ST. LOUIS, April 26, 2011 /PRNewswire/ -- Centene
Corporation (NYSE: CNC) today announced its financial results for
the quarter ended March 31,
2011. The discussions below, with the exception of cash flow
information, are in the context of continuing operations and all
financial ratios exclude premium taxes.
First Quarter Highlights
- Quarter-end managed care at-risk membership of 1,542,500, an
increase of 71,200 members, or 4.8% year over year.
- Premium and Service Revenues of $1.2
billion, representing 15.4% year over year growth.
- Health Benefits Ratio of 83.0%, compared to 84.0% in the prior
year.
- General and Administrative expense ratio of 13.8%, compared to
13.3% in the prior year.
- Cash flow from operations of $94.0
million, or 4.1 times net earnings.
- Diluted earnings per share from continuing operations of
$0.46 (which does not include
earnings of $0.07 per diluted share
as a result of the delay in the recognition of our Mississippi contract discussed below),
compared to $0.41 in the prior
year.
In January 2011, we began
operating in Mississippi through
the Mississippi Coordinated Access Network (MississippiCan)
program, serving 33,100 members at March
31, 2011. While the plan has been operating since
January 1, 2011 and we have received
monthly premium payments and paid claims, the contract remains
subject to CMS approval. Accordingly, we did not recognize
revenue of $54.5 million and
associated medical costs, which delayed the recognition of earnings
of approximately $0.07 per diluted
share. General and administrative expenses related to the
Mississippi operations were
recognized in our consolidated statement of operations. Upon CMS
approval, the revenues, medical costs and related earnings from our
Mississippi operations will be
recognized in our consolidated statement of operations in the
period final approval is obtained, retroactive to January 1, 2011.
Other Events
- In February 2011, we began
operating under an agreement with Pima Health Systems in
Arizona to administer their
long-term care program on a non-risk basis.
- In February 2011, Superior
HealthPlan began operating under an additional STAR+PLUS ABD
contract in Texas in the
Dallas service area.
- In March 2011, Standard &
Poor's raised its counterparty credit and senior unsecured debt
ratings on Centene Corporation to BB from BB-.
- In April 2011, CeltiCare Health
Plan of Massachusetts, Inc.
announced the renewal of its contract with the Commonwealth of
Massachusetts to serve
Commonwealth Care members, effective July 1,
2011. CeltiCare will continue to be one of the
lowest-cost health plan options for low-income, working adults (up
to 300% of the federal poverty level) enrolled in the Commonwealth
Care program.
Michael F. Neidorff, Centene's
Chairman and Chief Executive Officer, stated, "Our continued focus
on fundamentals and enhanced systems capabilities drove solid
first quarter performance and a favorable start in a year of
opportunity."
The following table depicts membership in Centene's managed care
organizations, by state, at March 31,
2011 and 2010:
|
|
|
|
March
31,
|
|
|
|
2011
|
|
2010
|
|
Arizona
|
|
22,600
|
|
21,700
|
|
Florida
|
|
188,800
|
|
105,900
|
|
Georgia
|
|
303,300
|
|
301,000
|
|
Indiana
|
|
209,400
|
|
211,400
|
|
Massachusetts
|
|
34,100
|
|
26,900
|
|
Ohio
|
|
160,900
|
|
156,000
|
|
South Carolina
|
|
84,900
|
|
53,900
|
|
Texas
|
|
456,700
|
|
459,600
|
|
Wisconsin
|
|
81,800
|
|
134,900
|
|
Total at-risk membership
(1)
|
|
1,542,500
|
|
1,471,300
|
|
Non-risk membership
|
|
10,400
|
|
62,200
|
|
Total
|
|
1,552,900
|
|
1,533,500
|
|
|
|
|
|
|
|
|
(1)In January 2011, we began
operating in Mississippi through the Mississippi Coordinated Access
Network (MississippiCan) program, serving 33,100 members at March
31, 2011. While the plan has been operating since January 1,
2011 and we have received monthly premium payments and paid claims,
the contract remains subject to CMS approval.
