MID ATLANTIC MEDICAL SERVICES INC
10-Q, 1995-11-13
HOSPITAL & MEDICAL SERVICE PLANS
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                         SECURITIES AND EXCHANGE COMMISSION
                               WASHINGTON, D.C. 20549
                                --------------------

                                     FORM 10-Q

     [X] Quarterly report  pursuant to Section  13 or 15(d) of  the Securities
     Exchange Act of 1934

         For the quarterly period ended SEPTEMBER 30, 1995, or

     [  ] Transition report pursuant to Section  13 OR 15(d) of the Securities
     Exchange Act of 1934

         For the transition period from          to         

                             ------------------------------
                             COMMISSION FILE NUMBER 1-13340
                             ------------------------------

                           MID ATLANTIC MEDICAL SERVICES, INC.
                 (Exact name of registrant as specified in its charter)

                                        DELAWARE
                            (State or other jurisdiction of
                             incorporation or organization)

                                      52-1481661
                         (IRS Employer Identification Number)

                           4 TAFT COURT, ROCKVILLE, MARYLAND
                       (Address of principal executive offices)

                                         20850
                                      (Zip code)

                                   (301) 294-5140
                (Registrant's telephone number, including area code)

     Indicate by check mark whether  the registrant (1) has filed all  reports
     required to  be filed by Section  13 or 15(d) of  the Securities Exchange
     Act of  1934 during the preceding  12 months (or for  such shorter period
     that the registrant was required to  file such reports), and (2) has been
     subject to such filing requirements for the past 90 days.

                Yes  X                        No 

     The  number of  shares outstanding  of each  of the  issuer's classes  of
     common  stock  was 46,435,712  shares of  common  stock, par  value $.01,
     outstanding as of September 30, 1995.




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     <PAGE>  2
     PART I.  FINANCIAL INFORMATION
     ITEM 1.  FINANCIAL STATEMENTS
                           MID ATLANTIC MEDICAL SERVICES, INC.
                     CONSOLIDATED CONDENSED BALANCE SHEETS (Note 1)
                           (in thousands except share amounts)
     <TABLE>
     <CAPTION>
                                                                                     (Unaudited)        (Note)
                                                                                 September 30, 1995  December 31, 1994
                                                                                     ------------     ------------
     <S>                                                                             <C>              <C>
     ASSETS
     Current assets:
      Cash and cash equivalents                                                      $     13,379     $     17,054 
      Short-term investments                                                              187,394          136,901
      Accounts receivable, net of allowance of $3,607 and $3,591                           56,101           37,031
      Prepaid expenses, advances and other                                                  7,324            5,743
      Deferred income taxes                                                                 9,012           15,540
                                                                                      -----------      -----------
        Total current assets                                                              273,210          212,269
      Property and equipment, net of accumulated
       depreciation of $13,638 and $10,622                                                 37,196           33,668
      Statutory deposits                                                                   10,549            9,877
      Other assets                                                                         11,862           12,708  
                                                                                       ----------      -----------
        Total assets                                                                 $    332,817     $    268,522
                                                                                      ===========      ===========
     LIABILITIES AND STOCKHOLDERS' EQUITY
     Current liabilities:
      Notes payable                                                                  $        360     $        726
      Short-term borrowings                                                                 1,217            1,048
      Accounts payable                                                                     17,359           17,565
      Income taxes payable                                                                  4,704            2,589
      Medical claims payable                                                               98,171           85,014
      Deferred premium revenue                                                              9,566           13,344  
                                                                                      -----------      -----------
        Total current liabilities                                                         131,377          120,286
      Notes payable (Note 4)                                                                  211            5,331
      Deferred income taxes                                                                   854            1,579
                                                                                      -----------      -----------
        Total liabilities                                                                 132,442          127,196
                                                                                      -----------      -----------           
     Stockholders' equity (Notes 2 and 3)
      Common stock, $.01 par, 100,000,000 shares authorized; 46,481,652 issued
       and 46,435,712 outstanding at September 30, 1995; 45,663,527 issued and
       45,617,587 outstanding at December 31, 1994                                            465              456
      Additional paid-in capital                                                           39,170           29,431
      Treasury stock                                                                          (33)             (33)
      Unrealized gains and (losses) on investments, net of tax of $1,231 and $(1,490)       1,881           (2,278)
      Retained earnings                                                                   158,892          113,750
                                                                                      -----------      -----------
        Total stockholders' equity                                                        200,375          141,326
                                                                                      -----------      -----------
        Total liabilities and stockholders' equity                                   $    332,817     $    268,522
                                                                                      ===========      ===========
     </TABLE>
     Note: The balance sheet at December 31, 1994 has been  extracted from the
     audited financial statements at that date.
                 See accompanying notes to these financial statements.<PAGE>


