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8-K - FORM 8-K - TRIPLE-S MANAGEMENT CORPg26054e8vk.htm
Exhibit 99.1
(TRIPLE-S LOGO)
Triple-S Management Corporation
` 1441 F.D. Roosevelt Ave.
San Juan, PR 00920
www.triplesmanagement.com
FOR FURTHER INFORMATION:
     
AT THE COMPANY:
  INVESTOR RELATIONS:
Juan-José Román
  Kathy Waller
Finance Vice President & CFO
  AllWays Communicate, LLC
(787) 749-4949
  (312) 543-6708
Triple-S Management Corporation Reports Fourth Quarter 2010 Results
SAN JUAN, Puerto Rico, February 9, 2011 — Triple-S Management Corporation (NYSE:GTS), one of the leading managed care companies in Puerto Rico, today announced consolidated revenues of $431.6 million and operating income of $21.7 million for the three months ended December 31, 2010. Net income of $20.0 million, or $0.69 per diluted share, includes an after tax net gain of $6.5 million, or $0.22 per diluted share, related to net realized and unrealized gains on investments and derivatives. Pro forma net income was $13.5 million, or $0.47 per diluted share.
Fourth-Quarter Consolidated Highlights
    Total consolidated operating revenues were $423.6 million;
 
    Operating income was $21.7 million;
 
    Excluding net realized and unrealized gains and losses on investments and derivatives, net income was $13.5 million, or $0.47 per diluted share;
 
    Consolidated loss ratio was 79.6% and the medical loss ratio (MLR) was 84.0%;
 
    Commercial fully-insured member month enrollment rose 1.2%.
“The period’s results were in line with expectations, including a 4.6% increase in our Commercial premiums and lower adjusted MLR,” said Ramón M. Ruiz-Comas, President and Chief Executive Officer. “Our results for this quarter demonstrate the stability of our continuing businesses despite losing the Medicaid revenue stream. Since August, we have moved quickly to identify opportunities to grow our business and absorb the G&A impact of closing this business. Our capital resources are being redeployed into our Medicare and Commercial businesses, which we believe have the most significant potential going forward.”
Ruiz-Comas continued, “The recently completed acquisition of American Health reflects our ongoing commitment to identify strategically appropriate acquisition opportunities within Puerto Rico where we can capitalize on the strength of our physician networks, brand leadership, and ability to grow market share. This transaction, which will be immediately accretive, positions us for continued expansion in the Medicare Advantage segment. We also anticipate that the premium revenue and efficiencies associated with this acquisition will compensate for the impact of future CMS rate adjustments.”
“As we enter 2011, we are excited about our growth prospects. We are pleased with our steadily improving corporate performance, our disciplined operating cost management, the success of our medical management initiatives, and our diversified and growing business
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base. Our strategic focus on Medicare Advantage and our well established presence in the Commercial market, along with improving cash flow and greater corporate efficiencies, should position us well for the remainder of this year and beyond,” concluded Ruiz-Comas.
Selected Quarterly Details
    Pro Forma Net Income was $13.5 million, or $0.47 Per Diluted Share. Weighted average shares outstanding were 29.1 million. This compares with pro forma net income of $24.4 million, or $0.83 per diluted share, in the corresponding quarter of 2009, based on weighted average shares outstanding of 29.3 million.
 
    Consolidated Premiums Fell 14.8% to $407.6 million. The decline is principally due to the termination of the Medicaid contracts. Consolidated premiums, excluding Medicaid, posted a 2.1% year-over-year increase, largely the result of higher rates and increased Commercial member month enrollment.
 
    Consolidated Administrative Service Fees Declined 74.7%, to $4.7 million. The significant decrease primarily reflects the termination of the Medicaid contracts and a performance incentive recorded in the 2009 period as the result of the savings achieved in the Metro-North region.
 
    Managed Care Membership. Fully insured Commercial membership was 484,163, up 0.7% from last year. Medicare membership declined 8.7%, to 63,553, mostly in the dual-eligible product. Medicaid fully insured membership was 340,453 at the end of 2009.
 
