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Coventry Health Care Reports Third Quarter Earnings and Increases Full Year 2009 Guidance

Fri. October 30, 2009; Posted: 06:30 AM
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BETHESDA, Md., Oct 30, 2009 (BUSINESS WIRE) -- CVH | Quote | Chart | News | PowerRating -- Coventry Health Care, Inc. (NYSE:CVH) today reported consolidated operating results for the quarter ended September 30, 2009. Operating revenues totaled $3.4 billion for the quarter with GAAP net earnings of $70.6 million, or $0.48 earnings per diluted share (EPS). Excluding the impact of the First Health Services Corporation (FHSC) divestiture in the third quarter, which resulted in a net charge of $26.7 million, or $0.18 per diluted share, adjusted net earnings were $97.3 million, or $0.66 per diluted share.(1)

Excluding the impact of the FHSC divestiture, the Company is increasing its full year 2009 adjusted EPS guidance to a range of $2.01 to $2.03, an increase of $0.12 from the midpoint of the prior EPS range of $1.85 to $1.95. GAAP EPS for the full year is now expected to be in a range of $1.45 to $1.47 as the Company has recorded a largely non-cash full year charge of $0.56 per diluted share as a result of the FHSC divestiture, as outlined on page two.

"I continue to be pleased with the Company's financial and operational results for 2009 including today's increase to full year EPS guidance," said Allen F. Wise, chairman and chief executive officer of Coventry. "In the face of a challenging environment, we feel confident that focusing on our seven core businesses and driving a low cost structure will best position Coventry for the future."

Third Quarter Consolidated Highlights

-- Revenues from continuing operations increased 17.7% from the prior year quarter

-- Continued growth in Medicare products -- Medicare Coordinated Care Product (CCP) membership growth of 38% from the prior year quarter

-- Medicare Part D membership growth of 81,000 from the prior quarter

-- Health plan commercial group risk medical loss ratio of 82.1%

-- GAAP cash flows from operations were $314.3 million

-- Excellent liquidity position -- Approximately $570 million of deployable free cash at the parent at quarter-end

-- Debt repayment of $98 million during the quarter

-- Share buyback of 1.5 million shares at the end of the quarter

-- Investment portfolio in a net unrealized gain position at quarter-end

1) Adjusted earnings of $0.66 per diluted share include earnings from continuing operations of $0.68 per diluted share and a loss of $0.02 per diluted share from FHSC operations during the quarter. The Company believes that adjusting earnings to exclude the unfavorable impact of the non-recurring FHSC divestiture-related charges provides a more meaningful measure of its operating results in comparison to prior and future periods (and to previously announced guidance). See page two for further details.

Selected Third Quarter Highlights

-- Health Plan Commercial Group Premium Yield & Medical Loss Ratio (MLR). Reported commercial group risk premium yields rose to $304.13 PMPM (per member per month) in the quarter, an increase of 6.1% from the prior year quarter. The health plan commercial group risk MLR was 82.1% in the quarter, a decrease of 20 basis points from the prior year quarter.

-- Medicare Advantage Membership & MLR. As of September 30, 2009, Medicare Advantage membership was 521,000, an increase of 141,000 members year-to-date. Medicare Advantage CCP membership was 185,000, an increase of 48,000 members year-to-date. The Medicare Advantage MLR was 89.4% in the quarter, a sequential decrease of 100 bps driven by favorable results in Medicare Advantage Private Fee-for-Service (PFFS). The Medicare Advantage PFFS MLR improvement in the third quarter compared to the first half of 2009 contributed approximately $0.07 per diluted share in the quarter. As previously announced, the Company will exit the Medicare Advantage PFFS product effective January 1, 2010.

-- Medicare Part D Membership & MLR. As of September 30, 2009, Medicare Part D membership was 1,636,000, an increase of 81,000 members from the prior quarter and 705,000 members year-to-date. The Medicare Part D MLR was 79.4% in the quarter and 91.9% year-to-date, compared to the third quarter 2008 year-to-date MLR of 91.5%.

-- Medicaid Membership. As of September 30, 2009, Medicaid membership was 391,000, an increase of 6,000 members from the prior quarter. The Medicaid MLR was 86.1% in the quarter.

