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8-K - FORM 8-K - TEAM HEALTH HOLDINGS INC.d388862d8k.htm

Exhibit 99.1

 

LOGO

 

FOR IMMEDIATE RELEASE       INVESTOR CONTACT:
      David Jones
      Executive Vice President and
      Chief Financial Officer
      865-293-5299
      MEDIA CONTACT:
      Tracy Young
      Vice President, Communications
      800-818-1498

Team Health Holdings, Inc. Announces Second Quarter 2012

Financial Results

 

   

Net revenue increased 18.5% to $506.3 million over the prior year second quarter

 

   

Net earnings were $14.1 million; $26.4 million, after adjustments

 

   

Diluted net earnings per share of $0.21; Adjusted EPS of $0.39

 

   

Adjusted EBITDA increased 14.6% to $55.1 million

 

   

Projected growth in net revenue for full year 2012 revised to an expected range of 16.0% to 17.0% from the prior 14.0% to 15.0% guidance

KNOXVILLE, Tenn. – July 31, 2012 – Team Health Holdings, Inc. (“TeamHealth”) (NYSE: TMH), one of the largest providers of outsourced physician staffing solutions for hospitals in the United States, today announced results for its second quarter of 2012.

“We are pleased with our second quarter results, as we delivered another strong quarter of growth in revenue, operating cash flow, Adjusted EBITDA, and Adjusted EPS,” said TeamHealth President and Chief Executive Officer, Greg Roth.

“Our financial performance demonstrates the effectiveness and consistency of our balanced and integrated approach to achieving our revenue growth goals. All of our growth drivers delivered contributions to revenue, which include same contract, acquisitions and net contract growth. For the quarter, acquisition growth was the largest element of consolidated revenue growth as we benefited from the financial performance of recent acquisitions that closed in the second half of 2011 and the first half of 2012.

 

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Same contract revenue contributed solid growth, driven by an improvement in recent volume growth trends and increases in estimated collections per visit and contract revenue. Net new contract growth also performed well as we continue to benefit from opportunities to add new hospital relationships through our sales and marketing process. Moving into the second half of 2012, we remain optimistic about our prospects with an active acquisition pipeline and opportunities for additional new contract wins and continued same contract revenue growth.

“As a result of our financial performance in the first half of 2012, including the contribution from our recent acquisitions, and our current expectations about operating trends and growth opportunities for the second half of 2012, we have increased our estimates for net revenue growth for fiscal year 2012 to range between $2.02 billion and $2.04 billion, reflecting a growth rate of between 16.0% and 17.0%, which is an increase from the prior guidance of 14.0% to 15.0% annual growth rate in net revenue. We continue to project Adjusted EBITDA margin for the full year of 2012 to be around 10.5%,” concluded Mr. Roth

Lynn Massingale, M.D., Executive Chairman of TeamHealth, added, “In June, the Supreme Court upheld the constitutionality of most elements within the Affordable Care Act, including the requirement that individuals must maintain health insurance or pay a penalty. While there are still many issues around implementation yet to be addressed, we believe that the Supreme Court’s decision to uphold the major components of this legislation, including the individual mandate, will ultimately reduce the uninsured population, leading to an improved payor mix and an increase in patient volumes, especially for our emergency medicine service line. It is still unclear, though, how this decision will impact managed care and commercial pricing going forward. Regardless of the future outcome of healthcare reform, our business outlook is strong. TeamHealth remains an attractive partner for strong physician groups and hospitals, and we will continue to utilize our national infrastructure and strong physician leadership to drive operational improvements across our growing network of high quality affiliated providers. We remain fully committed to providing our affiliated clinicians the support required to deliver exceptional patient care while generating long-term shareholder value. We will continue to invest in areas that drive ongoing improvements in patient safety, risk management, operational efficiency and customer satisfaction to ensure that both physicians and hospitals recognize the value of partnering with TeamHealth within a changing healthcare environment.”

 

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2012 Second Quarter Results

Net revenue increased 18.5% to $506.3 million from $427.2 million in the second quarter of 2011. Acquisitions contributed 10.9%, same contracts contributed 4.6% and new contracts, net of terminations contributed 3.0%, of the increase in quarter-over-quarter growth in net revenue.

