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8-K - IASIS HEALTHCARE LLC 8-K - IASIS Healthcare LLCa6815194.htm

Exhibit 99.1

IASIS Healthcare Announces Third Quarter 2011 Results

FRANKLIN, Tenn.--(BUSINESS WIRE)--August 2, 2011--IASIS Healthcare® LLC (“IASIS”) today announced financial and operating results for the fiscal third quarter and nine months ended June 30, 2011.

Net revenue for the third quarter totaled $718.6 million, an increase of 12.6%, compared to $638.0 million in the prior year quarter. Adjusted EBITDA for the third quarter totaled $81.6 million, compared to $76.6 million in the prior year quarter. Net earnings from continuing operations for the third quarter totaled $1.6 million, compared to $21.7 million in the prior year quarter. Net earnings from continuing operations for the third quarter includes a $23.1 million loss on extinguishment of debt associated with the Company’s debt refinancing transaction, which was completed on May 3, 2011.

In the third quarter, admissions and adjusted admissions both increased 20.0% compared to the prior year quarter, while net patient revenue per adjusted admission increased 0.7% compared to the prior year quarter. On a same-facility basis, excluding the impact of the Brim Holdings and St. Joseph Medical Center acquisitions, admissions and adjusted admissions increased 0.9% and 0.8%, respectively, each compared to the prior year quarter. On a same-facility basis, net patient revenue per adjusted admission increased 4.1% compared to the prior year quarter.

Net revenue for the third quarter includes $8.1 million in supplemental Medicaid incentive reimbursement related to the adoption of certified electronic health record (“EHR”) technology. The Company has incurred information technology and other related operating expenses in order to implement its certified EHR technology and meet meaningful use requirements. These expenses are expected to continue throughout the Company’s EHR implementation.

Net revenue for the nine months ended June 30, 2011, totaled $2.1 billion, an increase of 9.5%, compared to $1.9 billion in the prior year period. Adjusted EBITDA for the nine months ended June 30, 2011 and 2010, totaled $228.0 million in both periods. Net earnings from continuing operations for the nine months ended June 30, 2011, which includes a $23.1 million loss on extinguishment of debt, totaled $40.6 million, compared to $63.2 million in the prior year period.

For the nine months ended June 30, 2011, admissions and adjusted admissions increased 10.2% and 12.9%, respectively, compared to the prior year period, while net patient revenue per adjusted admission increased 1.4% compared to the prior year period. On a same-facility basis, admissions declined 1.5% and adjusted admissions increased 0.4%, each compared to the prior year period. On a same-facility basis, net patient revenue per adjusted admission increased 3.5% compared to the prior year period.

“As the healthcare industry continues to be under economic and political pressure, we remain committed to implementing operational and strategic initiatives that we believe will ensure long-term success in a new era of healthcare delivery,” said Carl Whitmer, president and chief executive officer of IASIS Healthcare. “Our focus on building collaborative care environments in the communities we serve includes physician alignment strategies, investments in human and technological resources, and the creation of new patient access points of care.”


Whitmer added, “We also are excited about the integration and growth opportunities arising from our recent hospital acquisitions. We expect to continue our disciplined approach to acquisitions and development initiatives, targeting opportunities that we believe will help build a strong basis for the Company’s future growth.”

A listen-only simulcast and 30-day replay of IASIS’ third quarter conference call will be available by clicking the “For Investors” link on the Company’s Web site at www.iasishealthcare.com beginning at 11:00 a.m. Eastern Time on August 2, 2011. A copy of this press release will also be available on the Company’s Web site.

IASIS, located in Franklin, Tennessee, is a leading owner and operator of medium-sized acute care hospitals in high-growth urban and suburban markets. The Company operates its hospitals with a strong community focus by offering and developing healthcare services targeted to the needs of the markets it serves, promoting strong relationships with physicians and working with local managed care plans. IASIS owns or leases 18 acute care hospital facilities and one behavioral health hospital facility with a total of 4,362 licensed beds and has total annual net revenue of approximately $2.8 billion. These hospital facilities are located in seven regions: Salt Lake City, Utah; Phoenix, Arizona; Tampa-St. Petersburg, Florida; five cities in Texas, including Houston and San Antonio; Las Vegas, Nevada; West Monroe, Louisiana; and Woodland Park, Colorado. IASIS also owns and operates a Medicaid and Medicare managed health plan in Phoenix that serves more than 197,000 members. For more information on IASIS, please visit the Company’s Web site at www.iasishealthcare.com.

