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8-K - FORM 8-K - UNITED SURGICAL PARTNERS INTERNATIONAL INCd878765d8k.htm

Exhibit 99.1

 

LOGO

 

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

UNITED SURGICAL PARTNERS INTERNATIONAL

ANNOUNCES FOURTH QUARTER AND YEAR-END 2014 RESULTS

Dallas, Texas (February 24, 2015) – United Surgical Partners International, Inc. (“USPI” or the “Company”) today announced results for the fourth quarter and year ended December 31, 2014.

Fourth Quarter Financial Results

For the quarter ended December 31, 2014, consolidated net revenues increased 6% to $174.7 million compared with $164.9 million in the prior year period. Operating income for the fourth quarter increased 5% to $86.1 million compared with $81.9 million for the prior year period. EBITDA less noncontrolling interests increased 14% to $73.9 million in the fourth quarter of 2014 compared with $65.0 million for the prior year period.

Cash flows from operating activities for the fourth quarter of 2014 totaled $51.7 million compared with $31.8 million in the prior year period. During the fourth quarter of 2014, the Company and its consolidated subsidiaries invested $4.7 million in maintenance capital expenditures and an additional $1.9 million in the infrastructure of existing facilities.

Full Year Financial Results

For the year ended December 31, 2014, consolidated net revenues increased 4% to $640.8 million compared with $616.2 million in the prior year period. Operating income for 2014 increased 2% to $269.8 million as compared with $263.8 million for the prior year period. EBITDA less noncontrolling interests increased 4% to $225.6 million in 2014 as compared with $217.3 million for 2013.

Cash flows from operating activities for the year ended December 31, 2014, totaled $211.6 million compared with $159.9 million for the prior year period. During 2014, the Company and its consolidated subsidiaries invested $15.3 million in maintenance capital expenditures and an additional $4.1 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 December 31, 2014, 156 of the 219 facilities the Company operated were not consolidated.

 

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United Surgical Partners Announces Fourth Quarter and Year-End 2014 Results

Page 2

February 24, 2015

 

For the fourth quarter, the systemwide revenues of the facilities operated by the Company increased 16% on a year-over-year basis. On a same-store basis, systemwide net revenue increased 9% in the fourth quarter compared with the prior year period. For full year 2014, the systemwide revenues of the facilities operated by the Company increased 8% on a year-over-year basis. On a same-store basis, systemwide net revenue increased 5% during the year.

Development Activity

During the fourth quarter, the Company acquired an interest in two facilities. For full year 2014, the Company acquired an interest in ten facilities and sold its interest in two facilities.

Conclusion

Commenting on the results, William H. Wilcox, USPI’s chief executive officer, said, “We were pleased to end the year with solid volume, revenue and earnings growth. We also had a very successful year from a development perspective, deploying approximately $150 million in new opportunities. Our development pipeline for new facilities and health system partners remains quite strong. We believe our core competencies and strategic relationships with prominent health systems and physician groups across the country position us well to be part of the solution, as the need for high value ambulatory and short-stay services continues to grow.”

The live broadcast of USPI’s fourth quarter conference call will begin at 5:00 p.m. Eastern Time on February 25, 2015. 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 219 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.

 

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United Surgical Partners Announces Fourth Quarter and Year-End 2014 Results

Page 3

February 24, 2015

 

UNITED SURGICAL PARTNERS INTERNATIONAL, INC.

Unaudited Condensed Consolidated Statements of Income

(in thousands, except number of facilities)

 

     Three Months Ended
December 31,
    Year Ended
December 31,
 
     2014     2013     2014     2013  

Revenues

   $ 174,716      $ 164,878      $ 640,824      $ 616,231   

Equity in earnings of unconsolidated affiliates

     43,008        31,761        116,607        95,520   

Operating expenses:

        

Salaries, benefits and other employee costs

     45,585        43,242        175,463        163,667   

Medical services and supplies

     31,388        28,318        109,636        101,149   

Other operating expenses

     27,155        23,733        110,642        99,425   

General and administrative expenses

     13,407        10,666        48,365        41,458   

Provision for doubtful accounts

     3,131        2,225        10,658        10,006   

Net loss on deconsolidations, disposals and impairments

     4,550        124        6,887        5,017   

Depreciation and amortization

     6,389        6,480        26,004        27,238   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total operating expenses

  131,605      114,788      487,655      447,960   
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

  86,119      81,851      269,776      263,791   

Interest expense, net

  (23,651   (23,578   (93,741   (99,804

Loss on early retirement of debt

  —        —        —        (5,536

Other, net

  12      1      (68   (2
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

  62,480      58,274      175,967      158,449   

Income tax expense

  (15,509   (13,486   (37,507   (31,389
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations

  46,971      44,788      138,460      127,060   

Discontinued operations, net of tax

  —        —        (332   —     
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

  46,971      44,788      138,128      127,060   

Less: Net income attributable to noncontrolling interests

  (23,130   (23,443   (77,081   (78,782
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to USPI’s common stockholder

$ 23,841    $ 21,345    $ 61,047    $ 48,278   
  

 

 

   

 

 

   

 

 

   

 

 

 

Supplemental Data:

Facilities operated at period end

  219      214      219      214   

 

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United Surgical Partners Announces Fourth Quarter and Year-End 2014 Results

Page 4

February 24, 2015

 

UNITED SURGICAL PARTNERS INTERNATIONAL, INC.