Same contract revenue increased $19.8 million, or 5.0%, to $417.1 million from $397.3 million in the second quarter of 2011. Same contract fee-for-service volume growth of 3.6% reflected an improvement over recent quarters and provided a 2.7% increase in same contract revenue growth; while increases in estimated collections on fee-for-service visits of 1.9% provided a 1.5% increase in same contract revenue growth between quarters. Contract and other revenue contributed 0.8% to same contract revenue growth between quarters. Acquisitions contributed $46.6 million of revenue growth and net new contract revenue increased by $12.7 million between quarters.

Reported net earnings were $14.1 million, or $0.21 diluted net earnings per share, compared to net earnings of $16.8 million, or $0.25 diluted net earnings per share, in the second quarter of 2011. The financial results for the second quarter of 2012 included $12.2 million ($7.6 million after-tax) of contingent purchase compensation expense associated with acquisitions that contained a contingent payment component of the total purchase price and non-cash amortization expense of $7.3 million ($4.7 million after tax). Excluding these items, net earnings for the second quarter of 2012 were $26.4 million and Adjusted EPS was $0.39 per share. Financial results for the second quarter of 2011 included $2.5 million of contingent purchase compensation expense ($1.5 million after-tax), non-cash amortization expense of $3.6 million ($2.3 million after-tax) and a $6.0 million loss on debt refinancing ($3.6 million after tax). Excluding these items, net earnings for the second quarter of 2011 were $24.2 million and Adjusted EPS was $0.36 per share. See “Non-GAAP Financial Measures Reconciliations” and “Adjusted Earnings Per Share” below for the definition of Adjusted EPS and its reconciliation to net earnings and diluted earnings per share.

Second quarter 2012 net earnings were also impacted by transaction costs of $1.3 million compared to $1.0 million in 2011.

Cash flow provided by operations for the quarter was $16.3 million compared to $3.3 million in the same quarter in 2011. Included in operating cash flows were contingent purchase price payments of $2.0 million in 2012 and $0.3 million in 2011. Excluding the impact of contingent purchase price payments, the $14.7 million increase in operating cash flow between quarters was principally the result of decreased use of cash in funding accounts receivable and working capital liabilities in the second quarter of 2012 partially offset by an increase in tax and interest payments.

 

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Adjusted EBITDA increased 14.6% to $55.1 million from $48.0 million in the second quarter of 2011, and Adjusted EBITDA margin was 10.9% compared to 11.2% for the same quarter in 2011. See “Non-GAAP Financial Measures Reconciliations” and “Adjusted EBITDA” below for the definitions of Adjusted EBITDA Margin and Adjusted EBITDA and its reconciliation to net earnings.

As of June 30, 2012, the Company had cash and cash equivalents of approximately $13.6 million and $96.6 million of available borrowings under a revolving credit facility (without giving effect to $6.0 million of undrawn letters of credit). The Company’s total outstanding debt was $518.4 million, including $128.4 million outstanding under its revolving credit facility. The increase in total debt in the second quarter of 2012 was $109.9 million, which reflected a $112.4 million increase of outstanding revolver borrowings used to finance second quarter acquisitions, and $2.5 million of term debt payments.

2012 First Half Results

Net revenue in the six months ended June 30, 2012 increased 17.3% to $985.0 million from $839.7 million for the same period of 2011, same contract revenue contributed 3.9% of the growth, and acquisitions contributed 9.4% of the growth in net revenue. New contracts, net of terminations, contributed 4.0% of the growth. Same contract revenue for the six months ended June 30, 2012 increased $32.5 million or 4.3% to $791.8 million from $759.3 million in the same period a year ago. Fee-for-service volume growth provided a 1.8% increase in same contract revenue growth as the number of visits increased 2.4% from the same contract volume reported in the six months ended June 30, 2011. Increases in estimated collections on fee-for-service visits of 2.9% provided a 2.2% increase in same contract revenue growth between periods. Contract revenue and other revenue contributed 0.3% to same contract revenue growth. Acquisitions contributed $78.9 million of growth between periods. Net new contract revenue increased by $33.8 million.

Reported net earnings were $28.5 million in the six months ended June 30, 2012, or $0.42 diluted net earnings per share, compared to net earnings of $37.0 million, or $0.56 diluted net earnings per share, in the same period of 2011. The 2012 first half financial results included $18.6 million ($11.4 million after-tax) of contingent purchase compensation expense and non-cash amortization expense of $13.4 million ($8.5 million after-tax). In addition, the financial results for the 2012 first half included an increase in

 

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prior year loss reserves of $5.2 million ($3.1 million after-tax). Excluding these items, net earnings for the 2012 first half were $51.5 million and Adjusted EPS was $0.76 per share. Financial results for the same period in 2011 included $5.1 million of contingent purchase compensation expense ($3.1 million after-tax), non-cash amortization expense of $7.3 million ($4.6 million after-tax) and a loss on the refinancing of debt of $6.0 million ($3.7 million after-tax). Excluding these adjustments, net earnings for the same period in 2011 were $48.2 and Adjusted EPS was $0.73 per share. See “Non-GAAP Financial Measures Reconciliations” and “Adjusted Earnings Per Share” below for the definition of Adjusted EPS and its reconciliation to net earnings and diluted earnings per share.

