Attached files
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| 8-K - FORM 8-K - HEALTH MANAGEMENT ASSOCIATES, INC | d484058d8k.htm |
Exhibit 99.1
PRESS RELEASE
FOR IMMEDIATE RELEASE
| Contact: | John C. Merriwether | |||||
| Vice President of Financial Relations | ||||||
| Health Management Associates, Inc. | ||||||
| (239) 598-3131 |
HEALTH MANAGEMENT ANNOUNCES
FOURTH QUARTER AND YEAR-END 2012 RESULTS
Diluted EPS from Continuing Operations for the Fourth Quarter
Ended December 31, 2012 Increased to $0.19
NAPLES, FLORIDA (February 14, 2013) Health Management Associates, Inc. (NYSE: HMA) today announced its consolidated financial results for the fourth quarter and year ended December 31, 2012.
Key metrics from continuing operations for the fourth quarter (all percentage changes in the bullet points below compare the fourth quarter of 2012 to the fourth quarter of 2011) include:
| • | As shown in the tables accompanying this press release, diluted earnings per share (“EPS”) from continuing operations increased to $0.19. Excluding the impact of approximately $20.3 million, or $0.05 per diluted share, of interest rate swap accounting and mark-to-market adjustments on the swap due to interest rate conditions, and excluding approximately $52.6 million, or $0.12 per diluted share, of Medicare and Medicaid Healthcare Information Technology (“HCIT”) incentive payments, net of Medicaid rate adjustments, diluted earnings per share from continuing operations was $0.12 per diluted share, as compared to $0.13 per diluted share in the prior year. Also impacting the fourth quarter was approximately $0.04 per diluted share of incremental legal and investigation expense and approximately $0.02 to $0.03 per diluted share related to Mississippi Medicaid payment reductions, which were offset by Medicare and Medicaid HCIT incentive payments; |
| • | Net revenue increased 6.6% to $1.481 billion; |
| • | Adjusted EBITDA increased 13.7% to $254.0 million; |
| • | Same hospital net revenue increased 5.1% to $1.459 billion; |
| • | Same hospital net revenue per adjusted admission increased 5.2%; |
| • | As shown in the accompanying table, same hospital Adjusted EBITDA increased 22.2% to $324.9 million, resulting in a 320 basis point improvement in margin to 22.3%. Excluding HCIT incentive payments of approximately $52.6 million and $38.2 million for the fourth quarter 2012 and 2011, net of Medicaid rate adjustments, respectively, same hospital Adjusted EBITDA increased 19.6% to $272.3 million and same hospital Adjusted EBITDA margin increased 230 basis points to 18.7%; and |
| • | Same hospital surgeries and emergency room visits increased 0.9% and 9.2%, respectively. |
Health Management Associates, Inc. / Page 2
The tables accompanying this press release include reconciliations of consolidated net income to all presentations of Adjusted EBITDA (which is not a GAAP measure) contained in this press release. Those tables also reconcile earnings per share on a GAAP basis to those amounts presented in this press release and contain disclaimers and other important information regarding how Health Management defines and uses Adjusted EBITDA.
The continuing effects of a sluggish economy combined with declines in uninsured admissions and increases in observation stays contributed to a 4.7% decline in fourth quarter same hospital admissions and essentially flat same hospital adjusted admissions.
“Our 2012 results reflect both a challenging and successful fourth quarter and year. I am very proud of and thankful for the efforts of our physicians, nurses and health care professionals, whose hard work and dedication to delivering the best possible care are the reasons for our success,” said Gary D. Newsome, Health Management’s President and Chief Executive Officer. “While we are pleased with the overall results, we also recognize that there are always areas and processes that can be improved. As such, we will continue to focus on our patient-centered approach, cost management and partnership opportunities, while taking important strategic steps we believe will better position Health Management for continued success going forward.”
For the fourth quarter, Health Management’s provision for doubtful accounts was $234.6 million, or 13.7% of net revenue before the provision for doubtful accounts, compared to $195.1 million, or 12.3% of net revenue before the provision of doubtful accounts, for the same quarter a year ago.
Uninsured self-pay patient discounts for the fourth quarter were $334.0 million, compared to $254.5 million for the same quarter a year ago. Charity/indigent care write-offs were $28.4 million for the fourth quarter, compared to $23.1 million for the same quarter a year ago.
