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8-K - FORM 8-K - Anthem, Inc.d384228d8k.htm

Exhibit 99.1

PRESS RELEASE

 

LOGO

WELLPOINT REPORTS SECOND QUARTER 2012 RESULTS

 

   

Net income was $1.94 per share, including net costs of $0.10 per share. Adjusted net income was $2.04 per share (refer to page 14).

 

   

Medical enrollment totaled 33.5 million members as of June 30, 2012.

 

   

Full year 2012 net income is now expected to be in the range of $7.30 to $7.40 per share (refer to page 14).

 

   

Board of Directors declares third quarter 2012 dividend of $0.2875 per share.

Indianapolis, Ind. – July 25, 2012 – WellPoint, Inc. (NYSE: WLP) today announced that second quarter 2012 net income was $643.6 million, or $1.94 per share, including net costs of approximately $0.10 per share. These net costs included expenses related to a litigation settlement and the closing of the 1-800 CONTACTS acquisition, partially offset by net investment gains. Net income in the second quarter of 2011 was $701.6 million, or $1.89 per share, and included net investment gains of approximately $0.06 per share.

Excluding the items noted in each period, adjusted net income was $2.04 per share in the second quarter of 2012, an increase of 11.5 percent compared with adjusted net income of $1.83 per share in the prior year quarter (refer to page 14 for a reconciliation to the most directly comparable measure calculated in accordance with U.S. generally accepted accounting principles, or “GAAP”).

“While our second quarter EPS results improved from the prior year and are ahead of our plan through the first six months, the combination of lower enrollment and slightly higher medical cost trends are driving a reduction in our full year 2012 outlook. We are disappointed with the need to lower our guidance, but believe it is the right action to take, given the challenging market we see, our commitment to maintaining pricing discipline and our intention to continue investing for the strong future growth opportunities ahead of us,” said Angela F. Braly, chair, president and chief executive officer. “While our focus on these strategic priorities will impact earnings in the short-term, it will lay the groundwork for stronger performance over time. Our investments will enable us to continue growing the Senior business, expanding our CareMore model, and along with the pending acquisition of Amerigroup, better position us for the dual eligible markets and future state insurance exchanges.”

“Our revised 2012 outlook reflects the impact of anticipated financing for the pending Amerigroup acquisition, as well as lower commercial insured enrollment and higher medical cost trend experience. In the second quarter, we saw an uptick in medical cost trend, most notably in outpatient and physician visits. While we currently believe full year 2012 medical cost trend will be within our expected range


of 7.0 percent, plus or minus 50 basis points, we believe it will more likely trend towards the upper half of the range,” said Wayne S. DeVeydt, executive vice president and chief financial officer. “Our revised forecast reflects this dynamic as well as the impact of lower enrollment trends, primarily due to the competitive nature of certain markets. We continue to forecast strong operating cash flow of at least $2.7 billion and expect that our share repurchases and cash dividends will total at least $2.9 billion this year.”

CONSOLIDATED HIGHLIGHTS

Membership: Medical enrollment totaled 33.5 million members at June 30, 2012, a decrease of 639,000 members, or 1.9 percent, from approximately 34.2 million at June 30, 2011. Membership in the Local Group and National businesses declined by 585,000 and 259,000, respectively, as the Company repositioned product offerings in the New York small group market and adjusted its administrative fee structure for certain National Accounts in 2012. Enrollment was also impacted by economy-related in-group membership attrition and competitive situations in certain Local Group markets.

The declines in Local Group and National were partially offset by membership growth in the Senior and State Sponsored businesses. Senior membership increased by 163,000, which reflected the Company’s geographic expansion into new Medicare Advantage service areas for 2012 and the acquisition of CareMore in the third quarter of 2011. State Sponsored enrollment increased by 50,000, due primarily to growth in existing programs.

Operating Revenue: Operating revenue totaled approximately $15.2 billion in the second quarter of 2012, an increase of $293.5 million, or 2.0 percent, from approximately $14.9 billion in the second quarter of 2011. The increase was driven by the growth in Senior membership, including CareMore, and premium rate increases designed to cover overall cost trends. These increases in revenue were partially offset by the decline in Local Group enrollment.

Benefit Expense Ratio: The benefit expense ratio was 85.4 percent in the second quarter of 2012, a decrease of 30 basis points from 85.7 percent in the second quarter of 2011. The decline was driven by the Senior and Local Group businesses and was partially offset by an increase in the ratio for State Sponsored business. The declines in Senior and Local Group were due in part to changes in prior period reserve development. Prior year reserve development was favorable in the second quarter of 2012, consistent with the Company’s expectation, while reserves were strengthened during the second quarter of 2011. This favorable impact was partially offset by an increase in medical cost trend in the Local Group business during the current year quarter. The increase in the State Sponsored benefit expense ratio reflected higher medical costs and the impact of state budgetary pressures.

