Attached files

file filename
8-K - 8-K - 21st Century Oncology Holdings, Inc.a11-24385_18k.htm

Exhibit 99.1

 

 

RADIATION THERAPY SERVICES HOLDINGS, INC.

 

INFORMATION RELEASE

 

Contact:

 

Investors:

Bryan Carey

 

Amy Glynn / Nick Laudico

Chief Financial Officer

 

The Ruth Group

(212) 351-1655

 

646-536-7023 / 7030

BCarey@VestarCapital.com

 

aglynn@theruthgroup.com

 

 

nlaudico@theruthgroup.com

 

RADIATION THERAPY SERVICES REPORTS SECOND QUARTER 2011 FINANCIAL

RESULTS

 

Second Quarter 2011 Highlights:

 

·      Domestic same practice therapy revenue increased 4.7% versus same period in prior year

·      Domestic same practice RVUs per day increased 12.3% versus same period in prior year

·      Recent acquisition of Medical Developers, LLC exceeding expectations

·      Total Company Pro Forma Adjusted EBITDA was $30.0 million

 

FORT MYERS, FL, August 15, 2011 — Radiation Therapy Services, Inc, a leading operator of radiation therapy centers, today announced financial results for the second quarter ended June 30, 2011.

 

Total revenue for the second quarter was $162.3 million, an increase of 20.3% compared to $134.9 million in revenue in the same quarter of 2010. The increase in revenue was principally due to revenue from the May 2010 acquisition of the Myrtle Beach, S.C. physician practices and the March 2011 acquisition of Medical Developers, LLC (Medical Developers), which operates 26 physician practices in Latin America, of $5.1 million and $16.7 million, respectively.

 

Domestic same practice therapy revenue increased 4.7% from the second quarter of 2010 principally as a result of a mix shift towards more clinically sophisticated radiation oncology services, which resulted in an increase in Relative Value Units (“RVUs”), partially offset by a reduction in the conversion factor for fiscal year 2011.

 



 

Total RVUs per day at domestic freestanding centers increased 14.3% in the second quarter versus the same period of the prior year principally as a result of an increase in RVU values heading into 2011 and a mix shift towards more clinically sophisticated radiation oncology services.

 

Adjusted earnings before interest, taxes, depreciation, amortization, stock-based compensation and other non-cash and pro forma items (“Pro Forma Adjusted EBITDA”) increased 3.5% in the second quarter of 2011 to $30.0 million, or 18.5% of pro forma total revenue, from $29.0 million, or 20.9% of total revenue, in the second quarter of 2010. EBITDA margins declined in the quarter versus the previous year due primarily to investments made to strengthen the Company’s infrastructure in the areas of management, marketing, information technology, electronic health records and other initiatives. A reconciliation of net loss attributable to Radiation Therapy Services Holdings, Inc. shareholder determined in accordance with generally accepted accounting principles to Pro Forma Adjusted EBITDA and total revenues determined in accordance with generally accepted accounting principles to total pro forma revenues for the quarters ended June 30, 2011 and 2010 is included in the attached supplemental information.

 

Income tax expense in the second quarter of 2011 was $3.3 million, compared to an income tax benefit of $4.5 million in the second quarter of 2010.  The Company’s tax expense increased primarily due to the increase in valuation allowance related to deductions attributable to U.S. and certain state non-reversing deferred tax liabilities and foreign tax expense associated with the Medical Developers subsidiaries acquired during the current year. The net loss for the second quarter of 2011 was $4.8 million, compared to a net loss of $8.1 million in the second quarter of 2010.  In the second quarter of 2010, Radiation Therapy recorded pre-tax charges of $10.9 million for early extinguishment of debt and $1.9 million for the loss on sale of assets of a radiation treatment center.

 

Six Month Results

 

Total revenue for the six months ended June 30, 2011 was $318.8 million, an increase of 18.3% compared to $269.4 million in revenue in the prior year period. The increase in revenue was principally due to revenue from the May 2010 acquisition of the Myrtle Beach, S.C. physician practices and the March 2011 acquisition of Medical Developers which operates 26 physician practices in Latin America, of $15.0 million and $21.9 million, respectively.

