Wells Fargo 2018 Healthcare Conference-Boston - September 6, 2018 - Centene Corporation
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Forward-Looking Statements The company 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 ("PSLRA") of 1995, including statements in this and other presentations, press releases, filings with the Securities and Exchange Commission ("SEC"), reports to stockholders and in meetings with investors and analysts. In particular, the information provided in this presentation may contain certain forward-looking statements with respect to the financial condition, results of operations and business of Centene and certain plans and objectives of Centene with respect thereto, including but not limited to the expected benefits of the acquisition of Health Net, Inc. (Health Net) (Health Net Acquisition) and the acquisition of New York State Catholic Health Plan, Inc., d/b/a Fidelis Care New York (Fidelis Care) (Fidelis Care Acquisition). These forward-looking statements can be identified by the fact that they do not relate only to historical or current facts. Without limiting the foregoing, forward- looking statements often use words such as "believe", "anticipate", "plan", "expect", "estimate", "intend", "seek", "target", "goal", "may", "will", "would", "could", "should", "can", "continue" and other similar words and expressions (and the negative thereof). We intend such forward-looking statements to be covered by the safe-harbor provisions for forward- looking statements contained in PSLRA. A number of factors, variables or events could cause actual plans and results to differ materially from those expressed or implied in forward- looking statements. Such factors include, but are not limited to, Centene's ability to accurately predict and effectively manage health benefits and other operating expenses and reserves; competition; membership and revenue declines or unexpected trends; changes in healthcare practices, new technologies and advances in medicine; increased healthcare costs; changes in economic, political or market conditions; changes in federal or state laws or regulations, including changes with respect to income tax reform or government healthcare programs as well as changes with respect to the Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act and any regulations enacted thereunder that may result from changing political conditions; rate cuts or other payment reductions or delays by governmental payors and other risks and uncertainties affecting Centene's government businesses; Centene's ability to adequately price products on federally facilitated and state-based Health Insurance Marketplaces; tax matters; disasters or major epidemics; the outcome of legal and regulatory proceedings; changes in expected contract start dates; provider, state, federal and other contract changes and timing of regulatory approval of contracts; the expiration, suspension or termination of Centene's contracts with federal or state governments (including but not limited to Medicaid, Medicare, TRICARE or other customers); the difficulty of predicting the timing or outcome of pending or future litigation or government investigations; challenges to Centene's contract awards; cyber-attacks or other privacy or data security incidents; the possibility that the expected synergies and value creation from acquired businesses, including, without limitation, the Health Net Acquisition and the Fidelis Care Acquisition, will not be realized, or will not be realized within the expected time period; the exertion of management's time and Centene's resources, and other expenses incurred and business changes required in connection with complying with the undertakings in connection with any regulatory, governmental or third party consents or approvals for the Health Net Acquisition or the Fidelis Care Acquisition; disruption caused by significant completed and pending acquisitions, including the Health Net Acquisition and the Fidelis Care Acquisition, making it more difficult to maintain business and operational relationships; the risk that unexpected costs will be incurred in connection with the completion and/or integration of acquisition transactions, including among others, the Health Net Acquisition and the Fidelis Care Acquisition; changes in expected closing dates, estimated purchase price and accretion for acquisitions; the risk that acquired businesses, including Health Net and Fidelis Care, will not be integrated successfully; the risk that, following the Fidelis Care Acquisition, Centene may not be able to effectively manage its expanded operations; restrictions and limitations in connection with Centene's indebtedness; Centene's ability to achieve improvement in the Centers for Medicare and Medicaid Services (CMS) Star ratings and maintain or achieve improvement in other quality scores in each case that can impact revenue and future growth; availability of debt and equity financing, on terms that are favorable to Centene; inflation; foreign currency fluctuations; and risks and uncertainties discussed in the reports that Centene has filed with the SEC. These forward-looking statements reflect Centene's current views with respect to future events and are based on numerous assumptions and assessments made by Centene in light of its experience and perception of historical trends, current conditions, business strategies, operating environments, future