Medical Cost Trend: For the full year of 2012, the Company continues to expect that underlying Local Group medical cost trend will be in the range of 7.0 percent, plus or minus 50 basis points, and likely towards the upper half of this range. Unit cost increases continue to be the primary driver of overall medical cost trend, while the Company recognized an increase in utilization during the second quarter of 2012.

 

2


Days in Claims Payable: Days in Claims Payable (“DCP”) as of June 30, 2012, was 40.8 days, a decrease of 1.0 day from 41.8 days at March 31, 2012. This was driven primarily by an increase in the speed of claim receipts, as provider compliance with HIPAA 5010 improved.

SG&A Expense Ratio: The SG&A expense ratio was 13.7 percent in the second quarter of 2012, an increase of 20 basis points from 13.5 percent in the second quarter of 2011. The increase was driven primarily by the settlement of a litigation matter. SG&A expense also increased due to the inclusion of CareMore business in the second quarter of 2012, which was partially offset by the impact of higher operating revenue.

Effective Income Tax Rate: The Company’s effective income tax rate was 38.6 percent in the second quarter of 2012 and was impacted by the non-deductibility of the litigation settlement. The effective income tax rate was 30.4 percent in the second quarter of 2011, which was unusually low due to prior year federal and state audit settlements.

Operating Cash Flow: For the first six months of 2012, operating cash flow exceeded $1.7 billion and was 1.2 times net income. Operating cash flow totaled $521.5 million, or 0.8 times net income, in the second quarter of 2012. The second quarter is a seasonally low quarter for the Company’s operating cash flow, as two estimated federal income tax payments are made during the quarter. Operating cash flow totaled approximately $1.9 billion, or 1.2 times net income, in the first six months of 2011.

Share Repurchase Program: During the second quarter of 2012, the Company repurchased 7.2 million shares of its common stock for $493.7 million. During the first six months of 2012, the Company repurchased 17.4 million shares of its common stock for approximately $1.2 billion. As of June 30, 2012, the Company’s remaining Board-approved share repurchase authorization was approximately $3.2 billion.

Cash Dividend: During the second quarter of 2012, the Company paid a quarterly dividend of $0.2875 per share, representing a distribution of cash totaling $93.5 million. Cash dividend payments totaled $189.3 million for the first six months of 2012. On July 24, 2012, the Board of Directors declared a quarterly dividend to shareholders for the third quarter of 2012 of $0.2875 per share. The third quarter dividend is payable on September 25, 2012, to shareholders of record at the close of business on September 10, 2012.

Investment Portfolio & Capital Position: During the second quarter of 2012, the Company recorded net investment gains of $64.6 million pre-tax, consisting of net realized gains from the sale of securities totaling $70.5 million, partially offset by other-than-temporary impairments totaling $5.9 million. In the second quarter of 2011, the Company recorded net investment gains of $33.1 million pre-tax, consisting of net realized gains from the sale of securities totaling $41.5 million, partially offset by other-than-temporary impairments totaling $8.4 million.

As of June 30, 2012, the Company’s net unrealized gain position in the investment portfolio was approximately $1.1 billion, consisting of net unrealized gains on fixed maturity and equity securities totaling $767.5 million and $294.5 million, respectively. As of June 30, 2012, cash and investments at the parent company totaled $2.5 billion.

 

3


REPORTABLE SEGMENTS

WellPoint, Inc. has the following reportable segments: Commercial Business, which includes the Local Group, National, UniCare and Specialty Products lines of business (including 1-800 CONTACTS); Consumer Business, which includes the Individual, Senior and State Sponsored lines of business; and Other, which includes Comprehensive Health Solutions, FEP business, National Government Services, inter-segment sales and expense eliminations, and corporate expenses not allocated to the other reportable segments.

WellPoint, Inc.

Reportable Segment Highlights

(Unaudited)

 

     Three Months Ended June 30     Six Months Ended June 30  
(In millions)    2012     2011     Change     2012     2011     Change  

Operating Revenue

            

Commercial Business

   $ 8,388.7      $ 8,646.8        (3.0 %)    $ 16,895.2      $ 17,210.9        (1.8 %) 

Consumer Business

     4,826.5        4,353.4        10.9     9,576.9        8,587.8        11.5

Other

     1,958.1        1,879.6        4.2     3,851.4        3,735.9        3.1
  

 

 

   

 

 

     

 

 

   

 

 

   

Total Operating Revenue

     15,173.3        14,879.8        2.0     30,323.5        29,534.6        2.7

Operating Gain

            

Commercial Business

   $ 771.2      $ 747.2        3.2   $ 1,763.0      $ 1,872.3        (5.8 %) 

