SAN JUAN, Puerto Rico, Nov. 7, 2019 /PRNewswire/ -- Triple-S Management Corporation (NYSE: GTS), a leading managed care company in Puerto Rico, today announced its third quarter 2019 results.
Quarterly Consolidated and Other Highlights
"We had a solid third quarter, mainly driven by year-over-year growth in Medicare premiums and valuable bottom line contributions from our Life and P&C segments," said Roberto Garcia-Rodriguez, President and Chief Executive Officer. "We've continued strengthening our product offerings, improving the overall quality of service, and advancing our goal of creating a unique and optimal member experience."
"With respect to our P&C segment, our quarterly review of outstanding claims reaffirms our belief that our reserves remain adequate as of September 30, 2019," added Mr. Garcia-Rodriguez. "Given our confidence in the Company's long-term strategy and our belief that its stock is undervalued, our Board has expanded our share repurchase program's availability to $25 million. We anticipate commencing repurchases under the program during the week of November 11, 2019."
Selected Consolidated Quarterly Details
Selected Managed Care Segment Quarterly Details
Update on P&C Segment Reserves related to Hurricane María
As of September 30, 2019:
Results of Internal Investigation Related to Vital RFP
As previously disclosed in an 8-K filed with the Securities and Exchange Commission on July 30, 2019, the Company's audit committee of independent directors engaged outside counsel to conduct a proactive investigation into the Company's participation in the Vital RFP process. That investigation is substantially complete and has not uncovered any evidence of attempts by the Company to improperly influence the outcome of the Vital RFP process.
2019 Outlook
The Company is raising its full year 2019 guidance for adjusted net income per diluted share and reducing its guidance for operating expense ratio. It is maintaining its full year 2019 guidance for its consolidated operating income revenue, Managed Care premiums, consolidated claims incurred ratio and Managed Care MLR ratio. More specifically:
Conference Call and Webcast
Management will host a conference call and webcast today at 8:30 a.m. Eastern Time to discuss its financial results for the three months ended September 30, 2019. To participate, callers within the U.S. and Canada should dial 1-877-451-6152 and international callers should dial 1-201-389-0879 at least five minutes before the call.
To listen to the webcast, participants should visit the "Investor Relations" section of the Company's website 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 website, 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 website.
In addition, a replay will be available through November 21, 2019 by calling 1-844-512-2921 or 1-412-317-6671 and entering passcode 13695866. A replay will also be available at www.triplesmanagement.com for 30 days.
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 has the exclusive right to use the Blue Cross Blue Shield name and mark throughout Puerto Rico, the U.S. Virgin Islands, and Costa Rica. With 60 years of experience in the industry, Triple-S Management offers a broad portfolio of managed care and related products in the Commercial, Medicare Advantage, and Medicaid markets under the Blue Cross Blue Shield marks. It also 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 [email protected].
Non-GAAP Financial Measures
This earnings release presents information about the Company's adjusted net income, which is a non-GAAP financial metric provided as a complement to the results provided in accordance with accounting principles generally accepted in the United States of America (GAAP). A reconciliation of adjusted net income to net income, the most comparable GAAP financial measure, is provided in the accompanying tables found at the end of this release.
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).
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:
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.
