EX-99.1 2 dex991.htm PRESS RELEASE Press Release

Exhibit 99.1

 

LOGO  

Health Net, Inc.

21650 Oxnard Street

Woodland Hills, CA 91367

818.676.6000

800.291.6911

www.healthnet.com

 

News Release

 

Contacts: David Olson

818.676.6978

david.w.olson@healthnet.com

 

Michael Engelhard

818.676.7620

michael.engelhard@healthnet.com

 

HEALTH NET’S CHARGES CAUSE

FOURTH QUARTER 2004 NET LOSS

OF $86 MILLION OR $.77 PER DILUTED SHARE

 

Settlement of Provider Claims Issues, Prior Period Reserve Increases

and Other Costs Result in $252 Million in Pretax Charges

 

Company Issues Guidance of Between $2.30 to $2.50 Earnings

Per Diluted Share for 2005

 

LOS ANGELES, February 8, 2005 – Health Net, Inc. (NYSE: HNT) today announced 2004 fourth quarter net loss per diluted share of $.77 compared with earnings of $.77 per diluted share in the fourth quarter of 2003 and earnings of $.64 per diluted share in the third quarter of 2004.


Included in the results for the fourth quarter of 2004 is the full effect of a $252 million pretax charge comprised of the following:

 

    $169 million of expenses associated with provider settlements relating to claims processing and payment issues that have been or are being resolved;

 

    $65 million of expenses for prior period reserve developments;

 

    $18 million in asset impairment and restructuring charges and other expenses.

 

A table outlining the allocation of the $252 million in fourth quarter 2004 pretax charges to the fourth quarter 2004 income statement line items is attached to this release.

 

The provider settlement expenses, which reflect the majority of the charge, were recorded following a thorough review and management’s decision in the fourth quarter of 2004 to settle a large number of provider claims in the company’s California and Northeast health plans relating to claims issues from 2001 to 2004.

 

“In completing our review, we decided to address issues that restrained our performance in 2004 and put them in the past. We believe that pursuing resolution of the provider matters, including the completion of contract revisions, will assure ongoing network stability. We believe that our higher reserve levels reflect a higher cost trend related to changed payment practices seen in 2004 than was previously expected. As a result of our ongoing pricing discipline, we believe Health Net will be in a better position to achieve consistent and predictable performance in 2005,” said Jay Gellert, president and chief executive officer of Health Net.

 

Revenues

 

Health Net’s total revenues increased 3.2 percent in the fourth quarter of 2004 to $2,867,593,000 from $2,779,632,000 in the fourth quarter of 2003. Health plan services revenue climbed 3.0 percent to $2,363,786,000 in the fourth quarter of 2004 compared to $2,295,217,000 in the fourth quarter of 2003.

 

2


The gains in Health plan services revenue resulted from higher commercial and Medicare premium yields across the company’s health plans. In the fourth quarter of 2004, the overall health plan revenue per member per month (PMPM), including commercial, Medicare and Medicaid enrollment, rose 9.0 percent compared to the same period in 2003. Commercial premium yields climbed 10.7 percent compared to the fourth quarter of 2003.

 

“We continue to achieve our pricing goals,” said Buddy Piszel, executive vice president and chief financial officer of Health Net. “The pricing we achieved in the second half of 2004 positions us well for 2005 when we expect to complete the repricing of the entire commercial book in the first half of this year.”

 

Commercial enrollment, including both at-risk and Administrative Services Only (ASO) membership, was down 3.3 percent in the fourth quarter of 2004 compared with the third quarter of 2004.

 

“As expected, our disciplined pricing continues to result in lower commercial enrollment. In the fourth quarter of 2004, enrollment in California declined somewhat more than earlier expectations. The decline, however, was the result of our ongoing adherence to premium pricing that accurately reflects cost trends,” Piszel added.

 

Countering the overall enrollment trend, Oregon commercial enrollment increased by more than 5,400 members in the fourth quarter of 2004 over the third quarter of 2004, a 4.1 percent gain.

 

In the fourth quarter of 2004, Health Net’s Government contracts revenue rose 5.1 percent from the fourth quarter of 2003, reaching $487,823,000. This increase was due in

 

3


part to the overlap of the new TRICARE North region contract being fully implemented and the continued provision of services under the old TRICARE Region 6 contract for one month in the fourth quarter of 2004.

