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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: March 31, 2004

 

or

 

¨ 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: 1-12718

 


 

HEALTH NET, INC.

(Exact name of registrant as specified in its charter)

 


 

Delaware   95-4288333
(State or other jurisdiction of
incorporation or organization)
  (I.R.S. Employer
Identification No.)
21650 Oxnard Street, Woodland Hills, CA   91367
(Address of principal executive offices)   (Zip Code)

 

(818) 676-6000

(Registrant’s telephone number, including area code)

 

(Former name, former address and former fiscal year, if changed since last report)

 


 

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.    x  Yes    ¨  No

 

Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act).    x  Yes    ¨  No

 

Indicate the number of shares outstanding of each of the issuer’s classes of common stock as of the latest practicable date:

 

The number of shares outstanding of the registrant’s Class A Common Stock as of May 5, 2004 was 112,814,121 (excluding 20,873,729 shares held as treasury stock) and no shares of Class B Common Stock were outstanding as of such date.

 



Table of Contents

HEALTH NET, INC.

 

INDEX TO FORM 10-Q

 

     Page

Part I—FINANCIAL INFORMATION

    

Item 1—Financial Statements

    

Condensed Consolidated Balance Sheets as of March 31, 2004 and December 31, 2003

   3

Condensed Consolidated Statements of Operations for the First Quarters Ended March 31, 2004 and 2003

   4

Condensed Consolidated Statements of Cash Flows for the First Quarters Ended March 31, 2004 and 2003

   5

Notes to Condensed Consolidated Financial Statements

   6

Item 2—Management’s Discussion and Analysis of Financial Condition and Results of Operations

   22

Item 3—Quantitative and Qualitative Disclosures About Market Risk

   39

Item 4—Controls and Procedures

   40

Part II—OTHER INFORMATION

    

Item 1—Legal Proceedings

   42

Item 2—Changes in Securities and Use of Proceeds

   42

Item 3—Defaults Upon Senior Securities

   42

Item 4—Submission of Matters to a Vote of Security Holders

   42

Item 5—Other Information

   42

Item 6—Exhibits and Reports on Form 8-K

   42

Signatures

   43

 

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PART I. FINANCIAL INFORMATION

 

Item 1. Financial Statements

 

HEALTH NET, INC.

 

CONDENSED CONSOLIDATED BALANCE SHEETS

(Amounts in thousands)

(Unaudited)

 

    

March 31,

2004


   

December 31,

2003


 

ASSETS

                

Current Assets:

                

Cash and cash equivalents

   $ 684,782     $ 860,871  

Investments—available for sale

     1,042,021       1,082,789  

Premiums receivable, net

     186,178       144,968  

Amounts receivable under government contracts

     121,037       90,928  

Reinsurance and other receivables

     94,469       105,074  

Deferred taxes

     40,827       43,008  

Other assets

     92,404       84,842  
    


 


Total current assets

     2,261,718       2,412,480  

Property and equipment, net

     186,700       190,900  

Goodwill, net

     723,595       729,506  

Other intangible assets, net

     19,313       19,918  

Deferred taxes

     41,409       44,769  

Other noncurrent assets

     214,894       151,703  
    


 


Total Assets

   $ 3,447,629     $ 3,549,276  
    


 


LIABILITIES AND STOCKHOLDERS’ EQUITY

                

Current Liabilities:

                

Reserves for claims and other settlements

   $ 1,069,247     $ 1,024,550  

Health care and other costs payable under government contracts

     233,331       256,009  

Unearned premiums

     95,614       178,115  

Accounts payable and other liabilities

     272,000       315,031  
    


 


Total current liabilities

     1,670,192       1,773,705  

Senior notes payable

     406,603       398,963  

Other noncurrent liabilities

     78,958       82,383  
    


 


Total Liabilities

     2,155,753       2,255,051  
    


 


Commitments and contingencies

                

Stockholders’ Equity:

                

Common stock and additional paid-in capital

     794,602       789,392  

Restricted common stock

     6,027       5,885  

Unearned compensation

     (3,624 )     (3,995 )

Treasury Class A common stock, at cost

     (577,484 )     (549,102 )

Retained earnings

     1,066,788       1,051,776  

Accumulated other comprehensive income

     5,567       269  
    


 


Total Stockholders’ Equity

     1,291,876       1,294,225  
    


 


Total Liabilities and Stockholders’ Equity

   $ 3,447,629     $ 3,549,276  
    


 


 

See accompanying notes to condensed consolidated financial statements.

