EX-99.1 2 v091211_ex99-1.htm Unassociated Document

CONTACTS:
Investors: Julie Loftus Trudell
News Media: Kent Jenkins Jr.
Senior Vice President, Investor Relations
Senior Vice President, Communications
AMERIGROUP Corporation
AMERIGROUP Corporation
(757) 321-3597
(757) 518-3671 
 
AMERIGROUP Corporation Earns $0.58 Per Diluted Share

2007 Full-Year EPS Estimate Increased to $2.12 to $2.14
2008 Full-Year Outlook Introduced with EPS Estimate of $2.45 to $2.60

VIRGINIA BEACH, Va. (October 24, 2007) - AMERIGROUP Corporation (NYSE: AGP) today announced that its net income for the third quarter of 2007 was $31.2 million or $0.58 per diluted share, versus $24.6 million, or $0.46 per diluted share, for the third quarter of 2006, a 27.0 percent increase. The Company is increasing and narrowing the range of its 2007 annual earnings estimate to $2.12 to $2.14 per diluted share from the previous range of $2.00 to $2.10 per diluted share.

Highlights for the quarter:
·
Third quarter total revenue of $1.0 billion, a 45.6 percent increase over the third quarter of 2006.
·
Health benefits ratio of 82.9 percent of premium revenues.
·
Selling, general and administrative expense ratio of 12.6 percent of total revenues.
·
Cash flow from operations was $253.7 million for the nine months ended September 30, 2007.
·
Days in claims payable was 55 days, compared to 52 days in the previous quarter.
·
AMERIGROUP is increasing and narrowing the range of its 2007 annual earnings estimate to $2.12 to $2.14 per diluted share from the previous range of $2.00 to $2.10 per diluted share.
·
AMERIGROUP is introducing its full-year outlook for 2008, which includes an estimate of annual earnings per diluted share of $2.45 to $2.60. Organic premium revenue growth is expected to be above 15.0 percent.
·
Announced the pending acquisition of the assets of Memphis Managed Care Corporation, which operates as TLC Family Care Health Plan in West Tennessee, subject to regulatory approval by the State of Tennessee. The transaction is expected to close in the fourth quarter of 2007.
·
Awarded approval from CMS to offer both Medicare Advantage Special Needs Plans (SNPs) and traditional Medicare Advantage health plans in seven states, five of which are new.
·
Concluded the contracting process with the State of South Carolina to begin serving Medicaid enrollees eligible for Temporary Assistance to Needy Families (TANF) and Aged, Blind, and Disabled (ABD) programs under the new South Carolina Healthy Connections Choices initiative. The implementation of the contract had been subject to the State's formal approval of AMERIGROUP's network, which was approved recently.

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October 24, 2007
Page 2
 
“To date, 2007 represents an excellent year for AMERIGROUP, with continued growth across our diversified portfolio of products and effective control of medical costs,” said James G. Carlson, AMERIGROUP’s President and Chief Executive Officer.The steps we took to enter the State of South Carolina and the strategic acquisition of a respected West Tennessee health plan further our strategy of coordinating high-quality healthcare services for financially vulnerable individuals, seniors and people with disabilities.”
 
Revenue
Total revenues for the third quarter of 2007 increased 45.6 percent to $1.0 billion compared with $709.1 million in the third quarter of 2006, resulting from 45.1 percent organic premium revenue growth. Sequentially, total revenues increased 2.9 percent compared with the second quarter of 2007.

Third quarter investment income and other revenue was $19.1 million compared with $10.6 million in the third quarter of 2006. Sequentially, investment income and other revenue increased 7.1 percent from the second quarter of 2007. Investment income increased in the third quarter due to a higher average balance of invested assets.

Health Benefits
Health benefits as a percent of premium revenues were 82.9 percent for the third quarter of 2007 versus 81.7 percent in the third quarter of 2006 and compared to 83.1 percent for the second quarter of 2007. “We are pleased with our health benefits ratio,” Carlson said. “Mature markets continue to perform well and developing markets improved. In addition, we experienced favorable reserve development.”