-- First Health Services Corporation Divestiture. The previously announced divestiture of FHSC closed on July 31, 2009. In accordance with GAAP, the historical FHSC results of operations are classified as discontinued operations and are excluded from consolidated continuing operations for each period presented. In addition to the results of FHSC operations, the discontinued operations for the third quarter and year-to-date periods of 2009 include charges to reflect the impact of the FHSC divestiture. Consistent with previous guidance, in the third quarter of 2009 the Company recorded a primarily non-cash net charge of $0.18 per diluted share to complete the divestiture. When combined with the loss of $0.02 per diluted share generated from FHSC operating results in the quarter, the total EPS from discontinued operations was a loss of $0.20 for the third quarter. Including the previously disclosed $0.38 per diluted share charge recorded in the second quarter, the total year-to-date charge on the FHSC divestiture was $0.56 per diluted share, which is consistent with the lower end of the Company's prior estimate of $0.55 to $0.60 per diluted share. When combined with the $0.06 of EPS generated from FHSC year-to-date operating results, the total EPS from discontinued operations was a loss of $0.50 for the nine months ended September 30, 2009.

Mr. Allen F. Wise, chairman and chief executive officer of Coventry, will host a conference call at 8:30 a.m. ET on Friday, October 30, 2009. To listen to the call, dial toll-free at (888) 352-6803 or, for international callers, (719) 325-2474. Callers will be asked to identify themselves and their affiliations. The conference call will also be webcast from Coventry's Investor Relations site at www.coventryhealthcare.com. Coventry asks participants on both the call and webcast to review and be familiar with its filings with the Securities and Exchange Commission. A replay of the call will be available for one week at (888) 203-1112 or, for international callers, (719) 457-0820. The access code is 3147061.

This press release contains forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are defined as statements that are not historical facts and include those statements relating to future events or future financial performance. Actual performance may be significantly impacted by certain risks and uncertainties including those described in Coventry's Annual Report on Form 10-K for the year ended December 31, 2008 and Coventry's Form 10-Q for the quarter ended June 30, 2009. Coventry undertakes no obligation to update or revise any forward-looking statements.

Coventry Health Care (www.coventryhealthcare.com) is a diversified national managed healthcare company based in Bethesda, Maryland, operating health plans, insurance companies, network rental and workers' compensation services companies. Coventry provides a full range of risk and fee-based managed care products and services to a broad cross section of individuals, employer and government-funded groups, government agencies, and other insurance carriers and administrators.

