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Centene Corporation Reports Nineteenth Consecutive Quarter of Increased Profitability.


Business Editors

ST. LOUIS--(BUSINESS WIRE)--April 26, 2004

Centene Corporation Centene Corporation is in the industry of Medicaid managed care.

Centene is a multi-line healthcare enterprise operating primarily in two segments: Medicaid Managed Care and Specialty Services.
 (NYSE NYSE

See: New York Stock Exchange
:CNC (Computerized Numerical Control) See numerical control.

CNC - Collaborative Networked Communication
) today announced its financial results for the quarter ended March 31, 2004.

First Quarter Highlights

-- Revenues of $225.5 million, a 27% increase over the first

quarter of 2003.

-- Earnings from operations of $14.7 million, a 45% increase over

the first quarter of 2003.

-- Diluted earnings per share diluted earnings per share

An earnings measure calculated by dividing net income less preferred stock dividends for a period by the average number of shares of common stock that would be outstanding if all convertible securities were converted into shares of
 of $0.47.

-- Organic membership growth of 15% over the first quarter of

2003.

-- Medicaid Medicaid, national health insurance program in the United States for low-income persons; established in 1965 with passage of the Social Security Amendments and now run by the Centers for Medicare and Medicaid Services.  Managed Care segment G&A of 10.4% (GAAP GAAP

See: Generally Accepted Accounting Principles


GAAP

See generally accepted accounting principles (GAAP).
) and 9.9%

(non-GAAP), exclusive of the effect of the premium tax.

-- Operating cash flows Operating cash flow

Earnings before depreciation minus taxes. Measures the cash generated from operations, not counting capital spending or working capital requirements.
 of $12.4 million, a 25% increase over the

first quarter of 2003.

-- Entered fifth market, Ohio, effective January January: see month.  1, 2004.

-- Days in claims payable of 55.4.

-- New management and board appointments.

Michael Michael, archangel
Michael (mī`kəl) [Heb.,=who is like God?], archangel prominent in Christian, Jewish, and Muslim traditions. In the Bible and early Jewish literature, Michael is one of the angels of God's presence.
 F. Neidorff, Centene's president and chief executive officer, said, "Our financial results continue to be in line with our expectations and are an ongoing validation See validate.

validation - The stage in the software life-cycle at the end of the development process where software is evaluated to ensure that it complies with the requirements.
 of our ability to work effectively with states to implement our Margin Protection Program(TM). This program combines rate protection with policy initiatives that reduce costs and improve health outcomes for our recipients. To date, we have been successful in effecting changes that reduce inappropriate inappropriate Medtalk adjective A diagnostic or therapeutic procedure proven to be unnecessary for the efficient management of a particular Pt. See Appropriateness, Canadian plan, Practice guidelines Neurology adjective Referring to a response or behavior  emergency room visits, and each of our markets has approved the implementation of our preferred drug list. We will continue to work with our states on policies which we believe will enable them to have better control over their Medicaid expenditures."

"Growth in our markets has been consistent with our objectives, and we are particularly pleased with the trends in Indiana Indiana, state, United States
Indiana, midwestern state in the N central United States. It is bordered by Lake Michigan and the state of Michigan (N), Ohio (E), Kentucky, across the Ohio R. (S), and Illinois (W).
 and Wisconsin Wisconsin, state, United States
Wisconsin (wĭskŏn`sən, –sĭn), upper midwestern state of the United States. It is bounded by Lake Superior and the Upper Peninsula of Michigan, from which it is divided by the Menominee
. In Texas, the state altered administrative enrollment procedures that resulted in a sequential One after the other in some consecutive order such as by name or number.  quarter decrease in membership in the SCHIP SCHIP State Children's Health Insurance Program  population. We are working with our members to make them aware of such changes and are demonstrating to the state that the savings we generate will enable them to expand the enrollment base within existing budgetary goals. In Ohio, our newest market, we are on track in Toledo Toledo, city, Spain
Toledo, city (1990 pop. 60,671), capital of Toledo province, central Spain, in Castile–La Mancha, on a granite hill surrounded on three sides by a gorge of the Tagus River.
 and remain focused on building our provider network in additional markets for future expansion," continued Neidorff.

"I would like to welcome Lisa Wilson Lisa Marie Wilson (born April 14, 1980) is a beauty queen and singer from Rome, Georgia who has competed in the Miss USA pageant and appeared on American Idol.

