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8-K - FORM 8-K - TEAM HEALTH HOLDINGS INC.d8k.htm

Exhibit 99.1

LOGO

 

 

 

FOR IMMEDIATE RELEASE    INVESTOR CONTACT:
   David Jones
  

Executive Vice President and

Chief Financial Officer

   865-293-5299
   MEDIA CONTACT:
   Tracy Young
   Vice President, Communications
   800-818-1498

Team Health Holdings, Inc., Announces Fourth Quarter and

Fiscal 2010 Financial Results

Fiscal 2010 Fourth Quarter Highlights

 

   

Net Revenue less provision for uncollectibles grew 12.8% to $393.4 million over the prior year fourth quarter

 

   

Net loss of $33.7 million, which included a goodwill impairment charge and loss on redemption of debt totaling $50.2 million on an after-tax basis

 

   

Diluted net loss per share of $0.52; Diluted net earnings per share of $0.25 after adjustments

 

   

Operating cash flow increased to $53.6 million

 

   

Adjusted EBITDA increased 27.2% to $40.0 million

KNOXVILLE, Tenn. – February 8, 2011 – Team Health Holdings, Inc. (“TeamHealth”) (NYSE: TMH), one of the largest suppliers of outsourced healthcare professional staffing and administrative services to hospitals and other healthcare providers in the United States, today announced results for its fourth quarter and full fiscal year 2010.

“We are very pleased to have completed our 2010 fiscal year with a strong fourth quarter performance, highlighted by solid growth in revenues, operating cash flow and Adjusted EBITDA,” said TeamHealth President and Chief Executive Officer Greg Roth.

 

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“Excluding adjustments, we also realized significant increases in net earnings during the period. Total revenue growth was broad based, driven primarily by acquisitions, with non-military same contract and net sales also contributing to revenue growth. Same contract growth was driven by an increase in estimated collections per visit, which more than offset a modest decline in same store volumes. This modest volume decline was due, in part, to the challenging same contract volume comparison of 9.7% from the fourth quarter of 2009 during the peak of the H1N1 virus outbreak. The efficient management of our cost structure and focus on integration of recent acquisitions also contributed to an improvement in operating margin, operating cash flow, and profitability. We continued to delever our capital structure with the redemption of the remaining $45.5 million of our 11.25% senior subordinated notes in December, which was funded entirely with existing cash on hand. Our organization is well positioned for continued success in 2011 with same store growth momentum, the challenging 2009 H1N1 volume comps now behind us, and anticipated benefits from the full year contributions from acquired operations.”

Lynn Massingale, M.D., Executive Chairman of TeamHealth, added, “We are very pleased to have completed our first year as a public company with such strong operating and financial performance in our core business lines. We have strengthened our reputation as an attractive partner for strong physician groups and are pleased with the successful integration and performance of our recent acquisitions. We continue to support our affiliated providers to allow them to provide patients with the highest quality of care, driven by our ongoing investment to ensure that our hospital clients meet their goals for patient safety, operational efficiency and customer satisfaction. As the healthcare landscape continues to become more complex, we believe our exceptional value proposition will continue to be in increasingly greater demand.”

Fiscal 2010 Fourth Quarter Results

Net revenue less provision for uncollectibles (“revenue less provision”) in the fourth quarter of 2010 increased 12.8% to $393.4 million from $348.8 million in the fourth quarter of 2009. On an overall basis, our non-military operations contributed a 15.2% increase in net revenue less provision while the military division reduced quarter-over-quarter revenue growth by 2.4%. Acquisitions contributed 11.0% of the growth in net revenue less provision. Same contract revenue (excluding the military division) contributed 2.5% of the growth. Same contract revenue associated with the military division reduced growth by 0.8%. New contracts, net of terminations (excluding contracting changes within the military division) contributed 1.6% of growth. New contracts, net of terminations within the military division, reduced quarter-over-quarter net revenue growth by 1.6%.

 

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Same contract revenue less provision increased 1.9% to $321.9 million from $315.8 million in the same quarter a year ago. Increases in estimated collections on fee-for-service visits of 7.2% provided approximately 5.2% of same contract revenue growth between quarters, while lower same contract visits between periods of 2.0% constrained same contract revenue growth by 1.5%. Declines in contract and other revenue, primarily associated with our military division, constrained same contract revenue growth by an additional 1.8%. Acquisitions contributed $38.5 million of growth between quarters. Net new contract revenue increased by $5.6 million, prior to changes within military staffing contracts, which resulted in a total increase in this category of $0.1 million between quarters. Total declines in military revenue, inclusive of changes in same contract revenue, were $8.2 million between quarters.

