Centene Corporation Reports 2018 Second Quarter Results And Updates 2018 Guidance

2018 Second Quarter Diluted EPS of $1.50; Adjusted Diluted EPS of $1.80

 

ST. LOUIS, July 24, 2018 /PRNewswire/ -- Centene Corporation (NYSE: CNC) announced today its financial results for the second quarter ended June 30, 2018, reporting diluted earnings per share (EPS) of $1.50 and Adjusted Diluted EPS of $1.80.

In summary, the 2018 second quarter results were as follows:

    Total revenues (in millions)                  $14,181

    Health benefits ratio                85.7%

    SG&A expense ratio                    9.6%

    GAAP diluted EPS                                $1.50

    Adjusted Diluted EPS (1)                        $1.80

    Total cash flow used in
     operations (in millions)                      $(526)
    -------------------------                       -----
    (1)              A full
                     reconciliation
                     of Adjusted
                     Diluted EPS
                     is shown on
                     page six of
                     this
                     release.

Michael F. Neidorff, Centene's Chairman and Chief Executive Officer, stated, "Centene's strong fundamentals will be enhanced by the strategic and financial benefits of our recently closed Fidelis Care acquisition."

Second Quarter Highlights

  • June 30, 2018 managed care membership of 12.8 million, an increase of 584,700 members, or 5%, over June 30, 2017.
  • Total revenues for the second quarter of 2018 of $14.2 billion, representing 19% growth, compared to the second quarter of 2017.
  • Health benefits ratio (HBR) of 85.7% for the second quarter of 2018, compared to 86.3% in the second quarter of 2017.
  • Selling, general and administrative (SG&A) expense ratio and Adjusted SG&A expense ratio of 9.6% for the second quarter of 2018, compared to 9.3% for the second quarter of 2017.
  • Diluted EPS for the second quarter of 2018 of $1.50, compared to $1.44 for the second quarter of 2017.
  • Adjusted Diluted EPS for the second quarter of 2018 of $1.80, compared to $1.59 for the second quarter of 2017.
  • Operating cash flow of $(526) million for the second quarter of 2018, and $1.3 billion for the six months ended June 30, 2018. As expected and highlighted at our June Investor Day, the second quarter cash flow was negatively affected by the repayment of $630 million of Medicaid expansion rate overpayments in California, which was previously accrued.

Other Events

  • In July 2018, we completed the acquisition of substantially all of the assets of Fidelis Care for $3.75 billion. The acquisition was funded through approximately $2.8 billion of new equity and approximately $1.8 billion of new long-term debt. Both offerings were completed in May 2018.
  • In July 2018, our subsidiary, Health Net Federal Services, was awarded the next generation Military & Family Life Counseling Program contract. The awarded contract is up to ten years, including multiple one-year option periods.
  • In July 2018, Centurion began operating under a contract to provide healthcare services for correctional facilities in Pima County, Arizona. In addition, Centurion's contracts for correctional facilities were reprocured in Florida, New Hampshire and Tennessee.
  • In June 2018, our Kansas subsidiary, Sunflower Health Plan, was selected to continue providing managed care services to KanCare beneficiaries statewide. The new contract is expected to commence January 1, 2019.
  • In June 2018, we announced our partnership with the National Council on Independent Living for the "Barrier Removal Fund" program. This program is an initiative to increase the accessibility of provider medical offices and services for people with disabilities.
  • In May 2018, our Washington State subsidiary, Coordinated Care of Washington, was selected to provide expanded managed care services to Apple Health's Fully Integrated Managed Care (FIMC) Medicaid beneficiaries. This new contract integrates physical and behavioral health.
  • In May 2018, our Iowa subsidiary, Iowa Total Care, Inc., was selected to negotiate a new statewide contract for the IA Health Link Program. Pending regulatory approval, the contract is expected to commence on July 1, 2019.
  • In May 2018, our Florida subsidiary, Sunshine Health, was awarded a contract to provide physical and behavioral health care services in all 11 regions through Florida's Statewide Medicaid Managed Care Program, subject to regulatory approval and successful completion of readiness review. The five year contract is expected to begin December 1, 2018 and will be implemented by region through February 2019.