 

Same practice therapy revenue increased 3.0% compared to first six months of 2010 principally as a result of a mix shift towards more clinically sophisticated radiation oncology services, which resulted in an increase in Relative Value Units (“RVUs”), partially offset by a reduction in the conversion factor for fiscal year 2011.

 

Total RVUs per day at domestic freestanding centers increased 14.5% in the first six months of 2011 versus the same period of the prior year principally as a result of an increase in RVU values heading into 2011 and a mix shift towards more clinically sophisticated radiation oncology services.

 



 

Adjusted earnings before interest, taxes, depreciation, amortization, stock-based compensation and other non-cash and pro forma items (“Pro Forma Adjusted EBITDA”) increased 9.0% in the first six months of 2011 to $62.0 million, or 18.8% of pro forma total revenue, from $56.9 million, or 20.2% of pro forma total revenue, in the prior year period. EBITDA margins declined in the first six months of 2011 versus the previous year due primarily to investments made to strengthen the Company’s infrastructure in the areas of management, marketing, information technology, electronic health records and other initiatives.  A reconciliation of net loss attributable to Radiation Therapy Services Holdings, Inc. shareholder determined in accordance with generally accepted accounting principles to Pro Forma Adjusted EBITDA and total revenues determined in accordance with generally accepted accounting principles to total pro forma revenues for the six months ended June 30, 2011 and 2010 is included in the attached supplemental information.

 

Income tax expense in the first six months of 2011 was $5.8 million, compared to an income tax benefit of $5.2 million in the prior year period.  The Company’s tax expense increased primarily due to the increase in valuation allowance related to deductions attributable to U.S. and certain state non-reversing deferred tax liabilities and foreign tax expense associated with the Medical Developers subsidiaries acquired during the current year. The net loss for the first six months of 2011 was $7.9 million, compared to a net loss of $9.1 million in prior year period 2010.  In the first six months of 2010, Radiation Therapy recorded pre-tax charges of $10.9 million for early extinguishment of debt and $1.9 million for the loss on sale of assets of a radiation treatment center.

 

Dr. Daniel Dosoretz, President and Chief Executive Officer, said, “Despite the continued challenging environment in healthcare, we are beginning to see improvements in volume levels in our same practice centers, which includes stabilization in our Florida and Nevada markets.  The 12.3% increase in same practice RVUs per day reflects these volume improvements as well as our continuing mix shift towards more clinically sophisticated radiation oncology services.

 

“We remain very excited about the growth opportunity at Medical Developers, which provides us with a strong foothold in the rapidly growing Latin American market.  This is a very robust market and the acquisition is tracking ahead of plan. Going forward, we will continue to execute on our strategy to develop de novo centers and acquire additional centers, both in this attractive market, as well as domestic markets,” concluded Dr. Dosoretz

 

Conference Call

 

Management will host a conference call Monday August 15, 2011 at 1:00 p.m. EDT to discuss financial results, other developments and business conditions. The dial-in numbers are (877) 407-0789 for domestic callers and (201) 689-8562 for international callers.  In addition, a telephonic replay of the call will be available until August 29, 2011.  The replay dial-in numbers are (877) 870-5176 for domestic callers and (858) 384-5517 for international callers.  Please use the conference ID number 375867 to access the replay.

 



 

About Radiation Therapy Services Holdings , Inc.

 

Radiation Therapy Services Holdings, Inc., which operates radiation treatment centers primarily under the name 21st Century Oncology, is a provider of advanced radiation therapy services to cancer patients. In total, the Company operates 119 treatment centers, including 92 centers located in 16 U.S. states, 26 centers located in six countries in Latin America and 1 center located in India.  The Company is headquartered in Fort Myers, Florida.

