þ
|
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE
|
¨
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934
|
Puerto Rico
|
66-0555678
|
|
(State or other jurisdiction of incorporation or organization)
|
(I.R.S. Employer Identification No.)
|
|
1441 F.D. Roosevelt Avenue
|
||
San Juan, Puerto Rico
|
00920
|
|
(Address of principal executive offices)
|
(Zip code)
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Large accelerated filer ¨
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Accelerated filer þ
|
|
Non-accelerated filer ¨
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Smaller reporting company ¨
|
Title of each class
|
Outstanding at September 30, 2012
|
|
Common Stock Class A, $1.00 par value
|
9,042,809
|
|
Common Stock Class B, $1.00 par value
|
19,417,716
|
Part I – Financial Information |
3
|
Item 1. Financial Statements
|
3
|
36
|
|
36
|
|
36
|
|
37
|
|
38
|
|
38
|
|
39
|
|
41
|
|
44
|
|
48
|
|
49
|
|
Item 4. Controls and Procedures
|
50
|
Part II – Other Information |
51
|
Item 1. Legal Proceedings
|
51
|
Item 1A. Risk Factors
|
51
|
53
|
|
Item 3. Defaults Upon Senior Securities
|
53
|
Item 4. Mine Safety Disclosures
|
53
|
Item 5. Other Information
|
53
|
Item 6. Exhibits
|
53
|
SIGNATURES |
54
|
Triple-S Management Corporation
|
Consolidated Balance Sheets (Unaudited)
|
(Dollar amounts in thousands, except per share data)
|
September 30,
|
December 31,
|
|||||||
2012
|
2011
|
|||||||
Assets
|
||||||||
Investments and cash:
|
||||||||
Securities available for sale, at fair value:
|
||||||||
Fixed maturities
|
$ | 1,106,726 | $ | 988,894 | ||||
Equity securities
|
191,623 | 144,408 | ||||||
Securities held to maturity, at amortized cost:
|
||||||||
Fixed maturities
|
4,128 | 13,684 | ||||||
Policy loans
|
6,223 | 6,307 | ||||||
Cash and cash equivalents
|
68,750 | 71,834 | ||||||
Total investments and cash
|
1,377,450 | 1,225,127 | ||||||
Premiums and other receivables, net
|
283,349 | 287,184 | ||||||
Deferred policy acquisition costs and value of business acquired
|
164,128 | 155,788 | ||||||
Property and equipment, net
|
96,818 | 81,872 | ||||||
Deferred tax asset
|
29,305 | 28,707 | ||||||
Goodwill
|
25,397 | 25,397 | ||||||
Other assets
|
74,691 | 76,502 | ||||||
Total assets
|
$ | 2,051,138 | $ | 1,880,577 | ||||
Liabilities and Stockholders' Equity
|
||||||||
Claim liabilities
|
$ | 428,189 | $ | 391,259 | ||||
Liability for future policy benefits
|
270,556 | 254,194 | ||||||
Unearned premiums
|
94,353 | 94,772 | ||||||
Policyholder deposits
|
106,385 | 76,753 | ||||||
Liability to Federal Employees' Health Benefits Program (FEHBP)
|
16,954 | 19,051 | ||||||
Accounts payable and accrued liabilities
|
167,801 | 151,052 | ||||||
Deferred tax liability
|
31,953 | 24,603 | ||||||
Short-term borrowings
|
11,200 | - | ||||||
Long-term borrowings
|
101,762 | 114,387 | ||||||
Liability for pension benefits
|
69,151 | 77,547 | ||||||
Total liabilities
|
1,298,304 | 1,203,618 | ||||||
Stockholders’ equity:
|
||||||||
Triple-S Management Corporation stockholders' equity
|
||||||||
Common stock Class A, $1 par value. Authorized 100,000,000 shares; issued and outstanding 9,042,809 at September 30, 2012 and December 31, 2011
|
9,043 | 9,043 | ||||||
Common stock Class B, $1 par value. Authorized 100,000,000 shares; issued and outstanding 19,417,716 and 19,321,524 shares at September 30, 2012 and December 31, 2011, respectively
|
19,418 | 19,322 | ||||||
Additional paid-in capital
|
145,493 | 144,302 | ||||||
Retained earnings
|
521,993 | 485,729 | ||||||
Accumulated other comprehensive income
|
56,580 | 18,563 | ||||||
Total Triple-S Management Corporation stockholders' equity
|
752,527 | 676,959 | ||||||
Noncontrolling interest in consolidated subsididary
|
307 | - | ||||||
Total stockholders' equity
|
752,834 | 676,959 | ||||||
Total liabilities and stockholders’ equity
|
$ | 2,051,138 | $ | 1,880,577 |
Triple-S Management Corporation
|
Consolidated Statements of Earnings (Unaudited)
|
(Dollar amounts in thousands, except per share data)
|
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
2012
|
2011
|
2012
|
2011
|
|||||||||||||
Revenues:
|
||||||||||||||||
Premiums earned, net
|
$ | 565,607 | $ | 525,371 | $ | 1,695,157 | $ | 1,520,485 | ||||||||
Administrative service fees
|
27,181 | 5,210 | 82,473 | 18,767 | ||||||||||||
Net investment income
|
11,595 | 12,061 | 34,349 | 36,513 | ||||||||||||
Other operating revenues
|
1,206 | - | 3,358 | - | ||||||||||||
Total operating revenues
|
605,589 | 542,642 | 1,815,337 | 1,575,765 | ||||||||||||
Net realized investment gains
|
21 | 5,569 | 2,157 | 18,457 | ||||||||||||
Net unrealized investment loss on trading securities
|
- | (6,007 | ) | - | (7,267 | ) | ||||||||||
Other income (expense), net
|
598 | (169 | ) | 1,514 | 311 | |||||||||||
Total revenues
|
606,208 | 542,035 | 1,819,008 | 1,587,266 | ||||||||||||
Benefits and expenses:
|
||||||||||||||||
Claims incurred
|
485,495 | 442,399 | 1,457,388 | 1,272,913 | ||||||||||||
Operating expenses
|
104,604 | 83,623 | 309,378 | 252,216 | ||||||||||||
Total operating costs
|
590,099 | 526,022 | 1,766,766 | 1,525,129 | ||||||||||||
Interest expense
|
2,956 | 2,499 | 8,181 | 8,583 | ||||||||||||
Total benefits and expenses
|
593,055 | 528,521 | 1,774,947 | 1,533,712 | ||||||||||||
Income before taxes
|
13,153 | 13,514 | 44,061 | 53,554 | ||||||||||||
Income tax expense (benefit):
|
||||||||||||||||
Current
|
1,344 | 1,161 | 8,116 | 3,155 | ||||||||||||
Deferred
|
126 | 740 | (254 | ) | 11,330 | |||||||||||
Total income taxes
|
1,470 | 1,901 | 7,862 | 14,485 | ||||||||||||
Net income
|
11,683 | 11,613 | 36,199 | 39,069 | ||||||||||||
Less: Net loss attributable to noncontrolling interest
|
32 | - | 65 | - | ||||||||||||
Net income attributable to Triple-S Management Corporation
|
$ | 11,715 | $ | 11,613 | $ | 36,264 | $ | 39,069 | ||||||||
Earnings per share attributable to Triple-S Management Corporation
|
||||||||||||||||
Basic net income per share
|
$ | 0.41 | $ | 0.40 | $ | 1.28 | $ | 1.36 | ||||||||
Diluted net income per share
|
$ | 0.41 | $ | 0.40 | $ | 1.27 | $ | 1.35 |
Triple-S Management Corporation
|
Consolidated Statements of Comprehensive Income (Unaudited)
|
(Dollar amounts in thousands, except per share data)
|
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
2012
|
2011
|
2012
|
2011
|
|||||||||||||
Net income
|
$ | 11,683 | $ | 11,613 | $ | 36,199 | $ | 39,069 | ||||||||
Other comprehensive income (loss), net of tax:
|
||||||||||||||||
Net unrealized change in fair value of available for sale securities, net of taxes
|
14,838 | 20,508 | 35,008 | 25,109 | ||||||||||||
Defined benefit pension plan:
|
||||||||||||||||
Actuarial loss, net
|
1,117 | 566 | 3,247 | 1,744 | ||||||||||||
Prior service credit, net
|
(82 | ) | (77 | ) | (238 | ) | (241 | ) | ||||||||
Total other comprehensive income, net of tax
|
15,873 | 20,997 | 38,017 | 26,612 | ||||||||||||
Comprehensive income
|
27,556 | 32,610 | 74,216 | 65,681 | ||||||||||||
Comprehensive income attributable to noncontrolling interest
|
32 | - | 65 | - | ||||||||||||
Comprehensive income attributable to Triple-S Management Corporation
|
$ | 27,588 | $ | 32,610 | $ | 74,281 | $ | 65,681 |
Triple-S Management Corporation
|
Consolidated Statements of Stockholders’ Equity (Unaudited)
|
(Dollar amounts in thousands, except per share data)
|
2012
|
2011
|
|||||||
Balance at January 1
|
$ | 676,959 | $ | 617,272 | ||||
Share-based compensation
|
1,876 | 1,489 | ||||||
Cash settlement of options granted under share-based compensation plan
|
- | (2,420 | ) | |||||
Stock issued upon the exercise of stock options
|
3,001 | 914 | ||||||
Repurchase and retirement of common stock
|
(3,590 | ) | (8,279 | ) | ||||
Net current period change in comprehensive income
|
74,281 | 65,681 | ||||||
Total Triple-S Management Corporation stockholders' equity
|
752,527 | 674,657 | ||||||
Noncontrolling interest in consolidated subsididary
|
307 | - | ||||||
Balance at September 30
|
$ | 752,834 | $ | 674,657 |
Triple-S Management Corporation
|
Consolidated Statements of Cash Flows (Unaudited)
|
(Dollar amounts in thousands, except per share data)
|
Nine months ended
|
||||||||
September 30,
|
||||||||
2012
|
2011
|
|||||||
Cash flows from operating activities:
|
||||||||
Net income
|
$ | 36,199 | $ | 39,069 | ||||
Adjustments to reconcile net income to net cash provided by operating activities:
|
||||||||
Depreciation and amortization
|
17,989 | 16,435 | ||||||
Net amortization of investments
|
4,566 | 398 | ||||||
Provision for doubtful receivables, net
|
1,321 | 5,807 | ||||||
Deferred tax expense (benefit)
|
(254 | ) | 11,330 | |||||
Net realized investment gain on sale of securities
|
(2,157 | ) | (18,457 | ) | ||||
Net unrealized loss on trading securities
|
- | 7,267 | ||||||