Consumer Business

     211.1        176.7        19.5     428.8        382.5        12.1

Other

     9.4        22.8        (58.8 %)      12.5        42.2        (70.4 %) 
  

 

 

   

 

 

     

 

 

   

 

 

   

Total Operating Gain

     991.7        946.7        4.8     2,204.3        2,297.0        (4.0 %) 

Operating Margin

            

Commercial Business

     9.2     8.6     60  bp      10.4     10.9     (50 ) bp 

Consumer Business

     4.4     4.1     30  bp      4.5     4.5     bp 

Total Operating Margin

     6.5     6.4     10  bp      7.3     7.8     (50 ) bp 

Commercial Business: Operating gain in the Commercial segment was $771.2 million in the second quarter of 2012, an increase of $24.0 million, or 3.2 percent, from $747.2 million in the second quarter of 2011. The increase was driven by an improvement in the benefit expense ratio for Local Group business, partially offset by a reduction in fully insured Commercial membership. The Local Group benefit expense ratio improved primarily due to changes in prior period reserve development. Prior year reserve development was favorable in the second quarter of 2012, consistent with the Company’s expectation, while reserves were strengthened during the second quarter of 2011. This favorable impact was partially offset by an increase in medical cost trend during the current year quarter.

Consumer Business: Operating gain in the Consumer segment was $211.1 million in the second quarter of 2012, an increase of $34.4 million, or 19.5 percent, compared with $176.7 million in the second quarter of 2011. The increase reflected improvements in the Senior business, including organic membership growth and additional operating gain from the acquisition of CareMore. Changes in reserve development also contributed to the period over period comparison. Prior year reserve development was favorable in the second quarter of 2012, consistent with the Company’s expectation, while reserves were strengthened during the second quarter of 2011. The improvements in Senior were partially offset by lower operating gain in the State Sponsored business due to higher medical costs and the impact of state budgetary pressures.

 

4


Other: Operating gain in the Other segment was $9.4 million in the second quarter of 2012, a decline of $13.4 million, or 58.8 percent, compared with $22.8 million in the second quarter of 2011. The decline reflected higher unallocated corporate expenses in the current year quarter.

OUTLOOK

Full Year 2012:

 

   

Net income is now expected to be in the range of $7.30 to $7.40 per share. This expectation includes the following items, which collectively have no net impact on the earnings per share outlook:

 

   

Costs related to the settlement of a litigation matter;

 

   

Costs related to the 1-800 CONTACTS acquisition;

 

   

Costs related to the anticipated financing of the pending Amerigroup Corporation acquisition; and

 

   

Net realized investment gains and other-than-temporary impairment losses on investments (refer to page 14).

 

   

Year-end medical enrollment is now expected to be approximately 33.4 million members, consisting of approximately 20.1 million self-funded members and approximately 13.3 million fully insured members.

 

   

Operating revenue is now expected to total approximately $61.0 billion.

 

   

The benefit expense ratio is now expected to be approximately 85.5 percent.

 

   

The SG&A expense ratio is expected to be approximately 13.9 percent.

 

   

Operating cash flow is now expected to be at least $2.7 billion, including payments related to the litigation settlement.

 

5


Basis of Presentation

 

1. Operating revenue and operating gain are the key measures used by management to evaluate performance in each reporting segment. Operating gain is defined as operating revenue less benefit expense, selling expense, general and administrative expense, and cost of products. Operating gain is used to analyze profit or loss on a segment basis. Consolidated operating gain is a non-GAAP measure.

 

2. Operating margin is defined as operating gain divided by operating revenue. Consolidated operating margin is a non-GAAP measure.

 

3. Certain prior period amounts have been reclassified to conform to current period presentation.

Conference Call and Webcast

Management will host a conference call and webcast today at 8:30 a.m. Eastern Daylight Time (“EDT”) to discuss the company’s second quarter earnings results and updated outlook. The conference call should be accessed at least 15 minutes prior to the start of the call with the following numbers:

 

888-423-3268 (Domestic)

   800-475-6701 (Domestic Replay)

651-291-5254 (International)

   320-365-3844 (International Replay)

An access code is not required for today’s conference call. The access code for the replay is 226536. The replay will be available from 11 a.m. EDT today until the end of the day on August 8, 2012. The call will also be available through a live webcast at www.wellpoint.com. A webcast replay will be available following the call.

 

WellPoint Contacts:

Investor Relations

  

Media

Sean Meenan, 317-488-6715    Kristin Binns, 917-697-7802

 

6


About WellPoint, Inc.