Cash flow provided by operations for the six months ended June 30, 2012 was $30.7 million compared to $24.2 million in 2011. Included in operating cash flows were contingent purchase expense payments of $2.0 million in 2012 and $7.2 million in 2011. Excluding the impact of contingent purchase payments, operating cash flows increased $1.3 million.

Adjusted EBITDA for the six months ended June 30, 2012 increased to $105.7 million from $96.0 million in 2011, and Adjusted EBITDA margin was 10.7% compared to 11.4% for the same period in 2011. See “Non-GAAP Financial Measures Reconciliation” and “Adjusted EBITDA” below for the definitions of Adjusted EBITDA Margin and Adjusted EBITDA and its reconciliation to net earnings.

Conference Call

As previously announced, TeamHealth will hold a conference call tomorrow, August 1, to discuss its 2012 fiscal second quarter results at 8:30 a.m. (Eastern Time). The conference call can be accessed live over the phone by dialing 1-877-941-2068, or for international callers, 1-480-629-9712. A replay will be available one hour after the call and can be accessed by dialing 1-877-870-5176, or for international callers, 1-858-384-5517. The passcode for the live call and the replay is 4552553. The replay will be available until August 8, 2012.

Interested investors and other parties may also listen to a simultaneous webcast of the conference call by logging onto the Investor Relations section of the Company’s website at www.teamhealth.com. The on-line replay will remain available for a limited time beginning immediately following the call in the Investor Relations section of the Company’s website at www.teamhealth.com.

To learn more about TeamHealth, please visit the company’s Web site at www.teamhealth.com. TeamHealth uses its Web site as a channel of distribution for material Company information. Financial and other material information regarding TeamHealth is routinely posted on the Company’s Web site and is readily accessible.

 

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About TeamHealth

TeamHealth (Knoxville, Tenn.) (NYSE: TMH) is one of the largest providers of outsourced physician staffing solutions for hospitals in the United States. Through its 16 regional locations and multiple service lines, TeamHealth’s approximately 8,000 affiliated healthcare professionals provide emergency medicine, hospital medicine, anesthesia, urgent care, and pediatric staffing and management services to approximately 760 civilian and military hospitals, clinics, and physician groups in 47 states. For more information about TeamHealth, visit www.teamhealth.com.

 

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Forward Looking Statements

Statements and information contained herein that are not historical facts and that reflect the current view of Team Health Holdings, Inc. (the “Company”) about future events and financial performance are hereby identified as “forward looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995. Some of these statements can be identified by terms and phrases such as “anticipate,” “believe,” “intend,” “estimate,” “expect,” “continue,” “could,” “should,” “may,” “plan,” “project,” “predict” and similar expressions. The Company cautions that such “forward looking statements,” including without limitation, those relating to the Company’s future business prospects, revenue, working capital, professional liability expense, liquidity, capital needs, interest costs and income, wherever they occur in this or in other statements attributable to the Company, are necessarily estimates reflecting the judgment of the Company’s senior management and involve a number of risks and uncertainties that could cause actual results to differ materially from those suggested by the “forward looking statements.” Factors that could cause our actual results to differ materially from those expressed or implied in such forward-looking statements include but are not limited to current or future government regulation of the healthcare industry, exposure to professional liability lawsuits and governmental agency investigations, the adequacy of insurance coverage and insurance reserves, as well as those factors detailed under the caption “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in the Company’s most recent annual report on Form 10-K and the most recent quarterly report on Form 10-Q filed with the Securities and Exchange Commission. The Company’s “forward looking statements” speak only as of the date hereof and the Company disclaims any intent or obligation to update “forward looking statements” herein to reflect changed assumptions, the occurrence of unanticipated events, or changes to future operating results over time.