 

Forward-Looking Statements

 

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Act of 1934, as amended.  These statements are based on management’s current expectations or beliefs about the Company’s future plans, expectations and objectives, including, but not limited to, the Company’s expected financial results and estimates for 2011.  These forward-looking statements are not historical facts and are subject to risks and uncertainties that could cause the actual results to differ materially from those projected in these forward-looking statements including, but not limited to the Company’s actual financial results and those risk factors that may be described from time to time in the Company’s filings with the Securities and Exchange Commission.  Readers of this release are cautioned not to place undue reliance on forward-looking statements contained herein, which speak only as of the date stated, or if no date is stated, as of the date of this press release. The Company undertakes no obligation to publicly update or revise the forward-looking statements contained herein to reflect changed events or circumstances after the date of this release, unless required by law.

 

Financial Tables on Following Pages

 



 

RADIATION THERAPY SERVICES HOLDINGS, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except share and per share amounts)

 

 

 

June 30,

 

December 31,

 

 

 

2011

 

2010

 

 

 

(unaudited)

 

 

 

ASSETS

 

Current assets:

 

 

 

 

 

Cash and cash equivalents

 

$

11,684

 

$

13,977

 

Accounts receivable, net

 

90,020

 

63,571

 

Prepaid expenses

 

6,465

 

6,969

 

Inventories

 

1,466

 

1,426

 

Deferred income taxes

 

2,277

 

2,276

 

Other

 

8,804

 

3,534

 

Total current assets

 

120,716

 

91,753

 

 

 

 

 

 

 

Equity investments in joint ventures

 

3,154

 

20,136

 

Property and equipment, net

 

238,866

 

229,665

 

Real estate subject to finance obligation

 

12,856

 

8,100

 

Goodwill

 

838,639

 

770,898

 

Intangible assets, net

 

105,319

 

85,236

 

Other assets

 

31,558

 

30,542

 

Total assets

 

$

1,351,108

 

$

1,236,330

 

 

 

 

 

 

 

LIABILITIES AND EQUITY

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Accounts payable

 

$

22,490

 

$

21,888

 

Accrued expenses

 

39,423

 

35,765

 

Income taxes payable

 

7,488

 

5,994

 

Current portion of long-term debt

 

10,346

 

8,780

 

Current portion of finance obligation

 

98

 

53

 

Other current liabilities

 

5,725

 

197

 

Total current liabilities

 

85,570

 

72,677

 

Long-term debt, less current portion

 

657,538

 

590,051

 

Finance obligation, less current portion

 

13,396

 

8,515

 

Other long-term liabilities

 

18,894

 

15,981

 

Deferred income taxes

 

43,626

 

33,527

 

Total liabilities

 

819,024

 

720,751

 

 

 

 

 

 

 

Noncontrolling interests - redeemable

 

7,177

 

7,371

 

 

 

 

 

 

 

Commitments and Contingencies

 

 

 

 

 

 

 

 

 

 

 

Equity:

 

 

 

 

 

Common stock, $0.01 par value, 1,025 shares authorized, 1,025 and 1,000 shares issued and outstanding at June 30, 2011 and December 31, 2010

 

 

 

Additional paid-in capital

 

648,182

 

630,989

 

Retained deficit

 

(140,740

)

(130,374

)

Notes receivable from shareholder

 

(125

)

(175

)

Accumulated other comprehensive loss, net of tax

 

(1,268

)

(3,391

)

Total Radiation Therapy Services Holdings, Inc. shareholder’s equity

 

506,049

 

497,049

 

Noncontrolling interests - nonredeemable

 

18,858

 

11,159

 

Total equity

 

524,907

 

508,208

 

Total liabilities and equity

 

$

1,351,108

 

$

1,236,330

 

 



 

RADIATION THERAPY SERVICES HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS

(in thousands)

(unaudited)

 

 

 

Three Months Ended

 

Six Months Ended

 

 

 

June 30,

 

June 30,

 

 

 

2011

 

2010

 

2011

 

2010

 

 

 

 

 

 

 

 

 

 

 

Revenues:

 

 

 

 

 

 

 

 

 

Net patient service revenue

 

$

160,887

 

$

132,268

 

$

315,970

 

$

265,381

 

Other revenue

 

1,369

 

2,638

 

2,823

 

4,058

 