At WellPoint, we believe there is an important connection between our members’ health and well-being—and the value we bring our customers and shareholders. So each day we work to improve the health of our members and their communities. And, we can make a real difference since we have approximately 34 million people in our branded health plans, and approximately 65 million people served through our subsidiaries. As an independent licensee of the Blue Cross and Blue Shield Association, WellPoint serves members as the Blue Cross licensee for California; the Blue Cross and Blue Shield licensee for Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, New York (as the Blue Cross Blue Shield licensee in 10 New York City metropolitan and surrounding counties and as the Blue Cross or Blue Cross Blue Shield licensee in selected upstate counties only), Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. In a majority of these service areas, WellPoint’s plans do business as Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Georgia and Empire Blue Cross Blue Shield, or Empire Blue Cross (in the New York service areas). WellPoint also serves customers throughout the country as UniCare and in certain California, Arizona and Nevada markets through our CareMore subsidiary. We also sell contact lenses, eyeglasses and other ocular products through our recently acquired 1-800 CONTACTS, Inc. subsidiary. Additional information about WellPoint is available at www.wellpoint.com.

 

LOGO

 

7


WellPoint, Inc.

Membership Summary

(Unaudited and in Thousands)

 

                          Change from  
     June 30,      December 31,      March 31,      December 31,     March 31,  
     2012      2011      2012      2011     2012  

Medical Membership

             

Customer Type

             

Local Group

     14,612         15,212         14,757         (3.9 %)      (1.0 %) 

National Accounts

     7,098         7,401         7,178         (4.1 %)      (1.1 %) 

BlueCard

     5,061         4,935         5,005         2.6     1.1
  

 

 

    

 

 

    

 

 

      

Total National

     12,159         12,336         12,183         (1.4 %)      (0.2 %) 

Individual

     1,856         1,846         1,852         0.5     0.2

State Sponsored

     1,888         1,867         1,867         1.1     1.1

Senior

     1,516         1,471         1,497         3.1     1.3

FEP

     1,516         1,519         1,517         (0.2 %)      (0.1 %) 
  

 

 

    

 

 

    

 

 

      

Total Medical Membership

     33,547         34,251         33,673         (2.1 %)      (0.4 %) 
  

 

 

    

 

 

    

 

 

      

Funding Arrangement

             

Self-Funded

     20,177         20,506         20,211         (1.6 %)      (0.2 %) 

Fully-Insured

     13,370         13,745         13,462         (2.7 %)      (0.7 %) 
  

 

 

    

 

 

    

 

 

      

Total Medical Membership

     33,547         34,251         33,673         (2.1 %)      (0.4 %) 
  

 

 

    

 

 

    

 

 

      

Reportable Segment

             

Commercial

     26,771         27,548         26,940         (2.8 %)      (0.6 %) 

Consumer

     5,260         5,184         5,216         1.5     0.8

Other

     1,516         1,519         1,517         (0.2 %)      (0.1 %) 
  

 

 

    

 

 

    

 

 

      

Total Medical Membership

     33,547         34,251         33,673         (2.1 %)      (0.4 %) 
  

 

 

    

 

 

    

 

 

      

Other Membership & Customers

             

Behavioral Health Membership

     24,635         25,135         24,710         (2.0 %)      (0.3 %) 

Life and Disability Membership

     4,865         5,012         4,940         (2.9 %)      (1.5 %) 

Dental Membership

     3,865         4,046         3,849         (4.5 %)      0.4

Managed Dental Membership

     4,119         4,162         4,128         (1.0 %)      (0.2 %) 

Vision Membership

     4,333         3,783         4,270         14.5     1.5

Medicare Advantage Part D Membership

     582         575         586         1.2     (0.7 %) 

Medicare Part D Stand-Alone Membership

     600         667         590         (10.0 %)      1.7

Retail Vision Customers

     3,090         —           —           NM (1)      NM (1) 

 

(1)

“NM” = not meaningful

 

8


WellPoint, Inc.

Consolidated Statements of Income

(Unaudited)

 

     Three Months Ended        
     June 30        
(In millions, except per share data)    2012     2011     Change  

Revenues

      

Premiums

   $ 14,161.0      $ 13,913.6        1.8

Administrative fees

     977.5        957.7        2.1

Other revenue

     34.8        8.5        309.4
  

 

 

   

 

 

   

Total operating revenue

     15,173.3        14,879.8        2.0

Net investment income

     169.4        187.8        (9.8 %) 

Net realized gains on investments

     70.5        41.5        69.9

Other-than-temporary impairment losses on investments:

      

Total other-than-temporary impairment losses on investments

     (6.5     (11.1     41.4

Portion of other-than-temporary impairment losses recognized in other comprehensive income

     0.6        2.7        (77.8 %) 
  

 

 

   

 

 

   

Net other-than-temporary impairment losses recognized in income

     (5.9     (8.4     29.8
  

 

 

   

 

 

   

Total revenues

     15,407.3        15,100.7        2.0

Expenses

      

Benefit expense

     12,093.1        11,922.0        1.4

Selling, general and administrative expense

      

Selling expense

     393.0        405.6        (3.1 %) 

