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EBITA for the overall hospital business in 1Q’13 amounted to
Ch$1.834 million, 17% below 1Q’13. This decrease is mainly
due to: (1) higher personnel expenses; and (2) the competitive
environment faced by Clínica Reñaca, that could not be offset
by the better sales mix in Clínica Antofagasta and the higher
activity in bed days of Clinical Service.
1Q’14 net profit was of Ch$300 million.
2. Personnel cost were reclassified into from SG&A to COS.
(2)
286 286 286 286 286
80 80 80 80 80
11.906 12.147 12.771 13.022 12.360
(1. 000)
1.000
3.000
5.000
7.000
9.000
11.000
13.000
15.000
-
100
200
300
400
500
600
700
800
1Q'13 2Q'13 3Q'13 4Q'13 1Q'14
# Critical beds (avg)
# Normal beds (avg)
Monthly revenue per bed (Ch$ th)
11
4Q’13 revenue
breakdown per hospital
(%)
Inversiones Clínicas CBS, this operation consolidates the home hospitalization business (acquired in July
2012) and the Clínica Santiago project including its start-up costs. Consolidated revenues were of Ch$852
million, increasing by 27% compared to the same period of the previous year, with 4.017 bed days in the
quarter (+16% compared to 1Q’13). 1Q’14 EBITDA reached Ch$136 million, increasing 35% as the result of (1)
the increase of sales; (2) the dilution of fixed costs; and (3) the capitalization of project expenses of Clínica
Santiago.
Clínica San José reached revenues of Ch$1.175 million in 1Q’14 decreasing 9% compared to 1Q’13. This
decrease is mainly explained by the lower average prices, specially in hospitalization, surgery and imaging,
which cannot be offset by the increase of the hospital´s activity levels measured as bed days in the quarter.
EBITDA margin of 1Q’14 was of 5%, decreasing 18pp compared to 1Q´13, mainly due to the lower revenues
and fixed costs.
Clínica Reñaca generated revenues of Ch$5.479 million in 1Q’14,
decreasing 1% compared to 1Q’13. The higher occupancy rate
(+3pp) could not compensate the lower average prices, specially in
hospitalization. In the quarter, EBITDA margin was of 6%, bellow the
11% of 1Q’13, mainly due to higher SG&A expenses as the result of
personnel (9%), advertising (115%),insurance (17%) and financial
assistance (24%).
Clínica Antofagasta in 1Q’14 posted revenues of Ch$6.917 million a 10% increase compared to 1Q’13, mainly
due to better average prices specially in hospitalization (11%), medications (17%), offsetting the lower
occupancy rate. 1Q’14 EBITDA margin was of 19%, unchanged compared to 1Q’13 –even though EBITDA is
higher- as the result of higher costs because of (1) the need of more medical personnel, and (2) increased third
party services.
Hospital Business - Quarter Analysis
38%
49%
8% 5%
ClínicaReñaca
ClínicaAntofagasta
Clínica SanJosé
ClinicalService
Health Insurance business - Quarter Analysis
Health Insurance business posted revenues of Ch$103.501 million in
1Q’14, increasing by 13% compared to 1Q’13. This increase is
mainly explained by:
(1) 8% growth in the number of policy-holders, from an average of
334.501 in 1Q’13, to an average of 363.294 in 1Q’14. This
increase in policy-holders was due to:
•Higher health plans sales as a result of the favorable
economic cycle of the country;
•The successful commercialization of MaxSalud(1) plans.
(2) 29% increase in GES premium, which contributes with additional
revenues of Ch$1.000 million per month since July of 2013.
12
1. The new plans MaxSalud are oriented to Fonasa affiliates who seek quality services at affordable prices, it operates through a general practitioner and a
closed providers network (3 contracted hospitals and Integramédica’s outpatient centers in Santiago).
2. GES is included in each Isapre plan by law and currently covers 80 diseases and medical conditions. The price readjustment can be performed every 3
years, unless new patologies are added before that term. In 2013 11 new patologies were added to the previous 69. The effect of the premium
readjustment is captured starting in the date of the price change and actual claims cost increase steadily in the 3 year period, typically resulting in
positive margins in the first part of the 3-year period.
