IASIS Healthcare Announces Third Quarter 2010 Results

FRANKLIN, Tenn.--(BUSINESS WIRE)-- IASIS Healthcare® LLC (“IASIS”) today announced financial and operating results for the fiscal third quarter and nine months ended June 30, 2010.

Net revenue for the third quarter totaled $638.0 million, an increase of 6.0%, compared to $601.6 million in the prior year quarter. Adjusted EBITDA for the third quarter totaled $76.6 million, compared to $78.7 million in the prior year quarter. 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. Net earnings from continuing operations for the third quarter totaled $21.7 million, compared to $23.2 million in the prior year quarter.

Admissions and adjusted admissions decreased 1.0% and 0.3%, respectively, in the third quarter, compared to the prior year quarter. Net patient revenue per adjusted admission increased 5.5% in the third quarter, compared to the prior year quarter.

Net revenue for the nine months ended June 30, 2010, totaled $1.9 billion, an increase of 8.6%, compared to $1.7 billion in the prior year period. Adjusted EBITDA for the nine months ended June 30, 2010, totaled $228.0 million, compared to $231.8 million in the prior year period. Net earnings from continuing operations for the nine months ended June 30, 2010, totaled $63.2 million, compared to $65.6 million in the prior year period.

Admissions and adjusted admissions increased 1.4% and 0.8%, respectively, in the nine months ended June 30, 2010, compared to the prior year period. Net patient revenue per adjusted admission increased 4.6% in the nine months ended June 30, 2010, compared to the prior year period.

Operating cash flows for the nine months ended June 30, 2010, were $113.9 million, compared to $172.4 million in the prior year period. Included in current year operating cash flows is the impact of the delay of Health Choice’s June capitation payment totaling $64.7 million by the Arizona Health Care Cost Containment System in connection with a state-wide effort in Arizona to manage the State’s fiscal budget issues. This payment was received in July 2010. Adjusting for the delayed payment, operating cash flows would have been $178.6 million for the nine months ended June 30, 2010.

In commenting on results, David R. White, chairman and chief executive officer of IASIS Healthcare, said, “We are proud of the fact that our long-term commitments to operational excellence and the strategic deployment of capital have provided IASIS with a stable platform that continues today. Despite economic headwinds, including unemployment, continued shifts in payor mix and escalating state budgetary issues – all of which are affecting our top line and earnings, our balance sheet and margins remain strong in each operating segment.”

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 5, 2010. A copy of this press release will also be available on the Company’s Web site.

IASIS, located in Franklin, Tennessee, is a leading owner and operator of medium-sized acute care hospitals in high-growth urban and suburban markets. The Company operates its hospitals with a strong community focus by offering and developing healthcare services targeted to the needs of the markets it serves, promoting strong relationships with physicians and working with local managed care plans. IASIS owns or leases 15 acute care hospital facilities and one behavioral health hospital facility with a total of 2,886 beds in service and has total annual net revenue of approximately $2.5 billion. These hospital facilities are located in six regions: Salt Lake City, Utah; Phoenix, Arizona; Tampa-St. Petersburg, Florida; three cities in Texas, including San Antonio; Las Vegas, Nevada; and West Monroe, Louisiana. IASIS also owns and operates a Medicaid and Medicare managed health plan in Phoenix that serves more than 199,000 members. 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, 2009 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.

     
 

IASIS HEALTHCARE LLC

Consolidated Statements of Operations (Unaudited)

(in thousands)

 
Quarter Ended

June 30,

Nine Months Ended

June 30,

  2010       2009     2010       2009  
Net revenue:
Acute care revenue $ 438,211 $ 417,880 $ 1,300,445 $ 1,237,506
Premium revenue   199,777     183,738     591,022     504,410  
Total net revenue 637,988 601,618 1,891,467 1,741,916
 
Costs and expenses:
Salaries and benefits (includes stock compensation of $118, $141, $2,367 and $420, respectively) 170,035 164,879 514,688 495,387
Supplies 66,333 63,950 200,167 187,529
Medical claims 172,031 158,919 510,692 422,519
Other operating expenses 93,579 79,708 266,854 237,011
Provision for bad debts 49,416 45,594 142,901 137,892
Rentals and leases 10,067 10,008 30,487 29,221
Interest expense, net 16,711 16,334 50,065 51,129
Depreciation and amortization 24,007 24,217 71,909 73,509
Management fees 1,250 1,250 3,750 3,750
Hurricane-related property damage               938  
Total costs and expenses 603,429 564,859 1,791,513 1,638,885
 

