COVENTRY HEALTH CARE, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
December 31, 2001, 2000 and 1999
A. ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Coventry Health Care, Inc. (together with its subsidiaries, the “Company”, “we”, “our”, or “us”) is a managed health care company operating health plans under the names Coventry Health Care, Coventry Health and Life, HealthAmerica, HealthAssurance, HealthCare USA, Group Health Plan, SouthCare, Southern Health, Carelink Health Plans and WellPath. The Company provides a full range of managed care products and services including health maintenance organization (“HMO”), point of service (“POS”) and preferred provider organization (“PPO”) products. The Company also administers self-insured plans for large employer groups. The Company was incorporated under the laws of the state of Delaware on December 17, 1997, and is the successor to Coventry Corporation, which was incorporated on November 21, 1986.
Since the Company began operations in 1987 with the acquisition of the American Service Companies entities, including Coventry Health and Life Insurance Company (“CH&L”), the Company has grown substantially through acquisitions. The table below summarizes all of the Company’s acquisitions. See Note B to the consolidated financial statements for additional information on the most recent acquisitions.
|
Acquisition |
Location | Type of Business |
Year |
|
|
|||
| American Service Company (“ASC”) entities | Multiple Markets | Multiple Products | 1987 |
| HealthAmerica Pennsylvania, Inc. (“HAPA”) | Pennsylvania | HMO | 1988 |
| Group Health Plan, Inc. (“GHP”) | St. Louis, Missouri | HMO | 1990 |
| Southern Health Services, Inc. (“SHS”) | Richmond, Virginia | HMO | 1994 |
| HealthCare USA, Inc. (“HCUSA”) | Multiple Markets | Medicaid | 1995 |
| Principal Health Care, Inc. (“PHC”) | Multiple Markets | HMO | 1998 |
| Carelink Health Plans (“Carelink”) | West Virginia | HMO | 1999 |
| Kaiser Foundation Health Plan of North Carolina (“Kaiser – NC”) | North Carolina | HMO | 1999 |
| PrimeONE, Inc. (“PrimeONE”) | West Virginia | HMO | 2000 |
| Maxicare Louisiana, Inc. (“Maxicare”) | Louisiana | HMO | 2000 |
| WellPath Community Health Plans (“WellPath”) | North Carolina | HMO | 2000 |
| Prudential Health Care Plan, Inc. (“Prudential”) | St. Louis, Missouri | Medicaid | 2000 |
| Blue Ridge Health Alliance, Inc. (“Blue Ridge”) | Charlottesville, Virginia | HMO | 2001 |
| Health Partners of the Midwest (“Health Partners”) | St. Louis, Missouri | HMO | 2001 |
| Kaiser Foundation Health Plan of Kansas City, Inc. (“Kaiser - KC”) | Kansas City, Missouri | HMO | 2001 |
Significant Accounting Policies
Revenue Recognition – Managed care premiums are recorded as revenue in the month in which members are entitled to service. Premiums collected in advance are recorded as deferred revenue. Employer contracts are typically on an annual basis, subject to cancellation by the employer group or the Company upon thirty days written notice. Management services revenues are recognized in the period in which the related services are performed. Premiums for services to federal employee groups are subject to audit and review by the Office of Personnel Management (“OPM”) on a periodic basis. Such audits are usually a number of years in arrears. The Company records reserves, on an estimated basis annually, based on the appropriate guidelines. Any differences between actual results and estimates are recorded in the year the audits are finalized.
In December 1999, the Securities and Exchange Commission (“SEC”) issued Staff Accounting Bulletin (“SAB”) No. 101 – “Revenue Recognition in Financial Statements.” SAB No. 101 summarizes certain of the SEC’s views in applying generally accepted accounting principles to revenue recognition in financial statements. The adoption of SAB No. 101 in the fourth quarter of 2000 did not have a material effect on the Company’s financial position or results of operations.
Medical Claims Expense and Liabilities – Medical claims liabilities consist of actual claims reported but not paid and estimates of health care services incurred but not reported. The estimated claims incurred but not reported are based on historical data, current enrollment, health service utilization statistics, and other related information. Although considerable variability is inherent in such estimates, management believes that the lia-
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