BioSpace.com

Biotech and Pharmaceutical
News & Jobs
Search the Site
 
   
Biotechnology and Pharmaceutical Channel Medical Device and Diagnostics Channel Clinical Research Channel BioSpace Collaborative    Job Seekers:  Register | Login          Employers:  Register | Login  

NEWSLETTERS
Free Newsletters
Archive
My Subscriptions

NEWS
News by Subject
News by Disease
News by Date
PLoS
Search News
Post Your News
JoVE

CAREER NETWORK
Job Seeker Login
Most Recent Jobs
Browse Biotech Jobs
Search Jobs
Post Resume
Career Fairs
Career Resources
For Employers

HOTBEDS
Regional News
US & Canada
  Biotech Bay
  Biotech Beach
  Genetown
  Pharm Country
  BioCapital
  BioMidwest
  Bio NC
  BioForest
  Southern Pharm
  BioCanada East
  US Device
Europe
Asia

DIVERSITY

INVESTOR
Market Summary
News
IPOs

PROFILES
Company Profiles

START UPS
Companies
Events

INTELLIGENCE
Research Store

INDUSTRY EVENTS
Biotech Events
Post an Event
RESOURCES
Real Estate
Business Opportunities

 News | News By Subject | News by Disease News By Date | Search News
eNewsletter Signup
Miles
Km80.5

   

Anthem, Inc. Reports Results For The Third Quarter 2004


10/19/2005 5:11:58 PM

INDIANAPOLIS, Oct. 27 /PRNewswire-FirstCall/ -- Anthem, Inc. today announced third quarter 2004 net income increased to $242.1 million, or $1.70 per share, compared with net income of $196.5 million, or $1.38 per share, for the third quarter of 2003. Net income in the third quarters of 2004 and 2003 each included net realized gains of $0.03 per share.

"We continued to expand our leading market positions with sustained enrollment growth, allowing us to further leverage administrative costs over a larger membership base. It is clear that employers and individuals across our regions value Anthem's product offerings, broad network reach, attractive discounts, and distinctive customer service," said Larry C. Glasscock, chairman, president and chief executive officer of Anthem, Inc. "While we remain very focused on delivering distinctive service to our members, we are also very committed to completing our proposed merger with WellPoint Health Networks, which will provide even greater benefits for all of our members."

Consolidated Highlights

Membership: Medical enrollment exceeded 12.7 million members at September 30, 2004, increasing by 890,000 members, or 8 percent, since September 30, 2003. Membership gains from National Accounts were the primary drivers of growth, including a 20 percent increase in non-BlueCard membership. Enrollment growth in the Individual and Small Group businesses complemented the National expansion. Total medical enrollment increased by 810,000 members, or 7 percent, since December 31, 2003.

Operating Revenue: Operating revenue increased by 13 percent, to $4.7 billion, compared with $4.2 billion in the third quarter of 2003. The growth in revenues was attributable to disciplined pricing and solid membership gains, with the Small and Local Large Group businesses contributing most significantly to the overall increase.

Benefit Expense: The benefit expense ratio increased by 170 basis points, to 82.7 percent, compared with 81.0 percent in the third quarter of 2003. The increase reflected lower than anticipated medical costs in the third quarter of 2003 and a return to more sustainable levels in the third quarter of 2004. The current quarter also included a 20 basis point benefit associated with $8.7 million in net favorable prior year reserve development.

Premium and Cost Trends: Medical cost trend for fully insured group business, on a rolling twelve month basis, remained relatively stable and is anticipated to be within prior expectations of 9.5 to 10.5 percent for the full year 2004.

Pricing remained disciplined and premium increases were sufficient to cover cost increases, which have been driven primarily by professional and outpatient services.

Administrative Expense: The administrative expense ratio improved by 180 basis points to 16.9 percent, compared with 18.7 percent in the third quarter of 2003. Focused, disciplined management of administrative expenses over a larger membership base and lower incentive compensation costs contributed to the decline.

Included in the third quarter 2004 results was $5.6 million in severance expenses due to a workforce reduction made possible by continued process and productivity improvements, primarily in the East region.

Operating Cash Flow: Third quarter 2004 operating cash flow totaled $409.6 million, or 1.7 times net income.

Days in Claims Payable: Days in claims payable decreased 2.0 days, to 47.2 days as of September 30, 2004, compared with 49.2 days as of June 30, 2004. The reduction was primarily attributable to adjudicating claims at a faster pace and a reduction in claim inventories.