General and administrative expense

     1,688.8        1,605.5        5.2
  

 

 

   

 

 

   

Total selling, general and administrative expense

     2,081.8        2,011.1        3.5

Cost of products

     6.7        —          NM (1) 

Interest expense

     117.6        103.6        13.5

Amortization of other intangible assets

     59.5        56.6        5.1
  

 

 

   

 

 

   

Total expenses

     14,358.7        14,093.3        1.9

Income before income taxes

     1,048.6        1,007.4        4.1

Income tax expense

     405.0        305.8        32.4
  

 

 

   

 

 

   

Net income

   $ 643.6      $ 701.6        (8.3 %) 
  

 

 

   

 

 

   

Net income per diluted share

   $ 1.94      $ 1.89        2.6
  

 

 

   

 

 

   

Diluted shares

     331.2        371.5        (10.8 %) 

Benefit expense as a percentage of premiums

     85.4     85.7     (30 ) bp 

Selling, general and administrative expense as a percentage of total operating revenue

     13.7     13.5     20  bp 

Income before income tax expense as a percentage of total revenues

     6.8     6.7     10  bp 

 

(1)

“NM” = not meaningful

 

9


WellPoint, Inc.

Consolidated Statements of Income

(Unaudited)

 

     Six Months Ended        
     June 30        
(In millions, except per share data)    2012     2011     Change  

Revenues

      

Premiums

   $ 28,299.5      $ 27,597.7        2.5

Administrative fees

     1,973.3        1,919.7        2.8

Other revenue

     50.7        17.2        194.8
  

 

 

   

 

 

   

Total operating revenue

     30,323.5        29,534.6        2.7

Net investment income

     338.4        372.6        (9.2 %) 

Net realized gains on investments

     177.4        98.6        79.9

Other-than-temporary impairment losses on investments:

      

Total other-than-temporary impairment losses on investments

     (20.2     (15.9     (27.0 %) 

Portion of other-than-temporary impairment losses recognized in other comprehensive income

     3.4        5.1        (33.3 %) 
  

 

 

   

 

 

   

Net other-than-temporary impairment losses recognized in income

     (16.8     (10.8     (55.6 %) 
  

 

 

   

 

 

   

Total revenues

     30,822.5        29,995.0        2.8

Expenses

      

Benefit expense

     23,865.0        23,150.0        3.1

Selling, general and administrative expense

      

Selling expense

     786.3        802.6        (2.0 %) 

General and administrative expense

     3,461.2        3,285.0        5.4
  

 

 

   

 

 

   

Total selling, general and administrative expense

     4,247.5        4,087.6        3.9

Cost of products

     6.7        —          NM (1) 

Interest expense

     226.7        209.5        8.2

Amortization of other intangible assets

     118.2        113.4        4.2
  

 

 

   

 

 

   

Total expenses

     28,464.1        27,560.5        3.3

Income before income taxes

     2,358.4        2,434.5        (3.1 %) 

Income tax expense

     858.3        806.3        6.4
  

 

 

   

 

 

   

Net income

   $ 1,500.1      $ 1,628.2        (7.9 %) 
  

 

 

   

 

 

   

Net income per diluted share

   $ 4.48      $ 4.34        3.2
  

 

 

   

 

 

   

Diluted shares

     335.1        375.4        (10.7 %) 

Benefit expense as a percentage of premiums

     84.3     83.9     40 bp 

Selling, general and administrative expense as a percentage of total operating revenue

     14.0     13.8     20 bp 

Income before income tax expense as a percentage of total revenues

     7.7     8.1     (40 ) bp 

 

(1) 

“NM” = not meaningful

 

10


WellPoint, Inc.

Consolidated Balance Sheets

 

     June 30,
2012
     December 31,
2011
 
(In millions)    (Unaudited)         

Assets

     

Current assets:

     

Cash and cash equivalents

   $ 1,953.1       $ 2,201.6   

Investments available-for-sale, at fair value:

     

Fixed maturity securities

     17,206.1         15,913.1   

Equity securities

     1,139.4         1,188.1   

Other invested assets, current

     16.0         14.8   

Accrued investment income

     164.9         172.0   

Premium and self-funded receivables

     3,890.7         3,402.9   

Other receivables

     935.5         943.9   

Income taxes receivable

     137.4         105.8   

Securities lending collateral

     765.9         871.4   

Deferred tax assets, net

     347.5         424.8   

Other current assets

     1,913.6         1,859.0   
  

 

 

    

 

 

 

Total current assets

     28,470.1         27,097.4   

Long-term investments available-for-sale, at fair value:

     

