could cause actual results to differ materially from those in the forward-looking statements: membership enrollment and dis-enrollment patterns; changes in utilization; changes in medical and prescription drug cost trends; the Company’s ability to accurately estimate and calculate Part D risk corridor adjustments; CMS retroactive risk adjustments to Medicare rates; marketing expenses related to limited open enrollment; increasing competition and potential confusion in the marketplace regarding other MA, MA-PD, PDP, and PFFS plan offerings; the Company’s ability to accurately estimate incurred but not reported medical claims; contractual disputes with providers; increases in costs or liabilities associated with litigation; legislative and regulatory actions or changes; costs associated with information and data systems conversions and compliance with regulatory mandates; recent management changes; and changes in tax estimates, assets, or liabilities and valuation allowances related thereto. The foregoing list of important factors is not intended to be exhaustive. Additional information concerning these and other important risks and uncertainties can be found under the headings “Special Note Regarding Forward-Looking Statements” and “Item 1A. — Risk Factors” in the Company’s Annual Report on Form 10-K for the year ended December 31, 2005, and in the Company’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2006. Any projections or other forward-looking information in this release are based on limited information currently available to HealthSpring, which is subject to change. Although any such projections and forward-looking information and the factors influencing them will likely change, HealthSpring will not necessarily update the information except as required by law, as HealthSpring will only provide guidance at certain points during the year. Such information speaks only as of the date of this release.
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HS Reports Fourth Quarter, Year-end Results
Page 6
February 21, 2007
Supplemental Information
1. Non-GAAP Measures
The Company believes that the non-GAAP measures used in this release, when presented in conjunction with comparable GAAP measures, are useful to both management and investors in analyzing financial and business trends regarding the Company’s ongoing business and operating performance. These non-GAAP measures should be considered in addition to, but not as a substitute for, items prepared in accordance with GAAP.
This press release includes a presentation of the following non-GAAP financial measures:

The Company uses Adjusted EBITDA, or adjusted earnings before interest, taxes, depreciation, amortization, transaction expenses, and minority interest, to assess business performance among its health plans and related management companies. Although some excluded items may recur, management believes that this measure provides a useful comparison of its business performance from period to period.
The following table provides a reconciliation of Adjusted EBITDA as used in this release to net income calculated in accordance with GAAP:
                                 
    Three Months Ended     Year Ended  
    December 31,     December 31,  
(in thousands)   2006     2005     2006     2005  
Net income
  $ 20,101     $ 7,987     $ 80,836     $ 29,256  
Plus: income tax expense
    10,362       5,005       43,811       19,772  
Plus: interest expense
    119       4,320       8,695       14,511  
Plus: depreciation and amortization
    2,746       2,208       10,154       7,305  
 
                       
 
    33,328       19,520       143,496       70,844  
 
                       
Plus: transaction expenses (a)
          2,300             10,941  
Plus: minority interest
          761       303       3,227  
 
                       
Adjusted EBITDA
  $ 33,328     $ 22,581     $ 143,799     $ 85,012  
 
                       
 
(a)   Transaction expenses in 2005 represent costs of $6.9 million that were expensed during the two-month period ended February 28, 2005 related to the recapitalization and $4.0 million of recapitalization-related transaction costs that were expensed during the ten-month period ended December 31, 2005 ($2.3 million of which relates to the fourth quarter of 2005).
For purposes of this release, the Company has calculated “Adjusted SG&A” to eliminate from SG&A calculated in accordance with GAAP transaction expenses in 2005 associated with the recapitalization (see note (a) to the table above).
                                 
    Three Months Ended     Year Ended  
    December 31,     December 31,  
(in thousands)   2006     2005     2006     2005  
Selling, general and administrative (SG&A) expense, as reported
  $ 48,530     $ 37,910     $ 156,940     $ 122,795  
Less: transaction expenses (a)
          2,300             10,941  
 
                       
Adjusted SG&A expense
  $ 48,530     $ 35,610     $ 156,940     $ 111,854  
 
                       
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HS Reports Fourth Quarter, Year-end Results
Page 7
February 21, 2007
The following table adjusts GAAP net income available to common stockholders for the year ended December 31, 2006 to give pro-forma effect to the IPO as if it occurred on January 1, 2006:
         