Share-based compensation
|
1,876 | 1,489 | ||||||
Proceeds from trading securities sold:
|
||||||||
Equity securities
|
- | 53,066 | ||||||
Acquisition of securities in trading portfolio:
|
||||||||
Equity securities
|
- | (2,764 | ) | |||||
(Increase) decrease in assets:
|
||||||||
Premium and other receivables, net
|
5,272 | 70,430 | ||||||
Deferred policy acquisition costs and value of business acquired
|
(8,340 | ) | (1,729 | ) | ||||
Other deferred taxes
|
200 | (177 | ) | |||||
Other assets
|
(4,364 | ) | (13,703 | ) | ||||
Increase (decrease) in liabilities:
|
||||||||
Claim liabilities
|
36,930 | (8,808 | ) | |||||
Liability for future policy benefits
|
16,362 | 11,415 | ||||||
Unearned premiums
|
(419 | ) | 65,859 | |||||
Policyholder deposits
|
1,507 | 986 | ||||||
Liability to FEHBP
|
(2,097 | ) | 5,412 | |||||
Accounts payable and accrued liabilities
|
7,503 | (26,416 | ) | |||||
Net cash provided by operating activities
|
112,094 | 216,909 |
Triple-S Management Corporation
|
Consolidated Statements of Cash Flows (Unaudited)
|
(Dollar amounts in thousands, except per share data)
|
|
Nine months ended
|
|||||||
September 30,
|
||||||||
2012
|
2011
|
|||||||
Cash flows from investing activities:
|
||||||||
Proceeds from investments sold or matured:
|
||||||||
Securities available for sale:
|
||||||||
Fixed maturities sold
|
$ | 67,943 | $ | 225,060 | ||||
Fixed maturities matured/called
|
115,649 | 76,786 | ||||||
Equity securities sold
|
50,016 | 31,253 | ||||||
Securities held to maturity:
|
||||||||
Fixed maturities matured/called
|
11,080 | 1,941 | ||||||
Acquisition of investments:
|
||||||||
Securities available for sale:
|
||||||||
Fixed maturities
|
(278,533 | ) | (212,358 | ) | ||||
Equity securities
|
(78,135 | ) | (111,770 | ) | ||||
Securities held to maturity:
|
||||||||
Fixed maturities
|
(1,067 | ) | (755 | ) | ||||
Other investments
|
18 | - | ||||||
Net inflows (outflows) from policy loans
|
84 | (392 | ) | |||||
Acquisition of business, net of cash acquired of $816 and $29,370 in the nine months ended September 30, 2012 and 2011, respectively
|
(2,685 | ) | (54,058 | ) | ||||
Net capital expenditures
|
(8,756 | ) | (12,000 | ) | ||||
Net cash used in investing activities
|
(124,386 | ) | (56,293 | ) | ||||
Cash flows from financing activities:
|
||||||||
Change in outstanding checks in excess of bank balances
|
(3,332 | ) | (9,275 | ) | ||||
Net change in short-term borrowings
|
11,200 | (15,575 | ) | |||||
Repayments of long-term borrowings
|
(26,464 | ) | (51,230 | ) | ||||
Repurchase and retirement of common stock
|
(637 | ) | (7,554 | ) | ||||
Cash settlements of stock options
|
- | (2,420 | ) | |||||
Proceeds from exercise of stock options
|
316 | 189 | ||||||
Proceeds from policyholder deposits
|
32,946 | 20,725 | ||||||
Surrenders of policyholder deposits
|
(4,821 | ) | (4,580 | ) | ||||
Net cash provided by (used in) financing activities
|
9,208 | (69,720 | ) | |||||
Net increase (decrease) in cash and cash equivalents
|
(3,084 | ) | 90,896 | |||||
Cash and cash equivalents:
|
||||||||
Beginning of period
|
71,834 | 45,021 | ||||||
End of period
|
$ | 68,750 | $ | 135,917 |
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
(1)
|
Basis of Presentation
|
(2)
|
Recent Accounting Standards
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
|
·
|
Technical corrections and amendments as part of the FASB’s standing agenda to review and improve the Accounting Standards Codification,
|
|
·
|
Conforming amendments related to fair value measurements, in accordance with Topic 820,
|
|
·
|
Reflect the issuance of the SEC’s Staff Accounting Bulletin No. 114, Revisions and Rescissions of Portions of the Interpretative Guidance Included in the Codification of Staff Accounting Bulletins, and
|
|
·
|
Reflect the issuance of the SEC Final Rulemaking Release No. 33-9250, Technical Amendments to Commission Rules and Forms Related to the FASB's Accounting Standards Codification.
|
(3)
|
Segment Information
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
2012
|
2011
|
2012
|
2011
|
|||||||||||||
Operating revenues:
|
||||||||||||||||
Managed Care:
|
||||||||||||||||
Premiums earned, net
|
$ | 508,152 | $ | 471,945 | $ | 1,531,703 | $ | 1,363,053 | ||||||||
Administrative service fees
|
27,181 | 5,210 | 82,473 | 18,767 | ||||||||||||
Intersegment premiums /service fees
|
1,489 | 1,644 | 4,622 | 4,584 | ||||||||||||
Net investment income
|
3,999 | 4,474 | 11,783 | 13,475 | ||||||||||||
Total managed care
|
540,821 | 483,273 | 1,630,581 | 1,399,879 | ||||||||||||
Life Insurance:
|
||||||||||||||||
Premiums earned, net
|
31,654 | 28,651 | 92,190 | 83,410 | ||||||||||||
Intersegment premiums
|
107 | 88 | 302 | 262 | ||||||||||||
Net investment income
|
5,207 | 4,619 | 15,304 | 13,549 | ||||||||||||
Total life insurance
|
36,968 | 33,358 | 107,796 | 97,221 | ||||||||||||
Property and Casualty Insurance:
|
||||||||||||||||
Premiums earned, net
|
25,801 | 24,775 | 71,264 | 74,022 | ||||||||||||
Intersegment premiums
|
153 | 153 | 460 | 460 | ||||||||||||
Net investment income
|
2,210 | 2,482 | 6,707 | 7,065 | ||||||||||||
Total property and casualty insurance
|
28,164 | 27,410 | 78,431 | 81,547 | ||||||||||||
Other segments: *
|
||||||||||||||||
Intersegment service revenues
|
3,634 | 3,906 | 10,887 | 11,548 | ||||||||||||
Operating revenues from external sources
|
1,207 | - | 3,361 | 4 | ||||||||||||
Total other segments
|
4,841 | 3,906 | 14,248 | 11,552 | ||||||||||||
Total business segments
|
610,794 | 547,947 | 1,831,056 | 1,590,199 | ||||||||||||
TSM operating revenues from external sources
|
143 | 312 | 447 | 1,261 | ||||||||||||
Elimination of intersegment premiums
|
(1,749 | ) | (1,885 | ) | (5,384 | ) | (5,306 | ) | ||||||||
Elimination of intersegment service fees
|
(3,634 | ) | (3,906 | ) | (10,887 | ) | (11,548 | ) | ||||||||
Other intersegment eliminations
|
35 | 174 | 105 | 1,159 | ||||||||||||
Consolidated operating revenues
|
$ | 605,589 | $ | 542,642 | $ | 1,815,337 | $ | 1,575,765 |
* |
Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
2012
|
2011
|
2012
|
2011
|
|||||||||||||
Operating income:
|
||||||||||||||||
Managed care
|
$ | 7,329 | $ | 11,264 | $ | 33,320 | $ | 32,669 | ||||||||
Life insurance
|
4,065 | 5,263 | 12,480 | 13,178 | ||||||||||||
Property and casualty insurance
|
1,936 | (1,046 | ) | 4,047 | 1,957 | |||||||||||
Other segments *
|
(349 | ) | 384 | (188 | ) | 515 | ||||||||||
Total business segments
|
12,981 | 15,865 | 49,659 | 48,319 | ||||||||||||
TSM operating revenues from external sources
|
143 | 308 | 447 | 1,261 | ||||||||||||
TSM unallocated operating expenses
|
(111 | ) | (1,783 | ) | (8,405 | ) | (6,810 | ) | ||||||||
Elimination of TSM intersegment charges
|
2,477 | 2,230 | 6,870 | 7,866 | ||||||||||||
Consolidated operating income
|
15,490 | 16,620 | 48,571 | 50,636 | ||||||||||||
Consolidated net realized investment gains
|
21 | 5,569 | 2,157 | 18,457 | ||||||||||||
Consolidated net unrealized loss on trading securities
|
- | (6,007 | ) | - | (7,267 | ) | ||||||||||
Consolidated interest expense
|
(2,956 | ) | (2,499 | ) | (8,181 | ) | (8,583 | ) | ||||||||
Consolidated other income, net
|
598 | (169 | ) | 1,514 | 311 | |||||||||||
Consolidated income before taxes
|
$ | 13,153 | $ | 13,514 | $ | 44,061 | $ | 53,554 | ||||||||
Depreciation and amortization expense:
|
||||||||||||||||
Managed care
|
$ | 5,397 | $ | 5,137 | $ | 15,747 | $ | 14,196 | ||||||||
Life insurance
|
219 | 162 | 547 | 487 | ||||||||||||
Property and casualty insurance
|
136 | 371 | 434 | 1,148 | ||||||||||||
Other segments*
|
221 | - | 622 | - | ||||||||||||
Total business segments
|
5,973 | 5,670 | 17,350 | 15,831 | ||||||||||||
TSM depreciation expense
|
215 | 200 | 639 | 604 | ||||||||||||
Consolidated depreciation and amortization expense
|
$ | 6,188 | $ | 5,870 | $ | 17,989 | $ | 16,435 |
* |
Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
September 30,
|
December 31,
|
|||||||
2012
|
2011
|
|||||||
Assets:
|
||||||||
Managed care
|
$ | 933,021 | $ | 832,850 | ||||
Life insurance
|
676,459 | 610,118 | ||||||
Property and casualty insurance
|
356,366 | 348,480 | ||||||
Other segments *
|
36,039 | 15,846 | ||||||
Total business segments
|
2,001,885 | 1,807,294 | ||||||
Unallocated amounts related to TSM:
|
||||||||
Cash, cash equivalents, and investments
|
44,349 | 53,172 | ||||||
Property and equipment, net
|
21,645 | 22,269 | ||||||
Other assets
|
27,451 | 27,794 | ||||||
93,445 | 103,235 | |||||||
Elimination entries-intersegment receivables and others
|
(44,192 | ) | (29,952 | ) | ||||
Consolidated total assets
|
$ | 2,051,138 | $ | 1,880,577 |
* |
Includes segments that are not required to be reported separately, primarily the data processing services organization and the health clinic.
