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8-K - IASIS HEALTHCARE LLC 8-K - IASIS Healthcare LLCa6714440.htm

Exhibit 99.1

IASIS Healthcare Announces Second Quarter 2011 Results

FRANKLIN, Tenn.--(BUSINESS WIRE)--May 9, 2011--IASIS Healthcare® LLC (“IASIS”) today announced financial and operating results for the fiscal second quarter and six months ended March 31, 2011.

Net revenue for the second quarter totaled $678.4 million, an increase of 8.6%, compared to $624.5 million in the prior year quarter. Adjusted EBITDA for the second quarter totaled $78.1 million, compared to $79.6 million in the prior year quarter. Impacting adjusted EBITDA in the second quarter is $1.4 million in costs related to a one-time contract settlement and $600,000 in costs associated with the start-up of our physician professional liability captive insurance program. Net earnings from continuing operations for the second quarter totaled $22.3 million, compared to $22.1 million in the prior year quarter.

In the second quarter, admissions and adjusted admissions increased 7.0% and 10.8%, respectively, compared to the prior year quarter, while net patient revenue per adjusted admission increased 0.5%, compared to the prior year quarter. On a same-facility basis, excluding the impact of the Brim Holdings acquisition, admissions declined 0.9% and adjusted admissions increased 2.0%, each compared to the prior year quarter.

Net revenue for the six months ended March 31, 2011, totaled $1.35 billion, an increase of 7.8%, compared to $1.25 billion in the prior year period. Adjusted EBITDA for the six months ended March 31, 2011, totaled $146.4 million, compared to $151.4 million in the prior year period. Net earnings from continuing operations for the six months ended March 31, 2011, totaled $39.0 million, compared to $41.5 million in the prior year period.

For the six months ended March 31, 2011, admissions and adjusted admissions increased 5.4% and 9.3%, respectively, compared to the prior year period, while net patient revenue per adjusted admission increased 1.7%, compared to the prior year period. On a same-facility basis, admissions declined 2.6% and adjusted admissions increased 0.3%, each compared to the prior year period.

“We are excited about the future of our company,” said W. Carl Whitmer, president and chief executive officer of IASIS Healthcare. “To date, fiscal 2011 has been a year of transition and accomplishments, including the acquisitions of St. Joseph Medical Center and Brim Holdings and the recent completion of our refinancing transaction. We believe these events, along with our continued investment in physician alignment, quality and other operational and strategic growth initiatives, provide a solid foundation as we look to continue expanding our presence both regionally and nationally.”


A listen-only simulcast and 30-day replay of IASIS’ second quarter conference call will be available by clicking the “For Investors” link on the Company’s Web site at www.iasishealthcare.com beginning at 11:00 a.m. Eastern Time on May 9, 2011. A copy of this press release will also be available on the Company’s Web site.

IASIS, located in Franklin, Tennessee, is a leading owner and operator of medium-sized acute care hospitals in high-growth urban and suburban markets. The Company operates its hospitals with a strong community focus by offering and developing healthcare services targeted to the needs of the markets it serves, promoting strong relationships with physicians and working with local managed care plans. IASIS owns or leases 18 acute care hospital facilities and one behavioral health hospital facility with a total of 4,362 licensed beds and has total annual net revenue of approximately $2.8 billion. These hospital facilities are located in seven regions: Salt Lake City, Utah; Phoenix, Arizona; Tampa-St. Petersburg, Florida; five cities in Texas, including Houston and San Antonio; Las Vegas, Nevada; West Monroe, Louisiana; and Woodland Park, Colorado. IASIS also owns and operates a Medicaid and Medicare managed health plan in Phoenix that serves more than 195,000 members. For more information on IASIS, please visit the Company’s Web site at www.iasishealthcare.com.

