Attached files

file filename
8-K - 8-K - UNITED SURGICAL PARTNERS INTERNATIONAL INCd815377d8k.htm

Exhibit 99.1

 

LOGO

 

Contact: Jason B. Cagle
     Chief Financial Officer
     (972) 713-3500

UNITED SURGICAL PARTNERS INTERNATIONAL

ANNOUNCES THIRD QUARTER 2014 RESULTS

Dallas, Texas (November 5, 2014) – United Surgical Partners International, Inc. (“USPI” or the “Company”) today announced results for the third quarter and nine months ended September 30, 2014.

Third Quarter Financial Results

For the quarter ended September 30, 2014, consolidated net revenues increased 5% to $159.2 million compared with $151.0 million in the prior year period. Operating income for the third quarter increased 2% to $64.4 million, as compared with $63.1 million for the prior year period. EBITDA less noncontrolling interests increased 9% to $53.9 million in the third quarter of 2014 compared with $49.3 million for the prior year period.

Cash flows from operating activities for the third quarter of 2014 totaled $53.9 million compared with $50.7 million in the prior year period. During the third quarter of 2014, the Company and its consolidated subsidiaries invested $3.5 million in maintenance capital expenditures and an additional $0.3 million in the infrastructure of existing facilities.

Nine-Month Financial Results

For the nine months ended September 30, 2014, consolidated net revenues increased 3% to $466.1 million compared with $451.4 million in the prior year period. Operating income for the first nine months of 2014 was $183.7 million as compared with $181.9 million for the prior year period. EBITDA less noncontrolling interests was $151.7 million in the first nine months of 2014 as compared with $152.3 million for the first nine months of 2013.

Cash flows from operating activities for the nine months ended September 30, 2014, totaled $159.9 million compared with $128.1 million for the prior year period. During the first nine months of 2014, the Company and its consolidated subsidiaries invested $10.6 million in maintenance capital expenditures and an additional $2.2 million in the infrastructure of existing facilities.

Systemwide Financial Results

Due to the Company’s partnerships with physicians and prominent healthcare systems, the Company does not consolidate the financial results of the majority of its facilities. While revenues of the Company’s unconsolidated facilities are not recorded as revenues by the Company, equity in earnings of unconsolidated affiliates is a significant portion of the Company’s overall earnings. To help analyze results of operations, management uses systemwide operating measures such as systemwide revenue growth, which includes revenues of both consolidated and unconsolidated facilities. In addition to overall systemwide revenue growth, the Company calculates growth rates and operating margins for the facilities that were operational in both the current and prior year periods, a group the Company refers to as same-store or same-facility. This group also consists of both consolidated and unconsolidated facilities. At September 30, 2014, 155 of the 219 facilities the Company operated were not consolidated.

 

-MORE-


United Surgical Partners Announces Third Quarter 2014 Results

Page 2

November 5, 2014

 

For the third quarter, the systemwide revenues of the facilities operated by the Company increased 11% on a year-over-year basis. On a same-store basis, systemwide net revenue increased 5% in the third quarter compared with the prior year period. For the first nine months of 2014, the systemwide revenues of the facilities operated by the Company increased 5% on a year-over-year basis. On a same-store basis, systemwide net revenue increased 3% for the first nine months of the year.

Development Activity

The Company acquired an interest in three facilities during the third quarter and one additional facility following quarter end. The Company expects to add two to four additional facilities in the remainder of 2014.

Conclusion

Commenting on the results, William H. Wilcox, USPI’s chief executive officer, said, “The third quarter represented our strongest same-store volume performance since 2012, and we are pleased with the sequential improvement in operating and financial performance. We also continue to add new, high quality facilities and health system partners to our portfolio and anticipate an active fourth quarter from a development perspective.”

The live broadcast of USPI’s third quarter conference call will begin at 5:00 p.m. Eastern Time on November 5, 2014. A 30-day online replay will be available approximately an hour following the conclusion of the live broadcast. A link to these events can be found on the Company’s website at www.uspi.com. Additional financial information pertaining to United Surgical Partners International may be found by visiting the Investor Relations section of the Company’s website.