|
(4)
|
Investment in Securities
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
September 30, 2012
|
||||||||||||||||
Gross
|
Gross
|
|||||||||||||||
Amortized
|
unrealized
|
unrealized
|
Estimated
|
|||||||||||||
cost
|
gains
|
losses
|
fair value
|
|||||||||||||
Securities available for sale:
|
||||||||||||||||
Fixed maturities:
|
||||||||||||||||
Obligations of government-sponsored enterprises
|
$ | 61,971 | $ | 5,236 | $ | - | $ | 67,207 | ||||||||
U.S. Treasury securities and obligations of U.S. government instrumentalities
|
39,411 | 2,033 | - | 41,444 | ||||||||||||
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
|
61,001 | 1,735 | - | 62,736 | ||||||||||||
Municipal securities
|
510,364 | 58,208 | (133 | ) | 568,439 | |||||||||||
Corporate bonds
|
106,976 | 24,556 | - | 131,532 | ||||||||||||
Residential mortgage-backed securities
|
22,471 | 742 | (4 | ) | 23,209 | |||||||||||
Collateralized mortgage obligations
|
207,643 | 5,075 | (559 | ) | 212,159 | |||||||||||
Total fixed maturities
|
1,009,837 | 97,585 | (696 | ) | 1,106,726 | |||||||||||
Equity securities:
|
||||||||||||||||
Common stocks
|
66 | 3,876 | - | 3,942 | ||||||||||||
Mutual funds
|
166,825 | 20,884 | (28 | ) | 187,681 | |||||||||||
Total equity securities
|
166,891 | 24,760 | (28 | ) | 191,623 | |||||||||||
Total
|
$ | 1,176,728 | $ | 122,345 | $ | (724 | ) | $ | 1,298,349 |
December 31, 2011
|
||||||||||||||||
Gross
|
Gross
|
|||||||||||||||
Amortized
|
unrealized
|
unrealized
|
Estimated
|
|||||||||||||
cost
|
gains
|
losses
|
fair value
|
|||||||||||||
Securities available for sale:
|
||||||||||||||||
Fixed maturities:
|
||||||||||||||||
Obligations of government-sponsored enterprises
|
$ | 75,429 | $ | 5,392 | $ | - | $ | 80,821 | ||||||||
U.S. Treasury securities and obligations of U.S. government instrumentalities
|
39,544 | 2,311 | - | 41,855 | ||||||||||||
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
|
83,685 | 2,584 | (10 | ) | 86,259 | |||||||||||
Municipal securities
|
394,201 | 40,094 | (116 | ) | 434,179 | |||||||||||
Corporate bonds
|
109,024 | 20,268 | (148 | ) | 129,144 | |||||||||||
Residential mortgage-backed securities
|
8,367 | 748 | - | 9,115 | ||||||||||||
Collateralized mortgage obligations
|
203,305 | 4,586 | (370 | ) | 207,521 | |||||||||||
Total fixed maturities
|
913,555 | 75,983 | (644 | ) | 988,894 | |||||||||||
Equity securities:
|
||||||||||||||||
Common stocks
|
66 | 3,257 | - | 3,323 | ||||||||||||
Perpetual preferred stocks
|
1,000 | - | (101 | ) | 899 | |||||||||||
Mutual funds
|
137,101 | 5,453 | (2,368 | ) | 140,186 | |||||||||||
Total equity securities
|
138,167 | 8,710 | (2,469 | ) | 144,408 | |||||||||||
Total
|
$ | 1,051,722 | $ | 84,693 | $ | (3,113 | ) | $ | 1,133,302 |
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
September 30, 2012
|
||||||||||||||||
Gross
|
Gross
|
|||||||||||||||
Amortized
|
unrealized
|
unrealized
|
Estimated
|
|||||||||||||
cost
|
gains
|
losses
|
fair value
|
|||||||||||||
Securities held to maturity:
|
||||||||||||||||
Obligations of government-sponsored enterprises
|
$ | 1,793 | $ | 133 | $ | - | $ | 1,926 | ||||||||
U.S. Treasury securities and obligations of U.S.government instrumentalities
|
624 | 235 | - | 859 | ||||||||||||
Residential mortgage-backed securities
|
449 | 43 | - | 492 | ||||||||||||
Certificates of deposit
|
1,262 | - | - | 1,262 | ||||||||||||
Total
|
$ | 4,128 | $ | 411 | $ | - | $ | 4,539 |
December 31, 2011
|
||||||||||||||||
Gross
|
Gross
|
|||||||||||||||
Amortized
|
unrealized
|
unrealized
|
Estimated
|
|||||||||||||
cost
|
gains
|
losses
|
fair value
|
|||||||||||||
Securities held to maturity:
|
||||||||||||||||
Obligations of government- sponsored enterprises
|
$ | 1,793 | $ | 173 | $ | - | $ | 1,966 | ||||||||
U.S. Treasury securities and obligations of U.S. government instrumentalities
|
624 | 223 | - | 847 | ||||||||||||
Corporate bonds
|
9,839 | 130 | - | 9,969 | ||||||||||||
Residential mortgage-backed securities
|
479 | 42 | - | 521 | ||||||||||||
Certificates of deposit
|
949 | - | - | 949 | ||||||||||||
Total
|
$ | 13,684 | $ | 568 | $ | - | $ | 14,252 |
September 30, 2012
|
||||||||||||||||||||||||||||||||||||
Less than 12 months
|
12 months or longer
|
Total
|
||||||||||||||||||||||||||||||||||
Gross
|
Gross
|
Gross
|
||||||||||||||||||||||||||||||||||
Estimated
|
Unrealized
|
Number of
|
Estimated
|
Unrealized
|
Number of
|
Estimated
|
Unrealized
|
Number of
|
||||||||||||||||||||||||||||
Fair Value
|
Loss
|
Securities
|
Fair Value
|
Loss
|
Securities
|
Fair Value
|
Loss
|
Securities
|
||||||||||||||||||||||||||||
Securites available for sale:
|
||||||||||||||||||||||||||||||||||||
Fixed maturities:
|
||||||||||||||||||||||||||||||||||||
Municipal securities
|
$ | 24,191 | $ | (133 | ) | 8 | $ | - | $ | - | - | $ | 24,191 | $ | (133 | ) | 8 | |||||||||||||||||||
Residential mortgage-backed securities
|
3,821 | (4 | ) | 1 | - | - | - | 3,821 | (4 | ) | 1 | |||||||||||||||||||||||||
Collateralized mortgage obligations
|
57,219 | (543 | ) | 12 | 7,424 | (16 | ) | 1 | 64,643 | (559 | ) | 13 | ||||||||||||||||||||||||
Total fixed maturities
|
85,231 | (680 | ) | 21 | 7,424 | (16 | ) | 1 | 92,655 | (696 | ) | 22 | ||||||||||||||||||||||||
Equity securities:
|
||||||||||||||||||||||||||||||||||||
Mutual funds
|
- | - | - | 2,477 | (28 | ) | 1 | 2,477 | (28 | ) | 1 | |||||||||||||||||||||||||
Total equity securities
|
- | - | - | 2,477 | (28 | ) | 1 | 2,477 | (28 | ) | 1 | |||||||||||||||||||||||||
Total for securities available for sale
|
$ | 85,231 | $ | (680 | ) | 21 | $ | 9,901 | $ | (44 | ) | 2 | $ | 95,132 | $ | (724 | ) | 23 |
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
December 31, 2011
|
||||||||||||||||||||||||||||||||||||
Less than 12 months
|
12 months or longer
|
Total
|
||||||||||||||||||||||||||||||||||
Gross
|
Gross
|
Gross
|
||||||||||||||||||||||||||||||||||
Estimated
|
Unrealized
|
Number of
|
Estimated
|
Unrealized
|
Number of
|
Estimated
|
Unrealized
|
Number of
|
||||||||||||||||||||||||||||
Fair Value
|
Loss
|
Securities
|
Fair Value
|
Loss
|
Securities
|
Fair Value
|
Loss
|
Securities
|
||||||||||||||||||||||||||||
Securites available for sale:
|
||||||||||||||||||||||||||||||||||||
Fixed maturities:
|
||||||||||||||||||||||||||||||||||||
Obligations of government-Commonwealth of Puerto Rico and its instrumentalities
|
$ | 6,073 | $ | (10 | ) | 3 | $ | - | $ | - | - | $ | 6,073 | $ | (10 | ) | 3 | |||||||||||||||||||
Municipal securities
|
16,726 | (116 | ) | 5 | - | - | - | 16,726 | (116 | ) | 5 | |||||||||||||||||||||||||
Corporate bonds
|
3,790 | (85 | ) | 3 | 800 | (63 | ) | 1 | 4,590 | (148 | ) | 4 | ||||||||||||||||||||||||
Collateralized mortgage obligations
|
29,813 | (274 | ) | 7 | 1,611 | (96 | ) | 1 | 31,424 | (370 | ) | 8 | ||||||||||||||||||||||||
Total fixed maturities
|
56,402 | (485 | ) | 18 | 2,411 | (159 | ) | 2 | 58,813 | (644 | ) | 20 | ||||||||||||||||||||||||
Equity securities:
|
||||||||||||||||||||||||||||||||||||
Perpetual preferred stocks
|
- | - | - | 899 | (101 | ) | 1 | 899 | (101 | ) | 1 | |||||||||||||||||||||||||
Mutual funds
|
37,943 | (2,270 | ) | 18 | 1,917 | (98 | ) | 1 | 39,860 | (2,368 | ) | 19 | ||||||||||||||||||||||||
Total equity securities
|
37,943 | (2,270 | ) | 18 | 2,816 | (199 | ) | 2 | 40,759 | (2,469 | ) | 20 | ||||||||||||||||||||||||
Total for securities available for sale
|
$ | 94,345 | $ | (2,755 | ) | 36 | $ | 5,227 | $ | (358 | ) | 4 | $ | 99,572 | $ | (3,113 | ) | 40 |
●
|
Identification and evaluation of securities that have possible indications of other-than-temporary impairment, which includes an analysis of all investments with gross unrealized investment losses that represent 20% or more of their cost and all investments with an unrealized loss greater than $50.
|
●
|
Review and evaluation of any other security based on the investee’s current financial condition, liquidity, near-term recovery prospects, implications of rating agency actions, the outlook for the business sectors in which the investee operates and other factors. This evaluation is in addition to the evaluation of those securities with a gross unrealized investment loss representing 20% or more of their cost.
