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8-K - FORM 8-K - Foundation Healthcare, Inc.d324652d8k.htm

Exhibit 99.1

 

LOGO

Graymark Healthcare Reports Full Year 2011 Financial Results

OKLAHOMA CITY, OK – March 29, 2012–Graymark Healthcare, Inc. (NASDAQ: GRMH), the nation’s second largest provider of diagnostic sleep services and an innovator in comprehensive care for obstructive sleep apnea (OSA), reported financial results for the full year ended December 31, 2011.

2011 vs. 2010 Overview

 

     Diagnostic Sleep Services  
     Q1     Q2     Q3     Q4     Total  

Net Revenues ($ in thousands)

                              

2011

     2,958        3,143        3,287        3,169        12,557   

2010

     4,087        4,109        3,530        3,238        14,964   

Increase (Decrease)

     (1,129     (966     (243     (69     (2,407

% Increase (Decrease)

     -27.6     -23.5     -6.9     -2.1     -16.1

Sleep Study Volumes

                              

2011

     3,515        4,005        4,245        4,101        15,866   

2010

     4,083        4,358        4,060        3,754        16,255   

Increase (Decrease)

     (568     (353     185        347        (389

% Increase (Decrease)

     -13.9     -8.1     4.6     9.2     -2.4

 

     Sleep Studies by Facility Type #  
     2011  
     Q1     Q2     Q3     Q4     Total  

Free Standing Facility

     2,447        2,467        2,478        2,337        9,729   

Hospital Based

     1,068        1,538        1,767        1,764        6,137   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total

     3,515        4,005        4,245        4,101        15,866   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

% Free Standing Facility

     69.6     61.6     58.4     57.0     61.3

% Hospital Based

     30.4     38.4     41.6     43.0     38.7
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     100.0     100.0     100.0     100.0     100.0
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

     2010  
     Q1     Q2     Q3     Q4     Total  

Free Standing Facility

     3,035        3,092        3,061        2,727        11,915   

Hospital Based

     1,048        1,266        999        1,027        4,340   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Total

     4,083        4,358        4,060        3,754        16,255   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

% Free Standing Facility

     74.3     70.9     75.4     72.6     73.3

% Hospital Based

     25.7     29.1     24.6     27.4     26.7
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     100.0     100.0     100.0     100.0     100.0
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

Page 1 of 8


Full Year 2011 Financial Results

Net revenues in 2011 were $17.5 million, decreasing 15% from $20.5 million in 2010 (as adjusted for the discontinued operations including the company’s retail pharmacy business and the sale of Nocturna East Sleep Centers).

Net revenues from Graymark’s diagnostic sleep services were $12.6 million, decreasing 16% from $15.0 million in 2010.

The decrease was primarily the result of decreased reimbursement driven by a shift from out-of-network to in-network reimbursements beginning in the third quarter of 2010, an increase in the percentage of sleep studies performed at hospital-based locations, and the closing of unprofitable free-standing facilities partially offset by increased revenues from the company’s newly added hospital-based management locations.

 

     Product Sales  
     Q1     Q2     Q3     Q4     Total  

Net Revenues ($ in thousands)

                              

2011

     1,246        1,266        1,196        1,245        4,953   

2010

     1,239        1,417        1,345        1,556        5,557   

Increase (Decrease)

     7        (151     (149     (311     (604

% Increase (Decrease)

     0.6     -10.7     -11.1     -20.0     -10.9

Set Up Volumes

                              

2011

     684        683        694        610        2,671   

2010

     620        744        807        860        3,031   

Increase (Decrease)

     64        (61     (113     (250     (360

% Increase (Decrease)

     10.3     -8.2     -14.0     -29.1     -11.9

Conversion Rates

                              

2011

     19.5     17.1     16.3     14.9     16.8

2010

     15.2     17.1     19.9     22.9     18.6

Re-Supply Shipment Volumes

                              