The fourth quarter 2010 financial results included a non-tax deductible charge of $48.8 million to reduce the carrying value of the goodwill associated with the military division. The decline in carrying value and associated goodwill impairment charge for the military division resulted from the Company’s annual impairment test results and reflected the decline in the military’s financial performance during 2010 and the impact of the more challenging government contracting environment. Following the impairment charge, there was approximately $9.4 million of remaining goodwill associated with the military division.

Reported net loss was $33.7 million in the fourth quarter of 2010, or $0.52 diluted net loss per share, compared to a net loss of $14.5 million, or $0.28 pro forma diluted net loss per share in the same quarter of 2009. Included in the fourth quarter 2010 results were the non-deductible goodwill impairment charge of $48.8 million and the $2.3 million loss associated with the December bond redemption totaling $51.1 million on a pre-tax basis ($50.2 million after-tax). The fourth quarter 2009 results included costs recognized in conjunction with the IPO of approximately $37.4 million and transaction and other costs of $2.2 million totaling $39.6 million on a pre-tax basis ($24.1 million after-tax). Following these adjustments, diluted net earnings per share were $0.25 for the fourth quarter of 2010 compared to $0.19 for same period in 2009.

 

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Cash flow provided by operations increased to $53.6 million from a use of cash in the same quarter of 2009 of $1.8 million. The fourth quarter 2009 cash flows were impacted by approximately $32.7 million of pre-tax IPO related costs.

Adjusted EBITDA increased 27.2% to $40.0 from $31.5 million in the same quarter in 2009, and Adjusted EBITDA margin improved to 10.2% from 9.0%. See “Non-GAAP Financial Measures Reconciliation” and “Adjusted EBITDA” below for the definitions of Adjusted EBITDA Margin and Adjusted EBITDA and its reconciliation to net earnings.

Fiscal 2010 Full Year Results

Revenue less provision for the year ended December 31, 2010 increased 6.7% to $1.52 billion from $1.42 billion in fiscal 2009. On an overall basis, our non-military operations contributed an 11.0% increase in net revenue less provision while the military division reduced year-over-year revenue growth by 4.2%. Acquisitions contributed 8.1% of the growth. Same contract revenue (excluding the military division) contributed 1.7% of the growth. Same contract revenue associated with the military division reduced growth by 0.7%. New contracts, net of terminations (excluding the military division), contributed 1.2% of the growth. Net contract changes within the military division reduced year-over-year net revenue growth by 3.5%.

Same contract revenue less provision increased 1.1% to $1.22 billion from $1.20 billion in 2009. Increases in estimated collections on fee-for-service visits of 4.5% provided approximately 3.3% of same contract growth between periods. Fee-for-service volume growth declined 0.2% which constrained growth by 0.2%. Declines in contract and other revenue, primarily associated with our military and locum tenens divisions, constrained same contract growth by an additional 1.9%. Acquisitions contributed $114.9 million of growth between years. Net new contract revenue increased by $17.7 million prior to changes within military staffing contracts, which resulted in a total decline in this category of $32.5 million between years. Total declines in military revenue, inclusive of changes in same contract revenue, were $60.4 million.

Reported net earnings were $13.3 million, or $0.21 diluted net earnings per share, compared to $40.7 million, or $0.82 pro forma diluted net earnings per share, in 2009. The 2010 results included impairment charges of $51.3 million and costs of $18.4 million associated with the Company’s redemption of its bonds during the first and fourth quarters offset by a $7.2 million reduction of professional liability reserves related to prior years totaling $62.5 million on a pretax basis ($57.2 million after-tax). The 2009 results

 

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included costs recognized in conjunction with the IPO of $37.4 million and transaction, management fee, and other costs of $5.1 million offset by an $18.8 million favorable prior year professional liability loss reserve adjustment totaling $23.7 million on a pretax basis ($14.4 million after-tax). Excluding these adjustments, diluted net earnings per share were $1.09 in 2010 compared to $1.11 in 2009.

Cash flow provided by operations was $113.9 million compared to $82.8 million for the same period of 2009. Included within operating cash flow in 2010 were cash costs associated with the bond redemptions, while 2009 operating cash flow reflected cash costs associated with the IPO.

