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8-K - IASIS HEALTHCARE LLC 8-K - IASIS Healthcare LLCa50368613.htm

Exhibit 99.1

IASIS Healthcare Announces Third Quarter 2012 Results

FRANKLIN, Tenn.--(BUSINESS WIRE)--August 7, 2012--IASIS Healthcare® LLC (“IASIS”) today announced financial and operating results for the fiscal third quarter and nine months ended June 30, 2012. In the first quarter of fiscal 2012, IASIS adopted accounting guidance that results in the classification of the provision for bad debts as a revenue deduction rather than an operating expense, and such guidance has been applied to the financial statements of both the current and prior year periods.

Net revenue for the third quarter totaled $631.3 million, a decrease of 3.0%, compared to $650.5 million in the prior year quarter. The decline in consolidated net revenue is primarily attributable to a $46.4 million decrease in premium revenue at Health Choice, the Company’s Medicaid and Medicare managed health plan in Arizona, as a result of a state mandated reduction in certain Medicaid enrollees, along with capitation rate reductions implemented by the Arizona Health Care Cost Containment System (“AHCCCS”). Acute care revenue for the third quarter increased $27.2 million or 5.9% compared to the prior year quarter. Adjusted EBITDA for the third quarter totaled $70.5 million, compared to $82.4 million in the prior year quarter. Adjusted EBITDA for the third quarter did not include any Medicaid electronic health records (“EHR”) incentive payments, compared to the prior year quarter which included $8.1 million. Excluding the impact of Medicaid EHR incentive payments, adjusted EBITDA declined $3.8 million for the third quarter, compared to the prior year quarter, including a $4.8 million decline in adjusted EBITDA at Health Choice. Net earnings from continuing operations for the third quarter totaled $11.8 million, compared to $2.3 million in the prior year quarter, which included a $23.1 million loss on extinguishment of debt.

In the third quarter, admissions and adjusted admissions increased 3.6% and 4.1%, respectively, compared to the prior year quarter. On a same-facility basis, admissions decreased 0.4% and adjusted admissions increased 0.5%, while net patient revenue per adjusted admission increased 2.2%, each compared to the prior year quarter. Along with an increase in bad debt expense resulting primarily from the effects of Arizona’s reduction in Medicaid eligibility, net patient revenue per adjusted admission has been negatively impacted by reimbursement reductions from state Medicaid programs, particularly in Texas and Arizona.

Net revenue for the nine months ended June 30, 2012, totaled $1.9 billion, an increase of 0.7% compared to the prior year period. Adjusted EBITDA for the nine months ended June 30, 2012, totaled $231.5 million, which includes a net favorable impact of $7.0 million resulting from the combination of an industry-wide settlement with the Centers for Medicare and Medicaid Services (“CMS”) and the issuance of updates to certain payment factors used for determining Medicare Disproportionate Hospital reimbursement, compared to $229.9 million in the prior year period. Net earnings from continuing operations for the nine months ended June 30, 2012, totaled $28.3 million, compared to $42.4 million in the prior year period, which included a $23.1 million loss on extinguishment of debt.


For the nine months ended June 30, 2012, admissions and adjusted admissions increased 12.6% and 12.8%, respectively, compared to the prior year period. On a same-facility basis, admissions and adjusted admissions increased 1.5% and 2.6%, respectively, while net patient revenue per adjusted admission increased 1.4%, each compared to the prior year period.

A listen-only simulcast and 30-day replay of IASIS’ third 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 August 7, 2012. A copy of this press release will also be available on the Company’s Web site.

IASIS Healthcare, located in Franklin, Tennessee, is a leading provider of high quality, affordable healthcare services in urban and suburban markets. With total annual net revenue of approximately $2.6 billion, IASIS owns and operates 19 acute care hospitals, one behavioral health hospital facility, several outpatient service facilities, more than 160 physician clinics, and Medicaid and Medicare managed health plans in Arizona and Utah that serve more than 178,000 members. IASIS’ healthcare facilities offer a variety of access points for convenient patient care in numerous regions across the U.S., including: Salt Lake City, Utah; Phoenix, Arizona; Tampa-St. Petersburg, Florida; five cities in Texas, including Houston and San Antonio; Las Vegas, Nevada; and West Monroe, Louisiana. 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, 2011, 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 (benefit) expense, depreciation and amortization, stock-based compensation, gain (loss) on disposal of assets, loss on extinguishment of debt 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

June 30,

Nine Months Ended

June 30,

  2012       2011     2012       2011  
Net revenue
Acute care revenue $ 566,771 $ 522,446 $ 1,698,626 $ 1,483,161
Less: Provision for bad debts   (77,772 )   (60,685 )   (226,224 )   (175,100 )
Acute care revenue, net 488,999 461,761 1,472,402 1,308,061
Premium revenue   142,323     188,765     430,229     580,917  
Net revenue 631,322 650,526 1,902,631 1,888,978
 