     <PAGE>  3
                           MID ATLANTIC MEDICAL SERVICES, INC.
                       CONSOLIDATED CONDENSED STATEMENTS OF INCOME
                           (in thousands except share amounts)
                                       (Unaudited)
     <TABLE>
     <CAPTION>
                                                                                          Three Months Ended
                                                                                     September 30,     September 30,
                                                                                         1995              1994    
                                                                                     ------------      ------------
     <S>                                                                             <C>               <C>
     Revenue
       Premium                                                                       $    231,625      $    185,157
       Fee and other                                                                        3,916             2,666
       Home health services                                                                 4,162
       Investment                                                                           3,577             1,111
                                                                                      -----------       -----------
         Total revenue                                                                    243,280           188,934
                                                                                      -----------       -----------
     Expense
       Medical                                                                            191,317           151,556
       Home health patient services                                                         2,671
       Administrative (including interest expense of $368 and $161)                        26,100            16,510
                                                                                      -----------       -----------
         Total expense                                                                    220,088           168,066
                                                                                      -----------       -----------
     Income before income taxes                                                            23,192            20,868

     Provision for income taxes                                                            (8,793)           (7,313)
                                                                                      -----------       -----------

     Net income                                                                      $     14,399      $     13,555
                                                                                      ===========       ===========
     Income per common and common equivalent share:
       Net income                                                                    $        .30      $        .28
                                                                                      ===========       ===========

     Weighted average common and common equivalent shares outstanding                  47,955,851        47,720,880
                                                                                      ===========       ===========
     </TABLE>


















                 See accompanying notes to these financial statements.<PAGE>


     <PAGE>  4
                           MID ATLANTIC MEDICAL SERVICES, INC.
                       CONSOLIDATED CONDENSED STATEMENTS OF INCOME
                           (in thousands except share amounts)
                                       (Unaudited)
     <TABLE>
     <CAPTION>
                                                                                           Nine Months Ended
                                                                                     September 30,     September 30,
                                                                                         1995              1994    
                                                                                     ------------      ------------
     <S>                                                                             <C>               <C>
     Revenue
       Premium                                                                       $    666,826      $    540,007
       Fee and other                                                                       11,616             7,085
       Home health services                                                                13,628
       Investment                                                                           7,714             3,415
                                                                                      -----------       -----------
         Total revenue                                                                    699,784           550,507
                                                                                      -----------       -----------
     Expense
       Medical                                                                            543,804           440,187
       Home health patient services                                                         9,447
       Administrative (including interest expense of $910 and $520)                        74,037            48,580
                                                                                      -----------       -----------
         Total expense                                                                    627,288           488,767
                                                                                      -----------       -----------
     Income before income taxes                                                            72,496            61,740

     Provision for income taxes                                                           (27,354)          (22,844)
                                                                                      -----------       -----------

     Net income                                                                      $     45,142      $     38,896
                                                                                      ===========       ===========
     Income per common and common equivalent share:
       Net income                                                                    $        .95      $        .82
                                                                                      ===========       ===========

     Weighted average common and common equivalent shares outstanding                  47,731,721        47,360,741
                                                                                      ===========       ===========
     </TABLE>


