Some of the statements we make in this press release are forward-looking within the meaning of the federal securities laws, which are intended to be covered by the safe harbors created thereby. Those forward-looking statements include all statements that are not historical statements of fact and those regarding our intent, belief or expectations including, but not limited to, future financial and operating results, the Company’s plans, objectives, expectations and other statements that are not historical facts. Forward-looking statements involve known and unknown risks and uncertainties that may cause actual results in future periods to differ materially from those anticipated in the forward-looking statements. These risk factors and uncertainties are more fully described in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2010, and other filings with the Securities and Exchange Commission.

Although we believe that the assumptions underlying the forward-looking statements contained in this press release are reasonable, any of these assumptions could prove to be inaccurate, and, therefore, there can be no assurance that the forward-looking statements included in this press release will prove to be accurate. In light of the significant uncertainties inherent in the forward-looking statements included herein, you should not regard the inclusion of such information as a representation by the Company or any other person that our objectives and plans will be achieved. We undertake no obligation to publicly release any revisions to any forward-looking statements contained herein to reflect events and circumstances occurring after the date hereof or to reflect the occurrence of unanticipated events.

Adjusted EBITDA represents net earnings from continuing operations before interest expense, income tax expense, depreciation and amortization, stock-based compensation, gain (loss) on disposal of assets and management fees. Management fees represent monitoring and advisory fees paid to TPG, the Company’s majority financial sponsor, and certain other members of IASIS Investment LLC. Management routinely calculates and communicates adjusted EBITDA and believes that it is useful to investors because it is commonly used as an analytical indicator within the healthcare industry to evaluate hospital performance, allocate resources and measure leverage capacity and debt service ability. In addition, the Company uses adjusted EBITDA as a measure of performance for its business segments and for incentive compensation purposes. Adjusted EBITDA should not be considered as a measure of financial performance under 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 earnings, 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. Adjusted EBITDA, as presented, differs from what is defined under the Company’s senior secured credit facilities and may not be comparable to similarly titled measures of other companies. A table describing adjusted EBITDA and reconciling net earnings from continuing operations to adjusted EBITDA is included in this press release in the attached Supplemental Consolidated Statements of Operations Information.


IASIS HEALTHCARE LLC

Consolidated Statements of Operations (Unaudited)

(in thousands)

   
Quarter Ended

March 31,

Six Months Ended March 31,
  2011       2010     2011       2010  
Net revenue:
Acute care revenue $ 488,449 $ 437,574 $ 959,588 $ 862,234
Premium revenue   189,960     186,948     392,152     391,245  
Total net revenue 678,409 624,522 1,351,740 1,253,479
 
Costs and expenses:

Salaries and benefits (includes stock-based compensation of $538, $2,128, $1,034, and $2,249, respectively)

196,036 174,171 385,949 344,653
Supplies 77,924 68,425 154,360 133,834
Medical claims 157,416 160,094 328,750 338,661
Other operating expenses 103,350 88,683 200,476 173,275
Provision for bad debts 54,801 45,536 114,415 93,485
Rentals and leases 11,289 10,145 22,455 20,420
Interest expense, net 16,510 16,622 33,387 33,354
Depreciation and amortization 24,584 24,025 48,630 47,902
Management fees   1,250     1,250     2,500     2,500  
Total costs and expenses 643,160 588,951 1,290,922 1,188,084
 
Earnings from continuing operations

before gain (loss) on disposal of assets

and income taxes

35,249 35,571 60,818 65,395
Gain (loss) on disposal of assets, net   540     (161 )   885     (57 )
 
Earnings from continuing operations before

income taxes

35,789 35,410 61,703 65,338
Income tax expense   13,500     13,270     22,689     23,861  
 
Net earnings from continuing operations 22,289 22,140 39,014 41,477
Earnings (loss) from discontinued operations,

net of income taxes

  (2,846 )   (25 )   (6,054 )   21  
 
Net earnings 19,443 22,115 32,960 41,498
Net earnings attributable to

non-controlling interests

  (2,417 )   (2,033 )   (4,188 )   (4,061 )
 
Net earnings attributable to IASIS

Healthcare LLC

$ 17,026   $ 20,082   $ 28,772   $ 37,437  

IASIS HEALTHCARE LLC

Consolidated Balance Sheets (Unaudited)

