Bailing Out Failed Management: Health Insurance Company Edition

We have been using the term “bailout” to describe health care reforms that require citizens to buy health insurance from existing companies without a robust public option. Ordinarily people use the term bailout to describe saving a company from bankruptcy by giving it taxpayer money. Health insurance companies don’t seem to need that right now, and will just do much better with the mandate. But there are a couple of really big companies for which the term is pretty close. Take a look at this chart.

Company Goodwill and Intangibles
as % ofShareholders Equity
UnitedHealth Group 106%
Wellpoint 99%
Cigna 78%
Aetna 64%

This table tells us that if the companies were liquidated at prices equal to the book value of the assets, UnitedHealth and Wellpoint would have little or nothing for shareholders, and Cigna and Aetna would have little. This is actually a serious risk. Here’s why.

Goodwill and intangible assets are accounting terms. Goodwill equals the excess of the purchase price of a business over the book value of the assets and liabilities purchased. Intangible assets are also things that can’t be sold easily, like proprietary software, franchises and trademarks.

How does an insurance company get goodwill on the books? The same way other companies do, they buy other companies for amounts greater than the book values of those companies. For example, UnitedHealth bought the Lumenos, Inc., a “market leader in consumer-driven health programs” in 2005, for $185mn. Here is the explanation for the accounting treatment from the 2005 10-K (p 99):

… the purchase price was allocated to the fair value of Lumenos assets acquired and liabilities assumed, including identifiable intangible assets, and the excess of purchase price over the fair value of net assets acquired resulted in $119.3 of non-tax deductible goodwill,…

This is a relatively small acquisition, which may have been financed internally. Larger acquisitions are financed with borrowed money, creating large debt obligations.

The problem is that goodwill and intangibles aren’t like furniture, which can be sold at auction. Goodwill can be thought of as an estimate of future profits which is put on the books today. Intangible assets are at least useful in the existing business, but they only have cash value if some other company can figure out how to use them. That’s why accounting standards require regular reviews of goodwill and intangibles to make sure the value is there. If there is a perception that the business will suffer in the future, the company has to write them off, reducing both its income and its net worth.

Wellpoint has some concerns about its net worth. In its 2008 10-K, under the caption “The value of our intangible assets may become impaired”, it points out (p. 32) that

Goodwill and other intangible assets were approximately $22.3 billion as of December 31, 2008, representing approximately 46% of our total assets and 104% of our consolidated shareholders’ equity at December 31, 2008….

In 2008, Wellpoint wrote off $141.4mn in goodwill, on top of normal amortization.

UnitedHealth Group also expresses concerns in its 2008 10-K under the caption "If the value of our intangible assets is materially impaired, our results of operations, shareholders’ equity and debt ratings could be materially adversely affected" :

A material decrease in shareholders’ equity could, in turn, negatively impact our debt ratings or potentially impact our compliance with existing debt covenants.

Indeed it could. Single payer will slash their business. Even a robust public option will cause damage. Either way there is a real chance of seriously reducing shareholders equity and the value of their stock and debt securities.

The good news is that a mandate for purchase of insurance policies from these behemoths is going to solve any possible problem. In this post I estimated that by the fourth year of operations under the new system, without a public option, the assets of the health care companies would swell by $459.4bn in real money.

That’ll sure clean up the old balance sheet. It’s just like a bailout, paid for by government mandate of the Bad Max Tax payers.

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