Some of the statements we make in this press release are forward-looking within the meaning of the federal securities laws, which are intended to be covered by the safe harbors created thereby. Those forward-looking statements include all statements that are not historical statements of fact and those regarding our intent, belief or expectations including, but not limited to, future financial and operating results, the Company’s plans, objectives, expectations and other statements that are not historical facts. Forward-looking statements involve known and unknown risks and uncertainties that may cause actual results in future periods to differ materially from those anticipated in the forward-looking statements. These risk factors and uncertainties are more fully described in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2010, and other filings with the Securities and Exchange Commission.

Although we believe that the assumptions underlying the forward-looking statements contained in this press release are reasonable, any of these assumptions could prove to be inaccurate, and, therefore, there can be no assurance that the forward-looking statements included in this press release will prove to be accurate. In light of the significant uncertainties inherent in the forward-looking statements included herein, you should not regard the inclusion of such information as a representation by the Company or any other person that our objectives and plans will be achieved. We undertake no obligation to publicly release any revisions to any forward-looking statements contained herein to reflect events and circumstances occurring after the date hereof or to reflect the occurrence of unanticipated events.

Adjusted EBITDA represents net earnings from continuing operations before interest expense, income tax expense, depreciation and amortization, stock-based compensation, gain (loss) on disposal of assets, loss on extinguishment of debt and management fees. Management fees represent monitoring and advisory fees paid to TPG, the Company’s majority financial sponsor, and certain other members of IASIS Investment LLC. Management routinely calculates and communicates adjusted EBITDA and believes that it is useful to investors because it is commonly used as an analytical indicator within the healthcare industry to evaluate hospital performance, allocate resources and measure leverage capacity and debt service ability. In addition, the Company uses adjusted EBITDA as a measure of performance for its business segments and for incentive compensation purposes. Adjusted EBITDA should not be considered as a measure of financial performance under generally accepted accounting principles, and the items excluded from adjusted EBITDA are significant components in understanding and assessing financial performance. Adjusted EBITDA should not be considered in isolation or as an alternative to net earnings, cash flows generated by operating, investing, or financing activities or other financial statement data presented in the consolidated financial statements as an indicator of financial performance or liquidity. Adjusted EBITDA, as presented, differs from what is defined under the Company’s senior secured credit facilities and may not be comparable to similarly titled measures of other companies. A table describing adjusted EBITDA and reconciling net earnings from continuing operations to adjusted EBITDA is included in this press release in the attached Supplemental Consolidated Statements of Operations Information.


   

IASIS HEALTHCARE LLC

Consolidated Statements of Operations (Unaudited)

(in thousands)

 
Quarter Ended

June 30,

Nine Months Ended

June 30,

2011   2010 2011   2010
Net revenue:
Acute care revenue $ 529,844 $ 438,211 $ 1,489,432 $ 1,300,445
Premium revenue   188,765     199,777     580,917     591,022  
Total net revenue 718,609 637,988 2,070,349 1,891,467
 
Costs and expenses:

Salaries and benefits (includes stock-based compensation of $330, $118, $1,364, and $2,367, respectively)

211,114 170,035 597,063 514,688
Supplies 83,071 66,333 237,431 200,167
Medical claims 155,885 172,031 484,635 510,692
Other operating expenses 114,778 93,579 315,254 266,854
Provision for bad debts 60,685 49,416 175,100 142,901
Rentals and leases 11,774 10,067 34,229 30,487
Interest expense, net 27,597 16,711 60,984 50,065
Depreciation and amortization 26,312 24,007 74,942 71,909
Management fees 1,250 1,250 3,750 3,750
Loss on extinguishment of debt   23,075         23,075      
Total costs and expenses 715,541 603,429 2,006,463 1,791,513
 
Earnings from continuing operations

before gain (loss) on disposal of assets

and income taxes

3,068 34,559 63,886 99,954
Gain (loss) on disposal of assets, net   (114 )   (149 )   771     (206 )
 
