WellCare Reports First Quarter 2009 Results

* Reuters is not responsible for the content in this press release.

Mon May 11, 2009 6:30am EDT

TAMPA, Fla.--(Business Wire)--
WellCare Health Plans, Inc. (NYSE: WCG) today reported first quarter 2009
adjusted net income of $12.3 million as compared with $21.7 million for the
first quarter 2008. Adjusted diluted earnings per share ("EPS") were $0.29
versus $0.52 in the same period last year. 

First quarter adjusted results were negatively impacted by a decrease in
investment and other income, an increase in medical benefits expense associated
with Medicare Advantage private fee-for-service plans, and an increase in the
Medicaid segment medical benefits ratio ("MBR") due to premium rate increases
below the Company`s historical experience. These factors were offset in part by
the favorable development of 2008 medical benefits payable. 

As determined under generally accepted accounting principles ("GAAP"), the
Company reported a net loss of $36.9 million, or $0.89 per diluted share, for
the first quarter 2009, compared with net income of $1.3 million, or $0.03 per
diluted share, for the first quarter 2008. 

"We have achieved good progress, despite the challenging environment, as our
team has remained focused on serving our members, providers and government
clients," said Heath Schiesser, WellCare`s president and chief executive
officer. "In addition, we look forward to repaying our credit facility in full
in two days, and we will continue to invest in our infrastructure and compliance
programs." 

Historical operating results described in this news release are adjusted to
exclude certain selling, general, and administrative ("SG&A") expenses for
investigation-related matters that management believes are not indicative of
longer-term business operations. Management believes adjusted amounts provide
additional, useful information for investors. Where applicable, adjusted results
are reconciled to the most directly comparable results determined under GAAP. In
addition, please also refer to the schedules in this news release that provide
supplemental information reconciling historical results determined under GAAP to
historical adjusted results. 

Highlights of First Quarter Operations

Membership of 2.46 million as of March 31, 2009, essentially was unchanged from
2.45 million members as of March 31, 2008. Medicaid segment membership increased
10% year-over-year to 1.36 million, driven by growth in all programs and the
addition of the Hawaii program for the aged, blind, and disabled ("ABD") on
February 1, 2009, offset in part by the withdrawals from the Connecticut program
in April 2008 and the Ohio ABD program in August 2008. Medicare Advantage
membership was 270,000 on March 31, 2009, an increase of 32% from March 31,
2008. Medicare stand-alone Prescription Drug Plan ("PDP") membership decreased
18% year-over-year. 

Premium revenue for the first quarter 2009 increased 10.5% year-over-year to
$1.79 billion. The growth is attributable principally to increases in Medicaid
and Medicare Advantage premiums, offset in part by a decrease in PDP premiums. 

Investment and other income was $3.3 million, a decrease of 79% year-over-year,
primarily due to reduced market interest rates, and, to a lesser extent, lower
average investment and cash balances. The decrease reduced diluted EPS by
approximately $0.19 year-over-year. 

Medical benefits expense was $1.55 billion, compared with $1.40 billion for the
same period last year. First quarter medical benefits expense was affected by
the year-to-year increase in costs associated with Medicare Advantage private
fee-for-service plans. This increase reduced adjusted diluted EPS by
approximately $0.33 year-over-year. On May 4, 2009, WellCare announced its
intention to withdraw in 2010 from private fee-for-service plans. Medical
benefits expense also was affected by the favorable development of 2008 medical
benefits payable in both the Company`s Medicaid and Medicare segments, which
amounted to $0.46 per diluted share. 

The medical benefits ratio was 86.7% in the first quarter 2009, compared with
86.2% in 2008. The 50 basis point increase in the MBR was driven principally by
the Medicaid segment MBR, which increased primarily due to premium rate
increases below the Company`s historical experience 

Adjusted SG&A expense was $215.2 million, or 12.0% of total revenues, compared
with $194.8 million, or 11.9% of total revenues, for the same period last year.
The increase principally resulted from growth in the Company`s operations and
investments in infrastructure and compliance programs. 