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
●
|
Consideration of evidential matter, including an evaluation of factors or triggers that may or may not cause individual investments to qualify as having other-than-temporary impairments; and
|
●
|
Determination of the status of each analyzed security as other-than-temporary or not, with documentation of the rationale for the decision.
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
September 30, 2012
|
||||||||
Amortized
|
Estimated
|
|||||||
cost
|
fair value
|
|||||||
Securities available for sale:
|
||||||||
Due in one year or less
|
$ | 16,164 | $ | 16,264 | ||||
Due after one year through five years
|
169,817 | 178,922 | ||||||
Due after five years through ten years
|
170,044 | 188,586 | ||||||
Due after ten years
|
423,698 | 487,586 | ||||||
Residential mortgage-backed securities
|
22,471 | 23,209 | ||||||
Collateralized mortgage obligations
|
207,643 | 212,159 | ||||||
$ | 1,009,837 | $ | 1,106,726 | |||||
Securities held to maturity:
|
||||||||
Due in one year or less
|
$ | 1,262 | $ | 1,262 | ||||
Due after five years through ten years
|
1,793 | 1,926 | ||||||
Due after ten years
|
624 | 859 | ||||||
Residential mortgage-backed securities
|
449 | 492 | ||||||
$ | 4,128 | $ | 4,539 |
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
2012
|
2011
|
2012
|
2011
|
|||||||||||||
Realized gains (losses):
|
||||||||||||||||
Fixed maturity securities:
|
||||||||||||||||
Securities available for sale:
|
||||||||||||||||
Gross gains from sales
|
$ | 99 | $ | 3,792 | $ | 1,731 | $ | 10,941 | ||||||||
Gross losses from sales
|
- | (13 | ) | (189 | ) | (248 | ) | |||||||||
Total debt securities
|
99 | 3,779 | 1,542 | 10,693 | ||||||||||||
Equity securities:
|
||||||||||||||||
Trading securities:
|
||||||||||||||||
Gross gains from sales
|
- | 7,329 | - | 11,195 | ||||||||||||
Gross losses from sales
|
- | (4,298 | ) | - | (4,726 | ) | ||||||||||
- | 3,031 | - | 6,469 | |||||||||||||
Securities available for sale:
|
||||||||||||||||
Gross gains from sales
|
388 | 686 | 1,850 | 3,317 | ||||||||||||
Gross losses from sales
|
(466 | ) | (1,927 | ) | (1,235 | ) | (2,022 | ) | ||||||||
(78 | ) | (1,241 | ) | 615 | 1,295 | |||||||||||
Total equity securities
|
(78 | ) | 1,790 | 615 | 7,764 | |||||||||||
Net realized gains on securities
|
$ | 21 | $ | 5,569 | $ | 2,157 | $ | 18,457 |
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
2012
|
2011
|
2012
|
2011
|
|||||||||||||
Changes in net unrealized gains (losses):
|
||||||||||||||||
Recognized in income:
|
||||||||||||||||
Equity securities – trading
|
$ | - | $ | (6,007 | ) | $ | - | $ | (7,267 | ) | ||||||
Recognized in accumulated other comprehensive income:
|
||||||||||||||||
Fixed maturities – available for sale
|
8,493 | 39,441 | 21,550 | 44,913 | ||||||||||||
Equity securities – available for sale
|
8,964 | (13,943 | ) | 18,491 | (13,699 | ) | ||||||||||
$ | 17,457 | $ | 25,498 | $ | 40,041 | $ | 31,214 | |||||||||
Not recognized in the consolidated financial statements:
|
||||||||||||||||
Fixed maturities – held to maturity
|
$ | (6 | ) | $ | (50 | ) | $ | (157 | ) | $ | (172 | ) |
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
2012
|
2011
|
2012
|
2011
|
|||||||||||||
Fixed maturities
|
$ | 9,481 | $ | 10,645 | $ | 28,828 | $ | 33,224 | ||||||||
Equity securities
|
1,760 | 1,083 | 4,453 | 1,997 | ||||||||||||
Policy loans
|
117 | 116 | 348 | 336 | ||||||||||||
Cash equivalents and interest-bearing deposits
|
34 | 101 | 88 | 386 | ||||||||||||
Other
|
203 | 116 | 632 | 570 | ||||||||||||
Total
|
$ | 11,595 | $ | 12,061 | $ | 34,349 | $ | 36,513 |
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
(5)
|
Premiums and Other Receivables, Net
|
September 30,
|
December 31,
|
|||||||
2012
|
2011
|
|||||||
Premiums
|
$ | 99,854 | $ | 105,177 | ||||
Self-funded group receivables
|
65,279 | 64,053 | ||||||
FEHBP
|
11,578 | 11,062 | ||||||
Agent balances
|
34,488 | 37,421 | ||||||
Accrued interest
|
10,223 | 10,788 | ||||||
Reinsurance recoverable
|
49,459 | 48,828 | ||||||
Other
|
37,655 | 33,721 | ||||||
308,536 | 311,050 | |||||||
Less allowance for doubtful receivables:
|
||||||||
Premiums
|
16,682 | 14,299 | ||||||
Other
|
8,505 | 9,567 | ||||||
25,187 | 23,866 | |||||||
Total premiums and other receivables, net
|
$ | 283,349 | $ | 287,184 |
(6)
|
Claim Liabilities
|
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
2012
|
2011
|
2012
|
2011
|
|||||||||||||
Claim liabilities at beginning of period
|
$ | 421,894 | $ | 398,708 | $ | 391,259 | $ | 360,210 | ||||||||
Reinsurance recoverable on claim liabilities
|
(37,124 | ) | (31,854 | ) | (37,234 | ) | (31,449 | ) | ||||||||
Net claim liabilities at beginning of period
|
384,770 | 366,854 | 354,025 | 328,761 | ||||||||||||
Claim liabilities acquired from American Health
|
- | - | - | 41,666 | ||||||||||||
Incurred claims and loss-adjustment expenses:
|
||||||||||||||||
Current period insured events
|
476,450 | 435,953 | 1,451,254 | 1,274,432 | ||||||||||||
Prior period insured events
|
3,138 | 2,515 | (10,504 | ) | (11,552 | ) | ||||||||||
Total
|
479,588 | 438,468 | 1,440,750 | 1,262,880 | ||||||||||||
Payments of losses and loss-adjustment expenses:
|
||||||||||||||||
Current period insured events
|
452,411 | 386,457 | 1,129,384 | 956,934 | ||||||||||||
Prior period insured events
|
21,068 | 59,899 | 274,512 | 317,407 | ||||||||||||
Total
|
473,479 | 446,356 | 1,403,896 | 1,274,341 | ||||||||||||
Net claim liabilities at end of period
|
390,879 | 358,966 | 390,879 | 358,966 | ||||||||||||
Reinsurance recoverable on claim liabilities
|
37,310 | 35,657 | 37,310 | 35,657 | ||||||||||||
Claim liabilities at end of period
|
$ | 428,189 | $ | 394,623 | $ | 428,189 | $ | 394,623 |
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
(7)
|
Fair Value Measurements
|
Level Input:
|
|
Input Definition:
|
Level 1
|
|
Inputs are unadjusted, quoted prices for identical assets or liabilities in active markets at the measurement date.
|
Level 2
|
|
Inputs other than quoted prices included in Level 1 that are observable for the asset or liability through corroboration with market data at the measurement date.
|
Level 3
|
|
Unobservable inputs that reflect management’s best estimate of what market participants would use in pricing the asset or liability at the measurement date.