Non-GAAP Financial Measures Reconciliations

In this release we refer to Adjusted EBITDA, Adjusted EBITDA margin, and Adjusted EPS which are financial measures that are calculated and presented on the basis of methodologies other than in accordance with generally accepted accounting principles in the United States of America (“GAAP”). Adjusted EBITDA is defined as net earnings before interest expense, taxes, depreciation and amortization, as further adjusted to exclude the non-cash items and the other adjustments shown in the table under “Adjusted EBITDA” below. Adjusted EBITDA margin represents Adjusted EBITDA divided by net revenue. Adjusted EPS is defined as diluted earnings per share excluding non-cash and other adjustments, including the impact of contingent purchase

 

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compensation expense and amortization expense relating to purchase accounting for historical acquisitions and the other adjustments shown in the table under “Adjusted Earnings Per Share”. For a reconciliation of each of Adjusted EBITDA and Adjusted EPS to the most directly comparable GAAP measure, we refer you to the tables under “Adjusted EBITDA” and “Adjusted Earnings Per Share,” respectively.

 

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Team Health Holdings, Inc.

Consolidated Balance Sheets

 

     December 31,
2011
    June 30,
2012
 
    

(Unaudited)

(In thousands)

 

ASSETS

    

Current assets:

    

Cash and cash equivalents

   $ 9,855      $ 13,576   

Accounts receivable, less allowance for uncollectibles of $265,293 and $302,280 in 2011 and 2012, respectively

     307,874        350,380   

Prepaid expenses and other current assets

     24,021        33,019   

Receivables under insured programs

     14,129        12,046   

Income tax receivable

     1,438        —     
  

 

 

   

 

 

 

Total current assets

     357,317        409,021   

Investments of insurance subsidiary

     94,300        96,677   

Property and equipment, net

     34,674        44,234   

Other intangibles, net

     101,910        132,351   

Goodwill

     232,215        305,100   

Deferred income taxes

     36,188        33,033   

Receivables under insured programs

     31,581        31,204   

Other

     40,082        41,263   
  

 

 

   

 

 

 
   $ 928,267      $ 1,092,883   
  

 

 

   

 

 

 

LIABILITIES AND SHAREHOLDERS’ EQUITY

    

Current liabilities:

    

Accounts payable

   $ 22,356      $ 21,002   

Accrued compensation and physician payable

     153,674        151,517   

Other accrued liabilities

     109,649        114,535   

Income tax payable

     —          2,962   

Current maturities of long-term debt

     35,000        138,400   

Deferred income taxes

     38,068        35,118   
  

 

 

   

 

 

 

Total current liabilities

     358,747        463,534   

Long-term debt, less current maturities

     385,000        380,000   

Other non-current liabilities

     167,120        193,091   

Shareholders’ equity:

    

Common stock, ($0.01 par value; 100,000 shares authorized, 65,589 and 66,150 shares issued and outstanding at December 31, 2011 and June 30, 2012, respectively)

     656        661   

Additional paid-in capital

     541,216        551,495   

Accumulated deficit

     (527,774     (499,234

Accumulated other comprehensive income

     3,302        3,336   
  

 

 

   

 

 

 

Shareholders’ equity

     17,400        56,258   
  

 

 

   

 

 

 
   $ 928,267      $ 1,092,883   
  

 

 

   

 

 

 

-continued-

 

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Team Health Holdings, Inc.

Consolidated Statements of Comprehensive Earnings

 

     Three Months Ended
June 30,
 
     2011     2012  
     (Unaudited)  
     (In thousands, except per share data)  

Net revenue before provision for uncollectibles

   $ 763,983      $ 930,219   

Provision for uncollectibles

     336,746        423,920   
  

 

 

   

 

 

 

Net revenue

     427,237        506,299   

Cost of services rendered (exclusive of depreciation and amortization shown separately below)

    

Professional service expenses

     327,084        392,820   

Professional liability costs

     15,144        16,660   

General and administrative expenses (includes contingent purchase compensation expense of $2,454 and $12,242 in 2011 and 2012, respectively)

     40,908        56,500   

Other (income) expense

     (113     283   

Depreciation

     3,264        3,531   

Amortization

     3,638        7,332   

Interest expense, net

     2,513        3,974   

Transaction costs

     1,041        1,277   

Loss on refinancing of debt

     6,022        —     
  

 

 

   

 

 

 

Earnings before income taxes

     27,736        23,922   

Provision for income taxes

     10,888        9,806   
  

 

 

   

 

 

 

Net earnings

   $ 16,848      $ 14,116   
  

 

 

   

 

 

 

Net earnings per share

    

Basic

   $ 0.26      $ 0.21   

Diluted

   $ 0.25      $ 0.21   

Weighted average shares outstanding

    

Basic

     64,921        65,814   

Diluted

     66,951        67,753   

Other comprehensive income, net of tax:

    

Net change in fair value of investments, net of tax of $422 and $190 for 2011 and 2012, respectively

     783        353   
  

 

 

   

 

 

 

Total comprehensive earnings

   $ 17,631      $ 14,469   
  

 

 

   

 

 

 

-continued-

 

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Team Health Holdings, Inc.