Earnings from continuing operations

before income taxes

2,954 34,410 64,657 99,748
Income tax expense   1,389     12,683     24,078     36,544  
 
Net earnings from continuing operations 1,565 21,727 40,579 63,204
Loss from discontinued operations,

net of income taxes

  (15 )   (384 )   (6,069 )   (363 )
 
Net earnings 1,550 21,343 34,510 62,841
Net earnings attributable to

non-controlling interests

  (2,013 )   (2,002 )   (6,201 )   (6,063 )
 
Net earnings (loss) attributable to IASIS

Healthcare LLC

$ (463 ) $ 19,341   $ 28,309   $ 56,778  
 

   

IASIS HEALTHCARE LLC

Consolidated Balance Sheets (Unaudited)

(in thousands)

 
June 30,

2011

Sept. 30,

2010

 
ASSETS
 
Current assets:

Cash and cash equivalents

$ 144,595 $ 144,511
Accounts receivable, net 295,823 209,173
Inventories 65,446 53,842
Deferred income taxes 31,565 15,881
Prepaid expenses and other current assets   88,404   65,340
Total current assets 625,833 488,747
 
Property and equipment, net 1,129,151 985,291
Goodwill 836,688 718,243
Other intangible assets, net 33,385 27,000
Deposit for acquisition 97,891
Other assets, net   61,743   36,022
Total assets $ 2,686,800 $ 2,353,194
 
LIABILITIES AND EQUITY
 
Current liabilities:
Accounts payable $ 108,667 $ 78,931
Salaries and benefits payable 65,046 38,110
Accrued interest payable 11,994 12,536
Medical claims payable 99,530 111,373
Other accrued expenses and other current liabilities 96,913 106,614
Current portion of long-term debt and capital lease obligations   13,973   6,691
Total current liabilities 396,123 354,255
 
Long-term debt and capital lease obligations 1,867,460 1,044,887
Deferred income taxes 118,380 109,272
Other long-term liabilities 82,218 60,162
 
Non-controlling interests with redemption rights 97,443 72,112
 
Equity:
Member’s equity 115,342 702,135
Non-controlling interests   9,834   10,371
Total equity   125,176   712,506
Total liabilities and equity $ 2,686,800 $ 2,353,194
 

 

IASIS HEALTHCARE LLC

Consolidated Statements of Cash Flows (Unaudited)

(in thousands)

 
Nine Months Ended

June 30,

  2011       2010  
Cash flows from operating activities:
Net earnings $ 34,510 $ 62,841
Adjustments to reconcile net earnings to net cash provided by

operating activities:

Depreciation and amortization 74,942 71,909
Amortization of loan costs 4,319 2,356
Stock-based compensation 1,364 2,367
Deferred income taxes 899 23,839
Income tax benefit from stock-based compensation (1,770 )
Income tax benefit from parent company interest 7,201 4,989
Fair value change in interest rate swaps (695 )
Loss (gain) on disposal of assets, net (771 ) 206
Loss from discontinued operations, net 6,069 363
Loss on extinguishment of debt 23,075

Changes in operating assets and liabilities, net of the effect
of acquisitions and dispositions:

 

Accounts receivable, net (32,494 ) 9,154
Inventories, prepaid expenses and other current assets (13,572 ) (74,909 )
Accounts payable, other accrued expenses and other accrued liabilities   (11,455 )   13,137  
Net cash provided by operating activities – continuing operations 93,392 114,482
Net cash provided by (used in) operating activities – discontinued operations   3,260     (567 )
Net cash provided by operating activities   96,652     113,915  
 
Cash flows from investing activities:
Purchases of property and equipment, net (64,475 ) (53,465 )
Cash paid for acquisitions, net (155,428 )
Proceeds from sale of assets 150 50
Change in other assets, net   1,385     1,856  
Net cash used in investing activities   (218,368 )   (51,559 )
 
Cash flows from financing activities:
Proceeds from refinancing 1,863,730
Payment of debt and capital lease obligations (1,049,547 ) (6,772 )
Debt financing costs incurred (51,308 )
Distributions to parent company (632,866 ) (124,962 )
Distributions to non-controlling interests (7,395 ) (6,921 )
Costs paid for the repurchase of non-controlling interests, net   (814 )   (69 )
Net cash provided by (used in) financing activities   121,800     (138,724 )
 
