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T.J. Smith
T.J. Smith
Chief Executive
Officer’s Report
The operating environment during 2008/09 was tougher than we expected but it could have been a lot worse. While our investment portfolios bore the brunt of the economic downturn, we remained profitable and increased premium income in both our health and life insurancebusinesses and grew our fund membership by 4%.

Total revenue for the Group was $1,319 million, including $129 million from Manchester Unity from the date of acquisition. Group surplus after tax was $21.5 million, (and a donation of $1 million to the HCF Health and Medical Foundation). Total assets, including those acquired with Manchester Unity, reached almost $1,142 million at 30 June.

HCF continues to achieve industry leading results in membership growth, customer satisfaction and a management expense ratio lower than other funds.

The successful merger with Manchester Unity adds a significant expansion of the HCF Group customer base and expands our range of services with the addition of financial services, retirement and aged care facilities.

We are proud to introduce “MyHealth Guardian”, a personalised, web based health management system. The new program, representing an investment of $100 million, over five years, is available to 1.3 million HCF group members at no additional cost. Invitations to selected members commenced in May and we now have more than 11,000 members enrolled. Some 9,000 of the participating patients have a chronic condition including Diabetes, Coronary and Cardiac disease, Kidney disease and Asthma.

We recognise the absolute imperative of maintaining a prudent level of reserves to allow us the flexibility to deal with change in political and financial environments and to take advantage of opportunities, without raising additional capital or increasing premiums.

This year we added $17 million to Group reserves, which now total $580 million and maintained the solvency ratio to total assets at almost twice the statutory minimum.

Operational Excellence
We remain firm in our commitment to returning more for our members in benefits while controlling expenses.

Despite the difficult operating environment and heavy competition, we reduced the HCF management expense ratio (MER) from 7.9% to 7.8%. This is well below the industry average and is the best of all major funds. The Manchester Unity MER is rapidly reducing with the impact of improved processing systems.

Customer retention levels are stable at 93.5%. Improving this figure is a priority. Customer satisfaction remains higher than comparative industry levels at 95%, in line with last year’s result at 96%. We believe the slight downward trend is due to a lack of consumer confidence generally rather than HCF specific issues.

Staff satisfaction engagement and leadership indices all remain in the top quartile of benchmark surveys. We are working hard to improve these levels in every business unit and have introduced new training programs for team leaders and project management improvement. Technology continues to improve efficiency and reduce staff time spent on administration.

More for Our Members
Total health benefits paid were $1.1 billion this year or 89.4% of annual premiums. This remains significantly above the average industry figure of 87%. Total benefits to members increased by $92 million.

The “MyHealth Guardian” program, means our healthy members will gain access to sophisticated information and tools to improve their quality of life and reduce the risk of future health problems. Members whose health is at risk will be better able to identify and manage these risks, while those with chronic conditions will receive additional support.

Recently HCF was awarded a national five star rating by Canstar Cannex for our hospital cover and package cover health insurance products. This prestigious award underlines our commitment to providing more for our members.

Life Insurance
HCF Life is an effective and successful, low cost, niche business. Its potential for growth is linked to the growth and retention of HCF members. Access to the health fund customer base enables HCF Life to grow without the need for incurring the costs and infrastructure required to compete directly in markets dominated by the major life insurance companies and banks.

Operating performance from the life insurance business was again strong achieving an underwriting surplus of $8.6 million, 35% above plan and 3% above last year. Operating revenue increased by 9% to $17.2 million, 9% higher than plan with claims 21% higher than last year at $2.5 million and 77% of forecast.

HCF Life created shareholder value of $8.8 million this year, 39% higher than last year and 11% higher than plan. Shareholder equity increased marginally to $34.9 million. HCF Life net result after tax was $0.07 million. Annual premiums in force increased by 11% to $19.9 million and total sales by annual premium were $3.2 million, 15% higher than last year. Gross investment return from financial markets was (0.58%) for 2008/09 up on last year’s (0.62%).

Manchester Unity Group
(MU) Integration

The integration of MU within the Group commenced on 1 January 2009 and is currently nearing completion. The merger added around 78,000 memberships to HCF. Manchester Unity owns and operates retirement villages and aged care facilities, and offers friendly society financial products as well as private health insurance products.

The merged entity has brought additional scale and scope to support efficient operations and keep premiums as low as possible. The integration of HCF and Manchester Unity will result in 550,000 policy holders and brings the Group’s share of the national private health insurance market to 11.8% as at June 2009.

Systems and customer service integration have been successfully completed. Policies, claims processing, revenue collection, membership, sales and benefits have been converted to the HCF operating platform. MU members now have access to HCF branches, the Oral Health program and the HCF dental centre network.

Retirement and Aged Care Services (RACS) achieved satisfactory ratings from the Aged Care Accreditation Agency across all major priority areas.

The combined HCF Group is now the third largest health insurer in Australia and the largest not for profit fund, after the proposed Medibank Private conversion is completed. We are in a strong position to continue our record of success and to return more in benefits for our members in the future. I am delighted at the progress we have achieved in integrating Manchester Unity operations and want to acknowledge the work of executives and key staff of both organisations who have made the transition as seamless as it has been. Our continued success rests to a significant extent on the excellence of our staff and I thank all our people for their continued efforts on behalf of our members.

T.J. Smith

T.J. Smith
Chief Executive Officer

28 September 2009, Sydney

Our successful merger
with Manchester
Unity means we are
in a stronger position
to continue returning
more in benefits for
our members.

We paid $1.1 billion in
total health benefits,
89.4% of annual
premiums.