Earnings Release Schedules and Supplemental Information
Condensed Consolidated Balance Sheets................................................................................. Exhibit I | |
Condensed Consolidated Statements of Earnings..................................................................... Exhibit II | |
Condensed Consolidated Statements of Cash Flows................................................................ Exhibit III | |
Segment Performance Supplemental Information..................................................................... Exhibit IV | |
Reconciliation of Non-GAAP Financial Measures...................................................................... Exhibit V |
Exhibit I
Condensed Consolidated Balance Sheets | |||||||||||
(dollar amounts in thousands) | |||||||||||
Unaudited | |||||||||||
September 30, | December 31, | ||||||||||
Assets | |||||||||||
Investments | $ | 1,645,703 | $ | 1,564,542 | |||||||
Cash and cash equivalents | 98,932 | 117,544 | |||||||||
Premium and other receivables, net | 608,305 | 628,444 | |||||||||
Deferred policy acquisition costs and value of business acquired | 232,948 | 215,159 | |||||||||
Property and equipment, net | 86,299 | 81,923 | |||||||||
Other assets | 158,179 | 152,636 | |||||||||
Total assets | $ | 2,830,366 | $ | 2,760,248 | |||||||
Liabilities and Stockholders' Equity | |||||||||||
Policy liabilities and accruals | $ | 1,493,612 | $ | 1,600,310 | |||||||
Accounts payable and accrued liabilities | 361,571 | 309,747 | |||||||||
Long-term borrowings | 26,492 | 28,883 | |||||||||
Total liabilities | 1,881,675 | 1,938,940 | |||||||||
Stockholders' equity: | |||||||||||
Common stock | 24,333 | 22,931 | |||||||||
Other stockholders' equity | 925,044 | 799,053 | |||||||||
Total Triple-S Management Corporation stockholders' equity | 949,377 | 821,984 | |||||||||
Non-controlling interest in consolidated subsidiary | (686) | (676) | |||||||||
Total stockholders' equity | 948,691 | 821,308 | |||||||||
Total liabilities and stockholders' equity | $ | 2,830,366 | $ | 2,760,248 |
Exhibit II
Condensed Consolidated Statements of Earnings | ||||||||||||||||||
(dollar amounts in thousands, except per share data) | ||||||||||||||||||
Unaudited | ||||||||||||||||||
For the Three Months Ended | For the Nine Months Ended | |||||||||||||||||
September 30, | September 30, | |||||||||||||||||
2019 | 2018 | 2019 | 2018 | |||||||||||||||
Revenues: | ||||||||||||||||||
Premiums earned, net | $ | 815,021 | $ | 742,445 | $ | 2,442,516 | $ | 2,236,249 | ||||||||||
Administrative service fees | 2,607 | 3,802 | 7,695 | 11,216 | ||||||||||||||
Net investment income | 15,176 | 16,168 | 45,614 | 45,630 | ||||||||||||||
Other operating revenues | 3,167 | 1,575 | 6,335 | 4,234 | ||||||||||||||
Total operating revenues | 835,971 | 763,990 | 2,502,160 | 2,297,329 | ||||||||||||||
Net realized investment gains (losses) on sale of securities | 1,087 | (956) | 4,766 | 1,065 | ||||||||||||||
Net unrealized investment gains (losses) on equity investments | 1,267 | 5,632 | 24,259 | (11,343) | ||||||||||||||
Other income, net | 485 | 1,943 | 3,359 | 3,600 | ||||||||||||||
Total revenues | 838,810 | 770,609 | 2,534,544 | 2,290,651 | ||||||||||||||
Benefits and expenses: | ||||||||||||||||||
Claims incurred | 680,010 | 648,580 | 2,009,504 | 1,959,707 | ||||||||||||||
Operating expenses | 136,882 | 141,026 | 403,629 | 408,772 | ||||||||||||||
Total operating costs | 816,892 | 789,606 | 2,413,133 | 2,368,479 | ||||||||||||||
Interest expense | 2,062 | 2,000 | 5,681 | 5,515 | ||||||||||||||
Total benefits and expenses | 818,954 | 791,606 | 2,418,814 | 2,373,994 | ||||||||||||||