Accreditations & Awards

  • In July 2018, FORTUNE magazine announced Centene's position of #210 in its annual ranking of the largest companies globally by revenue.
  • In July 2018, Forbes announced Centene's position of #43 in its ranking of "Global 2000: Growth Champions."
  • In June 2018, Centene and several of its subsidiaries earned Accreditation from NCQA, including SilverSummit Healthplan and Envolve Pharmacy Solutions.
  • In May 2018, FORTUNE magazine announced Centene's position of #61 in its annual ranking of America's largest companies by revenue.
  • In May 2018, at Decision Health's Ninth Annual Case in Point Platinum Awards, Centene and six of its subsidiaries were honored for their innovative programs.

Membership

The following table sets forth our membership by line of business:

                                          June 30

                                      2018        2017
                                      ----        ----

    Medicaid:

    TANF, CHIP & Foster Care     5,852,000              5,854,400

    ABD & LTSS                     874,200                843,500

    Behavioral Health              454,600                466,500
                                   -------                -------

       Total Medicaid            7,180,800              7,164,400

    Commercial                   2,051,700              1,743,600

    Medicare (1)                   343,800                327,500

    Correctional                   157,900                160,400
                                   -------                -------

       Total at-risk membership  9,734,200              9,395,900

    TRICARE eligibles            2,851,500              2,823,200

    Non-risk membership            218,100                      -
                                   -------                    ---

       Total                    12,803,800             12,219,100
                                ==========             ==========
    (1)                Membership
                       includes
                       Medicare
                       Advantage,
                       Medicare
                       Supplement,
                       Special
                       Needs Plans,
                       and
                       Medicare-
                       Medicaid
                       Plans (MMP).

The following table sets forth additional membership statistics, which are included in the membership information above:

                                           June 30

                                      2018         2017
                                      ----         ----

    Dual-eligible (2)              489,500                467,500

    Health Insurance Marketplace 1,503,100              1,084,600

    Medicaid Expansion           1,079,700              1,101,900
    (2)              Membership
                     includes
                     dual-
                     eligible
                     ABD & LTSS
                     and dual-
                     eligible
                     Medicare
                     membership
                     in the
                     table
                     above.

Revenues

The following table sets forth supplemental revenue information for the three months ended June 30, ($ in millions):

                    2018         2017     % Change
                                        2017-2018
                                           ---------

    Medicaid              $8,919              $8,068     11%

    Commercial     3,143          2,122              48%

    Medicare (1)   1,203          1,134               6%

    Other            916            630              45%

    Total Revenues       $14,181             $11,954     19%
                         =======             =======     ===
    (1)              Medicare
                     includes
                     Medicare
                     Advantage,
                     Medicare
                     Supplement,
                     Special
                     Needs Plans,
                     and MMP.

Statement of Operations: Three Months Ended June 30, 2018

  • For the second quarter of 2018, total revenues increased 19% to $14.2 billion, from $12.0 billion in the comparable period in 2017. The increase over prior year was due to growth in the Health Insurance Marketplace business in 2018, acquisitions, expansions and new programs in many of our states in 2017 and 2018, and the reinstatement of the health insurer fee in 2018. Total revenues also increased by approximately $500 million associated with pass through payments from the State of California received in the second quarter that were recorded in premium tax revenue and premium tax expense. These increases were partially offset by the impact of the removal of the in-home support services (IHSS) program from California's Medicaid contract in January 2018.
  • Sequentially, total revenues increased 8% over the first quarter of 2018 primarily due to the pass through payments from the State of California noted above, the Illinois contract expansion and acquisitions.
  • HBR of 85.7% for the second quarter of 2018 represents a decrease from 86.3% in the comparable period in 2017. The year-over-year decrease was primarily a result of membership growth in the Health Insurance Marketplace business and the reinstatement of the health insurer fee in 2018. These decreases were partially offset by the impact of retroactive minimum medical loss ratio (MLR) changes under California's Medicaid expansion program.
  • HBR increased sequentially from 84.3% in the first quarter of 2018. The increase was primarily attributable to normal seasonality in the commercial business and the California minimum MLR changes noted above. These HBR increases were partially offset by the decrease in flu-related costs over the first quarter of 2018.
  • The SG&A expense ratio and Adjusted SG&A expense ratio were 9.6% for the second quarter of 2018, compared to 9.3% for the second quarter of 2017. The year-over-year increase was primarily a result of growth in the Health Insurance Marketplace business, which operates at a higher SG&A expense ratio.

Balance Sheet

At June 30, 2018, the Company had cash, investments and restricted deposits of $15.0 billion, including $3.5 billion held by unregulated entities. Medical claims liabilities totaled $5.0 billion, representing 44 days in claims payable, which is an increase of one day over the first quarter of 2018. Total debt was $6.3 billion, and there were no borrowings on our revolving credit facility. The Company had $1.5 billion available on the revolving credit facility at quarter-end. The debt to capitalization ratio was 36.7% at June 30, 2018, excluding the $85 million non-recourse mortgage note and construction loan.