 

“We completed the transition from the last of the old TRICARE contracts on October 31, 2004, and now solely operate in the TRICARE North region. We are proud to be providing support for the families of our troops in these 23 states and the District of Columbia,” Piszel noted.

 

Other income decreased by $4,383,000 in the fourth quarter of 2004 compared with the fourth quarter of 2003, due to lower revenue resulting from the sale of the company’s Employer Services division in the fourth quarter of 2003.

 

Health Care Costs

 

The health plan Medical Care Ratio (MCR) increased from 81.7 percent in the fourth quarter of 2003 to 94.0 percent in the fourth quarter of 2004. This rise in the health plan MCR reflects the impact of approximately $229 million, the portion of the fourth quarter charges attributable to health care costs.

 

“When we look at health care costs without the charges, we believe overall commercial health care costs PMPM rose in line with industry cost trends year-over-year,” Piszel commented.

 

The Government contracts cost ratio improved by 90 basis points to 95.6 percent for the fourth quarter of 2004 compared to the fourth quarter of 2003. This improvement is due in part to bid price adjustment and change order activity in the fourth quarter of 2004 associated with the old TRICARE contracts.

 

4


Administrative Expenses

 

In the fourth quarter of 2004, total general, administrative and depreciation expenses increased by $1,404,000 to $246,096,000 compared to expenses of $244,692,000 in the fourth quarter of 2003. Compared to the third quarter of 2004, total general, administrative and depreciation expenses in the fourth quarter of 2004 increased by $28,422,000. The increase was driven by approximately $12 million of fourth quarter charges related to provider settlement legal costs and by higher consulting and open enrollment-related expenses.

 

The $10,319,000 in asset impairment and restructuring charges in the fourth quarter of 2004 compare to asset impairment and restructuring charges of $16,409,000 in the fourth quarter of 2003. Impairment expenses associated with investments and fixed assets totaled $5,900,000 in the fourth quarter of 2004. The company also recorded $2,700,000 in the fourth quarter of 2004 related to severance and related benefits expenses. Lastly, the company recorded $1,700,000 for lease termination expenses associated with the exit of certain properties as part of the TRICARE contract transition.

 

Health Net’s selling expenses decreased by $2,884,000 to $56,137,000 in the fourth quarter of 2004 compared with $59,021,000 in the same period in 2003, consistent with the decline in Small Group and Individual enrollment in 2004. The selling costs ratio was 2.4 percent for the fourth quarter of 2004, compared with 2.6 percent in the same period last year.

 

The company noted that its comprehensive systems consolidation project, known as Health Net One, continues to achieve key milestones. The company has decided to accelerate medical management system enhancements in 2005 and to defer the claims conversion in California and Oregon until 2006.

 

5


“In order to ensure a full year of claims payment stability in California, we have decided to postpone until 2006 the conversion of the California and Oregon claims systems,” Piszel explained.

 

Balance Sheet Highlights

 

Cash and investments as of December 31, 2004 were $1,782,102,000 compared with $1,705,872,000 as of September 30, 2004.

 

The TRICARE receivable decreased by $18,168,000 from the end of the third quarter of 2004 to $118,167,000 as of December 31, 2004, consistent with expectations surrounding the contract transitions and seasonal patterns.

 

Debt decreased by $3,990,000 from September 30, 2004 to $397,760,000 as of December 31, 2004, primarily due to the mark-to-market adjustment of the interest rate swap contracts the company uses to hedge against interest rate risk associated with the company’s outstanding fixed rate senior notes.

 

The company’s debt-to-total capital ratio was 23.8 percent as of December 31, 2004 compared to 22.9 percent as of September 30, 2004. The increase of the ratio was a result of the net loss recorded in the fourth quarter of 2004, which reduced stockholders’ equity.

 

The provider settlement expenses and the expenses recorded for prior period reserve developments resulted in an increase of $179,057,000, or 18 percent, to the balance sheet account, “Reserves for claims and other settlements,” compared with the amount recorded at September 30, 2004.

