WellPoint Reports First Quarter
2008 Results
-- Medical enrollment grew by 564,000 members during the first quarter
of 2008
-- Net income was $1.07 per share, including net realized investment
losses of $0.06 per share
-- Operating cash flow was $1.0 billion, or approximately 1.8 times net
income
-- Full year 2008 net income is now expected to be in the range of $5.42 -
$5.67 per share, including net realized investment losses of $0.06 per
share
INDIANAPOLIS, April 23 /PRNewswire-FirstCall/ -- WellPoint, Inc. (
NYSE:WLP
) today announced that first quarter 2008 net income was $588.1 million,
or $1.07 per share, which included net realized investment losses of $0.06
per share. Net income in the first quarter of 2007 was $783.1 million, or
$1.26 per share.
"While the first quarter was challenging for
WellPoint, since our March announcement we have further reduced claims
inventories and achieved greater visibility into medical costs," said
Angela F. Braly, president and chief executive officer of WellPoint, Inc.
"Consequently, we have refined our earnings forecast to reflect
higher medical costs and a lower level of favorable prior year reserve
development."
"Our overall enrollment growth remains strong and we
are now serving 35.4 million medical members, more than ever before. We
offer access to the largest provider network in the industry, with
competitive pricing, distinctive care management and wellness programs,
and innovative medical cost transparency tools. We will continue to
enhance this superior value proposition with new product offerings in
order to drive future membership gains and long-term earnings
growth," added Braly.
"Operating cash flow was strong in the first quarter,
at $1.0 billion, or 1.8 times net income, and our medical claims payable
increased by $610 million, or 10.5 percent, while claims inventories
declined. We believe that our reserves are appropriately stated,"
said Wayne S. DeVeydt, executive vice president and chief financial
officer of WellPoint, Inc.
CONSOLIDATED HIGHLIGHTS
Membership: Medical enrollment totaled approximately 35.4
million members at March 31, 2008, an increase of 498,000 members, or 1.4
percent, from 34.9 million at March 31, 2007. The increase was driven by
National business, which added 468,000 members over the past twelve
months. The Company's State Sponsored and Senior businesses grew by 66,000
and 63,000 members, respectively, during this period, while Individual
enrollment declined by 104,000 members.
During the first quarter of 2008, medical enrollment
increased sequentially by 564,000 members, or 1.6 percent, driven by
continued membership gains in the National business. Enrollment in the
National business increased by 517,000, including 354,000 National Account
lives and 163,000 BlueCard members.
As of March 31, 2008, self-funded membership comprised
approximately 52 percent of the Company's medical enrollment base,
compared with 51 percent as of December 31, 2007, and 50 percent as of
March 31, 2007.
Operating Revenue: Operating revenue was $15.4 billion in
the first quarter of 2008, an increase of 3.5 percent from $14.8 billion
in the first quarter of 2007. The increase was driven primarily by
enrollment growth in the Senior business and price increases in Local
Group, partially offset by the loss of the New York State prescription
drug contract.
Benefit Expense Ratio: The benefit expense ratio was 85.1
percent in the first quarter of 2008, an increase of 200 basis points from
83.1 percent in the prior year quarter. While the Company experienced
significant favorable prior period reserve development in the first
quarter of 2008, the level of development was approximately $120 million
less favorable than in the first quarter of 2007. The Company also
incurred higher claims experience in the Senior business during the first
quarter of 2008, as a result of benefit design changes in certain product
categories.
The increase in the benefit expense ratio was almost
entirely attributable to the Consumer Business segment. Approximately 160
basis points of the increase resulted from the Senior business. Benefit
designs of certain Medicare Advantage products have resulted in adverse
selection and negatively impacted 2008 financial results. The Company has
implemented medical management initiatives to address the high claims
experience in its Medicare Advantage products and is in the process of
adjusting benefits and pricing for 2009. The Company also experienced an
increase in the benefit expense ratio for its Medicare Prescription Drug
Plan ("PDP") offerings due to a change in benefit design that
resulted in the recognition of medical costs earlier in 2008 as compared
to 2007. The seasonality of this benefit design change is expected to
result in an improving benefit expense ratio for PDP products during the
balance of 2008.
