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8-K - LIFEPOINT HOSPITALS, INC. 8-K - LEGACY LIFEPOINT HEALTH, INC.a6702672.htm

Exhibit 99.1

LifePoint Hospitals Reports First Quarter 2011 Results

First Quarter EPS of $0.89, Up 11.3% Over Prior Year Period

BRENTWOOD, Tenn.--(BUSINESS WIRE)--April 29, 2011--LifePoint Hospitals, Inc. (NASDAQ: LPNT) today announced results for the first quarter ended March 31, 2011.

For the first quarter ended March 31, 2011, revenues from continuing operations were $888.6 million, up 13.0% from $786.2 million for the same period a year ago. Income from continuing operations attributable to LifePoint Hospitals, Inc. stockholders for the first quarter ended March 31, 2011, increased 5.8% to $45.8 million, or $0.89 per diluted share, compared with income from continuing operations attributable to LifePoint Hospitals, Inc. stockholders of $43.3 million, or $0.80 per diluted share, for the same period last year. Net income attributable to LifePoint Hospitals, Inc. stockholders for the first quarter ended March 31, 2011, was $46.1 million, or $0.89 per diluted share, compared with $42.9 million, or $0.79 per diluted share, for the same period last year.

In commenting on the results, William F. Carpenter III, chairman and chief executive officer of LifePoint Hospitals, said, “Our strong first quarter results are a good start to the year and demonstrate the effectiveness of the strategies we have been implementing over the last several years. We saw improved volume in our markets as we successfully managed our cost base and integrated new hospitals into our system. As a result, we had strong growth in EPS and EBITDA. Our acquisition pipeline remains active and our capital structure gives us the flexibility to continue investing in our hospitals and to pursue strategic acquisitions that meet our criteria.”

A listen-only simulcast, as well as a 30-day replay, of LifePoint Hospitals’ first quarter 2011 conference call will be available on line at www.LifePointHospitals.com and www.earnings.com today, Friday, April 29, 2011, beginning at 10:00 a.m. Eastern Time.

LifePoint Hospitals, Inc. is a leading hospital company focused on providing quality healthcare services close to home. Through its subsidiaries, LifePoint operates 52 hospital campuses in 17 states. With a mission of “Making Communities Healthier®,” LifePoint is the sole community hospital provider in the majority of the communities it serves. More information about the Company, which is headquartered in Brentwood, Tennessee, can be found on its website, www.LifePointHospitals.com. All references to “LifePoint,” “LifePoint Hospitals,” or the “Company” used in this release refer to LifePoint Hospitals, Inc. or its affiliates.


Important Legal Information. Certain statements contained in this release are based on current management expectations and are “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, and are intended to qualify for the safe harbor protections from liability provided by the Private Securities Litigation Reform Act of 1995. Numerous factors exist which may cause results to differ from these expectations. Many of the factors that will determine LifePoint’s future results are beyond LifePoint’s ability to control or predict with accuracy. Such forward-looking statements reflect the current expectations and beliefs of the management of LifePoint, are not guarantees of performance and are subject to a number of risks, uncertainties, assumptions and other factors that could cause actual results to differ from those described in the forward-looking statements. These forward-looking statements may also be subject to other risk factors and uncertainties, including without limitation: (i) the effect and implementation of healthcare reform legislation and other changes in government programs including efforts to reduce healthcare expenditures; (ii) reductions in Medicare or Medicaid payments, whether driven by budget deficits, programmatic changes or otherwise; (iii) reductions in revenues from commercial payors, whether as a change in our revenue mix, reduction in commercial rates or otherwise;(iv) LifePoint’s ability to acquire hospitals on favorable terms, the business risks associated with acquiring additional hospitals and the uncertainty in operating and integrating such hospitals;(v) the ongoing, adverse effects from the recent economic recession including high rates of unemployment, which could intensify if credit conditions deteriorate; (vi) the failure of certain employers, or the closure of certain manufacturing and other facilities, especially in markets where LifePoint’s hospitals depend on a small number of local employers; (vii) the growth of uninsured and “patient due” accounts, and deterioration in the collectability of these accounts;(viii) whether our core strategies will result in anticipated operating results; (ix) whether our efforts to reduce the cost of providing healthcare while increasing the quality of care are successful; (x) the ability to attract, recruit and retain qualified physicians, nurses, medical technicians and other healthcare professionals; (xi) the loss of certain physicians in markets where such a loss can have a disproportionate impact on LifePoint’s hospitals; (xii) the increasingly stringent and complex legal and regulatory environment (and changing interpretations of applicable laws and regulations), increased legal and regulatory obligations and related enforcement activity, new obligations that providers must self-disclose violations, and the additional costs incurred in connection with efforts to comply with such laws and regulations; (xiii) competition from other hospitals and outpatient facilities providing services similar to those LifePoint offers and from physicians providing services in their offices that could be provided in LifePoint’s hospitals; (xiv) adverse events in states a large portion of LifePoint’s revenues are concentrated; (xv) any interruption of or restriction in LifePoint’s access to licensed information (and information technology systems) or failure in LifePoint’s ability to integrate changes to LifePoint’s existing information systems or information systems of acquired hospitals; (xvi) liabilities resulting from potential malpractice and related legal claims brought against LifePoint’s hospitals; and (xvii) those other risks and uncertainties described from time to time in LifePoint’s filings with the Securities and Exchange Commission. Therefore, LifePoint’s future results may differ materially from those described in this release. LifePoint 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.