 

Interest expense was $1,303,000 higher in the fourth quarter of 2004 compared to the third quarter of 2004. This was due to higher floating interest rates and additional interest expense incurred on the senior notes following the downgrade of the company’s senior unsecured debt rating in September 2004.

 

6


Days claims payable decreased to 44.7 days for the fourth quarter of 2004 compared with 46.2 days for the third quarter of 2004, and declined by 4.7 days compared to the fourth quarter of 2003, a direct result of the substantially higher level of paid claims in 2004 compared to 2003.

 

Cash Flow

 

Cash flow provided by operations in the fourth quarter of 2004 amounted to $2,597,000 compared to cash flow provided by operations of $179,986,000 in the fourth quarter of 2003. The company did not receive its December Medicare payment until January 2005. This caused cash flow to be lower by approximately $72 million in the fourth quarter of 2004.

 

On September 13, 2004, the company announced that it would not repurchase shares of common stock under its share repurchase program through the end of 2004. The share repurchase program remains on hold. The company will continue to reevaluate its position on share repurchase as 2005 progresses.

 

Medicare

 

The company noted that it is engaged in a comprehensive review of its Medicare strategies to prepare for implementation of the Medicare Modernization Act of 2003 and its Part D Drug Benefit in January of next year.

 

“We have a team examining all potential Medicare opportunities for Health Net. With more than 170,000 members, we have been and we intend to continue to be a major Medicare participant,” Piszel added.

 

 

7


Outlook

 

Health Net believes its earnings per diluted share for the full year 2005 will be between $2.30 and $2.50. The company believes that its earnings per diluted share in the first quarter of 2005 will be between $.50 and $.55.

 

“Our initial commercial pricing and enrollment results for 2005 are encouraging. We believe yields will increase by more than 11 percent for customers renewing in the first quarter. Enrollment is coming in somewhat better than we had planned,” Piszel commented.

 

“For the full year, we now believe that commercial enrollment will be down modestly overall; however, we expect to gain membership in several markets in the second half of the year,” he added.

 

Conference Call

 

As previously announced, Health Net will discuss the company’s fourth quarter and year-end 2004 results during a conference call with investors on Tuesday, February 8, 2005, at approximately 11:00 a.m. EST. To listen to the call, please dial 719.457.2658, code 5594984. A live webcast and replay of the conference call also will be available at www.healthnet.com. The conference call webcast is open to all interested parties. The replay of the conference call will be available following the call on Tuesday, February 8, 2005 through February 12, 2005, by dialing 719.457.0820, code 5594984. Anyone listening to the company’s conference call will be presumed to have read Health Net’s Annual Report on Form 10-K for the year ended December 31, 2003, Quarterly Reports on Form 10-Q for the first, second and third quarters ended March 31, 2004, June 30, 2004 and September 30, 2004, respectively, and other reports filed by the company from time to time with the Securities and Exchange Commission.

 

8


About Health Net

 

Health Net, Inc. is among the nation’s largest publicly traded managed health care companies. Its mission is to help people be healthy, secure and comfortable. The company’s HMO, POS, insured PPO and government contracts subsidiaries provide health benefits to approximately 6.5 million individuals in 27 states and the District of Columbia through group, individual, Medicare, Medicaid and TRICARE programs. Health Net’s subsidiaries also offer managed health care products related to behavioral health and prescription drugs, and offer managed health care product coordination for multi-region employers and administrative services for medical groups and self-funded benefits programs.

 

For more information on Health Net, Inc., please visit the company’s Web site at www.healthnet.com.

 

Cautionary Statements

 

Certain matters discussed in this release contain forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended, and Section 27A of the Securities Act of 1933, as amended, that involve a number of risks and uncertainties. All statements, other than statements of historical information provided herein, may be deemed to be forward-looking statements. These statements are based on management’s analysis, judgment, belief and expectation only as of the date hereof, and are subject to uncertainty and changes in circumstances. Without limiting the foregoing, the words “believes,” “anticipates,” “plans,” “expects,” “may,” “should,” “could,” “estimate,” “intend” and other similar expressions are intended to identify forward-looking statements. Actual results could differ materially due to, among other things, rising health care costs, negative prior period claims reserve developments, trends in medical care ratios, issues relating to provider contracts, operational issues, health care

 

9


reform and general business conditions. Additional factors that could cause actual results to differ materially from those reflected in the forward-looking statements include, but are not limited to, the risks discussed in the “Risk Factors” section included within the company’s most recent Annual Report on Form 10-K filed with the SEC and the risks discussed in the company’s other periodic filings with the SEC. Readers are cautioned not to place undue reliance on these forward-looking statements. The company undertakes no obligation to publicly revise these forward-looking statements to reflect events or circumstances that arise after the date of this release.