|
|
|
The following table depicts membership in Centene's managed care
organizations, by member category, at March
31, 2011 and 2010:
|
|
|
|
March
31,
|
|
|
|
2011
|
|
2010
|
|
Medicaid
|
|
1,169,700
|
|
1,088,300
|
|
CHIP & Foster
Care
|
|
208,900
|
|
266,300
|
|
ABD & Medicare
|
|
123,800
|
|
87,100
|
|
Hybrid Programs
|
|
35,200
|
|
26,900
|
|
Long-term Care
|
|
4,900
|
|
2,700
|
|
Total at-risk
membership
|
|
1,542,500
|
|
1,471,300
|
|
Non-risk membership
|
|
10,400
|
|
62,200
|
|
Total
|
|
1,552,900
|
|
1,533,500
|
|
|
|
|
|
|
|
|
Statement of Operations: Three Months Ended March 31, 2011
- For the first quarter of 2011, Premium and Service Revenues
increased 15.4% to $1,179.2 million
from $1,022.2 million in the first
quarter of 2010. The increase was primarily driven by
membership growth resulting from acquisitions in Florida and South
Carolina, conversion of membership in Florida from Access to at-risk under Sunshine
State Health Plan, as well as premium rate increases.
- Consolidated HBR of 83.0% for the first quarter of 2011
represents a decrease of 1.0% from the comparable period in 2010.
The year over year improvement in HBR is due to rate
increases and lower utilization levels in 2011. Consolidated
HBR decreased 0.3% sequentially from the fourth quarter of 2010.
- Consolidated G&A expense as a percent of premium and
service revenues was 13.8% in the first quarter of 2011, an
increase from 13.3% in the first quarter of 2010. The 2011
G&A ratio reflects an increase of 0.6% as a result of including
general and administrative expenses for Mississippi but not recording the Mississippi premium revenue discussed
above.
- Earnings from continuing operations increased to $39.1 million in 2011 from $29.6 million in 2010, or 32.0% year over year.
Net earnings from continuing operations were $23.7 million, or $0.46 per diluted share in 2011, compared to
$20.1 million, or $0.41 per diluted share in the first quarter of
2010.
Balance Sheet and Cash Flow
At March 31, 2011, the Company had
cash and investments of $1,128.0
million, including $1,096.3
million held by its regulated entities and $31.7 million held by its unregulated entities.
Medical claims liabilities totaled $471.7 million, representing 44.4 days in claims
payable. Total debt was $305.4
million and debt to capitalization was 21.4% at March 31, 2011 excluding the $79.6 million non-recourse mortgage note.
Cash flows from operations were $94.0
million, or 4.1 times net earnings.
A reconciliation of the Company's change in days in claims
payable from the immediately preceding quarter-end is presented
below:
|
|
Days in claims payable, December
31, 2010
|
45.6
|
|
|
Reduced time of claims
processing and payment
|
(0.6)
|
|
|
Reduced
utilization
|
(0.3)
|
|
|
Pharmacy
|
(0.3)
|
|
|
Days in claims payable, March
31, 2011
|
44.4
|
|
|
|
|
|
|
|
|
|
During the first quarter of 2011, we continued to experience
increased electronic claims submissions and auto-adjudication of
claims which reduced the average time from claims incurred to
claims paid by 0.6 days. Reduced utilization and the related
absence of claims payable due to average completion time decreased
days in claims payable by 0.3 days. Days in claims payable
was also reduced by 0.3 days as a result of the timing of pharmacy
claims payments. As we continue to experience increasing
claims auto-adjudication (5% increase from the fourth quarter 2010
to the first quarter 2011) and EDI submission rates, our targeted
range for days in claims payable is under review.