                 See accompanying notes to these financial statements.<PAGE>


     <PAGE>  5
                           MID ATLANTIC MEDICAL SERVICES, INC.
                           CONSOLIDATED STATEMENT OF CASH FLOWS
                                     (in thousands)
                                      (Unaudited)
     <TABLE>
     <CAPTION>
                                                                                                       Nine Months
                                                                                                          Ending
                                                                                                    September 30, 1995
                                                                                                       ------------
     <S>                                                                             <C>               <C>
     Cash flows provided by operating activities:
       Net income                                                                                      $     45,142
     Adjustments to reconcile net income to net cash provided by
       operating activities:
         Depreciation and amortization                                               $      4,326
         Provision for bad debts                                                               16
         Provision for deferred income taxes                                                3,081
         Loss on sale and disposal of assets                                                   78
         Increase in accounts receivable                                                  (19,086)
         Increase in prepaid expenses, advances, and other                                 (1,581)
         Decrease in accounts payable                                                         (37)
         Increase in medical claims payable                                                13,157
         Decrease in deferred premium revenue                                              (3,778)
         Increase in income taxes payable                                                   2,115
                                                                                      -----------
           Total adjustments                                                                                 (1,709)
                                                                                                        -----------
           Net cash provided by operating activities                                                         43,433

     Cash flows used in investing activities:
       Purchases of short-term investments                                               (313,267)
       Sales of short-term investments                                                    269,655
       Purchases of property and equipment                                                 (7,078)
       Purchases of statutory deposits                                                       (807)
       Sales of statutory deposits                                                            135
       Purchases of other assets                                                             (690)
       Proceeds from sale of assets                                                           682
                                                                                      -----------
             Net cash used in investing activities                                                          (51,370)

     Cash flows provided by financing activities:
       Proceeds from notes payable                                                            300
       Principal payments on notes payable                                                 (5,786)
       Exercise of stock options                                                            4,065
       Stock option tax benefit                                                             5,683
                                                                                      -----------
             Net cash provided by financing activities                                                        4,262
                                                                                                        -----------
     Net decrease in cash and cash equivalents                                                               (3,675)

     Cash and cash equivalents at beginning of period                                                        17,054
                                                                                                        -----------
     Cash and cash equivalents at end of period                                                        $     13,379
                                                                                                        ===========
     </TABLE>


                 See accompanying notes to these financial statements.<PAGE>


     <PAGE>  6
                           MID ATLANTIC MEDICAL SERVICES, INC.
                           CONSOLIDATED STATEMENT OF CASH FLOWS
                                     (in thousands)
                                      (Unaudited)
     <TABLE>
     <CAPTION>
                                                                                                       Nine Months
                                                                                                          Ending
                                                                                                    September 30, 1994
                                                                                                       ------------
     <S>                                                                             <C>               <C>
     Cash flows provided by operating activities:
       Net income                                                                                      $     38,896
     Adjustments to reconcile net income to net cash provided by
       operating activities:
         Depreciation and amortization                                               $      2,889
         Provision for bad debts                                                              309
         Loss on sale and disposal of assets                                                1,126
         Increase in accounts receivable                                                  (10,387)
         Increase in prepaid expenses, advances, and other                                 (5,718)
         Increase in accounts payable                                                       4,598 
         Increase in medical claims payable                                                   590
         Increase in deferred premium revenue                                               2,373
         Decrease in income taxes payable                                                  (3,054)
                                                                                      -----------
             Total adjustments                                                                               (7,274)
                                                                                                        -----------
             Net cash provided by operating activities                                                       31,622

     Cash flows used in investing activities:
       Purchases of short-term investments                                               (139,167)
       Sales of short-term investments                                                    120,356
       Purchases of property and equipment                                                 (6,473)
       Purchases of statutory deposits                                                     (5,219) 
       Sales of statutory deposits                                                          2,399
       Purchases of other assets                                                           (2,305)
       Proceeds from sale of assets                                                         1,264
                                                                                      -----------
             Net cash used in investing activities                                                          (29,145)

     Cash flows provided by financing activities:
       Principal payments on notes payable                                                   (490)
       Exercise of stock options                                                            5,902
       Stock option tax benefit                                                            10,552
       Purchase of treasury stock                                                              (3)
                                                                                      -----------
             Net cash provided by financing activities                                                       15,961
                                                                                                        -----------
     Net increase in cash and cash equivalents                                                               18,438

     Cash and cash equivalents at beginning of period                                                           973
                                                                                                        -----------
     Cash and cash equivalents at end of period                                                        $     19,411
                                                                                                        ===========
     </TABLE>