Total revenues

 

162,256

 

134,906

 

318,793

 

269,439

 

 

 

 

 

 

 

 

 

 

 

Expenses:

 

 

 

 

 

 

 

 

 

Salaries and benefits

 

80,114

 

66,403

 

161,013

 

136,067

 

Medical supplies

 

13,164

 

9,888

 

25,655

 

20,701

 

Facility rent expense

 

8,311

 

7,581

 

16,134

 

12,897

 

Other operating expenses

 

8,380

 

6,915

 

15,838

 

13,159

 

General and administrative expenses

 

21,469

 

15,089

 

39,305

 

29,357

 

Depreciation and amortization

 

12,998

 

10,584

 

25,453

 

22,672

 

Provision for doubtful accounts

 

3,721

 

2,714

 

7,522

 

5,453

 

Interest expense, net

 

15,314

 

15,498

 

29,807

 

30,518

 

Loss on sale of assets of a radiation treatment center

 

 

1,903

 

 

1,903

 

Early extinguishment of debt

 

 

10,947

 

 

10,947

 

Gain on fair value adjustment of previously held equity investment

 

 

 

(234

)

 

Foreign currency transaction gain

 

(11

)

 

(1

)

 

Loss on forward currency derivative contracts

 

283

 

 

399

 

 

Total expenses

 

163,743

 

147,522

 

320,891

 

283,674

 

 

 

 

 

 

 

 

 

 

 

Loss before income taxes

 

(1,487

)

(12,616

)

(2,098

)

(14,235

)

Income tax expense (benefit)

 

3,295

 

(4,533

)

5,761

 

(5,153

)

 

 

 

 

 

 

 

 

 

 

Net loss

 

(4,782

)

(8,083

)

(7,859

)

(9,082

)

 

 

 

 

 

 

 

 

 

 

Net income attributable to noncontrolling interests- redeemable and non-redeemable

 

(1,068

)

(934

)

(2,507

)

(1,741

)

 

 

 

 

 

 

 

 

 

 

Net loss attributable to Radiation Therapy Services Holdings, Inc. shareholder

 

(5,850

)

(9,017

)

(10,366

)

(10,823

)

 

 

 

 

 

 

 

 

 

 

Other comprehensive income:

 

 

 

 

 

 

 

 

 

Unrealized gain on derivative interest rate swap agreement and foreign currency translation, net of tax

 

616

 

389

 

1,785

 

665

 

Comprehensive loss

 

$

(5,234

)

$

(8,628

)

$

(8,581

)

$

(10,158

)

 



 

RADIATION THERAPY SERVICES HOLDINGS, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)

 

 

 

Six months ended

 

 

 

June 30,

 

 

 

2011

 

2010

 

Cash flows from operating activities

 

 

 

 

 

Net loss

 

$

(7,859

)

$

(9,082

)

Adjustments to reconcile net loss to net cash provided by operating activities:

 

 

 

 

 

Depreciation

 

21,936

 

18,313

 

Amortization

 

3,517

 

4,359

 

Deferred rent expense

 

601

 

1,078

 

Deferred income taxes

 

3,917

 

(5,153

)

Stock-based compensation

 

940

 

508

 

Provision for doubtful accounts

 

7,522

 

5,453

 

Loss on the sale of property and equipment

 

12

 

418

 

Loss on sale of assets of a radiation treatment center

 

 

1,903

 

Write off of pro-rata debt discount

 

 

494

 

Write off of loan costs

 

 

1,593

 

Early extinguishment of debt

 

 

10,947

 

Loss on forward currency derivative contracts

 

399

 

 

Loss on foreign currency transactions

 

44

 

 

Gain on fair value adjustment of previously held equity investment

 

(234

)

 

Amortization of debt discount

 

401

 

424

 

Amortization of loan costs

 

2,111

 

1,343

 

Equity interest in net loss (earnings) of joint ventures

 

525

 

(358

)

Changes in operating assets and liabilities:

 

 

 

 

 

Accounts receivable and other receivables

 

(15,053

)

(13,372

)

Income taxes payable

 

