EX-99.1 2 v191877_ex99-1.htm
 
 
PRESS RELEASE
 
CONTACTS:
 
Investors: Julie Loftus Trudell
Media: Tara J. Wall
Senior Vice President, Investor Relations
Senior Vice President, Communications
Amerigroup Corporation
Amerigroup Corporation
(757) 321-3597
(757) 518-3671
Jtrudel@amerigroupcorp.com
Twall01@amerigroupcorp.com

Amerigroup Reports Second Quarter 2010 Results

Net Income of $67.2 Million or $1.31 per Diluted Share
 
VIRGINIA BEACH, Va. (July 30, 2010) – Amerigroup Corporation (NYSE: AGP) today announced that net income for the second quarter of 2010 was $67.2 million, or $1.31 per diluted share, versus net income of $49.6 million, or $0.94 per diluted share, for the second quarter of 2009.  Second quarter of 2009 results were positively impacted by a tax adjustment of $0.43 per diluted share related to litigation settled in 2008.  Excluding the tax adjustment, second quarter of 2009 net income would have been $27.2 million, or $0.51 per diluted share. A reconciliation of this non-GAAP financial measure to GAAP is included on page 9 of this release.

Highlights include:
·
Membership increased 41,000 members, or 2.2%, to approximately 1.9 million at the end of the second quarter compared to the first quarter of 2010, and a 10.5% increase over the second quarter of 2009.
·
Second quarter total revenues were $1.4 billion, a 4.8% increase over the first quarter of 2010, and an 11.3% increase over the second quarter of 2009.
·
Health benefits expense was 82.3% of premium revenues for the second quarter of 2010.
·
Selling, general and administrative expenses were 7.5% of total revenues for the second quarter of 2010.
·
Cash provided by operations was $116.4 million for the three months ended June 30, 2010.
·
Unregulated cash and investments were $239.5 million as of June 30, 2010.
·
Medical claims payable, as of June 30, 2010, totaled $525.6 million compared to $549.2 million, as of March 31, 2010.
·
Days in claims payable was 41, compared to 43 days in the previous quarter.
·
The Company repurchased approximately 1.05 million shares of its common stock during the second quarter for approximately $36.7 million.
·
In May of 2010, the Texas Health and Human Services Commission announced that Amerigroup’s Texas health plan was selected through a competitive procurement to expand health care coverage to seniors and people with disabilities in the six county service area surrounding Fort Worth.  Pending final contract negotiations, the Company anticipates beginning operations in early 2011.

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July 30, 2010
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“We are pleased with our performance in the second quarter and first-half of the year.  More than any other time in our history, our state partners need the value we offer – expanded access to care, better coordination of services and clinical outcomes, as well as cost containment for their Medicaid-dependant populations,” said James G. Carlson, Amerigroup’s chairman and chief executive officer.  “In particular, we are excited about our expansion of coverage to seniors and people with disabilities in Fort Worth, Texas, which is expected to begin in early 2011.  The STAR+PLUS program is a national model for how to enable people to live independently, improve the quality of their lives and save taxpayer dollars.”

Premium Revenues
Premium revenues for the second quarter of 2010 increased 11.2% to $1.4 billion compared to $1.3 billion in the second quarter of 2009.  Sequentially, premium revenues increased $62.1 million, or 4.5%, compared with the first quarter of 2010.

The sequential increase in premium revenues primarily reflects the impact of the previously announced New Jersey acquisition and launch of the Tennessee long-term care program, both of which occurred on March 1, 2010.   In addition, revenues benefited from continued membership increases across many of the Company’s markets due to the macroeconomic environment driving expanded Medicaid participation.

Investment Income and Other Revenues
Second quarter investment income and other revenues were $8.6 million versus $6.5 million in the second quarter of 2009, and compared to $4.9 million in the first quarter of 2010.  Investment income and other revenue increased on a sequential basis due to the sale of a trademark for $4.0 million.

Health Benefits
Health benefits expenses, as a percent of premium revenues, were 82.3% for the second quarter of 2010 versus 85.9% in the second quarter of 2009, and compared to 83.5% in the first quarter of 2010.  The sequential decrease in the health benefits ratio was primarily due to continued moderate medical trends and normal seasonal declines in medical costs from the first to the second quarter.