Outlook

The Company's full updated annual guidance for 2018 is as follows:

                                          Full Year 2018

                                    Low                  High
                                    ---                  ----

    Total revenues (in billions)              $59.2                  $60.0

    GAAP diluted EPS                          $4.25                  $4.57

    Adjusted Diluted EPS (1)                  $6.80                  $7.16

    HBR                              85.9%                    86.4%

    SG&A expense ratio               10.2%                    10.7%

    Adjusted SG&A expense ratio (2)   9.4%                     9.9%

    Effective tax rate               34.0%                    36.0%

    Diluted shares outstanding (in
     millions)                       198.7                     199.7

    (1)              Adjusted Diluted EPS excludes
                     amortization of acquired
                     intangible assets of $0.81 to
                     $0.83 per diluted share,
                     acquisition related expenses
                     of $1.62 to $1.64 per diluted
                     share and California minimum
                     MLR changes of $0.12 per
                     diluted share.

    (2)              Adjusted SG&A expense ratio
                     excludes acquisition related
                     expenses of $422 million to
                     $428 million, of which $400
                     million to $406 million will
                     be incurred in the second half
                     of 2018.

Conference Call

As previously announced, the Company will host a conference call Tuesday, July 24, 2018, at approximately 8:30 AM (Eastern Time) to review the financial results for the second quarter ended June 30, 2018. Michael Neidorff and Jeffrey Schwaneke will host the conference call.

Investors and other interested parties are invited to listen to the conference call by dialing 1-877-883-0383 in the U.S. and Canada; +1-412-902-6506 from abroad, including the following Elite Entry Number: 7229256 to expedite caller registration; or via a live, audio webcast on the Company's website at www.centene.com, under the Investors section.

A webcast replay will be available for on-demand listening shortly after the completion of the call for the next twelve months or until 11:59 PM (Eastern Time) on Tuesday, July 23, 2019, at the aforementioned URL. In addition, a digital audio playback will be available until 9:00 AM (Eastern Time) on Tuesday, July 31, 2018, by dialing 1-877-344-7529 in the U.S. and Canada, or +1-412-317-0088 from abroad, and entering access code 10121638.

Non-GAAP Financial Presentation

The Company is providing certain non-GAAP financial measures in this release as the Company believes that these figures are helpful in allowing investors to more accurately assess the ongoing nature of the Company's operations and measure the Company's performance more consistently across periods. The Company uses the presented non-GAAP financial measures internally to allow management to focus on period-to-period changes in the Company's core business operations. Therefore, the Company believes that this information is meaningful in addition to the information contained in the GAAP presentation of financial information. The presentation of this additional non-GAAP financial information is not intended to be considered in isolation or as a substitute for the financial information prepared and presented in accordance with GAAP.

Specifically, the Company believes the presentation of non-GAAP financial information that excludes amortization of acquired intangible assets, acquisition related expenses, as well as other items, allows investors to develop a more meaningful understanding of the Company's performance over time. The tables below provide reconciliations of non-GAAP items ($ in millions, except per share data):

                         Three Months Ended             Six Months Ended
                              June 30,                      June 30,

                        2018                2017        2018                 2017
                        ----                ----        ----                 ----

    GAAP net earnings            $300                           $254                 $640  $393

    Amortization of
     acquired
     intangible assets    45                         39                       84        79

    Acquisition
     related expenses      1                          1                       22         6

    California minimum
     medical loss
     ratio changes (1)    30                          -                      30         -

    Penn Treaty
     assessment
     expense (2)           -                         -                       -       47

    Income tax effects
     of adjustments
     (3)               (16)                      (14)                    (30)     (48)

       Adjusted net
        earnings                 $360                           $280                 $746  $477
                                 ====                           ====                 ====  ====
    (1)              The impact of retroactive
                     minimum MLR changes under
                     California's Medicaid
                     expansion program.

    (2)              Additional expense for the
                     Company's estimated share of
                     guaranty association
                     assessment resulting from the
                     liquidation of Penn Treaty for
                     the six months ended June 30,
                     2017.

    (3)              The income tax effects of
                     adjustments are based on the
                     effective income tax rates
                     applicable to adjusted (non-
                     GAAP) results.