(in thousands)

   
March 31,

2011

Sept. 30,

2010

 
ASSETS
 
Current assets:
Cash and cash equivalents $ 178,616 $ 144,511
Accounts receivable, net 251,147 209,173
Inventories 59,050 53,842
Deferred income taxes 29,289 15,881
Prepaid expenses and other current assets   60,831   65,340
Total current assets 578,933 488,747
 
Property and equipment, net 1,002,090 985,291
Goodwill 801,275 718,243
Other intangible assets, net 34,067 27,000
Deposit for acquisition 7,000 97,891
Other assets, net   33,899   36,022
Total assets $ 2,457,264 $ 2,353,194
 
LIABILITIES AND EQUITY
 
Current liabilities:
Accounts payable $ 89,583 $ 78,931
Salaries and benefits payable 43,181 38,110
Accrued interest payable 12,477 12,536
Medical claims payable 106,950 111,373
Other accrued expenses and other current liabilities 124,508 106,614
Current portion of long-term debt and capital lease obligations   7,675   6,691
Total current liabilities 384,374 354,255
 
Long-term debt and capital lease obligations 1,047,852 1,044,887
Deferred income taxes 109,623 109,272
Other long-term liabilities 71,043 60,162
 
Non-controlling interests with redemption rights 89,265 72,112
 
Equity:
Member’s equity 745,275 702,135
Non-controlling interests   9,832   10,371
Total equity   755,107   712,506
Total liabilities and equity $ 2,457,264 $ 2,353,194

IASIS HEALTHCARE LLC

Consolidated Statements of Cash Flows (Unaudited)

(in thousands)

 
Six Months Ended

March 31,

  2011       2010  
Cash flows from operating activities:
Net earnings $ 32,960 $ 41,498
Adjustments to reconcile net earnings to net cash provided by

operating activities:

Depreciation and amortization 48,630 47,902
Amortization of loan costs 1,636 1,564
Stock-based compensation 1,034 2,249
Deferred income taxes 2,278 19,589
Income tax benefit from stock-based compensation

-

(1,770 )
Income tax benefit from parent company interest 4,440 3,275
(Gain) loss on disposal of assets, net (885 ) 57
Loss (earnings) from discontinued operations, net 6,054 (21 )

Changes in operating assets and liabilities, net of the effect of acquisitions and dispositions:

 

Accounts receivable, net (23,461 ) 1,578
Inventories, prepaid expenses and other current assets 4,461 (6,165 )
Accounts payable, other accrued expenses and other accrued liabilities   29,844     7,010  
Net cash provided by operating activities – continuing operations 106,991 116,766
Net cash used in operating activities – discontinued operations   (9,513 )   (199 )
Net cash provided by operating activities   97,478     116,567  
 
Cash flows from investing activities:
Purchases of property and equipment, net (42,234 ) (30,187 )
Cash paid for acquisitions, net (12,804 )

-

Proceeds from sale of assets 150 36
Change in other assets, net   1,639     1,013  
Net cash used in investing activities   (53,249 )   (29,138 )
 
Cash flows from financing activities:
Payment of debt and capital lease obligations (3,810 ) (5,138 )

Distribution to parent company in connection with the repurchase of equity, net

-

(124,962 )
Distributions to non-controlling interests (5,689 ) (5,277 )

Costs paid for the repurchase of non-controlling interests, net

  (625 )   (69 )
Net cash used in financing activities   (10,124 )   (135,446 )
 
Change in cash and cash equivalents 34,105 (48,017 )
Cash and cash equivalents at beginning of period   144,511     206,528  
Cash and cash equivalents at end of period $ 178,616   $ 158,511  
 
Supplemental disclosure of cash flow information:
Cash paid for interest $

31,846

  $ 31,837  
Cash paid (received) for income taxes, net $ (241 ) $ 6,188  

IASIS HEALTHCARE LLC

Segment Information (Unaudited)

(in thousands)