Share Repurchase Program: During the third quarter of 2004, 1.0 million shares were repurchased for $82.2 million at an average price of $82.24 per share. On October 25, 2004, Anthem's Board of Directors approved a new share repurchase program authorizing an additional $500 million to purchase shares, subject to market conditions.

Anthem, Inc. Operating Segment Highlights - Third Quarter 2004 (Unaudited) Three Months Ended Nine Months Ended ($ in Millions) September 30 September 30 2004 2003 Change 2004 2003 Change Operating Revenue: Midwest $1,966.0 $1,693.6 16% $5,727.4 $4,960.3 15% East 1,256.4 1,160.5 8% 3,610.9 3,387.0 7% West 299.7 266.6 12% 863.1 774.1 11% Southeast 1,065.3 950.4 12% 3,111.6 2,795.3 11% Regional Health Segments 4,587.4 4,071.1 13% 13,313.0 11,916.7 12% Specialty 279.1 194.2 44% 809.1 533.4 52% Other: External Customers 45.9 43.8 5% 135.4 142.5 (5%) Intercompany Eliminations (183.5) (123.3) 49% (528.4) (331.7) 59% Total Other (137.6) (79.5) 73% (393.0) (189.2) - Total Operating Revenue 4,728.9 4,185.8 13% 13,729.1 12,260.9 12% Operating Gain (Loss): Midwest $145.3 $108.9 33% $390.0 $323.6 21% East 82.3 75.4 9% 231.6 212.8 9% West 24.1 32.6 (26%) 77.8 79.9 (3%) Southeast 94.0 82.0 15% 301.6 243.4 24% Regional Health Segments 345.7 298.9 16% 1,001.0 859.7 16% Specialty 19.5 18.7 4% 54.9 47.6 15% Other (21.0) (38.6) (46%) (47.4) (97.4) (51%)

Regional Health Segments: Operating revenue and operating gain are the key measures used by management to evaluate performance in each segment. Operating gain for the regional health segments in total improved 16 percent compared with the third quarter of 2003, driven by enhanced results in the National business.

Significantly improved administrative expense ratios were realized in each health segment. These improvements were partially offset by higher benefit expense ratios, which returned to more sustainable levels in the third quarter of 2004.

Third quarter 2004 operating gain included $8.7 million in net favorable prior year reserve development, consisting of $12.7 million in favorable development in the Midwest region and $4.0 million in unfavorable development in the East region. The net favorable prior year reserve development was partially offset by $5.6 million in severance expenses, primarily in the East region.

Included in the results for the third quarter of 2003 was $30.0 million of premium refunds to certain policyholders in the Southeast region and a $10.0 million contribution to the Anthem Foundation by the East region.

Specialty: Operating gain increased by 4 percent compared with the third quarter of 2003. Strong growth in the pharmacy benefit management operation, including a 44 percent increase in mail-order prescription volume, was partially offset by results in the other Specialty businesses.

Other: Operating loss in this segment was lower in 2004 compared with the same period of 2003, primarily due to lower incentive compensation expenses.

Anthem, Inc.'s Earnings Outlook

* Net income per share for the fourth quarter of 2004 is expected to be relatively consistent with results for the third quarter of 2004.

* Net income expectations for full year 2004 increased to $7.05 to $7.10 per share from $6.95 to $7.05 per share. These expectations include $0.31 per share in tax benefits associated with a change in Indiana laws governing the state's high-risk health insurance pool and $0.19 per share in net realized gains.

* Net income for full year 2005 is expected to reach at least $7.60 per share, or a 15 percent improvement on a comparable basis to 2004.

Basis of Presentation

1. Operating gain is defined as operating revenue less benefit expense and administrative expense. Operating gain is used to analyze profit or loss on a segment basis only and not on a consolidated basis. Consolidated operating gain is a non-GAAP measure.

2. All income per share amounts are on an after-tax, diluted per share basis.

3. Certain prior year amounts have been reclassified to conform to current year presentation.

Conference Call and Webcast

Anthem will host a conference call and webcast today at 8:30 a.m. Eastern Daylight Time to discuss its third quarter earnings results and outlook. The conference call can be accessed by dialing 888-423-3268 (International 612-332-0630). No access-code is required. The webcast can be accessed at Anthem's web site, http://www.anthem.com/ , under Investor Relations. Please visit the website or dial in at least 15 minutes in advance. A replay of the call will be available after 12:45 p.m. today until the end of the day on November 10, 2004 by dialing 800-475-6701 (International 320-365-3844), access-code 691033.