 

                         Three Months Ended            Six Months Ended           Annual
                              June 30,                     June 30,              Guidance
                                                                               December 31,
                                                                                            2018
                                                                                            ----

                         2018               2017        2018              2017
                         ----               ----        ----              ----

    GAAP diluted EPS             $1.50                         $1.44              $3.39                $2.23             $4.25 - $4.57

    Amortization of
     acquired
     intangible assets
     (1)                0.17                     0.14                   0.35       0.28                    $0.81 - $0.83

    Acquisition
     related expenses
     (2)                0.01                     0.01                   0.10       0.03                    $1.62 - $1.64

    California minimum
     medical loss
     ratio changes (3)   0.12                        -                  0.12          -          $0.12

    Penn Treaty
     assessment
     expense (4)            -                       -                     -      0.17                                -
                          ---                     ---                   ---      ----                              ---

       Adjusted Diluted
        EPS                      $1.80                         $1.59              $3.96                $2.71             $6.80 - $7.16
                                 =====                         =====              =====                =====             =============
    (1)              The amortization of acquired
                     intangible assets per diluted
                     share presented above is net of
                     an income tax benefit of $0.05
                     and $0.08 for the three months
                     ended June 30, 2018 and 2017,
                     respectively, and $0.10 and
                     $0.17 for the six months ended
                     June 30, 2018 and 2017,
                     respectively; and an estimated
                     $0.24 to $0.25 for the year
                     ended December 31, 2018.

    (2)              The acquisition related expenses
                     per diluted share presented
                     above are net of an income tax
                     benefit of $0.00 for both the
                     three months ended June 30,
                     2018 and 2017, and $0.02 and
                     $0.01 for the six months ended
                     June 30, 2018 and 2017,
                     respectively; and an estimated
                     $0.50 to $0.51 for the year
                     ended December 31, 2018.

    (3)              The impact of retroactive
                     changes to the California
                     minimum MLR is net of an income
                     tax benefit of $0.03 and $0.04
                     for the three and six months
                     ended June 30, 2018,
                     respectively; and an estimated
                     $0.03 to $0.04 for the year
                     ended December 31, 2018.

    (4)              The Penn Treaty assessment
                     expense per diluted share
                     presented above is net of an
                     income tax benefit of $0.09 for
                     the six months ended June 30,
                     2017.

 

                      Three Months Ended          Six Months Ended      Three Months
                           June 30,                   June 30,
                                                                           Ended
                                                                         March 31,
                                                                         ---------

                  2018                   2017    2018              2017           2018
                  ----                   ----    ----              ----           ----

    GAAP SG&A
     expenses             $1,237                $1,065                   $2,553             $2,156 $1,316

    Acquisition
     related
     expenses        1                        1               22               6         21

    Penn Treaty
     assessment
     expense         -                       -               -             47          -

    Adjusted SG&A
     expenses             $1,236                $1,064                   $2,531             $2,103 $1,295
                          ======                ======                   ======             ====== ======

About Centene Corporation

Centene Corporation, a Fortune 100 company, is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long-Term Services and Supports (LTSS), in addition to other state-sponsored programs, Medicare (including the Medicare prescription drug benefit commonly known as "Part D"), dual eligible programs and programs with the U.S. Department of Defense and U.S. Department of Veterans Affairs. Centene also provides healthcare services to groups and individuals delivered through commercial health plans. Centene operates local health plans and offers a range of health insurance solutions. It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services, dental benefits management, commercial programs, home-based primary care services, life and health management, vision benefits management, pharmacy benefits management, specialty pharmacy and telehealth services.

Centene uses its investor relations website to publish important information about the Company, including information that may be deemed material to investors. Financial and other information about Centene is routinely posted and is accessible on Centene's investor relations website, http://www.centene.com/investors.