Adjusted EBITDA was $173.5 million compared to $168.5 million in 2009. Excluding the impact of the prior year professional liability reserve adjustments, Adjusted EBITDA was $166.3 million and $149.7 million, respectfully, in each year. See “Non-GAAP Financial Measures Reconciliation” and “Adjusted EBITDA” below for the definition of Adjusted EBITDA and its reconciliation to net earnings.

As of December 31, 2010, the Company had cash and cash equivalents of approximately $30.3 million and $125.0 million of available borrowings under a revolving credit facility (without giving effect to $7.2 million of undrawn letters of credit). During 2010, the Company redeemed $203.0 million of its 11.25% Senior Subordinated Notes, which resulted in a charge of $17.1 million consisting of the payment of bond redemption premiums in the amount of $12.3 million and the write-off of $4.8 million of previously deferred financing costs. The Company also made scheduled debt repayments of $4.3 million during 2010. As a result, the Company’s total outstanding debt declined by $207.3 million to $403.8 million as of December 31, 2010, and there were no amounts outstanding under our revolving credit facility.

Radiology Operations

During the fourth quarter of 2010, after an analysis of its radiology operations, including past performance and future growth opportunities, the Company made a decision to shut down its teleradiology and radiology staffing division. During the fourth quarter and fiscal year 2010, the Company’s radiology division generated approximately $2.3 million and $11.2 million of net revenue less provision, respectively. The Company will work with existing customers, providers, and employees to minimize the disruption of services currently being provided. It is anticipated that this process will be completed by the end of the first quarter of 2011. Other than the incurrence of operating costs during the wind

 

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down period, the Company does not currently anticipate any additional significant charges to be realized.

Conference Call

As previously announced, TeamHealth will hold a conference call tomorrow, February 9, to discuss its fiscal fourth quarter and full-year 2010 results at 10:00 a.m. (Eastern Standard Time). The conference call can be accessed live over the phone by dialing 1-877-941-4774, or for international callers, 1-480-629-9760. A replay will be available one hour after the call and can be accessed by dialing 1-877-870-5176, or for international callers, 1-858-384-5517. The passcode for the live call and the replay is 4403309. The replay will be available until February 16, 2010.

Interested investors and other parties may also listen to a simultaneous webcast of the conference call by logging onto the Investor Relations section of the Company’s website at www.teamhealth.com. The on-line replay will remain available for a limited time beginning immediately following the call in the Investor Relations section of the Company’s website at www.teamhealth.com.

To learn more about TeamHealth, please visit the company’s Web site at www.teamhealth.com. TeamHealth uses its Web site as a channel of distribution for material Company information. Financial and other material information regarding TeamHealth is routinely posted on the Company’s Web site and is readily accessible.

About TeamHealth

TeamHealth (Knoxville, Tenn.) (NYSE: TMH) was founded in 1979 and has become one of the largest suppliers of outsourced healthcare professional staffing and administrative services to hospitals and other healthcare providers in the United States. Through its six principal service lines located in 13 regional sites, TeamHealth’s more than 5,600 affiliated healthcare professionals provide emergency medicine, hospital medicine, anesthesia, and pediatric staffing and management services to more than 530 civilian and military hospitals, clinics, and physician groups in 44 states. For more information about TeamHealth, visit www.teamhealth.com.

 

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Forward Looking Statements

Statements and information contained herein that are not historical facts and that reflect the current view of Team Health Holdings, Inc. (the “Company”) about future events and financial performance are hereby identified as “forward looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Some of these statements can be identified by terms and phrases such as “anticipate,” “believe,” “intend,” “estimate,” “expect,” “continue,” “could,” “should,” “may,” “plan,” “project,” “predict” and similar expressions. The Company cautions that such “forward looking statements,” including without limitation, those relating to the Company’s future business prospects, revenue, working capital, professional liability expense, liquidity, capital needs, interest costs and income, wherever they occur in this or in other statements attributable to the Company, are necessarily estimates reflecting the judgment of the Company’s senior management and involve a number of risks and uncertainties that could cause actual results to differ materially from those suggested by the “forward looking statements.” Factors that could cause our actual results to differ materially from those expressed or implied in such forward-looking statements include but are not limited to current or future government regulation of the healthcare industry, exposure to professional liability lawsuits and governmental agency investigations, the adequacy of insurance coverage and insurance reserves, as well as those factors detailed under the caption “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations in the Company’s most recent annual report on Form 10-K and the most recent quarterly report on Form 10-Q filed with the Securities and Exchange Commission. The Company’s “forward looking statements” speak only as of the date hereof and the Company disclaims any intent or obligation to update “forward looking statements” herein to reflect changed assumptions, the occurrence of unanticipated events, or changes to future operating results over time