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

34,559 36,759 99,954 103,031
Gain (loss) on disposal of assets, net  

(149

)   184     (206 )   1,497  
 
Earnings from continuing operations

before income taxes

34,410 36,943 99,748 104,528
Income tax expense   12,683     13,715     36,544     38,975  
 
Net earnings from continuing operations 21,727 23,228 63,204 65,553
Earnings (loss) from discontinued operations,

net of income taxes

  (384 )   167     (363 )   (333 )
 
Net earnings 21,343 23,395 62,841 65,220
Net earnings attributable to non-controlling interests   (2,002 )   (2,666 )   (6,063 )   (7,240 )
 
Net earnings attributable to IASIS Healthcare LLC $ 19,341   $ 20,729   $ 56,778   $ 57,980  
     
 

IASIS HEALTHCARE LLC

Consolidated Balance Sheets (Unaudited)

(in thousands)

 
June 30,

2010

Sept. 30,

2009

 
ASSETS
 
Current assets:
Cash and cash equivalents $ 130,160 $ 206,528
Accounts receivable, net 221,327 230,198
Inventories 53,476 50,492
Deferred income taxes 11,130 39,038
Prepaid expenses and other current assets   121,379   49,453

Total current assets

537,472 575,709
 
Property and equipment, net 980,797 997,353
Goodwill 717,920 717,920
Other intangible assets, net 27,750 30,000
Other assets, net   35,522   36,222
Total assets $ 2,299,461 $ 2,357,204
 
LIABILITIES AND EQUITY
 
Current liabilities:
Accounts payable $ 71,821 $ 68,552
Salaries and benefits payable 45,369 42,548
Accrued interest payable 2,128 12,511
Medical claims payable 110,556 113,519
Other accrued expenses and other current liabilities 85,389 65,701
Current portion of long-term debt and capital lease obligations   6,705   8,366
Total current liabilities 321,968 311,197
 
Long-term debt and capital lease obligations 1,046,480 1,051,471
Deferred income taxes 103,352 106,425
Other long-term liabilities 56,212 54,222
 
Non-controlling interests with redemption rights 72,527 72,527
 
Equity:
Member’s equity 688,576 750,932
Non-controlling interests   10,346   10,430
Total equity   698,922   761,362
Total liabilities and equity $ 2,299,461 $ 2,357,204
   
 

IASIS HEALTHCARE LLC

Consolidated Statements of Cash Flows (Unaudited)

(in thousands)

 
Nine Months Ended

June 30,

  2010       2009  
Cash flows from operating activities:
Net earnings $ 62,841 $ 65,220
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation and amortization 71,909 73,509
Amortization of loan costs 2,356 2,257
Stock compensation costs 2,367 420
Deferred income taxes 23,839 11,792
Income tax benefit from stock compensation (1,770 )
Income tax benefit from parent company interest 4,989
Loss (gain) on disposal of assets, net 206 (1,497 )
Loss from discontinued operations 363 333
Hurricane-related property damage 938

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

Accounts receivable, net

9,154 (18,854 )
Inventories, prepaid expenses and other current assets (74,909 ) (2,491 )
Accounts payable, other accrued expenses and other accrued liabilities   13,137     39,231  
Net cash provided by operating activities – continuing operations 114,482 170,858
Net cash provided by (used in) operating activities – discontinued operations   (567 )   1,548  
Net cash provided by operating activities   113,915     172,406  
 
Cash flows from investing activities:
Purchases of property and equipment, net (53,465 ) (66,608 )
Cash paid for acquisition, net (1,521 )
Proceeds from sale of assets 50 5,240
Change in other assets, net   1,856     1,832  
Net cash used in investing activities – continuing operations (51,559 ) (61,057 )
Net cash provided by investing activities – discontinued operations       10  
Net cash used in investing activities   (51,559 )   (61,047 )
 