Forward-Looking Statements

The company and its representatives may from time to time make written and oral forward-looking statements within the meaning of the Private Securities Litigation Reform Act ("PSLRA") of 1995, including statements in this and other press releases, in presentations, filings with the Securities and Exchange Commission ("SEC"), reports to stockholders and in meetings with investors and analysts. In particular, the information provided in this press release may contain certain forward-looking statements with respect to the financial condition, results of operations and business of Centene and certain plans and objectives of Centene with respect thereto, including but not limited to the expected benefits of the acquisition of Health Net, Inc. (Health Net) (Health Net Acquisition) and the acquisition of New York State Catholic Health Plan, Inc., d/b/a Fidelis Care New York (Fidelis Care) (Fidelis Care Acquisition). These forward-looking statements can be identified by the fact that they do not relate only to historical or current facts. Without limiting the foregoing, forward-looking statements often use words such as "believe", "anticipate", "plan", "expect", "estimate", "intend", "seek", "target", "goal", "may", "will", "would", "could", "should", "can", "continue" and other similar words and expressions (and the negative thereof). We intend such forward-looking statements to be covered by the safe-harbor provisions for forward-looking statements contained in PSLRA. A number of factors, variables or events could cause actual plans and results to differ materially from those expressed or implied in forward-looking statements. Such factors include, but are not limited to, Centene's ability to accurately predict and effectively manage health benefits and other operating expenses and reserves; competition; membership and revenue declines or unexpected trends; changes in healthcare practices, new technologies and advances in medicine; increased healthcare costs; changes in economic, political or market conditions; changes in federal or state laws or regulations, including changes with respect to income tax reform or government healthcare programs as well as changes with respect to the Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act and any regulations enacted thereunder that may result from changing political conditions; rate cuts or other payment reductions or delays by governmental payors and other risks and uncertainties affecting Centene's government businesses; Centene's ability to adequately price products on federally facilitated and state-based Health Insurance Marketplaces; tax matters; disasters or major epidemics; the outcome of legal and regulatory proceedings; changes in expected contract start dates; provider, state, federal and other contract changes and timing of regulatory approval of contracts; the expiration, suspension or termination of Centene's contracts with federal or state governments (including but not limited to Medicaid, Medicare, TRICARE or other customers); the difficulty of predicting the timing or outcome of pending or future litigation or government investigations; challenges to Centene's contract awards; cyber-attacks or other privacy or data security incidents; the possibility that the expected synergies and value creation from acquired businesses, including, without limitation, the Health Net Acquisition and the Fidelis Care Acquisition, will not be realized, or will not be realized within the expected time period; the exertion of management's time and Centene's resources, and other expenses incurred and business changes required in connection with complying with the undertakings in connection with any regulatory, governmental or third party consents or approvals for the Health Net Acquisition or the Fidelis Care Acquisition; disruption caused by significant completed and pending acquisitions, including the Health Net Acquisition and the Fidelis Care Acquisition, making it more difficult to maintain business and operational relationships; the risk that unexpected costs will be incurred in connection with the completion and/or integration of acquisition transactions, including among others, the Health Net Acquisition and the Fidelis Care Acquisition; changes in expected closing dates, estimated purchase price and accretion for acquisitions; the risk that acquired businesses, including Health Net and Fidelis Care, will not be integrated successfully; the risk that, following the Fidelis Care Acquisition, Centene may not be able to effectively manage its expanded operations; restrictions and limitations in connection with Centene's indebtedness; Centene's ability to achieve improvement in the Centers for Medicare and Medicaid Services (CMS) Star ratings and maintain or achieve improvement in other quality scores in each case that can impact revenue and future growth; availability of debt and equity financing, on terms that are favorable to Centene; inflation; foreign currency fluctuations; and risks and uncertainties discussed in the reports that Centene has filed with the SEC. These forward-looking statements reflect Centene's current views with respect to future events and are based on numerous assumptions and assessments made by Centene in light of its experience and perception of historical trends, current conditions, business strategies, operating environments, future developments and other factors it believes appropriate. By their nature, forward-looking statements involve known and unknown risks and uncertainties and are subject to change because they relate to events and depend on circumstances that will occur in the future. The factors described in the context of such forward-looking statements in this press release could cause Centene's plans with respect to the Health Net Acquisition, the Fidelis Care Acquisition, actual results, performance or achievements, industry results and developments to differ materially from those expressed in or implied by such forward-looking statements. Although it is currently believed that the expectations reflected in such forward-looking statements are reasonable, no assurance can be given that such expectations will prove to have been correct and persons reading this press release are therefore cautioned not to place undue reliance on these forward-looking statements which speak only as of the date of this press release. Centene does not assume any obligation to update the information contained in this press release (whether as a result of new information, future events or otherwise), except as required by applicable law. This list of important factors is not intended to be exhaustive. We discuss certain of these matters more fully, as well as certain other risk factors that may affect Centene's business operations, financial condition and results of operations, in Centene's filings with the SEC, including the annual report on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K.