 

#    #    #

 

[Eight pages of tables follow]

 

10


Health Net, Inc.

Consolidated Statements of Operations

(Amounts in thousands, except per share and ratio data)

 

     Year Ended December 31,

 
     2003

    2004

 
REVENUES:                 

Health plan services premiums

   $ 9,093,219     $ 9,560,244  

Government contracts

     1,865,773       2,021,871  

Net investment income

     59,332       58,147  

Other income

     46,378       6,131  
    


 


Total revenues

     11,064,702       11,646,393  
    


 


EXPENSES:                 

Health plan services

     7,516,838       8,413,638  

Government contracts

     1,789,523       1,927,598  

General and administrative

     912,531       888,480  

Selling

     233,519       240,117  

Depreciation

     55,903       41,426  

Amortization

     2,774       2,862  

Interest

     39,135       33,133  
    


 


       10,550,223       11,547,254  

Asset impairments and restructuring charges

     16,409       32,893  

Gain on sale of businesses

     (18,901 )     (1,170 )
    


 


Total expenses

     10,547,731       11,578,977  
    


 


Income from continuing operations before income taxes      516,971       67,416  
Income tax provision      193,891       24,812  
    


 


Income from continuing operations      323,080       42,604  
Discontinued operations:                 
Loss on settlement from disposition, net of tax      (89,050 )     —    
    


 


Net income    $ 234,030     $ 42,604  
    


 


Basic earnings per share    $ 2.02     $ 0.38  
Diluted earnings per share    $ 1.98     $ 0.38  

Basic

     115,999       111,859  

Diluted

     118,278       113,038  
Ratios:                 
Health plan services MCR      82.7 %     88.0 %
Government contracts cost ratio      95.9 %     95.3 %
Administrative ratio ((G&A+Dep) / (HP serv rev + Other income))      10.6 %     9.7 %
Selling costs ratio (Selling costs / HP serv rev)      2.6 %     2.5 %
Days claims payable      49.8       47.7  

 

11


Health Net, Inc.

Consolidated Statements of Cash Flows

(Amounts in thousands)

 

     Year Ended December 31,

 
     2003

    2004

 

CASH FLOWS FROM OPERATING ACTIVITIES:

                

Net income

   $ 234,030     $ 42,604  

Adjustments to reconcile net income to net cash provided by (used in) operating activities:

                

Amortization and depreciation

     58,677       44,288  

Gain on sale of businesses

     (18,901 )     (1,170 )

Asset impairments

     16,409       5,916  

Other changes

     5,138       3,969  

Changes in assets and liabilities, net of the effects of dispositions:

                

Premiums receivable and unearned premiums

     20,163       (29,718 )

Other assets

     35,915       (86,499 )

Amounts receivable/payable under government contracts

     23,596       (164,029 )

Reserves for claims and other settlements

     2,737       143,012  

Accounts payable and other liabilities

     2,008       (13,285 )
    


 


Net cash provided by (used in) operating activities

     379,772       (54,912 )
    


 


CASH FLOWS FROM INVESTING ACTIVITIES:

                

Sales of investments

     294,976       282,524  

Maturities of investments

     572,245       274,250  

Purchases of investments

     (977,266 )     (498,355 )

Purchases of property and equipment

     (54,915 )     (37,946 )

Cash received from the sale of businesses

     90,316       11,112  

Sales and purchases of restricted investments and other

     (30,878 )     (45,827 )
    


 


Net cash used in investing activities

     (105,522 )     (14,242 )
    


 


CASH FLOWS FROM FINANCING ACTIVITIES:

                

