INDIANAPOLIS, Jan. 26, 2011 /PRNewswire via COMTEX/ -- WellPoint, Inc. (NYSE: WLP) today announced that fourth quarter 2010 net income was $548.8 million, or $1.40 per share, including net investment gains of $24.1 million after-tax, or approximately $0.07 per share. Net income in the fourth quarter of 2009 was $2.7 billion, or $5.95 per share, which included net after-tax income of $2.2 billion, or $4.79 per share, resulting from a gain on the sale of the NextRx pharmacy benefit management subsidiaries ("NextRx"), partially offset by costs for restructuring activities and intangible asset impairments.
Excluding the items noted above for each period, adjusted net income was $1.33 per share in the fourth quarter of 2010, compared with adjusted net income of $1.16 per share in the prior-year quarter (refer to GAAP Reconciliation table for a reconciliation to the most directly comparable measures calculated in accordance with U.S. generally accepted accounting principles, or "GAAP").
For the full year of 2010, net income totaled $2.9 billion, or $6.94 per share, and included net investment gains of $100.2 million after-tax, or approximately $0.23 per share, partially offset by an intangible asset impairment charge of $13.7 million after-tax, or $0.03 per share. Excluding these items, full year 2010 adjusted net income was $2.8 billion, or $6.74 per share (refer to GAAP Reconciliation table).
For the full year of 2009, net income totaled $4.7 billion, or $9.88 per share, which included net after-tax income of approximately $1.8 billion, or $3.79 per share, resulting from the gain on the sale of NextRx, partially offset by net investment losses, intangible asset impairments and costs for restructuring activities. Excluding these items, full year 2009 adjusted net income was $2.9 billion, or $6.09 per share (refer to GAAP Reconciliation table).
"We are pleased with our fourth quarter and 2010 results. We exceeded our goals in many areas of the company this year and provided a significant return of capital to our shareholders following the sale of NextRx. We also created a new strategy and implemented organizational changes that enhance our ability to provide affordable and valuable products to our customers and position us to be a long-run winner in the changing health care marketplace," said Angela F. Braly, chair, president and chief executive officer. "We expect to build on our successes from 2010 and are optimistic about the future for our customers and our company."
"Operating cash flow was higher than we expected in the fourth quarter and exceeded net income. We are in a strong capital position heading into 2011, which will enable us to continue making strategic investments in our businesses to drive long-term success," said Wayne S. DeVeydt, executive vice president and chief financial officer. "For 2011, we currently anticipate that earnings per share will be at least $6.30, and we are viewing 2011 as a base year from which we can grow in the future."
CONSOLIDATED HIGHLIGHTS
Membership: Medical enrollment exceeded 33.3 million members at December 31, 2010, a decrease of 347,000 members, or 1.0 percent, from approximately 33.7 million at December 31, 2009. The decline occurred in the Company's non-Blue business, which experienced a reduction of 516,000 members, primarily due to the strategic transfer of UniCare Individual and Group business in Texas and Illinois to another Blue Cross & Blue Shield plan at the beginning of 2010. The decline in non-Blue enrollment was partially offset by growth of 119,000 members in Blue-branded Commercial products, an increase of 56,000 members in the Federal Employee Program ("FEP"), and growth of 44,000 and 23,000 members, respectively, in the Senior and State Sponsored businesses. The Company's Blue-branded Individual membership declined by 73,000 during 2010.
Medical enrollment declined by 150,000, or 0.4 percent, in the fourth quarter of 2010. This was due primarily to a reduction of 72,000 in the Company's BlueCard enrollment, reflecting sequentially lower BlueCard claims volume, and a decline of 62,000 members in the Individual business.
As of December 31, 2010, the Company's membership base was approximately 59 percent self-funded and 41 percent fully insured, compared with 54 percent and 46 percent, respectively, as of December 31, 2009.
Operating Revenue: Operating revenue totaled approximately $14.4 billion in the fourth quarter of 2010, a decrease of $640.9 million, or 4.3 percent, from $15.1 billion in the fourth quarter of 2009. The decline was due primarily to the conversion of a large municipal group to a self-funded arrangement during the second quarter of 2010, and the transfer of UniCare business in Texas and Illinois.
Benefit Expense Ratio:The benefit expense ratio was 84.5 percent in the fourth quarter of 2010, a decrease of 130 basis points from 85.8 percent in the fourth quarter of 2009. This was driven primarily by the Local Group business and a reduction in the targeted margin for adverse deviation in the Company's December 31, 2010, medical claims payable balance. These declines were partially offset by an increase in the benefit expense ratio for Senior business, primarily reflecting the reduction in federal reimbursement rates for the Medicare Advantage program in 2010.
The Company recognized an estimated $105 million of higher than anticipated pre-tax income during the fourth quarter of 2010, primarily due to the lower targeted margin for adverse deviation. This compares with $50 million of higher than expected favorable reserve development that was recognized in the fourth quarter of 2009.
Medical Cost Trends: Trends represent Local Group fully insured business.
For the full year of 2010, the Company estimates that underlying medical cost trend was in the range of 6.0 to 6.5 percent. Unit cost increases continue to be the primary driver of overall medical cost trend, while underlying utilization was lower than expected in 2010.