Health Management Associates, Inc. / Page 3
The sum of uninsured discounts, charity/indigent write-offs and the provision for doubtful accounts, as a percent of the sum of net revenue before the provision for doubtful accounts, uninsured discounts and charity/indigent write-offs (which Health Management refers to as its Uncompensated Patient Care Percentage) was 28.7% for the fourth quarter, compared to 25.4% for the fourth quarter a year ago, and 29.0% for the quarter ended September 30, 2012. Health Management believes that its Uncompensated Patient Care Percentage provides key information regarding the aggregate level of patient care for which it does not receive payment.
Cash flow from continuing operating activities for the fourth quarter was $139.2 million, after cash interest and cash tax payments aggregating $99.7 million. Days sales outstanding, or DSO, saw a one day improvement to 50 days as of December 31, 2012 compared to 51 days as of December 31, 2011. At December 31, 2012, Health Management’s total leverage ratio was 3.54 and interest coverage ratio was 4.36, both ratios being well within its debt covenant requirements.
For the year ended December 31, 2012, Health Management reported a 15.5% growth in net revenue to $5.878 billion and a 16.6% increase in Adjusted EBITDA to $963.2 million, as shown in the accompanying table. Excluding approximately $71.2 million and $40.0 million of HCIT incentive payments, net of Medicaid rate adjustments, for 2012 and 2011 respectively, Adjusted EBITDA increased 13.5% to $892.0 million. As shown in the tables accompanying this press release, excluding the impact of approximately $103.2 million, or $0.25 per diluted share, for interest rate swap accounting and mark-to-market adjustments on the swap due to interest rate conditions, and the impact of approximately $71.2 million, or $0.17 per diluted share, of HCIT incentive payments, net of Medicaid rate adjustments, for the year ended December 31, 2012, diluted earnings per share from continuing operations increased 5.6% to $0.75 as compared to $0.71 per diluted share for the year ended December 31, 2011. Consolidated diluted earnings per share from continuing operations were $0.67 for the year ended December 31, 2012.
Health Management hospitals recognized $60.3 million and $92.0 million of HCIT incentive payments in the three months and year ended December 31, 2012, respectively, and $38.2 million and $40.0 million of HCIT incentive payments for the three months and year ended December 31, 2011, respectively. Health Management expects to recognize approximately $75.0 to $85.0 million of HCIT incentive payments during the year ending December 31, 2013.
Health Management Associates, Inc. / Page 4
As previously announced on February 6, 2013, a Health Management subsidiary has executed a definitive agreement to partner with the 480-bed Bayfront Health System, located in St. Petersburg, Florida. As part of the joint venture, Health Management will acquire an 80% interest in Bayfront Health System, and introduce an affiliation with ShandsHealthCare, part of UF&Shands, the University of Florida Academic Health Center. The total purchase price for our 80% interest will be approximately $162 million, plus a working capital adjustment. The transaction is subject to the execution of a lease agreement between the partnership and the City of St. Petersburg, as well as customary regulatory approvals.
Health Management’s executive team will hold a conference call and webcast to discuss the contents of this press release and Health Management’s consolidated financial results for the three months and year ended December 31, 2012 on Friday, February 15, 2013 at 11:00 a.m. ET. Investors are invited to access the webcast via Health Management’s website at www.HMA.com or via www.streetevents.com. Alternatively, investors may join the conference call by dialing 877-476-3476.
Health Management will archive a copy of the audio webcast of the conference call, along with any related information that Health Management may be required to provide pursuant to Securities and Exchange Commission rules, on its website under the heading “Investor Relations” for a period of 60 days following the conference call and webcast.
Health Management enables America’s best local health care by providing the people, processes, capital and expertise necessary for its hospital and physician partners to fulfill their local missions of delivering superior health care services. Upon completion of the previously announced transaction to joint venture the 480-bed Bayfront Health System, Health Management, through its subsidiaries, will operate 71 hospitals with approximately 11,000 licensed beds in non-urban communities located throughout the United States.
All references to “Health Management,” “HMA” or the “Company” used in this release refer to Health Management Associates, Inc. and its affiliates.