     
Performance - Five Year Summaries
HCF Health
Item Unit 2005 2006 2007 2008 2009 % change
on 2008
Membership levels Policies 412,425 423,713 422,486 469,008 481,930 3.2%
Total reserves $'000 339,637 410,509 485,847 537,705 552.319 2.7%
Earned contributions $'000 802,992 880,531 965,131 1,081,418 1,192,078 10.2%
Benefits payable $'000 699,918 748,244 833,567 923,025 1,015,016 10.0%
Risk equalisatioin (recovery)/payment $'000 3,254 10,680 6,874 21,492 19,628 (8.7%)
State levies $'000 22,734 24,152 26,311 28,891 30,508 5.6%
Total benefits payable $'000 725,906 783,076 866,752 973,408 1,065,152 9.4%
Management expenses $'000 69,798 72,090 77,141 82,757 89,816 8.5%
Underwriting surplus/(deficit) $'000 7,288 25,365 21,238 25,253 37,110 47.0%
Other income/ (other expenses) - net $'000 40,403 46,950 54,689 26,771 (14,122) (152.8%)
Operating surplus/(deficit) before abnormals $'000 47,691 72,315 75,927 52,024 22,988 (55.8%)
Donation to The HCF Health 7 Medical research Foundation $'000 0 5,000 9,000 5000 1000 (80.0%)
Operating profit/(loss) $'000 47,691 67,315 66,927 47,024 21,988 (53.2%)
Revaluation adjustments increase/(decrease) reflected directly through reservesland & buildings $'000 1,565 3,193 8,411 13,852 (7,374) (153.2%)
Solvency ratio (HCF)
– Assets exceed minimum solvency requirements
Coverage
ratio
  4.6 4.4 4.1 1.9 (55.2%)
Claims ratio % 90.0 88.9 89.8 90.0 89.4 (0.7%)
Return on assets % 8.2 9.9 8.7 5.6 2.6 (53.6%)
Management expenses ratio to earned contributions % 8.7 8.2 8.0 7.9 7.8 (1.3%)
Staff (in full-time equivalents, excluding Dental Centres)   458 453 451 476 472 (0.8%)
Claims paid Number 2,759,513 2,873,770 3,077,332 3,315,597 3,553,225 7.2%
Certain amounts have been reclassified to enable direct comparison between years.
HCF Life
Item Unit 2005 2006 2007 2008 2009 % change
on 2008
Profit/(loss) (after tax) $’000 2,751 2,550 3,575 (1,028) 71 (106.9%)
Total funds under management $'000 105,014 67,891 65,930 58,706 54,881 (6.5%)
Total equity $'000 29,860 32,385 35,935 34,882 34,928 0.1%
Shareholder investment returns $'000 2,572 3,019 4,116 (3,056) (1,567) (48.7%)
Coverage of solvency reserve Times 11.8 12.7 9.5 10.2 10.0 (2.0%)
Earned premiums $'000 12,478 12,966 14,475 15,740 17,230 9.5%
MU Health
Item Unit 2005 2006 2007 2008 2009 % change
on 2008
Membership levels Policies 64,831 70,756 79,598 79,132 74,553 (5.8%)
Total reserves $'000 45,454 45,680 65,546 85,190 86,423 1.4%
Earned contributions $'000 146,062 167,592 197,570 224,029 231,093 3.2%
Benefits payable $'000 111,361 123,762 141,479 165,769 169,376 2.2%
Risk equalisatioin (recovery)/payment $'000 5,461 9,745 15,296 17,275 18,959 9.7%
State levies $'000 3,526 3,743 4,080 4,162 4,319 3.8%
Total benefits payable $'000 120,348 137,250 160,855 187,206 192,654 2.9%
Management expenses $'000 21,987 23,583 24,641 26,850 40,987 52.7%
Underwriting surplus/(deficit) $'000 3,727 6,759 12,074 9,973 (2,548) (125.5%)
Other income/ (other expenses) - net $'000 4,044 4,867 6,125 7,864 7,209 (8.3%)
Operating surplus/(deficit) before abnormals $'000 7,771 11,626 18,199 17,837 4,661 (73.9%)
Donation $'000 150 300 100%
Operating profit/(loss) $'000 7,771 11,626 18,199 17,837 4,661 (73.9%)
Solvency ratio – Assets exceed minimum requirements Coverage ratio 2.3 1.8 2.0 3.1 3.7 17.2%
Claims ratio % 82.40 81.90 81.42 83.56 83.37 (0.2%)
Return on assets % 10.53 12.35 15.85 13.84 3.40 (75.4%)
Management expenses ratio to earned contributions % 15.05 14.07 12.47 11.99 17.74 48.0%
MU Retirement and Aged Care
Number of residents – Aged Care Residents 175 173 180 181 180 (0.6%)
Number of residents – ILU Residents 181 176 179 178 177 (0.6%)
Earned income $’000 12,113 15,111 25,289 13,162 5,257 (60.1%)
Profit/(loss) (after Tax) $’000 1,771 1,977 8,770 3,240 (10,137) (412.9%)
Revaluation $’000 1,710 3,261 13,139 0 8,415) 0%
MU Financial sercices
Item Unit 2005 2006 2007 2008 2009 % change
on 2008
Policy holders Policies 26,572 19,250 422,486 22,452 18,355 (18.2%)
Earned revenue $'000 1,439 410,509 1,332 3,640 3,070 (15.7%)
Profit/(loss) (after Tax) $'000 (1,645) 880,531 (1,528) 121 (2,391) (2075.7%)
The 2009 Manchester Unity health fund result includes merger and integration costs totalling $14.2m. A normalised result excluding these costs would be a profit of $18.9m. Total merger and acquisition costs for the Manchester Unity group were $20.2m. Normalised profit excluding these costs was $11.5m.