[Tables Follow]

                                                  CENTENE CORPORATION AND SUBSIDIARIES

                                                      CONSOLIDATED BALANCE SHEETS

                                (In millions, except shares in thousands and per share data in dollars)


                                                                 June 30, 2018                December 31, 2017
                                                                 -------------                -----------------

                                                                  (Unaudited)

    ASSETS

    Current assets:

    Cash and cash equivalents                                                      $6,707                         $4,072

    Premium and trade receivables                                        4,067                             3,413

    Short-term investments                                                 602                               531

    Other current assets                                                 1,001                               687
                                                                         -----                               ---

    Total current assets                                                12,377                             8,703

    Long-term investments                                                5,746                             5,312

    Restricted deposits                                                  1,943                               135

    Property, software and equipment, net                                1,327                             1,104

    Goodwill                                                             5,346                             4,749

    Intangible assets, net                                               1,501                             1,398

    Other long-term assets                                                 503                               454
                                                                           ---                               ---

    Total assets                                                                  $28,743                        $21,855
                                                                                  =======                        =======


    LIABILITIES, REDEEMABLE NONCONTROLLING INTERESTS AND
     STOCKHOLDERS' EQUITY

    Current liabilities:

    Medical claims liability                                                       $5,003                         $4,286

    Accounts payable and accrued expenses                                3,803                             4,165

    Return of premium payable                                              529                               549

    Unearned revenue                                                       523                               328

    Current portion of long-term debt                                        4                                 4
                                                                           ---                               ---

    Total current liabilities                                            9,862                             9,332

    Long-term debt                                                       6,275                             4,695

    Other long-term liabilities                                          1,898                               952
                                                                         -----                               ---

    Total liabilities                                                   18,035                            14,979

    Commitments and contingencies

    Redeemable noncontrolling interests                                     11                                12

    Stockholders' equity:

    Preferred stock, $0.001 par value;
     authorized 10,000 shares; no shares
     issued or outstanding at June 30, 2018
     and December 31, 2017                                                   -                                -

    Common stock, $0.001 par value; authorized
     400,000 shares; 207,413 issued and
     205,247 outstanding at June 30, 2018, and
     180,379 issued and 173,437 outstanding at
     December 31, 2017                                                       -                                -

    Additional paid-in capital                                           7,355                             4,349

    Accumulated other comprehensive loss                                  (67)                              (3)

    Retained earnings                                                    3,403                             2,748

    Treasury stock, at cost (2,166 and 6,942
     shares, respectively)                                                (81)                            (244)
                                                                           ---                              ----

       Total Centene stockholders' equity                               10,610                             6,850

    Noncontrolling interest                                                 87                                14
                                                                           ---                               ---

    Total stockholders' equity                                          10,697                             6,864
                                                                        ------                             -----

    Total liabilities, redeemable
     noncontrolling interests and
     stockholders' equity                                                         $28,743                        $21,855
                                                                                  =======                        =======

 

                                                                                   CENTENE CORPORATION AND SUBSIDIARIES

                                                                                   CONSOLIDATED STATEMENTS OF OPERATIONS

                                                                              (In millions, except per share data in dollars)

                                                                                                (Unaudited)


                                                                Three Months Ended                                         Six Months Ended
                                                                   June 30,                                             June 30,

                                                          2018                    2017                    2018                    2017
                                                          ----                    ----                    ----                    ----

    Revenues:

    Premium                                                       $12,113                                        $10,905                    $24,016  $21,543

    Service                                                762                               536                                1,415          1,063
                                                           ---                               ---                                -----          -----

    Premium and service revenues                        12,875                            11,441                               25,431         22,606

    Premium tax and health
     insurer fee                                         1,306                               513                                1,944          1,072
                                                         -----                               ---                                -----          -----

       Total revenues                                   14,181                            11,954                               27,375         23,678
                                                        ------                            ------                               ------         ------

    Expenses:

    Medical costs                                       10,380                             9,413                               20,419         18,735

    Cost of services                                       658                               456                                1,201            897

    Selling, general and
     administrative expenses                             1,237                             1,065                                2,553          2,156

    Amortization of acquired
     intangible assets                                      45                                39                                   84             79

    Premium tax expense                                  1,189                               543                                1,735          1,133

    Health insurer fee expense                             183                                 -                                 354              -
                                                           ---                               ---                                 ---            ---

    Total operating expenses                            13,692                            11,516                               26,346         23,000
                                                        ------                            ------                               ------         ------

    Earnings from operations                               489                               438                                1,029            678

    Other income (expense):

    Investment and other income                             65                                45                                  106             86

    Interest expense                                      (80)                             (62)                               (148)         (124)
                                                           ---                               ---                                 ----           ----

    Earnings from operations,
     before income tax expense                             474                               421                                  987            640