USPI, headquartered in Dallas, Texas, currently has ownership interests in or operates 220 facilities, of which 154 are jointly owned with not-for-profit healthcare systems.

The above includes forward-looking statements based on current management expectations. Numerous factors exist that may cause results to differ from these expectations. Many of the factors that will determine the Company’s future results are beyond the ability of the Company to control or predict. These statements are subject to risks and uncertainties relating to the Company, including without limitation, (i) reduction in reimbursement; (ii) the Company’s ability to attract physicians and retain qualified management and personnel; (iii) the Company’s significant leverage; (iv) geographic concentrations of certain of the Company’s operations; (v) risks associated with the Company’s acquisition and development strategies; (vi) the regulated nature of the healthcare industry; (vii) the highly competitive nature of the healthcare business; and (viii) those risks and uncertainties described from time to time in the Company’s filings with the Securities and Exchange Commission. Therefore, the Company’s actual results may differ materially. The Company undertakes no obligation to update any forward-looking statements or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

 

-MORE-


United Surgical Partners Announces Third Quarter 2014 Results

Page 3

November 5, 2014

 

UNITED SURGICAL PARTNERS INTERNATIONAL, INC.

Unaudited Condensed Consolidated Statements of Income

(in thousands, except number of facilities)

 

     Three Months Ended
September 30,
    Nine Months Ended
September 30,
 
     2014     2013     2014     2013  

Revenues

   $ 159,190      $ 151,009      $ 466,107      $ 451,352   

Equity in earnings of unconsolidated affiliates

     27,527        20,923        73,599        63,759   

Operating expenses:

        

Salaries, benefits and other employee costs

     44,383        40,991        129,878        120,425   

Medical services and supplies

     27,051        24,945        78,248        72,831   

Other operating expenses

     28,251        24,722        83,487        75,691   

General and administrative expenses

     11,718        10,396        34,958        30,793   

Provision for doubtful accounts

     2,918        1,599        7,526        7,781   

Net (gain) loss on deconsolidations, disposals and impairments

     1,419        (506     2,336        4,893   

Depreciation and amortization

     6,608        6,683        19,616        20,758   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total operating expenses

     122,348        108,830        356,049        333,172   
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     64,369        63,102        183,657        181,939   

Interest expense, net

     (23,697     (23,710     (70,090     (76,226

Loss on early retirement of debt

                          (5,536

Other, net

     (55     1        (80     (3
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

     40,617        39,393        113,487        100,174   

Income tax expense

     (8,623     (7,462     (21,997     (17,903
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations

     31,994        31,931        91,490        82,271   

Discontinued operations, net of tax

                   (332       
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     31,994        31,931        91,158        82,271   

Less: Net income attributable to noncontrolling interests

     (18,518     (20,009     (53,951     (55,338
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to USPI’s common stockholder

   $ 13,476      $ 11,922      $ 37,207      $ 26,933   
  

 

 

   

 

 

   

 

 

   

 

 

 

Supplemental Data:

        

Facilities operated at period end

     219        214        219        214   

 

-MORE-


United Surgical Partners Announces Third Quarter 2014 Results

Page 4

November 5, 2014

 

UNITED SURGICAL PARTNERS INTERNATIONAL, INC.

Unaudited Condensed Consolidated Balance Sheets

(in thousands)

 

     Sept. 30,
2014
     Dec. 31,
2013
 
ASSETS   

Current assets:

     

Cash and cash equivalents

   $ 57,259       $ 78,741   

Available for sale securities

     9,230         10,802   

Accounts receivable, net of allowance for doubtful accounts of $10,902 and $10,236, respectively

     49,667         51,608   

Other receivables

     24,146         24,191   

Inventories of supplies

     8,326         9,049   

Deferred tax assets, net

     22,382         22,333   

Other

     16,483         16,076   
  

 

 

    

 

 

 

Total current assets

     187,493         212,800   

Property and equipment, net

     128,496         132,474   

Investments in unconsolidated affiliates

     609,481         521,833   

Goodwill and intangible assets, net

     1,599,125         1,585,401   

Other

     32,459         28,176   
  

 

 

    

 

 

 

Total assets

   $ 2,557,054       $ 2,480,684   
  

 

 

    

 