The health benefits ratio was impacted by favorable reserve development of approximately $11.5 million pre-tax, or $0.13 per diluted share. The favorable reserve development occurred primarily in Georgia and Texas.

Excluding the favorable reserve development, total Company health benefits ratio in the third quarter would have been 84.1 percent. Mature markets had a composite health benefits ratio of approximately 80 percent. AMERIGROUP’s mature markets are: Texas, Florida, Maryland, New York, New Jersey, Ohio, DC, and Virginia. Developing markets had a composite health benefits ratio in the low 90s. Developing markets are: Tennessee, Georgia, Ohio and Texas AMERIPLUS products, as well as Maryland SNP.

Selling, General and Administrative Expenses
The selling, general and administrative expense ratio was 12.6 percent of total revenues for the third quarter of 2007 versus 13.0 percent in the third quarter of 2006 and compared to 12.1 percent in the second quarter of 2007. 

The sequential increase in the ratio is primarily due to: an increase in the accrual for estimated experience rebate expense in Texas of $4.1 million, because of the favorable reserve development in that State; additional compensation expense of $3.7 million, triggered by the execution of the Retirement and Consulting Agreement between the Company and Jeffrey L. McWaters, the Company’s Chairman of the Board and former Chief Executive Officer; and a contribution to the AMERIGROUP Charitable Foundation of $1.0 million.  Together these items total $8.8 million pre-tax, or $0.10 per diluted share.

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October 24, 2007
Page 3
 
Balance Sheet and Cash Flow Highlights
Cash and investments at September 30, 2007 totaled $1.4 billion. Unregulated cash and investments were $549.9 million of which $198.6 million was unrestricted.

Medical claims payable totaled $505.7 million representing 55 days of claims expense which compares to 52 days in the previous quarter.

Cash flow provided by operations totaled $253.7 million for the nine months ended September 30, 2007 compared to $205.3 million for the same period in the prior year. Cash flow in the quarter was positively impacted by strong net income and growth in claims payable.

Full-year 2007 Outlook
The Company is increasing and narrowing the range of its 2007 annual earnings estimate to $2.12 to $2.14 per diluted share from the previous range of $2.00 to $2.10 per diluted share.

The Company’s revised 2007 earnings estimates are predicated on the assumption that new products and markets operate at expected levels. Additionally, these estimates include the following assumptions, among others:

 
·
Organic premium revenue growth is now expected to be approximately 37.0 percent, compared to the previous estimate of approximately 35.0 percent;
 
·
Annualized weighted-average rate increases in the 5.0 to 6.0 percent range, compared to the previous estimate of rate increases at the low end of our 3.0 to 4.0 percent range;
 
·
Health benefits ratio in the mid 83.0 percent range of premium revenues for the full year;
 
·
Selling, general and administrative expenses of slightly above 12.0 percent of total revenues;
 
·
Income tax rate of approximately 38.0 percent; and
 
·
Fully diluted shares outstanding of approximately 54 million.

Full-year 2008 Outlook
The Company is introducing its 2008 full-year outlook. AMERIGROUP expects earnings per diluted share in the range of $2.45 to $2.60 for 2008 supported by organic revenue growth above 15.0 percent. These estimates are predicated on the timing of expansion into new markets and products, including South Carolina and the expansion in Medicare Advantage, and that these markets and products operate at underwritten levels.
 
Initial 2008 earnings outlook of $2.45 to $2.60 is not affected by any dilutive or accretive impact from:
 
·
The possible entry into New Mexico;
 
·
A possible change in the West Tennessee administrative services only contract with TennCare;
 
·
Developments or rulings in the pending Qui Tam litigation; and
 
·
The possible impact from the proposed change in accounting rules for Convertible Debt as detailed in FSP APB 14-a. If the proposed change is implemented, reported interest expense on the Company’s convertible debt would increase.
 