Unaudited Condensed Consolidated Balance Sheets

(in thousands)

 

     Dec. 31,
2014
     Dec. 31,
2013
 
ASSETS      

Current assets:

     

Cash and cash equivalents

   $ 36,554       $ 78,741   

Available for sale securities

     10,831         10,802   

Accounts receivable, net of allowance for doubtful accounts of $11,974 and $10,236, respectively

     57,616         51,608   

Other receivables

     23,568         24,191   

Inventories of supplies

     8,681         9,049   

Deferred tax assets, net

     29,518         22,333   

Other

     16,210         16,076   
  

 

 

    

 

 

 

Total current assets

  182,978      212,800   

Property and equipment, net

  128,887      132,474   

Investments in unconsolidated affiliates

  605,100      521,833   

Goodwill and intangible assets, net

  1,633,651      1,585,401   

Other

  33,241      28,176   
  

 

 

    

 

 

 

Total assets

$ 2,583,857    $ 2,480,684   
  

 

 

    

 

 

 
LIABILITIES AND EQUITY

Current liabilities:

Accounts payable

$ 23,272    $ 17,407   

Accrued expenses and other

  265,583      278,876   

Current portion of long-term debt

  18,668      18,916   
  

 

 

    

 

 

 

Total current liabilities

  307,523      315,199   

Long-term debt

  1,457,203      1,454,692   

Other liabilities

  243,294      217,573   
  

 

 

    

 

 

 

Total liabilities

  2,008,020      1,987,464   

Noncontrolling interests - redeemable

  195,059      166,578   

USPI stockholder’s equity

  331,844      279,622   

Noncontrolling interests - nonredeemable

  48,934      47,020   
  

 

 

    

 

 

 

Total equity

  380,778      326,642   
  

 

 

    

 

 

 

Total liabilities and equity

$ 2,583,857    $ 2,480,684   
  

 

 

    

 

 

 

 

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United Surgical Partners Announces Fourth Quarter and Year-End 2014 Results

Page 5

February 24, 2015

 

UNITED SURGICAL PARTNERS INTERNATIONAL, INC.

Key Operating Statistics

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

 

     Three Months Ended December 31,  
     2014     2013     % Change  

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

      

Facility cases

     273,781        266,627        2.7

Net revenue/case

   $ 2,544      $ 2,400        6.0

Net revenue

   $ 696,543      $ 639,813        8.9

Facility operating income margin(3)

     28.5     28.2     30bps   
     Year Ended December 31,  
     2014     2013     % Change  

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

      

Cases

     990,666        984,954        0.6

Net revenue/case

   $ 2,397      $ 2,308        3.9

Net revenue

   $ 2,374,486      $ 2,273,007        4.5

Facility operating income margin(3)

     25.4     25.4     —     
     Three Months Ended December 31,  
     2014     2013     % Change  

Other

      

Total consolidated facilities

     63        65     

EBITDA less noncontrolling interests(4)

      

GAAP operating income

   $ 86,119      $ 81,851        5.2

Depreciation and amortization

     6,389        6,480     

Net loss on deconsolidations, disposals and impairments

     4,550        124     
  

 

 

   

 

 

   

EBITDA

  97,058      88,455   

Net income attributable to noncontrolling interests

  (23,130   (23,443
  

 

 

   

 

 

   

EBITDA less noncontrolling interests

$ 73,928    $ 65,012      13.7
  

 

 

   

 

 

   
     Year Ended December 31,  
     2014     2013     % Change  

EBITDA less noncontrolling interests(4)

      

GAAP operating income

   $ 269,776      $ 263,791        2.3

Depreciation and amortization

     26,004        27,238     

Net loss on deconsolidations, disposals and impairments

     6,887        5,017     
  

 

 

   

 

 

   

EBITDA

  302,667      296,046   

Net income attributable to noncontrolling interests

  (77,081   (78,782
  

 

 

   

 

 

   

EBITDA less noncontrolling interests

$ 225,586    $ 217,264      3.8
  

 

 

   

 

 

   

 

(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 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.

 

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