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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549


FORM 10-Q


     
(Mark One)
   
x
  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
For the Quarterly Period Ended June 30, 2002
 
OR
o
  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                to 

Commission File Number 000-21949


PACIFICARE HEALTH SYSTEMS, INC.

(Exact Name of Registrant as Specified in its Charter)
     
Delaware
  95-4591529
(State or Other Jurisdiction of
Incorporation or Organization)
  (IRS Employer
Identification Number)


5995 Plaza Drive, Cypress, California 90630-5028

(Address of Principal Executive Offices, Including Zip Code)

(Registrant’s Telephone Number, Including Area Code) (714) 952-1121

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

Yes x     No o

There were approximately 35,529,000 shares of common stock outstanding on July 31, 2002.




TABLE OF CONTENTS

Item 1: Financial Statements
CONDENSED CONSOLIDATED BALANCE SHEETS
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Item 2: Management’s Discussion and Analysis of Financial Condition and Results of Operations
Item 3: Quantitative and Qualitative Disclosures About Market Risk
PART II: OTHER INFORMATION
Item 1: Legal Proceedings
Item 2: Changes In Securities/Recent Sales of Unregistered Securities
Item 3: Defaults Upon Senior Securities
Item 4: Submission of Matters to a Vote of Security Holders
Item 5: Other Information
Item 6: Exhibits and Reports on Form 8-K
SIGNATURES
EXHIBIT INDEX
EXHIBIT 15
EXHIBIT 20
EXHIBIT 99.3
EXHIBIT 99.4


Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

FORM 10-Q

INDEX
             
Page

PART I. FINANCIAL INFORMATION
Item 1.
  Financial Statements        
    Condensed Consolidated Balance Sheets as of June 30, 2002 and December 31, 2001     1  
    Condensed Consolidated Statements of Operations for the three months ended June 30, 2002 and 2001     2  
    Condensed Consolidated Statements of Operations for the six months ended June 30, 2002 and 2001     3  
    Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2002 and 2001     4  
    Notes to Condensed Consolidated Financial Statements     6  
Item 2.
  Management’s Discussion and Analysis of Financial Condition and Results of Operations     25  
Item 3.
  Quantitative and Qualitative Disclosures About Market Risk     48  
PART II. OTHER INFORMATION
Item 1.
  Legal Proceedings     49  
Item 2.
  Changes in Securities/ Recent Sales of Unregistered Securities     49  
Item 3.
  Defaults Upon Senior Securities     49  
Item 4.
  Submission of Matters to a Vote of Security Holders     49  
Item 5.
  Other Information     50  
Item 6.
  Exhibits and Reports on Form 8-K     50  
Signatures     52  
Exhibits     53  

i


Table of Contents

PART I. FINANCIAL INFORMATION

 
Item 1: Financial Statements

PACIFICARE HEALTH SYSTEMS, INC.

 
CONDENSED CONSOLIDATED BALANCE SHEETS
(amounts in thousands, except per-share data)
                     
June 30, December 31,
2002 2001


(unaudited)
ASSETS
 
Current assets:
               
 
Cash and equivalents
  $ 422,027     $ 977,759  
 
Marketable securities
    1,064,715       1,062,353  
 
Receivables, net
    320,991       375,661  
 
Prepaid expenses and other current assets
    49,991       40,254  
 
Deposits against letters of credit
    23,977        
 
Deferred income taxes
    110,981       132,159  
     
     
 
   
Total current assets
    1,992,682       2,588,186  
     
     
 
Property, plant and equipment at cost, net
    165,074       166,724  
Marketable securities-restricted
    148,753       112,167  
Restricted cash collateral for FHP senior notes
    44,578        
Goodwill, net
    985,934       1,915,370  
Intangible assets, net
    255,397       266,616  
Other assets
    53,531       46,983  
     
     
 
    $ 3,645,949     $ 5,096,046  
     
     
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
               
 
Medical claims and benefits payable
  $ 1,046,500     $ 1,095,900  
 
Accounts payable and accrued liabilities
    402,650       466,808  
 
Unearned premium revenue
    63,052       550,910  
 
Long-term debt due within one year
    60,620       124  
     
     
 
   
Total current liabilities
    1,572,822       2,113,742  
     
     
 
Long-term debt due after one year
    725,865       794,309  
Deferred income taxes
    106,653       137,127  
Other liabilities
    18,056       17,083  
Stockholders’ equity:
               
 
Common stock, $0.01 par value; 200,000 shares authorized; issued 47,387 shares in 2002 and 47,313 shares in 2001
    474       473  
 
Unearned compensation
    (1,277 )     (1,153 )
 
Additional paid-in capital
    1,559,722       1,582,566  
 
Accumulated other comprehensive income
    8,290       1,951  
 
Retained earnings
    269,625       1,108,198  
 
Treasury stock, at cost; 11,922 shares in 2002 and 12,776 shares in 2001
    (614,281 )     (658,250 )
     
     
 
   
Total stockholders’ equity
    1,222,553       2,033,785  
     
     
 
    $ 3,645,949     $ 5,096,046  
     
     
 

See accompanying notes.