    Consolidated Loss Ratio Fell By 500 Basis Points. Consolidated claims incurred were $324.6 million, 19.8% below a year ago, principally due to the termination of the Medicaid contracts. The lower consolidated loss ratio reflects the lost Medicaid business, which had an MLR of 97.2% in 2009.
 
    Managed Care MLR Declined By 470 Basis Points, to 84.0%. Excluding the effect of the lost Medicaid contracts, the ratio increased 100 basis points, reflecting a higher Medicare Advantage MLR offset by a 40-basis-point reduction in the Commercial MLR.
 
    Consolidated Operating Expense Ratio Was 18.7%. The consolidated operating expense ratio rose 440 basis points from the prior year mainly due to the termination of the Medicaid contracts. Consolidated operating expenses increased by $6.0 million, or 8.4%, from a year ago, primarily attributable to increased IT costs related to our new managed care electronic data processing system, higher intangible asset amortization, and marketing and advertising expenses.
 
    Consolidated Operating Income Declined 36.5%, to $21.7 Million. The decrease reflects the termination of the Medicaid contracts, higher consolidated operating expenses and a higher performance incentive recorded in the 2009 period.
 
    Consolidated Operating Income Margin Was 5.1%. The consolidated operating margin narrowed by 160 basis points year over year due to lower revenue and increased operating expenses.
 
    Parent Company Information. As of December 31, 2010, Triple-S Management had $62.8 million in parent company cash, cash equivalents, and investments.
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    Pro Forma Net Income
    Three months ended   Year ended
(Unaudited)   December 31,   December 31,
(dollar amounts in millions)   2010   2009   2010   2009
 
Pro forma net income:
                               
Net income
  $ 20.0     $ 28.1     $ 66.8     $ 68.8  
Net realized investment gains, net of tax
    (2.3 )     (1.5 )     (2.2 )     (0.5 )
Net unrealized trading investments gains, net of tax
    (4.1 )     (2.1 )     (4.6 )     (8.9 )
Derivative loss (gain), net of tax
    (0.1 )     (0.1 )     0.8        
 
Pro forma net income
  $ 13.5     $ 24.4     $ 60.8     $ 59.4  
 
 
Diluted pro forma net income per share
  $ 0.47     $ 0.83     $ 2.08     $ 2.01  
 
Year-End Recap
For the year ended December 31, 2010, consolidated operating revenues rose 1.0%, to $1.99 billion, primarily reflecting growth in the Managed Care segment. Consolidated claims incurred were $1.60 billion, down 0.6% year over year. The consolidated loss ratio and MLR for the year ended December 31, 2010 decreased 190 basis points and 180 basis points, respectively. Accounting for reserve developments, loss adjustment expenses associated with exiting the Medicaid business, and premium adjustments, the MLR decreased 100 basis points. The MLR improvement in the year is mostly the result of the new risk-sharing agreement with our providers in the Medicare Advantage dual eligible product and lower Commercial utilization trends. Consolidated operating expenses for the twelve months ended December 31, 2010, were $305.0 million and the operating expense ratio was 15.7%. Pro forma net income for the year ended December 31, 2010, was $60.8 million, or $2.08 per diluted share, based on weighted average shares outstanding of 29.2 million, compared with $59.4 million, or $2.01 per diluted share, based on weighted average shares outstanding of 29.6 million at the same time last year.
Segment Performance
Triple-S Management operates in three segments: 1) Managed Care, 2) Life Insurance, and 3) Property and Casualty Insurance. Management evaluates performance based primarily on the operating revenues and operating income of each segment. Operating revenues include premiums earned, net administrative service fees and net investment income. Operating costs include claims incurred and operating expenses. The Company calculates operating income or loss as operating revenues minus operating expenses. Operating margin is defined as operating gain or loss divided by operating revenues.
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    Three months ended    
    December 31,   Year ended December 31,
(Unaudited)                   Percentage                   Percentage
(dollar amounts in millions)   2010   2009   Change   2010   2009   Change
 
Premiums earned, net:
                                               
Managed Care:
                                               