2011

     2,380        2,730        3,575        4,389        13,074   

2010

     1,084        1,366        1,745        2,220        6,415   

Increase (Decrease)

     1,296        1,364        1,830        2,169        6,659   

% Increase (Decrease)

     119.6     99.9     104.9     97.7     103.8

Net revenues from Graymark’s product sales were $5.0million, decreasing 11% from $5.6 million in 2010. The decrease was due to lower conversion rates of sleep studies to CPAP set-ups along with a decline in reimbursement levels, partially offset by an increase in the company’s re-supply revenue. In addition to the company’s customary quarterly shipments, during the third quarter the company initiated monthly shipments, where permitted by payers, resulting in lower average revenues per shipment as monthly shipments are significantly smaller in dollar amount.

 

Page 2 of 8


     SG&A Expenses ($ in thousands)  
     Q1     Q2     Q3     Q4     Total  

2011

     3,589        3,134        3,316        3,704        13,743   

2010

     4,497        3,648        3,746        3,930        15,821   

Increase (Decrease)

     (908     (514     (430     (226     (2,078

% Increase (Decrease)

     -20.2     -14.1     -11.5     -5.8     -13.1

Selling, general and administrative expenses decreased $2.1 million or 13% to $13.7 million, compared to $15.8 million in 2010. This decrease was primarily due to staff reductions related to the centralization of billing and scheduling functions, reductions of executive staff, right-sizing of operating facilities, including renegotiations of facility leases and the consolidation of unprofitable locations.

 

     Bad Debt Expense ($ in thousands)  
     Q1     Q2     Q3     Q4     Total  

2011

     118        123        387        268        896   

2010

     238        542        375        648        1,803   

Increase (Decrease)

     (120     (419     12        (380     (907

% Increase (Decrease)

     -50.4     -77.3     3.2     -58.6     -50.3

Bad debt expense decreased 50% to $0.9 million from $1.8 million in 2010. This decrease is the result of the centralization of billing and collections functions and the increased focus on collections of old balances.

Loss from continuing operations, net of taxes, was $6.4 million in 2011, compared to a loss from continuing operations of $15.7 million in 2010 including $8.8 million of impairment write downs. Net loss attributable to Graymark was $5.9million or $(0.51) per share in 2011, compared to a net loss of $19.1million or $(2.64) per share in 2010.

Adjusted EBITDA from continuing operations in 2011 was a loss of $3.7 million, compared to a loss of $3.8million in 2010 (see “Reconciliation of Non-GAAP Financial Measures” below for the definition and an important discussion of this non-GAAP financial measure).

At December 31, 2011, cash and cash equivalents totaled $4.9 million, compared to $639,000 at December 31, 2010. It should also be noted the cash balances do not reflect monies held in an escrow account related to the sale of our retail pharmacy business in the amounts of $1.0 million and $2.0 million in 2011 and 2010 respectively. The company received $1.0 million of these monies in December 2011 and is scheduled to receive $1.0 million in June 2012.

At December 31, 2011 current assets totaled $9.8 million as compared to $7.6 million at December 31, 2010 and current liabilities totaled $22.8 million compared to $28.1 million in 2010. Working capital was a $13.0 million deficit at December 31, 2011 compared to a $20.5 million deficit at December 31, 2010.

 

Page 3 of 8


This release reflects the classification of the Arvest credit facility as a current liability consistent with our presentation as of December 31, 2010. The company is currently negotiating an amendment to the Amended and Restated Loan Agreement with Arvest. The proposed amendment would, among other things, have the effect of granting a waiver of the debt service coverage ratio until March 31, 2013. The currently proposed amendment would allow Graymark to classify approximately $17.0 million of the Arvest credit facility as long term debt. While Graymark believes that the proposed amendment will be finalized and approved by Arvest in the next week, there can be no assurances that Graymark and Arvest will be able to enter into an acceptable amendment in that timeframe or at all.