(1,515

)

(128

)

Inventories and other current assets

 

(2,059

)

61

 

Prepaid expenses

 

1,556

 

3,183

 

Accounts payable

 

(3,044

)

3,698

 

Accrued expenses

 

1,068

 

(3,770

)

 

 

 

 

 

 

Net cash provided by operating activities

 

14,785

 

21,912

 

 

 

 

 

 

 

Cash flows from investing activities

 

 

 

 

 

Purchase of property and equipment

 

(22,471

)

(17,375

)

Acquisition of medical practices

 

(42,293

)

(34,619

)

Proceeds from the sale of property and equipment

 

5

 

1,191

 

Repayments from employees

 

200

 

368

 

Contribution of capital to joint venture entities

 

 

(2,858

)

Distribution received from joint venture entities

 

616

 

18

 

Proceeds from the sale of equity interest in a joint venture

 

312

 

 

Payment of foreign currency derivative contracts

 

(746

)

 

Change in other assets and other liabilities

 

(142

)

(1,847

)

 

 

 

 

 

 

Net cash used in investing activities

 

(64,519

)

(55,122

)

 

 

 

 

 

 

Cash flows from financing activities

 

 

 

 

 

Proceeds from issuance of debt (net of original issue discount of $625 and $1,950, respectively)

 

57,294

 

308,050

 

Principal repayments of debt

 

(6,123

)

(266,088

)

Repayments of finance obligation

 

(47

)

(278

)

Payment of call premium on senior subordinated notes

 

 

(5,250

)

Proceeds from equity contribution

 

3

 

 

Payments of notes receivable from shareholder

 

50

 

50

 

Proceeds from issuance of noncontrolling interest

 

 

608

 

Cash distributions to noncontrolling interest holders - redeemable and non-redeemable

 

(2,092

)

(1,522

)

Deconsolidation of noncontrolling interest

 

 

(14

)

Payments of loan costs

 

(1,637

)

(11,873

)

 

 

 

 

 

 

Net cash provided by financing activities

 

47,448

 

23,683

 

 

 

 

 

 

 

Effect of exchange rate changes on cash and cash equivalents

 

(7

)

 

 

 

 

 

 

 

Net decrease in cash and cash equivalents

 

(2,293

)

(9,527

)

Cash and cash equivalents, beginning of period

 

13,977

 

32,958

 

 

 

 

 

 

 

Cash and cash equivalents, end of period

 

$

11,684

 

$

23,431

 

 

 

 

 

 

 

Supplemental disclosure of non-cash transactions

 

 

 

 

 

Recorded noncash contribution of capital by noncontrolling interest holder

 

$

 

$

602

 

Recorded noncash deconsolidation of noncontrolling interest

 

$

 

$

(64

)

Recorded finance obligation related to real estate projects

 

$

4,974

 

$

564

 

Recorded derecognition of finance obligation related to real estate projects

 

$

 

$

(69,939

)

Recorded noncash purchase of noncontrolling interest in a joint venture

 

$

 

$

(474

)

Recorded noncash distribution receivable and equity contribution payable from equity investee

 

$

 

$

75

 

Recorded noncash use of vendor credit

 

$

 

$

2,027

 

Recorded accounts payable related to acceptance and delivery of medical equipment

 

$

358

 

$

 

Recorded issuance of Parent equity units related to the acquisition of medical practices

 

$

16,250

 

$

 

Recorded issuance of senior subordinated notes related to the acquisition of medical practices

 

$

16,047

 

$

 

Recorded earn-out accrual related to the acquisition of medical practices

 

$

2,340

 

$

 

Recorded noncash dividend declared to noncontrolling interest

 

$

624

 

$

 

 



 

RADIATION THERAPY SERVICES HOLDINGS, INC.