Outlook
The table below depicts the Company's annual guidance from
continuing operations for 2011:
|
|
|
|
Full Year
2011
|
|
|
|
|
Low
|
|
High
|
|
|
Premium and Service Revenues (in
millions)
|
|
$ 4,900
|
|
$ 5,100
|
|
|
Diluted EPS
|
|
$ 2.03
|
|
$ 2.13
|
|
|
Consolidated HBR
|
|
83.5%
|
|
84.5%
|
|
|
General & Administrative
expense ratio
|
|
12.4%
|
|
12.9%
|
|
|
|
|
|
|
|
|
|
Diluted Shares Outstanding (in
thousands)
|
|
52,000
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Conference Call
As previously announced, the Company will host a conference call
Tuesday, April 26, 2011, at
8:30 A.M. (Eastern Time) to review
the financial results for the first quarter ended March 31, 2011, and to discuss its business
outlook. Michael F. Neidorff
and William N. Scheffel will host
the conference call. Investors and other interested parties
are invited to listen to the conference call by dialing
1-800-860-2442 in the U.S. and Canada; +1-412-858-4600 from abroad, 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 until 11:59 PM
(Eastern Time) on Tuesday, April 24,
2012, at the aforementioned URL. In addition, a digital
audio playback will be available until 9:00
AM Eastern Time on Wednesday, May 4,
2011, by dialing 1-877-344-7529 the U.S. and
Canada, or +1-412-317-0088
from abroad, and entering access code 449378.
About Centene Corporation
Centene Corporation, a Fortune 500 company, is a leading
multi-line healthcare enterprise that provides programs and
related services to the rising number of 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 care, in addition to
other state-sponsored/hybrid programs, and Medicare (Special Needs
Plans). Centene's CeltiCare subsidiary offers states unique,
"exchange based" and other cost-effective coverage solutions for
low-income populations. The Company 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, life and health
management, managed vision, telehealth services, and pharmacy
benefits management.
The information provided in this press release contains
forward-looking statements that relate to future events and future
financial performance of Centene. Subsequent events and
developments may cause the Company's estimates to change. The
Company disclaims any obligation to update this forward-looking
financial information in the future. Readers are cautioned
that matters subject to forward-looking statements involve known
and unknown risks and uncertainties, including economic,
regulatory, competitive and other factors that may cause Centene's
or its industry's actual results, levels of activity, performance
or achievements to be materially different from any future results,
levels of activity, performance or achievements expressed or
implied by these forward-looking statements. Actual results
may differ from projections or estimates due to a variety of
important factors, including Centene's ability to accurately