About Anthem

Anthem's mission is to improve the health of the people it serves. Anthem, Inc. is an Indiana-domiciled publicly traded company that, through its subsidiary companies, provides health care benefits to more than 12.7 million people. Anthem is the fourth largest publicly traded health benefits company in the United States and an independent licensee of the Blue Cross and Blue Shield Association. Anthem is the Blue Cross and Blue Shield licensee for Indiana, Kentucky, Ohio, Connecticut, New Hampshire, Maine, Colorado, Nevada and Virginia, excluding the Northern Virginia suburbs of Washington, D.C. Anthem had assets of $14.1 billion as of September 30, 2004, and full year 2003 revenue of $16.8 billion. More information about Anthem is available at http://www.anthem.com/ .

Anthem, Inc. Membership Summary (Unaudited) (In Thousands) Change September September December September December 30, 30, 31, 30, 31, 2004 2003 2003 2003 2003 Customer Type Local Large Group 3,929 3,868 3,869 2% 2% Small Group 1,300 1,223 1,257 6% 3% Individual 1,284 1,182 1,202 9% 7% National Accounts(1) 5,202 4,574 4,596 14% 13% Medicare Advantage 91 96 94 (5%) (3%) Federal Employee Program 712 699 699 2% 2% Medicaid 219 205 210 7% 4% Total 12,737 11,847 11,927 8% 7% Funding Arrangement Self-Funded 7,076 6,368 6,412 11% 10% Fully Insured 5,661 5,479 5,515 3% 3% Total 12,737 11,847 11,927 8% 7% Operating Segments Midwest 6,072 5,624 5,688 8% 7% East 2,688 2,621 2,600 3% 3% West 1,133 931 939 22% 21% Southeast 2,844 2,671 2,700 6% 5% Total 12,737 11,847 11,927 8% 7%

(1) Includes 3,089 BlueCard members as of September 30, 2004, 2,809 as of September 30, 2003 and 2,816 as of December 31, 2003.