Commercial
  $ 232.1     $ 221.9       4.6 %   $ 947.1     $ 822.1       15.2 %
Medicaid
    11.7       90.4       (87.1 %)     284.8       348.1       (18.2 %)
Medicare
    113.7       118.3       (3.9 %)     468.4       506.9       (7.6 %)
 
Total managed care
    357.5       430.6       (17.0 %)     1,700.3       1,677.1       1.4 %
 
Life Insurance
    27.1       25.6       5.9 %     105.8       100.1       5.7 %
Property and Casualty
    24.0       23.2       3.4 %     99.2       96.2       3.1 %
Other
    (1.0 )     (1.1 )     (9.1 %)     (4.2 )     (4.3 )     (2.3 %)
 
Total premiums earned
  $ 407.6     $ 478.3       (14.8 %)   $ 1,901.1     $ 1,869.1       1.7 %
 
 
                                               
Operating revenues:
                                               
Managed Care
  $ 368.2     $ 455.6       (19.2 %)   $ 1,763.3     $ 1,750.0       0.8 %
Life Insurance
    31.3       29.9       4.7 %     122.9       116.9       5.1 %
Property and Casualty
    25.9       26.1       (0.8 %)     109.3       107.9       1.3 %
Other
    (1.8 )     (1.4 )     28.6 %     (5.7 )     (5.0 )     14.0 %
 
Total operating revenues
  $ 423.6     $ 510.2       (17.0 %)   $ 1,989.8     $ 1,969.8       1.0 %
 
 
                                               
Operating income:
                                               
Managed Care
  $ 16.3     $ 25.1       (35.1 %)   $ 63.8     $ 57.2       11.5 %
Life Insurance
    4.3       3.6       19.4 %     17.3       14.6       18.5 %
Property and Casualty
    0.3       4.4       (93.2 %)     3.6       8.8       (59.1 %)
Other
    0.8       1.1       (27.3 %)     3.3       4.0       (17.5 %)
 
Total operating income
  $ 21.7     $ 34.2       (36.5 %)   $ 88.0     $ 84.6       4.0 %
 
 
                                               
Operating margin:
                                               
Managed Care
    4.4 %     5.5 %     -110  bp     3.6 %     3.3 %     30  bp
Life Insurance
    13.7 %     12.0 %     170  bp     14.1 %     12.5 %     160  bp
Property and Casualty
    1.2 %     16.9 %     -1570  bp     3.3 %     8.2 %     -490  bp
Consolidated
    5.1 %     6.7 %     -160  bp     4.4 %     4.3 %     10  bp
 
                                               
Depreciation and amortization expense
  $ 3.8     $ 3.3       15.2 %   $ 14.4     $ 9.6       50.0 %
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    Three months ended   Year ended
    December 31,   December 31,
Managed Care Additional Data   2010   2009   2010   2009
(dollar amounts in millions)                                
Member months enrollment
                               
Commercial:
                               
Fully-insured
    1,461,006       1,443,808       5,982,094       5,421,586  
Self-funded
    726,747       771,039       2,966,291       2,726,036  
Total Commercial
    2,187,753       2,214,847       8,948,385       8,147,622  
 
                               
Medicaid:
                               
Fully-insured
    0       1,018,532       3,078,288       4,016,332  
Self-funded
    0       597,576       1,782,426       2,321,144  
Total Medicaid
    0       1,616,108       4,860,714       6,337,476  
 
                               
Medicare:
                               
Medicare Advantage
    163,628       177,227       670,250       742,666  
Stand-alone PDP
    27,902       29,399       112,297       117,700  
Total Medicare
    191,530       206,626       782,547       860,366  
 
Total member months
    2,379,283       4,037,581       14,591,646       15,345,464  
 
                               
Claim liabilities
  $ 236.2     $ 236.4                  
 
                               
Days claim payable
                    58       57  
 
                               
Premium PMPM:
                               
Managed care
  $ 216.35     $ 161.32     $ 172.74     $ 162.85  
Commercial
  $ 158.83     $ 153.67     $ 158.31     $ 151.64  
Medicaid
        $ 88.74     $ 92.52     $ 86.67  
Medicare
  $ 593.89     $ 572.46     $ 598.56     $ 589.09  
 