predict and effectively manage health benefits and other operating
expenses, competition, changes in healthcare practices, changes in
federal or state laws or regulations, inflation, provider contract
changes, new technologies, reduction in provider payments by
governmental payors, major epidemics, disasters and numerous other
factors affecting the delivery and cost of healthcare. The
expiration, cancellation or suspension of Centene's Medicaid
Managed Care contracts by state governments would also negatively
affect Centene.
CENTENE
CORPORATION AND SUBSIDIARIES
CONSOLIDATED
BALANCE SHEETS
(In
thousands, except share data)
(Unaudited)
|
|
|
|
March
31,
2011
|
|
December
31,
2010
|
|
|
ASSETS
|
|
|
|
|
|
|
|
Current assets:
|
|
|
|
|
|
|
|
Cash and cash equivalents
of continuing operations
|
|
$
|
492,045
|
$
|
433,914
|
|
|
Cash and cash equivalents
of discontinued operations
|
|
|
—
|
|
252
|
|
|
Total cash and cash
equivalents
|
|
|
492,045
|
|
434,166
|
|
|
Premium and related
receivables, net of allowance for uncollectible accounts of $17 and
$17, respectively
|
|
|
132,023
|
|
136,243
|
|
|
Short-term investments, at
fair value (amortized cost $51,950 and $21,141,
respectively)
|
|
|
52,699
|
|
21,346
|
|
|
Other current
assets
|
|
|
67,062
|
|
64,154
|
|
|
Current assets of
discontinued operations other than cash
|
|
|
—
|
|
912
|
|
|
Total current
assets
|
|
|
743,829
|
|
656,821
|
|
|
Long-term investments, at
fair value (amortized cost $548,013 and $585,862,
respectively)
|
|
|
556,806
|
|
595,879
|
|
|
Restricted deposits, at
fair value (amortized cost $26,502 and $22,755,
respectively)
|
|
|
26,482
|
|
22,758
|
|
|
Property, software and
equipment, net of accumulated depreciation of $148,051 and
$138,629, respectively
|
|
|
334,180
|
|
326,341
|
|
|
Goodwill
|
|
|
278,105
|
|
278,051
|
|
|
Intangible assets,
net
|
|
|
27,813
|
|
29,109
|
|
|
Other long-term
assets
|
|
|
36,470
|
|
30,057
|
|
|
Long-term assets of
discontinued operations
|
|
|
—
|
|
4,866
|
|
|
Total assets
|
|
$
|
2,003,685
|
$
|
1,943,882
|
|
|
|
|
|
|
|
|
|
|
Current
liabilities:
|
|
|
|
|
|
|
|
Medical claims
liability
|
|
$
|
471,659
|
$
|
456,765
|
|
|
Accounts payable and
accrued expenses
|
|
|
214,900
|
|
185,218
|
|
|
Unearned
revenue
|
|
|
127,451
|
|
117,344
|
|
|
Current portion of
long-term debt
|
|
|
3,037
|
|
2,817
|
|
|
Current liabilities of
discontinued operations
|
|
|
—
|
|
3,102
|
|
|
Total current
liabilities
|
|
|
817,047
|
|
765,246
|
|
|
Long-term debt
|
|
|
302,326
|
|
327,824
|
|
|
Other long-term
liabilities
|
|
|
53,116
|
|
53,378
|
|
|
Long-term liabilities of
discontinued operations
|
|
|
—
|
|
379
|
|
|
Total
liabilities
|
|
|
1,172,489
|
|
1,146,827
|
|
|
|
|
|
|
|
|
|
|
Commitments and
contingencies
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Stockholders'
equity:
|
|
|
|
|
|
|
|
Common stock, $.001 par
value; authorized 100,000,000 shares; 52,533,873 issued and
