Attached files

file filename
8-K/A - FORM 8-K/A - Foundation Healthcare, Inc.d729717d8ka.htm
EX-99.2 - EX-99.2 - Foundation Healthcare, Inc.d729717dex992.htm

Exhibit 99.1

Foundation HealthCare Reports

First Quarter 2014 Financial Results

OKLAHOMA CITY, OK—(May 15, 2014) – Foundation Healthcare, Inc. (OTC Markets: FDNH), which focuses on the development and management of surgical hospitals and related ancillary services, today reported financial results for the quarter ended March 31, 2014.

Highlights include:

 

    Revenue of $22.1 million for the quarter; an 18% increase from the first quarter of 2013
    Adjusted EBITDA of $0.9 million for the 2014 first quarter compared to $0.2 million in the first quarter of 2013
    Cash on hand of $4.0 million as of March 31, 2014

“Although the first quarter of 2014 was negatively impacted by severe weather at several of our facilities, we are pleased to announce an 18% increase in revenue for the first quarter 2014 when compared to first quarter 2013. We continue to focus on growing surgical volumes at our existing hospitals as well as look for opportunities to take controlling positions in our minority-owned hospitals as well as new hospital investment opportunities,” stated Stanton Nelson, CEO of Foundation Healthcare, Inc.

“In addition to growing volumes at our existing hospitals, we are actively pursuing opportunities to add ancillary services through hospital outpatient departments (HOPD) at our hospitals including outpatient surgery centers, imaging, oncology and pain management,” added Mr. Nelson.

First Quarter 2014 Financial Results:

Net revenues in the first quarter of 2014 were $22.1 million, up from $18.7 million in the first quarter of 2013. Our net revenues are composed of patient services, management fees from affiliates, equity in earnings of affiliates and other revenue less our provision for doubtful accounts. Patient services revenue increased $3.6 million, or 23%, to $19.5 million during the three months ended March 31, 2014 compared with $15.9 million in the first quarter of 2013. The increase was primarily due to:

 

    An increase in both outpatient surgical cases and inpatient spine cases resulted in an increase in patient service revenue of $1.5 million at EEPMC and;
    An increase in surgical case volume and the average reimbursement per surgical case at Foundation Bariatric Hospital of San Antonio (“FBH SA”) which was driven by an increase in spine and orthopedic cases resulted in an increase in patient services revenue of $2.1 million.

Operating expenses increased $3.7 million or 19% to $23.4 million from $19.7 million during the three months ended March 31, 2014, compared with the first quarter of 2013. The increase in other operating expenses was primarily due to stock compensation expense, expenses associated with the legacy Graymark Healthcare, Inc. business that are not included in the first quarter of 2013, increased supply costs related to higher surgical volume and increased legal and professional fees.


Our operations resulted in a net loss attributable to Foundation Healthcare common stock of $1.9 million during the first quarter of 2014, compared to net loss of $0.3 million during the first quarter of 2013.

Adjusted EBITDA was $893,973 for the 2014 first quarter compared to $151,190 in the first quarter of 2013.

As of March 31, 2014, cash and cash equivalents totaled $4.0 million, compared to $4.2 million at December 31, 2013.

Conference Call

Foundation’s CEO Stanton Nelson, along with Tom Michaud, Chairman of the Board and Mark Kidd, CFO will host a conference call today, followed by a question and answer period.

Date: Thursday, May 15th

Time: 4:30 p.m. Eastern time

Dial-In Number: (866) 515-2909

The conference call will be broadcast live at the investor relations section of the Company’s website at www.fdnh.com. Please call the conference telephone number 5-10 minutes prior to the start time. An operator will register your name and organization. In addition, the replay will be available after the call at same website link above or by calling (866) 515-2909 using passcode: 84943344.

About Foundation Healthcare

Headquartered in Oklahoma City, Okla., Foundation Healthcare, Inc. (OTCQB: FDNH) focuses on the development and management of surgical hospitals and the inclusion of ancillary service lines. These additional service lines, such as hyperbarics, sleep labs, intraoperative monitoring, imaging and robotic surgery, truly make the Foundation specialty hospital environment unique.

The Company is also an industry leading ASC management and development company focused on partnering with physicians and employees to create an outstanding patient experience, while maximizing partner and shareholder value. The Company is a leader in offering turnkey management and development solutions for physician partners, as well as creating an optimal experience for the patients we serve. For more information, visit www.fdnh.com.


Reg G disclaimer – reconciling GAAP Net Income with EBITDA and Adjusted EBITDA

Foundation is providing EBITDA information, which is defined as net income plus interest, income taxes, depreciation and amortization expense and earnings or losses from discontinued operations, and Adjusted EBITDA which is defined as EBITDA plus impairment charges minus extraordinary gain, net of tax. EBITDA and Adjusted EBITDA are a compliment to our 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 a measure 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 our 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 our consolidated financial statements as an indicator of financial performance or liquidity. Reconciliations of non-GAAP financial measures are provided in the news release in the accompanying tables. Since EBITDA and Adjusted EBITDA are not a measure 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.