Health Management Associates, Inc. / Page 5
Forward-Looking Statements
This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements are subject to risks, uncertainties and assumptions and are identified by words such as “expects,” “estimates,” “projects,” “anticipates,” “believes,” “intends,” “plans,” “may,” “continues,” “should,” “could” and other similar words. All statements addressing operating performance, events or developments that Health Management Associates, Inc. expects or anticipates will occur in the future, including but not limited to incurrence of indebtedness, projections of revenue, income or loss, capital expenditures, earnings per share, debt structure, the provision for doubtful accounts, capital structure, repayment of indebtedness, the amount and timing of HCIT incentive payments, other financial items and operating statistics, statements regarding the plans and objectives of management for future operations, innovations, or market service development, statements regarding acquisitions, joint ventures, divestitures and other proposed or contemplated transactions (including but not limited to statements regarding the potential for future acquisitions and perceived benefits of acquisitions), statements of future economic performance, statements regarding legal proceedings and other loss contingencies (including but not limited to the timing and amount of costs incurred in connection with such proceedings), statements regarding market risk exposures, statements regarding the effects and/or interpretations of recently enacted or future health care laws and regulations, statements of the beliefs or assumptions underlying or relating to any of the foregoing statements, and other statements which are other than statements of historical fact, are considered to be “forward-looking statements.”
Because they are forward-looking, such statements should be evaluated in light of important risk factors and uncertainties. These risk factors and uncertainties are more fully described in Health Management Associates, Inc.’s most recent Annual Report on Form 10-K, for the year ended December 31, 2011 and Quarterly Report on Form 10-Q for the quarterly period ended June 30, 2012, including under the heading entitled “Risk Factors.” Should one or more of these risks or uncertainties materialize, or should any of Health Management Associates, Inc.’s underlying beliefs or assumptions prove incorrect, actual results could vary materially from those currently anticipated. In addition, undue reliance should not be placed on Health Management Associates, Inc.’s forward-looking statements. Except as required by law, Health Management Associates, Inc. disclaims any obligation to update its risk factors or to publicly announce updates to the forward-looking statements contained in this press release to reflect new information, future events or other developments.
(financial tables follow)
HEALTH MANAGEMENT ASSOCIATES, INC.
CONSOLIDATED STATEMENTS OF INCOME
(unaudited, in thousands, except per share amounts)
| Three Months Ended | Twelve Months Ended | |||||||||||||||
| December 31, | December 31, | |||||||||||||||
| 2012 | 2011 | 2012 | 2011 | |||||||||||||
| Net revenue before the provision for doubtful accounts |
$ | 1,715,459 | $ | 1,583,774 | $ | 6,752,705 | $ | 5,804,451 | ||||||||
| Provision for doubtful accounts |
(234,565 | ) | (195,127 | ) | (874,467 | ) | (716,856 | ) | ||||||||
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| Net revenue |
1,480,894 | 1,388,647 | 5,878,238 | 5,087,595 | ||||||||||||
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| Salaries and benefits |
680,106 | 637,751 | 2,622,428 | 2,302,844 | ||||||||||||
| Supplies |
226,354 | 216,350 | 903,770 | 776,598 | ||||||||||||
| Rent expense |
42,287 | 43,541 | 173,033 | 154,279 | ||||||||||||
| Other operating expenses |
338,476 | 305,865 | 1,307,826 | 1,067,980 | ||||||||||||
| Medicare and Medicaid HCIT incentive payments |
(60,341 | ) | (38,233 | ) | (92,026 | ) | (39,982 | ) | ||||||||
| Depreciation and amortization |
93,225 | 73,466 | 348,941 | 267,900 | ||||||||||||
| Interest expense |
71,804 | 70,659 | 312,547 | 222,747 | ||||||||||||
| Write-offs of deferred debt issuance costs |
— | 24,595 | — | 24,595 | ||||||||||||
| Other |
1,983 | 12 | 238 | (1,771 | ) | |||||||||||
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| 1,393,894 | 1,334,006 | 5,576,757 | 4,775,190 | |||||||||||||
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| Income from continuing operations before income taxes |