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October 24, 2007
Page 4
 
Third Quarter Earnings Call
AMERIGROUP senior management will discuss the Company’s third quarter results on a conference call Thursday, October 25, 2007 at 9:30 a.m. Eastern Time. The conference can be accessed by dialing 866-260-3161 (domestic) or 706-679-7245 (international) and providing passcode 18786503 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 18786503. The replay will be available beginning Thursday, October 25, at 1:00 p.m. Eastern Time until Thursday, November 1, at 11:59 p.m. Eastern Time. 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 approximately two hours following the conclusion of the live broadcast.

About AMERIGROUP Corporation
AMERIGROUP Corporation, headquartered in Virginia Beach, Virginia, improves healthcare access and quality for the financially vulnerable, seniors and people with disabilities by developing innovative managed health services for the public sector. Through its subsidiaries, AMERIGROUP Corporation serves more than 1.5 million people in the District of Columbia, Florida, Georgia, Maryland, New Jersey, New York, Ohio, Tennessee, Texas and Virginia. For more information, visit www.amerigroupcorp.com.
 


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 related to expected 2007 and 2008 earnings which are subject to numerous factors, many of which are outside of the Company’s control, including the levels and amounts of membership, revenues, organic premium revenues, rate increases, operating cash flows, health benefits expenses, medical expense trend levels, our ability to manage our medical costs generally, seasonality of health benefits expenses, selling, general and administrative expenses, days in claims payable, income tax rates, earnings per share and net income growth. 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 AMERIGROUP’s 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, national, state and local economic conditions, including their effect on the rate-setting process, timing of payments, as well as the availability and cost of labor, utilities and materials; the effect of government regulations and changes in regulations governing the healthcare industry, including our compliance with such regulations and their effect on our ability to manage our medical costs; changes in Medicaid payment levels, membership eligibility and methodologies and the application of such methodologies by the government; liabilities and other claims asserted against AMERIGROUP; our ability to attract and retain qualified personnel; our ability to maintain compliance with all minimum capital requirements; the availability and terms of capital to fund acquisitions and capital improvements; the competitive environment in which we operate; our ability to maintain and increase membership levels; and demographic changes. There can also be no assurance that the Company will achieve the estimated earnings discussed in this release or that our actual results for 2007 and 2008 will not differ materially from our current estimates.  The Company's ability to achieve the earnings described is subject to a variety of factors, including those described above, many of which are out of the Company's control.  

Investors should also refer to the Company’s filings with the Securities and Exchange Commission (the “SEC”), including the Company’s annual report on Form 10-K for the year ended December 31, 2006 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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October 24, 2007
Page 5

AMERIGROUP CORPORATION AND SUBSIDIARIES
CONDENSED CONSOLIDATED INCOME STATEMENTS
(dollars in thousands, except per share data)
(unaudited)
 
   
Three months ended
 
Nine months ended
 
   
September 30,
 
September 30,
 
   
2007
 
2006
 
2007
 
2006
 
                   
Revenues:
                 
Premium
 
$
1,013,620
 
$
698,507
 
$
2,819,166
 
$
1,998,005
 
Investment income and other
   
19,091
   
10,577
   
49,634
   
27,397
 
Total revenues
   
1,032,711
   
709,084
   
2,868,800
   
2,025,402
 
Expenses:
                         
Health benefits
   
840,749
   
570,928
   
2,342,905
   
1,624,339
 
Selling, general and administrative
   
129,941
   
92,316
   
357,459
   
255,054
 
Depreciation and amortization
   
7,744
   
6,076
   
23,596
   
19,257
 
Interest
   
3,969
   
108
   
8,332
   
348
 
Total expenses
   
982,403
   
669,428
   
2,732,292
   
1,898,998
 
Income before income taxes
   
50,308
   
39,656
   
136,508
   
126,404
 
Income tax expense
   
19,060
   
15,052
   
51,180
   
49,242
 
Net income
 
$
31,248
 
$
24,604
 
$
85,328
 
$
77,162
 
                           
                           