Income (loss) before taxes | 19,856 | (20,997) | 115,730 | (83,343) | ||||||||||||||
Income tax expense (benefit) | 5,910 | (3,430) | 36,075 | (30,944) | ||||||||||||||
Net income (loss) | 13,946 | (17,567) | 79,655 | (52,399) | ||||||||||||||
Net (loss) income attributable to the non-controlling interest | (2) | - | (10) | 1 | ||||||||||||||
Net income (loss) attributable to Triple-S Management Corporation | $ | 13,948 | $ | (17,567) | $ | 79,665 | $ | (52,400) | ||||||||||
Earnings per share attributable to Triple-S Management Corporation: | ||||||||||||||||||
Basic net income (loss) per share | $ | 0.59 | $ | (0.77) | $ | 3.44 | $ | (2.27) | ||||||||||
Diluted net income (loss) per share | $ | 0.58 | $ | (0.77) | $ | 3.43 | $ | (2.27) | ||||||||||
Weighted average of common shares | 23,830,106 | 22,895,582 | 23,143,361 | 23,058,754 | ||||||||||||||
Diluted weighted average of common shares | 23,893,807 | 22,895,582 | 23,217,298 | 23,058,754 |
Exhibit III
Condensed Consolidated Statements of Cash Flows | |||||||||||
(dollar amounts in thousands) | |||||||||||
Unaudited | |||||||||||
For the Nine Months Ended | |||||||||||
September 30, | |||||||||||
2019 | 2018 | ||||||||||
Net cash used in operating activities | $ | (3,455) | $ | (3,928) | |||||||
Cash flows from investing activities: | |||||||||||
Proceeds from investments sold or matured: | |||||||||||
Securities available for sale: | |||||||||||
Fixed maturities sold | 365,383 | 1,042,720 | |||||||||
Fixed maturities matured/called | 19,017 | 18,133 | |||||||||
Securities held to maturity - fixed maturities matured/called | 1,378 | 2,066 | |||||||||
Equity investments sold | 126,134 | 150,024 | |||||||||
Other invested assets sold | 3,379 | 2,040 | |||||||||
Acquisition of investments: | |||||||||||
Securities available for sale - fixed maturities | (397,956) | (1,113,587) | |||||||||
Securities held to maturity - fixed maturities | (748) | (2,238) | |||||||||
Equity investments | (88,945) | (113,108) | |||||||||
Other invested assets | (24,233) | (38,501) | |||||||||
Increase in other investments | (2,710) | (144) | |||||||||
Net change in policy loans | (1,097) | (603) | |||||||||
Net capital expenditures | (14,746) | (12,315) | |||||||||
Net cash used in investing activities | (15,144) | (65,513) | |||||||||
Cash flows from financing activities: | |||||||||||
Change in outstanding checks in excess of bank balances | 3,808 | 9,104 | |||||||||
Repayments of long-term borrowings | (2,425) | (2,427) | |||||||||
Repurchase and retirement of common stock | (1) | (22,390) | |||||||||
Proceeds from policyholder deposits | 15,060 | 14,726 | |||||||||
Surrender of policyholder deposits | (16,455) | (21,422) | |||||||||
Net cash used in financing activities | (13) | (22,409) | |||||||||
Net decrease in cash and cash equivalents | (18,612) | (91,850) | |||||||||
Cash and cash equivalents, beginning of period | 117,544 | 198,941 | |||||||||
Cash and cash equivalents, end of period | $ | 98,932 | $ | 107,091 |
Exhibit IV
Segment Performance Supplemental Information
(Unaudited) | Three months ended September 30, | Nine months ended September 30, | ||||||||||
(dollar amounts in millions) | 2019 | 2018 | Percentage | 2019 | 2018 | Percentage | ||||||
Premiums earned, net: | ||||||||||||
Managed Care: | ||||||||||||
Commercial | $ 203.1 | $ 197.3 | 2.9% | $ 602.4 | $ 590.8 | 2.0% | ||||||
Medicare | 367.1 | 283.6 | 29.4% | 1,065.7 | 851.3 | 25.2% | ||||||
Medicaid | 176.3 | 199.8 | (11.8%) | 577.7 | 603.9 | (4.3%) | ||||||
Total Managed Care | 746.5 | 680.7 | 9.7% | 2,245.8 | 2,046.0 | 9.8% | ||||||