Consolidated Statements of Comprehensive Earnings

 

     Six Months Ended
June 30,
 
     2011     2012  
     (Unaudited)  
     (In thousands, except per share data)  

Net revenue before provision for uncollectibles

   $ 1,483,116      $ 1,770,643   

Provision for uncollectibles

     643,385        785,682   
  

 

 

   

 

 

 

Net revenue

     839,731        984,961   

Cost of services rendered (exclusive of depreciation and amortization shown separately below)

    

Professional service expenses

     640,734        764,405   

Professional liability costs

     29,883        38,968   

General and administrative expenses (includes contingent purchase compensation expense of $5,071 and $18,585 in 2011 and 2012, respectively)

     81,662        104,864   

Other income

     (660     (1,174

Depreciation

     6,315        6,650   

Amortization

     7,276        13,449   

Interest expense, net

     5,790        7,531   

Transaction costs

     1,195        2,505   

Loss on refinancing of debt

     6,022        —     
  

 

 

   

 

 

 

Earnings before income taxes

     61,514        47,763   

Provision for income taxes

     24,546        19,223   
  

 

 

   

 

 

 

Net earnings

   $ 36,968      $ 28,540   
  

 

 

   

 

 

 

Net earnings per share

    

Basic

   $ 0.57      $ 0.43   

Diluted

   $ 0.56      $ 0.42   

Weighted average shares outstanding

    

Basic

     64,709        65,691   

Diluted

     66,192        67,569   

Other comprehensive income, net of tax:

    

Net change in fair value of investments, net of tax of $313 and $18 for 2011 and 2012, respectively

     580        34   

Net change in fair value of swaps, net of tax of $359 for 2011

     562        —     
  

 

 

   

 

 

 

Total comprehensive earnings

   $ 38,110      $ 28,574   
  

 

 

   

 

 

 

-continued-

 

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Team Health Holdings, Inc.

Consolidated Statements of Cash Flows

 

     Three Months Ended
June 30,
 
     2011     2012  
     (Unaudited)  
     (In thousands)  

Operating Activities

    

Net earnings

   $ 16,848      $ 14,116   

Adjustments to reconcile net earnings:

    

Depreciation

     3,264        3,531   

Amortization

     3,638        7,332   

Amortization of deferred financing costs

     447        200   

Employee equity-based compensation expense

     782        1,738   

Provision for uncollectibles

     336,746        423,920   

Deferred income taxes

     845        1,713   

Loss on refinancing of debt

     1,654        —     

(Gain) loss on sale or disposal of equipment

     23        (84

Loss on assets held for sale

     (20     —     

Equity in joint venture income

     (980     (871

Changes in operating assets and liabilities, net of acquisitions:

    

Accounts receivable

     (350,606     (435,635

Prepaids and other assets

     (5,555     (11,015

Income tax accounts

     (5,738     (12,415

Accounts payable

     (8,397     (860

Accrued compensation and physician payable

     5,397        11,508   

Other accrued liabilities

     1,296        (1,926

Contingent purchase liabilities

     2,134        10,247   

Professional liability reserves

     1,480        4,761   
  

 

 

   

 

 

 

Net cash provided by operating activities

     3,258        16,260   

Investing Activities

    

Purchases of property and equipment

     (1,892     (6,686

Sale of property and equipment

     —          171   

Cash paid for acquisitions, net

     (325     (118,872

Purchases of investments by insurance subsidiary

     (24,179 )     (22,729

Proceeds from investments by insurance subsidiary

     26,138        20,714   
  

 

 

   

 

 

 

Net cash used in investing activities

     (258     (127,402

Financing Activities

    

Payments on notes payable

     (402,688     (2,500

Proceeds from notes payable

     400,000        —     

Proceeds from revolving credit facility

     —          311,500   

Payments on revolving credit facility

     —          (199,100

Payments of financing costs

     (7,759     —     

Proceeds from the issuance of common stock under stock purchase plans

     872        1,054   

Proceeds from exercise of stock options

     6,351        4,224   

Stock issuance costs

     (25     (653
  

 

