Attached files
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| 8-K - FORM 8-K - UNITED SURGICAL PARTNERS INTERNATIONAL INC | d435839d8k.htm |
Exhibit 99.1
| Contact: | Mark A. Kopser |
Executive Vice President and Chief Financial Officer
(972) 713-3500
UNITED SURGICAL PARTNERS INTERNATIONAL
ANNOUNCES THIRD QUARTER 2012 RESULTS
Dallas, Texas (November 7, 2012) – United Surgical Partners International, Inc. (“USPI” or the “Company”) today announced results for the third quarter and nine months ended September 30, 2012.
Third Quarter Financial Results
For the quarter ended September 30, 2012, consolidated net revenues increased 5% to $128.3 million compared with $122.3 million in the prior year period. Operating income for the third quarter was $56.1 million as compared with $53.8 million for the prior year period. EBITDA less noncontrolling interests increased 15% to $47.4 million versus $41.1 million in the prior year quarter.
The financial results for the third quarter were driven by systemwide revenue growth of 9%, consisting of 5% U.S. same-facility revenue growth and the remainder being due to acquisition activity.
Cash flows from operating activities for the third quarter totaled $54.5 million compared with $63.0 million for the prior year period. Due to the refinancing completed on April 3, 2012, the Company incurred higher interest costs beginning in the second quarter of 2012. During the third quarter, the Company and its consolidated subsidiaries invested approximately $3.3 million in maintenance capital expenditures and an additional $2.9 million to develop new facilities and expand existing facilities.
Nine-Month Financial Results
For the nine months ended September 30, 2012, consolidated net revenues increased 6% to $385.7 million compared with $364.8 million in the prior year period. Operating income increased 6% for the first nine months of 2012 to $176.1 million as compared with $166.5 million for the prior year period. EBITDA less noncontrolling interests increased 10% to $142.5 million versus $129.1 million in the prior year period.
Cash flows from operating activities for the nine months ended September 30, 2012, totaled $129.9 million compared with $126.5 million for the prior year period. During the first nine months of 2012, the Company and its consolidated subsidiaries invested approximately $9.5 million in maintenance capital expenditures and an additional $14.2 million to develop new facilities and expand existing facilities.
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United Surgical Partners Announces Third Quarter 2012 Results
Page 2
November 7, 2012
Systemwide Financial Results
Due to the Company’s partnerships with physicians and prominent healthcare systems, the Company does not consolidate the financial results of the majority of its facilities. While revenues of the Company’s unconsolidated facilities are not recorded as revenues by USPI, equity in earnings of unconsolidated affiliates is a significant and growing portion of the Company’s overall earnings. To help analyze results of operations, management uses systemwide operating measures such as systemwide revenue growth, which include revenues of both consolidated and unconsolidated facilities. In addition to overall systemwide revenue growth, USPI calculates growth rates and operating margins for the facilities that were operational in both the current and prior year periods, a group the Company refers to as same-store or same-facility. This group also consists of both consolidated and unconsolidated facilities. At September 30, 2012, 144 of the 203 facilities the Company operated were not consolidated.
For the third quarter, the systemwide revenues of the facilities operated by the Company increased 9% on a year-over-year basis, while consolidated revenues increased 5%. For the first nine months of 2012, the systemwide revenues of the facilities operated by the Company increased 12% on a year-over-year basis, while consolidated revenues increased 6%.
Development Activity
In the first nine months of 2012, the Company acquired five facilities and opened one de novo facility. The Company expects to add 10 to 15 facilities in 2012.
Reclassification of Prior Year Earnings Due to Refinancing and Spin-Out of the Company’s United Kingdom Subsidiary
During the second quarter of 2012, the Company amended its senior secured credit facility, issued new senior unsecured notes, redeemed all validly tendered outstanding notes pursuant to the previously announced tender offer and consent solicitation, deposited funds with the trustee to redeem the remaining outstanding notes, and spun-off its U.K. subsidiary. As a result, the Company no longer has any ownership in the U.K. subsidiary, which was renamed European Surgical Partners, Ltd. (“ESP”), and has classified its prior earnings as discontinued operations.
Hurricane Sandy
The Company had 29 facilities affected by Hurricane Sandy. While none of these facilities sustained any significant physical damage, most were without power for a period of time. Currently, all 29 facilities have power and the ability to treat patients; however, challenges remain for patients and physicians in these markets.
Conclusion
Commenting on the results, William H. Wilcox, USPI’s chief executive officer, said, “We believe our model of being a low cost, high quality provider, while partnering with physicians and prominent health systems, puts our company in an excellent position to prosper.”
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United Surgical Partners Announces Third Quarter 2012 Results
Page 3
November 7, 2012
The live broadcast of USPI’s third quarter conference call will begin at 10:00 a.m. Eastern Time today, November 7, 2012. A 30-day online replay will be available approximately an hour following the conclusion of the live broadcast. A link to these events can be found on the Company’s website at www.uspi.com or at www.earnings.com. Additional financial information pertaining to United Surgical Partners International may be found by visiting the Investor Relations section of the Company’s website.