Proceeds from exercise of stock options and employee stock purchases

     42,330       19,091  

Proceeds from the issuance of notes payable and other financing arrangements

     5,680       —    

Repayment of debt and other noncurrent liabilities

     (5,864 )     —    

Repurchases of common stock

     (288,318 )     (88,706 )
    


 


Net cash used in financing activities

     (246,172 )     (69,615 )
    


 


Net increase (decrease) in cash and cash equivalents

     28,078       (138,769 )

Cash and cash equivalents, beginning of period

     832,793       860,871  
    


 


Cash and cash equivalents, end of period

   $ 860,871     $ 722,102  
    


 


 

12


Health Net, Inc.

Consolidated Statements of Operations

(Amounts in thousands, except per share and ratio data)

 

    

Fourth Quarter

Ended

December 31,
2003


   

First Quarter

Ended

March 31,
2004


   

Second Quarter

Ended

June 30,

2004


   

Third Quarter

Ended

September 30,
2004


   

Fourth Quarter

Ended

December 31,
2004


 

REVENUES:

                                        

Health plan services premiums

   $ 2,295,217     $ 2,404,355     $ 2,398,943     $ 2,393,160     $ 2,363,786  

Government contracts

     464,214       503,948       504,317       525,783       487,823  

Net investment income

     14,212       15,201       13,818       14,750       14,378  

Other income

     5,989       1,248       1,737       1,540       1,606  
    


 


 


 


 


Total revenues

     2,779,632       2,924,752       2,918,815       2,935,233       2,867,593  
    


 


 


 


 


EXPENSES:

                                        

Health plan services

     1,876,274       2,107,087       2,062,277       2,022,870       2,221,404  

Government contracts

     448,162       480,905       478,927       501,628       466,138  

General and administrative

     231,814       231,485       214,244       207,187       235,564  

Selling

     59,021       63,577       59,993       60,410       56,137  

Depreciation

     12,878       9,983       10,424       10,487       10,532  

Amortization

     767       606       606       789       861  

Interest

     9,841       8,438       7,304       8,044       9,347  
    


 


 


 


 


       2,638,757       2,902,081       2,833,775       2,811,415       2,999,983  

Asset impairments and restructuring charges

     16,409 (a)     —         17,402 (d)     5,172 (d)     10,319 (g)

(Gain) loss on sale of businesses

     (18,901 )(b)     (1,875 )(c)     —         400 (e)     305 (f)
    


 


 


 


 


Total expenses

     2,636,265       2,900,206       2,851,177       2,816,987       3,010,607  
    


 


 


 


 


Income (loss) from continuing operations before income taxes

     143,367       24,546       67,638       118,246       (143,014 )

Income tax provision (benefit)

     54,018       9,534       26,272       46,391       (57,385 )
    


 


 


 


 


Net income (loss)

   $ 89,349     $ 15,012     $ 41,366     $ 71,855     $ (85,629 )
    


 


 


 


 


Basic earnings (loss) per share

   $ 0.79     $ 0.13     $ 0.37     $ 0.64     $ (0.77 )

Diluted earnings (loss) per share

   $ 0.77     $ 0.13     $ 0.36     $ 0.64     $ (0.77 )

Weighted average shares outstanding:

                                        

Basic

     113,515       112,600       112,574       111,440       110,844  

Diluted

     115,943       114,342       113,460       112,397       110,844  

Ratios:

                                        

Health plan services MCR

     81.7 %     87.6 %     86.0 %     84.5 %     94.0 %

Government contracts cost ratio

     96.5 %     95.4 %     95.0 %     95.4 %     95.6 %

Administrative ratio ((G&A+Dep) / (HP serv rev + Other income))

     10.6 %     10.0 %     9.4 %     9.1 %     10.4 %

Selling costs ratio (Selling costs / HP serv rev)

     2.6 %     2.6 %     2.5 %     2.5 %     2.4 %

Days claims payable

     49.4       45.2       46.6       46.2       44.7  

 

13


Health Net, Inc.