 

   

 

 

 

Net cash (used in) provided by financing activities

     (3,249     114,525   
  

 

 

   

 

 

 

Net increase (decrease) in cash

     (249     3,383   

Cash and cash equivalents, beginning of period

     49,153        10,193   
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 48,904      $ 13,576   
  

 

 

   

 

 

 

Interest paid

   $ 2,669      $ 4,117   
  

 

 

   

 

 

 

Taxes paid

   $ 15,394      $ 20,692   
  

 

 

   

 

 

 

-continued-

 

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Team Health Holdings, Inc.

Consolidated Statements of Cash Flows

 

     Six Months Ended
June 30,
 
     2011     2012  
     (Unaudited)  
     (In thousands)  

Operating Activities

    

Net earnings

   $ 36,968      $ 28,540   

Adjustments to reconcile net earnings:

    

Depreciation

     6,315        6,650   

Amortization

     7,276        13,449   

Amortization of deferred financing costs

     903        399   

Employee equity-based compensation expense

     1,388        2,861   

Provision for uncollectibles

     643,385        785,682   

Deferred income taxes

     6,179        187   

Loss on refinancing of debt

     1,654        —     

Loss (gain) on sale of equipment

     41        (62

Equity in joint venture income

     (1,520     (1,407

Changes in operating assets and liabilities, net of acquisitions:

    

Accounts receivable

     (674,498     (814,950

Prepaids and other assets

     (3,658     (6,377

Income tax accounts

     1,665        (2,480

Accounts payable

     (11,914     (3,065

Accrued compensation and physician payable

     5,480        (3,250

Contingent purchase compensation expense liability

     (2,119     16,590   

Other accrued liabilities

     2,470        (5,058

Professional liability reserves

     4,178        12,984   
  

 

 

   

 

 

 

Net cash provided by operating activities

     24,193        30,693   

Investing Activities

    

Purchases of property and equipment

     (4,094     (9,595

Sale of property and equipment

     90        171   

Cash paid for acquisitions, net

     (325     (118,872

Purchases of investments by insurance subsidiary

     (40,394     (44,886

Proceeds from investments by insurance subsidiary

     40,315        42,562   

Other investing activities

     —          (2,000
  

 

 

   

 

 

 

Net cash used in investing activities

     (4,408     (132,620

Financing Activities

    

Payments on notes payable

     (403,750     (5,000

Proceeds from notes payable

     400,000        —     

Proceeds from revolving credit facility

     —          461,300   

Payments on revolving credit facility

     —          (357,900

Proceeds from the issuance of common stock under stock purchase plans

     872        1,054   

Proceeds from exercise of stock options

     9,910        6,866   

Stock issuance costs

     (491     (653

Payments of financing costs

     (7,759     (19
  

 

 

   

 

 

 

Net cash (used in) provided by financing activities

     (1,218     105,648   
  

 

 

   

 

 

 

Increase in cash and cash equivalents

     18,567        3,721   

Cash and cash equivalents, beginning of period

     30,337        9,855   
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 48,904      $ 13,576   
  

 

 

   

 

 

 

Interest paid

   $ 7,003      $ 8,054   
  

 

 

   

 

 

 

Taxes paid

   $ 16,362      $ 21,650   
  

 

 

   

 

 

 

-continued-

 

13


Team Health Holdings, Inc.

Adjusted EBITDA

We present Adjusted EBITDA as a supplemental measure of our performance. We define Adjusted EBITDA as net earnings before interest expense, taxes, depreciation and amortization, as further adjusted to exclude the non-cash items and the other adjustments shown in the table below. We present Adjusted EBITDA because we believe it assists investors and analysts in comparing our performance across reporting periods on a consistent basis by excluding items that we do not believe are indicative of our core operating performance.

Adjusted EBITDA is not a measurement of financial performance or liquidity under generally accepted accounting principles. In evaluating our performance as measured by Adjusted EBITDA, management recognizes and considers the limitations of this measure. Adjusted EBITDA does not reflect certain cash expenses that we are obligated to make, and although depreciation and amortizations are non-cash charges, assets being depreciated and amortized will often have to be replaced in the future, and Adjusted EBITDA does not reflect any cash requirements for such replacements. In addition, other companies in our industry may calculate Adjusted EBITDA differently than we do or may not calculate it at all, limiting its usefulness as a comparative measure. Because of these limitations, Adjusted EBITDA should not be considered in isolation or as a substitute for net income, operating income, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with generally accepted accounting principles.