(in thousands, except share data)        
Net income available to common stockholders (GAAP)
  $ 78,815  
Adjustments:
       
Preferred dividends
    2,021  
Minority interest
    303  
Interest expense (after tax)
    5,346  
Incremental FAS 123(R) expense (after tax)
    (239 )
 
     
Pro-forma net income
  $ 86,246  
 
     
Weighted average shares outstanding assuming a January 1, 2006 IPO
    57,344 (1)
 
     
Non-GAAP pro-forma EPS
  $ 1.50 (2)
 
     
 
(1)   Diluted shares outstanding on a GAAP-basis for the year ended December 31, 2006 were 54,720,373.
 
(2)   EPS on a GAAP basis for the year ended December 31, 2006 was $1.44 (basic and diluted).
2. Reconciliation of Medical Claims Payable
The following table provides a reconciliation of changes in the medical claims liability for HealthSpring for the year ended December 31, 2006, the combined ten-month period ended December 31, 2005 and the Predecessor for the two-month period ended February 28, 2005, and the year ended December 31, 2004:
                         
    (Unaudited)  
    Year Ended December 31,  
($ in thousands)   2006     2005     2004  
    (combined)  
Balance at beginning of period
  $ 82,645     $ 53,187     $ 47,729  
Incurred related to:
                       
Current period
    1,017,100       665,407       467,289  
Prior period
    (8,574 )     (5,228 )     (3,914 )
 
                 
Total incurred
    1,008,526       660,179       463,375  
 
                 
Paid related to:
                       
Current period
    894,684       582,944       415,136  
Prior period
    73,709       47,777       42,781  
 
                 
Total paid
    968,393       630,721       457,917  
 
                 
Balance at the end of the period
  $ 122,778     $ 82,645     $ 53,187  
 
                 
Current-year medical claims paid as a percent of current-year incurred medical claims
    88.0 %     87.6 %     88.8 %
Prior-period reserve development as a percent of prior-year medical claims
    1.3 %     1.1 %     1.3 %
Prior-year reserve development in the current period as a percent of prior-year medical claims liability
    10.4 %     9.8 %     8.2 %
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HS Reports Fourth Quarter and Full Year Results
Page 8
February 21, 2007
HealthSpring, Inc. and Subsidiaries
Condensed Consolidated Balance Sheet Information
(in thousands)
(Unaudited)
                 
    December 31,  
    2006     2005  
Assets
               
Current Assets:
               
Cash and cash equivalents
  $ 338,443     $ 110,085  
Accounts receivable, net of allowance for doubtful accounts
    17,588       7,248  
Investment securities available for sale
    7,874       8,646  
Current portion of investment securities held to maturity
    10,566       14,313  
Deferred income tax asset
    3,644       5,778  
Prepaid expenses and other assets
    4,047       3,148  
 
           
Total current assets
    382,162       149,218  
Investment securities held to maturity, less current portion
    19,560       22,993  
Property and equipment, net
    8,831       4,287  
Goodwill
    341,619       315,057  
Intangible assets, net
    81,175       87,675  
Investment in and receivable from unconsolidated affiliate
    1,301       1,469  
Deferred financing fee
    802       5,487  
Restricted investments
    7,195       5,652  
 
           
Total assets
  $ 842,645     $ 591,838  
 
           
Liabilities and Stockholders’ Equity
               
Current Liabilities:
               
Medical claims liability
  $ 122,778     $ 82,645  
Current portion of long-term debt
          16,500  
Accounts payable and accrued expenses
    25,149       17,408  
Funds held for the benefit of members
    62,125        
Risk corridor payable to CMS
    27,587        
Other current liabilities
    899       727  
 
           
Total current liabilities
    238,538       117,280  
Long-term debt, less current portion
          172,026  
Deferred tax liability
    28,444       29,782  
Other long-term liabilities
    381       316  
 
           
Total liabilities
    267,363       319,404  
 
           
Minority Interest
          11,890  
 
           
Stockholders’ Equity:
               
Preferred stock
          2  
Common stock
    573       322  
Additional paid-in capital
    485,004       249,317  
Retained earnings
    89,758       10,943  
Treasury Stock
    (53 )     (40 )
 