                               
Consolidated loss ratio
    79.6 %     84.6 %     84.0 %     85.9 %
 
                               
Medical loss ratio
    84.0 %     88.7 %     88.1 %     89.9 %
Commercial
    88.7 %     89.1 %     89.7 %     90.4 %
Medicaid
          97.2 %     89.5 %     91.8 %
Medicare Advantage
    85.6 %     81.7 %     84.3 %     88.0 %
Medicare Part D
    59.6 %     68.4 %     71.7 %     85.4 %
 
                               
Adjusted Medical Loss Ratio
    87.1 %     89.2 %     88.1 %     89.1 %
Commercial
    87.5 %     89.8 %     89.3 %     90.3 %
Medicaid
          93.8 %     92.3 %     91.0 %
Medicare Advantage
    84.8 %     84.8 %     83.7 %     86.0 %
Medicare Part D
    60.5 %     72.4 %     71.2 %     86.9 %
 
                               
Consolidated operating expense ratio
    18.7 %     14.3 %     15.7 %     14.6 %
 
                               
Managed Care Operating expense ratio
    14.2 %     10.8 %     11.6 %     10.7 %
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Managed Care   As of December 31,
Membership by Segment   2010   2009
 
Members:
               
Commercial:
               
Fully-insured
    484,163       480,671  
Self-insured
    241,165       256,615  
 
               
Total Commercial
    725,328       737,286  
 
               
 
               
Medicare:
               
Medicare Advantage
    54,276       59,825  
PDP
    9,277       9,780  
 
               
Total Medicare
    63,553       69,605  
 
               
 
               
Medicaid:
               
Fully-insured
          340,453  
Self-insured
          199,689  
 
               
Total Medicaid
          540,142  
 
               
 
               
Total members
    788,881       1,347,033  
 
               
2011 Guidance
Ruiz-Comas said, “Entering 2011, we have remained focused on driving organic growth with new marketing initiatives and our expanded agent network, as well as reducing our MLR, which will further boost margins. Our guidance for this year includes the recent acquisition of American Health.”
         
    2011 Range  
Medical enrollment fully-insured (member months)
  7.1-7.3 million
Medical enrollment self-insured (member months)
  2.5-2.6 million
Consolidated operating revenues (in billions)
  $ 2.0-$2.2  
Consolidated loss ratio
    83.0%-84.0%
Medical loss ratio
    87.0%-88.0%
Consolidated operating expense ratio
    15.3%-15.8%
Consolidated operating income (in millions)
  $ 89.0-$95.0  
Consolidated effective tax rate
    21.5%-23.5%
Pro forma earnings per share
  $ 2.13-$2.23  
Weighted average of diluted shares outstanding (in millions)
    29.1  
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Conference Call and Webcast
Management will host a conference call and webcast Wednesday, February 9 at 9:00 a.m. Eastern Time to discuss its financial results for the fourth quarter and year ended December 31, 2010, as well as expectations for future earnings. To participate, callers within the U.S. and Canada should dial 1-877-941-2928, and international callers should dial 1-480-629-9725 about five minutes before the presentation.
To listen to the webcast, participants should visit the “Investor Relations” section of the Company’s Web site at www.triplesmanagement.com several minutes before the event is broadcast and follow the instructions provided to ensure they have the necessary audio application downloaded and installed. This program is provided at no charge to the user. An archived version of the call, also located on the “Investor Relations” section of Triple-S Management’s Web site, will be available about two hours after the call ends and for at least the following two weeks. This news release, along with other information relating to the call, will be available on the “Investor Relations” section of the Web site.
About Triple-S Management Corporation
Triple-S Management Corporation is an independent licensee of the Blue Cross Blue Shield Association. It is one of the leading players in the managed care industry in Puerto Rico. Triple-S Management also has the exclusive right to use the Blue Cross Blue Shield name and mark throughout Puerto Rico and the U.S. Virgin Islands. With more than 50 years of experience in the industry, Triple-S Management offers a broad portfolio of managed care and related products in the Commercial and Medicare Advantage markets under the Blue Cross Blue Shield brand through its subsidiary Triple-S Salud, Inc. and effective February 2011, also offer non-branded Medicare products through American Health Inc. In addition to its managed care business, Triple-S Management provides non-Blue Cross Blue Shield branded life and property and casualty insurance in Puerto Rico.
For more information about Triple-S Management, visit www.triplesmanagement.com or contact kwaller@allwayscommunicate.com.
Forward-Looking Statements
This document contains forward-looking statements, as defined in the Private Securities Litigation Reform Act of 1995. Forward-looking statements include information about possible or assumed future sales, results of operations, developments, regulatory approvals or other circumstances. Sentences that include “believe”, “expect”, “plan”, “intend”, “estimate”, “anticipate”, “project”, “may”, “will”, “shall”, “should” and similar expressions, whether in the positive or negative, are intended to identify forward-looking statements.
All forward-looking statements in this news release reflect management’s current views about future events and are based on assumptions and subject to risks and uncertainties. Consequently, actual results may differ materially from those expressed here as a result of various factors, including all the risks discussed and identified in public filings with the U.S. Securities and Exchange Commission (SEC).
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In addition, the Company operates in a highly competitive, constantly changing environment, influenced by very large organizations that have resulted from business combinations, aggressive marketing and pricing practices of competitors, and regulatory oversight. The following factors, if markedly different from the Company’s planning assumptions (either individually or in combination), could cause Triple-S Management’s results to differ materially from those expressed in any forward-looking statements shared here:
  Trends in health care costs and utilization rates
 