Non-GAAP Financial Measures Reconciliation

This release includes a table that sets forth a reconciliation of net earnings (loss) to Adjusted EBITDA. Adjusted EBITDA under the indenture that governed the 11.25% senior subordinated notes was defined as net earnings (loss) before interest expense, taxes, depreciation and amortization, as further adjusted to exclude unusual items, non-cash items and the other adjustments shown in the table below. Adjusted EBITDA margin represents Adjusted EBITDA divided by net revenues less provision for uncollectibles. We believe that the disclosure of the calculation of Adjusted EBITDA and

 

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Adjusted EBITDA margin provide information that is useful to an investor’s understanding of our liquidity and financial flexibility. Adjusted EBITDA and Adjusted EBITDA margin are not measurements of financial performance or liquidity under generally accepted accounting principles. They should not be considered in isolation or as a substitute for net income, operating income, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with generally accepted accounting principles.

Since Adjusted EBITDA and Adjusted EBITDA margin are not measures determined in accordance with GAAP and are susceptible to varying calculations, Adjusted EBITDA and Adjusted EBITDA margin, as presented, may not be comparable to other similarly titled measures of other companies.

 

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Team Health Holdings, Inc.

Consolidated Balance Sheets

 

     As of
December 31,
 
     2009     2010  
     (In thousands)  

Assets

    

Current Assets:

    

Cash and cash equivalents

   $ 170,331      $ 30,337   

Accounts receivable, less allowance for uncollectibles of $178,712 and $194,833 in 2009 and 2010, respectively

     237,703        241,238   

Prepaid expenses and other current assets

     17,040        21,211   

Receivables under insured programs

     17,615        15,492   

Income tax receivable

     —          2,179   
                

Total current assets

     442,689        310,457   

Investments of insurance subsidiary

     86,975        87,781   

Property and equipment, net

     28,850        35,159   

Other intangibles, net

     59,505        63,739   

Goodwill

     213,978        207,782   

Deferred income taxes

     44,880        35,474   

Receivables under insured programs

     24,708        28,639   

Other

     39,361        38,706   
                
   $ 940,946      $ 807,737   
                

Liabilities and shareholders’ equity (deficit)

    

Current liabilities:

    

Accounts payable

   $ 17,472      $ 18,556   

Accrued compensation and physician payable

     124,380        131,043   

Other accrued liabilities

     83,955        100,318   

Income tax payable

     2,979        —     

Current maturities of long-term debt

     161,752        4,250   

Deferred income taxes

     34,764        38,438   
                

Total current liabilities

     425,302        292,605   

Long-term debt, less current maturities

     449,273        399,500   

Other non-current liabilities

     158,703        166,985   

Shareholders’ equity (deficit):

    

Common stock ($0.01 par value; 100,000 shares authorized and 62,401 and 64,489 shares issued and outstanding at December 31, 2009 and 2010, respectively)

     624        645   

Additional paid-in capital

     490,989        516,468   

Accumulated deficit

     (582,708     (569,371

Accumulated other comprehensive (loss) gain

     (1,237     905   
                

Total Shareholders’ deficit

     (92,332     (51,353
                
   $ 940,946      $ 807,737   
                

 

-continued-

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Team Health Holdings, Inc.