All references to “LifePoint,” “LifePoint Hospitals” and the “Company” as used throughout this release refer to LifePoint Hospitals, Inc. and its subsidiaries.


LIFEPOINT HOSPITALS, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

Dollars in millions, except per share amounts

 
For the Three Months Ended March 31,
2011     2010  
Amount   % of Revenues Amount   % of Revenues
Revenues $ 888.6 100.0 % $ 786.2 100.0 %
 
Salaries and benefits 334.4 37.6 303.3 38.6
Supplies 118.7 13.4 108.4 13.8
Other operating expenses 161.6 18.2 140.4 17.8
Provision for doubtful accounts 130.1 14.6 102.1 13.0
Depreciation and amortization 39.7 4.5 36.1 4.6
Interest expense, net   29.2   3.3     25.1   3.2  
  813.7   91.6     715.4   91.0  
 
Income from continuing operations before income taxes 74.9 8.4 70.8 9.0
Provision for income taxes   28.4   3.2     26.6   3.4  
Income from continuing operations 46.5 5.2 44.2 5.6
Income (loss) from discontinued operations,

net of income taxes

  0.3   0.1     (0.4 )  
Net income 46.8 5.3 43.8 5.6
Less: Net income attributable to noncontrolling interests   (0.7 ) (0.1 )   (0.9 ) (0.1 )
Net income attributable to LifePoint Hospitals, Inc. $ 46.1   5.2 % $ 42.9   5.5 %
 
Basic earnings (loss) per share attributable to LifePoint Hospitals, Inc. stockholders:
Continuing operations $ 0.91 $ 0.82
Discontinued operations   0.01     (0.01 )
Net income $ 0.92   $ 0.81  
 
Diluted earnings (loss) per share attributable to LifePoint Hospitals, Inc. stockholders:
Continuing operations $ 0.89 $ 0.80
Discontinued operations       (0.01 )
Net income $ 0.89   $ 0.79  
 
Amounts attributable to LifePoint Hospitals, Inc. stockholders:
Income from continuing operations, net of income taxes $ 45.8 $ 43.3

Income (loss) from discontinued operations, net of income taxes

 

  0.3     (0.4 )
Net income $ 46.1   $ 42.9  

LIFEPOINT HOSPITALS, INC.

UNAUDITED EARNINGS (LOSS) PER SHARE CALCULATION

In millions, except per share amounts

 
Three Months Ended March 31,
  2011       2010  
Income from continuing operations $ 46.5 $ 44.2
Less: Net income attributable to noncontrolling interests   (0.7 )   (0.9 )
Income from continuing operations attributable to LifePoint Hospitals, Inc. stockholders 45.8 43.3
Income (loss) from discontinued operations, net of income taxes   0.3     (0.4 )
Net income attributable to LifePoint Hospitals, Inc. $ 46.1   $ 42.9  
 
Weighted average shares outstanding – basic 50.2 53.2
Effect of dilutive securities: stock options and other stock-based awards   1.4     1.3  
Weighted average shares outstanding – diluted   51.6     54.5  
 
Basic earnings (loss) per share attributable to LifePoint Hospitals, Inc. stockholders:
Continuing operations $ 0.91 $ 0.82
Discontinued operations   0.01     (0.01 )
Net income $ 0.92   $ 0.81  
 
Diluted earnings (loss) per share attributable to LifePoint Hospitals, Inc. stockholders:
Continuing operations $ 0.89 $ 0.80
Discontinued operations       (0.01 )
Net income $ 0.89   $ 0.79  

LIFEPOINT HOSPITALS, INC.