Approximately 30 basis points of the increase in the
consolidated benefit expense ratio were due to the Company's Individual
business. The Company is adjusting pricing and plan designs in certain
markets, rolling out new product offerings and enhancing customer
retention efforts to improve Individual results.
The remaining 10 basis points of increase in the
consolidated benefit expense ratio represented the net impact of changes
in all other lines of business.
The Company expects the full year 2008 benefit expense
ratio to be in the range of 83.3 to 83.6 percent, a decline from the first
quarter of 2008 due to expected premium rate increases, enhanced medical
management initiatives, a more normal pattern of prior period reserve
adjustments and membership mix changes.
Premium and Cost Trends: Trends include Local Group and
Individual fully-insured businesses.
F or the rolling twelve month period ended March 31, 2008,
unit cost increases continue to be the primary drivers of medical cost
trends. Medical cost trends are expected to be in the range of 8.0
percent, plus or minus 50 basis points for the full year of 2008, and the
Company continues to price its business so that expected premium yield
exceeds total cost trend, where total cost trend includes medical costs
and selling, general and administrative ("SG&A") expense.
SG&A Expense Ratio: The SG&A expense ratio was
14.6 percent in the first quarter of 2008, an increase of 20 basis points
from 14.4 percent in the first quarter of 2007. The increase was expected
and due to higher compensation, outside services and marketing and
advertising costs.
Operating Cash Flow: Operating cash flow was $1.0 billion
in the first quarter of 2008, or approximately 1.8 times net income. The
Company expects operating cash flow of at least $3.3 billion for the full
year of 2008.
Days in Claims Payable: Days in Claims Payable ("DCP")
as of March 31, 2008, was 48.1 days, an increase of 3.1 days from 45.0
days as of December 31, 2007. The increase reflects the Company's
strengthened reserves for medical claims and was attributable primarily to
prior period reserve adjustments, an increase in the length of time
between the date of service and claim payment, and changes in the timing
of payments in the Company's Pharmacy Benefit Management ("PBM")
operation.
Share Repurchase Program: During the first quarter of
2008, the Company repurchased 29.7 million shares of its common stock for
$2.0 billion. As of March 31, 2008, the remaining Board-approved share
repurchase authorization was approximately $2.3 billion, and cash and
investments held at the parent company and available for general corporate
use totaled $1.2 billion.
REPORTABLE SEGMENTS
In 2008, WellPoint, Inc. now has the following reportable
segments: Commercial Business, which includes the Local Group, National,
UniCare, and Specialty Products lines of business; Consumer Business,
which includes the Individual, Senior, and State Sponsored lines of
business; and Other, which includes Comprehensive Health Solutions
(including the Company's PBM and Behavioral Health operations), FEP
business, National Government Services, inter-segment sales and expense
eliminations, and corporate expenses not allocated to the other reportable
segments. These revised segments are consistent with the Company's new
organizational structure.
Operating revenue and operating gain are the key measures
used by management to evaluate performance in each segment.
WellPoint, Inc.
Reportable Segment Highlights
(Unaudited)
(In millions) Three Months Ended March 31
2008 2007 Change
Operating Revenue
Commercial Business $9,488.2 $9,455.6 0.3%
Consumer Business 4,100.0 3,726.4 10.0%
Other Business:
External Customers 1,778.4 1,659.2 7.2%
Intersegment Revenue 665.3 508.7 30.8%
Intersegment Eliminations (665.3) (508.7) (30.8%)
Other 1,778.4 1,659.2 7.2%
Total Operating Revenue 15,366.6 14,841.2 3.5%
Operating Gain (Loss)
Commercial Business $883.7 $915.1 (3.4%)
Consumer Business (124.2) 144.0 NM (1)
Other 123.1 114.2 7.8%
Operating Margin
Commercial Business 9.3% 9.7% (40) bp
Consumer Business (3.0%) 3.9% (690) bp
(1) "NM" = not meaningful
Commercial Business: Operating gain for the Commercial
Business segment was $883.7 million in the first quarter of 2008, a
decrease of 3.4 percent compared with $915.1 million in the first quarter
of 2007. The decline principally resulted from lower prior year favorable
reserve development in 2008.
