UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
FORM 10-Q
| (Mark One) |
||
þ
|
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 | |
For the quarterly period ended March 31, 2005
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: 001-32209
WELLCARE HEALTH PLANS, INC.
| Delaware | 47-0937650 | |
| (State or other jurisdiction of | (I.R.S. Employer | |
| incorporation or organization) | Identification No.) | |
| 8725 Henderson Road, Renaissance One Tampa, Florida (Address of principal executive offices) |
33634 (Zip Code) |
(813) 290-6200
(Registrants telephone number, including area code)
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 þ No o
Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act).
Yes o No þ
As of May 6, 2005, there were 38,774,192 shares of the registrants common stock, par value $.01 per share, outstanding.
WELLCARE HEALTH PLANS, INC.
TABLE OF CONTENTS
-i-
Part I FINANCIAL INFORMATION
Item 1: Financial Statements
WELLCARE HEALTH PLANS, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited, in thousands, except share data)
| March 31, | December 31, | |||||||
| 2005 | 2004 | |||||||
Assets |
||||||||
Current Assets: |
||||||||
Cash and cash equivalents |
$ | 340,745 | $ | 397,627 | ||||
Investments |
173,746 | 75,515 | ||||||
Premiums and other receivables, net |
44,534 | 52,170 | ||||||
Prepaid expenses and other current assets |
5,512 | 6,119 | ||||||
Income taxes receivable |
| 1,615 | ||||||
Deferred income taxes |
18,123 | 15,362 | ||||||
Total current assets |
582,660 | 548,408 | ||||||
Property and equipment, net |
13,943 | 12,587 | ||||||
Goodwill |
180,848 | 180,848 | ||||||
Other intangibles, net |
24,140 | 25,441 | ||||||
Restricted investment assets |
31,502 | 31,473 | ||||||
Other assets |
256 | 279 | ||||||
Total Assets |
$ | 833,349 | $ | 799,036 | ||||
Liabilities and Stockholders Equity |
||||||||
Current Liabilities: |
||||||||
Medical benefits payable |
$ | 206,931 | $ | 190,595 | ||||
Unearned premiums |
64,453 | 63,449 | ||||||
Accounts payable and accrued expenses |
34,474 | 35,520 | ||||||
Income taxes payable |
5,631 | | ||||||
Current portion of long-term debt |
1,600 | 1,600 | ||||||
Total current liabilities |
313,089 | 291,164 | ||||||
Notes payable to related party |
25,000 | 25,000 | ||||||
Long-term debt |
156,541 | 156,901 | ||||||
Deferred income taxes |
15,588 | 14,818 | ||||||
Other liabilities |
2,743 | 2,522 | ||||||
Total liabilities |
512,961 | 490,405 | ||||||
Commitments and Contingencies (see Note 4) |
||||||||
Stockholders Equity: |
||||||||
Preferred Stock, $0.01 par value (20,000,000 authorized, no shares issued or outstanding) |
||||||||
Common Stock, $0.01 par value (100,000,000 authorized, 38,768,293 and 38,590,655 shares
issued and outstanding) |
388 | 386 | ||||||
Paid-in capital |
231,912 | 230,804 | ||||||
Retained earnings |
88,084 | 77,444 | ||||||
Accumulated other comprehensive income (expense) |
4 | (3 | ) | |||||
Total stockholders equity |
320,388 | 308,631 | ||||||
Total Liabilities and Stockholders Equity |
$ | 833,349 | $ | 799,036 | ||||
See notes to condensed consolidated financial statements.
1
WELLCARE HEALTH PLANS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(Unaudited, in thousands, except per share and unit data)
| Three Months | ||||||||
| Ended March 31, | ||||||||
| 2005 | 2004 | |||||||
Revenues: |
||||||||
Premium |
$ | 415,866 | $ | 301,250 | ||||
Investment and other income |
3,015 | 586 | ||||||
Total revenues |
418,881 | 301,836 | ||||||
Expenses: |
||||||||
Medical benefits |
344,926 | 251,435 | ||||||
Selling, general and administrative |
51,248 | 36,791 | ||||||
Depreciation and amortization |
2,042 | 1,659 | ||||||
Interest |
3,205 | 2,265 | ||||||
Total expenses |
401,421 | 292,150 | ||||||
Income before income taxes |
17,460 | 9,686 | ||||||
Income tax expense |
6,820 | 3,864 | ||||||
Net income |
$ | 10,640 | 5,822 | |||||
Class A common unit yield |
(1,571 | ) | ||||||
Net income attributable to common units |
$ | 4,251 | ||||||
Net income per share (see Note 1): |
||||||||
Net income per share basic |
$ | 0.29 | ||||||
Net income per share diluted |
$ | 0.27 | ||||||
Net income attributable per common unit (see Note 1): |
||||||||
Net income attributable per common unit - basic |
$ | 0.15 | ||||||
Net income attributable per common unit - diluted |
$ | 0.13 | ||||||
Pro forma net income per common share (see Note 1) (unaudited): |
||||||||
Pro forma net income per common share - basic (unaudited) |
$ | 0.19 | ||||||
Pro forma net income per common share - diluted (unuadited) |
$ | 0.16 | ||||||
See notes to condensed consolidated financial statements.