 
For the Quarter Ended March 31, 2011
Acute Care   Health Choice   Eliminations   Consolidated
Acute care revenue $ 488,449 $ - $ - $ 488,449
Premium revenue - 189,960 - 189,960
Revenue between segments   2,807   -   (2,807 )   -
Net revenue 491,256 189,960 (2,807 ) 678,409
 
Salaries and benefits

(excludes stock-based compensation)

190,325 5,173 - 195,498
Supplies 77,872 52 - 77,924
Medical claims - 160,223 (2,807 ) 157,416
Other operating expenses 96,425 6,925 - 103,350
Provision for bad debts 54,801 - - 54,801
Rentals and leases   10,891   398   -     11,289
Adjusted EBITDA 60,942 17,189 - 78,131
 
Interest expense, net 16,510 - - 16,510
Depreciation and amortization 23,697 887 - 24,584

Stock-based compensation

538 - - 538
Management fees   1,250   -   -     1,250

Earnings from continuing operations before gain on disposal of assets and income taxes

18,947 16,302 - 35,249
Gain on disposal of assets, net   540   -   -     540

Earnings from continuing operations before income taxes

$ 19,487 $ 16,302 $ -   $ 35,789
  For the Quarter Ended March 31, 2010
Acute Care   Health Choice   Eliminations   Consolidated
Acute care revenue $ 437,574 $ - $ - $ 437,574
Premium revenue - 186,948 - 186,948
Revenue between segments   3,336     -   (3,336 )   -  
Net revenue 440,910 186,948 (3,336 ) 624,522
 
Salaries and benefits

(excludes stock-based compensation)

167,096 4,947 - 172,043
Supplies 68,375 50 - 68,425
Medical claims - 163,430 (3,336 ) 160,094
Other operating expenses 82,604 6,079 - 88,683
Provision for bad debts 45,536 - - 45,536
Rentals and leases   9,780     365   -     10,145  

Adjusted EBITDA

67,519 12,077 - 79,596
 
Interest expense, net 16,622 - - 16,622
Depreciation and amortization 23,137 888 - 24,025

Stock-based compensation

2,128 - - 2,128
Management fees   1,250     -   -     1,250  

Earnings from continuing operations before loss on disposal of assets and income taxes

24,382 11,189 - 35,571
Loss on disposal of assets, net   (161 )   -   -     (161 )

Earnings from continuing operations before income taxes

$ 24,221   $ 11,189 $ -   $ 35,410  

IASIS HEALTHCARE LLC

Segment Information (Unaudited)

(in thousands)

 
For the Six Months Ended March 31, 2011
Acute Care   Health Choice   Eliminations   Consolidated
Acute care revenue $ 959,588 $ - $ - $ 959,588
Premium revenue - 392,152 - 392,152
Revenue between segments   5,467   -   (5,467 )   -
Net revenue 965,055 392,152 (5,467 ) 1,351,740
 
Salaries and benefits

(excludes stock-based compensation)

374,719 10,196 - 384,915
Supplies 154,264 96 - 154,360
Medical claims - 334,217 (5,467 ) 328,750
Other operating expenses 187,255 13,221 - 200,476
Provision for bad debts 114,415 - - 114,415
Rentals and leases   21,613   842   -     22,455
Adjusted EBITDA 112,789 33,580 - 146,369
 
Interest expense, net 33,387 - - 33,387
Depreciation and amortization 46,848 1,782 - 48,630

Stock-based compensation

1,034 - - 1,034
Management fees   2,500   -   -     2,500

Earnings from continuing operations before gain on disposal of assets and income taxes

29,020 31,798 - 60,818
Gain on disposal of assets, net   885   -   -     885

Earnings from continuing operations before income taxes

$ 29,905 $ 31,798 $ -   $ 61,703
  For the Six Months Ended March 31, 2010
Acute Care   Health Choice   Eliminations   Consolidated
Acute care revenue $ 862,234 $ - $ - $ 862,234
Premium revenue - 391,245 - 391,245
Revenue between segments   6,012     -   (6,012 )   -  
Net revenue 868,246 391,245 (6,012 ) 1,253,479
 