Consumer Business: The Company experienced an operating
loss of $124.2 million in the Consumer Business segment during the first
quarter of 2008, compared with an operating gain of $144.0 million in the
first quarter of 2007. The decline in operating performance was driven by
the Senior business, which incurred an operating loss of more than $200
million in the first quarter of 2008 due to high benefit expense ratios in
Medicare Advantage and Medicare PDP products, as described in the
"Benefit Expense Ratio" section.
Other: Operating gain for the Other segment totaled $123.1
million in the first quarter of 2008, an increase of 7.8 percent compared
with $114.2 million in the prior year quarter. The increase was driven by
growth in the Company's Behavioral Health and PBM operations. Enrollment
in Behavioral Health products increased by 6.3 million from the first
quarter of 2007, and PBM prescription volume grew by 8.8 percent.
OUTLOOK
Full Year 2008:
-- The Company now expects net income to be in the range of $5.42 to $5.67
per share, including net realized investment losses of $0.06 per share.
-- Year-end medical enrollment is expected to be approximately 35.3
million members.
-- Operating revenue is now expected to total approximately $62.3 billion.
-- The benefit expense ratio is now expected to be in the range of 83.3 to
83.6 percent.
-- The SG&A expense ratio is now expected to be approximately 14.4
percent.
-- The Company now expects operating cash flow of at least $3.3 billion
Basis of Presentation
1. Operating gain is defined as operating revenue less benefit expense,
selling expense, general and administrative expense, and cost of drugs.
Operating gain is used to analyze profit or loss on a segment basis.
Consolidated operating gain is a non-GAAP measure.
2. Operating margin is defined as operating gain divided by operating
revenue.
3. Beginning January 1, 2008, the Company revised its reportable segments
to reflect its new organizational structure, as described in
"Reportable Segments."
4. Certain prior period amounts have been reclassified to conform to the
current period presentation.
About WellPoint, Inc.
WellPoint, Inc. is the largest health benefits company in terms of
medical membership in the United States. WellPoint is an independent
licensee of the Blue Cross and Blue Shield Association and serves its
members as the Blue Cross licensee for California; the Blue Cross and Blue
Shield licensee for Colorado, Connecticut, Georgia, Indiana, Kentucky,
Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada,
New Hampshire, New York (as the Blue Cross Blue Shield licensee in 10 New
York City metropolitan and surrounding counties and as the Blue Cross or
Blue Cross Blue Shield licensee in selected upstate counties only), Ohio,
Virginia (excluding the northern Virginia suburbs of Washington, D.C.),
Wisconsin; and through UniCare. Additional information about WellPoint is
available at www.wellpoint.com .
WellPoint, Inc.