The following table sets forth a reconciliation of net earnings to Adjusted EBITDA.

 

     Three Months Ended
June 30,
     Six Months Ended
June 30,
 
     2011     2012      2011     2012  
     (in thousands)  

Net earnings

   $ 16,848      $ 14,116       $ 36,968      $ 28,540   

Interest expense, net

     2,513        3,974         5,790        7,531   

Provision for income taxes

     10,888        9,806         24,546        19,223   

Depreciation

     3,264        3,531         6,315        6,650   

Amortization

     3,638        7,332         7,276        13,449   

Other (income) expenses(a)

     (113     283         (660     (1,174

Contingent purchase compensation expense(b)

     2,454        12,242         5,071        18,585   

Loss on refinancing of debt(c)

     6,022        —           6,022        —     

Transaction costs(d)

     1,041        1,277         1,195        2,505   

Employee equity-based compensation expense(e)

     782        1,738         1,388        2,861   

Insurance subsidiary interest income

     567        548         1,165        1,112   

Professional liability loss reserve adjustments associated with prior years

     —          —           —          5,165   

Severance and other charges

     135        223         927        1,294   
  

 

 

   

 

 

    

 

 

   

 

 

 

Adjusted EBITDA

   $ 48,039      $ 55,070       $ 96,003      $ 105,741   
  

 

 

   

 

 

    

 

 

   

 

 

 

 

(a) Reflects gain or loss on sale of assets, realized gains on investments, and changes in fair value of investments associated with the Company’s non-qualified retirement plan.
(b) Reflects contingent purchase compensation expense associated with earnout arrangements on acquisition transactions.
(c) Reflects the write-off of deferred financing costs of $1,654 from the previous term loan, as well as certain fees and expenses associated with the debt refinancing.
(d) Reflects expenses associated with acquisition transaction fees.
(e) Reflects costs related to options and restricted shares granted under the Team Health Holdings, Inc. 2009 Stock Incentive Plan.

-continued-

 

14


Team Health Holdings, Inc.

Adjusted Earnings Per Share

(in thousands, except per share data)

We present Adjusted earnings per share (“Adjusted EPS”) as a supplemental measure of our performance. We define Adjusted EPS as diluted earnings per share excluding non-cash and other adjustments, including the impact of contingent purchase compensation expense and amortization expense relating to purchase accounting for historical acquisitions. We present Adjusted EPS because we believe that it assists investors in understanding the impact of acquisition-related costs on our earnings per share and comparing our performance across operating periods on a consistent basis and provides additional insight into our core earnings performance. Adjusted EPS is not a measurement of financial performance or liquidity under generally accepted accounting principles. In evaluating our performance as measured by Adjusted EPS, management recognizes and considers the limitations of this measure. Adjusted EPS does not reflect certain cash expenses that we are obligated to make, and although contingent purchase compensation expense and amortization expense are non-cash charges in the period reported, such charges reflect historical or future cash payments in conjunction with our acquisition transactions. In addition, other companies in our industry may calculate Adjusted EPS differently than we do or may not calculate it at all, limiting its usefulness as a comparative measure. Because of these limitations, Adjusted EPS should not be considered in isolation or as a substitute for net income, operating income, basic and diluted earnings per share, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with generally accepted accounting principles.

The following tables set forth a reconciliation of diluted earnings per share to Adjusted EPS (note that some totals may not add due to rounding).

 

     Three Months Ended June 30,  
     2011      2012  

Diluted weighted average shares outstanding

     66,951            67,753      
  

 

 

    

 

 

    

 

 

    

 

 

 

Net earnings and diluted net earnings per share, as reported

   $ 16,848       $ 0.25       $ 14,116       $ 0.21   

Adjustments:

           

Loss on refinancing of debt, net of tax of $(2,397) for 2012

     3,625         0.05         

Contingent purchase compensation expense, net of tax of $(977) and $(4,677) for 2011 and 2012, respectively

     1,477         0.02         7,565         0.11   

Amortization expense, net of tax of $(1,350) and $(2,653) for 2011 and 2012, respectively

     2,288         0.03         4,679         0.07   
  

 

 

    

 

 

    

 

 

    

 

 

 

Net earnings and diluted earnings per share, as adjusted

   $ 24,238       $ 0.36       $ 26,360       $ 0.39   
  

 

 

    

 

 

    

 

 