As of December 31, 2011, our total debt was $19.3 million, compared to $23.2 million at December 31, 2010.

Management Commentary

“2011 was an important year of right-sizing the expense structure of Graymark Healthcare as we saved $3.0 million in SG&A and bad debt expense since the beginning of 2011,” said Stanton Nelson, CEO of Graymark Healthcare. “A major project included within this initiative was the centralization of our verification of benefits and scheduling process. This initiative has already helped improve our volume of sleeps studies performed as we realized a 7% increase in the second half of 2011.

“As we advance through 2012, our focus continues to be increasing the number of sleep studies performed at each of our locations and increasing our conversion percentage related to CPAP equipment sales and ultimately to re-supply revenue. In fact, we estimate our sleep study volume will be up approximately 20% in the first quarter of 2012 compared to the first quarter of 2011. We also expect to further penetrate both the Atlanta and Dallas-Fort Worth markets. We anticipate opening four to six additional locations in the Atlanta and Dallas Fort Worth markets to better serve our referring physicians and their patients. Our team has great confidence that the sleep management market is ripe for consolidation and Graymark is best situated to gain significant market share.”

 

Graymark Healthcare, Inc.   
Reconciliation of Net Income to EBITDA From Continuing Operations   
and Adjusted EBITDA From Continuing Operations   
Years Ended December 31, 2011 and 2010   
     2011     2010  

Net Loss

   $ (6,126,489   $ (19,289,519

(Income) Loss Discontinued Operations

     (291,155     3,579,937   
  

 

 

   

 

 

 

Loss From Continuing Operations, net of taxes

     (6,417,644     (15,709,582
  

 

 

   

 

 

 

EBITDA addbacks:

    

Interest

     1,268,219        1,223,334   

Taxes

     13,992        118,000   

Depreciation and amortization

     1,110,735        1,278,594   
  

 

 

   

 

 

 

Total EBITDA addbacks

     2,392,946        2,619,928   
  

 

 

   

 

 

 

EBITDA From Continuing Operations

     (4,024,698     (13,089,654
  

 

 

   

 

 

 

Other Significant Non-Cash Items Continuing Operations

    

Impairment of Goodwill and Intangible Assets

       7,874,886   

Impairment of Property and Equipment

       762,224   

Impairment of equity investment

       200,000   

Stock Option Compensation Expense

     347,038        479,303   
  

 

 

   

 

 

 

Total Other Significant Non-Cash Items Continuing Operations

     347,038        9,316,413   
  

 

 

   

 

 

 

Adjusted EBITDA From Continuing Operations

   $ (3,677,660   $ (3,773,241
  

 

 

   

 

 

 

 

Page 4 of 8


Reconciliation of Non-GAAP Financial Measures

Graymark is providing EBITDA from continuing operations information, which is defined as net income from continuing operations plus interest, income taxes, depreciation and amortization expenses, and adjusted EBITDA from continuing operations which is defined as EBITDA from continuing operations plus impairment of goodwill and intangible assets, property and equipment and equity investment, as well as stock-based compensation expense, as a complement to GAAP results. EBITDA and adjusted EBITDA are commonly used by management and investors as a measure of leverage capacity, debt service ability and liquidity. EBITDA and adjusted EBITDA are not considered measures of financial performance under U.S. generally accepted accounting principles (GAAP), and the items excluded from EBITDA and adjusted EBITDA are significant components in understanding and assessing the company’s financial performance. EBITDA and adjusted EBITDA should not be considered in isolation or as an alternative to, or superior to, such GAAP measures as net income, cash flows provided by or used in operating, investing or financing activities, or other financial statement data presented in the company’s consolidated financial statements as an indicator of financial performance or liquidity. Reconciliations of non-GAAP financial measures are provided in this news release in the accompanying tables. Since EBITDA and adjusted EBITDA are not measures determined in accordance with GAAP and is susceptible to varying calculations, EBITDA and adjusted EBITDA, as presented, may not be comparable to other similarly titled measures of other companies.