Wilson won the Miss Georgia USA 2006 title in a state pageant held in Newnan in late 2006.
, the newest member of our senior management team. Ms. Wilson Wilson, city (1990 pop. 36,930), seat of Wilson co., E N.C., in a rich agricultural region; inc. 1849. It is a commercial and industrial center with a large tobacco market. Manufactures include textile goods (especially clothing), metal products, and processed foods.  has been working with Centene since our initial public offering in 2001 and has made significant contributions to our investor relations Investor relations

The process by which the corporation communicates with its investors.
 program, along with building awareness of the Company with the Wall Street investment community. I also welcome John Roberts, Executive Director of Civic Progress, and a former managing partner of Arthur Andersen For the U.S. Supreme Court case commonly known as Arthur Andersen, see .
Arthur Andersen LLP, based in Chicago, was once one of the "Big Five" accounting firms (the other four are PricewaterhouseCoopers, Deloitte Touche Tohmatsu, Ernst & Young and KPMG), performing
 LLP LLP - Lower Layer Protocol , to our Board of Directors and Audit Committee. Mr. Roberts' perspective on corporate governance Corporate Governance

The relationship between all the stakeholders in a company. This includes the shareholders, directors, and management of a company, as defined by the corporate charter, bylaws, formal policy, and rule of law.
 and financial transparency (1) The quality of being able to see through a material. The terms transparency and translucency are often used synonymously; however, transparent would technically mean "seeing through clear glass," while translucent would mean "seeing through frosted glass." See alpha blending.  will be invaluable as we continue to build Centene to conform to Verb 1. conform to - satisfy a condition or restriction; "Does this paper meet the requirements for the degree?"
fit, meet

coordinate - be co-ordinated; "These activities coordinate well"
 the highest standards," concluded Neidorff.

Membership totaled 522,400 at March 31, 2004, a 24.6% increase from 419,300 at March 31, 2003. The Company experienced solid growth in its Indiana, Texas and Wisconsin markets year-over-year, while membership in the New Jersey market was stable. Ohio contributed 23,800 members to the quarter through the acquisition of certain Medicaid-related assets from Family Health Plan, Inc., effective January 1, 2004. The state of Texas implemented administrative policy changes that require SCHIP members to re-enroll every six months versus annually and implemented a 90-day waiting period for enrollment. The net effect of these changes was a reduction in the state's SCHIP membership and in the Company's membership in this category from the fourth quarter of 2003. The Company is proactively reaching out to its members to make them aware of the new procedures required for enrollment under the new guidelines guidelines,
n.pl a set of standards, criteria, or specifications to be used or followed in the performance of certain tasks.
.

The following table depicts membership in Centene's managed care organizations by state at March 31, 2004 and 2003:

                                              2004        2003
                                           ---------    --------

        Indiana                              125,400     104,800
        New Jersey                            54,000      52,700
        Ohio                                  23,800          --
        Texas                                154,000     122,700
        Wisconsin                            165,200     139,100
                                           ---------    --------

        TOTAL                                522,400     419,300
                                           =========    ========


The following table depicts membership in Centene's managed care organizations by member category at March 31, 2004 and 2003:

                                              2004        2003
                                           ---------    --------
        Medicaid                             446,900     344,700
        SCHIP                                 65,900      66,600
        SSI                                    9,600(a)    8,000(b)
                                           ---------    --------

        TOTAL                               522,400     419,300
                                           =========    ========

(a) 4,400 at-risk; 5,200 ASO
(b) 4,200 at-risk; 3,800 ASO


Statement of Earnings Highlights

-- For the first quarter of 2004, revenues increased 27.1% to

$225.5 million from $177.4 million in the first quarter of

2003. Net of acquisitions, revenue growth was $27.1 million,

or 15.3%, over the same prior year period.

-- The health benefits ratio (HBR HBR Harvard Business Review
HBR Harbor
HBR High Bit Rate
HBR Human Behavioral Representation
HBR Heijmans Blackwell Remediation
HBR Hydrobromide Acid
HBR House Budget Resolution
HBR Hybrid Block Repair
HBR Host-Based Replication
), which reflects medical

services costs as a percent of premium revenues, was 81.0%

(GAAP) compared to 83.4% (GAAP) for the same period in 2003.

Excluding $1.1 million in premium revenue attributable attributable

emanating from or pertaining to attribute.


attributable proportion
see attributable risk (below).

attributable risk
 to the

premium tax imposed by the state of Texas on September September: see month.  1,

2003, the HBR was 81.4% (non-GAAP) for the current quarter.

