EX-99.1 2 dex991.htm PRESENTATION SLIDES Presentation Slides
Jay Gellert
President & Chief Executive Officer
March 10, 2010
Cowen and Company
30
th
Annual
Health Care Conference
Exhibit 99.1


2
Cautionary Statement
Cautionary Statement
All statements in this presentation, other than statements of historical information provided herein, may be deemed to be
forward-looking statements and as such are subject to a number of risks and uncertainties. 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, statements including 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, costs, fees and expenses related to the post-closing
administrative services to be provided under the administrative services agreements entered into in connection with the sale of
our Northeast business; potential termination of the administrative services agreements by the service recipients should we
breach such agreements or fail to perform all or a material part of the services required thereunder; any liabilities of the 
Northeast business that were incurred prior to the closing of its sale as well as those liabilities incurred through the winding-up
and running-out period of the Northeast business; potential termination of our TRICARE North operations; potential health care
reform; rising health care costs; continued recessionary economic conditions or a further decline in the economy; negative prior
period claims reserve developments; trends in medical care ratios; unexpected utilization patterns or unexpectedly severe or
widespread illnesses; membership declines; rate cuts affecting our Medicare or Medicaid businesses; litigation costs; regulatory
issues; operational issues; investment portfolio impairment charges; volatility in the financial markets; and general business and
market 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 Securities and Exchange Commission (“SEC”) and the risks discussed in the
company’s other 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 any of its forward-looking statements to reflect events or circumstances
that arise after the date of this presentation.


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Non-GAAP Measures
Non-GAAP Measures
This presentation includes quarterly income statement
measurements that are not calculated and presented in
accordance with Generally Accepted Accounting Principles.
Audience participants should refer to the attached reconciliation
table, which reconciles certain non-GAAP financial information
to GAAP financial information.
Management believes that the non-GAAP financial information
discussed in this presentation is useful as it provides the
audience a basis to better understand the company’s results by
excluding items that are not indicative of our core operating
results for the periods presented.


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2009 Summary
2009 Summary
Improve Medicare performance
Solidify commercial base
Close Northeast transaction
Strengthen balance sheet
Strong TRICARE performance
Position for the future


5
2010 Earnings Guidance
2010 Earnings Guidance
Year-end Membership
Commercial: -1% to -2%
Medicaid: +5% to +6%
Medicare Advantage: -2% to -3%
PDP: +1% to +2%
Consolidated Revenues
$13 billion to $13.5 billion
Commercial
Premium
Yields
(b)
~ 8.3% to 8.8%
(Western Region 2009: ~$316 PMPM)
Commercial
Health
Care
Cost
Trends
(b)
~ 20-40 bps < Premium Yields
(Western Region 2009: ~$274 PMPM)
Selling Cost Ratio
~ 2.4%
Gov’t Contracts Ratio
~ 94.5% to 95%
G&A Expense Ratio
~ 8.8% to 9%
Tax Rate
~ 39%
Weighted-average Fully
Diluted Shares Outstanding
103 million –
104 million
GAAP EPS
Non-GAAP EPS
(a)
$1.92 to $2.02
$2.32 to $2.42
(a)
Excludes approximately $69 million in pretax charges. These charges include approximately $53 million related to the wind-down of the company’s Northeast
businesses and approximately $16 million related to the company’s operations strategy.
(b)
Commercial premium yields and commercial health care cost comparisons are on a same-store basis for the company’s Western health plans only for both
2009 and 2010.


Earnings
Earnings
Guidance
Guidance
Bridge
Bridge
2009-2010
2009-2010
(a)
(a)
Expect pretax margin to improve by ~60 basis points
G&A ratio to improve by 70 to 90 basis points
Health plan MCR to rise by ~20 basis points
Selling costs improve by ~30 basis points
Government contracts cost ratio flat
Net non-operating gains lower by ~30 basis points
Expect typical earnings seasonality
40 percent in first half of 2010 and 60 percent in
second half of 2010
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(a)
Excludes the impact of charges taken during 2009 and charges expected during 2010.  Also excludes revenues and expenses associated with the run-out of the Northeast
business. This information is non-GAAP financial information.  A reconciliation of non-GAAP financial measures is attached as an Appendix to this presentation.