Costs and expenses

Salaries and benefits (includes stock-based compensation of $2,022, $330, $3,964 and $1,364, respectively)

231,035 211,114 689,091 597,063
Supplies 85,782 83,071 256,921 237,431
Medical claims 116,366 155,885 349,290 484,635
Rentals and leases 13,095 11,774 37,637 34,229
Other operating expenses 116,606 114,778 350,865 315,254
Medicaid EHR incentive payments (8,125 ) (8,686 ) (8,125 )
Interest expense, net 33,625 27,597 104,121 60,984
Depreciation and amortization 29,012 26,312 86,522 74,942
Management fees 1,250 1,250 3,750 3,750
Loss on extinguishment of debt       23,075         23,075  
Total costs and expenses 626,771 646,731 1,869,511 1,823,238
 

Earnings from continuing operations

before gain (loss) on disposal of assets

and income taxes

4,551 3,795 33,120 65,740
Gain (loss) on disposal of assets, net   (233 )   (114 )   445     771  
 

Earnings from continuing operations

before income taxes

4,318 3,681 33,565 66,511
Income tax (benefit) expense   (7,517 )   1,389     5,293     24,078  
 
Net earnings from continuing operations 11,835 2,292 28,272 42,433

Earnings (loss) from discontinued operations, net of income taxes

  26     (15 )   341     (6,069 )
 
Net earnings 11,861 2,277 28,613 36,364

Net earnings attributable to non-controlling interests

  (1,082 )   (2,740 )   (5,324 )   (8,055 )
 

Net earnings (loss) attributable to IASIS Healthcare LLC

$ 10,779   $ (463 ) $ 23,289   $ 28,309  
 

 

IASIS HEALTHCARE LLC

Consolidated Balance Sheets (Unaudited)

(in thousands)

 
        June 30,

2012

  Sept. 30,

2011

 

ASSETS

 
Current assets
Cash and cash equivalents $ 64,367 $ 147,327
Accounts receivable, net 334,434 277,932
Inventories 68,050 68,330
Deferred income taxes 17,639 40,415
Prepaid expenses and other current assets   86,197   72,914
Total current assets 570,687 606,918
 
Property and equipment, net 1,168,748 1,167,920
Goodwill 809,654 808,651
Other intangible assets, net 29,907 32,779
Other assets, net   73,292   63,509
Total assets $ 2,652,288 $ 2,679,777
 

LIABILITIES AND EQUITY

 
Current liabilities
Accounts payable $ 107,961 $ 92,805
Salaries and benefits payable 52,207 58,379
Accrued interest payable 10,085 30,045
Medical claims payable 61,276 85,723
Other accrued expenses and other current liabilities 81,657 100,830
Current portion of long-term debt and capital lease obligations   13,645   14,020
Total current liabilities 326,831 381,802
 
Long-term debt and capital lease obligations 1,855,783 1,864,749
Deferred income taxes 119,700 131,018
Other long-term liabilities 104,182 78,441
 
Non-controlling interests with redemption rights 99,412 95,977
 
Equity
Member’s equity 136,633 118,000
Non-controlling interests   9,747   9,790
Total equity   146,380   127,790
Total liabilities and equity $ 2,652,288 $ 2,679,777
 

 

IASIS HEALTHCARE LLC

Consolidated Statements of Cash Flows (Unaudited)

(in thousands)

 
        Nine Months Ended

June 30,

  2012       2011  
Cash flows from operating activities
Net earnings $ 28,613 $ 36,364
Adjustments to reconcile net earnings to net cash provided by operating activities:
 
Depreciation and amortization 86,522 74,942
Amortization of loan costs 5,495 4,319
Stock-based compensation 3,964 1,364
Deferred income taxes 14,671 899
Income tax benefit from stock-based compensation 6
Income tax benefit from parent company interest 428 7,201
Fair value change in interest rate hedges (1,410 ) (695 )
Amortization of other comprehensive loss 2,057
Gain on disposal of assets, net (445 ) (771 )
Loss on extinguishment of debt 23,075
Loss (earnings) from discontinued operations, net (341 ) 6,069

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

Accounts receivable, net (57,641 ) (32,494 )
Inventories, prepaid expenses and other current assets (14,134 ) (13,572 )

Accounts payable, other accrued expenses and other accrued liabilities

  (48,742 )   (13,309 )