This was slightly below the Company's targeted range of 81.5%

to 83.5%, due primarily to the successful implementation of

initiatives to reduce inappropriate emergency room usage and

to establish preferred drug lists.

-- Consolidated con·sol·i·date  
v. con·sol·i·dat·ed, con·sol·i·dat·ing, con·sol·i·dates

v.tr.
1. To unite into one system or whole; combine:
 general and administrative (G&A) expenses, which

includes the Medicaid Managed Care segment and Specialty A contract under seal.

A specialty is a written document that has been sealed and delivered and is given as security for the payment of a specifically indicated debt.


Services, as a percent of revenues increased to 12.6% (GAAP)

in 2004 from 10.9% (GAAP) in the first quarter of 2003.

Excluding the effect of the premium tax on G&A expenses and

including the effects of the Company's specialty business,

which has a higher overall G&A ratio, the expense ratio was

12.2% (non-GAAP) in total, and 9.9% (non-GAAP) for the

Medicaid Managed Care segment compared to 10.5% (GAAP) for the

same prior year period.

-- Earnings from operations increased 44.7% to $14.7 million from

$10.1 million in 2003.

-- Net earnings improved to $10.1 million, or $0.47 per diluted di·lute  
tr.v. di·lut·ed, di·lut·ing, di·lutes
1. To make thinner or less concentrated by adding a liquid such as water.

2. To lessen the force, strength, purity, or brilliance of, especially by admixture.


share, compared to $7.2 million, or $0.40 per diluted share,

for the first quarter of 2003.

Balance Sheet and Cash Flow Highlights

At March 31, 2004, the Company held cash and investments of $288.7 million, a portion of which is restricted due to state regulatory requirements Regulatory requirements are part of the process of drug discovery and drug development. Regulatory requirements describe what is necessary for a new drug to be approved for marketing in any particular country. . Medical claims liabilities totaled $109.8 million, representing 55.4 days in claims payable.

Cash flows from operating activities of $12.4 million for the quarter ended March 31, 2004, reflect a 25.4% increase year-over-year.

Outlook

Karey L. Witty wit·ty  
adj. wit·ti·er, wit·ti·est
1. Possessing or demonstrating wit in speech or writing; very clever and humorous.

2.
, Centene's chief financial officer, commented, "We are updating our guidance and anticipate 2004 revenue in the range of $940 to $950 million and net earnings of $1.91 to $1.96 per share. This does not include the potential impact of any acquisitions we may undertake during 2004."

Conference Call

As previously announced, the Company will host a conference call tomorrow, April 27, 2004, at 8:15 a.m. (Eastern Time) to review the financial results for the first quarter ended March 31, 2004, and to discuss its business outlook. Michael F. Neidorff and Karey L. Witty will host the conference call. Investors are invited to participate in the conference call by dialing (800) 273-1254 in the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area.  and Canada Canada (kăn`ədə), independent nation (2001 pop. 30,007,094), 3,851,787 sq mi (9,976,128 sq km), N North America. Canada occupies all of North America N of the United States (and E of Alaska) except for Greenland and the French islands of , and (706) 679-8592 for international participants, or via a live Internet Internet

Publicly accessible computer network connecting many smaller networks from around the world. It grew out of a U.S. Defense Department program called ARPANET (Advanced Research Projects Agency Network), established in 1969 with connections between computers at the
 broadcast at the Company's website, www.centene.com. A replay of the call will be available from April 27, 2004, shortly after completion of the call and ending on May 11, 2004, at 11:59 p.m. Investors may dial (800) 642-1687 in the United States and (706) 645-9291 from abroad and enter access number 6572189. Additionally, the webcast will be archived for the same period at www.centene.com.

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 individuals to more accurately assess the ongoing nature of the Company's operations and measure the Company's performance more consistently.

The pro forma As a matter of form or for the sake of form. Used to describe accounting, financial, and other statements or conclusions based upon assumed or anticipated facts.

The phrase pro forma
 (non-GAAP) information presented above in the fifth bullet under "First Quarter Highlights", second and third bullet under "Statement of Earnings Highlights" and presented below in tables excludes the impact of a premium tax enacted in September 2003. This assumption has been made in the non-GAAP financial measures as management believes that this assumption generally provides a more consistent measure of the Company's performance.

The Company uses the presented non-GAAP financial measures internally to focus management on period-to-period changes in the Company's core business. 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 Accordance is Bible Study Software for Macintosh developed by OakTree Software, Inc.[]

As well as a standalone program, it is the base software packaged by Zondervan in their Bible Study suites for Macintosh.
 with GAAP.