Change in cash and cash equivalents 84 (76,368 )
Cash and cash equivalents at beginning of period   144,511     206,528  
Cash and cash equivalents at end of period $ 144,595   $ 130,160  
 
Supplemental disclosure of cash flow information:
Cash paid for interest $ 58,283   $ 58,145  
Cash paid for income taxes, net $ 17,587   $ 7,513  
 

       

IASIS HEALTHCARE LLC

Segment Information (Unaudited)

(in thousands)

For the Quarter Ended June 30, 2011
Acute Care Health Choice Eliminations Consolidated
Acute care revenue $ 529,844 $ $ $ 529,844
Premium revenue 188,765 188,765
Revenue between segments   3,065       (3,065 )    
Net revenue 532,909 188,765 (3,065 ) 718,609
 
Salaries and benefits

(excludes stock-based compensation)

205,509 5,275 210,784
Supplies 83,010 61 83,071
Medical claims 158,950 (3,065 ) 155,885
Other operating expenses 108,658 6,120 114,778
Provision for bad debts 60,685 60,685
Rentals and leases   11,378     396       11,774  
Adjusted EBITDA 63,669 17,963 81,632
 
Interest expense, net 27,597 27,597
Depreciation and amortization 25,425 887 26,312
Stock-based compensation 330 330
Management fees 1,250 1,250
Loss on extinguishment of debt   23,075           23,075  

Earnings (loss) from continuing operations before loss on disposal of assets and income taxes

(14,008

)

17,076

3,068

Loss on disposal of assets, net   (114 )         (114 )

Earnings (loss) from continuing operations before income taxes

$

(14,122

)

$

17,076

$

 

$

2,954

 
 
For the Quarter Ended June 30, 2010
Acute Care Health Choice Eliminations Consolidated
Acute care revenue $ 438,211 $ $ $ 438,211
Premium revenue 199,777 199,777
Revenue between segments   2,319       (2,319 )    
Net revenue 440,530 199,777 (2,319 ) 637,988
 
Salaries and benefits

(excludes stock-based compensation)

165,051 4,866 169,917
Supplies 66,293 40 66,333
Medical claims 174,350 (2,319 ) 172,031
Other operating expenses 87,451 6,128 93,579
Provision for bad debts 49,416 49,416
Rentals and leases   9,650     417       10,067  
Adjusted EBITDA 62,669 13,976 76,645
 
Interest expense, net 16,711 16,711
Depreciation and amortization 23,115 892 24,007
Stock-based compensation 118 118
Management fees   1,250           1,250  
Earnings from continuing operations before loss on disposal of assets and income taxes 21,475 13,084 34,559
Loss on disposal of assets, net   (149 )         (149 )

Earnings from continuing operations

before income taxes

$

21,326

 

$

13,084

$

$

34,410

 

       

IASIS HEALTHCARE LLC

Segment Information (Unaudited)

(in thousands)

 
For the Nine Months Ended June 30, 2011
Acute Care Health Choice Eliminations Consolidated
Acute care revenue $ 1,489,432 $ $ $ 1,489,432
Premium revenue 580,917 580,917
Revenue between segments   8,532       (8,532 )    
Net revenue 1,497,964 580,917 (8,532 ) 2,070,349
 
Salaries and benefits

(excludes stock-based compensation)

580,228 15,471 595,699
Supplies 237,274 157 237,431
Medical claims 493,167 (8,532 ) 484,635
Other operating expenses 295,913 19,341 315,254
Provision for bad debts 175,100 175,100
Rentals and leases   32,991     1,238       34,229  
Adjusted EBITDA 176,458 51,543 228,001
 
Interest expense, net 60,984 60,984
Depreciation and amortization 72,273 2,669 74,942
Stock-based compensation 1,364 1,364
Management fees 3,750 3,750
Loss on extinguishment of debt   23,075           23,075  
Earnings from continuing operations before gain on disposal of assets and income taxes 15,012 48,874 63,886
Gain on disposal of assets, net   771           771  

Earnings from continuing operations before income taxes

$

15,783

 

$

48,874

$

$

64,657

 
 