           
Total stockholders’ equity
    575,282       260,544  
 
           
Total liabilities and stockholders’ equity
  $ 842,645     $ 591,838  
 
           
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HS Reports Fourth Quarter and Full Year Results
Page 9
February 21, 2007
HealthSpring, Inc. and Subsidiaries
Condensed Consolidated Statement of Income Information
(in thousands, except share data)
(Unaudited)
                                 
    Three-Month Period Ended     Year Ended  
    Decemer 31, 2006     December 31,  
    2006     2005     2006     2005  
                            (Combined)(1)  
Revenue:
                               
Premium:
                               
Medicare
  $ 298,549     $ 207,701     $ 1,149,844     $ 705,677  
Commercial
    26,381       32,311       120,504       126,872  
 
                       
Total premium revenue
    324,930       240,012       1,270,348       832,549  
Management and fee revenue
    6,692       4,937       26,688       20,416  
Investment income
    4,048       1,113       11,920       3,798  
 
                       
Total revenue
    335,670       246,062       1,308,956       856,763  
 
                       
Operating Expenses:
                               
Medical Expense:
                               
Medicare
    229,645       162,777       900,358       553,084  
Commercial
    24,213       25,346       108,168       107,095  
 
                       
Total medical expenses
    253,858       188,123       1,008,526       660,179  
Selling, general and administrative
    48,530       37,910       156,940       122,795  
Depreciation and amortization
    2,746       2,208       10,154       7,305  
Interest
    119       4,320       8,695       14,511  
 
                       
Total operating expenses
    305,253       232,561       1,184,315       804,790  
 
                       
Income before equity in earnings of unconsolidated affiliate, minority interest and income taxes
    30,417       13,501       124,641       51,973  
Equity in earnings of unconsolidated affiliate
    46       252       309       282  
 
                       
Income before minority interest and income taxes
    30,463       13,753       124,950       52,255  
Minority interest
          (761 )     (303 )     (3,227 )
 
                       
Income before income taxes
    30,463       12,992       124,647       49,028  
Income taxes
    (10,362 )     (5,005 )     (43,811 )     (19,772 )
 
                       
Net income
    20,101       7,987       80,836       29,256  
Preferred dividends
          (4,848 )     (2,021 )     (15,607 )
 
                       
Net income available to common stockholders and members
  $ 20,101     $ 3,139     $ 78,815     $ 13,649  
 
                       
Net Income per common share:
                               
Basic
  $ 0.35     $ 0.10     $ 1.44        
 
                         
Diluted
  $ 0.35     $ 0.10     $ 1.44        
 
                         
Weighted average common shares outstanding:
                               
Basic
    57,217,796       32,283,969       54,617,744        
 
                         
Diluted
    57,320,186       32,283,969       54,720,373        
 
                         
 
(1)   Includes the combined results of operations of the Predecessor from January 1, 2005 through February 28, 2005, and of the Company from March 1, 2005 through December 31, 2005. The Company has included this non-GAAP financial measure because it believes that it permits a more meaningful comparison of the Company’s operating performance between the periods presented. See “Condensed Consolidated Statement of Income Information” herein on page 11.
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HS Reports Fourth Quarter and Full Year Results
Page 10
February 21, 2007
HealthSpring, Inc. and Subsidiaries
Condensed Consolidated Statement of Cash Flow Information
(in thousands)
(Unaudited)
                         
                    Predecessor  
    Twelve-Month     Ten-Month     Two-Month  
    Period Ended     Period ended     Period ended  
    Dec. 31, 2006     Dec. 31, 2005     February 28, 2005  
Cash flows from operating activities:
                       
Net income
  $ 80,836     $ 26,550     $ 2,706  
Adjustments to reconcile net income to net cash provided by operating activities:
                       
Depreciation and amortization
    10,154       6,990       315  
Amortization of deferred financing cost
    242       879        
Amortization of accrued loss on assumed lease
                (97 )
Equity in earnings of unconsolidated affiliate
    (309 )     (282 )      
Minority interest
    303       1,979       1,248  
PIK interest
    116       901        
Stock-based compensation
    5,687       377        
Deferred tax benefit
    687       (1,060 )     93  
Write off of deferred financing cost
    5,375              
Increase (decrease) in cash and cash equivalents due to changes in:
                       