|
(i)
|
Investment in Securities
|
(ii)
|
Derivative Instruments
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
September 30, 2012
|
||||||||||||||||
Level 1
|
Level 2
|
Level 3
|
Total
|
|||||||||||||
Securities available for sale:
|
||||||||||||||||
Fixed maturity securities
|
||||||||||||||||
Obligations of government-sponsored enterprises
|
$ | - | $ | 67,207 | $ | - | $ | 67,207 | ||||||||
U.S. Treasury securities and obligations of U.S government instrumentalities
|
41,444 | - | - | 41,444 | ||||||||||||
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
|
- | 62,736 | - | 62,736 | ||||||||||||
Municipal securities
|
- | 568,439 | - | 568,439 | ||||||||||||
Corporate bonds
|
- | 131,532 | - | 131,532 | ||||||||||||
Residential agency mortgage-backed securities
|
- | 23,209 | - | 23,209 | ||||||||||||
Collateralized mortgage obligations
|
- | 212,159 | - | 212,159 | ||||||||||||
Total fixed maturities
|
41,444 | 1,065,282 | - | 1,106,726 | ||||||||||||
Equity securities
|
||||||||||||||||
Common stocks
|
3,942 | - | - | 3,942 | ||||||||||||
Mutual funds
|
115,259 | 60,935 | 11,487 | 187,681 | ||||||||||||
Total equity securities
|
119,201 | 60,935 | 11,487 | 191,623 | ||||||||||||
Total
|
$ | 160,645 | $ | 1,126,217 | $ | 11,487 | $ | 1,298,349 |
December 31, 2011
|
||||||||||||||||
Level 1
|
Level 2
|
Level 3
|
Total
|
|||||||||||||
Securities available for sale:
|
||||||||||||||||
Fixed maturity securities
|
||||||||||||||||
Obligations of government-sponsored enterprises
|
$ | - | $ | 80,821 | $ | - | $ | 80,821 | ||||||||
U.S. Treasury securities and obligations of U.S government instrumentalities
|
41,855 | - | - | 41,855 | ||||||||||||
Obligations of the Commonwealth of Puerto Rico and its instrumentalities
|
- | 86,259 | - | 86,259 | ||||||||||||
Municipal securities
|
- | 434,179 | - | 434,179 | ||||||||||||
Corporate bonds
|
- | 129,144 | - | 129,144 | ||||||||||||
Residential agency mortgage-backed securities
|
- | 9,115 | - | 9,115 | ||||||||||||
Collateralized mortgage obligations
|
- | 207,521 | - | 207,521 | ||||||||||||
Total fixed maturities
|
41,855 | 947,039 | - | 988,894 | ||||||||||||
Equity securities
|
||||||||||||||||
Common stocks
|
3,323 | - | - | 3,323 | ||||||||||||
Perpetual preferred stocks
|
899 | - | - | 899 | ||||||||||||
Mutual funds
|
120,651 | 12,441 | 7,094 | 140,186 | ||||||||||||
Total equity securities
|
124,873 | 12,441 | 7,094 | 144,408 | ||||||||||||
Derivatives (reported within other assets in
|
||||||||||||||||
the consolidated balance sheets)
|
- | 7 | - | 7 | ||||||||||||
Total
|
$ | 166,728 | $ | 959,487 | $ | 7,094 | $ | 1,133,309 |
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
Three months ended | ||||||||||||||||||||||||
September 30, 2012
|
September 30, 2011
|
|||||||||||||||||||||||
Fixed
|
Fixed
|
|||||||||||||||||||||||
Maturity
|
Equity
|
Maturity
|
Equity
|
|||||||||||||||||||||
Securities
|
Securities
|
Total
|
Securities
|
Securities
|
Total
|
|||||||||||||||||||
Beginning balance
|
$ | - | $ | 9,014 | $ | 9,014 | $ | - | $ | 1,338 | $ | 1,338 | ||||||||||||
Total gains or losses:
|
||||||||||||||||||||||||
Unrealized in other accumulated comprehensive income
|
- | 473 | 473 | - | 54 | 54 | ||||||||||||||||||
Purchases
|
- | 2,000 | 2,000 | - | 525 | 525 | ||||||||||||||||||
Transfers in and/or out of Level 3
|
- | - | - | - | 3,169 | 3,169 | ||||||||||||||||||
Ending balance
|
$ | - | $ | 11,487 | $ | 11,487 | $ | - | $ | 5,086 | $ | 5,086 |
Nine months ended | ||||||||||||||||||||||||
September 30, 2012
|
September 30, 2011
|
|||||||||||||||||||||||
Fixed
|
Fixed
|
|||||||||||||||||||||||
Maturity
|
Equity
|
Maturity
|
Equity
|
|||||||||||||||||||||
Securities
|
Securities
|
Total
|
Securities
|
Securities
|
Total
|
|||||||||||||||||||
Beginning balance
|
$ | - | $ | 7,094 | $ | 7,094 | $ | - | $ | 1,044 | $ | 1,044 | ||||||||||||
Total gains or losses:
|
||||||||||||||||||||||||
Unrealized in other accumulated comprehensive income
|
- | 884 | 884 | - | 126 | 126 | ||||||||||||||||||
Purchases
|
- | 4,579 | 4,579 | - | 747 | 747 | ||||||||||||||||||
Transfers in and/or out of Level 3
|
- | (1,070 | ) | (1,070 | ) | - | 3,169 | 3,169 | ||||||||||||||||
Ending balance
|
$ | - | $ | 11,487 | $ | 11,487 | $ | - | $ | 5,086 | $ | 5,086 |
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
(i)
|
Policy Loans
|
(ii)
|
Policyholder Deposits
|
(iii)
|
Long-term Borrowings
|
(iv)
|
Repurchase Agreement
|
Carrying | Fair Value | |||||||||||||||||||
Value
|
Level 1
|
Level 2
|
Level 3
|
Total
|
||||||||||||||||
Assets:
|
||||||||||||||||||||
Policy loans
|
$ | 6,223 | $ | - | $ | 6,223 | $ | - | $ | 6,223 | ||||||||||
Liabilities:
|
||||||||||||||||||||
Policyholder deposits
|
$ | 106,385 | $ | - | $ | 106,385 | $ | - | $ | 106,385 | ||||||||||
Long-term borrowings:
|
||||||||||||||||||||
Loans payable to bank - variable
|
18,157 | - | 18,157 | - | 18,157 | |||||||||||||||
Loans payable to bank - fixed
|
13,605 | - | 13,605 | - | 13,605 | |||||||||||||||
6.6% senior unsecured notes payable
|
35,000 | - | 34,563 | - | 34,563 | |||||||||||||||
6.7% senior unsecured notes payable
|
10,000 | - | 9,950 | - | 9,950 | |||||||||||||||
Repurchase agreement
|
25,000 | - | 26,018 | - | 26,018 | |||||||||||||||
Total long-term borrowings
|
101,762 | - | 102,293 | - | 102,293 | |||||||||||||||
Total liabilities
|
$ | 208,147 | $ | - | $ | 208,678 | $ | - | $ | 208,678 |
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
December 31, 2011
|
||||||||
Carrying
|
Fair
|
|||||||
amount
|
value
|
|||||||
Assets:
|
||||||||
Policy loans
|
$ | 6,307 | $ | 6,307 | ||||
Liabilities:
|
||||||||
Policyholder deposits
|
$ | 76,753 | $ | 76,753 | ||||
Long-term borrowings:
|
||||||||
Loans payable to bank - variable
|
19,387 | 19,387 | ||||||
6.6% senior unsecured notes payable
|
35,000 | 34,475 | ||||||
6.7% senior unsecured notes payable
|
35,000 | 34,650 | ||||||
Repurchase agreement
|
25,000 | 25,739 | ||||||
Total long-term borrowings
|
114,387 | 114,251 | ||||||
Total liabilities
|
$ | 191,140 | $ | 191,004 |
(8)
|
Share-Based Compensation
|
(9)
|
Comprehensive Income
|
Accumulated
|
||||||||||||
Net unrealized
|
Liability for
|
other
|
||||||||||
gain on
|
pension
|
comprehensive
|
||||||||||
securities
|
benefits
|
income
|
||||||||||
Balance at January 1
|
$ | 68,137 | $ | (49,574 | ) | $ | 18,563 | |||||
Net current period change
|
35,008 | 3,009 | 38,017 | |||||||||
Balance at September 30
|
$ | 103,145 | $ | (46,565 | ) | $ | 56,580 |
(10)
|
Income Taxes
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
(11)
|
Pension Plan
|
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
2012
|
2011
|
2012
|
2011
|
|||||||||||||
Components of net periodic benefit cost:
|
||||||||||||||||
Service cost
|
$ | 1,438 | $ | 1,406 | $ | 4,184 | $ | 2,926 | ||||||||
Interest cost
|
1,963 | 1,624 | 5,688 | 5,125 | ||||||||||||
Expected return on assets
|
(1,639 | ) | (1,270 | ) | (4,712 | ) | (3,997 | ) | ||||||||
Amortization of prior service benefit
|
(117 | ) | (109 | ) | (340 | ) | (344 | ) | ||||||||
Amortization of actuarial loss
|
1,597 | 809 | 4,639 | 2,492 | ||||||||||||
Net periodic benefit cost
|
$ | 3,242 | $ | 2,460 | $ | 9,459 | $ | 6,202 |
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
(12)
|
Net Income Available to Stockholders and Net Income per Share
|
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
2012
|
2011
|
2012
|
2011
|
|||||||||||||
Numerator for earnings per share:
|
||||||||||||||||
Net income attributable to TSM available to stockholders
|
$ | 11,715 | $ | 11,613 | $ | 36,264 | $ | 39,069 | ||||||||
Denominator for basic earnings per share:
|
||||||||||||||||
Weighted average of common shares
|
28,348,097 | 28,736,762 | 28,343,550 | 28,776,279 | ||||||||||||
Effect of dilutive securities
|
105,946 | 113,485 | 129,193 | 180,415 | ||||||||||||
Denominator for diluted earnings per share
|
28,454,043 | 28,850,247 | 28,472,743 | 28,956,694 | ||||||||||||
Basic net income per share attributable to TSM
|
$ | 0.41 | $ | 0.40 | $ | 1.28 | $ | 1.36 | ||||||||
Diluted net income per share attributable to TSM
|
$ | 0.41 | $ | 0.40 | $ | 1.27 | $ | 1.35 |
(13)
|
Contingencies
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
(14)
|
Business Combination
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
Cash
|
$ | 816 | ||
Accounts receivable
|
3,058 | |||
Property and equipment
|
16,600 | |||
Other assets
|
341 | |||
Accounts payable and accrued liabilities
|
(1,918 | ) | ||
Loans payable
|
(13,839 | ) | ||
Total net assets
|
5,058 | |||
Fair value of noncontrolling interest
|
(372 | ) | ||
Total net assets
|
$ | 4,686 |
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
Investments and cash and cash equivalents
|
$ | 71,060 | ||
Premiums and other receivables
|
23,563 | |||
Property and equipment
|
1,665 | |||
Intangible assets
|
33,660 | |||
Other assets
|
10,746 | |||
Claim liabilities
|
(43,047 | ) | ||
Accounts payable and accrued liabilities
|
(27,770 | ) | ||
Deferred tax liability
|
(10,098 | ) | ||
Total net assets
|
$ | 59,779 | ||
Goodwill
|
$ | 24,971 |
Unaudited
|
||||||||
Three months ended
|
Nine months ended
|
|||||||
September 30, 2011
|
September 30, 2011
|
|||||||
Operating revenues
|
$ | 542,653 | $ | 1,612,382 | ||||
Net Income
|
$ | 11,959 | $ | 39,577 | ||||
Basic net income per share
|
$ | 0.42 | $ | 1.38 | ||||
Diluted net income per share
|
$ | 0.41 | $ | 1.37 |
|
●
|
Amortization of intangible assets – based on the estimated fair value of the tangible net assets acquired from AH, we estimate that we will recognize in our consolidated balance sheet intangible assets of approximately $58.6 million, including goodwill. We considered amortization expense for the three months and nine months ended September 30, 2011 of $1.6 million and $4.6 million, respectively.