Continuing what began most significantly in the fourth quarter of 2009, medical cost trends remained at moderate levels during the quarter.  Costs remained in line with or better than expectations in most markets, with all major categories of service exhibiting lower trends in recent periods.  

Favorable reserve development (net of associated accruals for experience rebate in Texas, applicable medical loss ratio floors, and other gain sharing arrangements with state customers) positively impacted the health benefits ratio in the second quarter by approximately 200 basis points compared to 250 basis points of favorable reserve development reported in the first quarter of 2010.

Selling, General and Administrative Expenses
Selling, general and administrative expenses were 7.5% of total revenues for the second quarter of 2010, unchanged from the second quarter of 2009, and compared to 8.6% for the first quarter of 2010.  Selling, general and administrative expenses remained stable and at expected levels in the second quarter.  The selling, general and administrative expense ratio was elevated in the first quarter of 2010 due to variable compensation accruals.

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July 30, 2010
Page 3
 
Premium Taxes
Second quarter premium taxes were $33.2 million versus $34.6 million for the second quarter of 2009, and compared to $31.5 million in the first quarter of 2010.   The composite premium tax rate was essentially unchanged from the first to the second quarter of 2010.

Balance Sheet Highlights
Cash and investments at June 30, 2010 totaled $1.5 billion of which $239.5 million was unregulated, compared to $257.4 million of unregulated cash and investments at the end of the first quarter of 2010.  Unregulated cash declined during the quarter primarily due to $36.7 million in share repurchase activity under the Company’s ongoing stock repurchase program.

The debt to total capital ratio decreased to 18.4%, as of June 30, 2010, from 18.8%, as of March 31, 2010.

Medical claims payable as of June 30, 2010 totaled $525.6 million compared to $549.2 million as of March 31, 2010.  Days in claims payable represented 41 days of health benefits expense, compared to 43 days in the previous quarter.  The primary factor that drove the decline in days in claims payable was an increase in claims processing speed.

Included on page 9 is a table presenting the components of the change in medical claims payable for the six months ended June 30, 2010 and the year ended December 31, 2009.

Cash Flow Highlights
Cash flow from operations totaled $109.6 million for the six months ended June 30, 2010 and $116.4 million for the three months ended June 30, 2010.  The key drivers of cash flow in the quarter were solid earnings and a net favorable change in working capital accounts.

Second Quarter Earnings Call
Amerigroup senior management will discuss the Company’s second quarter results on a conference call Friday, July 30, 2010 at 8:00 a.m. Eastern Daylight Time (EDT).  The conference can be accessed by dialing 866-260-3161 (domestic) or 706-679-7245 (international) approximately ten minutes prior to the start time of the call.  A recording of the call may be accessed by dialing 800-642-1687 (domestic) or 706-645-9291 (international) and providing passcode 84750550.  The replay will be available shortly after the conclusion of the call until Friday, August 6, at 11:59 p.m. EDT.  The conference call will also be available through the investors’ page of the Company’s web site, www.amerigroupcorp.com, or through www.earnings.com.  A 30-day replay of this webcast will be available on these web sites beginning approximately two hours following the conclusion of the live broadcast earnings conference call.

About Amerigroup Corporation
Amerigroup, a Fortune 500 Company, coordinates services for individuals in publicly funded health care programs. Serving approximately 1.9 million members in 11 states nationwide, Amerigroup accepts all eligible people regardless of age, sex, race or disability. The Company's product offerings do not utilize any individual underwriting nor deny coverage due to pre-existing medical conditions. Amerigroup is dedicated to offering real solutions that improve health care access and quality for its members, while proactively working to reduce the overall cost of care to taxpayers. For more information and real story examples of these solutions, please visit www.amerigroupcorp.com.
 