COVENTRY HEALTH CARE, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands, except per share data)
(unaudited)
                                                                Quarters Ended                Nine Months Ended
                                                                September 30,                 September 30,
                                                                    2009           2008           2009            2008
Operating revenues:
Managed care premiums                                           $   3,153,142  $   2,627,345  $   9,595,872   $   7,891,701
Management services                                                 290,968        298,376        879,507         865,785
Total operating revenues                                            3,444,110      2,925,721      10,475,379      8,757,486
Operating expenses:
Medical costs                                                       2,661,131      2,200,405      8,261,102       6,630,950
Cost of sales                                                       62,384         54,289         178,280         139,038
Selling, general, administrative                                    527,173        478,973        1,607,142       1,411,163
Depreciation and amortization                                       40,660         35,617         110,309         109,401
Total operating expenses                                            3,291,348      2,769,284      10,156,833      8,290,552
Operating earnings                                                  152,762        156,437        318,546         466,934
Operating earnings percentage of total revenues                     4.4%           5.3%           3.0%            5.3%
Interest expense                                                    20,697         22,523         64,603          70,545
Other income, net                                                   18,012         (9,904)        69,773          52,292
Earnings before income taxes                                        150,077        124,010        323,716         448,681
Provision for income taxes                                          49,638         45,032         117,462         168,027
Income from continuing operations                                   100,439        78,978         206,254         280,654
(Loss) income from discontinued operations, net of tax              (29,810)       6,496          (73,033)        13,000
Net earnings                                                    $   70,629     $   85,474     $   133,221     $   293,654
Net earnings per share:
Basic earnings per share from continuing operations             $   0.68       $   0.54       $   1.40        $   1.88
Basic (loss) earnings per share from discontinued operations        (0.20)         0.04           (0.50)          0.09
Total basic earnings per share                                  $   0.48       $   0.58       $   0.90        $   1.96
Diluted earnings per share from continuing operations           $   0.68       $   0.53       $   1.40        $   1.86
Diluted (loss) earnings per share from discontinued operations      (0.20)         0.04           (0.50)          0.09
Total diluted earnings per share                                $   0.48       $   0.58       $   0.90        $   1.94
Weighted average shares outstanding, basic                          147,062        146,652        146,956         149,591
Weighted average shares outstanding, diluted                        147,784        147,802        147,569         151,229
COVENTRY HEALTH CARE, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Amounts in thousands)
                                                September 30,      June 30,         December 31,
                                                2009               2009             2008
                                                (unaudited)        (unaudited)
Assets:
Current assets:
Cash and cash equivalents                   $   1,691,847      $   1,712,152    $   1,123,114
Short-term investments                          355,417            112,677          338,129
Accounts receivable, net                        259,775            280,292          293,636
Other receivables, net                          501,348            607,359          524,803
Other current assets                            156,837            186,651          130,808
Total current assets                            2,965,224          2,899,131        2,410,490
Long-term investments                           1,888,670          1,762,120        1,709,878
Property and equipment, net                     270,153            292,690          308,016
Goodwill                                        2,535,718          2,622,479        2,695,025
Other intangible assets, net                    491,164            513,209          546,168
Other long-term assets                          33,949             34,430           57,821
Total assets                                $   8,184,878      $   8,124,059    $   7,727,398
Liabilities and Stockholders' Equity:
Current liabilities:
Medical liabilities                         $   1,702,855      $   1,752,969    $   1,446,391
Accounts payable and accrued liabilities        630,190            499,602          474,561
Deferred revenue                                107,172            122,294          104,823
Total current liabilities                       2,440,217          2,374,865        2,025,775
Long-term debt                                  1,708,935          1,806,842        1,902,472
Other long-term liabilities                     433,077            416,286          368,482
Total liabilities                               4,582,229          4,597,993        4,296,729
Stockholders' equity                            3,602,649          3,526,066        3,430,669
Total liabilities and stockholders' equity  $   8,184,878      $   8,124,059    $   7,727,398
COVENTRY HEALTH CARE, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Amounts in thousands)
(unaudited)
                                                              Quarter Ended         Nine Months Ended
                                                              September 30, 2009    September 30, 2009
Cash flows from operating activities:
Net earnings                                                $ 70,629              $ 133,221
Adjustments to earnings:
Depreciation and amortization                                 40,981                112,570
Amortization of stock compensation                            13,552                37,332
Loss on disposal of FHSC                                      26,738                81,557
Gain on repurchase of debt                                    (41)                  (8,371)
Changes in assets and liabilities:
Accounts receivable, net                                      (1,868)               11,476
Medical liabilities                                           (50,036)              256,542
Accounts payable and other accrued liabilities                93,173                131,467
Deferred revenue                                              (11,640)              5,831
Other operating activities                                    132,851               27,218
Net cash flows from operating activities                      314,339               788,843
Cash flows from investing activities:
Capital expenditures, net                                     (11,623)              (34,795)
Payments for investments, net of sales and maturities         (331,469)             (115,791)
Proceeds from acquisition settlements                         112                   10,197