Cash Flow and Financial Condition Highlights

For the first quarter ended March 31, 2009, net cash provided by operations was
$54.5 million after adjusting for the timing of receipt of payments from the
Company`s government clients. Please refer to the supplemental information for a
reconciliation of adjusted net cash provided by operations to net cash used in
operations of $105.8 million as determined under GAAP. 

WellCare has a senior secured credit facility that has a term loan with an
outstanding balance of $152.4 million as of March 31, 2009. The Company expects
to pay the outstanding balance in full on its due date of May 13, 2009. 

Days in claims payable were 51 days as of March 31, 2009, compared with 54 days
as of December 31, 2008. Adjusted days in claims payable were 49 days as of
March 31, 2008. Please refer to the supplemental information for a
reconciliation of March 31, 2008 days, in claims payable to adjusted days in
claims payable. 

Webcast

A discussion of WellCare`s first quarter 2009 results as well as the Company`s
outlook will be webcast live on Monday, May 11, 2009, beginning at 8:30 a.m.
Eastern Time. A replay will be available beginning approximately one hour
following the conclusion of the live broadcast. The webcast is available via the
Company`s web site at www.wellcare.com and at www.earnings.com. 

About WellCare Health Plans, Inc.

WellCare Health Plans, Inc. provides managed care services exclusively for
government-sponsored healthcare programs, focusing on Medicaid and Medicare.
Headquartered in Tampa, Florida, WellCare offers a variety of health plans for
families, children, and the aged, blind, and disabled, as well as prescription
drug plans. The Company served nearly 2.5 million members nationwide as of March
31, 2009. For more information about WellCare, please visit the Company`s
website at www.wellcare.com. 

Cautionary Statement Regarding Forward-Looking Statements

This news release contains "forward-looking" statements that are made pursuant
to the Safe Harbor provisions of the Private Securities Litigation Reform Act of
1995. Statements that are predictive in nature, that depend upon or refer to
future events or conditions, or that include words such as "expects,"
"anticipates," "intends," "plans," "believes," "estimates," and similar
expressions are forward-looking statements. Forward-looking statements involve
known and unknown risks and uncertainties that may cause WellCare`s actual
future results to differ materially from those projected or contemplated in the
forward-looking statements. These risks and uncertainties include, but are not
limited to, risks regarding WellCare`s intentions with respect to the repayment
of its senior secured credit facility and its level of debt. 

Additional information concerning these and other important risks and
uncertainties can be found under the captions "Cautionary Statement Regarding
Forward-Looking Statements" and "Risk Factors" in the Company`s 2008 Annual
Report on Form 10-K, as amended, and other filings made with the U.S. Securities
and Exchange Commission, which contain discussions of WellCare`s business and
the various factors that may affect it. WellCare undertakes no duty to update
these forward-looking statements to reflect any future events, developments, or
otherwise.

 WELLCARE HEALTH PLANS, INC.                                                                           
 UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS                                             
 (In thousands, except share and per share data)                                                       
                                                                                                       
                                                Three Months Ended                                   
                                                March 31,                                            
                                                2009                            2008               
 Revenues:                                                                                         
 Premium                                        $     1,791,927               $     1,621,374   
 Investment and other income                          3,334                         15,547      
 Total revenues                                       1,795,261                     1,636,921   
                                                                                                   
 Expenses:                                                                                         
 Medical benefits                                     1,552,998                     1,397,572   
 Selling, general, and administrative                 271,521                       227,736     
 Depreciation and amortization                        5,739                         5,151       
 Interest                                             2,286                         3,304       
 Total expenses                                       1,832,544                     1,633,763   
                                                                                                   
 (Loss) income before income taxes                    (37,283     )                 3,158       
 Income tax (benefit) expense                         (350        )                 1,838       
 Net (loss) income                              $     (36,933     )           $     1,320       
                                                                                                   