 
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July 30, 2010
Page 4
 
Forward-Looking Statements
This release is intended to be disclosure through methods reasonably designed to provide broad, non-exclusionary distribution to the public in compliance with the Securities and Exchange Commission's Fair Disclosure Regulation. This release contains certain ''forward-looking'' statements, including statements related to moderating medical cost trends and the timing and expansion of our services in Texas.  These statements are made pursuant to the Safe Harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements involve known and unknown risks and uncertainties that may cause our actual results in future periods to differ materially from those projected or contemplated in the forward-looking statements. These risks and uncertainties include, but are not limited to: our inability to manage medical costs; our inability to operate new products and markets at expected levels, including, but not limited to, profitability, membership and targeted service standards; local, state and national economic conditions, including their effect on the rate-setting process and timing of payments; the effect of government regulations and changes in regulations governing the health care industry including the impact of recently enacted health care reform legislation; changes in Medicaid and Medicare payment levels and methodologies; increased use of services, increased cost of individual services, epidemics, pandemics, the introduction of new or costly treatments and technology, new mandated benefits, insured population characteristics and seasonal changes in the level of health care use; our ability to maintain and increase membership levels; our ability to enter into new markets or remain in existing markets; changes in market interest rates or any disruptions in the credit markets; our ability to maintain compliance with all minimum capital requirements; liabilities and other claims asserted against us; demographic changes; the competitive environment in which we operate; the availability and terms of capital to fund acquisitions, capital improvements and maintain capitalization levels required by state agencies; our ability to attract and retain qualified personnel; the unfavorable resolution of new or pending litigation; and catastrophes, including acts of terrorism or severe weather.

Investors should also refer to our annual report on Form 10-K for the year ended December 31, 2009 filed with the Securities and Exchange Commission ("SEC") and subsequent quarterly reports on Form 10-Q and current reports on Form 8-K filed with or furnished to the SEC, for a discussion of certain known risk factors that could cause our actual results to differ materially from our current estimates. Given these risks and uncertainties, we can give no assurances that any forward-looking statements will, in fact, transpire and, therefore, caution investors not to place undue reliance on them. We specifically disclaim any obligation to update or revise any forward-looking statements, whether as a result of new information, future developments or otherwise.

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July 30, 2010
Page 5
 
AMERIGROUP CORPORATION AND SUBSIDIARIES
CONDENSED CONSOLIDATED INCOME STATEMENTS
(dollars in thousands, except per share data)
(unaudited)

   
Three months ended
   
Six months ended
 
   
June 30,
   
June 30,
 
   
2010
   
2009
   
2010
   
2009
 
                         
Revenues:
                       
Premium
  $ 1,428,879     $ 1,284,890     $ 2,795,646     $ 2,502,337  
Investment income and other
    8,634       6,517       13,516       18,864  
Total revenues
    1,437,513       1,291,407       2,809,162       2,521,201  
Expenses:
                               
Health benefits
    1,176,445       1,103,213       2,318,017       2,122,516  
Selling, general and administrative
    108,189       96,285       225,612       206,660  
Premium taxes
    33,172       34,623       64,644       62,741  
Depreciation and amortization
    8,905       9,680       17,615       18,006  
Interest
    4,019       4,232       8,009       8,470  
Total expenses
    1,330,730       1,248,033       2,633,897       2,418,393  
Income before income taxes
    106,783       43,374       175,265       102,808  
Income tax expense (benefit)
    39,570       (6,225 )     65,870       16,300  
Net income
  $ 67,213     $ 49,599     $ 109,395     $ 86,508  
                                 
Diluted net income per share
  $ 1.31     $ 0.94     $ 2.14     $ 1.63  
                                 
Weighted average number of common
                               
shares and dilutive potential common
                               
shares outstanding
    51,318,044       53,029,943       51,235,939       53,224,753  
 
The following table sets forth selected operating ratios.  All ratios, with the exception of the health benefits ratio, are shown as a percentage of total revenues.

   
Three months ended
   
Six months ended
 
   
June 30,
   
June 30,
 
   
2010
   
2009
   
2010
   
2009
 
Premium revenue
    99.4 %     99.5 %     99.5 %     99.3 %
Investment income and other
    0.6       0.5       0.5       0.7  
Total revenues
    100.0 %     100.0 %     100.0 %     100.0 %
Health benefits [1]
    82.3 %     85.9 %     82.9 %     84.8 %
Selling, general and administrative expenses
    7.5 %     7.5 %     8.0 %     8.2 %
Income before income taxes
    7.4 %     3.4 %     6.2 %     4.1 %
Net income
    4.7 %     3.8 %     3.9 %     3.4 %

[1] The health benefits ratio is shown as a percentage of premium revenue because there is a direct relationship between the premium received and the health benefits provided.
 
