FOR IMMEDIATE RELEASE FOR MORE INFORMATION CONTACT:
Wednesday, November 11, 1998 Paul Dillon or Beth Sammis (301) 838-5645


MAMSI ANNOUNCES THIRD QUARTER RESULTS

Rockville, Md. -- Mid Atlantic Medical Services, Inc. (MAMSI) (NYSE-MME), one of the Mid-Atlantic region’s largest managed care companies, reported its results today for the third quarter and first nine months ended September 30, 1998.

Prior to the one-time accrual for a potential settlement of an examination performed by the Office of Personnel Management, diluted earnings for the first nine months of 1998 were $14,257,000 or $.31 per share on 46,422,587 weighted average shares, compared to earnings of $8,320,000 or $.18 per share on 46,849,087 weighted average shares for the same period in 1997. After the one-time item, net income for the first nine months of 1998 was $3,532,000 or $.08 per share. Revenue for the first nine months of 1998 was $883.3 million, compared with $835.5 million for the same period in 1997, an increase of $47.8 million or 5.7 %. Medical and home health patient services costs for the nine months ended September 30, 1998 were $754.6 million, compared with $722.6 million for the same period in 1997. Administrative expenses for the first three quarters of 1998 were $99.6 million, compared with $97.9 million for the same period in 1997.

For the third quarter of 1998, prior to the one-time item, diluted earnings were $3,982,000 or $.09 per share on 45,042,891 weighted average shares outstanding, compared with $.10 per share on 47,111,926 shares outstanding for the same period in 1997. After the one-time item, the Company incurred a loss of $(6,743,000) or $(.15) per share. Revenue for the third quarter of 1998 was $299.5 million, compared to $269.9 million for the same quarter in 1997, an increase of $29.6 million. Medical and home health patient services expenses for the third quarter of 1998 were $255.4 million, compared with $230.1 million for the same period in 1997. Third quarter 1998 administrative expenses were $33.3 million, compared with $31.9 million for the same period in 1997.

"The third quarter results reflect good progress in our business recovery," commented George T. Jochum, Chairman, CEO, and President. "It is appropriate to set up the OPM accrual at this time. The examination performed by the Office of Personnel Management showed no problems for the years 1995 through 1997. This gives us confidence that our current processes are correct and we have good controls in place. I am certain the Company’s momentum will continue. Our focus on customer service and value has given the Company an advantage in the marketplace which is demonstrated by our success in retaining current customers and attracting new ones. We expect 1999 to have continued strong sales growth."

Membership in MAMSI’s health plans continued an upward trend, reaching 1,788,800 covered lives in all products as of September 30, 1998, up from 1,687,500 on December 31, 1997, representing an increase of 101,300 covered lives or 6.0%. Of the 1998 figure, 713,800 are HMO, indemnity, and ASO plan members, and 1,075,000 are PPO members.

Membership figures for individual product categories are as follows:

Product

9-30-98 Membership

12-31-97 Membership

Increase/(Decrease)

% Change

HMO/Commercial *

667,700

625,400 42,300 6.8
HMO/Medicaid 27,800 33,900 (6,100) (18.0)
HMO/Medicare 7,300 11,200 (3,900) (34.8)
ASO 11,000 11,000 0 0
Subtotal 713,800 681,500 32,300 4.7
PPO 1,075,000 1,006,000 69,000 6.9
TOTAL 1,788,800 1,687,500 101,300 6.0

* Includes indemnity members.

The Company’s provider network numbered 30,018 physicians, specialists, and affiliate providers; 290 hospitals; 1,334 outpatient facilities; and 5,976 pharmacies as of September 30, 1998.

 

In other news, the Company announced:

"Our membership growth, member satisfaction, and service improvements demonstrate MAMSI’s value to employer groups," added Mr. Jochum. "No other regional managed care company offers employer groups access to so many different types of coverage (e.g., HMO, PPO, Indemnity), or access to a large provider network."

Looking ahead, the Company plans to continue its focus on service, value, and sales for its members, as well as its health care providers. Targeted areas for membership growth include small and large groups in Maryland, Virginia, Washington D.C., Delaware, West Virginia, North Carolina, and Pennsylvania.