developments and other factors it believes appropriate. By their nature, forward-looking statements involve known and unknown risks and uncertainties and are subject to change because they relate to events and depend on circumstances that will occur in the future. The factors described in the context of such forward- looking statements in this presentation could cause Centene's plans with respect to the Health Net Acquisition, the Fidelis Care Acquisition, actual results, performance or achievements, industry results and developments to differ materially from those expressed in or implied by such forward-looking statements. Although it is currently believed that the expectations reflected in such forward-looking statements are reasonable, no assurance can be given that such expectations will prove to have been correct and persons reading this presentation are therefore cautioned not to place undue reliance on these forward-looking statements which speak only as of the date of this presentation. Centene does not assume any obligation to update the information contained in this presentation (whether as a result of new information, future events or otherwise), except as required by applicable law. This list of important factors is not intended to be exhaustive. We discuss certain of these matters more fully, as well as certain other risk factors that may affect Centene's business operations, financial condition and results of operations, in Centene's filings with the SEC, including the annual report on Form 10-K, quarterly reports on Form 10-Q and current reports on Form 8-K. 2
Earnings Guidance Policy Our Company’s policy is, “that the Company undertakes no obligation to update its earnings guidance, other than as part of its quarterly or yearly earnings disclosure, and that silence on guidance by the Company or Company officials should not be interpreted that guidance has or has not changed. In any event, no updated guidance would ever be given that is not previously or simultaneously disclosed in an SEC filing or other broad non-exclusionary means.” “Further, it is Company policy to generally not hold discussions with investors commencing two weeks prior to earnings release.” This presentation also includes non-GAAP financial measures. You can find Centene's presentations on the most directly comparable GAAP financial measures calculated in accordance with GAAP and reconciliations in Appendix A. Centene is providing certain non-GAAP financial measures in this presentation as Centene believes that these figures are helpful in allowing investors to more accurately assess the ongoing nature of Centene's operations and measure Centene's performance more consistently across periods. Centene uses the presented non-GAAP financial measures internally to allow management to focus on period-to-period changes in Centene's core business operations. Therefore, Centene believes that this information is meaningful in addition to the information contained in the GAAP presentation of financial information. The presentation of this additional non-GAAP financial information is not intended to be considered in isolation or as a substitute for the financial information prepared and presented in accordance with GAAP. 3
Who We Are WHO WE ARE WHAT WE DO St. Louis 31 states based company founded in with government sponsored Milwaukee in 1984 healthcare programs and implementations 41,200 employees Medicaid Marketplace Medicare Correctional #61 #210 #27 on the on the Fortune’s Fastest 2 international markets Fortune Growing Companies Fortune 500 list Global 500 list (2017) 12.8 million members includes 2.9 million TRICARE eligible $15.0 billion $59.2-60.0B Product / Market in cash and investments expected revenue for 2018 ~330 Solutions 4
2017 Performance Revenues Total Revenues of $48.4 billion + 19% HBR Health Benefits Ratio of 87.3% + 80 bps Diluted EPS Diluted EPS of $4.69 + 38% Adjusted Diluted Adjusted Diluted EPS of $5.03 + 14% EPS1 Membership Added 765K members between years + 7% 1 Represents a non-GAAP measure. See Appendix A for reconciliation of non-GAAP measures. 6
Q2 2018 Performance Revenues Total Revenues of $14.2 billion + 19% HBR Health Benefits Ratio of 85.7% (60) bps Diluted EPS Diluted EPS of $1.50 +4% Adjusted Diluted Adjusted Diluted EPS of $1.80 +13% EPS1 Membership Added 585K members between years + 5% 1 Represents a non-GAAP measure. See Appendix A for reconciliation of non-GAAP measures. 7
2018 Guidance Low High Total revenues (in billions) $59.2 $60.0 GAAP diluted EPS $4.25 $4.57 Adjusted Diluted EPS1 $6.80 $7.16 HBR% 85.9% 86.4% Selling, general & administrative (SG&A) expense ratio 10.2% 10.7% Adjusted SG&A expense ratio2 9.4% 9.9% Effective tax rate 34.0% 36.0% Diluted shares (in millions) 198.7 199.7 1 Represents a non-GAAP measure. See Appendix A for reconciliation of non-GAAP measures. 2 Represents a non-GAAP measure. Adjusted SG&A% excludes acquisition related expenses of $422 million to $428 million. 8
5 Year Compound Annual Growth Rates 2013-2018(F), excluding stock price $ 41% Total Revenues1 Delivering Shareholder Value EPS 37% CNC 38% Adj. Diluted EPS2 Stock Price3 1 Based upon 2018 guidance midpoint. 2 Represents a non-GAAP measure using the guidance midpoint. See Appendix A for reconciliation of non-GAAP measures. The 5 year GAAP diluted EPS CAGR is 25% using the guidance midpoint. 9 3 5 year stock price CAGR as of August 27, 2018.