UNAUDITED CONDENSED CONSOLIDATED BALANCE SHEETS

In millions

   
March 31,

2011

Dec. 31,

2010

ASSETS
Current assets:
Cash and cash equivalents $ 276.2 $ 207.4

Accounts receivable, less allowances for doubtful accounts of $487.5 and $459.8 at March 31, 2011, and December 31, 2010, respectively

 

399.9 387.3
Inventories 84.1 84.6
Prepaid expenses 17.4 13.9
Income taxes receivable 5.5
Deferred tax assets 106.9 99.7
Other current assets   25.9     24.7  
910.4 823.1
 
Property and equipment:
Land 86.6 85.9
Buildings and improvements 1,535.0 1,532.9
Equipment 972.9 950.2
Construction in progress   62.3     39.4  
2,656.8 2,608.4
Accumulated depreciation   (973.3 )   (939.8 )
1,683.5 1,668.6
 
Deferred loan costs, net 25.7 27.2
Intangible assets, net 69.7 73.1
Other 17.6 20.2
Goodwill   1,551.2     1,550.7  
Total assets $ 4,258.1   $ 4,162.9  
 
LIABILITIES AND EQUITY
Current liabilities:
Accounts payable $ 94.2 $ 89.0
Accrued salaries 80.6 101.4
Accrued interest 25.7 16.0
Income taxes payable 25.5
Other current liabilities 113.5 116.5
Current maturities of long-term debt   1.3     1.4  
340.8 324.3
 
Long-term debt 1,576.1 1,570.5
Deferred income tax liabilities 213.4 211.2
Reserves for self-insurance claims and other liabilities 132.5 131.8
Long-term income tax liability   19.4     18.5  
Total liabilities   2,282.2     2,256.3  
 
Redeemable noncontrolling interests 15.3 15.3
 
Equity:
LifePoint Hospitals, Inc. stockholders’ equity:
Preferred stock
Common stock 0.6 0.6
Capital in excess of par value 1,315.9 1,289.4
Accumulated other comprehensive loss (1.5 ) (4.0 )
Retained earnings 950.1 904.0
Common stock in treasury, at cost   (308.0 )   (302.5 )
Total LifePoint Hospitals, Inc. stockholders’ equity 1,957.1 1,887.5
Noncontrolling interests   3.5     3.8  
Total equity   1,960.6     1,891.3  
Total liabilities and equity $ 4,258.1   $ 4,162.9  

LIFEPOINT HOSPITALS, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

Dollars in millions

 
Three Months Ended March 31,
  2011       2010  
Cash flows from operating activities:
Net income $ 46.8 $ 43.8
Adjustments to reconcile net income to net cash provided by operating activities:
(Income) loss from discontinued operations (0.3 ) 0.4
Stock-based compensation 5.7 5.8
Depreciation and amortization 39.7 36.1
Amortization of physician minimum revenue guarantees 4.6 3.9
Amortization of convertible debt discounts 5.9 5.5
Amortization of deferred loan costs 1.5 2.4
Deferred income tax benefit (2.7 ) (4.1 )
Reserves for self-insurance claims, net of payments 4.7 4.1

Increase (decrease) in cash from operating assets and liabilities, net of effects from acquisitions and divestitures:

 

Accounts receivable (14.5 ) (24.7 )
Inventories and other current assets (1.8 ) (0.4 )
Accounts payable and accrued expenses (5.4 ) (19.0 )
Income taxes payable/receivable 31.0 29.6
Other   0.6     0.1  
Net cash provided by operating activities – continuing operations 115.8 83.5
Net cash provided by (used in) operating activities – discontinued operations   0.2     (0.2 )
Net cash provided by operating activities   116.0     83.3  
 
Cash flows from investing activities:
Purchase of property and equipment (55.9 ) (34.0 )
Acquisitions, net of cash acquired (1.7 ) (16.9 )
Other   (0.9 )    
Net cash used in investing activities   (58.5 )   (50.9 )
 
Cash flows from financing activities:
Repurchases of common stock (5.5 ) (9.0 )
Payment of debt financing costs (4.4 )
Proceeds from exercise of stock options 17.5 9.2
Proceeds from employee stock purchase plans 0.7 0.6
Distributions to noncontrolling interests, net of proceeds (1.0 ) (0.5 )
Proceeds from redeemable noncontrolling interests 4.2
Capital lease payments and other   (0.4 )   (0.3 )
Net cash provided by (used in) financing activities   11.3     (0.2 )
 
Change in cash and cash equivalents 68.8 32.2
Cash and cash equivalents at beginning of period   207.4     187.2  
Cash and cash equivalents at end of period $ 276.2   $ 219.4  
 
Supplemental disclosure of cash flow information:
Interest payments $ 11.9   $ 13.3  
Capitalized interest $ 0.3   $ 0.1  
Income taxes paid, net $ 0.3   $ 1.1  

LIFEPOINT HOSPITALS, INC.