Consolidated Balance Sheets

(Amounts in thousands, except ratio data)

 

     December 31,
2003


    March 31,
2004


    June 30,
2004


    September 30,
2004


   

December 31,

2004


 

ASSETS

                                        

Current Assets

                                        

Cash and cash equivalents

   $ 860,871     $ 684,782     $ 467,565     $ 622,903     $ 722,102  

Investments - available for sale

     1,082,789       1,042,021       1,153,222       1,082,969       1,060,000  

Premiums receivable, net

     144,968       186,178       151,619       118,201       118,521  

Amounts receivable under government contracts

     90,928       121,037       128,960       136,335       118,167  

Incurred but not reported (IBNR) health care costs receivable under TRICARE North contract

     —         —         —         114,618       173,951  

Reinsurance and other receivables

     105,074       94,469       93,920       102,494       92,435  

Deferred taxes

     43,008       40,827       40,652       41,162       98,659  

Other assets

     84,842       92,404       103,907       99,578       97,163  
    


 


 


 


 


Total current assets

     2,412,480       2,261,718       2,139,845       2,318,260       2,480,998  

Property and equipment, net

     190,900       186,700       186,570       185,291       184,643  

Goodwill, net

     729,506       723,595       723,595       723,595       723,595  

Other intangible assets, net

     19,918       19,313       21,505       22,716       21,855  

Deferred taxes

     44,769       41,409       41,868       18,327       23,737  

Other noncurrent assets

     151,703       214,894       282,258       249,912       207,050  
    


 


 


 


 


Total Assets

   $ 3,549,276     $ 3,447,629     $ 3,395,641     $ 3,518,101     $ 3,641,878  
    


 


 


 


 


LIABILITIES AND STOCKHOLDERS’ EQUITY

                                        

Current Liabilities

                                        

Reserves for claims and other settlements

   $ 1,024,550     $ 1,069,247     $ 1,042,831     $ 990,240     $ 1,169,297  

Health care and other costs payable under government contracts

     256,009       233,331       216,816       201,494       119,219  

IBNR health care costs payable under TRICARE North contract

     —         —         —         114,618       173,951  

Unearned premiums

     178,115       95,614       85,894       78,832       128,450  

Accounts payable and other liabilities

     315,031       272,000       254,453       296,782       258,923  
    


 


 


 


 


Total current liabilities

     1,773,705       1,670,192       1,599,994       1,681,966       1,849,840  

Senior notes payable

     398,963       406,603       384,220       401,750       397,760  

Other noncurrent liabilities

     82,383       78,958       95,243       81,657       121,398  
    


 


 


 


 


Total Liabilities

     2,255,051       2,155,753       2,079,457       2,165,373       2,368,998  
    


 


 


 


 


Stockholders’ Equity

                                        

Common stock and additional paid-in capital

     789,392       794,602       798,432       805,426       811,426  

Restricted common stock

     5,885       6,027       5,855       6,483       7,188  

Unearned compensation

     (3,995 )     (3,624 )     (3,121 )     (3,999 )     (4,110 )

Treasury common stock, at cost

     (549,102 )     (577,484 )     (580,634 )     (632,926 )     (632,926 )

Retained earnings

     1,051,776       1,066,788       1,108,154       1,180,009       1,094,380  

Accumulated other comprehensive income (loss)

     269       5,567       (12,502 )     (2,265 )     (3,078 )
    


 


 


 


 


Total Stockholders’ Equity

     1,294,225       1,291,876       1,316,184       1,352,728       1,272,880  
    


 


 


 


 


Total Liabilities and Stockholders’ Equity

   $ 3,549,276     $ 3,447,629     $ 3,395,641     $ 3,518,101     $ 3,641,878  
    


 


 


 


 


Debt-to-Total Capital Ratio

     23.6 %     23.9 %     22.6 %     22.9 %     23.8 %

 

14


Health Net, Inc.

