10-QPeriod: Q3 FY2019

CENTENE CORP Quarterly Report for Q3 Ended Sep 30, 2019

Filed October 22, 2019For Securities:CNC

Summary

Centene Corporation (CNC) reported strong revenue growth in the third quarter of 2019, with total revenues increasing by 17% year-over-year to $19.0 billion, driven by membership growth across its Medicaid, Commercial, and Health Insurance Marketplace segments, as well as strategic acquisitions. Despite revenue expansion, the Health Benefits Ratio (HBR) increased to 88.2%, primarily due to the absence of the Health Insurer Fee (HIF) in 2019 and specific state-directed payments. Notably, the company recorded a significant non-cash goodwill and intangible asset impairment of $271 million, largely related to its USMM physician home health business, which impacted reported earnings per share. However, adjusted diluted EPS showed a modest increase to $0.96 from $0.89 in the prior year. The company continues to advance its significant acquisition of WellCare, with key regulatory approvals progressing and an expected closing in the first half of 2020. This strategic move is anticipated to be accretive to earnings. Centene's balance sheet reflects increased assets and liabilities compared to the prior year, with a focus on managing its investment portfolio and debt levels as it prepares for the WellCare integration. The company maintains sufficient liquidity and remains compliant with its debt covenants.

Financial Statements
Beta
Revenue$18.98B
Cost of Revenue$619.00M
Gross Profit$18.36B
SG&A Expenses$1.62B
Operating Expenses$18.80B
Operating Income$176.00M
Interest Expense$99.00M
Net Income$95.00M
EPS (Basic)$0.23
EPS (Diluted)$0.23
Shares Outstanding (Basic)413.62M
Shares Outstanding (Diluted)419.96M

Key Highlights

  • 1Total revenues grew 17% year-over-year to $19.0 billion, driven by a 6% increase in managed care membership and expansion in key markets.
  • 2The Health Benefits Ratio (HBR) increased to 88.2% from 86.3% in Q3 2018, influenced by the suspension of the Health Insurer Fee (HIF) and state-specific payment dynamics.
  • 3Selling, General, and Administrative (SG&A) expenses decreased by 16% year-over-year due to lower acquisition-related costs compared to the prior year's Fidelis Care acquisition.
  • 4A significant non-cash goodwill and intangible asset impairment charge of $271 million was recorded, primarily related to the USMM physician home health business.
  • 5Adjusted Diluted Earnings Per Share (EPS) increased to $0.96 from $0.89 in the prior year's quarter, demonstrating underlying operational performance.
  • 6The acquisition of WellCare remains on track, with expected closing in the first half of 2020 and significant progress on regulatory approvals.
  • 7Operating cash flows were impacted by large payments for risk adjustment and minimum MLR programs, resulting in negative cash flow for the quarter but positive cash flow of $2.1 billion for the nine-month period.

Frequently Asked Questions

Centene is pursuing a significant acquisition of WellCare, valued at approximately $17.3 billion, with an expected closing in the first half of 2020. This transaction is anticipated to be accretive to earnings in the second year post-completion. The company is progressing through regulatory approvals, and the integration is expected to create a larger, more diversified healthcare enterprise. Financial projections indicate potential cost synergies and expanded market reach.

Centene recorded a non-cash goodwill and intangible asset impairment charge of $271 million in the third quarter of 2019. This was primarily due to a reassessment of its USMM physician home health business, influenced by new information on shared savings programs, slower than expected penetration, and revised forecasts. While this impacted net earnings, the business is still generating positive cash flows and playing a role in care management.

The suspension of the Health Insurer Fee (HIF) for 2019 had a notable positive impact on Centene's results compared to 2018. The company did not record HIF expense in Q3 2019, unlike the $178 million recorded in Q3 2018. This moratorium also contributed to an increase in the Health Benefits Ratio (HBR) as it removed a corresponding revenue offset that was present in the prior year.

Centene has a solid liquidity position, with cash, cash equivalents, and restricted cash totaling $6.2 billion as of September 30, 2019. The company has access to a $2.0 billion revolving credit facility and a $1.45 billion delayed-draw term loan facility. Total debt was approximately $7.0 billion. The company recently borrowed under its term loan facility and redeemed senior notes. Its debt-to-capital ratio was 36.2% as of September 30, 2019, indicating a manageable leverage level.