Salaries and benefits

(excludes stock-based compensation)

332,865 9,539 - 342,404
Supplies 133,737 97 - 133,834
Medical claims - 344,673 (6,012 ) 338,661
Other operating expenses 160,929 12,346 - 173,275
Provision for bad debts 93,485 - - 93,485
Rentals and leases   19,684     736   -     20,420  
Adjusted EBITDA 127,546 23,854 - 151,400
 
Interest expense, net 33,354 - - 33,354
Depreciation and amortization 46,125 1,777 - 47,902

Stock-based compensation

2,249 - - 2,249
Management fees   2,500     -   -     2,500  

Earnings from continuing operations before loss on disposal of assets and income taxes

43,318 22,077 - 65,395
Loss on disposal of assets, net   (57 )   -   -     (57 )

Earnings from continuing operations before income taxes

$ 43,261   $ 22,077 $ -   $ 65,338  

IASIS HEALTHCARE LLC

Consolidated Financial and Operating Data (Unaudited)

   
Quarter Ended

March 31,

Six Months Ended March 31,
2011   2010 2011   2010
Consolidated Hospital Facilities (1)
Number of acute care hospital facilities

at end of period

17 15 17 15
Licensed beds at end of period 3,570 2,884 3,570 2,884
Average length of stay (days) 5.0 4.9 4.9 4.8
Occupancy rates (average beds in service) 51.3% 49.0% 48.2% 48.0%
Admissions 28,311 26,458 54,513 51,711
Percentage change 7.0% 5.4%
Adjusted admissions 47,583 42,932 92,895 84,999
Percentage change 10.8% 9.3%
Patient days

141,670

128,336

269,477

248,887
Adjusted patient days

229,147

201,615

440,843

394,838
Outpatient revenue as a % of gross patient revenue 40.0% 37.8% 40.5% 38.4%
 
 
Same-Facility Hospitals (2)
Number of acute care hospital facilities

at end of period

15 15 15 15
Licensed beds at end of period 3,185 2,884 3,185 2,884
Average length of stay (days) 5.1 4.9 5.0 4.8
Occupancy rates (average beds in service) 51.1% 49.0% 48.0% 48.0%
Admissions 26,211 26,458 50,348 51,711
Percentage change (0.9%) (2.6%)
Adjusted admissions 43,779 42,932 85,215 84,999
Percentage change 2.0% 0.3%
Patient days

132,412

128,336

251,696

248,887
Adjusted patient days

212,409

201,615

408,454

394,838
Outpatient revenue as a % of gross patient revenue 39.6% 37.8% 40.1% 38.4%
 

(1)  Includes the hospitals acquired in the acquisition of Brim Holdings, which was effective October 1, 2010.

(2)  Excludes the impact of the Brim Holdings acquisition.


IASIS HEALTHCARE LLC

Supplemental Consolidated Statements of Operations Information (Unaudited)

(in thousands)

   
Quarter Ended

March 31,

Six Months Ended March 31,
2011   2010 2011   2010
Consolidated Results
Net earnings from continuing operations $ 22,289 $ 22,140 $ 39,014 $ 41,477
Add:
Interest expense, net 16,510 16,622 33,387 33,354
Income tax expense 13,500 13,270 22,689 23,861
Depreciation and amortization 24,584 24,025 48,630 47,902
Stock-based compensation 538 2,128 1,034 2,249
Loss (gain) on disposal of assets, net (540) 161 (885) 57
Management fees 1,250 1,250 2,500 2,500
Adjusted EBITDA $ 78,131 $ 79,596 $ 146,369 $ 151,400

CONTACT:
IASIS Healthcare LLC
Investor Contact:
W. Carl Whitmer, 615-844-2747
President and Chief Executive Officer
or
John M. Doyle, 615-844-2747
Chief Financial Officer
or
Media Contact:
Michele M. Peden, 615-467-1255
VP, Corporate Communications