For the Nine Months Ended June 30, 2010
Acute Care Health Choice Eliminations Consolidated
Acute care revenue $ 1,300,445 $ $ $ 1,300,445
Premium revenue 591,022 591,022
Revenue between segments   8,331       (8,331 )    
Net revenue 1,308,776 591,022 (8,331 ) 1,891,467
 
Salaries and benefits

(excludes stock-based compensation)

497,916 14,405 512,321
Supplies 200,030 137 200,167
Medical claims 519,023 (8,331 ) 510,692
Other operating expenses 248,380 18,474 266,854
Provision for bad debts 142,901 142,901
Rentals and leases   29,334     1,153       30,487  
Adjusted EBITDA 190,215 37,830 228,045
 
Interest expense, net 50,065 50,065
Depreciation and amortization 69,240 2,669 71,909
Stock-based compensation 2,367 2,367
Management fees   3,750           3,750  
Earnings from continuing operations before loss on disposal of assets and income taxes 64,793 35,161 99,954
Loss on disposal of assets, net   (206 )         (206 )

Earnings from continuing operations before income taxes

$

64,587

 

$

35,161

$

$

99,748

 

 

 

 

 

 

 

 

 

 


       

IASIS HEALTHCARE LLC

Consolidated Financial and Operating Data (Unaudited)

 
Quarter Ended

June 30,

Nine Months Ended

June 30,

2011 2010 2011 2010
Consolidated Hospital Facilities (1)
Number of acute care hospital facilities

at end of period

18 15 18 15
Licensed beds at end of period 4,362 3,185 4,362 3,185
Average length of stay (days) 4.9 4.8 4.9 4.8
Occupancy rates (average beds in service) 48.3 % 45.9 % 48.5 % 46.9 %
Admissions 29,956 24,968 84,469 76,679
Percentage change 20.0 % 10.2 %
Adjusted admissions 51,171 42,655 144,066 127,654
Percentage change 20.0 % 12.9 %
Patient days 146,888 120,515 416,365 369,402
Adjusted patient days 242,105 198,439 682,948 593,277
Outpatient revenue as a % of gross patient revenue 41.2 % 40.7 % 40.7 % 39.1 %
 
Same-Facility Hospitals (2)
Number of acute care hospital facilities

at end of period

15 15 15 15
Licensed beds at end of period 3,188 3,185 3,188 3,185
Average length of stay (days) 4.9 4.8 5.0 4.8
Occupancy rates (average beds in service) 47.5 % 45.9 % 47.9 % 46.9 %
Admissions 25,195 24,968 75,543 76,679
Percentage change 0.9 % (1.5 %)
Adjusted admissions 42,985 42,655 128,200 127,654
Percentage change 0.8 % 0.4 %
Patient days 124,534 120,515 376,230 369,402
Adjusted patient days 204,192 198,439 612,646 593,277
Outpatient revenue as a % of gross patient revenue 41.1 % 40.7 % 40.5 % 39.1 %
 

(1) Includes the hospitals acquired in the acquisition of Brim Holdings, which was effective October 1, 2010 and St. Joseph Medical Center, which was effective May 1, 2011.

(2) Excludes the impact of the Brim Holdings and St. Joseph Medical Center acquisitions.

 

       

IASIS HEALTHCARE LLC

Supplemental Consolidated Statements of Operations Information (Unaudited)

(in thousands)

 
Quarter Ended

June 30,

Nine Months Ended

June 30,

2011 2010 2011   2010
Consolidated Results
Net earnings from continuing operations $ 1,565 $ 21,727 $ 40,579 $ 63,204
Add:
Interest expense, net 27,597 16,711 60,984 50,065
Income tax expense 1,389 12,683 24,078 36,544
Depreciation and amortization 26,312 24,007 74,942 71,909
Stock-based compensation 330 118 1,364 2,367
Loss (gain) on disposal of assets, net 114 149 (771 ) 206
Management fees 1,250 1,250 3,750 3,750
Loss on extinguishment of debt   23,075     23,075    
Adjusted EBITDA $ 81,632 $ 76,645 $ 228,001   $ 228,045
 

CONTACT:
IASIS Healthcare LLC
Investor Contact:
W. Carl Whitmer,
President and Chief Executive Officer
or
John M. Doyle, 615-844-2747
Chief Financial Officer
or
Media Contact:
Michele M. Peden, 615-467-1255
VP, Corporate Communications