Consolidated Statements of Cash Flows

(Amounts in thousands)

 

    

Fourth Quarter

Ended

December 31,
2003


   

First Quarter

Ended

March 31,
2004


   

Second Quarter

Ended

June 30,

2004


   

Third Quarter

Ended

September 30,
2004


   

Fourth Quarter

Ended

December 31,
2004


 

CASH FLOWS FROM OPERATING ACTIVITIES:

                                        

Net income (loss)

   $ 89,349     $ 15,012     $ 41,366     $ 71,855     $ (85,629 )

Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:

                                        

Amortization and depreciation

     13,645       10,589       11,030       11,276       11,393  

(Gain) loss on sale of businesses

     (18,901 )     (1,875 )     —         400       305  

Asset impairments

     16,409       —         —         —         5,916  

Other changes

     270       (898 )     1,518       546       2,803  

Changes in assets and liabilities, net of the effects of dispositions:

                                        

Premiums receivable and unearned premiums

     87,769       (130,211 )     24,839       26,356       49,298  

Other assets

     27,944       4,718       515       5,140       (96,872 )

Amounts receivable/payable under government contracts

     43,603       (52,787 )     (24,438 )     (22,697 )     (64,107 )

Reserves for claims and other settlements

     37,154       42,962       (26,416 )     (52,591 )     179,057  

Accounts payable and other liabilities

     (117,256 )     (42,085 )     (15,900 )     44,267       433  
    


 


 


 


 


Net cash provided by (used in) operating activities

     179,986       (154,575 )     12,514       84,552       2,597  
    


 


 


 


 


CASH FLOWS FROM INVESTING ACTIVITIES:

                                        

Sales of investments

     32,243       125,015       65,320       79,438       12,751  

Maturities of investments

     121,944       112,345       84,102       30,632       47,171  

Purchases of investments

     (259,912 )     (186,289 )     (284,446 )     (22,774 )     (4,846 )

Purchases of property and equipment

     (12,435 )     (5,853 )     (10,045 )     (9,178 )     (12,870 )

Cash received (paid) from the sale of businesses

     90,316       11,026       —         (400 )     486  

Sales and purchases of restricted investments and other

     (4,685 )     (49,279 )     (84,552 )     39,307       48,697  
    


 


 


 


 


Net cash (used in) provided by investing activities

     (32,529 )     6,965       (229,621 )     117,025       91,389  
    


 


 


 


 


CASH FLOWS FROM FINANCING ACTIVITIES:

                                        

Proceeds from exercise of stock options and employee stock purchases

     12,798       4,785       3,040       6,053       5,213  

Repurchases of common stock

     (26,761 )     (33,264 )     (3,150 )     (52,292 )     —    
    


 


 


 


 


Net cash (used in) provided by financing activities

     (13,963 )     (28,479 )     (110 )     (46,239 )     5,213  
    


 


 


 


 


Net increase (decrease) in cash and cash equivalents

     133,494       (176,089 )     (217,217 )     155,338       99,199  

Cash and cash equivalents, beginning of period

     727,377       860,871       684,782       467,565       622,903  
    


 


 


 


 


Cash and cash equivalents, end of period

   $ 860,871     $ 684,782     $ 467,565     $ 622,903     $ 722,102  
    


 


 


 


 


 

15


Health Net, Inc.

Notes to Consolidated Statements of Operations

 

Notes:

 

(a) Pretax impairment charges for buildings held for sale of $2.6 million and our investment in a connectivity services company of $13.8 million.

 

(b) Pretax $18.9 million gain on the sales of our Employers Services, Dental and Vision subsidiaries.

 

(c) Pretax $1.9 million gain on the sales of our Subacute subsidiaries.

 

(d) Pretax severance and related benefit costs related to our workforce reduction announced in May 2004.

 

(e) Pretax $0.4 million additional loss on the sale of our Florida health plan resulting from the stock purchase and reinsurance settlement agreements dated September 30, 2004.

 

(f) Pretax $0.3 million additional loss on the sale of Denticare and Vision.

 

(g) Pretax $10.3 million asset impairments and restructuring charges due to the following:

$5.9 million asset impairment charge taken on certain investments and fixed assets

$2.7 million for severance and related benefit costs related to our workforce reduction announced in May 2004

$1.7 million for lease termination costs

 

16


HEALTH NET, INC.