Conference Call

The company will host a conference call to discuss its full year 2011 financial results today (March 29, 2012) at 4:30 p.m.Eastern time.

Dial-In Number: 1-888-846-5003

International: 1-480-629-9856

Conference ID#: 4526724

The conference call will be broadcast live at http://viavid.net/dce.aspx?sid=00009543and available for replay via the investors section of the company’s website at www.graymarkhealthcare.com

Please call the conference telephone number 5-10 minutes prior to the start time. An operator will register your name and organization. If you have any difficulty connecting with the conference call, please contact Liolios Group at 1-949-574-3860.

A replay of the call will be available on the same day after 7:30 p.m. Eastern time on the same day and until April 29, 2012.

Toll-free replay number: 1-877-870-5176

International replay number: 1-858-384-5517

Replay pin number: 4526724

About Graymark Healthcare

Headquartered in Oklahoma City, Okla., Graymark Healthcare, Inc. (NASDAQ: GRMH - News) is the nation’s second largest provider of sleep management solutions. In addition to diagnosing and treating over 80 sleep disorders, the company specializes in comprehensive care for Obstructive Sleep Apnea (OSA). Graymark offers its services through 101 sleep laboratories primarily in the Midwest, including standalone or IDTF facilities, therapy facilities, rural outreach hospital sites and urban hospital management agreements. For more information, visit www.graymarkhealthcare.com.

 

Page 5 of 8


Important Cautions Regarding Forward Looking Statements

This press release contains forward-looking statements that are based on the company’s current expectations, forecasts and assumptions. Forward-looking statements involve risks and uncertainties that could cause actual outcomes and results to differ materially from the company’s expectations, forecasts and assumptions. These risks and uncertainties include risks and uncertainties not in the control of the company, including, without limitation, the current economic climate, the ability of the company to consummate an acceptable amendment to its Arvest credit facility and other risks and uncertainties, including those enumerated and described in the company’s filings with the Securities and Exchange Commission, which filings are available on the SEC’s website at www.sec.gov. Unless otherwise required by law, the company disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.

Company Contact:

Graymark Healthcare, Inc.

Stanton Nelson

Chairman and CEO

Tel 1-405-601-5300

Investor Relations:

Liolios Group, Inc.

Scott Liolios or Cody Slach

Tel 1-949-574-3860

GRMH@liolios.com

 

Page 6 of 8


GRAYMARK HEALTHCARE, INC.

Consolidated Balance Sheets

As of December 31, 2011 and 2010

 

     2011     2010  

ASSETS

    

Cash and cash equivalents

   $ 4,915,032      $ 639,655   

Accounts receivable, net of allowances for contractual adjustments and doubtful accounts of $3,100,612 and $2,791,906, respectively

     3,095,447        2,597,848   

Inventories

     427,039        553,342   

Current assets from discontinued operations

     1,059,023        3,349,567   

Other current assets

     274,049        438,315   
  

 

 

   

 

 

 

Total current assets

     9,770,590        7,578,727   
  

 

 

   

 

 

 

Property and equipment, net

     2,935,992        3,642,847   

Intangible assets, net

     1,214,633        1,313,756   

Goodwill

     13,729,571        12,844,223   

Other assets from discontinued operations

     54,255        2,579,410   

Other assets

     280,289        733,589   
  

 

 

   

 

 

 

Total assets

   $ 27,985,330      $ 28,692,552   
  

 

 

   

 

 

 

LIABILITIES AND SHAREHOLDERS’ EQUITY

    

Liabilities:

    

Accounts payable

   $ 782,367      $ 909,983   

Accrued liabilities

     2,262,096        2,263,907   

Current portion of long-term debt

     19,068,131        22,768,781   

Current liabilities from discontinued operations

     723,274        2,140,602   
  

 