USPI, headquartered in Dallas, Texas, currently has ownership interests in or operates 204 domestic facilities, of which 143 are jointly owned with not-for-profit healthcare systems.
The above includes forward-looking statements based on current management expectations. Numerous factors exist that may cause results to differ from these expectations. Many of the factors that will determine the Company’s future results are beyond the ability of the Company to control or predict. These statements are subject to risks and uncertainties relating to the Company, including without limitation, (i) reduction in reimbursement from payors; (ii) the Company’s ability to attract physicians and retain qualified management and personnel; (iii) the Company’s significant leverage; (iv) geographic concentrations of certain of the Company’s operations; (v) risks associated with the Company’s acquisition and development strategies; (vi) the regulated nature of the healthcare industry; (vii) the highly competitive nature of the healthcare business; and (viii) those risks and uncertainties described from time to time in the Company’s filings with the Securities and Exchange Commission. Therefore, the Company’s actual results may differ materially. The Company undertakes no obligation to update any forward-looking statements or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.
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United Surgical Partners Announces Third Quarter 2012 Results
Page 4
November 7, 2012
UNITED SURGICAL PARTNERS INTERNATIONAL, INC.
Unaudited Condensed Consolidated Statements of Income
(in thousands, except number of facilities)
| Three Months Ended September 30, |
Nine Months
Ended September 30, |
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| 2012 | 2011 | 2012 | 2011 | |||||||||||||
| Revenues |
$ | 128,305 | $ | 122,261 | $ | 385,720 | $ | 364,802 | ||||||||
| Equity in earnings of unconsolidated affiliates |
22,118 | 18,890 | 66,207 | 56,923 | ||||||||||||
| Operating expenses: |
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| Salaries, benefits and other employee costs |
32,999 | 31,461 | 99,649 | 92,536 | ||||||||||||
| Medical services and supplies |
20,184 | 18,888 | 58,882 | 56,289 | ||||||||||||
| Other operating expenses |
21,838 | 19,879 | 62,925 | 58,495 | ||||||||||||
| General and administrative expenses |
9,326 | 10,456 | 30,008 | 28,959 | ||||||||||||
| Provision for doubtful accounts |
2,001 | 2,758 | 6,314 | 6,743 | ||||||||||||
| Net loss (gain) on deconsolidations, disposals and impairments |
2,233 | (1,271 | ) | 660 | (3,749 | ) | ||||||||||
| Depreciation and amortization |
5,746 | 5,226 | 17,409 | 15,946 | ||||||||||||
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| Total operating expenses |
94,327 | 87,397 | 275,847 | 255,219 | ||||||||||||
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| Operating income |
56,096 | 53,754 | 176,080 | 166,506 | ||||||||||||
| Interest expense, net |
(23,090 | ) | (15,165 | ) | (61,562 | ) | (47,929 | ) | ||||||||
| Loss on early retirement of debt |
(23 | ) | — | (37,981 | ) | — | ||||||||||
| Other, net |
34 | 6 | (748 | ) | (114 | ) | ||||||||||
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| Income from continuing operations before income taxes |
33,017 | 38,595 | 75,789 | 118,463 | ||||||||||||
| Income tax expense |
(6,394 | ) | (8,717 | ) | (10,343 | ) | (27,291 | ) | ||||||||
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| Income from continuing operations |
26,623 | 29,878 | 65,446 | 91,172 | ||||||||||||
| Discontinued operations, net of tax |
(2 | ) | 2,006 | 3,434 | 7,213 | |||||||||||
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| Net income |
26,621 | 31,884 | 68,880 | 98,385 | ||||||||||||
| Less: Net income attributable to noncontrolling interests |
(16,638 | ) | (16,598 | ) | (51,666 | ) | (49,592 | ) | ||||||||
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| Net income attributable to USPI’s common stockholder |
$ | 9,983 | $ | 15,286 | $ | 17,214 | $ | 48,793 | ||||||||
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| Supplemental Data: |
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| Facilities operated at period end |
203 | 199 | 203 | 199 | ||||||||||||
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United Surgical Partners Announces Third Quarter 2012 Results
Page 5
November 7, 2012
UNITED SURGICAL PARTNERS INTERNATIONAL, INC.