Accounts receivable
    (10,340 )     8,368       (2,470 )
Prepaid expenses and other current assets
    (899 )     (3,266 )     1,240  
Medical claims liability
    40,133       23,629       5,829  
Accounts payable, accrued expenses and other current liabilities
    8,214       (7,460 )     6,202  
Risk corridor payable to CMS
    27,587                  
Other long-term liabilities
    174       (335 )     11  
Deferred revenue
    (301 )     (131 )     (113 )
 
                 
Net cash provided by operating activities
    167,659       57,139       14,964  
 
                 
 
                       
Cash flows from investing activities:
                       
Purchase of property and equipment
    (7,177 )     (2,653 )     (149 )
Purchase of investment securities
    (10,368 )     (16,313 )     (5,942 )
Sale/maturity of investment securities
    18,283       12,524       836  
Purchase of restricted investments
    (1,543 )     (119 )     (214 )
Distributions from affiliates
    355              
Purchase of minority interest
          (44,358 )      
Acquisition, net of cash acquired
          (219,958 )      
 
                 
Net cash used in investing activities
    (450 )     (270,877 )     (5,469 )
 
                 
 
                       
Cash flows from financing activities:
                       
Payments on borrowings
    (188,642 )     (17,733 )     (117 )
Proceeds from issuance of common stock and preferred stock
    188,611       140,087        
Funds received for the benefit of members
    62,125              
Purchase of treasury stock
    (13 )     (40 )      
Deferred financing cost
    (932 )     (6,366 )      
Proceeds from issuance of notes payable
          200,000        
Proceeds from sale of units in consolidated subsidiary
          7,875        
Distribution to minority stockholders
                (1,771 )
Cash advanced in recapitalization
                1,000  
 
                 
Net cash provided by (used in) financing activities
    61,149       323,823       (888 )
 
                 
Net increase in cash and cash equivalents
    228,358       110,085       8,607  
Cash and cash equivalents at beginning of period
    110,085             67,834  
 
                 
Cash and cash equivalents at end of period
  $ 338,443     $ 110,085     $ 76,441  
 
                 
-MORE-


 

HS Reports Fourth Quarter and Full Year Results
Page 11
February 21, 2007
HealthSpring, Inc. and Subsidiaries
Condensed Consolidated Statement of Income Information
(in thousands)
(Unaudited)
                           
    Predecessor     HealthSpring, Inc.       Combined(1)  
    Period from     Period from       Twelve  
    January 1, 2005 to     March 1, 2005 to       Months Ended  
    February 28, 2005     Dec. 31, 2005       Dec. 31, 2005  
Revenue:
                         
Premium:
                         
Medicare
  $ 94,764     $ 610,913       $ 705,677  
Commercial
    20,704       106,168         126,872  
 
                   
Total premium revenue
    115,468       717,081         832,549  
Management and fee revenue
    3,461       16,955         20,416  
Investment income
    461       3,337         3,798  
 
                   
Total revenue
    119,390       737,373         856,763  
Operating Expenses:
                         
Medical expense
    90,843       569,336         660,179  
Selling, general and administrative
    21,608       101,187         122,795  
Depreciation and amortization
    315       6,990         7,305  
Interest
    42       14,469         14,511  
 
                   
Total operating expenses
    112,808       691,982         804,790  
Income before equity in earnings of unconsolidated affiliate, minority interest and income taxes
    6,582       45,391         51,973  
Equity in earnings of unconsolidated affiliate
          282         282  
 
                   
Income before minority interest and income taxes
    6,582       45,673         52,255  
Minority interest
    (1,248 )     (1,979 )       (3,227 )
 
                   
Income before income taxes
    5,334       43,694         49,028  
Income taxes
    (2,628 )     (17,144 )       (19,772 )
 
                   
Net income
    2,706       26,550         29,256  
Preferred dividends
          (15,607 )       (15,607 )
 
                   
Net income available to common stockholders and members
  $ 2,706     $ 10,943       $ 13,649  
 
                   
 
(1)   Includes the combined results of operations of the Predecessor from January 1, 2005 through February 28, 2005, and of the Company from March 1, 2005 through December 31, 2005. The Company has included this non-GAAP financial measure because it believes that it permits a more meaningful comparison of the Company’s operating performance between the periods presented.
-END-