87,000 | 54,641 | 301,481 | 312,405 | ||||||||||||
| Provision for income taxes |
(31,691 | ) | (16,893 | ) | (102,622 | ) | (106,071 | ) | ||||||||
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| Income from continuing operations |
55,309 | 37,748 | 198,859 | 206,334 | ||||||||||||
| Loss from discontinued operations, net of income taxes |
(1,812 | ) | (1,227 | ) | (7,617 | ) | (2,409 | ) | ||||||||
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| Consolidated net income |
53,497 | 36,521 | 191,242 | 203,925 | ||||||||||||
| Net income attributable to noncontrolling interests |
(5,215 | ) | (5,674 | ) | (26,972 | ) | (25,215 | ) | ||||||||
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| Net income attributable to Health Management Associates, Inc. |
$ | 48,282 | $ | 30,847 | $ | 164,270 | $ | 178,710 | ||||||||
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| Earnings (loss) per share attributable to Heath Management Associates, Inc. common stockholders: |
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| Basic: |
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| Continuing operations |
$ | 0.19 | $ | 0.13 | $ | 0.68 | $ | 0.72 | ||||||||
| Discontinued operations |
— | — | (0.03 | ) | (0.01 | ) | ||||||||||
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| Net income |
$ | 0.19 | $ | 0.13 | $ | 0.65 | $ | 0.71 | ||||||||
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| Diluted: |
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| Continuing operations |
$ | 0.19 | $ | 0.13 | $ | 0.67 | $ | 0.71 | ||||||||
| Discontinued operations |
— | — | (0.03 | ) | (0.01 | ) | ||||||||||
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| Net income |
$ | 0.19 | $ | 0.13 | $ | 0.64 | $ | 0.70 | ||||||||
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| Weighted average number of shares outstanding: |
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| Basic |
254,534 | 252,175 | 254,217 | 251,541 | ||||||||||||
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| Diluted |
258,322 | 256,032 | 256,710 | 255,037 | ||||||||||||
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| Net income attributable to Health Management Associates, Inc. |
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| Income from continuing operations, net of income taxes |
$ | 50,094 | $ | 32,074 | $ | 171,887 | $ | 181,119 | ||||||||
| Loss from discontinued operations, net of income taxes |
(1,812 | ) | (1,227 | ) | (7,617 | ) | (2,409 | ) | ||||||||
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| Net income attributable to Health Management Associates, Inc. |
$ | 48,282 | $ | 30,847 | $ | 164,270 | $ | 178,710 | ||||||||
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HEALTH MANAGEMENT ASSOCIATES, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited, in thousands)
| Twelve Months Ended December 31, | ||||||||
| 2012 | 2011 | |||||||
| Cash flows from operating activities: |
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| Consolidated net income |
$ | 191,242 | $ | 203,925 | ||||
| Adjustments to reconcile consolidated net income to net cash provided by continuing operating activities: |
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| Depreciation and amortization |
359,920 | 274,526 | ||||||
| Amortization related to interest rate swap contract |
78,969 | 10,384 | ||||||
| Fair value adjustment related to interest rate swap contract |
24,201 | 5,979 | ||||||
| Provision for doubtful accounts |
874,467 | 716,856 | ||||||
| Stock-based compensation expense |
25,599 | 25,169 | ||||||
| Losses on sales of assets, net |
4,790 | 1,325 | ||||||
| Gains on sales of available-for-sale securities, net |
(3,081 | ) | (518 | ) | ||||
| Write-offs of deferred debt issuance costs |
— | 24,045 | ||||||
| Deferred income tax expense |
7,373 | 79,159 | ||||||
| Changes in assets and liabilities of continuing operations, net of the effects of acquisitions: |
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| Accounts receivable |
(959,178 | ) | (870,898 | ) | ||||
| Supplies, prepaid expenses and other current assets |
(3,877 | ) | (11,379 | ) | ||||
| Prepaid and recoverable income taxes |
29,866 | (18,987 | ) | |||||
| Deferred charges and other long-term assets |
(975 | ) | (5,785 | ) | ||||
| Accounts payable, accrued expenses and other liabilities |
(38,062 | ) | 110,811 | |||||
| Equity compensation excess income tax benefits |
(1,492 | ) | (2,999 | ) | ||||
| Loss from discontinued operations, net of income taxes |
7,617 | 2,409 | ||||||