Diluted net income per share
 
$
0.58
 
$
0.46
 
$
1.59
 
$
1.46
 
                           
Weighted average number of common
                         
shares and dilutive potential common
                         
shares outstanding
   
53,816,532
   
53,331,741
   
53,682,928
   
52,957,069
 

 
 
   
Three months ended
 
Nine months ended 
 
   
September 30,
 
September 30,
 
   
2007
 
2006
 
2007
 
2006
 
Premium revenue
   
98.2
%
 
98.5
%
 
98.3
%
 
98.6
%
Investment income and other
   
1.8
   
1.5
   
1.7
   
1.4
 
Total revenues
   
100.0
%
 
100.0
%
 
100.0
%
 
100.0
%
Health benefits (1)
   
82.9
%
 
81.7
%
 
83.1
%
 
81.3
%
Selling, general and administrative expenses
   
12.6
%
 
13.0
%
 
12.5
%
 
12.6
%
Income before income taxes
   
4.9
%
 
5.6
%
 
4.8
%
 
6.2
%
Net income
   
3.0
%
 
3.5
%
 
3.0
%
 
3.8
%
 
(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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October 24, 2007
Page 6
 
The following table sets forth the approximate number of our members we served in each state as of September 30, 2007 and 2006. Because we receive two premiums for members that are in both the AMERIVANTAGE and AMERIPLUS product, these members have been counted twice in the states where we offer SNP plans.
 
   
September 30,
 
   
2007
 
2006
 
 Texas
   
453,000
   
378,000
 
 Georgia
   
218,000
   
177,000
 
 Florida
   
200,000
   
203,000
 
 Tennessee
   
185,000
   
 
 Maryland
   
147,000
   
144,000
 
 New York
   
114,000
   
128,000
 
 New Jersey
   
99,000
   
103,000
 
 Ohio
   
52,000
   
28,000
 
 District of Columbia
   
38,000
   
41,000
 
 Virginia
   
22,000
   
22,000
 
 Total
   
1,528,000
   
1,224,000
 
 
The following table sets forth the approximate number of our members in each of our products as of September 30, 2007 and 2006. Because we receive two premiums for members that are in both the AMERIVANTAGE and AMERIPLUS product, these members have been counted in each product.
 
   
September 30,
 
Product
 
2007
 
2006
 
AMERICAID (Medicaid—TANF)
   
1,040,000
   
844,000
 
AMERIKIDS (SCHIP)
   
270,000
   
242,000
 
AMERIPLUS (Medicaid—SSI)
   
172,000
   
90,000
 
AMERIFAM (FamilyCare)
   
41,000
   
43,000
 
AMERIVANTAGE (SNP)
   
5,000
   
5,000
 
Total
   
1,528,000
   
1,224,000
 
 
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October 24, 2007
Page 7
 
CONDENSED CONSOLIDATED BALANCE SHEETS
(dollars in thousands, except per share data)
(unaudited)
 
   
September 30,
 
December 31,
 
   
2007
 
2006
 
       
Assets
 
Current assets:
         
Cash and cash equivalents
 
$
320,055
 
$
176,718
 
Short-term investments
   
223,548
   
167,703
 
Restricted investments held as collateral
   
351,318
   
 
Premium receivables
   
80,531
   
63,594
 
Deferred income taxes
   
25,942
   
21,550
 
Prepaid expenses, provider and other receivables and other
   
86,383
   
71,544
 
Total current assets
   
1,087,777
   
501,109
 
 
             