  Ability to secure sufficient premium rate increases
 
  Competitor pricing below market trends of increasing costs
 
  Re-estimates of policy and contract liabilities
 
  Changes in government laws and regulations of managed care, life insurance or property and casualty insurance
 
  Significant acquisitions or divestitures by major competitors
 
  Introduction and use of new prescription drugs and technologies
 
  A downgrade in the Company’s financial strength ratings
 
  Litigation or legislation targeted at managed care, life insurance or property and casualty insurance companies
 
  Ability to contract with providers consistent with past practice
 
  Ability to successfully implement the Company’s disease management and utilization management programs
 
  Volatility in the securities markets and investment losses and defaults
 
  General economic downturns, major disasters, and epidemics
This list is not exhaustive. Management believes the forward-looking statements in this release are reasonable. However, there is no assurance that the actions, events or results anticipated by the forward-looking statements will occur or, if any of them do, what impact they will have on the Company’s results of operations or financial condition. In view of these uncertainties, investors should not place undue reliance on any forward-looking statements, which are based on current expectations. In addition, forward-looking statements are based on information available the day they are made, and (other than as required by applicable law, including the securities laws of the United States) the Company does not intend to update or revise any of them in light of new information or future events.
Readers are advised to carefully review and consider the various disclosures in the Company’s SEC reports.
-FINANCIAL TABLES ATTACHED-
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Condensed Consolidated Balance Sheets
(Dollar amounts in thousands, except per share data)
                 
    Unaudited        
    December 31,     December 31,  
    2010     2009  
Assets
               
 
               
Investments
  $ 1,105,926     $ 1,049,309  
Cash and cash equivalents
    45,021       40,376  
Premium and other receivables, net
    325,780       272,932  
Deferred policy acquisition costs and value of business acquired
    146,086       139,917  
Property and equipment, net
    76,745       68,803  
Other assets
    60,121       77,367  
 
           
 
               
Total assets
  $ 1,759,679     $ 1,648,704  
 
           
 
               
Liabilities and Stockholders’ Equity
               
 
               
Policy liabilities and accruals
  $ 760,028     $ 738,970  
Accounts payable and accrued liabilities
    241,352       204,295  
Long-term borrowings
    141,027       167,667  
 
           
 
               
Total liabilities
    1,142,407       1,110,932  
 
           
 
               
Stockholders’ equity:
               
Common stock
    28,816       29,153  
Other stockholders equity
    588,456       508,619  
 
           
 
               
Total stockholders’ equity
    617,272       537,772  
 
           
 
               
Total liabilities and stockholders’ equity
  $ 1,759,679     $ 1,648,704  
 
           
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Condensed Consolidated Statements of Earnings
(Dollar amounts in thousands, except per share data)
                                 