Life Insurance | 45.8 | 42.3 | 8.3% | 135.1 | 125.1 | 8.0% | ||||||
Property and Casualty | 23.7 | 20.2 | 17.3% | 64.9 | 67.1 | (3.3%) | ||||||
Other | (1.0) | (0.8) | 25.0% | (3.3) | (1.9) | 73.7% | ||||||
Consolidated premiums earned, net | $ 815.0 | $ 742.4 | 9.8% | $ 2,442.5 | $ 2,236.3 | 9.2% | ||||||
Operating revenues (loss): 1 | ||||||||||||
Managed Care | $ 755.8 | $ 692.4 | 9.2% | $ 2,273.7 | $ 2,077.8 | 9.4% | ||||||
Life Insurance | 52.5 | 48.7 | 7.8% | 155.1 | 144.2 | 7.6% | ||||||
Property and Casualty | 26.2 | 22.7 | 15.4% | 72.3 | 74.8 | (3.3%) | ||||||
Other | 1.4 | 0.2 | 600.0% | 1.0 | 0.5 | 100.0% | ||||||
Consolidated operating revenues | $ 835.9 | $ 764.0 | 9.4% | $ 2,502.1 | $ 2,297.3 | 8.9% | ||||||
Operating income (loss): 2 | ||||||||||||
Managed Care | $ 5.4 | $ 14.2 | (62.0%) | $ 56.8 | $ 26.3 | 116.0% | ||||||
Life Insurance | 6.6 | 5.7 | 15.8% | 17.5 | 14.6 | 19.9% | ||||||
Property and Casualty | 6.6 | (46.9) | 114.1% | 14.9 | (114.8) | 113.0% | ||||||
Other | 0.4 | 1.4 | (71.4%) | (0.2) | 2.7 | (107.4%) | ||||||
Consolidated operating income (loss) | $ 19.0 | $ (25.6) | 174.2% | $ 89.0 | $ (71.2) | 225.0% | ||||||
Operating margin: 3 | ||||||||||||
Managed Care | 0.7% | 2.1% | -140 bp | 2.5% | 1.3% | 120 bp | ||||||
Life Insurance | 12.6% | 11.7% | 90 bp | 11.3% | 10.1% | 120 bp | ||||||
Property and Casualty | 25.2% | (206.6%) | 23,180 bp | 20.6% | (153.5%) | 17,410 bp | ||||||
Consolidated | 2.3% | (3.4%) | 570 bp | 3.6% | (3.1%) | 670 bp | ||||||
Depreciation and amortization expense | $ 3.7 | $ 3.0 | 23.3% | $ 10.7 | $ 9.9 | 8.1% |
1 Operating revenues include premiums earned, net, administrative service fees and net investment income. |
2 Operating income or loss include operating revenues minus operating costs. Operating costs include claims incurred and operating expenses. |
3 Operating margin is defined as operating income or loss divided by operating revenues. |
Managed Care Additional Data | Three months ended | Nine months ended | ||||||||||||||||
(Unaudited) | 2019 | 2018 | 2019 | 2018 | ||||||||||||||
Member months enrollment: | ||||||||||||||||||
Commercial: | ||||||||||||||||||
Fully-insured | 964,321 | 939,110 | 2,872,836 | 2,840,884 | ||||||||||||||
Self-insured | 356,059 | 427,791 | 1,072,510 | 1,317,244 | ||||||||||||||
Total Commercial | 1,320,380 | 1,366,901 | 3,945,346 | 4,158,128 | ||||||||||||||
Medicare Advantage | 386,995 | 334,836 | 1,156,438 | 1,008,063 | ||||||||||||||
Medicaid | 1,065,885 | 1,191,681 | 3,187,753 | 3,564,769 | ||||||||||||||
Total member months | 2,773,260 | 2,893,418 | 8,289,537 | 8,730,960 | ||||||||||||||
Claim liabilities (in millions) | $ | 390.3 | $ | 413.3 | ||||||||||||||
Days claim payable | 56 | 65 | ||||||||||||||||
Premium PMPM: | ||||||||||||||||||
Managed Care | $ | 308.83 | $ | 276.08 | $ | 311.18 | $ | 275.97 | ||||||||||
Commercial | 210.61 | 210.09 | 209.69 | 207.96 | ||||||||||||||
Medicare Advantage | 948.59 | 846.98 | 921.54 | 844.49 | ||||||||||||||
Medicaid | 165.40 | 167.66 | 181.22 | 169.41 | ||||||||||||||
Medical loss ratio: | 86.4 | % | 83.2 | % | 84.9 | % | 84.7 | % | ||||||||||
Commercial | 84.7 | % | 84.5 | % | 82.8 | % | 82.0 | % | ||||||||||
Medicare Advantage | 81.1 | % | 80.3 | % | 81.4 | % | 84.4 | % | ||||||||||
Medicaid | 99.6 | % | 85.9 | % | 93.4 | % | 87.9 | % | ||||||||||
Adjusted medical loss ratio: 1 | 86.5 | % | 82.8 | % | 85.8 | % | 83.9 | % | ||||||||||
Commercial | 84.5 | % | 82.7 | % | 83.5 | % | 83.2 | % | ||||||||||
Medicare Advantage | 81.7 | % | 79.6 | % | 81.8 | % | 82.3 | % | ||||||||||