2013 vs. 2018 ($ IN BILLIONS) $59.2 - $60.0 2.4% - 2.6% 1.6% $10.9 2013 2018 Guidance 2013 2018 Guidance REVENUE ADJ. NET INCOME MARGIN* * Excludes estimated merger costs and amortization of acquired intangible assets. 2018 also excludes California minimum MLR changes; See Appendix A for reconciliation of non-GAAP measures. 10
Adjusted Diluted Earnings Per Share* (FROM CONTINUING OPERATIONS) Guidance Range $6.80 – $7.16 CNC 5 Year CAGR +37%** $5.03 $4.43 $3.14 $2.31 2014 2015 2016 2017 2018 (F) *Represents non-GAAP measure. See Appendix A for reconciliation of non-GAAP measures. **Based on 2018 guidance range mid-point. 11
Stock Price CAGR vs. Peers 5 YEAR CAGR, AUGUST 2013-2018 38% 29% 12% S&P 500 Peer CNC Composite Group1 Note: CAGR from August 27, 2013 – August 27, 2018. Source: Yahoo!Finance 1 Peer group includes Aetna, Anthem, Cigna, Humana, Molina, United and WellCare. 12
Total Revenue Growth ($ IN MILLIONS) Guidance Range $59,200 - $60,000 $48,382 41% 5 Year CAGR* $40,607 $22,760 $16,560 $10,863 $8,110 $4,103 $4,448 $5,211 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018(F) % Increase 22% 8% 17% 56% 34% 52% 37% 78% 19% 23%* over PY * Based on 2018 guidance range mid-point. 13
Diversifying Revenues 2015: $22.8 Billion 2018(F): $59.6 Billion1 2% 20% 4% 9% 10% 84% 65% 6% Medicaid Commercial Medicare Other 1 Midpoint of guidance range. 14
Funds Flow Structured to Facilitate Free Cash Flow Unregulated Net Cash Flow Available to Service Debt Centene States’ Corporation Actuarially Sound Premiums Unregulated Entities Centene Envolve Benefit Envolve Envolve Pharmacy Options PeopleCare Solutions Management Regulated Health Plans Company • Market-based, state-approved contractual relationship • Generates sufficient cash flows to cover fixed charges 15
Centene: 2008 HEALTHCARE COVERAGE SOLUTIONS Government Solutions AZ FL GA IN OH SC TX WI Low-Income Medicaid ● ● ● ● ● ● ● ● CHIP ● ● ● ● ● ● ● ABD (non duals) ● ● ● ● ● ● ABD (dual-eligible) or Dual Demonstrations ● ● ● ● ● 8 Long-Term Services and Supports ● ● States Foster Care ● Medicare Special Needs Plan ● ● ● ● 70 Specialty Health Solutions Solutions Pharmacy Benefits ● ● ● ● ● ● Behavioral & Specialty Therapies ● ● ● ● ● ● ● ● Life & Health Management ● ● ● ● ● ● ● ● Managed Vision ● ● ● ● ● ● ● ● Telehealth ● ● ● ● ● ● ● ● 16
Product Solutions Populations & Products AZ AR CA CT4 FL GA4 IL IN IA1 KS LA MD2,4 MA MI MN MS MO NE NH4 NM3 NY NV OH OR PA4 SC TN TX VT WA WI TANF ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● Medicaid Expansion ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● CHIP ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ABD (non-duals) ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ABD (Medicaid only dual-eligibles ) ● ● ● ● ● ● ● ● ● ● ● ● ● ● Medicaid-Medicare Plans ● ● ● ● ● ● ● Intellectually/Developmentally Disabled ● ● ● ● ● Long-Term Services and Supports ● ● ● ● ● ● ● ● ● ● 2 330 Foster Care ● ● ● ● ● ● ● ● ● ● ● ● ● ● 31 Medicare Advantage ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● Medicare Special Needs Plan Health Insurance Marketplaces Commercial Insurance (Lrg & Sm Grp) ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ~ ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● 4 Correctional Healthcare ● ● ● ● ● ● ● ● ● ● ● ● ● INTERNATIONAL PRODUCT Specialty Health Solutions STATES● AZ AR CA CT FL GA IL IN IA KS LA MD MA MI MN MS MO NE NH NM NY NV OH OR PA SC TN TX VT WA WI Pharmacy Benefits Behavioral & Specialty Therapies ● ● ● ● ● ● ● ● ● M ARKETS ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● S●● OLUTIONS ● ● ● ● ● ● ● ● ● ● ● ● ● ● Life & Health Management ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● Primary Care Solutions for Complex Pop. ● ● ● ● ● ● ● ● ● Managed Vision ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● Dental Benefits ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● Telehealth (Nurse Triage/Education Line) ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● 1 Iowa operations expected to commence July 1, 2019, subject to closing conditions and regulatory approval. 