About Centene Corporation

Centene Corporation provides multi-line managed care programs and related services to individuals receiving benefits under Medicaid, including Supplemental Security Income Supplemental Security Income

A Social Security program established to help the blind, disabled, and poor.
 (SSI (1) See server-side include and single-system image.

(2) (Small-Scale Integration) Less than 100 transistors on a chip. See MSI, LSI, VLSI and ULSI.

1. (electronics) SSI - small scale integration.
2.
) and the State Children's Health Children's Health Definition

Children's health encompasses the physical, mental, emotional, and social well-being of children from infancy through adolescence.
 Insurance Program (SCHIP). The Company operates health plans in Indiana, New Jersey, Ohio, Texas and Wisconsin. In addition, the Company contracts with other healthcare organizations to provide specialty services including behavioral health Behavioral health was first used in the 1980's to name the combination of the fields mental health and substance abuse. As an example, an organization serving both mental health and substance abuse clients might refer to its practice as behavioral health or , nurse triage triage

Division of patients for priority of care, usually into three categories: those who will not survive even with treatment; those who will survive without treatment; and those whose survival depends on treatment.
 and pharmacy pharmacy, art of compounding and dispensing drugs and medication. The term is also applied to an establishment used for such purposes. Until modern times medication was prepared and dispensed by the physician himself. In the 18th cent.  compliance. Information regarding Centene is available via the Internet at www.centene.com.

The information provided in the first and second paragraphs following the bullet listing under "First Quarter Highlights" and in the paragraph under "Outlook" above contain forward-looking statements forward-looking statement

A projected financial statement based on management expectations. A forward-looking statement involves risks with regard to the accuracy of assumptions underlying the projections.
 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 for·ward-look·ing
adj.
Concerned with or making provision for the future: forward-looking educators; a forward-looking corporate plan.

Adj. 1.
 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 reg·u·late  
tr.v. reg·u·lat·ed, reg·u·lat·ing, reg·u·lates
1. To control or direct according to rule, principle, or law.

2.
, 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 Inferred from circumstances; known indirectly.

In its legal application, the term implied is used in contrast with express, where the intention regarding the subject matter is explicitly and directly indicated.
 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 Operating expenses

The amount paid for asset maintenance or the cost of doing business, excluding depreciation. Earnings are distributed after operating expenses are deducted.
, 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 This article is a list of major epidemics. Worldwide Pandemics
  • 165-180: Antonine Plague, perhaps smallpox
  • 541: the Plague of Justinian
  • 1300s: the Black Death
  • 1501-1587: typhus
  • 1732-1733: influenza
  • 1775-1776: influenza
  • 1816-1826: cholera
, disasters and numerous other factors affecting the delivery and cost of healthcare. The expiration EXPIRATION. Cessation; end. As, the expiration of, a lease, of a contract, or statute.
     2. In general, the expiration of a contract puts an end to all the engagements of the parties, except to those which arise from the non- fulfillment of obligations created
, cancellation cancellation (See: cancel)


CANCELLATION. Its general acceptation, is the act of crossing a writing; it is used sometimes to signify the manual operation of tearing or destroying the instrument itself. Hyde v. Hyde, 1 Eq. Cas. Abr. 409; Rob.
 or suspension suspension, in vehicles
suspension, in automobiles, system of springs used to suspend the frame, body, engine, and power train above the wheels. Its principal purpose is to lessen the jarring of the automobile that is caused by irregularities in the roads
 of Centene's Medicaid managed care contracts by state governments would also negatively affect Centene.

(Tables Follow)


                 CENTENE CORPORATION AND SUBSIDIARIES

                      CONSOLIDATED BALANCE SHEETS
                   (In thousands, except share data)

                                           March 31,    December 31,
                                               2004          2003
                                           ----------- ---------------
                                           (Unaudited)

                  ASSETS
Current assets:
      Cash and cash equivalents               $44,363         $64,346
      Premium and related receivables, net
       of allowances of $718 and $607,
       respectively                            21,634          20,308
      Short-term investments, at fair
       value (amortized cost $32,705 and
       $15,192, respectively)                  32,708          15,160
      Deferred income taxes                     3,174           2,732
      Other current assets                      9,231           7,755
                                           ----------- ---------------
            Total current assets              111,110         110,301
Long-term investments, at fair value
 (amortized cost $189,432 and $183,749,
 respectively)                                191,057         184,811
Restricted deposits, at fair value
 (amortized cost $20,190 and $20,201,
 respectively)                                 20,592          20,364
Property, software and equipment               24,056          23,106
Goodwill                                       18,408          13,066
Intangible assets                               7,428           6,294
Other assets                                    4,732           4,750
                                           ----------- ---------------
            Total assets                     $377,383        $362,692
                                           =========== ===============