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July 30, 2010
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The following table sets forth the approximate number of members the Company served in each state as of June 30, 2010 and 2009.  Because the Company receives two premiums for members that are both in the Medicare Advantage and Medicaid products, these members have been counted twice in the states where we offer both plans.
 
   
June 30,
 
   
2010
   
2009
 
Texas[1]
    539,000       476,000  
Florida
    259,000       264,000  
Georgia
    259,000       220,000  
Maryland
    202,000       183,000  
Tennessee
    199,000       195,000  
New Jersey
    145,000       112,000  
New York
    111,000       111,000  
Nevada
    72,000       53,000  
Ohio
    58,000       60,000  
Virginia
    39,000       29,000  
New Mexico
    21,000       20,000  
Total
    1,904,000       1,723,000  
 
[1] Membership includes approximately 14,000 members under an ASO contract in 2010 and 13,000 in 2009.
 
The following table sets forth the approximate number of members in each of the Company's products as of June 30, 2010 and 2009.  Because the Company receives two premiums for members that are in both the Medicare Advantage and Medicaid products, these members have been counted in each product.
 
   
June 30,
 
Product
 
2010
   
2009
 
TANF (Medicaid)
    1,337,000       1,189,000  
CHIP
    274,000       262,000  
ABD (Medicaid)[1]
    204,000       205,000  
FamilyCare (Medicaid)
    71,000       54,000  
Medicare Advantage
    18,000       13,000  
Total
    1,904,000       1,723,000  
 
[1] Membership includes approximately 14,000 members under an ASO contract in 2010 and 13,000 in 2009.
 
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July 30, 2010
Page 7
 
CONDENSED CONSOLIDATED BALANCE SHEETS
(dollars in thousands, except per share data)
(unaudited)
 
   
June 30,
   
December 31,
 
   
2010
   
2009
 
       
Assets
           
Current assets:
           
Cash and cash equivalents
  $ 409,833     $ 505,915  
Short-term investments
    221,007       137,523  
Premium receivables
    115,007       104,867  
Deferred income taxes
    26,779       26,361  
Prepaid expenses, provider and other receivables and other
    55,058       47,316  
Total current assets
    827,684       821,982  
                 
Property, equipment and software, net
    97,809       101,002  
Goodwill
    260,496       249,276  
Long-term investments, including investments on deposit for licensure
    889,324       813,976  
Other long-term assets
    13,550       13,398  
    $ 2,088,863     $ 1,999,634  
                 
Liabilities and Stockholders' Equity
               
Current liabilities:
               
Claims payable
  $ 525,603     $ 529,036  
Unearned revenue
    47,824       98,298  
Accounts payable
    4,844       4,685  
Accrued expenses and other
    183,565       127,278  
Total current liabilities
    761,836       759,297  
                 
Long-term debt
    240,427       235,104  
Other long-term liabilities
    18,017       20,789  
Total liabilities
    1,020,280       1,015,190  
                 
Stockholders’ equity:
               
Common stock, $.01 par value
    552       546  
Additional paid-in capital, net of treasury stock
    365,706       391,912  
Accumulated other comprehensive income
    2,298       1,354  
Retained earnings
    700,027       590,632  
Total stockholders’ equity
    1,068,583       984,444  
    $ 2,088,863     $ 1,999,634  
 
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July 30, 2010
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AMERIGROUP CORPORATION AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
 
    
Six months ended
 
   
June 30,
 
   
2010
   
2009
 
   
(dollars in thousands)
 
Cash flows from operating activities:
           
Net income
  $ 109,395     $ 86,508  
Adjustments to reconcile net income to net cash provided by operating activities:
               
Depreciation and amortization
    17,615       18,006  
Loss on disposal of property, equipment and software
    24       412  
Deferred tax (benefit) expense
    (1,972 )     4,630  
Compensation expense related to share-based payments
    9,571       8,022  
Convertible debt non-cash interest expense
    5,323       4,987  
Gain on sale of intangible assets
    (4,000 )     -  
Gain on sale of contract rights
    -       (5,810 )
Other
    4,189       (201 )
Changes in assets and liabilities (decreasing) increasing cash flows from operations:
               