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Commercial Opportunities
Commercial Opportunities
Product mix aligned with market changes
Lower-cost, narrow network products gaining traction
Interest in narrow networks resulting from economy
Key to small group and mid-market growth
Further margin expansion
Disciplined pricing and stable health care costs
Beneficial product and geographic mix changes
Positioned for growth resulting from ongoing
environmental changes


8
Medicare Strategy
Medicare Strategy
Built on network-model MA plans
Exited Private Fee-for-Service in 2010
“Staying the course”
in Part D
Positioned for margin stability in the future


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Government & Specialty Services
Government & Specialty Services
Stable financial performance
TRICARE update
DoD
to follow GAO recommendations –
will review unfair
competitive advantage issue first; if necessary, will
evaluate other flaws identified in GAO decision
No timeline for concluding review given
DoD
has given formal intent to exercise Option Periods
under current contract through March 31, 2011
Growth opportunities
MHN (behavioral health subsidiary)
Veterans Affairs


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Repositioning G&A
Repositioning G&A
G&A reductions an integral part of margin expansion
Made necessary investments over the past few years
Operations strategy nearly complete --
$125 million+
in run-rate savings achieved since 2007
Eliminate $80 million to $100 million in run-rate G&A
expenses in 2011
Create leaner, more focused organization


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Strong Balance Sheet
Strong Balance Sheet
As of December 31, 2009:
Total cash and investments of $2.1 billion with an average
credit quality of AA+
Investment portfolio with market value of $1.4 billion
Total debt of $602.5 million and debt-to-total capital ratio of
26.2 percent
Ended 2009 with approximately $450 million of cash at parent
after increasing subsidiary capital by $100 million
Expect approximately $140 million to $260 million in additional
net proceeds from the Northeast transaction during an estimated
two-year transition period*
Resumed share repurchase program in December 2009
Repurchased
2.7 million shares through January 29, 2010
*See Appendix for details


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Health Net: The Future
Health Net: The Future
Positioned for value-driven demand in marketplace
Medicare strategy focused on margin stability and
strong markets
G&A reductions aligned with repositioned business
Building strong cash position
Positioned for industry changes
Opportunities to improve performance


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Appendix
Appendix
Northeast transaction currently valued at approximately $490 million to $610 million
Received $350 million in proceeds at closing ($290 million in tangible net equity*
and $60 million membership-related payments)
Expect approximately $160 million to $280 million in additional proceeds during
the transition period
Remaining tangible net equity payments of approximately $160 million
Additional membership payments of up to $120 million           
(this amount is dependent on a number of factors, including the number of commercial
members that transition to UnitedHealthcare legacy products)
Net expense of $20 million from run-out, tax benefits, freed capital and other
costs
* Subject to subsequent true-up; the company is currently in discussions with UnitedHealthcare regarding the amount of the true-up.
Note: Additional information regarding the terms of the Northeast transaction is available in Health Net’s Form 10-K and Form 8-Ks on
file with the SEC.


Health Net, Inc.

Reconciliation of Non-GAAP Financial Measures

Operating Results Excluding Charges

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

This table presents the company’s consolidated operations for the periods presented below and the charges recorded in the consolidated statement of operations for such periods. Information for the quarter and year-ended December 31, 2009 also includes the financial impact from the December 11, 2009 sale of our Northeast health plans. Management believes that the presentation of certain financial information in the attached press release, excluding the charges that were recorded and excluding the impact from the divestiture of our Northeast health plans, all of which is non-GAAP financial information, is important to investors as it excludes special items that are not indicative of our core operating results. Non-GAAP financial information presented below should be considered in addition to, not as a substitute for, financial information prepared in accordance with GAAP.