    

 

 

 

 

     Six Months Ended June 30,  
     2011      2012  

Diluted weighted average shares outstanding

     66,192            67,569      
  

 

 

    

 

 

    

 

 

    

 

 

 

Net earnings and diluted net earnings per share, as reported

   $ 36,968       $ 0.56       $ 28,540       $ 0.42   

Adjustments:

           

Professional liability loss reserve adjustments associated with prior years, net of tax of $(2,051) for 2012

     —           —           3,114         0.05   

Loss on refinancing of debt, net of tax of $(2,397) for 2012

     3,625         0.05         —           —     

Contingent purchase compensation expense, net of tax of $(2,019) and $(7,195) for 2011 and 2012, respectively

     3,052         0.05         11,390         0.17   

Amortization expense, net of tax of $(2,700) and $(4,984) for 2011 and 2012, respectively

     4,576         0.07         8,465         0.12   
  

 

 

    

 

 

    

 

 

    

 

 

 

Net earnings and diluted earnings per share, as adjusted

   $ 48,221       $ 0.73       $ 51,509       $ 0.76   
  

 

 

    

 

 

    

 

 

    

 

 

 

-continued-

 

15


Team Health Holdings, Inc.

Revenue Analysis

The components of net revenue include revenue from contracts that have been in effect for prior periods (same contracts) and from net, new and acquired contracts during the periods, as set forth in the table below:

 

     Three Months Ended
June 30,
 
     2011      2012  
     (in thousands)  

Same contracts:

     

Fee-for-service revenue

   $ 292,980       $ 309,523   

Contract and other revenue

     104,313         107,578   
  

 

 

    

 

 

 

Total same contracts

     397,293         417,101   

New contracts, net of terminations:

     

Fee-for-service revenue

     16,803         21,417   

Contract and other revenue

     11,918         19,974   
  

 

 

    

 

 

 

Total new contracts, net of terminations

     28,721         41,391   

Acquired contracts:

     

Fee-for-service revenue

     1,223         39,850   

Contract and other revenue

     —           7,957   
  

 

 

    

 

 

 

Total acquired contracts

     1,223         47,807   

Consolidated:

     

Fee-for-service revenue

     311,006         370,790   

Contract and other revenue

     116,231         135,509   
  

 

 

    

 

 

 

Total net revenue

   $ 427,237       $ 506,299   
  

 

 

    

 

 

 

The following table reflects the visits and procedures included within fee-for-service revenues described in the table above:

 

     Three Months Ended
June 30,
 
     2011      2012  
     (in thousands)  

Fee-for-service visits and procedures:

     

Same contract

     2,122         2,199   

New and acquired contracts, net of terminations

     135         395   
  

 

 

    

 

 

 

Total fee-for-service visits and procedures

     2,257         2,594   
  

 

 

    

 

 

 

-continued-

 

16


Team Health Holdings, Inc.

Revenue Analysis

The components of net revenue include revenue from contracts that have been in effect for prior periods (same contracts) and from net, new and acquired contracts during the periods, as set forth in the table below:

 

     Six months Ended
June 30,
 
     2011      2012  
     (in thousands)  

Same contracts:

     

Fee-for-service revenue

   $ 560,492       $ 590,969   

Contract and other revenue

     198,790         200,831   
  

 

 

    

 

 

 

Total same contracts

     759,282         791,800   

New contracts, net of terminations:

     

Fee-for-service revenue

     47,118         63,549   

Contract and other revenue

     32,108         49,518   
  

 

 

    

 

 

 

Total new contracts, net of terminations

     79,226         113,067   

Acquired contracts:

     

Fee-for-service revenue

     1,223         66,708   

Contract and other revenue

     —           13,386   
  

 

 

    

 

 

 

Total acquired contracts

     1,223         80,094   

Consolidated:

     

Fee-for-service revenue

     608,833         721,226   

Contract and other revenue

     230,898         263,735   
  

 

 

    

 

 

 

Total net revenue

   $ 839,731       $ 984,961   
  

 

 

    

 

 

 

The following table reflects the visits and procedures included within fee-for-service revenues described in the table above:

 

     Six months Ended
June 30,
 
     2011      2012  
     (in thousands)  

Fee-for-service visits and procedures:

     

Same contract

     4,064         4,163   

New and acquired contracts, net of terminations

     376         877   
  

 

 

    

 

 

 

Total fee-for-service visits and procedures

     4,440         5,040   
  

 

 

    

 

 

 

###

 

17