 Net (loss) income per share:                                                                      
 Basic                                          $     (0.89       )           $     0.03        
 Diluted                                        $     (0.89       )           $     0.03        
                                                                                                   
 Weighted average common shares outstanding:                                                       
 Basic                                                41,680,319                    41,126,580  
 Diluted                                              41,680,319                    41,944,055  
                                                                                                


 WELLCARE HEALTH PLANS, INC.                                           
 CONDENSED CONSOLIDATED BALANCE SHEETS                                 
 (In thousands, except share data)                                     
                                                                       
                March 31,                   Dec. 31,               
                2009                        2008                   
                (unaudited)                                        
 ASSETS                                                              
 Current                                                           
 Assets:                                                           
 Cash and cash   $     1,134,580           $    1,181,922       
 equivalents                                                   
 Investments          73,778                   70,112          
 Premium and          285,401                  215,525         
 other                                                         
 receivables,                                                  
 net                                                           
 Other                51,514                   825             
 receivables                                                   
 from                                                          
 government                                                    
 partners, net                                                  
 Funds                43,754                   86,542          
 receivable                                                    
 for the                                                       
 benefit of                                                    
 members                                                       
 Prepaid              124,583                  129,490         
 expenses and                                                  
 other current                                                  
 assets, net                                                   
 Deferred             23,921                   20,154          
 income taxes                                                  
 Total current         1,737,531                1,704,570       
 assets                                                        
 Property,            66,373                   66,588          
 equipment and                                                  
 capitalized                                                   
 software, net                                                  
 Goodwill             111,131                  111,131         
 Other                14,110                   14,493          
 intangible                                                    
 assets, net                                                   
 Long term            48,404                   54,972          
 investments                                                   
 Restricted           176,869                  199,339         
 investment                                                    
 assets                                                        
 Deferred tax         19,814                   23,263          
 asset                                                         
 Other assets         27,317                   29,105          
 Total Assets   $     2,201,549           $    2,203,461       
                                                                   
 LIABILITIES                                                         
 AND                                                                 
 STOCKHOLDERS`                                                        
 EQUITY                                                              
 Current                                                           
 Liabilities:                                                      
 Medical        $     879,801             $    766,179         
 benefits                                                      
 payable                                                       
 Unearned             18,643                   81,197          
 premiums                                                      
 Accounts             14,359                   5,138           
 payable                                                       
 Other accrued         286,891                  338,340         
 expenses                                                      
 Other                31,012                   8,100           
 payables to                                                   
 government                                                    
 partners                                                      
 Taxes payable         13,047                   12,187          
 Debt                 152,381                  152,741         
 Other current         674                      674             
 liabilities                                                   
 Total current         1,396,808                1,364,556       
 liabilities                                                   
 Other                30,440                   33,076          
 liabilities                                                   
 Total                1,427,248                1,397,632       
 liabilities                                                   
 Commitments          -                        -               
 and                                                           
 contingencies                                                  
 Stockholders`                                                      
 Equity:                                                           
 Preferred            -                        -               
 stock, $0.01                                                  
 par value                                                     
 (20,000,000                                                   
 authorized,                                                   
 no shares                                                     
 issued or                                                     
 outstanding)                                                  
 Common stock,         422                      423             
 $0.01 par                                                     
 value                                                         
 (100,000,000                                                  
 authorized,                                                   
 42,221,355                                                    
 and                                                           
 42,261,345                                                    
 shares issued                                                  
 and                                                           
 outstanding                                                   
 at March 31,                                                  
 2009 and                                                      
 December 31,                                                  
 2008,                                                         
 respectively)                                                  
 Paid-in              398,707                  390,526         
 capital                                                       
 Retained             381,708                  418,641         
 earnings                                                      
 Accumulated          (6,536     )             (3,761     )    
 other                                                         
 comprehensive                                                  
 expense                                                       
 Total                774,301                  805,829         
 stockholders`                                                  
 equity                                                        
 Total          $     2,201,549           $    2,203,461       
 Liabilities                                                   
 and                                                           
 Stockholders`                                                  
 Equity                                                        
                                                               