    Income tax expense                                     175                               169                                  350            256
                                                           ---                               ---                                  ---            ---

    Net earnings                                           299                               252                                  637            384

    Loss attributable to
     noncontrolling interests                                1                                 2                                    3              9
                                                           ---                               ---                                  ---            ---

    Net earnings attributable to
     Centene Corporation                                             $300                                           $254                       $640     $393
                                                                     ====                                           ====                       ====     ====


    Net earnings per common share attributable to Centene Corporation:

    Basic earnings per common
     share                                                          $1.53                                          $1.47                      $3.46    $2.28

    Diluted earnings per common
     share                                                          $1.50                                          $1.44                      $3.39    $2.23

 

                                          CENTENE CORPORATION AND SUBSIDIARIES

                                          CONSOLIDATED STATEMENTS OF CASH FLOWS

                                                      (In millions)

                                                       (Unaudited)


                                                            Six Months Ended June 30,

                                                              2018                   2017
                                                              ----                   ----

    Cash flows from operating
     activities:

    Net earnings                                                        $637                           $384

    Adjustments to reconcile net earnings to net cash provided by operating activities

    Depreciation
     and
     amortization                                              215                             173

    Stock
     compensation
     expense                                                    67                              62

    Deferred
     income taxes                                                4                            (58)

    Changes in assets and
     liabilities

    Premium and
     trade
     receivables                                             (553)                          (696)

    Other assets                                                 2                              65

    Medical claims
     liabilities                                               717                             243

    Unearned
     revenue                                                   202                             241

    Accounts
     payable and
     accrued
     expenses                                                (865)                          (257)

    Other long-
     term
     liabilities                                               865                             781

    Other
     operating
     activities,
     net                                                        29                               4
                                                               ---                             ---

    Net cash
     provided by
     operating
     activities                                              1,320                             942
                                                             -----                             ---

    Cash flows from investing
     activities:

    Capital
     expenditures                                            (362)                          (181)

    Purchases of
     investments                                           (1,375)                        (1,317)

    Sales and
     maturities of
     investments                                               721                           1,015

    Acquisitions,
     net of cash
     acquired                                                (237)                              -

    Other
     investing
     activities,
     net                                                         -                            (1)

    Net cash used
     in investing
     activities                                            (1,253)                          (484)
                                                            ------                            ----

    Cash flows from financing
     activities:

    Proceeds from
     the issuance
     of common
     stock                                                   2,780                               -

    Proceeds from
     long-term
     debt                                                    5,146                             810

    Payments of
     long-term
     debt                                                  (3,471)                          (762)

    Common stock
     repurchases                                              (13)                           (15)

    Purchase of
     noncontrolling
     interest                                                 (63)                              -

    Other
     financing
     activities,
     net                                                       (1)                              6

    Net cash
     provided by
     financing
     activities                                              4,378                              39
                                                             -----                             ---

    Net increase
     in cash, cash
     equivalents
     and
     restricted
     cash                                                    4,445                             497
                                                             -----                             ---

    Cash, cash
     equivalents,
     and
     restricted
     cash and cash
     equivalents,
     beginning of
     period                                                  4,089                           3,936
                                                             -----                           -----

    Cash, cash
     equivalents,
     and
     restricted
     cash and cash
     equivalents,
     end of period                                                    $8,534                         $4,433
                                                                      ======                         ======

    Supplemental disclosures of
     cash flow information:

    Interest paid                                                       $130                            $99

    Income taxes
     paid                                                               $195                           $205

    Equity issued
     in connection
     with
     acquisitions                                                       $507                       $      -

 

                                                                                                               CENTENE CORPORATION

                                                                                                           SUPPLEMENTAL FINANCIAL DATA


                                                         Q2                      Q1                        Q4                     Q3                    Q2

                                                           2018                     2018                      2017                     2017                  2017
                                                           ----                     ----                      ----                     ----                  ----

    MANAGED CARE MEMBERSHIP BY LINE OF BUSINESS

    Medicaid:

    TANF, CHIP & Foster Care                          5,852,000                             5,776,600                            5,807,300                          5,809,400  5,854,400

    ABD & LTSS                                          874,200                               866,000                              846,200                            850,300    843,500

    Behavioral Health                                   454,600                               454,500                              463,700                            467,400    466,500
                                                        -------                               -------                              -------                            -------    -------

    Total Medicaid                                    7,180,800                             7,097,100                            7,117,200                          7,127,100  7,164,400

    Commercial                                        2,051,700                             2,161,200                            1,558,300                          1,657,800  1,743,600