49,965,357 outstanding at March 31, 2011, and 52,172,037 issued and
49,616,824 outstanding at December 31, 2010
|
|
|
53
|
|
52
|
|
|
Additional paid-in
capital
|
|
|
396,380
|
|
384,206
|
|
|
Accumulated other
comprehensive income:
|
|
|
|
|
|
|
|
Unrealized gain on
investments, net of tax
|
|
|
5,969
|
|
6,424
|
|
|
Retained
earnings
|
|
|
477,488
|
|
453,743
|
|
|
Treasury stock, at cost
(2,568,516 and 2,555,213 shares, respectively)
|
|
|
(50,888)
|
|
(50,486)
|
|
|
Total Centene
stockholders' equity
|
|
|
829,002
|
|
793,939
|
|
|
Noncontrolling
interest
|
|
|
2,194
|
|
3,116
|
|
|
Total stockholders'
equity
|
|
|
831,196
|
|
797,055
|
|
|
Total liabilities and
stockholders' equity
|
|
$
|
2,003,685
|
$
|
1,943,882
|
|
|
|
|
|
|
|
|
|
|
|
CENTENE
CORPORATION AND SUBSIDIARIES
CONSOLIDATED
STATEMENTS OF OPERATIONS
(In
thousands, except share data)
(Unaudited)
|
|
|
Three Months
Ended
March
31,
|
|
|
|
2011
|
|
|
2010
|
|
|
Revenues:
|
|
|
|
|
|
|
|
|
Premium
|
$
|
1,152,777
|
|
|
$
|
999,315
|
|
|
Service
|
|
26,384
|
|
|
|
22,907
|
|
|
Premium and
service revenues
|
|
1,179,161
|
|
|
|
1,022,222
|
|
|
Premium tax
|
|
37,196
|
|
|
|
46,499
|
|
|
Total revenues
|
|
1,216,357
|
|
|
|
1,068,721
|
|
|
Expenses:
|
|
|
|
|
|
|
|
|
Medical costs
|
|
957,074
|
|
|
|
839,708
|
|
|
Cost of
services
|
|
20,176
|
|
|
|
17,152
|
|
|
General and administrative
expenses
|
|
162,581
|
|
|
|
135,507
|
|
|
Premium tax
|
|
37,429
|
|
|
|
46,743
|
|
|
Total operating
expenses
|
|
1,177,260
|
|
|
|
1,039,110
|
|
|
Earnings from
operations
|
|
39,097
|
|
|
|
29,611
|
|
|
Other income
(expense):
|
|
|
|
|
|
|
|
|
Investment and other
income
|
|
3,749
|
|
|
|
7,057
|
|
|
Interest
expense
|
|
(5,695)
|
|
|
|
(3,813)
|
|
|
Earnings from continuing
operations, before income tax expense
|
|
37,151
|
|
|
|
32,855
|
|
|
Income tax
expense
|
|
14,328
|
|
|
|
12,525
|
|
|
Earnings from
continuing operations,
net of income tax expense
|
|
22,823
|
|
|
|
20,330
|
|
|
Discontinued
operations, net of income tax expense of $0 and $4,440,
respectively
|
|
—
|
|
|
|
3,920
|
|
|
Net earnings
|
|
22,823
|
|
|
|
24,250
|
|
|
Noncontrolling
interest
|
|
(922)
|
|
|
|
248
|
|
|
Net earnings
attributable to Centene Corporation
|
$
|
23,745
|
|
|
$
|
24,002
|
|
|
|
|
|
|
|
|
|
|
|
Amounts
attributable to Centene Corporation common
shareholders:
|
|
|
|
|
|
|
|
|
Earnings from continuing
operations, net of income tax expense
|
$
|
23,745
|
|
|
$
|
20,082
|
|
|
Discontinued operations,
net of income tax expense
|
|
—
|
|
|
|
3,920
|
|
|
Net earnings
|
$
|
23,745
|
|
|
$
|
24,002
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings
per share attributable to Centene Corporation:
|
|
|
|
|
|
|
|
|
Basic:
|
|
|
|
|
|
|
|
|
Continuing
operations
|
$
|
0.48
|
|
|
$
|
0.43
|
|
|
Discontinued
operations
|
|
—
|
|
|
|
0.08
|
|
|
Earnings per
common share
|
$
|
0.48
|
|
|
$
|
0.51
|
|
|