   LIABILITIES AND STOCKHOLDERS' EQUITY

Current liabilities:
      Medical claims liabilities             $109,841        $106,569
      Accounts payable and accrued
       expenses                                17,733          17,965
      Unearned revenue                          3,736           3,673
      Current portion of long-term debt
       and notes payable                          288             579
                                           ----------- ---------------
            Total current liabilities         131,598         128,786
Long-term debt                                  7,544           7,616
Other liabilities                               5,613           6,175
                                           ----------- ---------------
            Total liabilities                 144,755         142,577
Stockholders' equity:
      Common stock, $.001 par value;
       authorized 40,000,000 shares;
       issued and outstanding 20,255,580
       and 20,131,924 shares, respectively         20              20
      Additional paid-in capital              159,237         157,380
      Accumulated other comprehensive income:
      Unrealized gain on investments, net
       of tax                                   1,258             740
      Retained earnings                        72,113          61,975
                                           ----------- ---------------
            Total stockholders' equity        232,628         220,115
                                           ----------- ---------------
            Total liabilities and
             stockholders' equity            $377,383        $362,692
                                           =========== ===============


                 CENTENE CORPORATION AND SUBSIDIARIES

                  CONSOLIDATED STATEMENTS OF EARNINGS
                   (In thousands, except share data)

                                                 Three Months Ended
                                                      March 31,
                                               -----------------------
                                                  2004        2003
                                               ----------- -----------
                                                     (Unaudited)
Revenues:
   Premiums                                      $222,690    $176,212
   Services                                         2,835       1,222
                                               ----------- -----------
      Total revenues                              225,525     177,434
                                               ----------- -----------
Expenses:
   Medical costs                                  180,448     146,907
   Cost of services                                 2,016         975
   General and administrative expenses             28,377      19,405
                                               ----------- -----------
      Total operating expenses                    210,841     167,287
                                               ----------- -----------
         Earnings from operations                  14,684      10,147
Other income (expense):
   Investment and other income                      1,510         974
   Interest expense                                   (90)        (27)
                                               ----------- -----------
         Earnings before income taxes              16,104      11,094
Income tax expense                                  5,966       4,233
Minority interest                                      --         300
                                               ----------- -----------
      Net earnings                                $10,138      $7,161
                                               =========== ===========

Earnings per share:
   Basic earnings per common share                  $0.50       $0.44
   Diluted earnings per common share                $0.47       $0.40

Weighted average number of shares outstanding:
   Basic                                       20,192,009  16,348,274
   Diluted                                     21,533,870  17,757,266


                 CENTENE CORPORATION AND SUBSIDIARIES

                 CONSOLIDATED STATEMENTS OF CASH FLOWS
                            (In thousands)

                                                    Three Months Ended
                                                        March 31,
                                                  --------------------
                                                    2004       2003
                                                  ---------- ---------
                                                      (Unaudited)

Cash flows from operating activities:
   Net earnings                                     $10,138    $7,161
   Adjustments to reconcile net earnings to net
    cash provided by operating activities --
         Depreciation and amortization                2,271     1,379
         Stock compensation expense                      19         5
         Minority interest                               --      (300)
         Gain on sale of investments                   (253)     (293)
   Changes in assets and liabilities --
         Premium and related receivables             (1,326)   (1,982)
         Other current assets                        (1,476)     (626)
         Deferred income taxes                         (755)      803
         Other assets                                    13        58
         Medical claims liabilities                   3,272     3,586
         Accounts payable and accrued expenses        1,211      (187)
         Unearned revenue                                63        19
         Other operating activities                    (812)      236
                                                  ---------- ---------
                  Net cash provided by operating
                   activities                        12,365     9,859
                                                  ---------- ---------
Cash flows from investing activities:
   Purchase of property, software and equipment      (2,126)     (684)
   Purchase of investments                          (93,742)  (42,055)
   Sales and maturities of investments               69,814    35,218
   Acquisitions, net of cash acquired                (6,983)   (2,283)
                                                  ---------- ---------
                  Net cash used in investing
                   activities                       (33,037)   (9,804)
                                                  ---------- ---------
Cash flows from financing activities:
   Reduction of long-term debt and notes payable       (363)       --
   Proceeds from stock options and employee stock
    purchase plan                                     1,052       259
                                                  ---------- ---------
                  Net cash provided by financing
                   activities                           689       259
                                                  ---------- ---------
                  Net (decrease) increase in cash
                   and cash equivalents             (19,983)      314
                                                  ---------- ---------
Cash and cash equivalents, beginning of period       64,346    59,656
                                                  ---------- ---------
Cash and cash equivalents, end of period            $44,363   $59,970
                                                  ========== =========