Supplemental Financial Information (Unaudited)

Reconciliation of Pro-forma Revenue and Adjusted EBITDA to Net Loss Attributable

to Radiation Therapy Services Holdings, Inc. Shareholder

 

 

 

Three Months Ended

 

Six Months Ended

 

 

 

June 30,

 

June 30,

 

(in thousands): 

 

2011

 

2010

 

2011

 

2010

 

 

 

 

 

 

 

 

 

 

 

Total revenues

 

$

162,256

 

$

134,906

 

$

318,793

 

$

269,439

 

Pro-forma full period effect of acquisitions (a) 

 

 

3,939

 

11,942

 

12,664

 

Total pro-forma revenues

 

$

162,256

 

$

138,845

 

$

330,735

 

$

282,103

 

 

 

 

 

 

 

 

 

 

 

Net loss attributable to Radiation Therapy Services Holdings, Inc. shareholder

 

$

(5,850

)

$

(9,017

)

$

(10,366

)

$

(10,823

)

Income tax expense (benefit)

 

3,295

 

(4,533

)

5,761

 

(5,153

)

Interest expense, net

 

15,314

 

15,498

 

29,807

 

30,518

 

Depreciation and amortization

 

12,998

 

10,584

 

25,453

 

22,672

 

Loss on sale of assets of a radiation treatment center

 

 

1,903

 

 

1,903

 

Early extinguishment of debt

 

 

10,947

 

 

10,947

 

Gain on fair value adjustment of previously held equity investment

 

 

 

(234

)

 

Loss on forward currency derivative contracts

 

283

 

 

399

 

 

Management fees (b) 

 

341

 

213

 

618

 

480

 

Non-cash expenses (c) 

 

921

 

1,111

 

2,263

 

2,197

 

Sale-lease back adjustments (d) 

 

(242

)

(220

)

(438

)

(2,119

)

Acquisition-related costs (e) 

 

1,349

 

658

 

2,997

 

739

 

Other expenses (f) 

 

111

 

266

 

432

 

915

 

Litigation settlement (g) 

 

938

 

86

 

938

 

951

 

Costs associated with the provision for income taxes (h) 

 

544

 

 

544

 

 

Pro-forma full period effect of acquisition EBITDA (a) 

 

 

1,479

 

3,844

 

3,652

 

 

 

 

 

 

 

 

 

 

 

Pro-forma Adjusted EBITDA (1) 

 

$

30,002

 

$

28,975

 

$

62,018

 

$

56,879

 

 

 

 

 

 

 

 

 

 

 

Pro-forma Adjusted EBITDA as a percentage of total pro-forma revenues

 

18.5

%

20.9

%

18.8

%

20.2

%

 


(1) Pro-forma Adjusted EBITDA is defined as income (loss) before interest expense (net of interest income), income taxes, depreciation and amortization, foreign currency derivative contract loss, gain on fair value adjustment of previously held equity investment, management fees from our sponsor, non-cash expenses including costs relating to stock compensation, amortization of straight-line rent and amortization of capital expenditures relating to repairs and maintenance, sale-lease back adjustments, acquisition-related costs, other expenses including loss on sale of assets, severance payments related to termination of employee staff reductions and tail premiums on termed physicians, litigation settlements with physicians, costs associated with the provision for income taxes and pro-forma full period effect of acquisition EBITDA.

 

(a) Pro-forma amounts related to adjustments to total revenues and Pro-forma Adjusted EBITDA to reflect the full period effect of our acquisition completed during 2010 and 2011, including the purchase of the South Carolina physician practices in May 2010 and the purchase of Medical Developers’ phycian practices in March 2011.  The adjustments reflect the impact to our total revenues and Pro-forma Adjusted EBITDA as if the acquisitions had occurred at the beginning of the year.

 

(b) Management fees are fees paid to our sponsor, Vestar Capital Partners.

 

(c) Non-cash expenses including costs relating to stock compensation, amortization of straight-line rent and amortization of capital expenditures relating to warranty arrangements amortized to repairs and maintenance.

 

(d) Sale-lease back adjustments relates to the adjustment of benefit derived from the classification of operating leases as finance obligations reflecting a reclassification of interest expense and depreciation and amortization expense as rent expense.

 

(e) Acquisition related costs associated with the adoption of ASC 805, Business Combinations, requiring prior capitalized costs be expensed, including professional fees and due diligence costs relating to the acquisition of physician practices.