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| Net cash provided by continuing operating activities |
597,379 | 544,022 | ||||||
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| Cash flows from investing activities: |
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| Additions to property, plant and equipment |
(388,899 | ) | (302,046 | ) | ||||
| Acquisitions of hospitals and other |
(73,948 | ) | (582,090 | ) | ||||
| Proceeds from sales of assets and insurance recoveries |
2,857 | 2,765 | ||||||
| Proceeds from sales of discontinued operations |
1,392 | 4,851 | ||||||
| Purchases of available-for-sale securities |
(1,947,028 | ) | (1,385,580 | ) | ||||
| Proceeds from sales of available-for-sale securities |
1,954,653 | 1,321,398 | ||||||
| Increase in restricted funds |
(22,923 | ) | (35,309 | ) | ||||
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| Net cash used in continuing investing activities |
(473,896 | ) | (976,011 | ) | ||||
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| Cash flows from financing activities: |
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| Principal payments on debt and capital lease obligations |
(141,861 | ) | (2,869,380 | ) | ||||
| Payments for debt issuance costs |
(702 | ) | (75,149 | ) | ||||
| Proceeds from long-term borrowings |
47,000 | 3,356,970 | ||||||
| Cash payments to noncontrolling shareholders |
(35,543 | ) | (28,284 | ) | ||||
| Cash received from noncontrolling shareholders |
3,591 | — | ||||||
| Proceeds from exercises of stock options |
— | 14,067 | ||||||
| Equity compensation excess income tax benefits |
1,492 | 2,999 | ||||||
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| Net cash provided by (used in) continuing financing activities |
(126,023 | ) | 401,223 | |||||
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| Net decrease in cash and cash equivalents before discontinued operations |
(2,540 | ) | (30,766 | ) | ||||
| Net increases (decreases) in cash and cash equivalents from discontinued operations: |
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| Operating activities |
(2,295 | ) | 5,991 | |||||
| Investing activities |
(135 | ) | (12,894 | ) | ||||
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| Net decrease in cash and cash equivalents |
(4,970 | ) | (37,669 | ) | ||||
| Cash and cash equivalents at the beginning of the period |
64,143 | 101,812 | ||||||
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| Cash and cash equivalents at the end of the period |
$ | 59,173 | $ | 64,143 | ||||
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HEALTH MANAGEMENT ASSOCIATES, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS AND STATISTICS
| December 31, | December 31, | |||||||
| (unaudited, dollars in thousands) | 2012 | 2011 | ||||||
| Assets |
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| Current assets: |
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| Cash and cash equivalents |
$ | 59,173 | $ | 64,143 | ||||
| Available-for-sale securities |
121,106 | 122,277 | ||||||
| Accounts receivable, net |
976,872 | 903,517 | ||||||
| Other current assets |
307,847 | 305,640 | ||||||
| Assets of discontinued operations |
6,250 | 14,561 | ||||||
| Property, plant and equipment, net |
3,463,052 | 3,263,172 | ||||||
| Restricted funds |
125,532 | 96,244 | ||||||
| Other assets |
1,340,957 | 1,234,635 | ||||||
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| Total assets |
$ | 6,400,789 | $ | 6,004,189 | ||||
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| Liabilities and Stockholders’ Equity |
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| Current liabilities |
$ | 972,423 | $ | 803,824 | ||||
| Deferred income taxes |
301,237 | 234,080 | ||||||
| Other long-term liabilities |
673,344 | 691,680 | ||||||
| Long-term debt |
3,433,260 | 3,489,489 | ||||||
| Stockholders’ equity |
1,020,525 | 785,116 | ||||||
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| Total liabilities and stockholders’ equity |
$ | 6,400,789 | $ | 6,004,189 | ||||
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| Three Months Ended December 31, | Twelve Months Ended December 31, | |||||||||||||||||||||||
| 2012 | 2011 | % Change | 2012 | 2011 | % Change | |||||||||||||||||||
| Continuing Operations |
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| Occupancy |
38.4 | % | 40.2 | % | 36.9 | % | 42.6 | % | ||||||||||||||||
| Patient days |
357,990 | 364,916 | –1.9 | % | 1,478,632 | 1,424,500 | 3.8 | % | ||||||||||||||||
| Admissions |