    Medicare (1)                                        343,800                               343,400                              333,700                            331,000    327,500

    Correctional                                        157,900                               157,300                              157,500                            158,000    160,400
                                                        -------                               -------                              -------                            -------    -------

    Total at-risk membership                          9,734,200                             9,759,000                            9,166,700                          9,273,900  9,395,900

    TRICARE eligibles                                 2,851,500                             2,851,500                            2,824,100                          2,823,200  2,823,200

    Non-risk membership                                 218,100                               218,900                              216,300                            213,900          -
                                                        -------                               -------                              -------                            -------        ---

    Total                                            12,803,800                            12,829,400                           12,207,100                         12,311,000 12,219,100
                                                     ==========                            ==========                           ==========                         ========== ==========


    (1) Membership includes Medicare Advantage, Medicare Supplement, Special Needs Plans, and MMP.


    NUMBER OF EMPLOYEES                                  41,200                                34,800                               33,700                             32,400     31,500


    DAYS IN CLAIMS PAYABLE (2)                               44                                    43                                   41                                 42         40

    (2) Days in claims payable is a calculation of medical claims liabilities at the end of the period divided by average claims expense per calendar day for such period.


    CASH, INVESTMENTS AND RESTRICTED DEPOSITS (in millions)

    Regulated                                                      $11,455                                           $11,398                                          $9,740             $9,633 $9,673

    Unregulated                                           3,543                                   452                                  310                                308        291
                                                          -----                                   ---                                  ---                                ---        ---

       Total                                                       $14,998                                           $11,850                                         $10,050             $9,941 $9,964
                                                                   =======                                           =======                                         =======             ====== ======


    DEBT TO CAPITALIZATION                                37.0%                                40.6%                               40.6%                             41.5%     42.5%

    DEBT TO CAPITALIZATION
     EXCLUDING NON-RECOURSE DEBT
     (3)                                                 36.7%                                40.3%                               40.3%                             41.2%     42.1%

    (3) The non-recourse debt represents the Company's mortgage note payable ($59 million at June 30, 2018) and construction loan payable ($26 million at June 30, 2018).

    Debt to capitalization is calculated as follows: total debt divided by (total debt + total equity).

 

OPERATING RATIOS

                  Three Months Ended            Six Months Ended
                       June 30,                     June 30,

               2018                  2017         2018               2017
               ----                  ----         ----               ----

    HBR       85.7%                       86.3%                  85.0%    87.0%

    SG&A
     expense
     ratio     9.6%                        9.3%                  10.0%     9.5%

     Adjusted
     SG&A
     expense
     ratio     9.6%                        9.3%                  10.0%     9.3%

MEDICAL CLAIMS LIABILITY

The changes in medical claims liability are summarized as follows (in millions):

    Balance, June 30, 2017                                        $4,170

    Reinsurance recoverable                                 10
                                                           ---

    Balance, June 30, 2017, net                          4,160

    Incurred related to:

       Current period                                   39,894

       Prior period                                      (359)
                                                          ----

       Total incurred                                   39,535
                                                        ------

    Paid related to:

       Current period                                   35,184

       Prior period                                      3,525

       Total paid                                       38,709
                                                        ------

    Balance, June 30, 2018, net                          4,986

    Plus: Reinsurance recoverable                           17
                                                           ---

    Balance, June 30, 2018                                        $5,003
                                                                  ======

Centene's claims reserving process utilizes a consistent actuarial methodology to estimate Centene's ultimate liability. Any reduction in the "Incurred related to: Prior period" amount may be offset as Centene actuarially determines "Incurred related to: Current period." As such, only in the absence of a consistent reserving methodology would favorable development of prior period claims liability estimates reduce medical costs. Centene believes it has consistently applied its claims reserving methodology. Additionally, approximately $5 million was recorded as an increase to premium revenues resulting from development within "Incurred related to: Prior period" due to minimum HBR and other return of premium programs.

The amount of the "Incurred related to: Prior period" above represents favorable development and includes the effects of reserving under moderately adverse conditions, new markets where we use a conservative approach in setting reserves during the initial periods of operations, receipts from other third party payors related to coordination of benefits and lower medical utilization and cost trends for dates of service June 30, 2017, and prior.

 

View original content:http://www.prnewswire.com/news-releases/centene-corporation-reports-2018-second-quarter-results-and-updates-2018-guidance-300685237.html

SOURCE Centene Corporation

 
 
Company Codes: NYSE:CNC
 
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