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8-K - FORM 8-K - APRIA HEALTHCARE GROUP INCd8k.htm

Exhibit 99.1

LOGO

 

FOR IMMEDIATE RELEASE     INVESTOR CONTACT:
    Chris Karkenny
   

Executive Vice President,

Chief Financial Officer

    949-639-2000

Apria Healthcare Group Inc. Announces 1st Quarter 2011

Financial Results

LAKE FOREST, California – May 9, 2011 – Apria Healthcare Group Inc. (“Apria”), a quality, cost-efficient provider of home healthcare products and services in the United States, today announced its financial results for the quarter ended March 31, 2011.

2011 First Quarter Highlights

Net revenues in the three months ended March 31, 2011 were $536.7 million compared to $508.9 million in the three months ended March 31, 2010. Revenue for the three months ended March 31, 2011 increased primarily due to an increase in home infusion therapy segment revenue and the previously announced acquisition of Praxair assets. The revenue increase was partially offset by the non-renewal or termination of, or changes to, certain payor contracts among other factors.

Net loss for the three months ended March 31, 2011 was $21.0 million.

EBITDA1 for the three months ended March 31, 2011 was $33.0 million.

Adjusted EBITDA before projected cost savings and synergies1 for the three months ended March 31, 2011 was $52.2 million.

Recent Events – Closing of Praxair Acquisition

On March 4, 2011, the Company completed its previously announced asset acquisition of Praxair, Inc.’s (NYSE: PX) and Praxair Healthcare Services, Inc.’s (collectively, “Praxair”) United States homecare business. The Company expects this business to contribute approximately $85 to $95 million to its revenue in 2011. This estimate and the acquired business’s contribution in future periods will be subject to decreases as a result of the impact of Medicare competitive bidding and other factors.

Certain Credit Statistics

Adjusted EBITDA before projected cost savings and synergies1 for the twelve months ended March 31, 2011 was $275.2 million.

Our net leverage ratio, defined as the ratio of net debt to Adjusted EBITDA1, was 3.2x at March 31, 2011.

 

 

1 

This press release includes several metrics, including EBITDA, Adjusted EBITDA and Adjusted EBITDA before projected cost savings and synergies that are not calculated in accordance with Generally Accepted Accounting Principles (“GAAP”). See “Definition of Terms and Reconciliation of Non-GAAP Financial Measures” section at the end of this press release for the definitions of EBITDA, Adjusted EBITDA and Adjusted EBITDA before projected cost savings and synergies and their reconciliation to net income (loss).

 

1


Cost Reduction Initiatives Update

The following table summarizes our cost reduction initiatives as of March 31, 2011:

 

($ in millions)

   As of
March 31, 2011
 

Realized Savings to Date

   $ 159.6   

Projected Cost Savings and Synergies Not Yet Realized

     15.0   
        

Total Expected Annual Savings

   $ 174.6   
        

Key Factors and Trends Expected to Impact Our Business in 2011

We believe our performance in 2011 will be affected by, among other things, the following key factors and trends: increased selling, distribution and administrative costs related to the return of certain offshored billing and collections functions to our personnel in the United States as we will no longer have the benefit of favorable offshore labor rates; a full year impact of additional sales personnel that were only added for a portion of 2010; and an unfavorable impact related to Medicare competitive bidding in the year ended December 31, 2010. In addition, the collection of accounts receivable is expected to remain one of our most significant challenges in 2011. We expect that our provision for doubtful accounts for the year ended December 31, 2011 as a percentage of net revenue will be at a rate comparable to that which we experienced in the year ended December 31, 2010.

Conference Call

As previously announced, Apria will hold a conference call to discuss its first quarter 2011 results on May 9, 2011 at 1:00 p.m. (Eastern Daylight Time). The conference call can be accessed live over the phone by dialing 866-900-5939 or, for international callers, 706-758-0130 or through the Investor Relations page of the Company’s website at www.apria.com. The passcode for the live call is Apria.

A replay of the conference call will be available one hour after the call and can be accessed by dialing 855-859-2056 or, for international callers, 404-537-3406 or through the Investor Relations page of the Company’s website. The passcode for the replay is 63805531. The replay will be available until May 23, 2011.

A financial results presentation will be made available immediately prior to the call on the Investor Relations page of the Company’s website at www.apria.com.

Forward Looking Statements

Statements contained herein that are not historical facts and that reflect the current view of Apria’s management 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” in the Company’s filings 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.