                 See accompanying notes to these financial statements.<PAGE>


     <PAGE>  7
                           MID ATLANTIC MEDICAL SERVICES, INC.
                   NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS

     INTRODUCTION

     Mid  Atlantic Medical Services, Inc.  (MAMSI) is a  holding company whose
     subsidiaries  are  active  in  managed  health  care  and   other  health
     insurance  related  activities.    MAMSI delivers  health  care  services
     principally through  health maintenance organizations (HMOs).   The HMOs,
     MD-Individual  Practice Association,  Inc.  (M.D.  IPA), Optimum  Choice,
     Inc. (OCI) and Optimum Choice,  Inc. of the Carolinas (OCIC), arrange for
     health  care services to be provided to a voluntarily enrolled population
     generally  on  a  predetermined,  prepaid fee  basis,  regardless  of the
     extent or nature of services  provided to the enrollees.  The  HMOs offer
     a full complement of  health benefits, including physician,  hospital and
     prescription drug services.

     Other  MAMSI  subsidiaries  include   Alliance  PPO,  Inc.,  a  preferred
     provider  organization   marketing  non-risk  products   to  self-insured
     employers, indemnity  carriers and  other health care  purchasing groups,
     and Mid  Atlantic Psychiatric Services, Inc.,  which provides specialized
     non-risk  mental  health services.    MAMSI  Life  and  Health  Insurance
     Company  develops and markets indemnity health and group life products to
     support  MAMSI's  managed  care  products  and  also  provides  ancillary
     products  to  MAMSI's customers.   HomeCall,  Inc., FirstCall,  Inc., and
     HomeCall Infusion  Services, Inc. provide in-home  medical care including
     skilled nursing, infusion  and therapy  to both MAMSI's  HMO members  and
     other payors.

     NOTE 1 - FINANCIAL STATEMENTS

     The  consolidated  balance  sheet  of  MAMSI and  its  subsidiaries  (the
     Company)  as  of  September  30,  1995,  the consolidated  statements  of
     operations for the  three and nine  months ended  September 30, 1995  and
     1994, and the consolidated statements of  cash flows for the nine  months
     ended  September 30, 1995  and 1994 have  been prepared by  MAMSI without
     audit.   In  the opinion  of management,  all adjustments  (consisting of
     normal recurring  accruals) considered necessary for  a fair presentation
     have been included.

     Certain  information  and  disclosures  normally  included  in  financial
     statements  prepared  in accordance  with  generally  accepted accounting
     principles have  been condensed or  omitted.  These  financial statements
     should be read  in conjunction  with the financial  statements and  notes
     thereto included in  the Company's December 31, 1994 audited consolidated
     financial statements.  The results of  operations for the three and  nine
     month  periods ended September 30  are not necessarily  indicative of the
     operating results for the full year.

     Certain balances in the 1994  financial statements have been reclassified
     to conform to the 1995 presentation.

     NOTE 2 - STOCK OPTION PLANS

     In  1995, the stockholders of MAMSI ratified the 1995 Non-Qualified Stock
     Option Plan whereby  options for the purchase  of up to  3,000,000 shares
     may  be granted to officers and employees  of the Company.  Options under
     this plan are exercisable  at 100% of the fair market  value per share on
     the date the options are granted.<PAGE>


     <PAGE>  8

     NOTE 3 - COMMON STOCK

     On April 17, 1995, the stockholders  of MAMSI approved an increase in the
     number  of  authorized   shares  of  common  stock   from  60,000,000  to
     100,000,000.

     NOTE 4 - NOTES PAYABLE

     On September 1, 1995, the Company  paid off in full, from available cash,
     its mortgage note payable amounting to approximately $5.0 million.