Diluted:
|
|
|
|
|
|
|
|
|
Continuing
operations
|
$
|
0.46
|
|
|
$
|
0.41
|
|
|
Discontinued
operations
|
|
—
|
|
|
|
0.08
|
|
|
Earnings per
common share
|
$
|
0.46
|
|
|
$
|
0.49
|
|
|
|
|
|
|
|
|
|
|
|
Weighted
average number of shares outstanding:
|
|
|
|
|
|
|
|
|
Basic
|
|
49,750,430
|
|
|
|
47,260,714
|
|
|
Diluted
|
|
51,811,721
|
|
|
|
48,761,528
|
|
|
|
|
|
|
|
|
|
|
|
|
CENTENE
CORPORATION AND SUBSIDIARIES
CONSOLIDATED
STATEMENTS OF CASH FLOWS
(In
thousands)
(Unaudited)
|
|
|
Three Months
Ended March
31,
|
|
|
|
2011
|
|
2010
|
|
|
|
|
|
|
|
|
|
|
Cash flows from operating
activities:
|
|
|
|
|
|
|
|
Net earnings
|
$
|
22,823
|
|
$
|
24,250
|
|
|
Adjustments to reconcile net
earnings to net cash provided by operating activities
|
|
|
|
|
|
|
|
Depreciation and
amortization
|
|
14,325
|
|
|
12,527
|
|
|
Stock compensation
expense
|
|
4,394
|
|
|
3,460
|
|
|
Gain on sale of
investments, net
|
|
(118)
|
|
|
(3,547)
|
|
|
Gain on sale of
UHP
|
|
—
|
|
|
(8,201)
|
|
|
Deferred income
taxes
|
|
(700)
|
|
|
950
|
|
|
Changes in assets and
liabilities
|
|
|
|
|
|
|
|
Premium and related
receivables
|
|
4,216
|
|
|
(4,457)
|
|
|
Other current
assets
|
|
(1,636)
|
|
|
(1,375)
|
|
|
Other
assets
|
|
151
|
|
|
1,937
|
|
|
Medical claims
liabilities
|
|
13,430
|
|
|
(33,129)
|
|
|
Unearned
revenue
|
|
10,106
|
|
|
(73,282)
|
|
|
Accounts payable
and accrued expenses
|
|
26,268
|
|
|
40,433
|
|
|
Other operating
activities
|
|
732
|
|
|
1,934
|
|
|
Net cash provided by (used
in) operating activities
|
|
93,991
|
|
|
(38,500)
|
|
|
Cash flows from investing
activities:
|
|
|
|
|
|
|
|
Capital
expenditures
|
|
(15,725)
|
|
|
(12,520)
|
|
|
Capital
expenditures of Centene Center LLC
|
|
(1,157)
|
|
|
(10,579)
|
|
|
Purchases of
investments
|
|
(40,423)
|
|
|
(146,935)
|
|
|
Proceeds from asset
sales
|
|
—
|
|
|
13,420
|
|
|
Sales and
maturities of investments
|
|
45,327
|
|
|
117,469
|
|
|
Investments in
acquisitions, net of cash acquired
|
|
—
|
|
|
(2,019)
|
|
|
Net cash used in investing
activities
|
|
(11,978)
|
|
|
(41,164)
|
|
|
Cash flows from financing
activities:
|
|
|
|
|
|
|
|
Proceeds from
exercise of stock options
|
|
6,518
|
|
|
519
|
|
|
Proceeds from
borrowings
|
|
127,300
|
|
|
22,030
|
|
|
Proceeds from stock
offering
|
|
—
|
|
|
104,557
|
|
|
Payment of
long-term debt
|
|
(152,577)
|
|
|
(97,136)
|
|
|
Distributions to
noncontrolling interest
|
|
—
|
|
|
(3,585)
|
|
|
Excess tax benefits
from stock compensation
|
|
1,132
|
|
|
96
|
|
|
Common stock
repurchases
|
|
(402)
|
|
|
(480)
|
|
|
Debt issue
costs
|
|
(6,105)
|
|
|
—
|
|
|
Net cash (used in)
provided by financing activities
|
|
(24,134)
|
|
|
26,001
|
|
|
Net increase (decrease) in
cash and cash equivalents
|
|
57,879
|
|
|
(53,663)
|
|
|
Cash and cash
equivalents, beginning of period
|
|
434,166
|
|
|
403,752
|
|
|
Cash and cash
equivalents, end of period
|
$
|
492,045
|
|
$
|
350,089
|
|