 

(f) Other expenses include loss on sale of assets, severance payments related to termination of employee staff reductions and tail premiums paid on terminated physicians.

 

(g) Litigation settlement relates to costs associated with the termination of physicians during 2010 and 2011 as a result of the cost savings plans implemented in the fourth quarter of 2009.

 

(h) Expenses related to the costs associated with process improvements in the provision for income taxes.

 

We believe the Pro-forma Adjusted EBITDA provides useful information about our financial performance to investors, lenders, financial analysts and rating agencies since these groups have historically used EBITDA-related measures in the healthcare industry, along with other measures, to estimate the value of a company, to make informed investment decisions, to evaluate a company’s leverage capacity and its ability to meet its debt service requirements.  Pro-forma Adjusted EBITDA eliminates the uneven effect of non-cash depreciation of tangibles assets and amortization of intangible assets, much of which results from acquisitions accounted for under the purchase method of accounting.  Pro-forma Adjusted EBITDA is also used by us to measure individual performance for incentive compensation purposes and as an analytical indicator for purposes of allocating resources to our operating business and assessing their performance, both internally and relative to our peers, as well as to evaluate the performance of our operating management teams, and for purposes in the calculation of debt covenants and related disclosures.

 

Pro-forma Adjusted EBITDA is not intended as a substitute for net income (loss) attributable to Radiation Therapy Services Holdings, Inc. shareholder, operating cash flows or other cash flow data determined in accordance with accounting principles generally accepted in the United States. Due to varying methods of calculation, Pro-forma Adjusted EBITDA as presented may not be comparable to similarly titled measures of other companies.

 



 

RADIATION THERAPY SERVICES HOLDINGS, INC.

KEY OPERATING STATISTICS

(unaudited)

 

 

 

Three Months Ended

 

 

 

Six Months Ended

 

 

 

 

 

June 30,

 

%

 

June 30,

 

%

 

 

 

2011

 

2010

 

Change

 

2011

 

2010

 

Change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of treatment days (domestic U.S.)

 

64

 

64

 

 

 

128

 

127

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total RVU’s - freestanding centers (domestic U.S.)

 

3,138,665

 

2,746,572

 

14.3

%

6,348,006

 

5,500,192

 

15.4

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RVU’s per day - freestanding centers (domestic U.S.)

 

49,042

 

42,915

 

14.3

%

49,594

 

43,309

 

14.5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Percentage change in RVU’s per day - freestanding centers - same practice basis (domestic U.S.)

 

12.3

%

0.4

%

 

 

10.8

%

0.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of regions at period end

 

9

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of local markets at period end (domestic U.S.)

 

28

 

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Treatment centers - freestanding

 

112

 

92

 

21.7

%

 

 

 

 

 

 

Treatment centers - hospital / other groups

 

7

 

7

 

0.0

%

 

 

 

 

 

 

 

 

119

 

99

 

20.2

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Days sales outstanding at quarter end (domestic U.S.)

 

43

 

44

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Percentage change in freestanding revenues - same practice basis (domestic U.S.)

 

4.7

%

-3.6

%

 

 

3.0

%

-3.4

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net patient service revenue - professional services only (in thousands) (domestic U.S.)

 

$

40,437

 

$

34,357

 

 

 

$

82,534

 

$

68,980

 

 

 

 

 

 

Three Months Ended

 

 

 

Six Months Ended

 

 

 

 

 

June 30,

 

%

 

June 30,

 

%

 

 

 

2011

 

2010 *

 

Change

 

2011 *

 

2010 *

 

Change

 

Number of treatments (International)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2-D treatments

 

1,295

 

1,417

 

 

 

2,649

 

2,828

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3-D treatments

 

1,677

 

1,494

 

 

 

3,265

 

2,933

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IMRT treatments

 

319

 

250

 

 

 

631

 

454

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

3,291

 

3,161

 

4.1

%

6,545

 

6,215

 

5.3

%

 


* includes full period operating statistics, including period prior to our acquisition

 

###