     NOTE 5 - OTHER MATTERS

     In  October 1995, MAMSI announced a stock repurchase program.  Under this
     program,  MAMSI  may  expend  up  to  $40  million  (including  brokerage
     commissions)  to  repurchase shares  of its  common  stock over  a twelve
     month  period at  prices not  to exceed  $24.00 per  share.   Repurchased
     shares will be  reflected as treasury  shares and will  be available  for
     general corporate purposes.<PAGE>


     <PAGE>  9

                           MID ATLANTIC MEDICAL SERVICES, INC.
               ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL
                           CONDITION AND RESULTS OF OPERATIONS

     RESULTS OF OPERATIONS

     THE THREE MONTHS ENDED SEPTEMBER 30, 1995 COMPARED WITH  THE THREE MONTHS
     ENDED SEPTEMBER 30, 1994

     Consolidated  net income of  the Company was  $14,399,000 and $13,555,000
     for the  third quarter of 1995  and 1994, respectively, an  increase of 6
     percent.   Earnings per share  on net income  increased from $.28  in the
     third  quarter of  1994  to $.30  in  the  third quarter  of  1995.   The
     increase  in  earnings  is  primarily  attributable  to  an  increase  in
     membership,  increased investment  income from  higher invested  balances
     and  realized gains,  and a  reduction in  per member  per  month medical
     expenses, offset by a reduction in premiums  per enrollee and an increase
     in administrative expenses principally due  to additions to the Company's
     internal sales force and expansion into new geographic territories.

     Revenue  for   the  three  months  ended  September  30,  1995  increased
     approximately $54.3 million  or 29  percent over the  three months  ended
     September  30,  1994.    Premium revenue  increased  approximately  $46.5
     million  or 25  percent  over the  same period  in  1994.   A  33 percent
     increase in  average HMO and indemnity  enrollment (approximately 155,600
     additional  average  members  per  month)  resulted  in  an  increase  of
     approximately $61.2 million in  premium revenue and a 6  percent decrease
     in average  premiums  per  HMO and  indemnity  enrollee  reduced  premium
     revenue  by  approximately $14.7  million.   Premiums  per  enrollee have
     declined  due  to  the   combined  effects  of  an  increasing   relative
     percentage  of Virginia  Medicaid  HMO members  with  lower per  enrollee
     revenues, the  volatility of  revenues from  groups with  hybrid  funding
     arrangements  (i.e.,  revenues vary  in a  more  direct way  with medical
     expense)  and  the  competitiveness   of  the  marketplace  coupled  with
     management's  plan   to  price  its  commercial  products  competitively.
     Although premiums per member  declined in the current period  as compared
     to  the  prior  year period,  management  does  not  believe that  future
     periods will necessarily follow this pattern.

     Fee and other revenue increased $1.3 million or 47  percent primarily due
     to  membership increases  in  preferred provider  organization (PPO)  and
     administrative  services  only  (ASO)  products.    Total  PPO   and  ASO
     membership  grew from  678,000  at  September  30,  1994  to  843,200  at
     September 30, 1995, an increase of 24 percent.  Service  revenue from the
     Company's new home  health care subsidiaries contributed  $4.2 million in
     revenue in the third quarter of 1995.

     The  Company  currently  has one  of  the  largest HMO  and  managed care
     enrollment in its service area,  and also the largest network of contract
     providers of medical  care.  Because  of the full  range of managed  care
     products, service  reputation, strong  provider delivery  system, trained
     sales  force,  and competitive  premiums,  management  believes that  the
     Company  will continue to increase its membership during the remainder of
     1995.<PAGE>


     <PAGE>  10

     In 1993,  MAMSI  invited the  National  Committee for  Quality  Assurance
     (NCQA)  to evaluate the Company's  methodologies in an  effort to receive
     NCQA  accreditation.   NCQA accreditation  is a  voluntary process.   The
     Company  did not meet certain of  NCQA's criteria and, therefore, did not
     receive  NCQA  accreditation.    MAMSI  believes   that  it  has  adopted
     methodologies  and programs  designed  to  respond to  the  concerns  and
     questions  raised in NCQA's assessment.  The Company believes that, based
     on its success with large group sales since the denial of  accreditation,
     the  failure to  receive NCQA  accreditation should  not have  an adverse
     effect on its business or financial condition.