84,960 | 88,124 | –3.6 | % | 349,508 | 338,431 | 3.3 | % | ||||||||||||||||
| Adjusted admissions |
171,186 | 168,806 | 1.4 | % | 692,767 | 635,547 | 9.0 | % | ||||||||||||||||
| Average length of stay |
4.2 | 4.1 | 4.2 | 4.2 | ||||||||||||||||||||
| Surgeries |
97,342 | 95,429 | 2.0 | % | 394,939 | 342,427 | 15.3 | % | ||||||||||||||||
| Emergency room visits |
467,558 | 416,627 | 12.2 | % | 1,820,009 | 1,562,028 | 16.5 | % | ||||||||||||||||
| Net revenue (in thousands) |
$ | 1,480,894 | $ | 1,388,647 | 6.6 | % | $ | 5,878,238 | $ | 5,087,595 | 15.5 | % | ||||||||||||
| Net revenue per adjusted admission |
$ | 8,651 | $ | 8,226 | 5.2 | % | $ | 8,485 | $ | 8,005 | 6.0 | % | ||||||||||||
| Total inpatient revenue percentage |
43.8 | % | 47.3 | % | 45.1 | % | 48.1 | % | ||||||||||||||||
| Total outpatient revenue percentage |
56.2 | % | 52.7 | % | 54.9 | % | 51.9 | % | ||||||||||||||||
| Same Hospitals |
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| Occupancy |
38.9 | % | 40.2 | % | 37.6 | % | 42.6 | % | ||||||||||||||||
| Patient days |
354,842 | 364,916 | –2.8 | % | 1,359,578 | 1,424,500 | –4.6 | % | ||||||||||||||||
| Admissions |
83,945 | 88,124 | –4.7 | % | 322,053 | 338,431 | –4.8 | % | ||||||||||||||||
| Adjusted admissions |
168,658 | 168,806 | –0.1 | % | 631,129 | 635,547 | –0.7 | % | ||||||||||||||||
| Average length of stay |
4.2 | 4.1 | 4.2 | 4.2 | ||||||||||||||||||||
| Surgeries |
96,257 | 95,429 | 0.9 | % | 349,477 | 342,427 | 2.1 | % | ||||||||||||||||
| Emergency room visits |
454,835 | 416,627 | 9.2 | % | 1,632,610 | 1,562,028 | 4.5 | % | ||||||||||||||||
| Net revenue (in thousands) |
$ | 1,458,983 | $ | 1,388,647 | 5.1 | % | $ | 5,358,455 | $ | 5,087,595 | 5.3 | % | ||||||||||||
| Net revenue per adjusted admission |
$ | 8,651 | $ | 8,226 | 5.2 | % | $ | 8,490 | $ | 8,005 | 6.1 | % | ||||||||||||
| Total inpatient revenue percentage |
44.0 | % | 47.3 | % | 45.2 | % | 48.1 | % | ||||||||||||||||
| Total outpatient revenue percentage |
56.0 | % | 52.7 | % | 54.8 | % | 51.9 | % | ||||||||||||||||
HEALTH MANAGEMENT ASSOCIATES, INC.
SUPPLEMENTAL CONSOLIDATED STATEMENTS OF INCOME INFORMATION
(unaudited, dollars in thousands)
| Three Months Ended | Twelve Months Ended | |||||||||||||||
| December 31, | December 31, | |||||||||||||||
| 2012 | 2011 | 2012 | 2011 | |||||||||||||
| Net revenue |
$ | 1,480,894 | $ | 1,388,647 | $ | 5,878,238 | $ | 5,087,595 | ||||||||
| Less acquisitions |
21,911 | — | 519,783 | — | ||||||||||||
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| Same hospital net revenue |
$ | 1,458,983 | $ | 1,388,647 | $ | 5,358,455 | $ | 5,087,595 | ||||||||
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| Consolidated net income |
$ | 53,497 | $ | 36,521 | $ | 191,242 | $ | 203,925 | ||||||||
| Adjustments: |
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| Loss from discontinued operations, net of income taxes |
1,812 | 1,227 | 7,617 | 2,409 | ||||||||||||
| Provision for income taxes |
31,691 | 16,893 | 102,622 | 106,071 | ||||||||||||
| Losses on sales of assets, net |
2,677 | 229 | 4,790 | 1,325 | ||||||||||||
| Interest and other income, net |
(694 | ) | (217 | ) | (4,552 | ) | (3,096 | ) | ||||||||
| Interest expense |
71,804 | 70,659 | 312,547 | 222,747 | ||||||||||||
| Write-offs of deferred debt issuance costs |
— | 24,595 | — | 24,595 | ||||||||||||
| Depreciation and amortization |
93,225 | 73,466 | 348,941 | 267,900 | ||||||||||||
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| Adjusted EBITDA (a) |
254,012 | 223,373 | 963,207 | 825,876 | ||||||||||||
| Adjustment for acquisitions, corporate and other |
70,856 | 42,448 | 140,627 | 152,708 | ||||||||||||
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| Same hospital operating Adjusted EBITDA (a) |
$ | 324,868 | $ | 265,821 | $ | 1,103,834 | $ | 978,584 | ||||||||
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| Same hospital operating Adjusted EBITDA margins = |
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| Same hospital operating Adjusted EBITDA / Same hospital net revenue (a) |
22.3 | % | 19.1 | % | 20.6 | % | 19.2 | % | ||||||||