Consolidated Statements of Operations

 

     Three Months Ended December 31,  
     2009     2010  
     (In thousands, except per share data)  

Net revenues

   $ 615,273      $ 692,787   

Provision for uncollectibles

     266,489        299,349   
                

Net revenues less provision for uncollectibles

     348,784        393,438   

Cost of services rendered (exclusive of depreciation and amortization shown separately below)

    

Professional service expenses

     273,823        304,846   

Professional liability costs

     13,033        13,169   

General and administrative expenses

     37,043        38,694   

Other expenses (income)

     33,354        (582

Impairment of intangibles

     —          48,797   

Depreciation and amortization

     4,784        7,183   

Interest expense, net

     9,008        4,615   

Loss on extinguishment of debt

     —          2,261   

Transaction costs

     1,542        122   
                

Loss before income taxes

     (23,803     (25,667

(Benefit from) provision for income taxes

     (9,277     8,068   
                

Net loss

   $ (14,526   $ (33,735
                
     Three Months Ended December 31,  
     2009
(Pro forma)
    2010

 

 

Net loss per share

    

Basic

   $ (0.28   $ (0.52
                

Diluted

   $ (0.28   $ (0.52
                

Weighted average shares outstanding

    

Basic

     51,189        64,274   

Diluted

     51,189        64,274   

 

-continued-

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Team Health Holdings, Inc.

Consolidated Statements of Operations

 

     Year Ended December 31,  
     2009      2010  
     (In thousands, except per share data)  

Net revenues

   $ 2,483,275       $ 2,671,374   

Provision for uncollectibles

     1,059,834         1,152,110   
                 

Net revenues less provision for uncollectibles

     1,423,441         1,519,264   

Cost of services rendered (exclusive of depreciation and amortization shown separately below)

     

Professional service expenses

     1,102,091         1,170,208   

Professional liability costs

     32,178         46,356   

General and administrative expenses

     130,226         135,811   

Other expenses (income)

     35,676         (1,017

Impairment of intangibles

     —           51,320   

Depreciation and amortization

     18,813         26,948   

Interest expense, net

     36,679         20,552   

Loss on extinguishment of debt

     —           17,122   

Transaction costs

     2,120         843   
                 

Earnings before income taxes

     65,658         51,121   

Provision for income taxes

     24,953         37,784   
                 

Net earnings

   $ 40,705       $ 13,337   
                 
     Year Ended December 31,  
     2009
(Pro forma)
     2010  

Net earnings per share

     

Basic

   $ 0.82       $ 0.21   
                 

Diluted

   $ 0.82       $ 0.21   
                 

Weighted average shares outstanding

     

Basic

     49,427         64,177   

Diluted

     49,747         64,641   

 

-continued-

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Team Health Holdings, Inc.

Consolidated Statements of Cash Flows

 

     Three Months Ended December 31,  
     2009     2010  
     (In thousands)  

Operating activities

    

Net loss

   $ (14,526   $ (33,735

Adjustments to reconcile net loss:

    

Depreciation and amortization

     4,784        7,183   

Amortization of deferred financing costs

     481        480   

Equity based compensation expense

     4,872        762   

Provision for uncollectibles

     266,489        299,349   

Impairment of intangibles

     —          48,797   

Deferred income taxes

     218        5,775   

Loss on extinguishment of debt

     —          978   

Loss on disposal of equipment

     10        1   

Loss on assets held for sale

     —          67   

Equity in joint venture income

     867        1,390   

Changes in operating assets and liabilities, net of acquisitions:

    

Accounts receivable

     (260,704     (281,157

Prepaids and other assets

     (798     3,027   

Income tax accounts

     (9,357     (10,436

Accounts payable

     183        2,523   

Accrued compensation and physician payable

     (2,216     9,833   

Other accrued liabilities

     6,291        (654

Professional liability reserves

     1,626        (542
                

Net cash (used in) provided by operating activities

     (1,780     53,641   

Investing activities

    

Purchases of property and equipment

     (6,369     (4,625

Cash paid for acquisitions, net

     (87,599     (3,873

Purchases of investments at insurance subsidiary

     (18,035     (27,534

Proceeds from investments at insurance subsidiary

     25,506        34,228   

Other investing activities

     19        —     
                

Net cash used in investing activities

     (86,478     (1,804

Financing activities

    

Payments on notes payable

     (1,063     (1,063

Payments on 11.25% senior subordinated notes

     —          (45,523

Proceeds from sale of common stock

     146,656        —     

Proceeds from exercise of stock options

     —          56   

Redemptions of common units

     2        —     

Proceeds from issuance of common stock under stock purchase plans

     —          385   
                

Net cash provided by (used in) provided by financing activities

     145,595        (46,145
                

Increase in cash and cash equivalents

     57,337        5,692   

Cash and cash equivalents, beginning of period

     112,994        24,645   
                

Cash and cash equivalents, end of period

   $ 170,331      $ 30,337   
                

Supplemental cash flow information:

    

Interest paid

   $ 14,086      $ 6,420   

Taxes paid

   $ 29      $ 12,934   

 

-continued-

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Team Health Holdings, Inc.

