BETHESDA, Md. (AP) — Coventry Health Care's first-quarter earnings dropped 21 percent compared with a year ago when it booked a one-time gain tied to the health insurer's Medicare Advantage program.

The Bethesda, Md., company said Wednesday that it earned $135.4 million, or $1 per share, in the three months that ended March 31. That is down from $170.7 million, or $1.20 per share, in the same quarter a year ago.

Revenue fell 4.6 percent to $3.52 billion from $3.69 billion.

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