 

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HEALTH NET, INC.

 

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(Amounts in thousands, except per share data)

(Unaudited)

 

    

First Quarter Ended

March 31,


     2004

    2003

REVENUES

              

Health plan services premiums

   $ 2,404,355     $ 2,237,328

Government contracts

     503,948       453,556

Net investment income

     15,201       12,979

Other income

     1,248       11,822
    


 

Total revenues

     2,924,752       2,715,685

EXPENSES

              

Health plan services

     2,107,087       1,861,190

Government contracts

     480,905       433,517

General and administrative

     231,485       224,052

Selling

     63,577       55,136

Depreciation

     9,983       15,011

Amortization

     606       669

Interest

     8,438       9,762

Gain on sale of businesses

     (1,875 )     —  
    


 

Total expenses

     2,900,206       2,599,337
    


 

Income from operations before income taxes

     24,546       116,348

Income tax provision

     9,534       44,213
    


 

Net income

   $ 15,012     $ 72,135
    


 

Earnings per share:

              

Basic

   $ 0.13     $ 0.61

Diluted

   $ 0.13     $ 0.60

Weighted average shares outstanding:

              

Basic

     112,600       118,972

Diluted

     114,342       120,577

 

See accompanying notes to condensed consolidated financial statements.

 

4


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HEALTH NET, INC.

 

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Amounts in thousands)

(Unaudited)

 

     First Quarter Ended
March 31,


 
     2004

    2003

 

CASH FLOWS FROM OPERATING ACTIVITIES:

                

Net income

   $ 15,012     $ 72,135  

Adjustments to reconcile net income to net cash (used in) provided by operating activities:

                

Amortization and depreciation

     10,589       15,680  

Gain on sale of businesses

     (1,875 )     —    

Other changes

     (898 )     1,675  

Changes in assets and liabilities, net of effects of dispositions:

                

Premiums receivable and unearned premiums

     (130,211 )     (62,506 )

Other assets

     4,718       19,094  

Amounts receivable/payable under government contracts

     (52,787 )     (48,532 )

Reserves for claims and other settlements

     42,962       79,972  

Accounts payable and other liabilities

     (42,085 )     12,676  
    


 


Net cash (used in) provided by operating activities

     (154,575 )     90,194  
    


 


CASH FLOWS FROM INVESTING ACTIVITIES:

                

Sales of investments

     125,015       27,520  

Maturities of investments

     112,345       193,664  

Purchases of investments

     (186,289 )     (161,339 )

Purchases of property and equipment

     (5,853 )     (13,529 )

Cash received from the sale of businesses

     11,026       —    

Purchases of restricted investments and other

     (49,279 )     (16,526 )
    


 


Net cash provided by investing activities

     6,965       29,790  
    


 


CASH FLOWS FROM FINANCING ACTIVITIES:

                

Proceeds from exercise of stock options and employee stock purchases

     4,785       6,931  

Repurchases of common stock

     (33,264 )     (90,319 )

Repayment of debt and other noncurrent liabilities

     —         (49 )
    


 


Net cash used in financing activities

     (28,479 )     (83,437 )
    


 


Net (decrease) increase in cash and cash equivalents

     (176,089 )     36,547  

Cash and cash equivalents, beginning of period

     860,871       832,793  
    


 


Cash and cash equivalents, end of period

   $ 684,782     $ 869,340  
    


 


SUPPLEMENTAL SCHEDULE OF INVESTING ACTIVITIES:

                

Issuance of restricted stock

   $ 142     $ 3,502  

Securities reinvested from restricted available for sale investments to restricted cash

     18,051       46,708  

Securities reinvested from restricted cash to restricted available for sale investments

     17,523       8,643  

 

See accompanying notes to condensed consolidated financial statements.

 

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HEALTH NET, INC.