2
WELLCARE HEALTH PLANS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited, in thousands)
| Three Months | ||||||||
| Ended March 31, | ||||||||
| 2005 | 2004 | |||||||
Cash from operating activities: |
||||||||
Net income |
$ | 10,640 | $ | 5,822 | ||||
Adjustments to reconcile net income to net cash provided by operating activities: |
||||||||
Depreciation and amortization expense |
2,042 | 1,659 | ||||||
Realized gains on investments |
7 | | ||||||
Equity-based compensation expense |
719 | 260 | ||||||
Accreted interest |
40 | 277 | ||||||
Deferred taxes, net |
(1,991 | ) | (909 | ) | ||||
Provision for doubtful receivables |
| 1,416 | ||||||
Changes in operating accounts, net of effect of acquisition: |
||||||||
Premiums and other receivables |
7,636 | (5,347 | ) | |||||
Prepaid expenses and other current assets |
590 | (769 | ) | |||||
Medical benefits payable |
16,336 | 106 | ||||||
Unearned premiums |
1,004 | (24,215 | ) | |||||
Accounts payable and accrued expenses |
(1,169 | ) | (4,675 | ) | ||||
Accrued interest |
257 | (1,514 | ) | |||||
Taxes payable |
7,246 | 3,732 | ||||||
Other liabilities |
(53 | ) | | |||||
Net cash provided by (used in) operations |
43,304 | (24,157 | ) | |||||
Cash from investing activities: |
||||||||
Proceeds from sale and maturities of investments, net |
25,174 | 48 | ||||||
Purchases of investments |
(123,405 | ) | (5,201 | ) | ||||
Purchases and dispositions of restricted investments |
(29 | ) | (4,847 | ) | ||||
Additions to property and equipment, net |
(2,098 | ) | (774 | ) | ||||
Net cash used in investing activities |
(100,358 | ) | (10,774 | ) | ||||
Cash from financing activities: |
||||||||
Proceeds from options |
572 | | ||||||
Payments on debt |
(400 | ) | (3,591 | ) | ||||
Net cash provided by (used in) financing
activities |
172 | (3,591 | ) | |||||
Cash and cash equivalents: |
||||||||
Decrease during period |
(56,882 | ) | (38,522 | ) | ||||
Balance at beginning of period |
397,627 | 237,321 | ||||||
Balance at end of period |
$ | 340,745 | $ | 198,799 | ||||
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION |
||||||||
Cash paid for taxes |
$ | 1,571 | $ | 1,040 | ||||
Cash paid for interest |
$ | 2,643 | $ | 2,002 | ||||
See notes to condensed consolidated financial statements.
3
WELLCARE HEALTH PLANS, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(In thousands, except member, share and unit data)
| 1. | ORGANIZATION, BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES |
WellCare Health Plans, Inc., a Delaware corporation (the Company), provides managed care services targeted exclusively to government-sponsored healthcare programs, focusing on Medicaid and Medicare. Through its health plans, the Company offers a diverse array of products, primarily Medicaid and related state programs, such as the State Childrens Health Insurance Program (S-CHIP), and Medicare programs, serving approximately 765,000 members as of March 31, 2005. Through its health maintenance organization (HMO) subsidiaries, the Company operates in the states of Florida, Illinois, Indiana, New York, Connecticut, Louisiana and Georgia.