Premium receivables
    (10,140 )     (15,683 )
Prepaid expenses, provider and other receivables and other current assets
    (6,138 )     (35,928 )
Other assets
    (55 )     (439 )
Claims payable
    (3,433 )     26,883  
Unearned revenue
    (50,474 )     (18,161 )
Accounts payable, accrued expenses and other current liabilities
    41,371       (36,605 )
Other long-term liabilities
    (1,714 )     (2,583 )
Net cash provided by operating activities
    109,562       34,038  
                 
Cash flows from investing activities:
               
Purchase of investments, net
    (150,908 )     (72,369 )
Purchase of investments on deposit for licensure, net
    (12,516 )     (3,913 )
Purchase of property, equipment and software
    (13,508 )     (15,865 )
Proceeds from sale of intangible assets
    4,000       -  
Proceeds from sale of contract rights
    -       5,810  
Purchase of contract rights and other related assets
    (13,420 )     -  
Net cash used in investing activities
    (186,352 )     (86,337 )
                 
Cash flows from financing activities:
               
Repayments of borrowings under credit facility
    -       (26,318 )
Proceeds and tax benefits from exercise of stock options and change in bank overdrafts and other, net
    24,384       (1,609 )
Treasury stock repurchases
    (43,676 )     (28,555 )
Net cash used in financing activities
    (19,292 )     (56,482 )
Net decrease in cash and cash equivalents
    (96,082 )     (108,781 )
Cash and cash equivalents at beginning of period
    505,915       763,272  
Cash and cash equivalents at end of period
  $ 409,833     $ 654,491  
 
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July 30, 2010
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AMERIGROUP CORPORATION AND SUBSIDIARIES
Components of the Change in Medical Claims Payable
(dollars in thousands)
 
   
Six months ended
   
Twelve months ended
 
   
June 30, 2010
   
December 31, 2009
 
Medical claims payable, beginning of period
  $ 529,036     $ 536,107  
                 
Health benefits expenses incurred during period:
               
Related to current year
    2,408,166       4,492,590  
Related to prior years
    (90,149 )     (85,317 )
Total incurred
    2,318,017       4,407,273  
                 
Health benefits payments during period:
               
Related to current year
    1,960,389       4,007,789  
Related to prior years
    361,061       406,555  
Total payments
    2,321,450       4,414,344  
                 
Medical claims payable, end of period
  $ 525,603     $ 529,036  
 
Health benefits expense incurred during both periods were reduced for amounts related to prior years.  The amounts related to prior years include the impact of amounts previously included in the liability to establish it at a level sufficient under moderately adverse conditions that were not needed and the reduction in health benefits expense due to revisions to prior estimates.
 
Reconciliation of Non-GAAP Financial Measures
 
Second Quarter 2009 Operating Results Excluding the Favorable Tax Adjustment
AMERIGROUP CORPORATION AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS
(dollars in thousands, except per share data)
(unaudited)
 
   
GAAP
   
Less: Impact
   
Adjusted
 
   
Three months ended
   
of Tax
   
Three months ended
 
   
June 30, 2009
   
Adjustment
   
June 30, 2009
 
Revenues:
                 
Premium
  $ 1,284,890     $ -     $ 1,284,890  
Investment income and other
    6,517       -       6,517  
Total revenues
    1,291,407       -       1,291,407  
Expenses:
                       
Health benefits
    1,103,213       -       1,103,213  
Selling, general and administrative
    96,285       -       96,285  
Premium taxes
    34,623       -       34,623  
Depreciation and amortization
    9,680       -       9,680  
Interest
    4,232       -       4,232  
Total expenses
    1,248,033       -       1,248,033  
Income before income taxes
    43,374       -       43,374  
Income tax (benefit) expense
    (6,225 )     (22,449 )     16,224  
Net income
  $ 49,599     $ 22,449     $ 27,150  
Diluted net income per share
  $ 0.94     $ 0.43     $ 0.51  
Weighted average number of common shares and dilutive potential common shares outstanding
    53,029,943               53,029,943  
 
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