Fixed maturity securities

     247.1         246.8   

Equity securities

     29.1         28.8   

Other invested assets, long-term

     1,191.2         1,103.3   

Property and equipment, net

     1,478.4         1,418.1   

Goodwill

     14,534.3         13,858.7   

Other intangible assets

     8,126.2         7,931.7   

Other noncurrent assets

     458.6         433.6   
  

 

 

    

 

 

 

Total assets

   $ 54,535.0       $ 52,118.4   
  

 

 

    

 

 

 

Liabilities and shareholders’ equity

     

Liabilities

     

Current liabilities:

     

Policy liabilities:

     

Medical claims payable

   $ 5,415.9       $ 5,489.0   

Reserves for future policy benefits

     61.8         55.1   

Other policyholder liabilities

     2,277.3         2,278.2   
  

 

 

    

 

 

 

Total policy liabilities

     7,755.0         7,822.3   

Unearned income

     1,707.8         926.5   

Accounts payable and accrued expenses

     2,788.5         3,124.1   

Security trades pending payable

     188.1         51.7   

Securities lending payable

     766.4         872.5   

Short-term borrowings

     200.0         100.0   

Current portion of long-term debt

     813.7         1,274.5   

Other current liabilities

     1,958.3         1,727.1   
  

 

 

    

 

 

 

Total current liabilities

     16,177.8         15,898.7   

Long-term debt, less current portion

     10,135.6         8,420.9   

Reserves for future policy benefits, noncurrent

     696.1         730.7   

Deferred tax liability, net

     2,868.4         2,724.0   

Other noncurrent liabilities

     1,013.3         1,055.9   
  

 

 

    

 

 

 

Total liabilities

     30,891.2         28,830.2   

Shareholders’ equity

     

Common stock

     3.2         3.4   

Additional paid-in capital

     11,204.4         11,679.2   

Retained earnings

     12,224.0         11,490.7   

Accumulated other comprehensive income

     212.2         114.9   
  

 

 

    

 

 

 

Total shareholders’ equity

     23,643.8         23,288.2   
  

 

 

    

 

 

 

Total liabilities and shareholders’ equity

   $ 54,535.0       $ 52,118.4   
  

 

 

    

 

 

 

 

11


WellPoint, Inc.

Consolidated Statements of Cash Flows

(Unaudited)

 

     Six Months Ended June 30  
(In millions)    2012     2011  

Operating activities

    

Net income

   $ 1,500.1      $ 1,628.2   

Adjustments to reconcile net income to net cash provided by operating activities:

    

Net realized gains on investments

     (177.4     (98.6

Net other-than-temporary impairment losses recognized in income

     16.8        10.8   

Loss on disposal of assets

     1.6        1.8   

Deferred income taxes

     87.6        111.3   

Amortization, net of accretion

     313.3        258.3   

Depreciation expense

     47.4        47.2   

Share-based compensation

     71.5        60.9   

Excess tax benefits from share-based compensation

     (22.7     (36.1

Changes in operating assets and liabilities, net of effect of business combinations:

    

Receivables, net

     (466.9     (58.6

Other invested assets

     (14.4     (18.9

Other assets

     (77.3     (137.6

Policy liabilities

     (101.9     526.6   

Unearned income

     781.3        146.7   

Accounts payable and accrued expenses

     (380.4     (456.2

Other liabilities

     187.5        108.1   

Income taxes

     (3.6     (186.2

Other, net

     (17.9     (21.0
  

 

 

   

 

 

 

Net cash provided by operating activities

     1,744.6        1,886.7   

Investing activities

    

Purchases of fixed maturity securities

     (7,278.9     (6,351.1

Proceeds from sales and maturities of fixed maturity securities

     6,325.1        6,187.7   

Purchases of equity securities

     (186.6     (194.9

Proceeds from sales of equity securities

     276.1        72.4   

Purchases of other invested assets

     (95.8     (61.3

Proceeds from sales of other invested assets

     18.7        14.0   

Changes in securities lending collateral

     106.1        89.7   

Purchases of subsidiaries, net of cash acquired

     (905.3     —     

Purchases of property and equipment

     (226.0     (206.6

Proceeds from sales of property and equipment

     0.3        3.0   

Other, net

     (0.9     (23.1
  

 

 

   

 

 

 

Net cash used in investing activities

     (1,967.2     (470.2

Financing activities

    

Net (repayment of) proceeds from commercial paper borrowings

     (10.5     600.9   

Net proceeds from short-term borrowings

     100.0        —     

Proceeds from long-term borrowings

     1,722.9        —     

Repayment of long-term borrowings

     (451.1     (702.7

Changes in securities lending payable

     (106.1     (89.7

Changes in bank overdrafts

     (23.9     71.1   

Repurchase and retirement of common stock

     (1,173.6     (1,456.3

Cash dividends

     (189.3     (183.9

Proceeds from issuance of common stock under employee stock plans

     83.7        215.2   

Excess tax benefits from share-based compensation

     22.7        36.1   
  

 

 

   

 

 

 

Net cash used in financing activities

     (25.2     (1,509.3
  

 

 

   

 

 

 

Effects of foreign currency exchange rate changes on cash and cash equivalents

     (0.7     3.8   
  

 

 

   

 

 

 

Change in cash and cash equivalents

     (248.5     (89.0

Cash and cash equivalents at beginning of period

     2,201.6        1,788.8   
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 1,953.1      $ 1,699.8   
  

 

 

   

 

 

 

 

12


WellPoint, Inc.