Net cash provided by operating activities – continuing operations

19,043 93,392

Net cash provided by (used in) operating activities – discontinued operations

  (228 )   3,260  
Net cash provided by operating activities   18,815     96,652  
 
Cash flows from investing activities
Purchases of property and equipment, net (85,051 ) (64,475 )
Cash paid for acquisitions, net (505 ) (155,428 )
Proceeds from sale of assets 82 150
Change in other assets, net   2,574     1,385  
Net cash used in investing activities   (82,900 )   (218,368 )
 
Cash flows from financing activities
Proceeds from refinancing 1,863,730
Payment of debt and capital lease obligations (10,734 ) (1,049,547 )
Debt financing costs incurred (998 ) (51,308 )
Distributions to parent company (632,866 )
Distributions to non-controlling interests (6,802 ) (7,395 )
Costs paid for the repurchase of non-controlling interests, net   (341 )   (814 )
Net cash provided by (used in) financing activities   (18,875 )   121,800  
 
Change in cash and cash equivalents (82,960 ) 84
Cash and cash equivalents at beginning of period   147,327     144,511  
Cash and cash equivalents at end of period $ 64,367   $ 144,595  
 
Supplemental disclosure of cash flow information
Cash paid for interest $

117,960

  $ 58,283  

Cash paid (received) for income taxes, net

$

(10,111)

  $ 17,587  
 

 

IASIS HEALTHCARE LLC

Segment Information (Unaudited)

(in thousands)

 

 

        For the Quarter Ended June 30, 2012
Acute Care  

Health Choice

  Eliminations   Consolidated
Acute care revenue $ 566,771 $ $ $ 566,771
Less: Provision for bad debts   (77,772 )         (77,772 )
Acute care revenue, net 488,999 488,999
Premium revenue 142,323 142,323
Revenue between segments   1,764       (1,764 )    
Net revenue 490,763 142,323 (1,764 ) 631,322
 
Salaries and benefits
(excludes stock-based compensation) 223,650 5,363 229,013
Supplies 85,710 72 85,782
Medical claims 118,130 (1,764 ) 116,366
Rentals and leases 12,745 350 13,095
Other operating expenses   111,351     5,255       116,606  
Adjusted EBITDA 57,307 13,153 70,460
 
Interest expense, net 33,625 33,625
Depreciation and amortization 28,136 876 29,012
Stock-based compensation 2,022 2,022
Management fees   1,250           1,250  

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

(7,726 ) 12,277 4,551
Loss on disposal of assets, net   (233 )         (233 )

Earnings (loss) from continuing operations before income taxes

$ (7,959 ) $ 12,277 $   $ 4,318  
 
        For the Quarter Ended June 30, 2011
Acute Care   Health Choice   Eliminations   Consolidated
Acute care revenue $ 522,446 $ $ $ 522,446
Less: Provision for bad debts   (60,685 )         (60,685 )
Acute care revenue, net 461,761 461,761
Premium revenue 188,765 188,765
Revenue between segments   3,065       (3,065 )    
Net revenue 464,826 188,765 (3,065 ) 650,526
 

Salaries and benefits (excludes stock-based compensation)

205,509 5,275 210,784
Supplies 83,010 61 83,071
Medical claims 158,950 (3,065 ) 155,885
Rentals and leases 11,378 396 11,774
Other operating expenses 108,658 6,120 114,778
Medicaid EHR incentive payments   (8,125 )         (8,125 )
Adjusted EBITDA 64,396 17,963 82,359
 
Interest expense, net 27,597 27,597
Depreciation and amortization 25,425 887 26,312
Stock-based compensation 330 330
Management fees 1,250 1,250
Loss on extinguishment of debt   23,075           23,075  

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

(13,281 ) 17,076 3,795
Loss on disposal of assets, net   (114 )         (114 )

 

Earnings (loss) from continuing operations before income taxes

$ (13,395 ) $ 17,076 $   $ 3,681  
 

 

IASIS HEALTHCARE LLC

Segment Information (Unaudited)

(in thousands)

 
        For the Nine Months Ended June 30, 2012
Acute Care   Health Choice   Eliminations   Consolidated
Acute care revenue $ 1,698,626 $ $ $ 1,698,626
Less: Provision for bad debts   (226,224 )         (226,224 )
Acute care revenue, net 1,472,402 1,472,402
Premium revenue 430,229 430,229
Revenue between segments   5,213       (5,213 )    
Net revenue 1,477,615 430,229 (5,213 ) 1,902,631
 
Salaries and benefits

(excludes stock-based compensation)

668,680 16,447 685,127
Supplies 256,736 185 256,921
Medical claims 354,503 (5,213 ) 349,290
Rentals and leases 36,506 1,131 37,637
Other operating expenses 333,763 17,102 350,865
Medicaid EHR incentive payments   (8,686 )         (8,686 )
Adjusted EBITDA 190,616 40,861 231,477
 