"We will continue to build on our strengths," Mr. Jochum concluded. "Membership growth, continued service improvement, and premium increases demonstrate that MAMSI is a solid company with a bright future."

Mid Atlantic Medical Services, Inc. is one of the largest managed care companies in the Mid-Atlantic region, with its health plan subsidiaries covering more than 1.7 million lives in Maryland, Virginia, Washington D.C., Pennsylvania, North Carolina, Delaware, and West Virginia. The Company’s internet address is www.mamsi.com.

 

Selected Income Statement Information

(In thousands except share amounts)
(Unaudited)

3Q 1998

3Q 1997

YTD `98 1st 9 Mos.

YTD `97 1st 9 Mos.

Revenue $299,546 $269,875 $883,273 $835,483
Expenses $310,685 $262,685 $878,024 $822,555
Income (Loss) Before Taxes $ (11,139) $ 7,190 $ 5,249 $ 12,928
Diluted Earnings (Loss) per Common Share* $ (0.15) $ 0.10 $ 0.08 $ 0.18
Weighted Average Shares Outstanding* 45,042,891 47,111,926 46,422,587 46,849,087

*Earnings per share and weighted average share amounts have been restated to reflect the adoption of Statement of Financial Accounting Standards No. 128, "Earnings Per Share."

 

MID ATLANTIC MEDICAL SERVICES, INC.
IN 000’S EXCEPT PMPM AND PER SHARE
(UNAUDITED)

 

 

QUARTER ENDED 9/30/98

QUARTER ENDED 9/30/97

QUARTER ENDED 6/30/98

MEMBER MONTHS

2,087,902

1,983,376

2,063,937

MEMBER MONTHS - ASO

31,486

31,823

32,008

HEALTH PREMIUM

$281,777

$253,297

$278,029

PMPM

$134.96

$127.71

$134.71

FEE AND OTHER

5,006

4,631

5,304

LIFE AND SHORT-TERM DISABILITY

1,751

1,421

1,695

HOME HEALTH SERVICES

5,171

5,233

5,410

INVESTMENT

944

5,293

2,992

GAIN ON SALE OF REAL ESTATE

4,897

795

TOTAL REVENUE

299,546

269,875

294,225

MEDICAL EXPENSE

250,997

225,328

249,805

PMPM

$120.21

$113.61 $121.03
MED LOSS RATIO

89.1%

89.0% 89.8%
LIFE AND SHORT-TERM DISABILITY

930

640

819

HOME HEALTH COSTS

4,397

4,769

4,136

ADMINISTRATIVE

33,257

31,948

33,736

ADMIN EXPENSE RATIO 11.1% 11.8% 11.5%

LOSS ON RETIREMENT OF COMPUTER EQUIPMENT

4,604

OPM POTENTIAL SETTLEMENT

16,500

INCOME (LOSS) BEFORE TAX

(11,139)

7,190

5,729

TAX PROVISION (BENEFIT)

(4,396)

2,464

2,144

EFFECTIVE TAX RATE

39.5%

34.3%

34.7%

NET INCOME (LOSS)

($6,743)

$4,726

$3,585

DILUTED EPS

($0.15)

$0.10

$0.08

WEIGHTED AVE SHARES

45,043

47,112

47,246

NET MARGIN

-2.3%

1.8%

1.2%

MEDICAL CLAIMS PAYABLE AT END OF PERIOD

$115,237

$96,844

$115,867

ADDITIONAL INFORMATION:
MEDICAID PROGRAM:
PREMIUM

$9,118

$12,146

$9,200

PMPM

$111.34

$117.71

$109.23

MEDICAL EXPENSE

7,733

10,586

7,552

PMPM

$94.43

$102.59

$89.66

MED LOSS RATIO

84.8%

87.2%

82.1%

MEDICARE PROGRAM:
PREMIUM

$10,355

$13,736

$11,867

PMPM

$456.43

$425.46 $441.15
MEDICAL EXPENSE

11,225

15,769

12,337

PMPM $494.77 $488.43 $458.62
MED LOSS RATIO 108.4% 114.8% 104.0%

 