|
|
●
|
Net investment income – this pro forma adjustment represents the anticipated bond discount amortization due to the fair value accounting of investment in securities. The pro forma information considers approximately $11 and $32 of additional bond discount amortization for the three months and nine months ended September 30, 2011, respectively.
|
|
●
|
Current income tax expense – we recognized the tax effect of the other pro forma adjustments done to the statement of earnings. During the three months and nine months ended September 30, 2011 the Corporation and AH were subject to Puerto Rico income taxes as a regular corporation at the then enacted tax rate of 30%.
|
Triple-S Management Corporation
|
Notes to Consolidated Financial Statements
|
(Dollar amounts in thousands, except per share data)
|
(Unaudited)
|
(15)
|
Subsequent Event
|
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
(Dollar amounts in millions)
|
2012
|
2011
|
2012
|
2011
|
||||||||||||
Premiums earned, net:
|
||||||||||||||||
Managed care
|
$ | 508.5 | $ | 472.4 | $ | 1,532.8 | $ | 1,364.4 | ||||||||
Life insurance
|
31.8 | 28.8 | 92.5 | 83.7 | ||||||||||||
Property and casualty insurance
|
25.9 | 24.9 | 71.7 | 74.5 | ||||||||||||
Intersegment premiums earned
|
(0.6 | ) | (0.7 | ) | (1.8 | ) | (2.1 | ) | ||||||||
Consolidated premiums earned, net
|
$ | 565.6 | $ | 525.4 | $ | 1,695.2 | $ | 1,520.5 | ||||||||
Administrative service fees:
|
||||||||||||||||
Managed care
|
28.4 | $ | 6.4 | $ | 86.0 | $ | 22.0 | |||||||||
Intersegment administrative service fees
|
(1.2 | ) | (1.2 | ) | (3.5 | ) | (3.2 | ) | ||||||||
Consolidated administrative service fees
|
$ | 27.2 | $ | 5.2 | $ | 82.5 | $ | 18.8 | ||||||||
Operating income:
|
||||||||||||||||
Managed care
|
$ | 7.3 | $ | 11.2 | $ | 33.3 | $ | 32.6 | ||||||||
Life insurance
|
4.1 | 5.3 | 12.5 | 13.2 | ||||||||||||
Property and casualty insurance
|
1.9 | (1.1 | ) | 4.1 | 2.0 | |||||||||||
Intersegment and other
|
2.2 | 1.2 | (1.4 | ) | 2.9 | |||||||||||
Consolidated operating income
|
$ | 15.5 | $ | 16.6 | $ | 48.5 | $ | 50.7 |
As of September 30,
|
||||||||
2012
|
2011
|
|||||||
Managed care enrollment:
|
||||||||
Commercial 1
|
708,643 | 704,992 | ||||||
Medicare 2
|
122,925 | 107,053 | ||||||
Medicaid 3
|
872,496 | - | ||||||
Total
|
1,704,064 | 812,045 | ||||||
Managed care enrollment by funding arrangement:
|
||||||||
Fully-insured
|
606,028 | 583,382 | ||||||
Self-insured
|
1,098,036 | 228,663 | ||||||
Total
|
1,704,064 | 812,045 |
(1)
|
Commercial membership includes corporate accounts, self-funded employers, individual accounts, Medicare Supplement, U.S. Federal government employees and local government employees.
|
(2)
|
Includes Medicare Advantage as well as stand-alone PDP plan membership.
|
(3)
|
We did not participate in the Medicaid segment during the first nine months of 2011. We resumed our participation in this sector in November 2011. All are self-funded members. For a description of the miSalud contract, see Item 1 of Part I of the Annual Report on Form 10-K for the year ended December 31, 2011 under the captions “General Description of Business and Recent Developments” and “Business-Customers-Medicaid.”
|
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
(Dollar amounts in millions)
|
2012
|
2011
|
2012
|
2011
|
||||||||||||
Revenues:
|
||||||||||||||||
Premiums earned, net
|
$ | 565.6 | $ | 525.4 | $ | 1,695.2 | $ | 1,520.5 | ||||||||
Administrative service fees
|
27.2 | 5.2 | 82.5 | 18.8 | ||||||||||||
Net investment income
|
11.6 | 12.0 | 34.3 | 36.5 | ||||||||||||
Other operating revenues
|
1.2 | - | 3.3 | - | ||||||||||||
Total operating revenues
|
605.6 | 542.6 | 1,815.3 | 1,575.8 | ||||||||||||
Net realized investment gains
|
- | 5.6 | 2.2 | 18.5 | ||||||||||||
Net unrealized investment loss on trading securities
|
- | (6.0 | ) | - | (7.3 | ) | ||||||||||
Other income, net
|
0.6 | (0.2 | ) | 1.5 | 0.3 | |||||||||||
Total revenues
|
606.2 | 542.0 | 1,819.0 | 1,587.3 | ||||||||||||
Benefits and expenses:
|
||||||||||||||||
Claims incurred
|
485.5 | 442.4 | 1,457.4 | 1,272.9 | ||||||||||||
Operating expenses
|
104.6 | 83.6 | 309.4 | 252.2 | ||||||||||||
Total operating expenses
|
590.1 | 526.0 | 1,766.8 | 1,525.1 | ||||||||||||
Interest expense
|
2.9 | 2.5 | 8.1 | 8.6 | ||||||||||||
Total benefits and expenses
|
593.0 | 528.5 | 1,774.9 | 1,533.7 | ||||||||||||
Income before taxes
|
13.2 | 13.5 | 44.1 | 53.6 | ||||||||||||
Income tax expense
|
1.5 | 1.9 | 7.8 | 14.5 | ||||||||||||
Net income attributable to TSM
|
$ | 11.7 | $ | 11.6 | $ | 36.3 | $ | 39.1 |
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
(Dollar amounts in millions)
|
2012
|
2011
|
2012
|
2011
|
||||||||||||
Operating revenues:
|
|
|||||||||||||||
Medical premiums earned, net:
|
|
|
|
|||||||||||||
Commercial
|
$ | 240.5 | $ | 234.4 | $ | 724.9 | $ | 703.2 | ||||||||
Medicare
|
268.0 | 238.0 | 807.9 | 658.5 | ||||||||||||
Medicaid
|
- | - | - | 2.7 | ||||||||||||
Medical premiums earned, net
|
508.5 | 472.4 | 1,532.8 | 1,364.4 | ||||||||||||
Administrative service fees
|
28.4 | 6.4 | 86.0 | 22.0 | ||||||||||||
Net investment income
|
3.9 | 4.5 | 11.7 | 13.5 | ||||||||||||
Total operating revenues
|
540.8 | 483.3 | 1,630.5 | 1,399.9 | ||||||||||||
Medical operating costs:
|
||||||||||||||||
Medical claims incurred
|
456.0 | 414.1 | 1,373.5 | 1,196.2 | ||||||||||||
Medical operating expenses
|
77.5 | 58.0 | 223.7 | 171.1 | ||||||||||||
Total medical operating costs
|
533.5 | 472.1 | 1,597.2 | 1,367.3 | ||||||||||||
Medical operating income
|
$ | 7.3 | $ | 11.2 | $ | 33.3 | $ | 32.6 | ||||||||
Additional data:
|
||||||||||||||||
Member months enrollment:
|
||||||||||||||||
Commercial:
|
||||||||||||||||
Fully-insured
|
1,448,985 | 1,440,393 | 4,375,260 | 4,362,829 | ||||||||||||
Self-funded
|
676,007 | 670,150 | 2,007,635 | 2,058,365 | ||||||||||||
Total Commercial member months
|
2,124,992 | 2,110,543 | 6,382,895 | 6,421,194 | ||||||||||||
Medicare:
|
||||||||||||||||
Medicare Advantage
|
342,180 | 291,628 | 1,011,150 | 823,264 | ||||||||||||
Stand-alone PDP
|
25,502 | 26,444 | 76,197 | 79,648 | ||||||||||||
Total Medicare member months
|
367,682 | 318,072 | 1,087,347 | 902,912 | ||||||||||||
Medicaid member months - Self-funded
|
2,631,532 | - | 7,886,395 | - | ||||||||||||
Total member months
|
5,124,206 | 2,428,615 | 15,356,637 | 7,324,106 | ||||||||||||
Medical loss ratio
|
89.7 | % | 87.7 | % | 89.6 | % | 87.7 | % | ||||||||
Operating expense ratio
|
14.4 | % | 12.1 | % | 13.8 | % | 12.3 | % |
●
|
Medical premiums generated by the Medicare business increased during the three months ended September 30, 2012 by $30.0 million, or 12.6%, to $268.0 million. This fluctuation primarily results from the overall increase in the member months enrollment of this business by 49,610, or 15.6%, when compared with the same period in 2011. Increase in member months enrollment was attributed to increased sales across all our Medicare Advantage products, but mostly in the member months enrollment in our dual-eligible offerings, which increased by 31,984, or 24.5%, during the 2012 period.
|
●
|
Medical premiums generated by the Commercial business increased by $6.1 million, or 2.6%, to $240.5 million during the three months ended September 30, 2012, primarily resulting from an increase in average premium rates in rated group policies of approximately 2% and to higher member months enrollment in the 2012 period.
|
●
|
The medical claims incurred of the Medicare business increased by $29.2 million, or 13.9% during 2012 and its MLR increased by 100 basis points, to 89.4% for the three months ended September 30, 2012. Excluding the effect of risk-score premium adjustments and prior period reserve developments the MLR increased by 610 basis points mostly as the result of higher utilization and cost trends, particularly in the pharmacy services across most of our offerings.