Interest expense, net 104,121 104,121
Depreciation and amortization 83,846 2,676 86,522
Stock-based compensation 3,964 3,964
Management fees   3,750           3,750  

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

(5,065 ) 38,185 33,120
Gain on disposal of assets, net   445           445  

Earnings (loss) from continuing operations before income taxes

$ (4,620 ) $ 38,185 $   $ 33,565  
       

For the Nine Months Ended June 30, 2011

Acute Care   Health Choice   Eliminations   Consolidated
Acute care revenue $ 1,483,161 $ $ $ 1,483,161
Less: Provision for bad debts   (175,100 )         (175,100 )
Acute care revenue, net 1,308,061 1,308,061
Premium revenue 580,917 580,917
Revenue between segments   8,532       (8,532 )    
Net revenue 1,316,593 580,917 (8,532 ) 1,888,978
 

Salaries and benefits (excludes stock-based compensation)

580,228 15,471 595,699
Supplies 237,274 157 237,431
Medical claims 493,167 (8,532 ) 484,635
Rentals and leases 32,991 1,238 34,229
Other operating expenses 295,913 19,341 315,254
Medicaid EHR incentive payments   (8,125 )         (8,125 )
Adjusted EBITDA 178,312 51,543 229,855
 
Interest expense, net 60,984 60,984
Depreciation and amortization 72,273 2,669 74,942
Stock-based compensation 1,364 1,364
Management fees 3,750 3,750
Loss on extinguishment of debt   23,075           23,075  

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

16,866 48,874 65,740
Gain on disposal of assets, net   771           771  

Earnings from continuing operations before income taxes

$ 17,637   $ 48,874 $   $ 66,511  

 

IASIS HEALTHCARE LLC

Consolidated Financial and Operating Data (Unaudited)
 

 

        Quarter Ended

June 30,

    Nine Months Ended

June 30,

 

2012     2011   2012     2011  

Consolidated Hospital Facilities

Number of acute care hospital facilities at end of period

18 18 18 18
Licensed beds at end of period 4,385 4,362 4,385 4,362
Average length of stay (days) 5.0 4.9 5.0 4.9
Occupancy rates (average beds in service) 49.5 % 48.3 % 49.8 % 48.5 %
Admissions 31,021 29,956 95,116 84,469
Percentage change 3.6 % 12.6 %
Adjusted admissions 52,988 50,914 160,708 142,480
Percentage change 4.1 % 12.8 %
Patient days 155,804 146,243 471,940 414,221
Adjusted patient days 266,132 248,559 797,389 698,697

Outpatient revenue as a percentage of gross patient revenue

41.5 % 41.2 % 40.8 % 40.7 %

Same-Facility Hospitals (1)

               

Number of acute care hospital facilities at end of period

17 17 17 17
Licensed beds at end of period 3,593 3,573 3,593 3,573
Average length of stay (days) 5.0 4.9 4.9 4.9

Occupancy rates (average beds in service)

48.6 % 47.5 % 48.8 % 47.9 %
Admissions 26,992 27,098 82,809 81,611
Percentage change (0.4 %) 1.5 %
Adjusted admissions 46,632 46,421 141,623 137,982
Percentage change 0.5 % 2.6 %
Patient days 135,288 132,054 408,696 400,032
Adjusted patient days 233,726 226,218 698,969 676,343

Outpatient revenue as a percentage of gross patient revenue

42.1 % 41.6 % 41.5 % 40.9 %

 

(1) Excludes the impact of the St. Joseph Medical Center acquisition, which was effective May 1, 2011.

 

 

IASIS HEALTHCARE LLC

Supplemental Consolidated Statements of Operations Information (Unaudited)

(in thousands)

 

 

        Quarter Ended

June 30,

    Nine Months Ended

June 30,

  2012       2011   2012       2011  

Consolidated Results

Net earnings from continuing operations $ 11,835 $ 2,292 $ 28,272 $ 42,433
Add:
Interest expense, net 33,625 27,597 104,121 60,984
Income tax (benefit) expense (7,517 ) 1,389 5,293 24,078
Depreciation and amortization 29,012 26,312 86,522 74,942
Stock-based compensation 2,022 330 3,964 1,364
Loss (gain) on disposal of assets, net 233 114 (445 ) (771 )
Management fees 1,250 1,250 3,750 3,750
Loss on extinguishment of debt       23,075       23,075  
Adjusted EBITDA $ 70,460   $ 82,359 $ 231,477   $ 229,855  
 

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 Simpson, 615-467-1255
VP, Corporate Communications