About Apria Healthcare Group Inc.

Apria provides home respiratory therapy, home infusion therapy and home medical equipment services through approximately 550 locations in the United States. With over $2 billion in annual revenues, it is one of the nation’s leading home healthcare companies. For more information, visit www.apria.com or www.coramhc.com.

 

2


Apria Healthcare Group Inc.

Condensed Consolidated Balance Sheets

 

     March 31, 2011     December 31, 2010  
     (Unaudited)  
     (in thousands, except share data)  
ASSETS   

CURRENT ASSETS

    

Cash and cash equivalents

   $ 85,383      $ 109,137   

Accounts receivable, less allowance for doubtful accounts of $57,491 and $56,559 at March 31, 2011 and December 31, 2010, respectively

     304,581        282,798   

Inventories

     71,690        73,894   

Deferred income taxes

     57,108        58,028   

Deferred expenses

     3,063        3,061   

Prepaid expenses and other current assets

     23,629        20,221   
                

TOTAL CURRENT ASSETS

     545,454        547,139   

PATIENT SERVICE EQUIPMENT, less accumulated depreciation of $157,967 and $144,074 at March 31, 2011 and December 31, 2010, respectively

     184,271        169,878   

PROPERTY, EQUIPMENT AND IMPROVEMENTS, NET

     86,655        83,893   

GOODWILL

     764,982        760,088   

INTANGIBLE ASSETS, NET

     578,127        578,957   

DEFERRED DEBT ISSUANCE COSTS, NET

     50,749        53,659   

OTHER ASSETS

     8,690        7,523   
                

TOTAL ASSETS

   $ 2,218,928      $ 2,201,137   
                
LIABILITIES AND STOCKHOLDERS’ EQUITY     

CURRENT LIABILITIES

    

Accounts payable

   $ 96,344      $ 86,637   

Accrued payroll and related taxes and benefits

     63,984        59,073   

Other accrued liabilities

     124,057        90,447   

Deferred revenue

     29,636        26,504   

Current portion of long-term debt

     1,009        1,323   
                

TOTAL CURRENT LIABILITIES

     315,030        263,984   

LONG-TERM DEBT, net of current portion

     1,018,012        1,018,098   

DEFERRED INCOME TAXES

     210,022        222,743   

INCOME TAXES PAYABLE AND OTHER NON-CURRENT LIABILITIES

     31,748        31,000   
                

TOTAL LIABILITIES

     1,574,812        1,535,825   

COMMITMENTS AND CONTINGENCIES

    

STOCKHOLDERS’ EQUITY

    

Common stock, $0.01 par value: 1,000 shares authorized; 100 shares issued at March 31, 2011 and December 31, 2010

     —          —     

Additional paid-in capital

     688,286        688,458   

Accumulated deficit

     (44,170     (23,146
                

TOTAL STOCKHOLDERS’ EQUITY

     644,116        665,312   
                
   $ 2,218,928      $ 2,201,137   
                

 

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Apria Healthcare Group Inc.

Condensed Consolidated Statements of Operations

 

     Three Months Ended
March 31,
 
     2011     2010  
     (Unaudited)  
     (in thousands)  

Net revenues:

  

Fee for service/product arrangements

   $ 495,684      $ 469,836   

Capitation arrangements

     41,059        39,040   
                

TOTAL NET REVENUES

     536,743        508,876   
                

Costs and expenses:

    

Cost of net revenues:

    

Product and supply costs

     177,440        156,833   

Patient service equipment depreciation

     21,805        25,056   

Home respiratory therapy services

     5,973        8,193   

Nursing services

     9,931        9,088   

Other

     2,727        3,622   
                

TOTAL COST OF NET REVENUES

     217,876        202,792   

Provision for doubtful accounts

     20,264        15,887   

Selling, distribution and administrative

     296,628        257,738   

Amortization of intangible assets

     1,077        1,657   
                

TOTAL COSTS AND EXPENSES

     535,845        478,074   
                

OPERATING INCOME

     898        30,802   

Interest expense

     32,904        32,572   

Interest income and other

     (251     (83
                

LOSS BEFORE TAXES

     (31,755     (1,687

Income tax benefit

     (10,731     (884
                

NET LOSS

   $ (21,024   $ (803
                

 

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Apria Healthcare Group Inc.