|
●
|
The medical claims incurred of the Commercial business increased by $11.3 million, or 5.6%, during the 2012 period and its MLR increased by 250 basis points, primarily due to increased utilization trends and cost trends in 2012, particularly in hospital admissions and surgical procedures.
|
●
|
The medical claims incurred of the former Medicaid business were $1.4 million, or 272.8%, higher than the prior period mostly due to paid claims through the run-off of the business.
|
●
|
Medical premiums generated by the Medicare business increased during the nine months ended September 30, 2012 by $149.4 million, or 22.7%, to $807.9 million. This fluctuation is the result of an overall increase in the member months enrollment of this business by 184,435, or 20.4%, when compared with the same period in 2011. Increase in member months enrollment was attributed to increased sales across all our Medicare Advantage products, as well as to the effect of presenting the members acquired from AH for the full period in 2012 and only for eight months in 2011. This fluctuation also results from the receipt of a higher risk score adjustments from CMS in 2012 as compared to 2011. The nine months ended September 30, 2012 and 2011 include the net effect of approximately $12.6 million and $1.9 million, respectively, related to CMS final risk scores adjustments corresponding to prior periods.
|
●
|
Medical premiums generated by the Commercial business increased by $21.7 million, or 3.1%, to $724.9 million during the nine months ended September 30, 2012. This fluctuation is primarily the result of an increase in average premium rates in rated group policies of approximately 1.5% and an increase in member months enrollment by 36,818, or 1.3%.
|
●
|
The medical claims incurred of the Medicare business increased by $141.0 million, or 24.2% during the 2012 period mostly as the result of the higher member months enrollment in 2012 attributed to increased sales, as well as to the effect of presenting the members acquired from AH for the full period in 2012 and only for eight months in 2011. The MLR was 89.6%, which is 110 basis points higher than the MLR for the prior year. Excluding the effect of risk-score premium adjustments and prior period reserve developments in the 2012 and 2011 periods, the MLR increased by 380 basis points, mostly as the result of higher utilization and cost trends in AH, particularly in pharmacy services.
|
●
|
The medical claims incurred of the Commercial business increased by $30.8 million, or 5.0%, during the 2012 period and its MLR increased by 160 basis points, mostly resulting from moderate premium rate increases and higher utilization trends, particularly in hospital admissions and surgical procedures.
|
●
|
The medical claims incurred of the Medicaid business for the nine months ended September 30, 2012 increased by $5.5 million mostly because of a favorable prior period reserve development recognized in the 2011 period after the termination of the Medicaid fully-insured contracts effective September 30, 2010.
|
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
(Dollar amounts in millions)
|
2012
|
2011
|
2012
|
2011
|
||||||||||||
Operating revenues:
|
||||||||||||||||
Premiums earned, net:
|
||||||||||||||||
Premiums earned
|
$ | 33.8 | $ | 30.2 | $ | 98.5 | $ | 88.1 | ||||||||
Premiums earned ceded
|
(2.0 | ) | (1.4 | ) | (6.0 | ) | (4.4 | ) | ||||||||
Premiums earned, net
|
31.8 | 28.8 | 92.5 | 83.7 | ||||||||||||
Net investment income
|
5.2 | 4.6 | 15.3 | 13.5 | ||||||||||||
Total operating revenues
|
37.0 | 33.4 | 107.8 | 97.2 | ||||||||||||
Operating costs:
|
||||||||||||||||
Policy benefits and claims incurred
|
17.3 | 14.4 | 48.7 | 40.4 | ||||||||||||
Underwriting and other expenses
|
15.6 | 13.7 | 46.6 | 43.6 | ||||||||||||
Total operating costs
|
32.9 | 28.1 | 95.3 | 84.0 | ||||||||||||
Operating income
|
$ | 4.1 | $ | 5.3 | $ | 12.5 | $ | 13.2 | ||||||||
Additional data:
|
||||||||||||||||
Loss ratio
|
54.4 | % | 50.0 | % | 52.6 | % | 48.3 | % | ||||||||
Operating expense ratio
|
49.1 | % | 47.6 | % | 50.4 | % | 52.1 | % |
Three months ended
|
Nine months ended
|
|||||||||||||||
September 30,
|
September 30,
|
|||||||||||||||
(Dollar amounts in millions)
|
2012
|
2011
|
2012
|
2011
|
||||||||||||
Operating revenues:
|
||||||||||||||||
Premiums earned, net:
|
||||||||||||||||
Premiums written
|
$ | 40.0 | $ | 39.0 | $ | 119.3 | $ | 108.4 | ||||||||
Premiums ceded
|
(16.7 | ) | (15.7 | ) | (47.3 | ) | (46.7 | ) | ||||||||
Change in unearned premiums
|
2.6 | 1.6 | (0.3 | ) | 12.8 | |||||||||||
Premiums earned, net
|
25.9 | 24.9 | 71.7 | 74.5 | ||||||||||||
Net investment income
|
2.2 | 2.5 | 6.7 | 7.1 | ||||||||||||
Total operating revenues
|
28.1 | 27.4 | 78.4 | 81.6 | ||||||||||||
Operating costs:
|
||||||||||||||||
Claims incurred
|
12.8 | 14.0 | 36.8 | 36.4 | ||||||||||||
Underwriting and other expenses
|
13.4 | 14.5 | 37.5 | 43.2 | ||||||||||||
Total operating costs
|
26.2 | 28.5 | 74.3 | 79.6 | ||||||||||||
Operating income (loss)
|
$ | 1.9 | $ | (1.1 | ) | $ | 4.1 | $ | 2.0 | |||||||
Additional data:
|
||||||||||||||||
Loss ratio
|
49.4 | % | 56.2 | % | 51.3 | % | 48.9 | % | ||||||||
Operating expense ratio
|
51.7 | % | 58.2 | % | 52.3 | % | 58.0 | % | ||||||||
Combined ratio
|
101.1 | % | 114.4 | % | 103.6 | % | 106.9 | % |
Nine months ended
|
||||||||
September 30,
|
||||||||
(Dollar amounts in millions)
|
2012
|
2011
|
||||||
Sources of cash:
|
||||||||
Cash provided by operating activities
|
$ | 112.1 | $ | 216.9 | ||||
Proceeds from short-term borrowings
|
11.2 | - | ||||||
Net proceeds of investment securities
|
- | 10.1 | ||||||
Proceeds from policyholder deposits
|
32.9 | 20.7 | ||||||
Other
|
0.3 | - | ||||||
Total sources of cash
|
156.5 | 247.7 | ||||||
Uses of cash:
|
||||||||
Net purchases of investment securities
|
(113.0 | ) | - | |||||
Net capital expenditures
|
(8.7 | ) | (12.0 | ) | ||||
Repurchase and retirement of common stock
|
(0.6 | ) | (7.6 | ) | ||||
Cash settlements of stock options
|
- | (2.4 | ) | |||||
Repayments of long-term borrowings
|
(26.5 | ) | (51.2 | ) | ||||
Repayments of short-term borrowings
|
- | (15.6 | ) | |||||
Surrenders of policyholder deposits
|
(4.8 | ) | (4.6 | ) | ||||
Acquisition of business, net of cash acquired of $0.8 and $29.4 million
|
(2.7 | ) | (54.0 | ) | ||||
Other
|
(3.3 | ) | (9.4 | ) | ||||
Total uses of cash
|
(159.6 | ) | (156.8 | ) | ||||
Net increase (decrease) in cash and cash equivalents
|
$ | (3.1 | ) | $ | 90.9 |
●
|
On January 31, 2006, we issued and sold $35.0 million of our 6.7% senior unsecured notes payable due January 2021 (the 6.7% notes). On September 10, 2012, we repaid $25.0 million of the principal of these senior unsecured notes.
|
●
|
On December 21, 2005, we issued and sold $60.0 million of our 6.6% senior unsecured notes due December 2020 (the 6.6% notes). On October 1, 2010 we repaid $25.0 million of the principal of these senior unsecured notes.
|
●
|
On November 1, 2010, we entered in a $25.0 million arrangement to sell securities under repurchase agreements that matures on November 2015. This repurchase agreement pays interests on a quarterly basis at 1.96%. At September 30, 2012 investment securities available for sale with fair value of $39.6 million (face value of $37.3 million) were pledged as collateral under this agreement. The proceeds obtained from this agreement were used to repay $25.0 million of the 6.6% notes.
|
Item 4.
|
Item 3.
|
Item 4.
|
Item 5.
|
Item 6 .
|
Exhibits
|
Description
|
10.1
|
First Amendment to the Agreement between the Puerto Rico Health Insurance Administration and TSS to administer the provision of the physical health component of the miSalud program in designated service regions. (incorporated herein by reference to Exhibit 10.1 to TSM’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2012 (File No. 001-33865)).
|
11
|
Statement re computation of per share earnings; an exhibit describing the computation of the earnings per share for the three months and nine months ended September 30, 2012 and 2011 has been omitted as the detail necessary to determine the computation of earnings per share can be clearly determined from the material contained in Part I of this Quarterly Report on Form 10-Q.
|
Certification of the President and Chief Executive Officer required by Rule 13a-14(a)/15d-14(a).
|
|
Certification of the Vice President and Chief Financial Officer required by Rule 13a-14(a)/15d-14(a).
|
|
Certification of the President and Chief Executive Officer required pursuant to 18 U.S.C Section 1350.
|
|
Certification of the Vice President and Chief Financial Officer required pursuant to 18 U.S.C Section 1350.
|
*
|
Filed herein.
|
Triple-S Management Corporation
|
|||||
Registrant | |||||
Date : | November 7, 2012 |
By:
|
/s/ Ramón M. Ruiz-Comas | ||
Ramón M. Ruiz-Comas, CPA | |||||
President and | |||||
Chief Executive Officer |
Date: | November 7, 2012 |
By:
|
/s/ Amílcar L. Jordán-Pérez | ||
Amílcar L. Jordán-Pérez
|
|||||
Vice President and
|
|||||
Chief Financial Officer
|
1.
|
I have reviewed this quarterly report on Form 10-Q of Triple-S Management Corporation;
|
|
2.
|
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
|
|
3.
|
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
|
|
4.