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 risk that Company will be unable to refinance a majority of its debt, maintain enough liquidity to execute its business plan, continue as a going concern and other risks 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.

CONTACT: Company Contact:

Foundation Healthcare, Inc.

Stanton Nelson

Chief Executive Officer

Tel 405-608-1703


FOUNDATION HEALTHCARE, INC.

Reconciliation of Loss from Continuing Operations to EBITDA from Continuing Operations

For the Three Months Ended March 31, 2014 and 2013

(Unaudited)

 

     2014     2013  

Loss from continuing operations, net of taxes

   $ (1,005,193   $ (1,431,766

EBITDA adjustments:

    

Plus: Interest expense, net

     496,121        466,669   

Plus: Provision (benefit) for income taxes

     (852,005     —     

Plus: Depreciation and amortization

     1,466,268        1,116,687   
  

 

 

   

 

 

 

Total EBITDA adjustments

     1,110,384        1,583,356   
  

 

 

   

 

 

 

EBITDA from continuing operations

   $ 105,191      $ 151,590   
  

 

 

   

 

 

 

EBITDA from continuing operations

   $ 105,191      $ 151,590   

Adjusted EBITDA adjustment:

    

Plus: Stock compensation

     788,782        —     
  

 

 

   

 

 

 

Total Adjusted EBITDA adjustments

     788,782        —     
  

 

 

   

 

 

 

Adjusted EBITDA

   $ 893,973      $ 151,590   
  

 

 

   

 

 

 


FOUNDATION HEALTHCARE, INC.

Condensed Consolidated Balance Sheets

(Unaudited)

 

     March 31,
2014
    December 31,
2013
 

ASSETS

    

Cash and cash equivalents

   $ 3,958,742      $ 4,212,076   

Accounts receivable, net of allowances for doubtful accounts of $2,536,980 and $4,778,915, respectively

     12,655,299        12,755,642   

Receivables from affiliates

     854,987        848,002   

Supplies inventories

     1,940,870        1,931,142   

Prepaid and other current assets

     4,805,921        4,302,885   

Current assets from discontinued operations

     199,032        518,629   
  

 

 

   

 

 

 

Total current assets

     24,414,851        24,568,376   
  

 

 

   

 

 

 

Property and equipment, net

     11,479,697        12,073,986   

Equity method investments in affiliates

     5,600,880        5,699,093   

Intangible assets, net

     10,624,754        11,138,621   

Goodwill

     973,927        973,927   

Other assets

     226,784        244,598   

Other assets from discontinued operations

     513,379        576,228   
  

 

 

   

 

 

 

Total assets

   $ 53,834,272      $ 55,274,829   
  

 

 

   

 

 

 
LIABILITIES, PREFERRED NONCONTROLLING INTEREST AND SHAREHOLDERS’ DEFICIT     

Liabilities:

    

Accounts payable

   $ 10,627,288      $ 11,648,987   

Accrued liabilities

     5,148,921        4,114,915   

Preferred noncontrolling interests dividends payable

     121,878        195,411   

Short term debt

     6,183,610        5,664,827   

Current portion of long-term debt

     10,592,445        7,919,179   

Other current liabilities

     3,031,628        4,391,587   

Current liabilities from discontinued operations

     5,507,982        5,620,697   
  

 

 

   

 

 

 

Total current liabilities

     41,213,752        39,555,603   
  

 

 

   

 

 

 

Long-term debt, net of current portion

     5,988,737        10,031,732   

Other liabilities

     15,112,635        12,255,809   

Other liabilities from discontinued operations

     —          9,969   
  

 

 

   

 

 

 

Total liabilities

     62,315,124        61,853,113   

Preferred noncontrolling interest

     8,700,000        8,700,000   

Commitments and contingencies (Note 9)

    

Foundation Healthcare shareholders’ deficit:

    

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; 171,323,381 and 163,834,886 issued and outstanding, respectively

     17,132        16,383   

Paid-in capital

     18,759,152        18,241,756   

Accumulated deficit

     (37,066,821     (35,171,315
  

 

 

   

 

 

 

Total Foundation Healthcare shareholders’ deficit

     (18,290,537     (16,913,176

Noncontrolling interests

     1,109,685        1,634,892   
  

 

 

   

 

 

 

Total deficit

     (17,180,852     (15,278,284
  

 

 

   

 

 

 

Total liabilities, preferred noncontrolling interest and shareholders’ deficit

   $ 53,834,272      $ 55,274,829   
  

 

 

   

 

 

 


FOUNDATION HEALTHCARE, INC.