2 Managed Service Organization (MSO) contract. 3 Centennial Care Medicaid managed care operations expected to commence January 1, 2019, subject to closing conditions and regulatory approval. 4 Correctional Healthcare operations in CT, GA, MD, NH & PA reflect acquisition of MHM Services, Inc., which closed in the first quarter of 2018. 17
Medicaid Leadership BRINGING EXPERIENCE TO NEW MARKETS 1984 1995 1999 2004 2006 2006 2007 2009 2010 2011 2011 2012 2012 2012 2013 2013 2013 2015 2015 2017 2017 2017 2018 2018 20191 20192 1 Operations anticipated to commence January 1, 2019 2 Operations expected to commence July 1, 2019 18
Envolve RECENT SUCCESSES Health Plan management services Addressing market needs in NY and MD and driving external revenue growth via an Commercial Behavioral Health (ASO) and integrated platform that EAP for 20,000 Operating Engineers Union members leverages the strength of Centene’s specialty solutions On.Demand diabetes management for 43,000 county employees and dependents 19
National View Centene State Centene HIM Membership 2018 New HIM State Peak Membership New States KS, MO, NV, NY (Fidelis Care) Expansion States FL, GA, IN, OH, TX, WA 2015 167,000 AZ (2 counties) Sole Carrier MS (Statewide) 2016 2018 683,000 GA & IN (some rural counties) 2017 1,200,000 States Where We are MO (25), IN (3), OH (3), NV Covering Bare Counties (14), WA (2) 2018 1,650,000 Statewide Presence AR, MS, NH, NV *2015 excludes Health Net, all years exclude Fidelis Lowest Silver in 349 of 413 Counties 20
Marketplace Demographics Gender and Age 46% 45% 2018* 45% 2016 2017 (avg. age 42) (avg. age 42) (avg. age 43) Female 84% 54% 92% 55% 55% Male 16% Metal Tier Silver 85% 2016 90% 2017 87% 2018* 92% Bronze 12% 8% 11% Gold & Platinum 84% 3% 16% 2% 16% 2% * Based on signups as of 12/12/17 21
2018 Medicare Profile Products • Membership: over 420k (Projected Year-End 2018) MA / • $5B Revenue MAPD • Multi-product MMP • Multi-state D-SNP C-SNP I-SNP Med. Supp. 2017 Centene Medicare Market EGWP 2018 New Centene Medicare Advantage Additions 22
Year-Over-Year Growth Medicare Product Breakout 11% MA/MAPD 15% DSNP 2017 57% MMP 17% Med. Sup. 9% 12% 2018 (P) On pace to exceed 90k YoY 21% 58% enrollment growth target 23
Accelerating Our Strategy Expanding our national leadership in government sponsored healthcare 2018 14.5 million members (pro forma as of June 30, 2018) New York Presence, National Leadership Shareholder Return of over 2016 1,200% 11.4 million since 2010 (1) members California, Medicare and Federal Presence 2010 • Expanding addressable market opportunities 1.5 million • Organic growth – new markets and new products members • Seeking new acquisition opportunities (1) From December 31, 2009 through August 27, 2018. 24
Diversified Government Services Platform + 6% 10% 5% 9% 9% 9% 18% 20% 65% 68% 81% LTM 6/30/2018 LTM 6/30/2018 LTM 6/30/2018 Revenue: Revenue: Combined Revenue: $52 billion $10 billion $62 billion Medicaid/Complex Care Commercial/Exchanges Medicare/Duals Specialty/Government 25
Recently Acquired Provider Assets • Serves 250,000 individuals • Leading at-risk provider in FL • 300 facilities • Covers over 80,000 government sponsored beneficiaries • Expands correctional footprint to 5 states • Specialty care and support services 26