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| (a) | Adjusted EBITDA is defined as consolidated net income before discontinued operations, net gains (losses) on sales of assets, net interest and other income, interest expense, income taxes, and depreciation and amortization. Adjusted EBITDA margin is defined as Adjusted EBITDA divided by net revenue. Adjusted EBITDA is not a measure determined in accordance with generally accepted accounting principles in the United States, commonly known as GAAP. Nevertheless, Health Management believes that providing non-GAAP information such as Adjusted EBITDA is important for investors and other readers of Health Management’s consolidated financial statements, as it is commonly used as an analytical indicator within the health care industry and Health Management’s debt facilities contain covenants that use Adjusted EBITDA in their calculations. Because Adjusted EBITDA is a non-GAAP measure and is thus susceptible to varying calculations, Adjusted EBITDA, as presented, may not be directly comparable to other similarly titled measures used by other companies. |
HEALTH MANAGEMENT ASSOCIATES, INC.
SUPPLEMENTAL CONSOLIDATED STATEMENTS OF INCOME INFORMATION
(unaudited, in thousands, except per share amounts)
The following tables provide information regarding income from continuing operations attributable to Health Management, excluding the impact of interest rate swap amortization, mark-to-market adjustments, HCIT incentive payments, and Medicaid rate adjustments. This table is a non-GAAP presentation; nonetheless, Health Management believes that providing this detail is beneficial to investors and other readers of Health Management’s financial statements due to the significant impact these items had on income from continuing operations attributable to Health Management.
Three Months Ended December 31, 2012
| Continuing Operations |
Interest Rate Swap Amortization and Mark-To-Market Adjustments |
HCIT Incentive Payments, Less Medicaid Rate Adjustments |
Total, As Reported |
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| Income from continuing operations before income taxes |
$ | 54,697 | $ | (20,268 | ) | $ | 52,571 | $ | 87,000 | |||||||
| Net income from continuing operations attributable to noncontrolling interests |
(5,215 | ) | — | — | (5,215 | ) | ||||||||||
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| Income from continuing operations before income taxes attributable to Health Management Associates, Inc. |
49,482 | (20,268 | ) | 52,571 | 81,785 | |||||||||||
| Provision for income taxes |
(19,174 | ) | 7,854 | (20,371 | ) | (31,691 | ) | |||||||||
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| Income from continuing operations attributable to Health Management Associates, Inc. common stockholders |
$ | 30,308 | $ | (12,414 | ) | $ | 32,200 | $ | 50,094 | |||||||
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| Earnings per share from continuing operations attributable to Health Management Associates, Inc. common stockholders: |
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| Basic |
$ | 0.12 | $ | (0.05 | ) | $ | 0.12 | $ | 0.19 | |||||||
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| Diluted |
$ | 0.12 | $ | (0.05 | ) | $ | 0.12 | $ | 0.19 | |||||||
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Three Months Ended December 31, 2011
| Continuing Operations |
Interest Rate Swap Amortization and Mark-To-Market Adjustments |
HCIT Incentive Payments |
Write-Off of Deferred Debt Issuance Costs |
Total, As Reported |
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| Income from continuing operations before income taxes |
$ | 57,366 | $ | (16,363 | ) | $ | 38,233 | $ | (24,595 | ) | $ | 54,641 | ||||||||
| Net income from continuing operations attributable to noncontrolling interests |
(5,674 | ) | — | — | — | (5,674 | ) | |||||||||||||
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| Income from continuing operations before income taxes attributable to Health Management Associates, Inc. |
51,692 | (16,363 | ) | 38,233 | (24,595 | ) | 48,967 | |||||||||||||
| Provision for income taxes |
(17,950 | ) | 6,341 | (14,815 | ) | 9,531 | (16,893 | ) | ||||||||||||
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| Income from continuing operations attributable to Health Management Associates, Inc. common stockholders |
$ | 33,742 | $ | (10,022 | ) | $ | 23,418 | $ | (15,064 | ) | $ | 32,074 | ||||||||
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| Earnings per share from continuing operations attributable to Health Management Associates, Inc. common stockholders: |
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| Basic |
$ | 0.13 | $ | (0.04 | ) | $ | 0.10 | $ | (0.06 | ) | $ | 0.13 | ||||||||
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| Diluted |
$ | 0.13 | $ | (0.04 | ) | $ | 0.10 | $ | (0.06 | ) | $ | 0.13 | ||||||||
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HEALTH MANAGEMENT ASSOCIATES, INC.