Condensed Consolidated Statements of Operations

For the Three Months Ended March 31, 2014 and 2013

(Unaudited)

 

     2014     2013  

Net Revenues:

    

Patient services

   $ 19,513,483      $ 15,860,660   

Management fees from affiliates

     1,269,306        1,738,228   

Equity in earnings of affiliates

     527,083        1,216,715   

Other revenue

     1,118,326        474,889   

Provision for doubtful accounts

     (361,517     (636,851
  

 

 

   

 

 

 

Revenues

     22,066,681        18,653,641   
  

 

 

   

 

 

 

Operating Expenses:

    

Salaries and benefits

     7,977,419        6,338,097   

Supplies

     4,941,370        4,500,940   

Other operating expenses

     9,042,701        7,756,021   

Depreciation and amortization

     1,466,268        1,116,687   
  

 

 

   

 

 

 

Total operating expenses

     23,427,758        19,711,745   
  

 

 

   

 

 

 

Other Income (Expense):

    

Interest expense, net

     (496,121     (466,669

Other income

     —          93,007   
  

 

 

   

 

 

 

Net other (expense)

     (496,121     (373,662
  

 

 

   

 

 

 

Income (loss) from continuing operations, before taxes

     (1,857,198     (1,431,766

Benefit for income taxes

     852,005        —     
  

 

 

   

 

 

 

Income (loss) from continuing operations, net of taxes

     (1,005,193     (1,431,766

Loss from discontinued operations, net of tax

     (312,323     —     
  

 

 

   

 

 

 

Net income (loss)

     (1,317,516     (1,431,766

Less: Net income attributable to noncontrolling interests

     384,921        (1,092,031
  

 

 

   

 

 

 

Net income (loss) attributable to Foundation Healthcare

     (1,702,437     (339,735

Preferred noncontrolling interests dividends

     (193,069     —     
  

 

 

   

 

 

 

Net income (loss) attributable to Foundation Healthcare common stock

   $ (1,895,506   $ (339,735
  

 

 

   

 

 

 

Earnings per common share (basic and diluted):

    

Net income (loss) attributable to continuing operations attributable to Foundation Healthcare common stock

   $ (0.01   $ (0.00

Loss from discontinued operations, net of tax

     (0.00     —     
  

 

 

   

 

 

 

Net income (loss) per share, attributable to Foundation Healthcare common stock

   $ (0.01   $ (0.00
  

 

 

   

 

 

 

Weighted average number of common and diluted shares outstanding

     167,329,517        162,523,276   
  

 

 

   

 

 

 


FOUNDATION HEALTHCARE, INC.

Condensed Consolidated Statements of Cash Flows

For the Three Months Ended March 31, 2014 and 2013

(Unaudited)

 

     2014     2013  

Operating activities:

    

Net income (loss)

   $ (1,317,516   $ (1,431,766

Less: Loss from discontinued operations, net of tax

     (312,323     —     
  

 

 

   

 

 

 

Income (loss) from continuing operations

     (1,005,193     (1,431,766

Adjustments to reconcile loss from continuing operations to net cash provided by (used in) operating activities:

    

Depreciation and amortization

     1,466,268        1,116,687   

Stock-based compensation, net of cashless vesting

     518,145        —     

Provision for doubtful accounts

     361,517        636,851   

Equity in earnings of affiliates

     (527,083     (1,216,715

Changes in assets and liabilities –

    

Accounts receivable, net of provision for doubtful accounts

     (261,174     (2,111,768

Receivables from affiliates

     (6,985     (35,691

Supplies Inventories

     (9,728     38,020   

Prepaid and other current assets

     (503,036     (246,902

Other assets

     17,814        —     

Accounts payable

     (1,021,699     (1,437,536

Accrued liabilities

     1,034,006        3,286,995   

Other current liabilities

     (1,359,959     30,000   

Other liabilities

     2,856,826        (3,905
  

 

 

   

 

 

 

Net cash provided by (used in) operating activities from continuing operations

     1,559,719        (1,375,730

Net cash provided by operating activities from discontinued operations

     76,726        —     
  

 

 

   

 

 

 

Net cash provided by (used in) operating activities

     1,636,445        (1,375,730
  

 

 

   

 

 

 

Investing activities:

    

Purchase of property and equipment

     (358,112     (2,612,598

Distributions from affiliates

     625,296        1,266,100   
  

 

 

   

 

 

 

Net cash provided by (used in) investing activities from continuing operations

     267,184        (1,346,498

Net cash provided by investing activities from discontinued operations

     —          —     
  

 

 

   

 

 

 

Net cash provided by (used in) investing activities

     267,184        (1,346,498
  

 

 

   

 

 

 

Financing activities:

    

Debt proceeds

   $ 767,923      $ 3,431,211   

Debt payments

     (1,618,869     (1,383,326

Preferred noncontrolling interests dividends

     (266,602     (424,594

Distributions to noncontrolling interests

     (910,128     (37,444

Distributions to member

     —          (377,930
  

 

 

   

 

 

 

Net cash provided by (used in) financing activities from continuing operations

     (2,027,676     1,207,917   

Net cash (used in) financing activities from discontinued operations

     (129,287     —     
  

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     (2,156,963     1,207,917   
  

 

 

   

 

 

 

Net change in cash and cash equivalents

     (253,334     (1,514,311

Cash and cash equivalents at beginning of period

     4,212,076        3,037,067   
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 3,958,742      $ 1,522,756   
  

 

 

   

 

 

 

Cash Paid for Interest and Income Taxes:

    

Interest expense

   $ 504,509      $ 443,709   
  

 

 

   

 

 

 

Interest expense, discontinued operations

   $ 62,234      $ —     
  

 

 

   

 

 

 

Income taxes, continuing operations

   $ 1,950,000      $ —