(3) An increase in the price of health plans of 2,4% (real terms) in
July 2013, which is gradually captured according to the
anniversary of each contract;
(4) And higher premium per policy holder due to an increase in
affiliates´ salaries.
Revenues
334.501 340.638 349.103 354.645 362.294
91,2 90,7 93,6 94,0 94,6
70,0
80,0
90,0
100,0
110,0
120,0
130,0
100.000
150.000
200.000
250.000
300.000
350.000
1Q'13 2Q'13 3Q'13 4Q'13 1Q'14
Policy holders (Avg)
Revenues per average pol icy holders (Ch$
thousands)
Health Insurance business - Quarter Analysis
With regards to costs, the claims rate in the 1Q’14 had an
increase of 2pp compared to 1Q’13 mainly due to: (1) 1pp
increase in temporary disability claims; and (2) 1pp increase in
ambulatory expenses.
Claims rate has shown an increasing trend in the period 1Q’13
to 1Q’14. This increase is explained by: (1) an increase in
medical leave expenses due to a higher daily cost as a result
of the increase in average affiliates wages; and (2) higher
average price per service resulting from: (i) price readjustment
performed by providers to the industry and (ii) a service mix
with more expensive procedures (elective surgeries).
Regarding to hospital expenses, there has been an increase in
the frequency of elective surgeries such as bariatric,
rhinoplasty, hernia, among others.
13
Claims rate (%)
Hospitalizations Outpatient Medical leave Others
SG&A expenses in the quarter grew compared to 1Q’13 due to the fixed costs related to the implementation
of Cruz Blanca Salud´s Life Insurance Company, which started its operations in the second semester or 2013.
Costs and SG&A
1Q’14 EBITDA decreased a 12% compared to 1Q’13 amounting Ch$5.397 million. This is mainly referred to
the abovementioned increase in the medical loss ratio.
4Q’13 Net Profit was of negative Ch$4.2620 million.
86,3% 88,3% 87,4% 88,2% 88,4%
-
10, 0%
20, 0%
30, 0%
40, 0%
50, 0%
60, 0%
70, 0%
80, 0%
90, 0%
100, 0%
28,9% 29,3% 29,7% 29,4% 29,5%
40,4% 41,3% 40,0% 40,4% 40,7%
16,2% 16,6% 16,6% 17,1% 17,2%
0,9% 1,0% 1,1% 1,3% 1,0%
LTM1Q'13
LTM2Q'13
LTM3Q'13
LTM4Q'13
LTM1Q14
-
5,0%
10, 0%
15, 0%
20, 0%
25, 0%
30, 0%
35, 0%
40, 0%
45, 0%
Regulatory framework(1)
There has not been further developments regarding the bill in Congress. The bill was at the Senate's Health
Committee and has not been reviewed in 2014. For the bill to be passed it requires acceptance by the Health
Committee of the Senate, the Senate and finally the House of Representatives. All of the above is highly
unlikely to occur since the new government has stated that it will withdraw the original bill and substitute it by a
new one that will include the opinion of the commission of experts that will be summoned by the new
government in the next few months.
1. The information contained herein has been prepared to assist interested parties in making their own evaluation of the company and does not
purport to be all-inclusive or to contain all the information that a potential counterparty may desire. In all cases, interested parties should conduct
their own independent investigation and analysis of the company. Interested parties can only rely on the result of their own investigation and the
representations and warranties made in any definitive agreement that may be executed.
International business - Quarter Analysis
Revenues in Cruz Blanca Salud Perú for 1Q’14 amounted to Ch$1.664 million, increasing 194% compared to
1Q’13 explained by the incremental revenues from the recently acquired laboratory Anglolab (July 2013) and
outpatient network MediPerú (September 2013). However 4Q’13 EBITDA was of Ch$(326) million mainly
because of fixed costs due to the opening in march 2014 of the first Integramédica outpatient medical center.