Condensed Consolidated Statements of Cash Flows

 

     Three Months Ended March 31,  
     2011     2010  
  

(Unaudited)

(in thousands)

 

OPERATING ACTIVITIES

    

Net loss

   $ (21,024   $ (803

Items included in net loss not requiring cash:

    

Provision for doubtful accounts

     20,264        15,887   

Depreciation

     31,121        31,580   

Amortization of intangible assets

     1,077        1,657   

Amortization of deferred debt issuance costs

     2,909        2,552   

Deferred income taxes

     (11,801     (175

Profit interest compensation

     828        1,128   

Loss on disposition of assets and other

     3,624        4,619   

Changes in operating assets and liabilities, exclusive of effects of acquisitions:

    

Accounts receivable

     (42,047     (47,062

Inventories

     4,864        8,254   

Prepaid expenses and other assets

     (4,362     (5,797

Accounts payable, exclusive of book cash overdraft

     6,482        (13,179

Accrued payroll and related taxes and benefits

     4,742        (12,108

Income taxes payable

     274        381   

Deferred revenue, net of related expenses

     3,130        (415

Accrued expenses

     34,086        28,586   
                

NET CASH PROVIDED BY OPERATING ACTIVITIES

     34,167        15,105   
                

INVESTING ACTIVITIES

    

Purchases of patient service equipment and property, equipment and improvements, exclusive of effects of acquisitions

     (34,089     (27,319

Purchases of short-term investments

     —          (8,189

Maturities of short-term investments

     —          12,680   

Proceeds from disposition of assets

     7        15   

Cash paid for acquisitions

     (22,439     (1,200
                

NET CASH USED IN INVESTING ACTIVITIES

     (56,521     (24,013
                

FINANCING ACTIVITIES

    

Payments on other long-term debt

     (400     (441

Change in book cash overdraft included in accounts payable

     —          (14,137

Debt issuance costs

     —          (1,210

Cash paid on profit interest units

     (1,000     (78
                

NET CASH USED IN FINANCING ACTIVITIES

     (1,400     (15,866
                

NET DECREASE IN CASH AND CASH EQUIVALENTS

     (23,754     (24,774

Cash and cash equivalents at beginning of period

     109,137        158,163   
                

CASH AND CASH EQUIVALENTS AT END OF PERIOD

   $ 85,383      $ 133,389   
                

 

5


Apria Healthcare Group Inc.

1st Quarter 2011 Financial Summary

 

     Three Months  Ended
March 31,
    $  Variance
Fav/(Unfav)
    %  Variance
Fav/(Unfav)
 
($ in millions)    2011     2010      

Net Revenue

   $ 536.7      $ 508.9      $ 27.8        5.5

Gross Profit

     318.9        306.1        12.8        4.2

% Margin

     59.4     60.1    

Provision for Doubtful Accounts

     20.3        15.9        (4.4     (27.7 )% 

% of Net Revenue

     3.8     3.1    

Selling, Distribution and Administrative

     296.6        257.7        (38.9     (15.1 )% 

% of Net Revenue

     55.3     50.6    

Adjusted EBITDA Before Projected Cost Savings and Synergies

     52.2        84.2        (32.0     (38.0 )% 

% of Net Revenue

     9.7     16.5    

Net Loss

     (21.0     (0.8     (20.2     (2,525.0 )% 

EBITDA

     33.0        63.9        (30.9     (48.4 )% 

Service Line Revenue Performance

 

($ in millions)    Three Months  Ended
March 31,
     $ Variance     % Variance  
     2011      2010      Fav/(Unfav)     Fav/(Unfav)  

Home Respiratory Therapy and Home Medical Equipment

   $ 276.0       $ 278.3       $ (2.3     (0.8 %) 

Home Infusion Therapy

     260.7         230.6         30.1        13.1
                            

Total Net Revenue

   $ 536.7       $ 508.9       $ 27.8        5.5
                            

 

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Apria Healthcare Group Inc.