     Medical  expenses as a percentage of premium revenue (medical loss ratio)
     increased to  82.6 percent for the  third quarter of 1995  as compared to
     81.9 percent  for the  comparable period  of 1994, principally  due to  a
     decrease   in  average  premiums  per  enrollee   and  also  higher  than
     anticipated  medical expenses in the Company's Medicare risk product.  On
     a per member per  month basis, medical expenses declined  approximately 5
     percent.   Although  medical  costs  on  a per  member  per  month  basis
     declined  in  the  current period  compared  to  the  prior year  period,
     management  does   not  believe   that  this  necessarily   represents  a
     sustainable  trend.  Total medical  costs may increase  in future periods
     due  to   inflationary  pressures  and/or  the   Company  may  experience
     increased utilization by its membership.

     Administrative  expenses  as  a  percentage  of  revenue  (administrative
     expense ratio) increased from  8.7 percent in  the third quarter of  1994
     to 10.7  percent in the third  quarter of 1995.   Administrative expenses
     increased 58 percent, from $16.5 million to  $26.1 million from the third
     quarter  of 1994  to the  third quarter  of 1995.   The  increase in  the
     administrative  expense ratio  is primarily  attributable to  expenses of
     the  Company's home health care  subsidiaries, which were  not present in
     1994, the  Company's territorial expansion into  additional service areas
     within currently  served states as well  as into the new  states of North
     Carolina  (approved),   South   Carolina  (pending),   and   Pennsylvania
     (pending),  the continued  implementation  of its  plan to  significantly
     increase its employee sales  force and the higher costs  of administering
     the  Medicaid product  which  has  become  a  more  significant  line  of
     business  for the  Company in  1995.   The Company  plans to  continue to
     reduce  the  percentage  of  new  sales  made  by  insurance  brokers  by
     continuing to increase its internal sales force.

     Investment income  increased $2.5 million  or 222 percent,  primarily due
     to  significantly greater invested  balances and an  increase in realized
     gains on sales of marketable equity securities.

     The net  margin rate decreased from  7.2 percent in the  third quarter of
     1994  to 5.9 percent in the current  quarter.  This decrease is primarily
     due  to slightly lower premium rates on certain products, slightly higher
     than anticipated medical expenses and increased administrative expenses.<PAGE>


     <PAGE>  11

     THE NINE  MONTHS ENDED SEPTEMBER  30, 1995  COMPARED TO  THE NINE  MONTHS
     ENDED SEPTEMBER 30, 1994

     The  Company's  consolidated  net  income   for  the  nine  months  ended
     September 30, 1995 increased  16 percent to $45,142,000  from $38,896,000
     for the nine months ended September 30, 1994.  Earnings  per share on net
     income  rose from $.82 in  the first nine months of  1994 to $.95 for the
     same period in 1995.  The increase in earnings is primarily  attributable
     to an  increase in  membership and  a reduction in  per member  per month
     medical  expenses, offset by a reduction in average premiums per enrollee
     and an increase in  administrative expenses due to the  reasons described
     above.

     Revenue  for  the  nine   months  ended  September  30,   1995  increased
     approximately $149.3 million  or 27  percent over the  nine months  ended
     September  30,  1994.   Premium  revenue  increased approximately  $126.8
     million over the same  period in 1994.  A 27 percent  increase in average
     HMO and  indemnity enrollment  resulted in  an increase  of approximately
     $143.2 million  in premium revenue  and a 2  percent decrease in  average
     premiums  per  HMO and  indemnity  enrollee  reduced premium  revenue  by
     approximately  $16.4  million.    Fee and  other  revenue  increased $4.5
     million or  64 percent primarily due to increases in fee revenue from PPO
     and  ASO  only products.   Service  revenue from  the Company's  new home
     health  care  subsidiaries contributed  $13.6 million  in revenue  in the
     first nine months of 1995.

     The  medical loss  ratio remained  relatively stable  and  increased from
     81.5 percent  in the first  nine months of 1994  to 81.6 percent  for the
     same period in 1995.   Medical expenses on a  per member per month  basis
     decreased 2 percent over the comparable period.