1


Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

 
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(unaudited)
(amounts in thousands, except per-share data)
                     
Three Months Ended
June 30,

2002 2001


Revenue:
               
 
Commercial premiums
  $ 1,243,076     $ 1,198,286  
 
Senior premiums
    1,476,795       1,703,704  
 
Other income
    46,626       39,054  
 
Net investment income
    2,863       32,682  
     
     
 
   
Total operating revenue
    2,769,360       2,973,726  
     
     
 
Expenses:
               
Health care services:
               
 
Commercial services
    1,088,096       1,069,074  
 
Senior services
    1,296,222       1,538,904  
     
     
 
   
Total health care services
    2,384,318       2,607,978  
     
     
 
Selling, general and administrative expenses
    309,581       294,088  
Amortization of intangible assets
    5,845       5,891  
Amortization of goodwill
          14,802  
Impairment, disposition, restructuring and other charges (credits)
    18,336       (295 )
     
     
 
Operating income
    51,280       51,262  
Interest expense
    (18,955 )     (17,834 )
     
     
 
Income before income taxes
    32,325       33,428  
Provision for income taxes
    12,058       18,159  
     
     
 
Net income
  $ 20,267     $ 15,269  
     
     
 
Basic earnings per share
  $ 0.58     $ 0.46  
     
     
 
Diluted earnings per share
  $ 0.56     $ 0.45  
     
     
 

See accompanying notes.

2


Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

 
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(unaudited)
(amounts in thousands, except per-share data)
                     
Six Months Ended
June 30,

2002 2001


Revenue:
               
 
Commercial premiums
  $ 2,494,014     $ 2,428,438  
 
Senior premiums
    3,023,895       3,436,139  
 
Other income
    93,218       77,120  
 
Net investment income
    21,684       62,728  
     
     
 
   
Total operating revenue
    5,632,811       6,004,425  
     
     
 
Expenses:
               
Health care services:
               
 
Commercial services
    2,182,303       2,169,749  
 
Senior services
    2,686,048       3,110,842  
     
     
 
   
Total health care services
    4,868,351       5,280,591  
     
     
 
Selling, general and administrative expenses
    619,424       587,007  
Amortization of intangible assets
    11,219       12,060  
Amortization of goodwill
          29,550  
Impairment, disposition, restructuring and other charges (credits)
    18,336       (1,223 )
Office of Personnel Management credits
    (12,851 )      
     
     
 
Operating income
    128,332       96,440  
Interest expense
    (35,146 )     (37,969 )
     
     
 
Income before income taxes
    93,186       58,471  
Provision for income taxes
    34,759       30,054  
     
     
 
Income before cumulative effect of a change in accounting principle
    58,427       28,417  
Cumulative effect of a change in accounting principle
    (897,000 )      
     
     
 
Net (loss) income
  $ (838,573 )   $ 28,417  
     
     
 
Basic (loss) earnings per share:
               
 
Income before cumulative effect of a change in accounting principle
  $ 1.68     $ 0.85  
 
Cumulative effect of a change in accounting principle
    (25.75 )      
     
     
 
 
Basic (loss) earnings per share
  $ (24.07 )   $ 0.85  
     
     
 
Diluted (loss) earnings per share:
               
 
Income before cumulative effect of a change in accounting principle
  $ 1.68     $ 0.84  
 
Cumulative effect of a change in accounting principle
    (25.75 )      
     
     
 
 
Diluted (loss) earnings per share
  $ (24.07 )   $ 0.84  
     
     
 

See accompanying notes.

3


Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

 
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
(amounts in thousands)
                         
Six Months Ended
June 30,

2002 2001


Operating activities:
               
 
Net (loss) income
  $ (838,573 )   $ 28,417  
 
Adjustments to reconcile net (loss) income to net cash flows (used in) provided by operating activities:
               
   
Cumulative effect of a change in accounting principle
    897,000        
   
Depreciation and amortization
    25,323       30,810  
   
Deferred income taxes
    19,383       (1,541 )
   
Provision for doubtful accounts
    19,223       10,187  
   
Impairment, disposition, restructuring and other charges (credits)
    18,336       (1,223 )
   
Office of Personnel Management credits
    (12,851 )      
   
Marketable and other securities impairment for other than temporary declines in value
    12,543        
   
Amortization of intangible assets
    11,219       12,060  
   
Employee benefit plan contributions in treasury stock
    6,581        
   
Amortization of capitalized loan fees
    5,810       2,568  
   
(Gain) loss on disposal of property, plant and equipment
    (2,886 )     1,206  
   
Amortization of notes receivable from sale of fixed assets
    (1,502 )      
   
Unearned compensation amortization
    289       1,959  
   
Tax benefit realized for stock option exercises
    164       21  
   
Amortization of discount on 10 3/4% senior notes
    48        
   
Amortization of goodwill
          29,550  
   
Changes in assets and liabilities:
               
     
Receivables, net
    36,949       2,432  
     
Prepaid expenses and other assets
    (7,940 )     753  
     
Medical claims and benefits payable
    (49,400 )     (145,800 )
     
Accounts payable and accrued liabilities:
               
       
Payments for Office of Personnel Management settlement, net of amounts received
    (53,875 )     221  
       
Other changes in accounts payable and accrued liabilities
    5,186       8,102  
     
Unearned premium revenue
    (487,858 )     4,921  
     
     
 
       
Net cash flows used in operating activities
    (396,831 )     (15,357 )
     
     
 
Investing activities:
               
 
Purchase of marketable securities-restricted
    (81,164 )     (23,125 )
 
Purchase of property, plant and equipment
    (33,195 )     (37,113 )
 
Proceeds from the sale of property, plant and equipment
    12,408       107  
 
Purchase of marketable securities, net
    (4,809 )     (177,308 )
 
Net cash paid for acquisitions
          (500 )
     
     
 
       
Net cash flows used in investing activities
    (106,760 )     (237,939 )
     
     
 

Table continued on next page.

See accompanying notes.

4


Table of Contents

PACIFICARE HEALTH SYSTEMS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Continued)

(unaudited)
(amounts in thousands)
                         
Six Months Ended
June 30,

2002 2001


Financing activities:
               
 
Proceeds from the sale of 10 3/4% senior notes, net of discount
    497,145