Membership & Prescription Volume Summary
(Unaudited and in Thousands)
Change from
March 31, December 31, March 31, December 31, March 31,
Medical Membership 2008 2007 2007 2007 2007
Customer Type
Local Group 16,691 16,663 16,690 0.2% 0.0%
National
Accounts 6,743 6,389 6,479 5.5% 4.1%
BlueCard 4,726 4,563 4,522 3.6% 4.5%
Total National 11,469 10,952 11,001 4.7% 4.3%
Individual 2,369 2,390 2,473 (0.9%) (4.2%)
Senior 1,301 1,250 1,238 4.1% 5.1%
State Sponsored 2,157 2,174 2,091 (0.8%) 3.2%
FEP 1,386 1,380 1,382 0.4% 0.3%
Total Medical
Membership 35,373 34,809 34,875 1.6% 1.4%
Funding Arrangement
Self-Funded 18,354 17,737 17,483 3.5% 5.0%
Fully-Insured 17,019 17,072 17,392 (0.3%) (2.1%)
Total Medical
Membership 35,373 34,809 34,875 1.6% 1.4%
Reportable Segment
Commercial Business 28,421 27,886 27,986 1.9% 1.6%
Consumer Business 5,566 5,543 5,507 0.4% 1.1%
Other Business 1,386 1,380 1,382 0.4% 0.3%
Total Medical
Membership 35,373 34,809 34,875 1.6% 1.4%
Other Membership
Behavioral Health
Membership 23,373 20,230 17,110 15.5% 36.6%
Life and Disability
Membership 5,594 5,598 5,916 (0.1%) (5.4%)
Dental Membership 4,805 5,014 5,196 (4.2%) (7.5%)
Vision Membership 2,542 2,401 2,277 5.9% 11.6%
Medicare Part D
Membership 1,836 1,614 1,590 13.8% 15.5%
PBM Prescription
Volume (Quarterly)
Retail Scripts 102,941 91,393 93,277 12.6% 10.4%
Mail Order Scripts 6,891 7,019 7,702 (1.8%) (10.5%)
Specialty Pharmacy
Scripts 204 193 148 5.7% 37.8%
Total Scripts 110,036 98,605 101,127 11.6% 8.8%
WellPoint, Inc.
Consolidated Statements of Income
(Unaudited)
Three Months Ended
(In millions, except per share data) March 31
2008 2007 Change
Revenues
Premiums $14,234.4 $13,757.4 3.5%
Administrative fees 969.6 924.5 4.9%
Other revenue 162.6 159.3 2.1%
Total operating revenue 15,366.6 14,841.2 3.5%
Net investment income 232.7 246.6 (5.6%)
Net realized (losses) gains on
investments (45.6) 0.2 NM (1)
Total revenues 15,553.7 15,088.0 3.1%
Expenses
Benefit expense 12,116.5 11,429.8 6.0%
Selling, general and administrative
expense
Selling expense 444.3 423.0 5.0%
General and administrative
expense 1,804.3 1,708.6 5.6%
Total selling, general and
administrative expense 2,248.6 2,131.6 5.5%
Cost of drugs 118.9 106.5 11.6%
Interest expense 119.0 102.9 15.6%
Amortization of other intangible
assets 71.5 70.8 1.0%
Total expenses 14,674.5 13,841.6 6.0%
Income before income tax expense 879.2 1,246.4 (29.5%)
Income tax expense 291.1 463.3 (37.2%)
Net income $588.1 $783.1 (24.9%)
Net income per diluted share $1.07 $1.26 (15.1%)
Diluted shares 547.6 623.0 (12.1%)
Benefit expense as a percentage of
premiums 85.1% 83.1% 200 bp
Selling, general and administrative
expense as a percentage of total
operating revenue 14.6% 14.4% 20 bp
Income before income tax expense as a
percentage of total revenues 5.7% 8.3% (260) bp
(1) "NM" = not meaningful
WellPoint, Inc.