   Interest paid                                        $91       $18
   Income taxes paid                                 $3,390    $1,230


                          CENTENE CORPORATION

                      SUPPLEMENTAL FINANCIAL DATA

                                      Q1       Q4       Q3       Q2
                                    2004     2003     2003     2003
                                   -------- -------- -------- --------
MEMBERSHIP
   Indiana                         125,400  119,400  112,100  109,000
   New Jersey                       54,000   54,000   52,700   52,700
   Ohio                             23,800       --       --       --
   Texas                           154,000  158,400  152,100  131,400
   Wisconsin                       165,200  157,800  150,200  145,600
                                   -------- -------- -------- --------
TOTAL                              522,400  489,600  467,100  438,700
                                   ======== ======== ======== ========

   Medicaid                        446,900  411,800  389,200  361,700
   SCHIP                            65,900   68,400   68,600   68,800
   SSI                               9,600    9,400    9,300    8,200
                                   -------- -------- -------- --------
TOTAL                              522,400  489,600  467,100  438,700
                                   ======== ======== ======== ========

REVENUE PER MEMBER                 $145.19  $142.38  $143.98  $142.26

CLAIMS
   Period-end inventory            102,300  131,000   59,400  109,900
   Average inventory               107,400  102,500   75,600   85,400
   Period-end inventory per member    0.20     0.27     0.13     0.25

DAYS IN CLAIMS PAYABLE (a)            55.4     59.0     52.5     52.0

(a) 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.

ANNUALIZED RETURN ON EQUITY (b)    17.9%(c) 18.1%(c) 21.3%(c)    27.1%

(b) Annualized Return on Equity is calculated as follows: (net income
    for quarter x 4) divided by ((beginning of period equity + end of
    period equity) divided by 2).

(c) Reflects a 3,450,000 share follow-on offering completed August 13,
    2003.


HEALTH BENEFITS RATIO BY CATEGORY:
                                                   THREE MONTHS ENDED
                                                        MARCH 31,
                                                   -------------------
                                                     2004      2003
                                                   ---------  --------
Medicaid (excluding SSI) and SCHIP                     80.6%     82.4%
SSI                                                    99.3     104.2
    Total (GAAP)                                       81.0      83.4
    Total (non-GAAP), excluding effect of
     premium tax                                       81.4      83.4


GENERAL AND ADMINISTRATIVE EXPENSE RATIO BY BUSINESS SEGMENT:

                                                THREE MONTHS ENDED
                                                        MARCH 31,
                                            --------------------------
                                                   2004          2003
                                            -------------------- -----
                                             GAAP   non-GAAP (d)
                                            ------  ------------
Medicaid Managed Care                        10.4%          9.9% 10.5%
Specialty Services                           52.9          52.9  26.6
    Total                                    12.6          12.2  10.9

(d) Excluding effect of premium tax.


                       MEDICAL CLAIMS LIABILITIES
                            (In thousands)

Four rolling quarters of the changes in medical claims liabilities
are summarized as follows:
                                                                 2004
                                                             ---------
Balance, March 31, 2003                                       $94,767
Incurred related to:
   Current period                                             672,473
   Prior period                                               (12,740)
                                                             ---------
      Total incurred                                          659,733
                                                             ---------
Paid related to:
   Current period                                             569,940
   Prior period                                                74,719
                                                             ---------
      Total paid                                              644,659
                                                             ---------
Balance, March 31, 2004                                      $109,841
                                                             =========


Centene's claims reserving process utilizes a consistent actuarial ac·tu·ar·y  
n. pl. ac·tu·ar·ies
A statistician who computes insurance risks and premiums.



[Latin
 methodology to estimate Centene's ultimate liability. Any reduction in the "Incurred related to: Prior period" claims 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 fa·vor·a·ble  
adj.
1. Advantageous; helpful: favorable winds.

2. Encouraging; propitious: a favorable diagnosis.

3.
 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.
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Publication:Business Wire
Geographic Code:1USA
Date:Apr 26, 2004
Words:2894
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