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8-K - FORM 8-K - UNITED SURGICAL PARTNERS INTERNATIONAL INCd81868e8vk.htm
Exhibit 99.1
(United Surgical Partners)
     
Contact:
  Mark A. Kopser
Executive Vice President and Chief Financial Officer
(972) 713-3500
UNITED SURGICAL PARTNERS INTERNATIONAL
ANNOUNCES FIRST QUARTER 2011 RESULTS
Dallas, Texas (May 4, 2011) — United Surgical Partners International, Inc. (“USPI” or the “Company”) today announced results for the first quarter ended March 31, 2011.
First Quarter Financial Results
     For the quarter ended March 31, 2011, consolidated net revenues increased 7% to $147.1 million compared with $137.9 million in the prior year period. Operating income increased 17% for the first quarter and was $59.0 million as compared with $50.4 million for the prior year period. Operating income margin for the first quarter increased 360 basis points to 40.1% versus 36.5% in the prior year period. This increase in margin was driven by operating leverage achieved by stronger case volumes and the acquisition of facilities accounted for under the equity method. For the quarter, EBITDA less noncontrolling interests increased 13% to $50.1 million compared with $44.3 million in the prior year period.
     The financial results for the first quarter were driven by systemwide revenue growth of 14%, consisting of 8% U.S. same-facility revenue growth and the remainder being due to acquisition activity.
     Cash flows from operating activities for the first quarter totaled $41.6 million compared with $38.6 million for the prior year period. During the first quarter, the Company and its consolidated subsidiaries invested approximately $4.8 million in maintenance capital expenditures and an additional $2.2 million to develop new facilities and expand existing facilities.
Systemwide Financial Results
     Due to the Company’s partnerships with physicians and not-for-profit 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 USPI, equity in earnings of unconsolidated affiliates is a significant and growing 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, USPI 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 March 31, 2011, 133 of the 191 facilities the Company operated were not consolidated.
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United Surgical Partners Announces First Quarter 2011 Results
Page 2
May 4, 2011
Revenue Analysis
     The systemwide revenues of the facilities operated by the Company increased 14% on a year-over-year basis, while consolidated revenues increased 7%. Consolidated and unconsolidated revenues were also affected by certain transactions and a stronger U.S. dollar. The table below lists the key drivers of year-over-year changes in revenues.
                 
    Three Months Ended  
    March 31, 2011  
    As Reported     Unconsolidated  
    Under GAAP     Affiliates  
Total revenues, period ended March 31, 2010
  $ 137,871     $ 294,700  
Add: Revenue from acquired facilities
    3,716       21,086  
Less: Revenue of deconsolidated facilities
    (3,058 )     3,058  
Impact of exchange rate
    638        
 
           
Adjusted base period
  $ 139,167     $ 318,844  
Increase from operations
    5,358       28,000  
Non-facility based revenue
    2,565       971  
 
           
Total revenues, period ended March 31, 2011
  $ 147,090     $ 347,815  
 
           
Development Activity
     During the quarter, the Company acquired two facilities and had five facilities under development, all of which were under construction. The Company expects to add 15 to 20 facilities in 2011.
Summary
     Commenting on the results, William H. Wilcox, USPI’s chief executive officer, said, “We are generally pleased with our first quarter results and believe we will be able to continue, and hopefully accelerate our growth from both an operating and development perspective.”
     The live broadcast of USPI’s first quarter conference call will begin at 10:00 a.m. Eastern Time on May 4, 2011. 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 or at www.earnings.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 191 surgical facilities. Of the Company’s 186 domestic facilities, 133 are jointly owned with not-for-profit healthcare systems. The Company also operates five facilities in the United Kingdom.
     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
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United Surgical Partners Announces First Quarter 2011 Results
Page 3
May 4, 2011
limitation, (i) reduction in reimbursement from payors; (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 First Quarter 2011 Results
Page 4
May 4, 2011
UNITED SURGICAL PARTNERS INTERNATIONAL, INC.
Unaudited Condensed Consolidated Statements of Income

(in thousands, except number of facilities)
                 
    Three Months Ended  
    March 31,  
    2011     2010  
Revenues
  $ 147,090     $ 137,871  
 
               
Equity in earnings of unconsolidated affiliates
    17,932       14,288  
 
               
Operating expenses:
               
Salaries, benefits and other employee costs
    39,461       37,263  
Medical services and supplies
    24,418       24,426  
Other operating expenses
    23,832       22,056  
General and administrative expenses
    9,780       8,549  
Provision for doubtful accounts
    1,746       1,882  
Net gain (loss) on deconsolidations, disposals and impairments
    (499 )     316  
Depreciation and amortization
    7,328       7,303  
 
           
Total operating expenses
    106,066       101,795  
 
           
Operating income
    58,956       50,364  
Interest expense, net
    (17,034 )     (17,610 )
Other, net
    72       335  
 