Technology and Analytics Capabilities • A full-service PBM will complement to Centene’s internal PBM • Disruptive platform that allows to drive change across the care continuum • Expect to realize savings by significantly reducing both administrative and drug- impacted medical costs 27
$677B Medicaid Addressable Markets $783B Medicare $100B Health Insurance Marketplace $1.86 $9B Correctional Healthcare trillion* $109B Federal Services $182B International *Data based on CBO projections and Company estimates for FY19 28
Targeted Medicaid Pipeline Medicare $270 Health Insurance Marketplace Correctional Healthcare billion Federal Services International 29
Recent Contract Wins NEW MEXICO ARIZONA FLORIDA ARIZONA IOWA Centennial Care AHCCCS Statewide Comprehensive Statewide contract 2.0 Program Complete Care Medicaid healthcare services for the IA Health Managed Care Link Program Contract 30
Recent Contract Wins WASHINGTON NEW KANSAS HEALTH NET FLORIDA HAMPSHIRE FEDERAL SERVICES Managed care Medical and Managed care Next generation Comprehensive services to Apple dental staff to services to Military & Family healthcare Health's the NH KanCare Life Counseling services Integrated Department of beneficiaries (MFLC) Program Managed Care Corrections statewide (IMC) Medicaid beneficiaries 31
Medicaid Pipeline Realization ($ IN BILLIONS) 2012-2018 Total Total Pipeline $174B 74 Contracts Targeted Targeted Pipeline $137B 52 Contracts Realized or Contract Anticipated Revenue* $27B 42 Wins 81% Win Rate *Anticipated revenue includes contract wins that have not yet gone live 32
Visibility on 2019 Total Revenue $69+B $59.6B* • HIF and CA pass throughs • Full Year of Fidelis • Marketplace & Medicare Market Expansions • Pennsylvania LTC SE Region • New Markets: NM & IA • Reprocurement wins: AZ, FL & IL 2018P 2019P *2018 mid-point of guidance range 33
A Growth Company Long term expectations of double digit growth in revenue and profit Less than 50% $1.9 Trillion Managed care penetration in Addressable Market government sponsored healthcare (Medicaid and Medicare expenditures) 34
In Summary… WE ARE A GROWTH COMPANY Robust Demonstrated Ability to Convert Pipeline Opportunities to CNC Revenue Revenue Total Revenue in Excess of $69B with Visibility Significant Opportunities in Process Diversified Opportunities Across Markets, Growth Strategy Products, Specialty Services and M&A 35
Appendix A
Reconciliation of Non-GAAP Measures ($ IN MILLIONS, EXCEPT EARNINGS PER SHARE DATA) Included in this presentation are certain non-GAAP financial measures that management believes provide information that is useful to investors in understanding period-over- period operating results and enhance the ability of investors to analyze Centene’s business trends and performance. These non-GAAP financial measures should not be considered in isolation, or as a substitute for the corresponding GAAP financial measures and may not be comparable to similar measures used by other companies. A reconciliation of these non-GAAP financial measures with the most directly comparable financial measure calculated in accordance with GAAP follows: Reconciliation of GAAP Earnings from Continuing Operations to Adjusted Diluted EPS: 2013 2014 2015 2016 2017 Q2 2017 Q2 2018 GAAP Ea rni ngs from continui ng opera tions $ 161 $ 268 $ 356 $ 559 $ 828 $ 254 $ 300 Amortiza tion of a cqui red i ntangi bl e a s s ets 6 16 24 147 156 39 45 Acqui s i tion rel a ted expens es - - 27 234 20 1 1 Ca l i forni a mi ni mum medi ca l l os s ra tio cha nges - - - (195) - - 30 Cos t s ha ri ng reductions - - - - 22 - - Income tax reform - - - - (125) - - Cha ri tabl e contri bution - - - 50 40 - - Debt extingui s hment - - - 11 - - - Penn Trea ty a s s es s ment expens e - - - - 56 - - Income tax effects of a djus tments (2) (6) (20) (79) (108) (14) (16) Adjus