1st Quarter 2011 Financial Summary (continued)

Cash and Cash Equivalents, Capitalization & Certain Credit Statistics

The following table indicates the cash and cash equivalents, capitalization and certain credit statistics as of March 31, 2011:

 

($ in millions)    March 31,
2011
 

Cash and Cash Equivalents

   $ 85.4   

Debt

  

Asset Based Revolving Credit Facility

     —     

Series A-1 Notes

     700.0   

Series A-2 Notes

     317.5   

Capital Leases & Other

     1.5   
        

Total Debt

   $ 1,019.0   

Shareholders’ Equity

     644.1   
        

Total Capitalization

   $ 1,663.1   
        

Net Leverage Ratio Calculations

  

Net Debt1

   $ 933.6   

Adjusted EBITDA2

   $ 290.2   

Net Leverage Ratio3

     3.2 × 

 

1 

Net debt is defined as total debt less cash and cash equivalents. This amount does not reflect outstanding letters of credit

2 

For the twelve months ended March 31, 2011

3 

Net leverage ratio is defined as the ratio of net debt to Adjusted EBITDA. The net leverage ratio calculated using Adjusted EBITDA before projected cost savings and synergies is 3.4×

 

7


Definition of Terms and Reconciliation of Non-GAAP Financial Measures

This press release includes several metrics which are not calculated in accordance with GAAP, including EBITDA, Adjusted EBITDA, Adjusted EBITDA before projected cost savings and synergies and Free Cash Flow. EBITDA, Adjusted EBITDA, Adjusted EBITDA before projected cost savings and synergies and Free Cash Flow are not recognized terms under GAAP and do not purport to be an alternative to net income as a measure of operating performance or to cash flows from operating activities as a measure of liquidity. Additionally, these measures are not intended to be measures of Free Cash Flow available for management’s discretionary use, as they do not consider certain cash requirements such as interest payments, tax payments and debt service requirements. Our presentation of EBITDA, Adjusted EBITDA, Adjusted EBITDA before projected cost savings and synergies and Free Cash Flow may not be comparable to other similarly titled measures of other companies. We believe that such measures provide useful information about our financial condition and covenant compliance under the indenture governing our Series A-1 Notes and Series A-2 Notes and in our ABL Facility to investors and we compensate for the limitations of using non-GAAP financial measures by presenting them together with GAAP results to provide a more complete understanding of the factors and trends affecting the business than GAAP results alone.

EBITDA is defined as net income (loss) before interest expense, net, income tax expense and depreciation and amortization.

Adjusted EBITDA is defined as net income (loss) before interest expense, net, income tax expense and depreciation and amortization, further adjusted to exclude certain non-cash items, costs incurred related to initiatives, other adjustment items and projected cost savings and synergies permitted in calculating covenant compliance under the indenture governing our Series A-1 Notes and Series A-2 Notes and the credit agreement governing our ABL Facility.

Adjusted EBITDA before projected cost savings and synergies is defined as Adjusted EBITDA less the projected cost savings and synergies that we expect to realize in connection with cost savings, restructuring and other similar initiatives.

Free Cash Flow is defined as cash provided by operating activities less purchases of patient service equipment and property, equipment and improvements, exclusive of effects of acquisitions.

The following tables provide reconciliation of EBITDA, Adjusted EBITDA, Adjusted EBITDA before projected cost savings and synergies and Free Cash Flow for the periods presented to the respective most closely comparable financial measures calculated in accordance with GAAP.

Reconciliation of EBITDA, Adjusted EBITDA and Adjusted EBITDA before projected cost savings and synergies.

 

     Three Months  Ended
March 31,
    LTM
March  31,
 
($ in millions)    2011     2010     2011  

Net Loss

   $ (21.0   $ (0.8   $ (37.7

Interest expense, net

     32.5        32.4        130.0   

Income tax benefit

     (10.7     (0.9     (17.7

Depreciation and amortization

     32.2        33.2        127.6   
                        

EBITDA

     33.0        63.9        202.2   

Non-cash items

     4.4        5.7        20.3   

Costs incurred related to initiatives

     13.0        10.8        44.3   

Other adjustments

     1.8        3.8        8.4   
                        

Adjusted EBITDA Before Projected Cost Savings and Synergies

   $ 52.2      $ 84.2        275.2   
                  

Projected cost savings and synergies

         15.0   
            

Adjusted EBITDA

       $ 290.2   
            

 

8


Definition of Terms and Reconciliation of Non-GAAP Financial Measures (continued)

Reconciliation of Free Cash Flow

 

($ in millions)    Three Months Ended
March  31, 2011
 

Net Loss

   $ (21.0

Non-cash items

     48.0   

Change in operating assets and liabilities

     7.2   
        

Net cash provided by operating activities

     34.2   

Less: Purchases of patient service equipment and property, equipment and improvements

     (34.1
        

Free Cash Flow

   $ 0.1   
        

 

9