 

    Quarter Ended
December 31, 2008
    Year Ended December 31, 2008     Quarter Ended September 30,
2009
 
    As
Reported
    Impact
of
Charge1
    Excluding
Impact of
Charge1
(Non-
GAAP)
    As
Reported
    Impact
of
Charges2
    Excluding
Impact of
Charges2
(Non-
GAAP)
    As
Reported
    Impact
of
Charge3
    Excluding
Impact of
Charge3
(Non-
GAAP)
 

REVENUES:

                 

Health plan services premiums

  $ 3,082,133        $ 3,082,133      $ 12,392,006        $ 12,392,006      $ 3,166,877        $ 3,166,877   

Government contracts

    751,604          751,604        2,835,261          2,835,261        758,507          758,507   

Net investment income

    24,536          24,536        91,042        (14,642     105,684        27,691          27,691   

Administrative services fees and other income

    11,209          11,209        48,280        (3,400     51,680        15,578          15,578   
                                                                       
    3,869,482        —          3,869,482        15,366,589        (18,042     15,384,631        3,968,653        —          3,968,653   
                                                                       

EXPENSES:

                 

Health plan services

    2,629,398        (5,700     2,635,098        10,762,657        37,496        10,725,161        2,734,984        (571     2,735,555   

Government contracts

    718,893          718,893        2,702,573          2,702,573        716,323          716,323   

General and administrative

    347,128        53,535        293,593        1,291,059        119,540        1,171,519        319,451        19,495        299,956   

Selling

    92,314          92,314        360,381          360,381        83,275          83,275   

Depreciation and amortization

    17,271          17,271        59,878          59,878        12,689          12,689   

Interest

    10,523          10,523        42,909          42,909        10,264          10,264   

Asset impairments

    —            —          —            —          170,570        170,570        —     

Loss on sale of businesses

    —            —          —            —          —            —     
                                                                       
    3,815,527        47,835        3,767,692        15,219,457        157,036        15,062,421        4,047,556        189,494        3,858,062   

Income (loss) from operations before income taxes

    53,955        (47,835     101,790        147,132        (175,078     322,210        (78,903     (189,494     110,591   

Income tax provision (benefit)

    18,420        (20,227     38,647        52,129        (70,951     123,080        (12,881     (53,890     41,009   
                                                                       

Net income (loss)

  $ 35,535      $ (27,608   $ 63,143      $ 95,003      $ (104,127   $ 199,130      $ (66,022   $ (135,604   $ 69,582   
                                                                       

Basic earnings (loss) per share

  $ 0.34        $ 0.61      $ 0.89        $ 1.87      $ (0.64     $ 0.67   

Diluted earnings (loss) per share

  $ 0.34        $ 0.61      $ 0.88        $ 1.85      $ (0.64     $ 0.67   

Weighted average shares outstanding:

                 

Basic

    103,694          103,694        106,532          106,532        103,873          103,873   

Diluted

    104,063          104,063        107,610          107,610        103,873          104,432   

Pretax margin

    1.4       2.6     1.0       2.1     -2.0       2.8

Health plan services MCR

    85.3       85.5     86.9       86.5     86.4       86.4

Government contracts cost ratio

    95.6       95.6     95.3       95.3     94.4       94.4

G&A expense ratio

    11.2       9.5     10.4       9.4     10.0       9.4

Selling costs ratio

    3.0       3.0     2.9       2.9     2.6       2.6

Effective tax rate

    34.1       38.0     35.4       38.2     16.3       37.1

 

1 Includes a $5.7 million pretax benefit for a litigation reserve true-up included in health plan services expenses and a $53.5 million pretax charge primarily for severance and other expenses related to the company’s operations strategy and included in G&A.
2 Includes a $175.1 million pretax charge in total of which:

(a) $119.6 million was primarily related to severance and other expenses associated with the company’s operations strategy and included in G&A expenses

(b) $37.5 million was included in health plan services expenses for estimated litigation liability and regulatory actions for the company’s rescission practices in Arizona and California and for the execution of the settlement agreement for the McCoy, et al., lawsuits

(c) $14.6 million investment impairment charge taken in the third quarter of 2008 and included in net investment income

(d) $3.4 million pretax charge related to the estimated loss on the sale of the assets of a subsidiary taken in the first quarter of 2008 and included in other income

3 Includes a $0.6 million pretax benefit for a litigation reserve true-up included in health care costs, a $19.5 million pretax charge primarily for IT systems and other expenses related to the company’s operations strategy and included in G&A expenses and a $170.6 million pretax asset impairment charge for goodwill, intangible and IT-related assets related to the sale of our Northeast health plans.