 

 
LIABILITIES AND EQUITY   

Current liabilities:

     

Accounts payable

   $ 18,588       $ 17,407   

Accrued expenses and other

     273,255         278,876   

Current portion of long-term debt

     18,940         18,916   
  

 

 

    

 

 

 

Total current liabilities

     310,783         315,199   

Long-term debt

     1,481,701         1,454,692   

Other liabilities

     230,303         217,573   
  

 

 

    

 

 

 

Total liabilities

     2,022,787         1,987,464   

Noncontrolling interests—redeemable

     179,439         166,578   

USPI stockholder’s equity

     306,387         279,622   

Noncontrolling interests—nonredeemable

     48,441         47,020   
  

 

 

    

 

 

 

Total equity

     354,828         326,642   
  

 

 

    

 

 

 

Total liabilities and equity

   $ 2,557,054       $ 2,480,684   
  

 

 

    

 

 

 

 

-MORE-


United Surgical Partners Announces Third Quarter 2014 Results

Page 5

November 5, 2014

 

UNITED SURGICAL PARTNERS INTERNATIONAL, INC.

Key Operating Statistics

(in thousands, except for number of facilities, cases and percentages)

 

     Three Months Ended September 30,  
     2014     2013     % Change  

Systemwide same-facility statistics(1) (2):

      

Facility cases

     252,650        245,597        2.9

Net revenue/case

   $ 2,351      $ 2,301        2.2

Net revenue

   $ 593,910      $ 565,158        5.1

Facility operating income margin(3)

     24.9     24.4     50 bps   
Other:       

Total consolidated facilities

     64        65     

EBITDA less noncontrolling interests(4)

      

GAAP operating income

   $ 64,369      $ 63,102        2.0

Depreciation and amortization

     6,608        6,683     

Net loss (gain) on deconsolidations, disposals and impairments

     1,419        (506  
  

 

 

   

 

 

   

EBITDA

     72,396        69,279     

Net income attributable to noncontrolling interests

     (18,518     (20,009  
  

 

 

   

 

 

   

EBITDA less noncontrolling interests

   $ 53,878      $ 49,270        9.4
  

 

 

   

 

 

   
     Nine Months Ended September 30,  
     2014     2013     % Change  

EBITDA less noncontrolling interests(4)

      

GAAP operating income

   $ 183,657      $ 181,939        0.9

Depreciation and amortization

     19,616        20,758     

Net loss on deconsolidations, disposals and impairments

     2,336        4,893     
  

 

 

   

 

 

   

EBITDA

     205,609        207,590     

Net income attributable to noncontrolling interests

     (53,951     (55,338  
  

 

 

   

 

 

   

EBITDA less noncontrolling interests

   $ 151,658      $ 152,252        (0.4 %) 
  

 

 

   

 

 

   

 

(1)  Excludes de novo facilities in their first year of operations. Includes facilities accounted for under the equity method as well as consolidated facilities.
(2)  Statistics for acquired facilities are included in both periods.
(3)  Calculated as operating income divided by net revenue.
(4)  EBITDA and EBITDA less noncontrolling interests are not measures defined under generally accepted accounting principles (GAAP). The Company believes EBITDA and EBITDA less noncontrolling interests are important measures for purposes of allocating resources and assessing performance. EBITDA, which is computed by adding operating income, depreciation and amortization, and net loss (gain) on deconsolidations, disposals and impairments, is commonly used as an analytical indicator within the healthcare industry and also serves as a measure of leverage capacity and debt service ability. EBITDA less noncontrolling interests, which is computed by subtracting net income attributable to noncontrolling interests from EBITDA, adjusts both years’ EBITDA to reflect that the Company does not own 100% of each facility. EBITDA and EBITDA less noncontrolling interests should not be considered as measures of financial performance under GAAP, and the items excluded from EBITDA and EBITDA less noncontrolling interests are significant components in understanding and assessing financial performance. Because EBITDA and EBITDA less noncontrolling interests are not measurements determined in accordance with GAAP and are thus susceptible to varying calculation methods, EBITDA and EBITDA less noncontrolling interests as presented by USPI may not be comparable to similarly titled measures of other companies.

 

-END-