 WELLCARE HEALTH PLANS, INC.                                                                                                
 UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS                                                                  
 (In thousands)                                                                                                             
                                                                                                                            
                                                                     Three Months Ended                                   
                                                                     March 31,                                            
                                                                     2009                        2008                   
 Cash from (used in) operating activities:                                                                              
 Net (loss) income                                                   $    (36,933    )         $    1,320           
 Adjustments to reconcile net (loss) income to net cash                                                                 
 (used in) provided by operating activities:                                                                            
 Depreciation and amortization expense                                    5,739                     5,151           
 Equity-based compensation expense                                        9,612                     7,607           
 Deferred taxes, net                                                      (318       )              3,563           
 Changes in operating accounts:                                                                                         
 Premium and other receivables, net                                       (69,876    )              81,748          
 Other receivables from government partners, net                          (50,689    )              (6,018     )    
 Prepaid expenses and other, net                                          4,907                     (32,652    )    
 Medical benefits payable                                                 113,622                   123,638         
 Unearned premiums                                                        (62,554    )              (17,769    )    
 Accounts payable                                                         9,221                     14,475          
 Other accrued expenses                                                   (51,449    )              (20,851    )    
 Other payables to government partners                                    22,912                    (74,140    )    
 Taxes                                                                    2,288                     20,048          
 Other                                                                    (2,236     )              (39,341    )    
 Net cash (used in) provided by operations                                (105,754   )              66,779          
 Cash from (used in) investing activities:                                                                              
 Purchases of investments                                                 (18,756    )              (105,999   )    
 Proceeds from sales and maturities of investments                        19,051                    175,803         
 Purchases of restricted investments                                      (17,088    )              (9,317     )    
 Proceeds from maturities of restricted assets                            39,390                    738             
 Additions to property and equipment, net                                 (5,141     )              (3,876     )    
 Net cash provided by investing activities                                17,456                    57,349          
 Cash from (used in) financing activities:                                                                              
 Purchase of treasury stock and other                                     (1,432     )              (1,530     )    
 Repayments on debt                                                       (400       )              (800       )    
 Funds received for the benefits of members, net of disbursements         42,788                    104,039         
 Net cash provided by financing activities                                40,956                    101,709         
 Cash and cash equivalents:                                                                                             
 (Decrease) increase during the period                                    (47,342    )              225,837         
 Balance at beginning of year                                             1,181,922                 1,008,409       
 Balance at end of period                                            $    1,134,580            $    1,234,246       
                                                                                                                        
 SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:                                                                     
 Cash paid for taxes                                                 $    903                  $    15,772          
 Cash paid for interest                                              $    1,790                $    2,971           
                                                                                                                    


 WELLCARE HEALTH PLANS, INC.                                               
 MEMBERSHIP STATISTICS                                                     
                                                                           
                                         As of March 31,                 
                                         2009               2008       
 Membership by Program                                                 
 Medicaid Membership                                                   
 TANF                                    1,080,000          947,000    
 S-CHIP                                  164,000            187,000    
 SSI                                     92,000             71,000     
 FHP                                     19,000             28,000     
 Total Medicaid Membership               1,355,000          1,233,000  
                                                                       
 Medicare Membership                                                   
 Medicare Advantage                      270,000            204,000    
 Prescription drug plan (stand-alone)    831,000            1,009,000  
 Total Medicare Membership               1,101,000          1,213,000  
 Total Membership                        2,456,000          2,446,000  
 Medicaid Membership by State                                          
 Florida                                 490,000            455,000    
 Georgia                                 496,000            456,000    
 Other states                            369,000            322,000    
 Total Medicaid Membership               1,355,000          1,233,000  
                                                                       