     Over the past  two years, the Company has  achieved significant year over
     year reductions in per member per  month medical expenses.  These results
     reflect the efficacy of managed  care cost controls and state of  the art
     utilization management  programs developed  and expanded by  the Company.
     In order  to continue to reimburse providers at  a fair level in a manner
     consistent with the current  medical environment, the Company implemented
     the Medicare Resource Based Relative Value Scale methodology of  provider
     reimbursement effective  July 1, 1995.   This methodology,  which applies
     generally  to specialist health claims,  has resulted in  the lowering of
     some  reimbursement levels,  mainly those  having to  do with  office and
     hospital-based procedures,  while increasing payments for many evaluation
     and  management tasks.  Management  believes that this  change will allow
     the Company to continue to be competitive within its marketplace.

     The  administrative expense  ratio  for the  first  nine months  of  1995
     increased to 10.6 percent  as compared to 8.8 percent for  the comparable
     period in  1994.  The reasons  for this increase are  consistent with the
     items discussed in the quarterly analysis.

     The  net margin rate declined to 6.5 percent for the first nine months of
     1995  as  compared to  7.1 percent  for  the comparable  period  in 1994,
     principally due to increased administrative expenses.<PAGE>


     <PAGE>  12

     LIQUIDITY AND CAPITAL RESOURCES

     The Company's business is  not capital intensive and the majority  of the
     Company's  expenses   are  payments  to  health   care  providers,  which
     generally vary in direct  proportion to the premium revenues  received by
     the  Company.   Although medical  utilization rates  vary by  season, the
     payments for such expenses  lag behind cash inflow from  premiums because
     of the  lag in provider billing  procedures.  In the  past, the Company's
     cash  requirements have been met principally from operating cash flow and
     it is  anticipated that this source will continue to be sufficient in the
     future.

     Cash  and  short-term  investments   increased  from  $154.0  million  at
     December  31, 1994 to $200.8 million at September 30, 1995, primarily due
     to operating profits  and proceeds  from the exercise  of employee  stock
     options.   Accounts receivable  increased from $37.0  million at December
     31, 1994 to  $56.1 million at  September 30, 1995,  primarily due to  the
     significant increase in membership during the first nine months of 1995.

     Medical  claims payable increased from $85.0 million at December 31, 1994
     to $98.2 million at September  30, 1995, primarily due to the significant
     increase in membership  and related  claim volume during  the first  nine
     months of 1995.

     Long-term debt  decreased from $5.3  million at December 31,  1994 to $.2
     million  at  September  30, 1995,  primarily  due  to the  payoff  of the
     Company's mortgage note payable without  prepayment penalty.  The Company
     has  access to total revolving  credit facilities of  $9.5 million, which
     is used to  provide short-term  capital resources for  routine cash  flow
     fluctuations.   At September  30,  1995, approximately  $1.2 million  was
     drawn against the lines-of-credit.

     Following  is a schedule of the short-term capital resources available to
     the Company (in thousands):

     <TABLE>
     <CAPTION>
                                                              September 30,    December 31,
                                                                  1995             1994
                                                              ------------     ------------
     <S>                                                      <C>              <C>
     Cash and cash equivalents                                $     13,379     $     17,054
     Short-term investments                                        187,394          136,901
     Working capital advances to Maryland hospitals                  4,053            3,982
                                                               -----------      -----------
     Total available liquid assets                                 204,826          157,937
     Credit line availability                                        8,283            8,452
                                                               -----------      -----------
     Total short-term capital resources                       $    213,109     $    166,389
                                                               ===========      ===========
     /TABLE
<PAGE>


     <PAGE>  13

     The Company believes that  the cash flow generated from  operations along
     with its current  liquidity and borrowing  capabilities are adequate  for
     both current and  planned expanded  operations.  In  October 1995,  MAMSI
     announced  the  approval  of a  stock  repurchase  program.   Under  this
     program,  MAMSI  may  expend  up  to  $40  million  (including  brokerage
     commissions)  to  repurchase shares  of its  common  stock over  a twelve
     month period  at prices not  to exceed  $24.00 per share.   This  program
     will be financed through cash flow from the Company's operations.   Other
     capital expenditures may  be made  during 1995 to  enhance the  Company's
     computer  systems, establish  additional  sales offices  and purchase  an
     additional office building for operational expansion in the future.<PAGE>


     <PAGE>  14

     PART II. OTHER INFORMATION
     ITEM 1. LEGAL PROCEEDINGS

     No material  legal proceedings  were commenced  during the  quarter ended
     September 30,  1995 and no material  developments occurred in  any of the
     previously disclosed proceedings during  such quarter except as discussed
     below.