           
Income from continuing operations before income taxes
    41,994       33,089  
Income tax expense
    (9,868 )     (7,647 )
 
           
Income from continuing operations
    32,126       25,442  
Discontinued operations, net of tax
    (693 )     204  
 
           
Net income
    31,433       25,646  
Less: Net income attributable to noncontrolling interests
    (15,712 )     (13,635 )
 
           
Net income attributable to USPI’s common stockholder
  $ 15,721     $ 12,011  
 
           
 
               
Supplemental Data:
               
Facilities operated at period end
    191       169  
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United Surgical Partners Announces First Quarter 2011 Results
Page 5
May 4, 2011
UNITED SURGICAL PARTNERS INTERNATIONAL, INC.
Unaudited Condensed Consolidated Balance Sheets

(in thousands)
                 
    March 31,     Dec. 31,  
    2011     2010  
ASSETS
               
Current assets:
               
Cash and cash equivalents
  $ 44,568     $ 60,253  
Accounts receivable, net of allowance for doubtful accounts of $7,220 and $7,481, respectively
    46,860       50,082  
Other receivables
    25,818       15,242  
Inventories
    8,840       9,191  
Deferred tax assets, net
    14,747       14,961  
Other
    22,730       14,682  
 
           
Total current assets
    163,563       164,411  
 
               
Property and equipment, net
    199,238       202,260  
Investments in unconsolidated affiliates
    391,796       393,561  
Goodwill and intangible assets, net
    1,596,956       1,587,876  
Other
    22,349       24,631  
 
           
Total assets
  $ 2,373,902     $ 2,372,739  
 
           
 
               
LIABILITIES AND EQUITY
               
Current liabilities:
               
Accounts payable
  $ 21,302     $ 23,488  
Accrued expenses and other
    215,860       218,786  
Current portion of long-term debt
    24,523       22,386  
 
           
Total current liabilities
    261,685       264,660  
 
               
Long-term debt
    1,020,516       1,047,440  
Other liabilities
    160,789       157,820  
 
           
Total liabilities
    1,442,990       1,469,920  
 
               
Noncontrolling interests — redeemable
    84,875       81,668  
 
               
USPI stockholder’s equity
    811,368       786,757  
Noncontrolling interests — nonredeemable
    34,669       34,394  
 
           
Total equity
    846,037       821,151  
 
           
Total liabilities and equity
  $ 2,373,902     $ 2,372,739  
 
           
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United Surgical Partners Announces First Quarter 2011 Results
Page 6
May 4, 2011
UNITED SURGICAL PARTNERS INTERNATIONAL, INC.
Key Operating Statistics
                         
    Three Months Ended March 31,  
    2011     2010%     Change  
Systemwide statistics (in thousands):
                       
Revenue
  $ 480,141     $ 420,044       14.3 %
Systemwide same-facility statistics(1) (2):
                       
United States:
                       
Facility cases
    201,920       198,041       2.0 %
Net revenue/case
  $ 2,193     $ 2,073       5.7 %
Net revenue (in thousands)
  $ 442,746     $ 410,631       7.8 %
Facility operating income margin(3)
    26.0 %     24.7 %   130bps
 
                       
United Kingdom:
                       
Adjusted admissions
    5,430       5,655       (4.0 %)
Net revenue/adjusted admission
  $ 5,121     $ 4,660       9.9 %
Net revenue/adjusted admission (at constant currency translation rates)(4)
  $ 5,121     $ 4,773       7.3 %
Net revenue (in thousands)
  $ 27,806     $ 26,353       5.5 %
Facility operating income margin(3)
    23.5 %     25.4 %   (190) bps
 
                       
Other:
                       
Total consolidated facilities
    58       59          
 
                       
EBITDA less noncontrolling interests(5)
                       
GAAP operating income
  $ 58,956     $ 50,364       17.1 %
Depreciation and amortization
    7,328       7,303          
Net (gain) loss on deconsolidations, disposals and impairments
    (499 )     316          
                 
EBITDA
    65,785       57,983          
Net income attributable to noncontrolling interests
    (15,712 )     (13,635 )        
                 
EBITDA less noncontrolling interests
  $ 50,073     $ 44,348       12.9 %
                 
 
    (1) Excludes facilities in their first year of operations. Includes facilities accounted for under the equity method as well as consolidated facilities.
 
    (2) Statistics are included in both periods for current year acquisitions.
 
    (3) Calculated as operating income divided by net revenue.
 
    (4) Calculated using first quarter 2011 exchange rates. The Company believes net revenue per adjusted admission is an important measure of the United Kingdom operations and that using a constant currency translation rate more accurately reflects the trend of the business.
 
    (5) 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 plus depreciation and amortization, net (gain) 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 United Surgical Partners International may not be comparable to similarly titled measures of other companies.
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