Unaudited Condensed Consolidated Balance Sheets
(in thousands)
| Sept. 30, 2012 |
Dec. 31, 2011 |
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| ASSETS |
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| Current assets: |
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| Cash and cash equivalents |
$ | 63,086 | $ | 41,822 | ||||
| Available for sale securities |
10,591 | 4,815 | ||||||
| Accounts receivable, net of allowance for doubtful accounts of $8,427 and $8,576, respectively |
36,868 | 58,057 | ||||||
| Other receivables |
14,238 | 10,499 | ||||||
| Inventories |
7,382 | 10,117 | ||||||
| Deferred tax assets, net |
12,918 | 14,704 | ||||||
| Other |
14,719 | 15,314 | ||||||
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| Total current assets |
159,802 | 155,328 | ||||||
| Property and equipment, net |
121,741 | 235,321 | ||||||
| Investments in unconsolidated affiliates |
452,778 | 444,734 | ||||||
| Goodwill and intangible assets, net |
1,475,935 | 1,536,485 | ||||||
| Other |
23,973 | 21,630 | ||||||
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| Total assets |
$ | 2,234,229 | $ | 2,393,498 | ||||
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| LIABILITIES AND EQUITY |
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| Current liabilities: |
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| Accounts payable |
$ | 16,905 | $ | 28,765 | ||||
| Accrued expenses and other |
231,220 | 222,985 | ||||||
| Current portion of long-term debt |
18,202 | 25,487 | ||||||
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| Total current liabilities |
266,327 | 277,237 | ||||||
| Long-term debt |
1,312,588 | 1,042,969 | ||||||
| Other liabilities |
190,325 | 198,753 | ||||||
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| Total liabilities |
1,769,240 | 1,518,959 | ||||||
| Noncontrolling interests—redeemable |
139,455 | 106,668 | ||||||
| USPI stockholder’s equity |
289,488 | 732,688 | ||||||
| Noncontrolling interests—nonredeemable |
36,046 | 35,183 | ||||||
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| Total equity |
325,534 | 767,871 | ||||||
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| Total liabilities and equity |
$ | 2,234,229 | $ | 2,393,498 | ||||
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United Surgical Partners Announces Third Quarter 2012 Results
Page 6
November 7, 2012
UNITED SURGICAL PARTNERS INTERNATIONAL, INC.
Key Operating Statistics
(in thousands, except for number of facilities, cases and percentages)
| Three Months Ended September 30, | ||||||||||||
| 2012 | 2011 | % Change | ||||||||||
| Systemwide same-facility statistics(1) (2): |
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| Facility cases |
228,111 | 223,071 | 2.3 | % | ||||||||
| Net revenue/case |
$ | 2,276 | $ | 2,222 | 2.4 | % | ||||||
| Net revenue |
$ | 519,095 | $ | 495,717 | 4.7 | % | ||||||
| Facility operating income margin(3) |
24.2 | % | 26.4 | % | (220 | ) bps | ||||||
| Other: |
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| Total consolidated facilities |
59 | 57 | ||||||||||
| EBITDA less noncontrolling interests(4) |
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| GAAP operating income |
$ | 56,096 | $ | 53,754 | 4.4 | % | ||||||
| Depreciation and amortization |
5,746 | 5,226 | ||||||||||
| Net loss (gain) on deconsolidations, disposals & impairments |
2,233 | (1,271 | ) | |||||||||
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| EBITDA |
64,075 | 57,709 | ||||||||||
| Net income attributable to noncontrolling interests |
(16,638 | ) | (16,598 | ) | ||||||||
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| EBITDA less noncontrolling interests |
$ | 47,437 | $ | 41,111 | 15.4 | % | ||||||
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| Nine Months Ended September 30, | ||||||||||||
| 2012 | 2011 | % Change | ||||||||||
| EBITDA less noncontrolling interests(4) |
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| GAAP operating income |
$ | 176,080 | $ | 166,506 | 5.7 | % | ||||||
| Depreciation and amortization |
17,409 | 15,946 | ||||||||||
| Net loss (gain) on deconsolidations, disposals & impairments |
660 | (3,749 | ) | |||||||||
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| EBITDA |
194,149 | 178,703 | ||||||||||
| Net income attributable to noncontrolling interests |
(51,666 | ) | (49,592 | ) | ||||||||
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| EBITDA less noncontrolling interests |
$ | 142,483 | $ | 129,111 | 10.4 | % | ||||||
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| (1) | Excludes facilities in their first year of operations. Includes facilities accounted for under the equity method as well as consolidated facilities. |
| (2) | Statistics for acquired facilities are included in both periods. |
| (3) | Calculated as operating income divided by net revenue. |
| (4) | EBITDA and EBITDA less noncontrolling interests are not measures defined under generally accepted accounting principles (GAAP). The Company believes EBITDA and EBITDA less noncontrolling interests are important measures for purposes of allocating resources and assessing performance. EBITDA, which is computed by adding operating income, depreciation and amortization, and net (gain) loss on deconsolidations, disposals and impairments, is commonly used as an analytical indicator within the healthcare industry and also serves as a measure of leverage capacity and debt service ability. EBITDA less noncontrolling interests, which is computed by subtracting net income attributable to noncontrolling interests from EBITDA, adjusts both years’ EBITDA to reflect that the Company does not own 100% of each facility. EBITDA and EBITDA less noncontrolling interests should not be considered as measures of financial performance under GAAP, and the items excluded from EBITDA and EBITDA less noncontrolling interests are significant components in understanding and assessing financial performance. Because EBITDA and EBITDA less noncontrolling interests are not measurements determined in accordance with GAAP and are thus susceptible to varying calculation methods, EBITDA and EBITDA less noncontrolling interests as presented by United Surgical Partners International may not be comparable to similarly titled measures of other companies. |
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