Proceeds from FHSC disposal, net                              115,437               115,437
Net cash flows from investing activities                      (227,543)             (24,952)
Cash flows from financing activities:
Proceeds from issuance of stock                               615                   1,094
Payments for repurchase of stock                              (10,018)              (11,745)
Repayment of debt                                             (97,910)              (184,930)
Excess tax benefit from stock compensation                    212                   423
Net cash flows from financing activities                      (107,101)             (195,158)
Net change in cash and cash equivalents for current period    (20,305)              568,733
Cash and cash equivalents at beginning of period              1,712,152             1,123,114
Cash and cash equivalents at end of period                  $ 1,691,847           $ 1,691,847
Cash and Investments:
Cash and cash equivalents                                   $ 1,691,847           $ 1,691,847
Short-term investments                                        355,417               355,417
Long-term investments                                         1,888,670             1,888,670
Total cash and investments                                  $ 3,935,934           $ 3,935,934
COVENTRY HEALTH CARE, INC.
SELECTED OPERATING STATISTICS
(Unaudited)
                                                   Q3 2009        Q2 2009        Q1 2009        Total           Q4 2008        Q3 2008
                                                                                                2008
Membership by Product (000s)
Health Plan Commercial Risk                            1,431          1,477          1,501                          1,575          1,587
Health Plan Commercial ASO                             689            697            702                            714            720
Medicare Advantage CCP                                 185            182            176                            137            134
Medicaid Risk                                          391            385            375                            371            386
Health Plan Total                                      2,696          2,741          2,754                          2,797          2,827
Medicare Advantage PFFS                                336            329            318                            243            243
Other National Risk                                    5              15             21                             24             27
Other National ASO                                     567            571            575                            633            641
Total Medical Membership                               3,604          3,656          3,668                          3,697          3,738
Medicare Part D                                        1,636          1,555          1,501                          931            910
Total Membership                                       5,240          5,211          5,169                          4,628          4,648
Revenues by Product Type (000s)
Commercial Risk                                    $   1,279,571  $   1,310,645  $   1,327,221  $   5,421,984   $   1,364,232  $   1,362,956
Commercial Management Services                         81,661         83,675         83,810         352,369         97,108         86,672
Medicare Advantage                                     1,268,592      1,224,011      1,161,590      3,177,244       847,231        825,504
Medicaid Risk                                          281,146        263,039        260,838        1,087,189       259,926        260,060
Total Health Plan and Medical Services Businesses      2,910,970      2,881,370      2,833,459      10,038,786      2,568,497      2,535,192
Medicare Part D                                        316,654        397,090        484,123        847,702         191,899        170,483
Other Premiums                                         23,568         23,746         23,957         64,783          22,916         18,937
Other Management Services(2)                           211,769        215,468        210,893        826,321         210,406        213,799
Total Specialized Managed Care Businesses(2)           551,991        636,304        718,973        1,738,806       425,221        403,219
Total Premiums                                         3,169,531      3,218,531      3,257,729      10,598,902      2,686,204      2,637,940
Total Management Services(2)                           293,430        299,143        294,703        1,178,690       307,514        300,471
Other/Eliminations                                     (18,851)       (19,300)       (19,537)       (43,365)        (16,976)       (12,690)
Total Revenue(2)                                   $   3,444,110  $   3,498,374  $   3,532,895  $   11,734,227  $   2,976,742  $   2,925,721
Consolidated Coventry
Operating Income % of Revenues(2)                      4.4%           2.9%           1.8%           5.0%            4.0%           5.3%
SGA % of Revenues(2)                                   15.3%          15.3%          15.4%          16.5%           17.8%          16.4%
Total Medical Liabilities (000s)                   $   1,428,766  $   1,413,243  $   1,416,735                  $   1,243,620  $   1,209,560
Days in Claims Payable (DCP)                           54.78          54.07          55.11                          54.75          54.94
Total Debt (millions)                              $   1,708.9    $   1,806.8    $   1,902.6                    $   1,902.5    $   1,472.3
Total Capital (millions)                           $   5,311.6    $   5,332.9    $   5,402.8                    $   5,333.1    $   4,779.3
Debt to Capital                                        32.2%          33.9%          35.2%                          35.7%          30.8%
2) Operating statistics excluding discontinued operations.
COVENTRY HEALTH CARE, INC.
SELECTED REVENUE AND MEDICAL COST STATISTICS
(Unaudited)
                                   Q3 2009  Q2 2009  Q1 2009  Total    Q4 2008  Q3 2008
                                                              2008
Revenue PMPM
Health Plan Commercial Group Risk  $304.13  $299.79  $296.36  $286.30  $289.71  $286.73
Medicare Advantage(3)              $853.90  $857.05  $860.46  $862.60  $862.79  $856.90
Medicare Part D(4)                 $84.63   $85.27   $ 84.35  $ 88.34  $ 89.16  $ 85.64
Medicaid Risk                      $239.22  $230.27  $231.93  $208.50  $228.33  $226.08
MLR %
Consolidated Total                 84.4%    86.4%    87.4%    84.0%    83.8%    83.8%
Health Plan Commercial Group Risk  82.1%    81.7%    80.9%    81.7%    83.2%    82.3%
Medicare Advantage                 89.4%    90.4%    90.5%    89.0%    90.9%    88.4%
Medicare Part D                    79.4%    89.9%    101.8%   84.1%    58.8%    78.5%
Medicaid Risk                      86.1%    90.2%    88.3%    85.3%    85.9%    84.2%
3)  Revenue PMPM excludes the impact of revenue ceded to external
    parties.
4)  Revenue PMPM excludes the impact of CMS risk-share premium
    adjustments and revenue ceded to external parties.

SOURCE: Coventry Health Care, Inc.

Coventry Health Care 
Shawn M. Guertin 
Chief Financial Officer 
301-581-5701 
or 
Drew Asher 
SVP, Corporate Finance 
301-581-5717
For full details on Coventry Health Care Inc (CVH) click here. Coventry Health Care Inc (CVH) has Short Term PowerRatings of 3. Details on Coventry Health Care Inc (CVH) Short Term PowerRatings is available at This Link.

    


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