 WELLCARE HEALTH PLANS, INC.                                                        
 UNAUDITED SEGMENT AND LINE OF BUSINESS INFORMATION                                 
 (Dollars in thousands)                                                             
                                                                                    
                             Three Months Ended                                   
                             March 31,                                            
                             2009                        2008                   
 Premium revenue:                                                               
 Medicaid:                                                                      
 Florida                     $    248,692              $    241,903         
 Georgia                          324,924                   307,116         
 Other states                     235,562                   184,616         
 Total Medicaid                   809,178                   733,635         
                                                                                
 Medicare:                                                                      
 Medicare Advantage plans         733,099                   545,822         
 Prescription Drug plans          249,650                   341,917         
 Total Medicare                   982,749                   887,739         
 Total premium revenue       $    1,791,927            $    1,621,374       
                                                                                
 Medical benefits ratio:                                                        
 Medicaid segment                 85.2       %              83.3       %    
 Medicare segment                 87.8       %              88.6       %    
                                                                            


 WELLCARE HEALTH PLANS, INC.                                                                                                                                                                                                     
 UNAUDITED SUPPLEMENTAL INFORMATION                                                                                                                                                                                              
                                                                                                                                                                                                                                 
 Reconciliation of GAAP Statements of Operations to Adjusted Statements of Operations                                                                                                                                            
 (Dollars in thousands except per share amounts)                                                                                                                                                                                 
                                                                                                                                                                                                                                 
 The Company reports operating results on a non-GAAP basis to exclude certain expenses that management believes are not indicative of future business trends and operations. Management believes adjusted amounts provide        
 additional, useful information for investors. Following are statements of operations and related measures for the three months ended March 31, 2009 and 2008, as determined under GAAP, reconciled to the adjusted              
 statements of operations and related measures for each of the same periods.                                                                                                                                                     
                                                                                                                                                                                                                                 
                                         Three Months Ended March 31, 2009                                                          Three Months Ended March 31, 2008                                                        
                                         GAAP                         Adjustments                     Adjusted                  GAAP                         Adjustments                     Adjusted                
 Revenues:                                                                                                                                                                                                         
 Premium                                 $    1,791,927             $    -                       $    1,791,927          $    1,621,374             $    -                       $    1,621,374        
 Investment and other income                  3,334                      -                            3,334                   15,547                     -                            15,547           
 Total revenues                               1,795,261                  -                            1,795,261               1,636,921                  -                            1,636,921        
                                                                                                                                                                                                                   
 Expenses:                                                                                                                                                                                                         
 Medical benefits                             1,552,998                  -                            1,552,998               1,397,572                  -                            1,397,572        
 Selling, general, and                                                                 (a)                                                                                                             
 administrative                               271,521                    (56,300  )    (b)            215,221                 227,736                    (32,906  )    (a)            194,830          
 Depreciation and amortization                5,739                      -                            5,739                   5,151                      -                            5,151            
 Interest                                     2,286                      -                            2,286                   3,304                      -                            3,304            
 Total expenses                               1,832,544                  (56,300  )                   1,776,244               1,633,763                  (32,906  )                   1,600,857        
                                                                                                                                                                                                                   
 Income (loss) before income taxes            (37,283     )              56,300                       19,017                  3,158                      32,906                       36,064           
 Income tax expense (benefit)                 (350        )              7,097                        6,747                   1,838                      12,504                       14,342           
 Net income (loss)                       $    (36,933     )         $    49,203                  $    12,270             $    1,320                 $    20,402                  $    21,722           
                                                                                                                                                                                                                   
 Weighted average shares outstanding:                                                                                                                                                                              
 Basic                                        41,680,319                 -                            41,680,319              41,126,580                 -                            41,126,580       
 Diluted                                      41,680,319                 194,529                      41,874,848              41,944,055                 -                            41,944,055       
                                                                                                                                                                                                                   