UNAUDITED STATISTICS

 
Three Months Ended March 31,
  2011     2010   %

Change

 
Continuing Operations: (1)
Number of hospitals at end of period 52 47 10.6 %
Admissions 51,716 49,292 4.9
Equivalent admissions (2) 107,931 100,704 7.2
Revenues per equivalent admission $ 8,233 $ 7,807 5.5
Medicare case mix index 1.30 1.32

(1.5

)
Average length of stay (days) 4.4 4.4
Inpatient surgeries 13,360 13,542 (1.3 )
Outpatient surgeries 38,905 36,956 5.3
Emergency room visits 254,770 222,032 14.7
Outpatient factor (2) 2.09 2.04 2.5
 
Same-hospital: (3)
Number of hospitals at end of period 47 47 %
Admissions 48,690 49,292 (1.2 )
Equivalent admissions (2) 100,837 100,704 0.1
Revenues per equivalent admission $ 8,249 $ 7,807 5.7
Medicare case mix index 1.30 1.32 (1.5 )
Average length of stay (days) 4.4 4.4
Inpatient surgeries 12,641 13,542 (6.7 )
Outpatient surgeries 36,946 36,956
Emergency room visits 237,441 222,032 6.9
Outpatient factor (2) 2.07 2.04 1.5

(1) Continuing operations information excludes the results of our hospitals that have been disposed.

(2) Management and investors use equivalent admissions as a general measure of combined inpatient and outpatient volume. We compute equivalent admissions by multiplying admissions (inpatient volumes) by the outpatient factor (the sum of gross inpatient revenue and gross outpatient revenue and then dividing the resulting amount by gross inpatient revenue). The equivalent admissions computation “equates” outpatient revenue to the volume measure (admissions) used to measure inpatient volume resulting in a general measure of combined inpatient and outpatient volume.

(3) Same-hospital information includes the results of our corporate office and the same 47 hospitals operated during the three months ended March 31, 2011 and 2010. Same-hospital information excludes the results of HighPoint Health Systems, which we acquired effective September 1, 2010, Clark Regional Medical Center, which we acquired effective May 1, 2010, and our hospitals that have previously been disposed.


LIFEPOINT HOSPITALS, INC.

UNAUDITED SUPPLEMENTAL INFORMATION

Dollars in millions

Adjusted EBITDA is defined by the Company as earnings before depreciation and amortization; interest expense, net; provision for income taxes; (income) loss from discontinued operations and net income attributable to noncontrolling interests. LifePoint’s management and Board of Directors use Adjusted EBITDA to evaluate the Company’s operating performance and as a measure of performance for incentive compensation purposes. LifePoint’s credit facilities use Adjusted EBITDA for certain financial covenants. The Company believes Adjusted EBITDA is a measure of performance used by some investors, equity analysts and others to make informed investment decisions. In addition, multiples of current or projected Adjusted EBITDA are used to estimate current or prospective enterprise value. Adjusted EBITDA should not be considered as a measure of financial performance under U.S. 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 income, 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. Because Adjusted EBITDA is not a measurement determined in accordance with U.S. generally accepted accounting principles and is susceptible to varying calculations, Adjusted EBITDA as presented may not be comparable to other similarly titled measures of other companies.

  Three Months Ended March 31,
2011   2010
Amount   % of Revenues Amount   % of Revenues
Revenues $ 888.6 100.0 % $ 786.2 100.0 %
 
Salaries and benefits 334.4 37.6 303.3 38.6
Supplies 118.7 13.4 108.4 13.8
Other operating expenses 161.6 18.2 140.4 17.8
Provision for doubtful accounts   130.1 14.6     102.1 13.0  
  744.8 83.8     654.2 83.2  
Adjusted EBITDA $ 143.8 16.2 % $ 132.0 16.8 %

The following table reconciles Adjusted EBITDA as presented above to net income attributable to LifePoint Hospitals, Inc. as reflected in the unaudited condensed consolidated statements of operations:

  Three Months Ended March 31,
  2011       2010
Adjusted EBITDA $ 143.8 $ 132.0
 
Less:
Depreciation and amortization 39.7 36.1
Interest expense, net 29.2 25.1
Provision for income taxes 28.4 26.6
(Income) loss from discontinued operations, net of income taxes (0.3 ) 0.4
Net income attributable to noncontrolling interests   0.7     0.9
Net income attributable to LifePoint Hospitals, Inc. $ 46.1   $ 42.9

CONTACT:
LifePoint Hospitals, Inc.
Jeff Sherman, 615-372-8501
Executive Vice President and
Chief Financial Officer