Reconciliation of Medical Claims Payable

 

     Six Months Ended June 30     Years Ended December 31  
     2012     2011     2011     2010     2009  
(In millions)    (Unaudited)                    

Gross medical claims payable, beginning of period

   $ 5,489.0      $ 4,852.4      $ 4,852.4      $ 5,450.5      $ 6,184.7   

Ceded medical claims payable, beginning of period

     (16.4     (32.9     (32.9     (29.9     (60.3
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net medical claims payable, beginning of period

     5,472.6        4,819.5        4,819.5        5,420.6        6,124.4   

Business combinations and purchase adjustments

     —          —          100.9        —          2.8   

Net incurred medical claims:

          

Current year

     24,032.8        23,101.3        47,281.6        45,077.1        47,315.1   

Prior years (redundancies) 1

     (482.0     (222.3     (209.7     (718.0     (807.2
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total net incurred medical claims

     23,550.8        22,879.0        47,071.9        44,359.1        46,507.9   

Net payments attributable to:

          

Current year medical claims

     19,057.5        18,135.1        41,999.0        40,387.8        42,056.9   

Prior years medical claims

     4,576.2        4,245.3        4,520.7        4,572.4        5,157.6   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total net payments

     23,633.7        22,380.4        46,519.7        44,960.2        47,214.5   

Net medical claims payable, end of period

     5,389.7        5,318.1        5,472.6        4,819.5        5,420.6   

Ceded medical claims, end of period

     26.2        23.5        16.4        32.9        29.9   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Gross medical claims payable, end of period

   $ 5,415.9      $ 5,341.6      $ 5,489.0      $ 4,852.4      $ 5,450.5   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Current year medical claims paid as a percent of current year net incurred medical claims

     79.3     78.5     88.8     89.6     88.9

Prior year redundancies in the current period as a percent of prior year net medical claims payables less prior year redundancies in the current period

     9.7     4.8     4.5     15.3     15.2

Prior year redundancies in the current period as a percent of prior year net incurred medical claims

     1.0     0.5     0.5     1.5 %      1.7

 

1 

Negative amounts reported for net incurred medical claims related to prior years result from claims being settled for amounts less than originally estimated.

 

13


WellPoint, Inc.

GAAP Reconciliation

(Unaudited)

WellPoint, Inc. has referenced “Adjusted Net Income” and “Adjusted Net Income Per Share,” non-GAAP measures, in this document. These non-GAAP measures are not intended to be alternatives to any measure calculated in accordance with GAAP. Rather, these non-GAAP measures are intended to aid investors when comparing WellPoint, Inc.'s financial results among periods. A reconciliation of these measures to the most directly comparable measures calculated in accordance with GAAP is presented below.

 

     Three Months Ended  
(In millions, except per share data)    June 30, 2012     June 30, 2011     Change  

Net income

   $ 643.6      $ 701.6        (8.3 %) 

Add / (Subtract):

      

Net realized gains on investments (pre-tax)

   ($ 70.5   ($ 41.5  

Other-than-temporary impairment losses on investments (pre-tax)

   $ 5.9      $ 8.4     

Costs related to the settlement of a litigation matter (pre-tax)

   $ 34.0        —       

Costs related to the 1-800 CONTACTS acquisition (pre-tax)

   $ 9.2        —       

Tax effect of adjustments

   $ 52.0        11.6     
  

 

 

   

 

 

   

Net adjustment items

   $ 30.6      ($ 21.5  

Adjusted net income

   $ 674.2      $ 680.1        (0.9 %) 
  

 

 

   

 

 

   

Net income per diluted share

   $ 1.94      $ 1.89        2.6

Add / (Subtract):

      

Net realized gains on investments (pre-tax)

   ($ 0.21   ($ 0.11  

Other-than-temporary impairment losses on investments (pre-tax)

   $ 0.02      $ 0.02     

Costs related to the settlement of a litigation matter (pre-tax)

   $ 0.10        —       

Costs related to the 1-800 CONTACTS acquisition (pre-tax)

   $ 0.03        —       

Tax effect of adjustments

   $ 0.16      $ 0.03     
  

 

 

   

 

 

   

Net adjustment items

   $ 0.10      ($ 0.06  

Adjusted net income per diluted share

   $ 2.04      $ 1.83        11.5
  

 

