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8-K - 8-K - UNITED SURGICAL PARTNERS INTERNATIONAL INCd771561d8k.htm

Exhibit 99.1

 

LOGO

 

Contact: Jason B. Cagle

Chief Financial Officer

(972) 713-3500

UNITED SURGICAL PARTNERS INTERNATIONAL

ANNOUNCES SECOND QUARTER 2014 RESULTS

Dallas, Texas (August 6, 2014) – United Surgical Partners International, Inc. (“USPI” or the “Company”) today announced results for the second quarter and six months ended June 30, 2014.

Second Quarter Financial Results

For the quarter ended June 30, 2014, consolidated net revenues increased 4% to $161.6 million compared with $155.2 million in the prior year period. Operating income for the second quarter increased 18% to $71.7 million, as compared with $60.6 million for the prior year period. EBITDA less noncontrolling interests increased 5% to $58.1 million in the second quarter of 2014 compared with $55.2 million for the prior year period.

Cash flows from operating activities for the second quarter of 2014 totaled $44.9 million compared with $38.9 million in the prior year period. During the second quarter of 2014, the Company and its consolidated subsidiaries invested $4.9 million in maintenance capital expenditures and an additional $1.0 million in the infrastructure of existing facilities.

Six-Month Financial Results

For the six months ended June 30, 2014, consolidated net revenues increased 2% to $306.9 million compared with $300.3 million in the prior year period. Operating income for the first half of 2014 was $119.3 million as compared with $118.8 million for the prior year period. EBITDA less noncontrolling interests decreased 5% to $97.8 million in the first half of 2014 compared with $103.0 million for the first half of 2013.

Cash flows from operating activities for the six months ended June 30, 2014, totaled $105.9 million compared with $77.4 million for the prior year period. During the first half of 2014, the Company and its consolidated subsidiaries invested $7.0 million in maintenance capital expenditures and an additional $1.9 million in the infrastructure of existing facilities.

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 portion of the Company’s overall earnings. To help analyze results of operations, management uses systemwide operating measures such as systemwide revenue growth, which includes 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 June 30, 2014, 154 of the 218 facilities the Company operated were not consolidated.

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United Surgical Partners Announces Second Quarter 2014 Results

Page 2

August 6, 2014

 

For the second quarter, the systemwide revenues of the facilities operated by the Company increased 5% on a year-over-year basis. On a same-store basis, systemwide net revenue increased 3% in the second quarter compared with the prior year period. For the first half of 2014, the systemwide revenues of the facilities operated by the Company increased 3% on a year-over-year basis. On a same-store basis, systemwide net revenue increased 2% for the first half of the year.

Development Activity

The Company acquired an interest in three facilities during the quarter and two more facilities following quarter end. The Company expects to add five to ten additional facilities in the remainder of 2014.

Conclusion

Commenting on the results, William H. Wilcox, USPI’s chief executive officer, said, “The second quarter represented a welcome improvement in our operations and financial performance compared with the first quarter. While some volume weakness remains, the sequential trend is encouraging. In addition, we have had a very successful year so far from a development perspective, and we remain optimistic that this success will continue in the second half of the year.”

The live broadcast of USPI’s second quarter conference call will begin at 10:00 a.m. Eastern Time on August 7, 2014. 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. 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 219 facilities, of which 152 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; (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 Second Quarter 2014 Results

Page 3

August 6, 2014

 

UNITED SURGICAL PARTNERS INTERNATIONAL, INC.

Unaudited Condensed Consolidated Statements of Income

(in thousands, except number of facilities)

 

     Three Months Ended
June 30,
    Six Months Ended
June 30,
 
     2014     2013     2014     2013  

Revenues

   $ 161,616      $ 155,236      $ 306,917      $ 300,343   

Equity in earnings of unconsolidated affiliates

     28,190        23,512        46,072        42,837   

Operating expenses:

        

Salaries, benefits and other employee costs

     43,599        40,420        85,495        79,433   

Medical services and supplies

     26,642        25,049        51,197        47,886   

Other operating expenses

     27,350        26,378        55,236        50,969   

General and administrative expenses

     11,455        10,493        23,240        20,397   

Provision for doubtful accounts

     2,621        3,139        4,609        6,182   

Net (gain) loss on deconsolidations, disposals and impairments

     (97     5,501        917        5,399   

Depreciation and amortization

     6,522        7,172        13,007        14,075   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total operating expenses

     118,092        118,152        233,701        224,341   
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     71,714        60,596        119,288        118,839   

Interest expense, net

     (23,294     (23,957     (46,393     (52,517

Loss on early retirement of debt

     —          (5,535     —          (5,535

Other, net

     (25     (4     (25     (4
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

     48,395        31,100        72,870        60,783   

Income tax expense

     (9,873     (5,585     (13,374     (10,442
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations

     38,522        25,515        59,496        50,341   

Discontinued operations, net of tax

     —          —          (332     —     
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     38,522        25,515        59,164        50,341   

Less: Net income attributable to noncontrolling interests

     (20,021     (18,090     (35,433     (35,330
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to USPI’s common stockholder

   $ 18,501      $ 7,425      $ 23,731      $ 15,011   
  

 

 

   

 

 

   

 

 

   

 

 

 

Supplemental Data:

        

Facilities operated at period end

     218        215        218        215   

 

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United Surgical Partners Announces Second Quarter 2014 Results

Page 4

August 6, 2014

 

UNITED SURGICAL PARTNERS INTERNATIONAL, INC.

Unaudited Condensed Consolidated Balance Sheets

(in thousands)

 

     June 30,
2014
     Dec. 31,
2013
 
ASSETS      

Current assets:

     

Cash and cash equivalents

   $ 68,294       $ 78,741   

Available for sale securities

     10,253         10,802   

Accounts receivable, net of allowance for doubtful accounts of $9,657 and $10,236, respectively

     48,361         51,608   

Other receivables

     28,996         24,191   

Inventories of supplies

     8,542         9,049   

Deferred tax assets, net

     22,626         22,333   

Other

     17,715         16,076   
  

 

 

    

 

 

 

Total current assets

     204,787         212,800   

Property and equipment, net

     130,190         132,474   

Investments in unconsolidated affiliates

     533,584         521,833   

Goodwill and intangible assets, net

     1,591,304         1,585,401   

Other

     30,780         28,176   
  

 

 

    

 

 

 

Total assets

   $ 2,490,645       $ 2,480,684   
  

 

 

    

 

 

 
LIABILITIES AND EQUITY      

Current liabilities:

     

Accounts payable

   $ 22,240       $ 17,407   

Accrued expenses and other

     259,292         278,876   

Current portion of long-term debt

     18,790         18,916   
  

 

 

    

 

 

 

Total current liabilities

     300,322         315,199   

Long-term debt

     1,448,730         1,454,692   

Other liabilities

     224,284         217,573   
  

 

 

    

 

 

 

Total liabilities

     1,973,336         1,987,464   

Noncontrolling interests—redeemable

     173,504         166,578   

USPI stockholder’s equity

     296,482         279,622   

Noncontrolling interests—nonredeemable

     47,323         47,020   
  

 

 

    

 

 

 

Total equity

     343,805         326,642   
  

 

 

    

 

 

 

Total liabilities and equity

   $ 2,490,645       $ 2,480,684   
  

 

 

    

 

 

 

 

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United Surgical Partners Announces Second Quarter 2014 Results

Page 5

August 6, 2014

 

UNITED SURGICAL PARTNERS INTERNATIONAL, INC.

Key Operating Statistics

(in thousands, except for number of facilities, cases and percentages)

 

     Three Months Ended June 30,  
     2014     2013     % Change  

Systemwide same-facility statistics(1) (2):

      

Facility cases

     246,663        247,754        (0.4 %) 

Net revenue/case

   $ 2,328      $ 2,248        3.5

Net revenue

   $ 574,153      $ 557,050        3.1

Facility operating income margin(3)

     26.0     25.0     100 bps   

Other:

      

Total consolidated facilities

     64        66     

EBITDA less noncontrolling interests(4)

      

GAAP operating income

   $ 71,714      $ 60,596        18.3

Depreciation and amortization

     6,522        7,172     

Net (gain) on deconsolidations, disposals and impairments

     (97     5,501     
  

 

 

   

 

 

   

EBITDA

     78,139        73,269     

Net income attributable to noncontrolling interests

     (20,021     (18,090  
  

 

 

   

 

 

   

EBITDA less noncontrolling interests

   $ 58,118      $ 55,179        5.3
  

 

 

   

 

 

   

 

     Six Months Ended June 30,  
     2014     2013     % Change  

EBITDA less noncontrolling interests(4)

      

GAAP operating income

   $ 119,288      $ 118,839        0.4

Depreciation and amortization

     13,007        14,075     

Net loss on deconsolidations, disposals and impairments

     917        5,399     
  

 

 

   

 

 

   

EBITDA

     133,212        138,313     

Net income attributable to noncontrolling interests

     (35,433     (35,330  
  

 

 

   

 

 

   

EBITDA less noncontrolling interests

   $ 97,779      $ 102,983        (5.1 %) 
  

 

 

   

 

 

   

 

(1)  Excludes de novo 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 loss (gain) 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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