Property, equipment and software, net
   
90,789
   
81,604
 
Goodwill and other intangible assets, net
   
253,588
   
255,340
 
Long-term investments, including investments on deposit for licensure
   
536,202
   
500,363
 
Deferred income taxes
   
13,021
   
 
Other long-term assets
   
18,903
   
7,279
 
   
$
2,000,280
 
$
1,345,695
 
               
Liabilities and Stockholders' Equity
Current liabilities:
             
Claims payable
 
$
505,714
 
$
385,204
 
Unearned revenue
   
90,134
   
63,765
 
Accounts payable
   
5,056
   
6,285
 
Accrued expenses, capital leases and other
   
120,986
   
107,668
 
Current portion of long-term debt
   
1,300
   
 
Total current liabilities
   
723,190
   
562,922
 
               
Long-term debt
   
388,700
   
 
Other long-term liabilities
   
12,094
   
6,551
 
Deferred income taxes
   
   
7,637
 
Total liabilities
   
1,123,984
   
577,110
 
               
Stockholders’ equity:
             
Common stock, $.01 par value
   
529
   
523
 
Additional paid-in capital
   
404,707
   
391,515
 
Retained earnings
   
471,060
   
376,547
 
Total stockholders’ equity
   
876,296
   
768,585
 
   
$
2,000,280
 
$
1,345,695
 

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October 24, 2007
Page 8

AMERIGROUP CORPORATION AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
 
   
Nine months ended
 
   
September 30,
 
   
2007
 
2006
 
   
(in thousands)
 
Cash flows from operating activities:
         
Net income
 
$
85,328
 
$
77,162
 
Adjustments to reconcile net income to net cash provided by
             
operating activities:
             
Depreciation and amortization
   
23,596
   
19,257
 
Loss (gain) on disposal of property, equipment and software
   
34
   
(66
)
Deferred tax benefit
   
(5,617
)
 
(14,902
)
Compensation expense related to share-based payments
   
10,152
   
6,731
 
Changes in assets and liabilities increasing (decreasing) cash flows
             
from operations:
             
Premium receivables
   
(16,937
)
 
24,149
 
Prepaid expenses, provider and other receivables and other
             
current assets
   
(13,149
)
 
(13,136
)
Other assets
   
(2,954
)
 
(283
)
Claims payable
   
120,510
   
12,663
 
Unearned revenue
   
26,369
   
46,117
 
Accounts payable, accrued expenses and other current liabilities
   
20,462
   
47,345
 
Other long-term liabilities
   
5,947
   
299
 
Net cash provided by operating activities
   
253,741
   
205,336
 
               
Cash flows from investing activities:
         
Purchase of restricted investments held as collateral, net
   
(351,318
)
 
 
Purchase of convertible note hedge instruments
   
(52,702
)
 
 
Proceeds from sale of warrant instruments
   
25,662
   
 
Purchase of investments, net
   
(76,262
)
 
(203,861
)
Purchase of investments on deposit for licensure, net
   
(15,422
)
 
(10,472
)
Purchase of property, equipment and software
   
(28,313
)
 
(27,337
)
Purchase price adjustment paid
   
   
(4,766
)
Net cash used in investing activities
   
(498,355
)
 
(246,436
)
             
Cash flows from financing activities:
             
Proceeds from borrowings under credit facility and issuance of
             
convertible notes
   
611,318
   
 
Repayments of borrowings under credit facility
   
(221,318
)
 
 
Payment of debt issuance costs
   
(11,510
)
 
 
Payment of capital lease obligations
   
(676
)
 
(1,354
)
Proceeds and tax benefits from exercise of stock options and change
             
in bank overdrafts, net
   
10,137
   
6,787
 
Net cash provided by financing activities
   
387,951
   
5,433
 
Net increase (decrease) in cash and cash equivalents
   
143,337
   
(35,667
)
Cash and cash equivalents at beginning of period
   
176,718
   
272,169
 
Cash and cash equivalents at end of period
 
$
320,055
 
$
236,502
 
 
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