Cash flows from financing activities:
Payment of debt and capital lease obligations (6,772 ) (53,672 )
Distribution to parent company in connection with the repurchase of equity, net (124,962 )
Distributions to non-controlling interests (6,921 ) (4,721 )
Costs paid for the repurchase of partnership interests, net   (69 )   (1,379 )
Net cash used in financing activities   (138,724 )   (59,772 )
 
Change in cash and cash equivalents (76,368 ) 51,587
Cash and cash equivalents at beginning of period   206,528     80,738  
Cash and cash equivalents at end of period $ 130,160   $ 132,325  
 
Supplemental disclosure of cash flow information:
Cash paid for interest $ 58,145   $ 60,519  
Cash paid for income taxes, net $ 7,513   $ 3,834  
   
 

IASIS HEALTHCARE LLC

Segment Information (Unaudited)

(in thousands)

 
For the Quarter Ended June 30, 2010
Acute Care   Health Choice   Eliminations   Consolidated
Acute care revenue $ 438,211 $ $ $ 438,211
Premium revenue 199,777 199,777
Revenue between segments   2,319       (2,319 )    
Net revenue 440,530 199,777 (2,319 ) 637,988
 
Salaries and benefits (excludes stock compensation) 165,051 4,866 169,917
Supplies 66,293 40 66,333
Medical claims 174,350 (2,319 ) 172,031
Other operating expenses 87,451 6,128 93,579
Provision for bad debts 49,416 49,416
Rentals and leases   9,650     417       10,067  
Adjusted EBITDA (1) 62,669 13,976 76,645
 
Interest expense, net 16,711 16,711
Depreciation and amortization 23,115 892 24,007
Stock compensation 118 118
Management fees   1,250           1,250  
 

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

21,475 13,084 34,559
Loss on disposal of assets, net   (149 )         (149 )

Earnings from continuing operations before income taxes

$ 21,326   $ 13,084 $   $ 34,410  
 
For the Quarter Ended June 30, 2009
Acute Care Health Choice Eliminations Consolidated
Acute care revenue $ 417,880 $ $ $ 417,880
Premium revenue 183,738 183,738
Revenue between segments   2,542       (2,542 )    
Net revenue 420,422 183,738 (2,542 ) 601,618
 
Salaries and benefits (excludes stock compensation) 159,838 4,900 164,738
Supplies 63,905 45 63,950
Medical claims 161,461 (2,542 ) 158,919
Other operating expenses 75,876 3,832 79,708
Provision for bad debts 45,594 45,594
Rentals and leases   9,635     373       10,008  
Adjusted EBITDA (1) 65,574 13,127 78,701
 
Interest expense, net 16,334 16,334
Depreciation and amortization 23,320 897 24,217
Stock compensation 141 141
Management fees   1,250           1,250  
 
Earnings from continuing operations before gain on disposal of assets and income taxes 24,529 12,230 36,759
Gain on disposal of assets, net   184           184  
Earnings from continuing operations before income taxes $ 24,713   $ 12,230 $   $ 36,943  
 

(1) Adjusted EBITDA represents net earnings from continuing operations before interest expense, income tax expense, depreciation and amortization, stock compensation, gain (loss) on disposal of assets 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 (“GAAP”), 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.

 
   
 

IASIS HEALTHCARE LLC

Segment Information (Unaudited)

(in thousands)

 
For the Nine Months Ended June 30, 2010
Acute Care   Health Choice   Eliminations   Consolidated
Acute care revenue $ 1,300,445 $ $ $ 1,300,445
Premium revenue 591,022 591,022
Revenue between segments   8,331       (8,331 )    
Net revenue 1,308,776 591,022 (8,331 ) 1,891,467
 
Salaries and benefits (excludes stock compensation) 497,916 14,405 512,321
Supplies 200,030 137 200,167
Medical claims 519,023 (8,331 ) 510,692
Other operating expenses 248,380 18,474 266,854
Provision for bad debts 142,901 142,901
Rentals and leases   29,334     1,153       30,487  
Adjusted EBITDA (1) 190,215 37,830 228,045
 