ted Ea rni ngs from Continui ng Opera tions $ 165 $ 278 $ 387 $ 727 $ 889 $ 280 $ 360 Di l uted s ha res outs tandi ng (i n thous a nds ) 112,494 120,360 123,066 163,975 176,702 176,420 199,451 GAAP Di l uted EPS $ 1.43 $ 2.23 $ 2.89 $ 3.41 $ 4.69 $ 1.44 $ 1.50 Adjus ted Di l uted EPS (1) $ 1.47 $ 2.31 $ 3.14 $ 4.43 $ 5.03 $ 1.59 $ 1.80 Reconciliation of GAAP diluted EPS to Adjusted Diluted EPS: Annual Guidance December 31, 2018 GAAP di l uted EPS $4.25 - $4.57 Amortiza tion of i ntangi bl e a s s ets (2) $0.81 - $0.83 Acqui s i tion rel a ted expens es (3) $1.62 - $1.64 (4) Ca l i forni a mi ni mum medi ca l l os s ra tio cha nges $0.12 Adjus ted Di l uted EPS $6.80 - $7.16 (1) Adjusted Diluted EPS is defined as GAAP diluted net earnings from continuing operations before amortization of acquired intangible assets, acquisition related expenses, other one time adjustments, and the tax impact of such adjustments, calculated on a per share basis. We believe these adjustments are not indicative of future performance. (2) The amortization of acquired intangible assets per diluted share presented are net of an income tax benefit estimated to be $0.24 to $0.25 for the year ended December 31, 2018. (3) Acquisition related expenses per diluted share are net of an income tax benefit estimated to be $0.50 to $0.51 for the year ended December 31, 2018. (4) The impact of retroactive changes to the California minimum MLR is net of an income tax benefit estimated to be $0.03 to $0.04 for the year ended December 31, 2018.
Reconciliation of Non-GAAP Measures ($ IN MILLIONS, EXCEPT EARNINGS PER SHARE DATA) Included in this presentation is Adjusted EBITDA and Adjusted SG&A. Management believes that these non-GAAP financial measures provide information that is useful to investors in understanding period-over-period operating results and enhance the ability of investors to analyze Centene’s business trends and performance. These non-GAAP financial measures should not be considered in isolation, or as a substitute for the corresponding GAAP financial measures and may not be comparable to similar measures used by other companies. The Company also references 2018(F) Adjusted Net Income Margin, 2018(F) Adjusted EBITDA, and 2018(F) Adjusted SG&A. The Company cannot provide a reconciliation of these items without unreasonable efforts. As such, they have been excluded from the reconciliation below. A reconciliation of Adjusted EBITDA and Adjusted SG&A, non-GAAP financial measures, with the most directly comparable financial measures calculated in accordance with GAAP follows: Reconciliation of GAAP Earnings from Continuing Operations to Adjusted EBITDA: 2015 2016 2017 GAAP Ea rni ngs from continui ng opera tions $ 356 $ 559 $ 828 Interes t expens e 43 217 255 Income taxes 339 599 326 Depreci a tion a nd a mortiza tion 112 281 362 Non-ca s h s tock compens a tion expens e from cont. opera tions 71 148 135 (1) Adjus ted EBITDA $ 921 $ 1,804 $ 1,906 Reconciliation of GAAP Selling, General & Administrative expenses (SG&A) to Adjusted SG&A: 2015 2016 2017 GAAP s el l i ng, genera l a nd a dmi ni s tra tive expens es $ 1,802 $ 3,676 $ 4,446 Acqui s i tion rel a ted expens es 27 234 20 Penn Trea ty a s s es s ment expens e - - 56 Cha ri tabl e contri bution - 50 40 Adjus ted s el l i ng, genera l a nd a dmi ni s tra tive expens es $ 1,775 $ 3,392 $ 4,330 (1) Adjusted EBITDA is defined as net earnings attributable to Centene Corporation excluding income tax expense, interest expense, depreciation, amortization (excluding senior note premium amortization) and non-cash compensation expense.
Wells Fargo 2018 Healthcare Conference -- Boston -- September 6, 2018
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