Consolidated Statements of Cash Flows

 

     Year Ended December 31,  
     2009     2010  
     (In thousands)  

Operating activities

    

Net earnings

   $ 40,705      $ 13,337   

Adjustments to reconcile net earnings:

    

Depreciation and amortization

     18,813        26,948   

Amortization of deferred financing costs

     2,035        2,002   

Equity based compensation expense

     5,430        2,104   

Provision for uncollectibles

     1,059,834        1,152,110   

Impairment of intangibles

     —          51,320   

Deferred income taxes

     3,000        11,694   

Loss on extinguishment of debt

     —          4,815   

Loss on disposal of equipment

     84        23   

Loss on assets held for sale

     —          67   

Equity in joint venture (income) loss

     (606     (492

Changes in operating assets and liabilities, net of acquisitions:

    

Accounts receivable

     (1,052,755     (1,150,878

Prepaids and other assets

     (12,456     (8,029

Income tax accounts

     6,694        (4,905

Accounts payable

     3,765        787   

Accrued compensation and physician payable

     11,803        9,158   

Other accrued liabilities

     4,826        (1,201

Professional liability reserves

     (8,331     5,068   
                

Net cash provided by operating activities

     82,841        113,928   

Investing activities

    

Purchases of property and equipment

     (11,613     (11,898

Cash paid for acquisitions, net

     (90,386     (56,430

Purchases of investments at insurance subsidiary

     (110,997     (79,460

Proceeds from investments at insurance subsidiary

     113,388        78,372   

Other investing activities

     28        5   
                

Net cash used in investing activities

     (99,580     (69,411

Financing activities

    

Payments on notes payable

     (4,250     (4,250

Payments on 11.25% senior subordinated notes

     —          (203,025

Proceeds from sale of common stock

     146,656        21,762   

Proceeds from revolving credit facility

     —          109,800   

Payments on revolving credit facility

     —          (109,800

Proceeds from the issuance of common stock under stock purchase plans

     —          385   

Proceeds from exercise of stock options

     —          617   

Redemptions of common units

     (1,734     —     
                

Net cash provided by (used in) provided by financing activities

     140,672        (184,511
                

Increase (decrease) in cash and cash equivalents

     123,933        (139,994

Cash and cash equivalents, beginning of year

     46,398        170,331   
                

Cash and cash equivalents, end of year

   $ 170,331      $ 30,337   
                

Supplemental cash flow information:

    

Interest paid

   $ 36,512      $ 23,316   

Taxes paid

   $ 15,389      $ 31,246   

 

-continued-

13


Team Health Holdings, Inc.

Adjusted EBITDA

The following table sets forth a reconciliation of net earnings (loss) to Adjusted EBITDA. Adjusted EBITDA under the indenture that governed the 11.25% senior subordinated notes was defined as net earnings (loss) before interest expense, taxes, depreciation and amortization, as further adjusted to exclude unusual items, non-cash items and the other adjustments shown in the table below. We believe that the disclosure of the calculation of Adjusted EBITDA provides information that is useful to an investor’s understanding of our financial flexibility. Adjusted EBITDA is not a measurement of financial performance or liquidity under generally accepted accounting principles. It should not be considered in isolation or as a substitute for net income, operating income, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with generally accepted accounting principles.

 

     Year Ended December 31,     Three Months
Ended  December 31,
 
     2009      2010     2009     2010  
     (In thousands)  

Net earnings (loss)

   $ 40,705       $ 13,337      $ (14,526   $ (33,735

Interest expense, net

     36,679         20,552        9,008        4,615   

Provision for (benefit from) income taxes

     24,953         37,784        (9,277     8,068   

Depreciation and amortization

     18,813         26,948        4,784        7,183   

Impairment of intangibles(a)

     —           51,320        —          48,797   

Other expenses (income)(b)

     35,676         (1,017     33,354        (582

Loss on extinguishment of debt(c)

     —           17,122        —          2,261   

Transaction costs(d)

     2,120         843        1,542        122   

Equity based compensation expense(e)

     5,430         2,104        4,872        762   

Insurance subsidiary interest income

     2,812         2,444        674        619   

Severance and other charges

     1,355         2,053        1,054        1,937   
                                 

Adjusted EBITDA*

   $ 168,543       $ 173,490      $ 31,485      $ 40,047   
                                 

 