|
The registrant’s other certifying officers and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
|
|
a.
|
Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
|
|
b.
|
Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
|
|
c.
|
Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
|
|
d.
|
Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter
|
|
(the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
|
|
5.
|
The registrant’s other certifying officers and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
|
|
a.
|
All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
|
|
b.
|
Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
|
Date | November 7, 2012 |
By:
|
/s/ Ramón M. Ruiz-Comas | ||
Ramón M. Ruiz-Comas
|
|||||
President and Chief Executive Officer
|
1.
|
I have reviewed this quarterly report on Form 10-Q of Triple-S Management Corporation;
|
2.
|
Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
|
3.
|
Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
|
4.
|
The registrant’s other certifying officers and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
|
|
a)
|
Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
|
|
b)
|
Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
|
|
c)
|
Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
|
|
d)
|
Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
|
5.
|
The registrant’s other certifying officers and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
|
|
a)
|
All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
|
|
b)
|
Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
|
Date | November 7, 2012 |
By:
|
/s/ Amílcar L. Jordán-Pérez | ||
Amílcar L. Jordán-Pérez
|
|||||
Vice President and
|
|||||
Chief Financial Officer
|
|
a)
|
The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
|
|
b)
|
The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
|
Date | November 7, 2012 |
By:
|
/s/ Ramón M. Ruiz-Comas | ||
Ramón M. Ruiz-Comas
|
|||||
President and | |||||
Chief Executive Officer |
|
a)
|
The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
|
|
b)
|
The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
|
Date | November 7, 2012 |
By:
|
/s/ Amílcar L. Jordán-Pérez | ||
Amílcar L. Jordán-Pérez
|
|||||
Vice President and
|
|||||
Chief Financial Officer
|
Business Combination (Details) (USD $)
|
3 Months Ended | 9 Months Ended | 9 Months Ended | 3 Months Ended | 9 Months Ended | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2012
|
Sep. 30, 2011
|
Sep. 30, 2012
|
Sep. 30, 2011
|
Dec. 31, 2011
|
Sep. 30, 2012
2012 Acquisition [Member]
|
Jan. 18, 2012
2012 Acquisition [Member]
|
Sep. 30, 2012
2011 Acquisition [Member]
|
Sep. 30, 2011
2011 Acquisition [Member]
|
Sep. 30, 2012
2011 Acquisition [Member]
|
Sep. 30, 2011
2011 Acquisition [Member]
|
Feb. 07, 2011
2011 Acquisition [Member]
|
Jan. 31, 2011
2011 Acquisition [Member]
|
|||||||||
Business Acquisition [Line Items] | |||||||||||||||||||||
Date of business acquisition | Jan. 18, 2012 | Feb. 07, 2011 | |||||||||||||||||||
Percentage of outstanding capital stock acquired (in hundredths) | 90.80% | 100.00% | |||||||||||||||||||
Cost of business acquisition | $ 3,501,000 | ||||||||||||||||||||
Consideration transferred to acquire 90.8% stake in health clinic [Abstract] | |||||||||||||||||||||
Cash | 816,000 | 71,060,000 | |||||||||||||||||||
Account receivable | 3,058,000 | ||||||||||||||||||||
Property, Plant and Equipment | 16,600,000 | 1,665,000 | |||||||||||||||||||
Other Assets | 341,000 | 10,746,000 | |||||||||||||||||||
Accounts payable and accrued liabilities | (1,918,000) | ||||||||||||||||||||
Loans payable | (13,839,000) | ||||||||||||||||||||
Total net assets | 5,058,000 | 59,779,000 | |||||||||||||||||||
Fair value of noncontrolling interest | (372,000) | ||||||||||||||||||||
Total net assets | 4,686,000 | ||||||||||||||||||||
Excess of net assets over consideration | 1,200,000 | ||||||||||||||||||||
Allocation of purchase price to assets acquired and liabilities assumed at the acquisition of AH [Abstract] | |||||||||||||||||||||
Investments and cash and cash equivalents | 816,000 | 71,060,000 | |||||||||||||||||||
Premiums and other Receivables | 99,854,000 | 99,854,000 | 105,177,000 | 23,563,000 | |||||||||||||||||
Property and equipment | 16,600,000 | 1,665,000 | |||||||||||||||||||
Intangible Assets | 33,660,000 | ||||||||||||||||||||
Other assets | 341,000 | 10,746,000 | |||||||||||||||||||
Claim liabilities | (43,047,000) | ||||||||||||||||||||
Accounts payable and accrued liabilities | (27,770,000) | ||||||||||||||||||||
Deferred tax liability | (10,098,000) | ||||||||||||||||||||
Total net assets | 5,058,000 | 59,779,000 | |||||||||||||||||||
Goodwill | 24,971,000 | ||||||||||||||||||||
Intangible assets recognized in consolidated other assets | 33,660,000 | ||||||||||||||||||||
Recognized amortization expense related to intangible assests | 1,796,000 | 2,079,000 | 5,387,000 | 5,544,000 | |||||||||||||||||
Operating revenue | 606,208,000 | 542,035,000 | 1,819,008,000 | 1,587,266,000 | 118,732,000 | 309,276,000 | |||||||||||||||
Net income | 11,715,000 | 11,613,000 | 36,264,000 | 39,069,000 | 2,171,000 | 4,591,000 | |||||||||||||||
Number of dual and non dual medicare advantage members serviced | 40,000 | ||||||||||||||||||||
Aggregate purchase price of acquired entity | 84,750,000 | ||||||||||||||||||||
Transaction Costs | 440,000 | ||||||||||||||||||||
Unaudited pro forma financial information of AH [Abstract] | |||||||||||||||||||||
Operating revenues | 542,653,000 | [1],[2] | 1,612,382,000 | [1],[2] | |||||||||||||||||
Net income | 11,959,000 | [1],[3] | 39,577,000 | [1],[3] | |||||||||||||||||
Basic net income per share ( in dollars per share) | $ 0.42 | $ 1.38 | |||||||||||||||||||
Diluted net income per share (in dollars per share) | $ 0.41 | $ 1.37 | |||||||||||||||||||
Estimate of intangible assets including goodwill to be included in consolidated balance sheet | 58,600,000 | ||||||||||||||||||||
Estimate of amortization expense for the quarter | $ 1,600,000 | $ 4,600,000 | |||||||||||||||||||
|
Business Combination (Tables)
|
9 Months Ended | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2012
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Business Combination [Abstract] | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Consideration transferred to acquire 90.8% of health clinic | 2012 Acquisition On January 18, 2012, TSM completed the acquisition of 90.8% of the outstanding capital stock of a health clinic in Puerto Rico. The cost of this acquisition was approximately $3,501, funded with unrestricted cash. The following table summarizes the net assets acquired as a result of this acquisition
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Allocation of the purchase price to the assets acquired and liabilities assumed at the acquisition | Although the closing date of the transaction was February 7, 2011, the consideration amount was determined using AH's financial position as of January 31, 2011 and as such, TSS has acquired the net assets held by AH as of that date. Therefore, we have recorded an allocation of the purchase price to AH tangible and intangible assets acquired and liabilities assumed based on their fair value as of January 31, 2011. Goodwill has been recorded based on the amount by which the purchase price exceeds the fair value of the net assets acquired. Goodwill will not be deductible for tax purposes and is attributable to synergies and economies of scale expected from the acquisition. The following table summarizes the allocation of the purchase price to the assets acquired and liabilities assumed at the acquisition.
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Unaudited pro forma financial information | The consolidated statements of earnings for the three months ended September 30, 2011 include $118,732 and $2,171 related to AH operating revenues and net income, respectively, corresponding to the period subsequent to the effective date of the acquisition. The consolidated statements of earnings for the nine months ended September 30, 2011 include $309,276 and $4,591 related to AH operating revenues and net income, respectively, corresponding to the period subsequent to the effective date of the acquisition. The following unaudited pro forma financial information presents the combined results of operations of the Corporation and AH as if the acquisition had occurred at the beginning of 2010. The unaudited pro forma financial information is not intended to represent or be indicative of the Corporation's consolidated results of operations that would have been reported had the acquisition been completed as of the beginning of the periods presented and should not be taken as indicative of the Corporation's future consolidated results of operations.
|
Segment Information (Tables)
|
9 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sep. 30, 2012
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Segment Information [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Operations by major operating segment | The following tables summarize the operations by major operating segment for the three months and nine months ended September 30, 2012 and 2011:
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Operating income (loss) |
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Assets |
|
Income Taxes (Details) (USD $)
|
9 Months Ended | |
---|---|---|
Sep. 30, 2012
|
Dec. 31, 2011
|
|
Income Tax Examination [Line Items] | ||
Total outside basis difference | $ 57,000,000 | |
Approved maximum corporate income tax rate | 30.00% | |
Prior maximum income tax rate | 40.95% | |
Eliminated special tax over tax obligation imposed for corporations | 5.00% | |
Acquired company's elected tax returns filing rate | 39.00% | |
Decrease in net deferred tax assets | $ 6,400,000 | |
Minimum [Member]
|
||
Income Tax Examination [Line Items] | ||
Years subject to examination by taxing authority | 2007 | |
Maximum [Member]
|
||
Income Tax Examination [Line Items] | ||
Years subject to examination by taxing authority | 2011 |
Premiums and Other Receivables, Net (Details) (USD $)
In Thousands, unless otherwise specified |
Sep. 30, 2012
|
Dec. 31, 2011
|
---|---|---|
Premiums and Other Receivables, Net [Abstract] | ||
Premiums | $ 99,854 | $ 105,177 |
Self-funded group receivables | 65,279 | 64,053 |
FEHBP | 11,578 | 11,062 |
Agent balances | 34,488 | 37,421 |
Accrued interest | 10,223 | 10,788 |
Reinsurance recoverable | 49,459 | 48,828 |
Other | 37,655 | 33,721 |
Premiums and other receivables, total | 308,536 | 311,050 |
Less allowance for doubtful receivables [Abstract] | ||
Premiums | 16,682 | 14,299 |
Other | 8,505 | 9,567 |
Premiums and other receivables allowance | 25,187 | 23,866 |
Total premiums and other receivables, net | $ 283,349 | $ 287,184 |
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