History
WellCare Holdings, LLC (Holdings), a Delaware limited liability corporation, was formed in May 2002 for the purpose of acquiring various subsidiaries that operate health plans focused on government programs in various states. Holdings began operating in August 2002 in conjunction with the acquisition of its indirect operating subsidiaries and did not have any activity from May 2002 through July 2002. The Company, formerly known as WellCare Group, Inc., became the successor to Holdings following a reorganization (the Reorganization) that took place immediately prior to the closing of the Companys initial public offering in July 2004. The Reorganization was effected through a merger of Holdings with and into the Company, a wholly-owned subsidiary of Holdings. The Company issued an aggregate of 29,735,757 shares of the Companys common stock in exchange for all of the outstanding membership interests in Holdings, plus accrued yields, pursuant to the merger. Upon consummation of the merger, the Company changed its name to WellCare Health Plans, Inc.
In July 2004, the Company completed its initial public offering, at a price of $17 per share. The offering resulted in net proceeds to the Company of approximately $112.3 million.
In December 2004, the Company completed a follow-on public offering of common stock whereby 6,000,000 shares were sold by selling stockholders and 1,500,000 shares were sold by the Company. The Company received net proceeds of $44.9 million from this offering.
Basis of Presentation
The accompanying unaudited condensed consolidated interim financial statements should be read in conjunction with the consolidated and combined financial statements and notes thereto for the fiscal year ended December 31, 2004 included in the Companys Annual Report on Form 10-K filed with the Securities and Exchange Commission (the SEC) on February 15, 2005 (the 2004 Form 10-K). In the opinion of the Companys management, the interim financial statements reflect all normal recurring adjustments which the Company considers necessary for the fair presentation of the financial position and results of operations and cash flows for the interim periods presented. The interim financial statements included herein have been prepared in accordance with accounting principles generally accepted in the United States of America and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, certain information and footnote disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States of America have been condensed or omitted. Results for the interim periods presented are not necessarily indicative of results that may be expected for the entire year or any other interim period.
Certain 2004 amounts in the consolidated financial statements have been reclassified to conform to the 2005 presentation. These reclassifications have no effect on net income, total assets, liabilities or stockholders equity as previously reported.
Earnings Per Common Share
Basic net income per common share is computed by dividing the net income for the period by the weighted average number of shares of common stock outstanding during the period. Diluted net income per common share is computed by dividing the net income for the period by the weighted average number of shares of common stock outstanding during the period, plus other potentially dilutive securities.
4
WELLCARE HEALTH PLANS, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(In thousands, except member, share and unit data)
Earnings Attributable Per Common Unit
Basic net income attributable per unit is computed by dividing the net income less the Class A common unit yield for the period by the weighted average number of units outstanding during the period, less units outstanding. Diluted net income attributable per unit is computed by dividing the net income for the period less the Class A common unit yield by the weighted average number of units outstanding during the period, plus, other potentially dilutive securities, including the unvested units.
Holdings historic capital structure is not indicative of the Companys current structure due to the automatic conversion of all units of Holdings into common stock of the Company immediately prior to the closing of the Companys initial public offering. Accordingly, historic basic and diluted net income attributable per common unit should not be used as an indicator of the future earnings per common share. The pro forma information in the condensed consolidated statements of income assumes conversion of all outstanding units of Holdings into shares of the Companys common stock resulting from the completion of the initial public offering as if it had occurred at the beginning of all periods presented. Pro forma net income per share is computed using the weighted average number of common shares outstanding, including the pro forma effects of automatic conversion of all outstanding common units into shares of the Companys common stock effective immediately prior to the closing of the Companys initial public offering on July 7, 2004.