* Adjusted EBITDA totals are not adjusted for the effects of professional liability loss reserve adjustments associated with prior years of $18,824 and $7,219 for the years ended December 31, 2009 and 2010, respectively. Adjusting for the effects of professional liability loss reserve adjustments associated with prior years, Adjusted EBITDA would have been reduced to $149,719 for the year ended December 31, 2009 and $166,271 for the year ended December 31, 2010.
(a) Includes impairment of goodwill of $48,797 for the year and three months ended December 31, 2010 and $2,523 for impairment of intangibles for the year ended December 31, 2010.
(b) Reflects sponsor management fee and loss on disposal of assets in 2009 and loss on disposal of assets and unrealized gains/losses on investments in 2010.
(c) Reflects the loss on the redemption of the 11.25% Notes, including write-off of deferred financing costs of $4,815 and $978 for the year ended and three months ended December 31, 2010, respectively.
(d) Reflects expenses associated with acquisition transaction fees.
(e) For 2009, reflects costs related to the recognition of expense in connection with the issuance of restricted units under the Team Health Inc. 2005 Unit Plan and reflects $4,862 of expense related to options granted in conjunction with the December 2009 initial public offering. For 2010, reflects costs related to options and restricted shares granted under the Team Health Holdings, Inc. 2009 Stock Incentive Plan.

 

-continued-

14


Team Health Holdings, Inc.

Revenue Analysis

The components of net revenue less provision for uncollectibles includes revenue from contracts that have been in effect for prior periods (same contracts) and from new and acquired contracts during the periods, as set forth in the table below:

 

    Three Months Ended December 31,  
    2009     2010  
    (In thousands)  

Same contracts:

   

Fee for service revenue

  $ 229,290      $ 240,941   

Contract and other revenue

    86,554        80,976   
               

Total same contracts

    315,844        321,917   

New contracts, net of terminations:

   

Fee for service revenue

    15,763        15,884   

Contract and other revenue

    16,031        16,010   
               

Total new contracts, net of terminations

    31,794        31,894   

Acquired contracts:

   

Fee for service revenue

    1,138        23,167   

Contract and other revenue

    8        16,460   
               

Total acquired contracts

    1,146        39,627   

Consolidated:

   

Fee for service revenue

    246,191        279,992   

Contract and other revenue

    102,593        113,446   
               

Total net revenue less provision for uncollectibles

  $ 348,784      $ 393,438   
               

The following table reflects the visits and procedures included within fee for service revenues described in the table above:

 

    Three Months Ended December 31,  
    2009     2010  
    (In thousands)  

Fee for service visits and procedures:

   

Same contract

    1,876        1,839   

New and acquired contracts, net of terminations

    149        271   
               

Total fee for service visits and procedures

    2,025        2,110   
               

 

-continued-

15


Team Health Holdings, Inc.

Revenue Analysis

The components of net revenue less provision for uncollectibles includes revenue from contracts that have been in effect for prior periods (same contracts) and from new and acquired contracts during the periods, as set forth in the table below:

 

    Year Ended December 31,  
    2009     2010  
    (In thousands)  

Same contracts:

   

Fee for service revenue

  $ 851,895      $ 888,469   

Contract and other revenue

    350,358        327,230   
               

Total same contracts

    1,202,253        1,215,699   

New contracts, net of terminations:

   

Fee for service revenue

    101,401        106,261   

Contract and other revenue

    110,907        73,515   
               

Total new contracts, net of terminations

    212,308        179,776   

Acquired contracts:

   

Fee for service revenue

    8,872        74,099   

Contract and other revenue

    8        49,690   
               

Total acquired contracts

    8,880        123,789   

Consolidated:

   

Fee for service revenue

    962,168        1,068,829   

Contract and other revenue

    461,273        450,435   
               

Total net revenue less provision for uncollectibles

  $ 1,423,441      $ 1,519,264   
               

The following table reflects the visits and procedures included within fee for service revenues described in the table above:

 

    Year Ended December 31,  
    2009     2010  
    (In thousands)  

Fee for service visits and procedures:

   

Same contract

    6,882        6,867   

New and acquired contracts, net of terminations

    1,020        1,311   
               

Total fee for service visits and procedures

    7,902        8,178   
               

###

 

16