|
|
|
|
|
|
|
|
|
Supplemental disclosures of cash
flow information:
|
|
|
|
|
|
|
|
Interest
paid
|
$
|
1,714
|
|
$
|
345
|
|
|
Income taxes
paid
|
$
|
9,567
|
|
$
|
8,272
|
|
|
|
|
|
|
|
|
|
|
Supplemental disclosure of
non-cash investing and financing activities:
|
|
|
|
|
|
|
|
Contribution from
noncontrolling interest
|
$
|
—
|
|
$
|
306
|
|
|
Capital
expenditures
|
$
|
1,477
|
|
$
|
789
|
|
|
|
|
|
|
|
|
|
|
|
CENTENE
CORPORATION
CONTINUING
OPERATIONS SUPPLEMENTAL FINANCIAL DATA
|
|
|
Q1
|
|
Q4
|
|
Q3
|
|
Q2
|
|
Q1
|
|
|
2011
|
|
2010
|
|
2010
|
|
2010
|
|
2010
|
|
MEMBERSHIP
|
|
|
|
|
|
|
|
|
|
|
Managed Care:
|
|
|
|
|
|
|
|
|
|
|
Arizona
|
22,600
|
|
22,400
|
|
22,300
|
|
22,100
|
|
21,700
|
|
Florida
|
188,800
|
|
194,900
|
|
116,300
|
|
113,100
|
|
105,900
|
|
Georgia
|
303,300
|
|
305,800
|
|
300,900
|
|
295,600
|
|
301,000
|
|
Indiana
|
209,400
|
|
215,800
|
|
213,300
|
|
212,700
|
|
211,400
|
|
Massachusetts
|
34,100
|
|
36,200
|
|
34,400
|
|
30,100
|
|
26,900
|
|
Ohio
|
160,900
|
|
160,100
|
|
161,800
|
|
159,300
|
|
156,000
|
|
South Carolina
|
84,900
|
|
90,300
|
|
90,600
|
|
92,600
|
|
53,900
|
|
Texas
|
456,700
|
|
433,100
|
|
428,100
|
|
475,500
|
|
459,600
|
|
Wisconsin
|
81,800
|
|
74,900
|
|
106,100
|
|
133,600
|
|
134,900
|
|
Total at-risk membership
(a)
|
1,542,500
|
|
1,533,500
|
|
1,473,800
|
|
1,534,600
|
|
1,471,300
|
|
Non-risk membership
|
10,400
|
|
4,200
|
|
35,900
|
|
50,900
|
|
62,200
|
|
TOTAL
|
1,552,900
|
|
1,537,700
|
|
1,509,700
|
|
1,585,500
|
|
1,533,500
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) In January 2011, we began
operating in Mississippi through the Mississippi Coordinated Access
Network (MississippiCan) program, serving 33,100 members at March
31, 2011. While the plan has been operating since January 1,
2011 and we have received monthly premium payments and paid claims,
the contract remains subject to CMS approval.
|
|
|
|
|
|
|
|
|
|
|
|
|
Medicaid
|
1,169,700
|
|
1,177,100
|
|
1,122,800
|
|
1,135,500
|
|
1,088,300
|
|
CHIP & Foster
Care
|
208,900
|
|
210,500
|
|
219,100
|
|
272,400
|
|
266,300
|
|
ABD & Medicare
|
123,800
|
|
104,600
|
|
94,500
|
|
93,800
|
|
87,100
|
|
Hybrid Programs
|
35,200
|
|
36,200
|
|
34,400
|
|
30,100
|
|
26,900
|
|
Long-term Care
|
4,900
|
|
5,100
|
|
3,000
|
|
2,800
|
|
2,700
|
|
Total at-risk
membership
|
1,542,500
|
|
1,533,500
|
|
1,473,800
|
|
1,534,600
|
|
1,471,300
|
|
Non-risk membership
|
10,400
|
|
4,200
|
|
35,900
|
|
50,900
|
|
62,200
|
|
TOTAL
|
1,552,900
|
|
1,537,700
|
|
1,509,700
|
|
1,585,500
|
|
1,533,500
|
|
|
|
|
|
|
|
|
|
|
|
|
Specialty
Services(b):
|
|
|
|
|
|
|
|
|
|
|
Cenpatico Behavioral
Health
|
|
|
|
|
|
|
|
|
|
|
Arizona
|
172,700
|
|
174,600
|
|
121,300
|
|
119,700
|
|
119,300
|
|
Kansas
|
44,000
|
|
39,200
|
|
39,800
|
|
39,100
|
|
39,800
|
|
TOTAL
|
216,700
|
|
213,800
|
|
161,100
|
|
158,800
|
|
159,100
|
|
|
|
|
|
|
|
|
|
|
|
|