MID ATLANTIC MEDICAL SERVICES, INC.
IN 000's EXCEPT PMPM AND PER SHARE
(UNAUDITED)

 

NINE MONTHS ENDED 9/30/98

NINE MONTHS ENDED 9/30/97

MEMBER MONTHS

6,195,722

6,163,193

MEMBER MONTHS - ASO

95,780

95,101

HEALTH PREMIUM

$833,872

$792,535

PMPM

$134.59

$128.59

FEE AND OTHER

15,405

13,289

LIFE AND SHORT-TERM DISABILITY

5,051

3,856

HOME HEALTH SERVICES

15,606

15,584

INVESTMENT

7,647

10,219

GAIN ON SALE OF REAL ESTATE

5,692

TOTAL REVENUE

883,273

835,483

MEDICAL EXPENSE

741,844

710,107

PMPM

$119.73

$115.22

MED LOSS RATIO

89.0%

89.6%

LIFE AND SHORT-TERM DISABILITY

2,742

2,050

HOME HEALTH COSTS

12,718

12,490

ADMINISTRATIVE

99,616

97,908

ADMIN EXPENSE RATIO

11.3%

11.7%

LOSS ON RETIREMENT OF COMPUTER EQUIPMENT

4,604

 
OPM POTENTIAL SETTLEMENT

16,500

 
INCOME (LOSS) BEFORE TAX

5,249

12,928

TAX PROVISION (BENEFIT)

1,717

4,608

EFFECTIVE TAX RATE

32.7%

35.6%

NET INCOME (LOSS)

$3,532

$8,320

DILUTED EPS

$0.08

$0.18

WEIGHTED AVE SHARES

46,423

46,849

NET MARGIN

0.4%

1.0%

MEDICAL CLAIMS PAYABLE AT END OF PERIOD

$115,237

$96,844

ADDITIONAL INFORMATION:
MEDICAID PROGRAM:
PREMIUM

$26,956

$68,688

PMPM $108.50 $125.96
MEDICAL EXPENSE

22,270

55,278

PMPM $89.64 $101.37
MED LOSS RATIO 82.6% 80.5%
MEDICARE PROGRAM:
PREMIUM

$36,289

$38,574

PMPM $449.29 $425.89
MEDICAL EXPENSE

38,461

46,472

PMPM $476.17 $513.09
MED LOSS RATIO 106.0% 120.5%

 

 

Note 1: Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: All forward-looking information or statements contained in this release are based on management’s current knowledge of factors, all with inherent risks and uncertainties, affecting MAMSI’s business. MAMSI’s actual results may differ materially if these assumptions prove invalid. Significant risk factors, while not all-inclusive, are: the possibility of increasing price competition in the Company’s marketplace; the possibility of state or Federal budget mandates that reduce premium levels; the possibility of increased medical expenses due to increased utilization, inflation or legislative mandates; and the possibility that the Company is not able to expand its Service Area as planned. Investors should review other risks and uncertainties contained in Company documents filed with the Securities and Exchange Commission.

Note 2: MAMSI is a regional holding company for health care organizations that provide comprehensive health insurance products and services including: M.D. IPA, a traditional HMO, and M.D. IPA Preferred, an open-ended version of the HMO; Optimum Choice, Inc., a non-federally qualified HMO; Optimum Choice of the Carolinas, Inc.; Optimum Choice, Inc. of Pennsylvania; Alliance PPO, Inc., a preferred provider organization; Mid Atlantic Psychiatric Services, Inc., a preferred provider organization offering managed psychiatric health care services; MAMSI Life and Health Insurance Company, an indemnity insurance company; HomeCall, Inc. and FirstCall, Inc., home health care companies; and HomeCall Pharmaceutical Services, Inc., a mail order pharmacy and home infusion services company.

Note 3: Mid Atlantic Medical Services, Inc. common stock is traded on the New York Stock Exchange (NYSE-MME).

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