    For the Three Months Ended     For the Year Ended  
    December 31,     December 31,  
    Unaudited     Historical     Unaudited     Historical  
    2010     2009     2010     2009  
Revenues:
                               
Premiums earned, net
  $ 407,651     $ 478,306     $ 1,901,100     $ 1,869,086  
Administrative service fees
    4,687       18,661       39,546       48,643  
Net investment income
    11,257       13,280       49,145       52,136  
 
                       
 
                               
Total operating revenues
    423,595       510,247       1,989,791       1,969,865  
 
                               
Net realized investment gains (losses):
                               
Total other-than-temporary impairment losses on securities
    (64 )     (1,165 )     (2,997 )     (7,118 )
Net realized gains, excluding other-than-temporary impairment losses on securities
    2,855       2,981       5,529       7,732  
 
                       
 
                               
Total net realized investment gains
    2,791       1,816       2,532       614  
 
                       
 
                               
Net unrealized investment gain on trading securities
    4,802       2,461       5,433       10,497  
Other income, net
    485       845       889       1,237  
 
                       
 
                               
Total revenues
    431,673       515,369       1,998,645       1,982,213  
 
                       
 
                               
Benefits and expenses:
                               
Claims incurred
    324,609       404,724       1,596,789       1,605,874  
Operating expenses
    77,293       71,358       304,995       279,418  
 
                       
 
                               
Total operating costs
    401,902       476,082       1,901,784       1,885,292  
 
                               
Interest expense
    3,032       3,311       12,658       13,270  
 
                       
 
                               
Total benefits and expenses
    404,934       479,393       1,914,442       1,898,562  
 
                       
 
                               
Income before taxes
    26,739       35,976       84,203       83,651  
 
                       
 
                               
Income tax expense
    6,675       7,872       17,402       14,871  
 
                       
 
                               
Net income
  $ 20,064     $ 28,104     $ 66,801     $ 68,780  
 
                       
 
                               
Basic net income per share
  $ 0.69     $ 0.96     $ 2.30     $ 2.33  
 
                               
Diluted earnings per share
  $ 0.69     $ 0.96     $ 2.28     $ 2.33  
MORE

 


 

Triple-S Management Corporation
Add 10
Condensed Consolidated Statements of Cash Flows
(Dollar amounts in thousands, except per share data)
                 
    For the Year Ended  
    December 31,  
    Unaudited     Historical  
    2010     2009  
Net cash provided by operating activities
  $ 37,063     $ 72,585  
 
           
 
               
Cash flows from investing activities:
               
Proceeds from investments sold or matured:
               
Securities available for sale:
               
Fixed maturities sold
    121,968       241,368  
Fixed maturities matured
    175,483       189,144  
Equity securities
    41,802       9,877  
Securities held to maturity:
               
Fixed maturities matured
    2,587       7,819  
Acquisition of investments:
               
Securities available for sale:
               
Fixed maturities
    (337,569 )     (459,705 )
Equity securities
    (26,957 )     (3,684 )
Fixed maturity securities held to maturity
    (1,050 )     (1,502 )
Net inflows / (outflows) for policy loans
    53       (489 )
Net capital expenditures
    (19,222 )     (18,706 )
 
           
 
               
Net cash used in investing activities
    (42,905 )     (35,878 )
 
           
 
               
Cash flows from financing activities:
               
Change in outstanding checks in excess of bank balances
    281       (5,645 )
Proceeds from short-term borrowings, net
    40,575        
Repayments of long-term borrowings
    (26,367 )     (1,640 )
Repurchase and retirement of common stock
    (5,642 )     (32,355 )
Proceeds from policyholder deposits
    10,691       4,307  
Surrenders of policyholder deposits
    (9,051 )     (7,093 )
 
           
 
               
Net cash provided by / (used in) financing activities
    10,487       (42,426 )
 
           
 
               
Net increase / (decrease) in cash and cash equivalents
    4,645       (5,719 )
 
               
Cash and cash equivalents, beginning of period
    40,376       46,095  
 
           
 
               
Cash and cash equivalents, end of period
  $ 45,021     $ 40,376  
 
           
###