10-KPeriod: FY2002

CENTENE CORP Annual Report, Year Ended Dec 31, 2002

Filed February 25, 2003For Securities:CNC

Summary

Centene Corporation's 2002 Form 10-K details a period of significant growth, driven primarily by an expanding membership base across its Medicaid and SCHIP managed care programs. The company operates in Wisconsin, Texas, Indiana, and New Jersey, emphasizing a localized approach to healthcare delivery while leveraging centralized financial and IT support. Revenue growth was substantial, fueled by both organic membership increases and strategic acquisitions, notably the acquisition of 80% of University Health Plans in New Jersey. The company highlights its expertise in navigating complex state Medicaid programs and its commitment to quality care through various member and provider initiatives. Financially, Centene demonstrated strong revenue growth and improved profitability, evidenced by increasing earnings from operations and a declining general and administrative expense ratio, indicating operational efficiencies. The company also strengthened its balance sheet through a follow-on public offering, enhancing its liquidity and financial flexibility for future growth opportunities. Key to its strategy is continued market penetration, expansion into new states, and diversification of business lines to reduce reliance on solely Medicaid reimbursements.

Key Highlights

  • 1Significant revenue growth of 41.3% in 2002, reaching $461 million, primarily driven by a 111% membership increase from December 31, 2000, to December 31, 2002.
  • 2Successful acquisition of 80% of University Health Plans (UHP) in New Jersey in December 2002, marking expansion into a new state and adding approximately 53,000 members.
  • 3Improved operational efficiency reflected in a decreasing general and administrative expense ratio, falling from 14.6% in 2000 to 10.9% in 2002.
  • 4Strong profitability with earnings from operations increasing to $31.6 million in 2002, up from $18.5 million in 2001.
  • 5Strengthened liquidity through a follow-on public offering in May 2002, raising $10.3 million, following its initial public offering in December 2001.
  • 6Continued focus on expanding membership through organic growth and strategic acquisitions, with plans to enter new markets where Medicaid enrollment is mandatory.
  • 7Commitment to quality care and member services demonstrated through programs like NurseWise triage and 'Start Smart For Your Baby'.

Frequently Asked Questions

Centene Corporation provides managed care programs and related services primarily to individuals receiving benefits under government-sponsored programs such as Medicaid, Supplemental Security Income (SSI), and the State Children's Health Insurance Program (SCHIP). Their target market consists of low-income families, children, and individuals with disabilities in the states where they operate.

The primary drivers of Centene's revenue growth in 2002 were a significant increase in membership, both organically and through acquisitions, such as the purchase of SCHIP contracts in Texas and the acquisition of University Health Plans in New Jersey. Premium rate increases in their operating markets also contributed to revenue growth.

Centene manages medical costs through disease management programs, nurse case management, and by fostering strong relationships with physicians and providers. Operationally, the company focuses on efficiency by leveraging centralized finance, information systems, and claims processing functions, which has led to a declining general and administrative expense ratio.

Centene's strategy for future growth includes increasing penetration in existing state markets through alliances and acquisitions, developing and acquiring additional state markets, addressing emerging state needs, diversifying its business lines beyond Medicaid, and leveraging information technologies to enhance operating efficiencies.