 

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

 

1. BASIS OF PRESENTATION

 

Health Net, Inc. (referred to hereafter as the Company, we, us or our) prepared the condensed consolidated financial statements following the rules and regulations of the Securities and Exchange Commission (SEC) for interim reporting. As permitted under those rules and regulations, certain notes or other financial information that are normally required by accounting principles generally accepted in the United States of America (GAAP) have been condensed or omitted if they substantially duplicate the disclosures contained in the annual audited financial statements.

 

We are responsible for the accompanying unaudited condensed consolidated financial statements. These condensed consolidated financial statements include all normal and recurring adjustments that are considered necessary for the fair presentation of our financial position and operating results in accordance with GAAP. In accordance with GAAP, we make certain estimates and assumptions that affect the reported amounts. Actual results could differ from estimates. As these are condensed financial statements, you should also read our 2003 consolidated financial statements and notes included in our Annual Report on Form 10-K for the year ended December 31, 2003.

 

Revenues, expenses, assets and liabilities can vary during each quarter of the year. Therefore, the results and trends in these interim financial statements may not be indicative of those for the full year.

 

2. SIGNIFICANT ACCOUNTING POLICIES

 

Comprehensive Income

 

Our comprehensive income is as follows (amounts in thousands):

 

     First Quarter Ended
March 31,


 
     2004

   2003

 

Net income

   $ 15,012    $ 72,135  

Other comprehensive income (loss), net of tax:

               

Net change in unrealized appreciation on investments available for sale

     5,298      (1,794 )
    

  


Comprehensive income

   $ 20,310    $ 70,341  
    

  


 

Earnings Per Share

 

Basic earnings per share excludes dilution and reflects net income divided by the weighted average shares of common stock outstanding during the periods presented. Diluted earnings per share is based upon the weighted average shares of common stock and dilutive common stock equivalents (stock options and restricted stock) outstanding during the periods presented. Common stock equivalents arising from dilutive stock options and restricted common stock are computed using the treasury stock method. There were 1,743,000 and 1,606,000 shares of dilutive common stock equivalents for the first quarters ended March 31, 2004 and 2003, respectively, which included 84,000 and 20,000 shares of dilutive restricted common stock, respectively.

 

Options to purchase an aggregate of 1,698,000 and 2,579,000 shares of common stock during the first quarters ended March 31, 2004 and 2003, respectively, were not included in the computation of diluted earnings per share because the options’ exercise prices were greater than the average market price of the common stock for each respective period. These options expire through March 2014.

 

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In April 2002, our Board of Directors authorized us to repurchase up to $250 million (net of exercise proceeds and tax benefits from the exercise of employee stock options) of our Class A Common Stock. In August 2003, our Board of Directors authorized us to repurchase up to an additional $200 million (net of exercise proceeds and tax benefits from the exercise of employee stock options) of our Class A Common Stock. As of March 31, 2004, we had repurchased an aggregate of 17,679,355 shares of our Class A Common Stock under this repurchase program (see Note 5).

 

Stock-Based Compensation

 

As permitted under Statement of Financial Accounting Standards (SFAS) No. 123, “Accounting for Stock-Based Compensation” (SFAS No. 123), we have elected to continue accounting for stock-based compensation under the intrinsic value method prescribed in APB Opinion No. 25, “Accounting for Stock Issued to Employees” (APB Opinion No. 25). Under the intrinsic value method, compensation cost for stock options is measured at the date of grant as the excess, if any, of the quoted market price of our stock over the exercise price of the option. We apply APB Opinion No. 25 and related Interpretations in accounting for our plans. Had compensation cost for our plans been determined based on the fair value at the grant dates of options and employee purchase rights consistent with the method of SFAS No. 123, our net income and earnings per share would have been reduced to the pro forma amounts indicated below (amounts in thousands, except per share data):

 

     First Quarter Ended
March 31,


 
     2004

    2003

 

Net income, as reported

   $ 15,012     $ 72,135  

Add: Stock-based employee compensation expense included in reported net income, net of related tax effects

     315       202  

Deduct: Total stock-based employee compensation expense determined under fair value based method for all awards subject to SFAS No. 123, net of related tax effects

     (3,766 )     (3,677 )
    


 


Net income, pro forma

   $ 11,561     $ 68,660  
    


 


Basic earnings per share

                

As reported

   $ 0.13     $ 0.61  

Pro forma

   $ 0.10     $ 0.58  

Diluted earnings per share