 

   

 

 

   
     Full Year 2012 Outlook        
     Low End     High End        

Net income per diluted share

   $ 7.30      $ 7.40     

Add / (Subtract):

      

Net realized gains on investments from first six months of 2012 (pre-tax)

     (0.53     (0.53  

Other-than-temporary impairment losses on investments from first six months of 2012 (pre-tax)

     0.05        0.05     

Costs related to the settlement of a litigation matter in the second quarter of 2012 (pre-tax)

     0.10        0.10     

Costs related to the 1-800 CONTACTS acquisition (pre-tax)

     0.06        0.06     

Costs related to anticipated financing of the pending Amerigroup acquisition (pre-tax)

     0.15        0.15     

Tax effect of adjustments

     0.17        0.17     
  

 

 

   

 

 

   

Net adjustment items

     0.00        0.00     
  

 

 

   

 

 

   

Adjusted net income per diluted share

   $ 7.30      $ 7.40     
  

 

 

   

 

 

   

 

14


SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES

LITIGATION REFORM ACT OF 1995

WellPoint and its representatives may from time to time make written and oral forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 (“PSLRA”), including statements in this press release, in presentations, in filings with the Securities and Exchange Commission, or SEC, in reports to shareholders and in meetings with analysts and investors. The projections referenced in this press release are forward-looking and they are intended to be covered by the safe harbor for “forward-looking statements” provided by PSLRA. Words such as “expect(s)”, “feel(s)”, “believe(s)”, “will”, “may”, “anticipate(s)”, “intend”, “estimate”, “project” and similar expressions are intended to identify forward-looking statements, which generally are not historical in nature. These statements include, but are not limited to, financial projections and estimates and their underlying assumptions; statements regarding plans, objectives and expectations with respect to future operations, products and services; and statements regarding future performance. Such statements are subject to certain risks and uncertainties, many of which are difficult to predict and generally beyond our control, that could cause actual results to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include: those discussed and identified in our public filings and those of Amerigroup Corporation with the SEC; increased government participation in, or regulation or taxation of health benefits and managed care operations, including, but not limited to, the impact of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010; trends in health care costs and utilization rates; our ability to secure sufficient premium rates including regulatory approval for and implementation of such rates; our ability to contract with providers consistent with past practice; our ability to consummate the acquisition of Amerigroup Corporation and our ability to achieve expected synergies and operating efficiencies in the Amerigroup Corporation and the 1-800 CONTACTS, Inc. acquisitions within the expected timeframes or at all and to successfully integrate our operations; such integrations may be more difficult, time consuming or costly than expected; revenues following the transactions may be lower than expected; operating costs, customer loss and business disruption, including, without limitation, difficulties in maintaining relationships with employees, customers, clients and suppliers, may be greater than expected following the transactions; competitor pricing below market trends of increasing costs; reduced enrollment, as well as a negative change in our health care product mix; risks and uncertainties regarding Medicare and Medicaid programs, including those related to non-compliance with the complex regulations imposed thereon and funding risks with respect to revenue received from participation therein; a downgrade in our financial strength ratings; litigation and investigations targeted at health benefits companies and our ability to resolve litigation and investigations within estimates; medical malpractice or professional liability claims or other risks related to health care services provided by our subsidiaries; risks inherent in selling health care products in the consumer retail market; our ability to repurchase shares of our common stock and pay dividends on our common stock due to the adequacy of our cash flow and earnings and other considerations; non-compliance by any party with the Express Scripts, Inc. pharmacy benefit management services agreement, which could result in financial penalties, our inability to meet customer demands, and sanctions imposed by government entities, including the Centers for Medicare & Medicaid Services; events that result in negative publicity for us or the health benefits industry; failure to effectively maintain and modernize our information systems and e-business organization and to maintain good relationships with third party vendors for information system resources; events that may negatively affect our license with the Blue Cross and Blue Shield Association; possible impairment of the value of our intangible assets if future results do not adequately support goodwill and other intangible assets; intense competition to attract and retain employees; unauthorized disclosure of member sensitive or confidential information; changes in the economic and market conditions, as well as regulations that may negatively affect our investment portfolios and liquidity; possible restrictions in the payment of dividends by our subsidiaries and increases in required minimum levels of capital and the potential negative effect from our substantial amount of outstanding indebtedness; general risks associated with mergers and acquisitions; various laws and

 

15


provisions in our governing documents that may prevent or discourage takeovers and business combinations; future public health epidemics and catastrophes; and general economic downturns. Readers are cautioned not to place undue reliance on these forward-looking statements that speak only as of the date hereof. Except to the extent otherwise required by federal securities law, we do not undertake any obligation to republish revised forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events. Readers are also urged to carefully review and consider the various disclosures in our SEC reports.

 

16