Consolidated Balance Sheets
March 31, December 31,
(In millions) 2008 2007
(Unaudited)
Assets
Current assets:
Cash and cash equivalents $2,552.1 $2,767.9
Investments available-for-sale, at
fair value 3,809.8 3,726.3
Other invested assets, current 35.9 40.3
Accrued investment income 161.7 165.8
Premium and self-funded
receivables 3,167.0 2,870.1
Other receivables 1,160.5 996.4
Income taxes receivable - 0.9
Securities lending collateral 756.6 854.1
Deferred tax assets, net 642.1 559.6
Other current assets 1,123.8 1,050.4
Total current assets 13,409.5 13,031.8
Long-term investments available-for-
sale, at fair value 13,079.4 13,962.4
Other invested assets, long-term 771.2 752.9
Property and equipment, net 1,002.7 995.9
Goodwill 13,429.4 13,435.4
Other intangible assets 9,149.7 9,220.8
Other noncurrent assets 713.8 660.8
Total assets $51,555.7 $52,060.0
Liabilities and shareholders' equity
Liabilities
Current liabilities:
Policy liabilities:
Medical claims payable $6,398.1 $5,788.0
Reserves for future policy
benefits 66.9 63.7
Other policyholder liabilities 1,724.3 1,832.2
Total policy liabilities 8,189.3 7,683.9
Unearned income 1,151.0 1,114.6
Accounts payable and accrued
expenses 3,016.7 2,909.6
Income taxes payable 270.6 -
Security trades pending payable 26.1 50.6
Securities lending payable 756.6 854.1
Current portion of long-term debt 19.9 20.4
Other current liabilities 1,861.4 1,755.0
Total current liabilities 15,291.6 14,388.2
Long-term debt, less current portion 9,266.5 9,023.5
Reserves for future policy benefits,
noncurrent 658.6 661.9
Deferred tax liability, net 2,983.4 3,004.4
Other noncurrent liabilities 1,851.5 1,991.6
Total liabilities 30,051.6 29,069.6
Shareholders' equity
Common stock 5.3 5.6
Additional paid-in capital 17,550.7 18,441.1
Retained earnings 3,954.2 4,387.6
Accumulated other comprehensive
income (6.1) 156.1
Total shareholders' equity 21,504.1 22,990.4
Total liabilities and shareholders'
equity $51,555.7 $52,060.0
WellPoint, Inc.
Consolidated Statements of Cash Flows
(Unaudited)
Three Months Ended March 31
(In millions) 2008 2007
Operating activities
Net income $588.1 $783.1
Adjustments to reconcile net income
to net cash provided by operating
activities:
Net realized losses (gains)
on investments 45.6 (0.2)
Loss on disposal of assets 0.2 0.2
Deferred income taxes (6.0) (97.1)
Amortization, net of
accretion 118.9 112.4
Depreciation expense 25.8 31.7
Share-based compensation 37.0 40.3
Excess tax benefits from
share-based compensation (11.1) (51.2)
Changes in operating assets
and liabilities, net of
effect of business
combinations:
Receivables, net (454.0) (209.0)
Other invested
assets, current 4.5 23.4
Other assets (135.8) (36.7)
Policy liabilities 502.1 463.6
Unearned income 36.4 667.9
Accounts payable and
accrued expenses (48.3) (319.0)
Other liabilities 23.6 74.6
Income taxes 289.0 500.2
Other, net 17.8 (3.1)
Net cash provided by operating
activities 1,033.8 1,981.1
Investing activities
Purchases of fixed maturity
securities (1,742.9) (2,417.9)
Proceeds from sales and maturities of
fixed maturity securities 2,581.5 1,561.1
Purchase of equity securities (744.9) (375.1)
Proceeds from sales of equity
securities 377.4 484.3
Changes in securities lending
collateral 97.5 151.4
Purchases of subsidiaries, net of
cash acquired (0.4) -
Purchases of property and equipment (79.0) (56.6)
Proceeds from sales of property and
equipment 4.5 -
Other, net (36.1) (9.4)
Net cash provided by (used in)
investing activities 457.6 (662.2)
Financing activities
Net proceeds from commercial paper
borrowings 188.1 91.9
Repayment of long-term borrowings (2.7) (2.2)
Changes in securities lending payable (97.5) (151.4)
Changes in bank overdrafts 144.7 (135.6)
Repurchase and retirement of common
stock (2,008.6) (634.9)
Proceeds from exercise of employee
stock options and employee stock
purchase plan 57.7 262.0
Excess tax benefits from share-based
compensation 11.1 51.2
Net cash used in financing activities (1,707.2) (519.0)
Change in cash and cash equivalents (215.8) 799.9
Cash and cash equivalents at
beginning of period 2,767.9 2,602.1
Cash and cash equivalents at end of
period $2,552.1 $3,402.0
Source: WellPoint, Inc.
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