The components of total shares outstanding at March 31, 2005 and December 31, 2004, are as follows:
| March 31, | December 31, | |||||||
| 2005 | 2004 | |||||||
Common Shares Outstanding |
34,789,662 | 34,681,436 | ||||||
Vested restricted shares |
2,665,598 | 2,432,280 | ||||||
Unvested restricted shares |
1,313,033 | 1,476,939 | ||||||
Options outstanding |
2,363,882 | 2,415,075 | ||||||
Total Shares outstanding including options |
41,132,175 | 41,005,730 | ||||||
5
WELLCARE HEALTH PLANS, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(In thousands, except member, share and unit data)
The following table illustrates the effect on net income and net income attributable per common unit as if the fair value based method had been applied to all awards:
| Three Months Ended | ||||||||
| March 31, | ||||||||
| 2005 | 2004 | |||||||
| (unaudited) | ||||||||
Net income, as reported |
$ | 10,640 | $ | 5,822 | ||||
Reconciling items (net of tax effects): |
||||||||
Add: equity-based employee compensation expense
determined under the intrinsic-value based
method for all awards |
438 | 154 | ||||||
Deduct: equity-based employee compensation
expense determined under the fair-value based
method for all awards |
(2,093 | ) | (487 | ) | ||||
Net adjustment |
(1,655 | ) | (333 | ) | ||||
Net income, as adjusted |
$ | 8,985 | 5,489 | |||||
Class A common unit yield |
(1,571 | ) | ||||||
Adjusted net income attributable to common units |
$ | 3,918 | ||||||
Net income per common share: |
||||||||
Basic-as reported |
$ | 0.29 | ||||||
Basic-as adjusted |
$ | 0.24 | ||||||
Diluted-as reported |
$ | 0.27 | ||||||
Diluted-as adjusted |
$ | 0.23 | ||||||
Net income attributable per common unit: |
||||||||
Basic-as reported |
$ | 0.15 | ||||||
Basic-as adjusted |
$ | 0.14 | ||||||
Diluted-as reported |
$ | 0.13 | ||||||
Diluted-as adjusted |
$ | 0.12 | ||||||
The Company has equity-based compensation plans for the benefit of its eligible associates, consultants and directors. The Company accounts for equity-based compensation under Accounting Principles Board Opinion No. 25, Accounting for Stock Issued to Employees. The Company has adopted the disclosure-only provisions of Statement of Financial Accounting Standards (SFAS) No. 123, Accounting for Stock-Based Compensation, and SFAS No. 148, Accounting for Stock-Based Compensation Transition and Disclosure.
6
WELLCARE HEALTH PLANS, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(In thousands, except member, share and unit data)
The following table presents the calculation of net income per common share basic and diluted and net income attributable per common unit basic and diluted:
| Three Months Ended | ||||||||
| March 31, | ||||||||
| 2005 | 2004 | |||||||
| (unaudited) | ||||||||
Numerator: |
||||||||
Net income basic and diluted |
$ | 10,640 | $ | 5,822 | ||||
Class A common unit yield |
(1,571 | ) | ||||||
Net income attributable to common unit |
$ | 4,251 | ||||||
Denominator |
||||||||
Weighted average common shares outstanding - basic |
37,250,621 | |||||||
Adjustment for unvested restricted common shares |
1,394,423 | |||||||
Dilutive effect of stock options (as determined by the treasury
stock method) |
832,044 | |||||||
Weighted average common shares outstanding - diluted |
39,477,088 | |||||||
Weighted average units outstanding basic |
27,613,922 | |||||||
Adjustment for unvested outstanding Class C common units
and equity options issued |
4,606,674 | |||||||
Weighted average units outstanding diluted |
32,220,596 | |||||||
Pro forma weighted average shares outstanding - basic |
22,454,244 | |||||||
Pro forma weighted average shares outstanding - diluted |
26,200,158 | |||||||
Net income per common share: |
||||||||
Net income per common share basic |
$ | 0.29 | ||||||
Net income per common share diluted |
$ | 0.27 | ||||||
Net income attributable per common unit: |
||||||||
Net income attributable per common unit - basic |
$ | 0.15 | ||||||
Net income attributable per common unit - diluted |
$ | 0.13 | ||||||
Pro forma net income per common share: |
||||||||
Pro forma net income per common share - basic |
$ | 0.19 | ||||||
Pro forma net income per common share - diluted |
$ | 0.16 | ||||||
| 2. | BUSINESS ACQUISITION |
In June 2004, the Company acquired Harmony Health Systems, Inc. and its subsidiaries, (collectively, Harmony) pursuant to the terms of a merger agreement entered into in March 2004, for $50,296, including acquisition costs of $1,609. The results of Harmonys operations have been included in the condensed consolidated financial statements since the acquisition date.
The following unaudited pro forma summary information presents the consolidated income statement information for the three-month period ended March 31, 2004 as if the acquisition had been consummated on January 1, 2004, and does not purport to be indicative of what would have occurred had the acquisition been completed at that date or the results that may occur in the future.
7
WELLCARE HEALTH PLANS, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(In thousands, except member, share and unit data)
| Three Months | ||||
| Ended | ||||
| March 31, | ||||
| 2004 | ||||
Premium Revenue |
$ | 332,935 | ||
Net Income |
$ | 6,161 | ||
Net income per share - basic |
||||
Net income per share - diluted |
||||
Net income attributable per common unit - basic |
$ | 0.17 | ||
Net income attributable per common unit - diluted |
$ | 0.16 | ||
| 3. | SEGMENT REPORTING |
The Company has two reportable segments: Medicaid and Medicare. The segments were determined based upon the type of governmental administration, regulation and funding of the health plans. Segment performance is evaluated based upon earnings from operations without corporate allocations. Accounting policies of the segments are consistent with those applied at the December 31, 2004 year end.