     During  the third quarter of  1995, shareholders of  MAMSI filed lawsuits
     in the United States District  Court for the District of Maryland against
     MAMSI  and  certain current  and former  directors  and officers.   These
     actions have been consolidated  and, on November 1, 1995,  a consolidated
     Amended Class Action  Complaint was  filed on behalf  of all  plaintiffs.
     The amended complaint alleges  that MAMSI failed to disclose in  a timely
     fashion that it had  been denied accreditation by the  National Committee
     for  Quality Assurance (NCQA) and  that the officers  and directors named
     as defendants are liable,  directly and as controlling persons  of MAMSI,
     for the  failure to disclose.   Plaintiffs seek  to represent a  class of
     all persons  who purchased the common  stock of MAMSI from  March 1, 1995
     through June  15, 1995.   MAMSI believes  it has meritorious  defenses to
     the claims  raised in  the Amended  Complaint and  intends to  defend the
     action vigorously.

     The staff of  the Securities and Exchange  Commission has asked MAMSI  to
     provide  certain information relating  to the denial  of accreditation by
     the NCQA  and to sales of  stock by certain officers  and directors prior
     to  the  announcement  of   the  NCQA's  action.    MAMSI   has  complied
     voluntarily with the Commission's requests.
       
     ITEM 2. CHANGES IN SECURITIES

     None.

     ITEM 3. DEFAULTS UPON SENIOR SECURITIES

     None.

     ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

     None.

     ITEM 5. OTHER INFORMATION

     None.

     ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K

     (a)  See the Exhibit Index on page 16 of the Form 10-Q.

     (b)   There were no  reports filed on  Form 8-K during  the quarter ended
     September 30, 1995.<PAGE>


     <PAGE>  15




                                 SIGNATURES

     Pursuant to the requirements of the Securities  Exchange Act of 1934, the
     registrant has  duly caused this  report to  be signed on  its behalf  by
     undersigned thereto duly authorized.


                      MID ATLANTIC MEDICAL SERVICES, INC.
                      --------------------------------------------
                      (Registrant)






     Date:  November 13, 1995        Robert E. Foss
                              --------------------------------------------
                                     Robert E. Foss
                                     Executive Vice President and
                                     Chief Financial Officer<PAGE>


     <PAGE>  16

     6(a) List of Exhibits.

                                  EXHIBIT INDEX
                                                          Location of Exhibit
     Exhibit                                                  in Sequential
     Number      Description of Document                    Numbering System 

     27          Financial Data Schedule . . . . . . . . . . . . .<PAGE>

<TABLE> <S> <C>

<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE
COMPANY'S QUARTERLY REPORT ON FORM 10-Q FOR THE THREE MONTHS ENDED SEPTEMBER 30,
1995 AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
<MULTIPLIER> 1,000
       
<S>                             <C>
<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                          DEC-31-1995
<PERIOD-START>                             JAN-01-1995
<PERIOD-END>                               SEP-30-1995
<CASH>                                         $13,379
<SECURITIES>                                   187,394
<RECEIVABLES>                                   56,101
<ALLOWANCES>                                     3,607
<INVENTORY>                                          0
<CURRENT-ASSETS>                               273,210
<PP&E>                                          37,196
<DEPRECIATION>                                  13,638
<TOTAL-ASSETS>                                $332,817
<CURRENT-LIABILITIES>                         $131,377
<BONDS>                                            211
<COMMON>                                           465
                                0
                                          0
<OTHER-SE>                                     199,910
<TOTAL-LIABILITY-AND-EQUITY>                  $332,817
<SALES>                                             $0
<TOTAL-REVENUES>                               699,784
<CGS>                                                0
<TOTAL-COSTS>                                  627,288
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                    16
<INTEREST-EXPENSE>                                 910
<INCOME-PRETAX>                                 72,496
<INCOME-TAX>                                    27,354
<INCOME-CONTINUING>                             45,142
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                   $45,142
<EPS-PRIMARY>                                     $.95
<EPS-DILUTED>                                     $.95
        

</TABLE>


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