 Net income per share:                                                                                                                                                                                             
 Basic                                   $    (0.89       )         $    1.18                    $    0.29               $    0.03                  $    0.50                    $    0.53             
 Diluted                                 $    (0.89       )         $    1.18                    $    0.29               $    0.03                  $    0.49                    $    0.52             
                                                                                                                                                                                                                   
 Medical benefits ratio                       86.7        %                                             86.7        %           86.2        %                                             86.2        %    
 Administrative expense ratio                 15.1        %              (3.1     %)                  12.0        %           13.9        %              (2.0     %)                  11.9        %    
 Days in claims payable                  51 days                                                     51 days                   43 days                      6 days               (c)       49 days                 
                                                                                                                                                                                                                   


 (a)    Investigation-related      
        legal, accounting, employee 
        retention, and other costs: 
        Administrative expenses    
        associated with the        
        government and Special     
        Committee investigations   
        amounted to approximately  
        $11.5 million and $32.9    
        million before income      
        taxes, respectively, in the 
        three month periods ended  
        March 31, 2009 and 2008.   
 (b)    Liability for investigation 
        -related matters: Based on 
        the status of the          
        government investigations, 
        the Company recorded a     
        liability of $44.8 million 
        before and after income    
        taxes in the three month   
        period ended March 31,     
        2009.                      
 (c)    Days in claims payable:    
        Adjusted medical benefits  
        payable as of March 31,    
        2008, is $92.9 million     
        greater than medical       
        benefits payable determined 
        under GAAP. This adjustment 
        results from the Company`s 
        ability to review          
        substantially complete     
        claims information that    
        became available between   
        the date of the original   
        actuarially determined     
        estimate and the filing    
        date of the 2007 10-K. Had 
        WellCare filed its 2007 10 
        -K timely and not been able 
        to observe substantially   
        complete claims            
        information, medical       
        benefits payable as of     
        March 31, 2008, would have 
        increased by $92.9 million. 
        The adjustment to March 31, 
        2008, medical benefits     
        payable results in six     
        additional days in claims  
        payable as of that date.   
        Therefore, adjusted days in 
        claims payable is 49 days  
        as of March 31, 2008.      
                                     
 Premium taxes were $24.5 million and $20.3 million, respectively, for the three 
 month periods ended March 31, 2009 and 2008. 
                                     


 WELLCARE HEALTH PLANS, INC.                                                                                              
 UNAUDITED SUPPLEMENTAL INFORMATION                                                                                       
                                                                                                                          
 Reconciliation of GAAP Net Cash Provided By Operations                                                                   
 To Adjusted Net Cash Provided By Operations                                                                              
                                                                                                                          
 The Company reports cash provided by operations on a non-GAAP basis to exclude the changes in unearned premiums,         
 premiums and other receivables, and other receivables to and payables from government partners. The Company believes     
 that excluding changes in unearned premiums, premiums and other receivables, and other receivables to and payables from  
 government partners is useful measure of cash flow from operations, as these changes are a function of the timing of     
 cash receipts from and payments to federal and state agencies at the end of a period.                                    
                                                                                                                          
                                                                      Three Months Ended                                
                                                                      March 31,                                         
                                                                      2009                       2008                 
 Net cash provided by operating activities, as reported under GAAP    $    (105,754  )         $    66,779        
 Adjusted for change in:                                                                                              
 Unearned premiums                                                         62,554                   17,769        
 Premiums receivable                                                       69,876                   (81,748  )    
 Other receivables from government partners                                50,689                   6,018         
 Other payables to government partners                                     (22,912   )              74,140        
 Net cash provided by operating activities, as adjusted               $    54,453              $    82,958        
                                                                                                                  


WellCare Health Plans, Inc.
Investor relations:
Gregg Haddad, 813-865-1284
gregg.haddad@wellcare.com
or
Media relations:
Amy Knapp, 813-290-6208
amy.knapp@wellcare.com

Copyright Business Wire 2009

Comments (0)
This discussion is now closed. We welcome comments on our articles for a limited period after their publication.