Medicaid | 98.1 | % | 87.3 | % | 95.7 | % | 86.9 | % | ||||||||||
Operating expense ratio: | ||||||||||||||||||
Consolidated | 16.7 | % | 18.9 | % | 16.5 | % | 18.2 | % | ||||||||||
Managed Care | 14.0 | % | 16.3 | % | 13.8 | % | 15.4 | % |
1 The adjusted medical loss ratio accounts for subsequent adjustments to estimates, such as prior-period reserve developments and Medicare premium adjustments, and presents them in their corresponding period. |
Managed Care Membership by Segment | As of September 30, | ||||||
2019 | 2018 | ||||||
Members: | |||||||
Commercial: | |||||||
Fully-insured | 322,992 | 313,729 | |||||
Self-insured | 119,077 | 140,094 | |||||
Total Commercial | 442,069 | 453,823 | |||||
Medicare Advantage | 128,660 | 111,389 | |||||
Medicaid | 354,230 | 394,149 | |||||
Total members | 924,959 | 959,361 |
Exhibit V
Reconciliation of Non-GAAP Financial Measures
Adjusted Net Income (Loss) | ||||||||||||||||
(Unaudited) | Three months ended | Nine months ended | ||||||||||||||
(dollar amounts in millions) | 2019 | 2018 | 2019 | 2018 | ||||||||||||
Net income (loss) | $ | 13.9 | $ | (17.6) | $ | 79.7 | $ | (52.4) | ||||||||
Less adjustments: | ||||||||||||||||
Net realized investment gains (losses), net of tax | 0.9 | (0.8) | 3.8 | 0.8 | ||||||||||||
Unrealized gains (losses) on equity investments | 1.0 | 4.5 | 19.4 | (9.1) | ||||||||||||
Private equity investment income (loss), net of tax | (0.1) | 0.9 | 1.0 | 1.3 | ||||||||||||
Adjusted net income (loss) | $ | 12.1 | $ | (22.2) | $ | 55.6 | $ | (45.4) | ||||||||
Diluted adjusted net income (loss) per share | $ | 0.51 | $ | (0.97) | $ | 2.39 | $ | (1.96) | ||||||||
Adjusted Net Income (Loss) and Operating Income | ||||||||||||||||
(Unaudited) | Three months ended | Nine months ended | ||||||||||||||
(dollar amounts in millions) | 2019 | 2018 | 2019 | 2018 | ||||||||||||
Adjusted net income (loss) | $ | 12.1 | $ | (22.2) | $ | 55.6 | $ | (45.4) | ||||||||
Less unfavorable prior period reserve development, net of tax | - | 35.9 | - | 85.4 | ||||||||||||
Adjusted net income excluding P&C unfavorable | ||||||||||||||||
prior period reserve development | $ | 12.1 | $ | 13.7 | $ | 55.6 | $ | 40.0 | ||||||||
Diluted adjusted net income per share excluding | ||||||||||||||||
P&C unfavorable prior period reserve development | $ | 0.51 | $ | 0.60 | $ | 2.39 | $ | 1.73 | ||||||||
Operating income (loss) | $ | 19.0 | $ | (25.6) | $ | 89.0 | $ | (71.2) | ||||||||
Less unfavorable prior period reserve development | - | 52.3 | - | 128.7 | ||||||||||||
Operating income excluding P&C unfavorable | ||||||||||||||||
prior period reserve development | $ | 19.0 | $ | 26.7 | $ | 89.0 | $ | 57.5 |
Adjusted net income is a non-GAAP financial metric and should not be considered a substitute for, or superior to, financial measures calculated in accordance with GAAP. Management believes that the use of this adjusted net income and adjusted net income per share provides investors and management useful information about the earnings impact of realized and unrealized investment gains or losses, as well as other non-recurring items impacting the Company's results of operations. This non-GAAP metric does not consider all of the items associated with the Company's operations as determined in accordance with GAAP. As a result, one should not consider these measures in isolation.
FOR FURTHER INFORMATION: | |
AT THE COMPANY: | INVESTOR RELATIONS: |
Juan José Román-Jiménez | Mr. Garrett Edson |
EVP and Chief Financial Officer | ICR |
(787) 749-4949 | (787) 792-6488 |
SOURCE Triple-S Management Corporation
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