EX-99.1 2 dex991.htm PRESENTATION SLIDES FOR INVESTOR MEETINGS Presentation Slides for Investor Meetings
March 25, 2010
Health Net, Inc.
Investor Presentation
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;
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.


3
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.


4
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
6
(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.


7
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


9
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
-
Current contract extended through March 31, 2011
Growth opportunities
MHN (behavioral health subsidiary)
Veterans Affairs


10
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


11
Financial Flexibility
Financial Flexibility
and Share Repurchases
and Share Repurchases
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
*
Share repurchase programs
-
Completed previously existing program in February 2010
-
Board authorized new program with $300 million in share
repurchase authority in March 2010; share repurchases are
subject to board approval
* See Appendix for details


12
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


13
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.

 

14


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.

 

15