Days in Claims Payable:Days in Claims Payable ("DCP") as of December 31, 2010, was 39.3 days, a decrease of 1.4 days from 40.7 days at September 30, 2010. Approximately 0.6 days of the reduction related to favorable reserve development, including the lower targeted margin for adverse deviation in the Company's December 31, 2010, medical claims payable balance. Changes in the timing of payments and claims seasonality reduced DCP by 0.4 days in the quarter. The remaining 0.4 day decline related to year-end provider settlements and other items.
SG&A Expense Ratio: The SG&A expense ratio was 16.4 percent in the fourth quarter of 2010, an increase of 40 basis points from 16.0 percent in the fourth quarter of 2009. The increase reflected higher incentive compensation expense and the impact of lower operating revenue in the current year quarter, partially offset by net reductions in other administrative costs due to the Company's ongoing efficiency initiatives and the sale of NextRx. Total SG&A expense declined by $48.0 million, or 2.0 percent, relative to the fourth quarter of 2009.
Operating Cash Flow:For the full year of 2010, operating cash flow totaled $1.4 billion and included $1.2 billion of tax payments related to the 2009 sale of NextRx. Operating cash flow totaled $587.0 million in the fourth quarter of 2010, or approximately 1.1 times net income.
Share Repurchase Program: During the fourth quarter of 2010, the Company repurchased 17.8 million shares of its common stock for $1.0 billion. For the full year of 2010, the Company repurchased 76.7 million shares of its stock, or 17.0 percent of the shares outstanding at December 31, 2009, for approximately $4.4 billion, following the sale of NextRx. As of December 31, 2010, the Company's remaining Board-approved share repurchase authorization totaled $148.5 million.
Investment Portfolio & Capital Position: During the fourth quarter of 2010, the Company recorded net investment gains of $37.2 million pre-tax, consisting of net realized gains from the sales of securities totaling $47.6 million, partially offset by other than temporary impairments totaling $10.4 million. In the fourth quarter of 2009, the Company experienced net investment losses of $4.5 million pre-tax, consisting of other-than-temporary impairments of $40.5 million, primarily offset by net realized gains from the sales of securities totaling $36.0 million. As of December 31, 2010, the Company's net unrealized gain position in the investment portfolio was $905.5 million, consisting of net unrealized gains on fixed maturity and equity securities totaling $530.1 million and $375.4 million, respectively. As of December 31, 2010, cash and investments at the parent company totaled $3.3 billion.
REPORTABLE SEGMENTS
WellPoint, Inc. has the following reportable segments: Commercial Business, which includes the Local Group, National, UniCare and Specialty Products lines of business; Consumer Business, which includes the Individual, Senior and State Sponsored lines of business; and Other, which includes Comprehensive Health Solutions (including NextRx for the first eleven months of 2009), FEP business, National Government Services, inter-segment sales and expense eliminations, and corporate expenses not allocated to the other reportable segments.
Commercial Business: Operating gain for the Commercial Business segment was $600.7 million in the fourth quarter of 2010, an increase of $283.9 million, or 89.6 percent, from $316.8 million in the fourth quarter of 2009. The increase was driven primarily by improvements in the Local Group business during 2010. The benefit expense ratio for Local Group business was elevated in the fourth quarter of 2009 due to high flu activity and increased COBRA-related expenses, while utilization was lower than anticipated during the fourth quarter of 2010.
The fourth quarter 2010 results in the Commercial segment included an estimated $65 million of operating gain recognized primarily as a result of the lower targeted margin for adverse deviation, compared with an estimated $17.0 million of higher than anticipated favorable reserve development that was recognized in the same period of 2009.
Consumer Business: Operating gain for the Consumer Business segment was $112.0 million in the fourth quarter of 2010, a decrease of $46.9 million, or 29.5 percent, compared with $158.9 million in the prior year quarter. The decline resulted primarily from costs incurred during the fourth quarter of 2010 as part of the Company's on-going efficiency and continuous improvement initiatives, and increased incentive compensation expense. Operating gain in the Senior business also decreased primarily due to a decline in Medicare Part D membership and the reduction in federal reimbursement rates for the Medicare Advantage program. These declines in operating gain were partially offset by an improvement in the performance of the Individual business.
The fourth quarter 2010 results in the Consumer segment included an estimated $40.0 million of operating gain recognized primarily as a result of the lower targeted margin for adverse deviation, compared with approximately $33.0 million of higher than anticipated favorable reserve development that was recognized in the prior year quarter.
Other: The Company experienced an operating loss of $19.6 million in the Other segment during the fourth quarter of 2010, compared with an operating gain of $100.8 million in the fourth quarter of 2009. This was due primarily to the fact that fourth quarter 2009 results included two months of NextRx operations prior to its sale on December 1, 2009.
OUTLOOK
Full Year 2011:
- Net income is expected to be at least $6.30 per share.
- The Company plans to provide additional details about its 2011 outlook at its Investor Day scheduled for Feb. 23, 2011.
Basis of Presentation
- Operating gain is defined as operating revenue less benefit expense, selling expense, general and administrative expense, and cost of drugs. Operating gain is used to analyze profit or loss on a segment basis. Consolidated operating gain is a non-GAAP measure.
- Operating margin is defined as operating gain divided by operating revenue. Consolidated operating margin is a non-GAAP measure.
- Certain prior period amounts have been reclassified to conform to the current period presentation.