 

   

 

 

 

Total current liabilities

     22,835,868        28,083,273   
  

 

 

   

 

 

 

Long-term debt, net of current portion

     207,157        436,850   

Other liabilities

     117,282        —     
  

 

 

   

 

 

 

Total liabilities

     23,160,307        28,520,123   

Equity:

    

Graymark Healthcare shareholders’ equity:

    

Preferred stock $0.0001 par value, 10,000,000 authorized; no shares issued and outstanding

     —          —     

Common stock $0.0001 par value, 500,000,000 shares authorized; 15,070,634 and 7,238,403 issued and outstanding, respectively

     1,507        724   

Paid-in capital

     40,080,923        29,521,558   

Accumulated deficit

     (35,113,386     (29,218,977
  

 

 

   

 

 

 

Total Graymark Healthcare shareholders’ equity

     4,969,044        303,305   

Non-controlling interest

     (144,021     (130,876
  

 

 

   

 

 

 

Total equity

     4,825,023        172,429   
  

 

 

   

 

 

 

Total liabilities and shareholders’ equity

   $ 27,985,330      $ 28,692,552   
  

 

 

   

 

 

 

 

Page 7 of 8


GRAYMARK HEALTHCARE, INC.

Consolidated Statements of Operations

For the Years Ended December 31, 2011 and 2010

 

     2011     2010  

Net Revenues:

    

Services

   $ 12,556,630      $ 14,963,916   

Product sales

     4,953,164        5,557,455   
  

 

 

   

 

 

 
     17,509,794        20,521,371   
  

 

 

   

 

 

 

Cost of Services and Sales:

    

Cost of services

     5,137,027        5,515,380   

Cost of sales

     1,743,117        1,628,686   
  

 

 

   

 

 

 
     6,880,144        7,144,066   
  

 

 

   

 

 

 

Gross Margin

     10,629,650        13,377,305   
  

 

 

   

 

 

 

Operating Expenses:

    

Selling, general and administrative

     13,743,820        15,821,701   

Bad debt expense

     895,863        1,803,100   

Impairment of goodwill and intangible assets

     —          7,874,886   

Impairment of property and equipment

     —          762,224   

Depreciation and amortization

     1,110,735        1,278,594   
  

 

 

   

 

 

 
     15,750,418        27,540,505   
  

 

 

   

 

 

 

Other (Expense):

    

Interest expense, net

     (1,268,219     (1,223,334

Other expense

     (14,665     (5,048

Impairment of equity investment

     —          (200,000
  

 

 

   

 

 

 

Net other (expense)

     (1,282,884     (1,428,382
  

 

 

   

 

 

 

Income (loss) from continuing operations, before taxes

     (6,403,652     (15,591,582

Provision for income taxes

     (13,992     (118,000
  

 

 

   

 

 

 

Income (loss) from continuing operations, net of taxes

     (6,417,644     (15,709,582

Income (loss) from discontinued operations, net of taxes

     291,155        (3,579,937
  

 

 

   

 

 

 

Net income (loss)

     (6,126,489     (19,289,519

Less: Net income (loss) attributable to non-controlling interests

     (232,080     (153,513
  

 

 

   

 

 

 

Net income (loss) attributable to Graymark Healthcare

   $ (5,894,409   $ (19,136,006
  

 

 

   

 

 

 

Earnings per common share (basic and diluted):

    

Net income (loss) from continuing operations

   $ (0.54   $ (2.15

Income from discontinued operations

     0.03        (0.49
  

 

 

   

 

 

 

Net income (loss) per share

   $ (0.51   $ (2.64
  

 

 

   

 

 

 

Weighted average number of common shares outstanding

     11,526,447        7,247,826   
  

 

 

   

 

 

 

Weighted average number of diluted shares outstanding

     11,526,447        7,247,826   
  

 

 

   

 

 

 

 

Page 8 of 8