Medical Covered Lives at December 31, 2004

(in Thousands)

 

     Commercial - Large Group*

  

Commercial - Small

Group & Individual


   Commercial Risk Subtotal

   ASO

   Commercial Subtotal

     12/04

   09/04

   12/03

     12/04  

   09/04

     12/03  

   12/04

   09/04

   12/03

     12/04  

     09/04  

     12/03  

   12/04

   09/04

   12/03

Arizona

   74    74    67    55    55    52    129    129    119    —      —      —      129    129    119

California

   1,101    1,130    1,148    459    489    523    1,560    1,619    1,671    3    3    2    1,564    1,622    1,673

Connecticut

   192    194    208    41    43    46    233    238    254    51    51    57    284    289    311

New Jersey

   98    109    141    111    123    154    210    232    294    18    18    19    228    250    313

New York

   144    153    155    108    110    116    252    262    271    7    7    10    259    269    281

Oregon

   105    100    93    33    33    27    138    133    120    1    1    —      139    134    120

Pennsylvania

   —      —      4    —      —      —      —      —      4    —      —      —      —      —      4
    
  
  
  
  
  
  
  
  
  
  
  
  
  
  

Total

   1,714    1,760    1,816    808    853    917    2,523    2,613    2,733    81    80    88    2,603    2,693    2,821
    
  
  
  
  
  
  
  
  
  
  
  
  
  
  

Year over Year

        (6)%              (12)%              (8)%              (8)%              (8)%     

Sequential

        (3)%              (5)%              (3)%              0%              (3)%     

 

     Medicare Risk

   Medicaid

   Health Plan Total

     12/04

   09/04

   12/03

   12/04

   09/04

   12/03

   12/04

   09/04

   12/03

Arizona

   35    36    36    —      —      —      164    164    156

California

   95    97    99    696    695    702    2,355    2,414    2,475

Connecticut

   27    27    27    94    95    98    405    411    436

New Jersey

   —      —      —      42    43    45    270    293    358

New York

   6    6    6    —      —      —      265    275    287

Oregon

   9    6    0    —      —      —      148    140    121

Pennsylvania

   —      —      —      —      —      —      —      —      4
    
  
  
  
  
  
  
  
  

Total

   171    171    169    831    833    846    3,605    3,696    3,836
    
  
  
  
  
  
  
  
  

Year over Year

        1%              (2)%              (6)%     

Sequential

        0%              (0)%              (2)%     

 

     12/04

   09/04

   12/03

TRICARE

              

Previous TRICARE Contracts **

   —      642    1,491

North Contract ***

   2,929    2,929    —  
    
  
  

Total TRICARE

   2,929    3,571    1,491

 


* Commercial Large Group includes Medicare Supplement

 

** Includes only TRICARE eligible for which we have health care risk

 

*** Includes TRICARE eligible for which we have health care risk, and those for which we provide Administrative Services Only (ASO), primarily active duty

 

17


Health Net, Inc. (a)

Consolidated Statements of Operations

(Amounts in thousands)

 

     Fourth Quarter
Ended
December 31,
2004


    Impact of
Selected Costs
Recorded in the
Fourth Quarter
Ended
December 31,
2004


 

REVENUES

              

Health plan services premiums

   $ 2,363,786        

Government contracts

     487,823        

Investment income

     14,378        

Other income

     1,606        
    


 

Total revenues

     2,867,593     —    
    


 

EXPENSES

              

Health plan services

     2,221,404     (229,400 )

Government contracts

     466,138        

General and administrative

     235,564     (12,000 )

Selling

     56,137        

Depreciation

     10,532        

Amortization

     861        

Interest

     9,347        

Asset impairment and restructuring charges

     10,319     (10,319 )

Net (gain) loss on sale of businesses and properties

     305     (305 )
    


 

Total expenses

     3,010,607     (252,024 )
    


 

Income before income taxes and cumulative effect of a change in accounting principle

     (143,014 )   252,024  

Income tax provision

     (57,385 )      
    


 

Net income

   $ (85,629 )      
    


 

Basic earnings (loss) per share

   $ (0.77 )      

Diluted earnings (loss) per share

   $ (0.77 )      

Weighted average shares outstanding

              

Basic

     110,844        

Diluted Shares

     110,844        

(a) This table presents the company’s consolidated operations for the fourth quarter of 2004 and the allocation of $252 million in pretax charges for the fourth quarter of 2004 to the Consolidated Statement of Operations.

 

18