(b) Includes external membership
only.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
REVENUE PER MEMBER PER
MONTH(c)
|
$
|
238.31
|
|
$
|
239.66
|
|
$
|
224.62
|
|
$
|
218.40
|
|
$
|
219.90
|
|
|
|
|
|
|
|
|
|
|
|
|
CLAIMS(c)
|
|
|
|
|
|
|
|
|
|
|
Period-end
inventory
|
527,100
|
|
434,900
|
|
469,000
|
|
480,400
|
|
341,400
|
|
Average inventory
|
347,900
|
|
304,700
|
|
307,500
|
|
306,900
|
|
283,900
|
|
Period-end inventory per
member
|
0.34
|
|
0.28
|
|
0.32
|
|
0.31
|
|
0.23
|
|
(c) Revenue per member and
claims information are presented for the Managed Care at-risk
members.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Q1
|
|
Q4
|
|
Q3
|
|
Q2
|
|
Q1
|
|
|
2011
|
|
2010
|
|
2010
|
|
2010
|
|
2010
|
|
|
|
|
|
|
|
|
|
|
|
|
DAYS IN CLAIMS
PAYABLE
|
44.4
|
|
45.6
|
|
47.1
|
|
48.2
|
|
47.7
|
|
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 AND INVESTMENTS (in
millions)
|
|
|
|
|
|
|
|
|
|
Regulated
|
$
|
1,096.3
|
|
$
|
1,043.0
|
|
$
|
895.4
|
|
$
|
813.0
|
|
$
|
917.9
|
|
Unregulated
|
|
31.7
|
|
|
30.9
|
|
|
32.7
|
|
|
39.4
|
|
|
51.3
|
|
TOTAL
|
$
|
1,128.0
|
|
$
|
1,073.9
|
|
$
|
928.1
|
|
$
|
852.4
|
|
$
|
969.2
|
|
|
|
|
|
|
|
|
|
|
|
|
DEBT TO
CAPITALIZATION
|
26.9%
|
|
29.3%
|
|
24.7%
|
|
24.5%
|
|
23.7%
|
|
DEBT TO CAPITALIZATION EXCLUDING
NON-RECOURSE DEBT(d)
|
21.4%
|
|
23.9%
|
|
|
|
|
|
|
|
Debt to Capitalization is
calculated as follows: total debt divided by (total
debt + total equity).
(d) The non-recourse debt
represents our mortgage note payable of $79.6 million at March 31,
2011 and $80.0 million at December 31, 2010.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
OPERATING RATIOS:
|
|
|
Three Months
Ended March 31,
|
|
|
2011
|
|
|
2010
|
|
Health Benefits
Ratios:
|
|
|
|
|
|
|
|
Medicaid and
CHIP
|
82.4
|
%
|
|
|
85.6
|
%
|
|
ABD and
Medicare
|
85.1
|
|
|
|
80.3
|
|
|
Specialty
Services
|
82.7
|
|
|
|
80.6
|
|
|
Total
|
83.0
|
|
|
|
84.0
|
|
|
|
|
|
|
|
|
|
|
Total General &
Administrative Expense Ratio
|
13.8
|
%
|
|
|
13.3
|
%
|
|
|
|
|
|
|
|
|
|
|
MEDICAL CLAIMS LIABILITY (In
thousands)
The changes in medical
claims liability are summarized as follows:
|
|
|
|
|
|
|
Balance,
March 31, 2010
|
$
|
444,826
|
|
|
Incurred
related to:
|
|
|
|
|
Current
period
|
|
3,697,199
|
|
|
Prior
period
|
|
(65,439)
|
|
|
Total
incurred
|
|
3,631,760
|
|
|
Paid related
to:
|
|
|
|
|
Current
period
|
|
3,234,366
|
|
|
Prior
period
|
|
370,561
|
|
|
Total
paid
|
|
3,604,927
|
|
|
Balance,
March 31, 2011
|
$
|
471,659
|
|
|
|
|
|
|
|
|
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 in each of the periods
presented.
The amount of the "Incurred related to: Prior period" above
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,
increased receipts from other third party payors related to
coordination of benefits and lower medical utilization and cost
trends for dates of service prior to March
31, 2010.
SOURCE Centene Corporation