SUPPLEMENTAL CONSOLIDATED STATEMENTS OF INCOME INFORMATION (continued)
(unaudited, in thousands, except per share amounts)
Twelve Months Ended December 31, 2012
| Continuing Operations |
Interest Rate Swap Amortization and Mark-To-Market Adjustments |
HCIT Incentive Payments, Less Medicaid Rate Adjustments |
Total, As Reported |
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| Income from continuing operations before income taxes |
$ | 333,437 | $ | (103,170 | ) | $ | 71,214 | $ | 301,481 | |||||||
| Net income from continuing operations attributable to noncontrolling interests |
(26,972 | ) | — | — | (26,972 | ) | ||||||||||
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| Income from continuing operations before income taxes attributable to Health Management Associates, Inc. |
306,465 | (103,170 | ) | 71,214 | 274,509 | |||||||||||
| Provision for income taxes |
(115,005 | ) | 39,978 | (27,595 | ) | (102,622 | ) | |||||||||
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| Income from continuing operations attributable to Health Management Associates, Inc. common stockholders |
$ | 191,460 | $ | (63,192 | ) | $ | 43,619 | $ | 171,887 | |||||||
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| Earnings per share from continuing operations attributable to Health Management Associates, Inc. common stockholders: |
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| Basic |
$ | 0.76 | $ | (0.25 | ) | $ | 0.17 | $ | 0.68 | |||||||
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| Diluted |
$ | 0.75 | $ | (0.25 | ) | $ | 0.17 | $ | 0.67 | |||||||
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Twelve Months Ended December 31, 2011
| Continuing Operations |
Interest Rate Swap Amortization and Mark-To-Market Adjustments |
HCIT Incentive Payments |
Write-Off of Deferred Debt Issuance Costs |
Total, As Reported |
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| Income from continuing operations before income taxes |
$ | 313,381 | $ | (16,363 | ) | $ | 39,982 | $ | (24,595 | ) | $ | 312,405 | ||||||||
| Net income from continuing operations attributable to noncontrolling interests |
(25,215 | ) | — | — | — | (25,215 | ) | |||||||||||||
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| Income from continuing operations before income taxes attributable to Health Management Associates, Inc. |
288,166 | (16,363 | ) | 39,982 | (24,595 | ) | 287,190 | |||||||||||||
| Provision for income taxes |
(106,450 | ) | 6,341 | (15,493 | ) | 9,531 | (106,071 | ) | ||||||||||||
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| Income from continuing operations attributable to Health Management Associates, Inc. common stockholders |
$ | 181,716 | $ | (10,022 | ) | $ | 24,489 | $ | (15,064 | ) | $ | 181,119 | ||||||||
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| Earnings per share from continuing operations attributable to Health Management Associates, Inc. common stockholders: |
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| Basic |
$ | 0.72 | $ | (0.04 | ) | $ | 0.10 | $ | (0.06 | ) | $ | 0.72 | ||||||||
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| Diluted |
$ | 0.71 | $ | (0.04 | ) | $ | 0.10 | $ | (0.06 | ) | $ | 0.71 | ||||||||
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###