Anthem, Inc. Consolidated Statements of Income (Unaudited) ($ In Millions, Except Per Share Data) Three Months Ended September 30 2004 2003 Change Revenues Premiums $4,335.3 $3,857.1 12% Administrative fees 344.8 297.4 16% Other revenue 48.8 31.3 56% Total operating revenue 4,728.9 4,185.8 13% Net investment income 67.9 70.8 (4%) Net realized gains on investments 6.2 5.2 19% Total revenue 4,803.0 4,261.8 13% Expenses Benefit expense 3,583.8 3,123.3 15% Administrative expense 800.9 783.5 2% Interest expense 32.9 32.9 - Amortization of other intangible assets 11.3 11.9 (5%) Total expense 4,428.9 3,951.6 12% Income before income taxes and minority interest 374.1 310.2 21% Income taxes 131.0 112.1 17% Minority interest 1.0 1.6 (38%) Net income $242.1 $196.5 23% Net income per diluted share $1.70 $1.38 23% Diluted shares (in millions) 142.7 142.7 - Benefit expense as a percentage of premiums 82.7% 81.0% 170 bp Administrative expense as a percentage of total operating revenue 16.9% 18.7% (180)bp Income before income taxes and minority interest as a percentage of total revenue 7.8% 7.3% 50 bp Anthem, Inc. Consolidated Statements of Income (Unaudited) ($ In Millions, Except Per Share Data) Nine Months Ended September 30 2004 2003 Change Revenues Premiums $12,577.5 $11,289.0 11% Administrative fees 1,011.5 879.4 15% Other revenue 140.1 92.5 51% Total operating revenue 13,729.1 12,260.9 12% Net investment income 211.8 207.9 2% Net realized gains on investments 40.7 7.7 - Total revenue 13,981.6 12,476.5 12% Expenses Benefit expense 10,343.1 9,177.2 13% Administrative expense 2,377.5 2,273.8 5% Interest expense 97.4 98.6 (1%) Amortization of other intangible assets 33.7 35.6 (5%) Total expense 12,851.7 11,585.2 11% Income before income taxes and minority interest 1,129.9 891.3 27% Income taxes 351.7 321.8 9% Minority interest 2.6 4.0 (35%) Net income $775.6 $565.5 37% Net income per diluted share $5.43 $3.98 36% Diluted shares (in millions) 142.8 142.0 1% Benefit expense as a percentage of premiums 82.2% 81.3% 90 bp Administrative expense as a percentage of total operating revenue 17.3% 18.5% (120)bp Income before income taxes and minority interest as a percentage of total revenue 8.1% 7.1% 100 bp Anthem, Inc. Consolidated Balance Sheets ($ In Millions) September 30, December 31, 2004 2003 (Unaudited) Assets Current assets: Investments available-for-sale, at fair value $7,237.1 $6,915.2 Cash and cash equivalents 710.6 464.5 Receivables, net 1,601.1 1,419.3 Other current assets 77.9 66.0 Total current assets 9,626.7 8,865.0 Restricted cash and investments 59.2 58.3 Property and equipment, net 499.8 510.5 Goodwill and other intangible assets 3,638.0 3,677.1 Prepaid pension benefits 240.7 258.3 Other noncurrent assets 72.1 69.4 Total assets $14,136.5 $13,438.6 Liabilities and shareholders' equity Liabilities Current liabilities: Policy liabilities: Unpaid life, accident and health claims $1,899.3 $1,866.8 Future policy benefits 380.3 372.6 Other policyholder liabilities 503.4 505.0 Total policy liabilities 2,783.0 2,744.4 Unearned income 395.5 411.1 Accounts payable and accrued expenses 445.7 493.4 Bank overdrafts 378.6 401.7 Income taxes payable 67.3 147.6 Other current liabilities 743.5 573.3 Total current liabilities 4,813.6 4,771.5 Long term debt, less current portion 1,520.4 1,662.8 Postretirement benefits 182.0 188.4 Deferred income taxes 465.7 524.8 Other noncurrent liabilities 354.1 291.2 Total liabilities 7,335.8 7,438.7 Shareholders' equity Common stock 1.4 1.4 Additional paid in capital 4,810.2 4,708.7 Retained earnings 1,882.3 1,154.3 Unearned restricted stock compensation (1.8) (3.2) Accumulated other comprehensive income 108.6 138.7 Total shareholders' equity 6,800.7 5,999.9 Total liabilities and shareholders' equity $14,136.5 $13,438.6 Anthem, Inc. Consolidated Statements of Cash Flows (Unaudited) Nine Months Ended September 30 ($ In Millions) 2004 2003 Operating activities Net income $775.6 $565.5 Adjustments to reconcile net income to net cash provided by operating activities: Net realized gains on investments (40.7) (7.7) Depreciation, amortization and accretion 181.0 183.6 Deferred income taxes 0.1 120.6 Gain on sale of assets (0.4) (0.2) Changes in operating assets and liabilities, net of effect of purchases and divestitures: Restricted cash and investments (1.7) (7.9) Receivables (74.0) (221.6) Other assets (15.1) (1.0) Policy liabilities 38.6 (1.0) Unearned income (15.6) 30.5 Pension and postretirement benefits 11.2 (82.5) Accounts payable and accrued expenses (48.4) (33.3) Other liabilities (94.7) 168.6 Income taxes (33.2) 12.1 Cash provided by operating activities 682.7 725.7 Investing activities Purchases of investments (4,870.1) (3,623.3) Sales or maturities of investments 4,516.7 3,163.3 Proceeds from settlement of cash flow hedge 20.3 - Purchase of subsidiaries, net of cash acquired - (3.5) Sale of subsidiaries, net of cash sold - (2.8) Proceeds from sale of property and equipment 1.5 5.2 Purchases of property and equipment (85.6) (83.1) Cash used in investing activities (417.2) (544.2) Financing activities Proceeds from long term borrowings and exchange of remarketed subordinated debentures included in Equity Security Units 5.7 - Payments on long-term borrowings - (100.0) Repurchase and retirement of common stock (82.2) (143.9) Proceeds from employee stock purchase plan and exercise of stock options 57.1 37.6 Cash used in financing activities (19.4) (206.3) Change in cash and cash equivalents 246.1 (24.8) Cash and cash equivalents at beginning of period 464.5 694.9 Cash and cash equivalents at end of period $710.6 $670.1 Anthem, Inc. Reconciliation of Unpaid Life, Accident and Health Claims Nine Months Ended September 30 ($ In Millions) 2004 2003 (Unaudited) Balances at beginning of period, net of reinsurance $1,856.4 $1,821.2 Business acquisitions, divestitures, purchase adjustments and reclassifications (14.0) (15.5) Subtotal 1,842.4 1,805.7 Incurred related to: Current year 10,512.5 9,353.1 Prior years (redundancies) (1) (169.9) (181.3) Total incurred 10,342.6 9,171.8 Paid related to: Current year 8,765.1 7,725.5 Prior years 1,533.8 1,399.1 Total paid 10,298.9 9,124.6 Balances at end of period, net of reinsurance 1,886.1 1,852.9 Reinsurance recoverables at end of period 13.2 8.9 Reserve gross of reinsurance recoverables on unpaid claims at end of period $1,899.3 $1,861.8 Current year paid as a percent of current year incurred 83.4% 82.6% Prior year incurred redundancies in the current period as a percent of prior year incurred claims 1.4% 1.8% (2) Years Ended December 31 ($ In Millions) 2003 2002 2001 Balances at beginning of period, net of reinsurance $1,821.2 $1,352.7 $1,382.1 Business acquisitions, divestitures, purchase adjustments and reclassifications (20.6) 379.4 (139.1) Subtotal 1,800.6 1,732.1 1,243.0 Incurred related to: Current year 12,462.3 9,965.1 7,843.1 Prior years (redundancies) (1) (226.1) (150.7) (96.4) Total incurred 12,236.2 9,814.4 7,746.7 Paid related to: Current year 10,685.4 8,396.4 6,521.5 Prior years 1,495.0 1,328.9 1,115.5 Total paid 12,180.4 9,725.3 7,637.0 Balances at end of period, net of reinsurance 1,856.4 1,821.2 1,352.7 Reinsurance recoverables at end of period 10.4 4.8 7.6 Reserve gross of reinsurance recoverables on unpaid claims at end of period $1,866.8 $1,826.0 $1,360.3 Current year paid as a percent of current year incurred 85.7% 84.3% 83.1% Prior year incurred redundancies in the current period as a percent of prior year incurred claims 2.3% (2) 1.9% 1.5%