The Medicaid segment includes operations to provide healthcare services to recipients that are eligible for state supported programs including Medicaid and family and childrens health programs. The Medicare segment includes operations to provide healthcare services to recipients who are eligible for the federally supported Medicare program. The Company no longer operates a commercial line of business.
Asset, liability and equity amounts by segment have not been disclosed, as they are not reported by segment internally by the Company.
| Three Months | ||||||||
| Ended March 31, | ||||||||
| 2005 | 2004 | |||||||
Premium revenue: |
||||||||
Medicaid |
$ | 309,210 | $ | 216,120 | ||||
Medicare |
106,656 | 84,560 | ||||||
Corporate and other |
| 570 | ||||||
Total |
415,866 | 301,250 | ||||||
Medical benefits expense: |
||||||||
Medicaid |
257,996 | 183,062 | ||||||
Medicare |
86,930 | 67,969 | ||||||
Corporate and other |
| 404 | ||||||
Total |
344,926 | 251,435 | ||||||
Gross profit: |
||||||||
Medicaid |
51,214 | 33,058 | ||||||
Medicare |
19,726 | 16,591 | ||||||
Corporate and other |
| 166 | ||||||
Total |
$ | 70,940 | $ | 49,815 | ||||
8
WELLCARE HEALTH PLANS, INC.
(SUCCESSOR TO WELLCARE HOLDINGS, LLC)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Concluded)
(In thousands, except members, share and unit data)
| 4. | COMMITMENTS AND CONTINGENCIES |
The Company is a party to legal proceedings in the ordinary course of business. The Company does not believe these proceedings, individually or in the aggregate, will have a material adverse effect on its financial position, results of operations or cash flows. The Company believes that it has obtained adequate insurance or rights to indemnification or, where appropriate, has established adequate reserves in connection with these legal proceedings.
| 5. | INCOME TAXES |
The Company uses the asset and liability method of accounting for income taxes. At March 31, 2005, net deferred tax assets were approximately $2,535. In assessing the realizability of deferred tax assets, management considers the scheduled reversal of deferred tax liabilities, projected future taxable income, and tax planning strategies. The Company expects the deferred tax assets to be realized through the generation of future taxable income and the reversal of existing taxable temporary differences.
| 6. | CREDIT AGREEMENT |
In May 2004, the Company and certain subsidiaries entered into a credit agreement (the Credit Agreement) and obtained two new credit facilities, consisting of a senior secured term loan facility in the amount of $160,000 and a revolving credit facility in the amount of $50,000, of which $10,000 is available for short-term borrowings on a swingline basis. Interest is payable quarterly, currently at the six month LIBOR rate option of 6.49%. The term loan matures in May 2009, and the revolving credit facility will mature in May 2008. The revolving credit facility has not been utilized.
The Credit Agreement contains various restrictive covenants which limit, among other things, the Companys ability to incur indebtedness and liens and to enter into business combination transactions. In addition, the Company must maintain certain fixed charge and leverage ratios. The Company believes that it is in compliance with all the financial and non-financial covenants at March 31, 2005.
9
Item 2: Managements Discussion and Analysis of Financial Condition and Results of Operations.
Forward-Looking Statements
The following discussion of our financial condition and results of operations should be read in conjunction with the accompanying unaudited condensed consolidated interim financial statements and the notes to those statements appearing elsewhere in this report and our audited consolidated and combined financial statements and the notes thereto for the year ended December 31, 2004, appearing in the 2004 Form 10-K.
This Quarterly Report on Form 10-Q contains forward-looking statements that are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Statements that are predictive in nature, that depend upon or refer to future events or conditions, or that include words such as may, will, should, expects, anticipates, intends, plans, believes, estimates, predicts, potential, continues and similar expressions are forward-looking statements.
Forward-looking statements involve known and unknown risks and uncertainties that may cause our actual future results to differ materially from those projected or contemplated in the forward-looking statements. These risks and uncertainties include, but are not limited to:
| | the potential expiration, cancellation or suspension of our state and federal contracts; | |||
| | our ability to accurately predict and effectively manage health benefits and other operating expenses; | |||
| | our ability to accurately estimate incurred but not reported medical costs; | |||
| | risks associated with future changes in healthcare laws; | |||
| | potential reductions in funding for government healthcare programs; | |||
| | risks associated with our acquisition strategy; | |||
| | risks associated with our efforts to expand into additional states and counties; | |||