Interest expense, net 50,065 50,065
Depreciation and amortization 69,240 2,669 71,909
Stock compensation 2,367 2,367
Management fees   3,750           3,750  
Earnings from continuing operations before loss on disposal of assets and income taxes 64,793 35,161 99,954
Loss on disposal of assets, net   (206 )         (206 )
Earnings from continuing operations before income taxes $ 64,587   $ 35,161 $   $ 99,748  
 
For the Nine Months Ended June 30, 2009
Acute Care Health Choice Eliminations Consolidated
Acute care revenue $ 1,237,506 $ $ $ 1,237,506
Premium revenue 504,410 504,410
Revenue between segments   6,551       (6,551 )    
Net revenue 1,244,057 504,410 (6,551 ) 1,741,916
 
Salaries and benefits (excludes stock compensation) 480,214 14,753 494,967
Supplies 187,316 213 187,529
Medical claims 429,070 (6,551 ) 422,519
Other operating expenses 220,272 16,739 237,011
Provision for bad debts 137,892 137,892
Rentals and leases 28,038 1,183 29,221
Hurricane–related property damage   938           938  
Adjusted EBITDA (1) 189,387 42,452 231,839
 
Interest expense, net 51,129 51,129
Depreciation and amortization 70,860 2,649 73,509
Stock compensation 420 420
Management fees   3,750           3,750  
Earnings before gain on disposal of assets and income taxes 63,228 39,803 103,031
Gain on disposal of assets, net   1,497           1,497  
Earnings from continuing operations before income taxes $ 64,725   $ 39,803 $   $ 104,528  
 

(1) Adjusted EBITDA represents net earnings from continuing operations before interest expense, income tax expense, depreciation and amortization, stock compensation, gain (loss) on disposal of assets 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 GAAP, 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.

 
     
 

IASIS HEALTHCARE LLC

Consolidated Financial and Operating Data (Unaudited)

 

Quarter Ended

June 30,

Nine Months Ended

June 30,

2010     2009   2010     2009  
Consolidated Hospital Facilities
Number of acute care hospital facilities at end of period 15 15 15 15
Beds in service at end of period 2,886 2,789 2,886 2,789
Average length of stay (days) 4.8 4.7 4.8 4.7
Occupancy rates (average beds in service) 45.9 % 46.2 % 46.9 % 47.5 %
Admissions 24,968 25,229 76,679 75,628
Percentage change (1.0 %) 1.4 %
Adjusted admissions 42,655 42,780 127,654 126,615
Percentage change (0.3 %) 0.8 %
Patient days 120,515 117,378 369,402 354,332
Adjusted patient days 198,439 191,157 593,277 569,299
Outpatient revenue as a % of gross patient revenue 40.7 % 39.6 % 39.1 % 38.8 %
     
 

IASIS HEALTHCARE LLC

Supplemental Consolidated Statements of Operations Information (Unaudited)

(in thousands)

 
Quarter Ended

June 30,

Nine Months Ended

June 30,

  2010     2009     2010     2009  
Consolidated Results
Net earnings from continuing operations $ 21,727 $ 23,228 $ 63,204 $ 65,553
Add:
Interest expense, net 16,711 16,334 50,065 51,129
Income tax expense 12,683 13,715 36,544 38,975
Depreciation and amortization 24,007 24,217 71,909 73,509
Stock compensation 118 141 2,367 420
Loss (gain) on disposal of assets, net 149 (184 ) 206 (1,497 )
Management fees   1,250   1,250     3,750   3,750  
Adjusted EBITDA (1) $ 76,645 $ 78,701   $ 228,045 $ 231,839  
 

(1) Adjusted EBITDA represents net earnings from continuing operations before interest expense, income tax expense, depreciation and amortization, stock compensation, loss (gain) on disposal of assets 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 GAAP, 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.

 



CONTACT:

IASIS Healthcare LLC
Investor Contact:
W. Carl Whitmer
President
or
John M. Doyle, 615-844-2747
Chief Financial Officer
or
Media Contact:
Michele M. Peden, 615-467-1255
VP, Corporate Communications

KEYWORDS:   United States  North America  Tennessee

INDUSTRY KEYWORDS:   Health  Hospitals  Other Health  Nursing

MEDIA:

Logo
 Logo