(1) Negative amounts reported for incurred related to prior years result from claims being settled for amounts less than originally estimated. The redundancy of $169.9 million shown in the above table represents an estimate based upon claims activity from January 1, 2004 to September 30, 2004, and is subject to change based upon future paid claim activity.

(2) This ratio is impacted by having only five months of incurred claims for the Southeast segment in 2002. If the Southeast segment had been included for the full year 2002, the ratio would have been approximately 1.6% for the first nine months of 2003 and 2.0% for the full year 2003.

SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995

This press release contains certain forward-looking information about Anthem, Inc. ("Anthem") that is intended to be covered by the safe harbor for "forward-looking statements" provided by the Private Securities Litigation Reform Act of 1995. Forward-looking statements are statements that are not historical facts. Words such as "expect(s)," "feel(s)," "believe(s)," "will," "may," "anticipate(s)" and similar expressions are intended to identify forward-looking statements. These statements include, but are not limited to, financial projections and estimates and their underlying assumptions; statements regarding plans, objectives and expectations with respect to future operations, products and services; and statements regarding future performance. Such statements are subject to certain risks and uncertainties, many of which are difficult to predict and generally beyond the control of Anthem, that could cause actual results to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include: those discussed and identified in public filings with the U.S. Securities and Exchange Commission ("SEC") made by Anthem; trends in health care costs and utilization rates; our ability to secure sufficient premium rate increases; competitor pricing below market trends of increasing costs; increased government regulation of health benefits and managed care; significant acquisitions or divestitures by major competitors; introduction and utilization of new prescription drugs and technology; a downgrade in our financial strength ratings; litigation targeted at health benefits companies; our ability to contract with providers consistent with past practice; our ability to consummate Anthem's merger with WellPoint Health Networks Inc., to achieve expected synergies and operating efficiencies in the merger within the expected time-frames or at all and to successfully integrate our operations; such integration may be more difficult, time-consuming or costly than expected; revenues following the transaction may be lower than expected; operating costs, customer loss and business disruption, including, without limitation, difficulties in maintaining relationships with employees, customers, clients or suppliers, may be greater than expected following the transaction; the regulatory approvals required for the transaction may not be obtained on the terms expected or on the anticipated schedule; our ability to meet expectations regarding the timing, completion and accounting and tax treatments of the transaction and the value of the transaction consideration; future bio-terrorist activity or other potential public health epidemics; and general economic downturns. Readers are cautioned not to place undue reliance on these forward-looking statements that speak only as of the date hereof. Anthem does not undertake any obligation to republish revised forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events. Readers are also urged to carefully review and consider the various disclosures in Anthem's various SEC reports, including but not limited to its Annual Report on Form 10-K for the year ended December 31, 2003 and Quarterly Reports on Form 10-Q for the reporting periods of 2004.

Anthem, Inc.

CONTACT: Investor Relations: Tami Durle, +1-317-488-6390,tami.durle@anthem.com , or Media: James Kappel, +1-317-488-6400,james.kappel@anthem.com , both of Anthem, Inc.



Read at BioSpace.com

   

ADD TO DEL.ICIO.US    ADD TO DIGG    ADD TO FURL    ADD TO STUMBLEUPON    ADD TO TECHNORATI FAVORITES