 

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Health Net, Inc.

Reconciliation of Non-GAAP Financial Measures

Operating Results Excluding Charges

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

 

    Quarter Ended December 31, 2009     Year Ended December 31, 2009  
    As
Reported
    Impact
of
Charges4
    Divested
Operations5
    Excluding
Impact of
Charges and
Divestiture4,5
(Non-
GAAP)
    As
Reported
    Impact
of
Charge6
    Divested
Operations5
    Excluding
Impact of
Charge and
Divestiture5,6
(Non-
GAAP)
 

REVENUES:

               

Health plan services premiums

  $ 2,981,678        $ 5,483      $ 2,976,195      $ 12,440,589        $ 5,483      $ 12,435,106   

Government contracts

    754,766            754,766        3,104,700            3,104,700   

Net investment income

    33,486          1,126        32,360        105,930          1,126        104,804   

Administrative services fees and other income

    28,165          15,113        13,052        62,022          15,113        46,909   
                                                               
    3,798,095        —          21,722        3,776,373        15,713,241        —          21,722        15,691,519   
                                                               

EXPENSES:

               

Health plan services

    2,557,149          5,508        2,551,641        10,731,951        (4,805     5,508        10,731,248   

Government contracts

    707,353        3,632          703,721        2,939,722        3,632          2,936,090   

General and administrative

    355,407        38,723        20,588        296,096        1,361,956        124,799        20,588        1,216,569   

Selling

    84,068          249        83,819        330,112          249        329,863   

Depreciation and amortization

    8,605          589        8,016        53,042          589        52,453   

Interest

    9,538            9,538        40,887            40,887   

Asset impairments

    4,309        4,309          —          174,879        174,879          —     

Loss on sale of businesses

    105,931        105,931          —          105,931        105,931          —     
                                                               
    3,832,360        152,595        26,934        3,652,831        15,738,480        404,436        26,934        15,307,110   

Income (loss) from operations before income taxes

    (34,265     (152,595     (5,212     123,542        (25,239     (404,436     (5,212     384,409   

Income tax provision (benefit)

    10,892        (38,149     (2,059     51,100        23,765        (123,533     (2,059     149,357   
                                                               

Net income (loss)

  $ (45,157   $ (114,446   $ (3,153   $ 72,442      $ (49,004   $ (280,903   $ (3,153   $ 235,052   
                                                               

Basic earnings (loss) per share

  $ (0.43       $ 0.70      $ (0.47       $ 2.26   

Diluted earnings (loss) per share

  $ (0.43       $ 0.69      $ (0.47       $ 2.25   

Weighted average shares outstanding:

               

Basic

    103,902            103,902        103,849            103,849   

Diluted

    103,902            104,626        103,849            104,412   

Pretax margin

    -0.9         3.3     -0.2         2.4

Health plan services MCR

    85.8         85.7     86.3         86.3

Government contracts cost ratio

    93.2         92.8     94.6         94.5

G&A expense ratio

    11.9         10.0     10.9         9.8

Selling costs ratio

    2.8         2.8     2.7         2.7

Effective tax rate

    -31.8         41.4     -94.2         38.9

 

4 Includes a $3.6 million charge for TRICARE contract procurement costs included in government contracts expenses and a $38.7 million operations strategy charge and Northeast divestiture related expenses, each of which are included in G&A expenses, and an asset impairment and loss on the sale of Northeast health plans recorded in 2009.
5 Represents revenues and expenses related to the run-off of the Northeast health plans divested on December 11, 2009.
6 Includes a $4.8 million pretax benefit for a litigation reserve true-up included in health care costs, $3.6 million charge for TRICARE contract procurement costs included in government contracts expenses, and $124.8 million of operations strategy and Northeast sale related expenses included in G&A expenses, and an asset impairment and loss on the sale of Northeast health plans recorded in 2009.

 

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