Health Management 2nd Quarter 2011 Diluted EPS from Continuing Operations Increases 25% to $0.20 and Net Revenue Inc

2011 Diluted EPS from Continuing Operations Objective Range Raised to $0.76 - $0.80

NAPLES, Fla.--(BUSINESS WIRE)-- Health Management Associates, Inc. (NYSE: HMA) today announced its consolidated financial results for the second quarter ended June 30, 2011.

Key metrics from continuing operations for the second quarter (all percentage changes compare the second quarter of 2011 to the second quarter of 2010) include:

  • Diluted earnings per share (“EPS”) increased 25.0% to $0.20;
  • Revenue increased 13.4% to $1,395.4 million;
  • Income from continuing operations increased 23.5% to $56.9 million;
  • Adjusted EBITDA increased 12.3% to $203.8 million;
  • Admissions increased 2.2% while adjusted admissions increased 6.2%;
  • Same hospital net revenue increased 4.2% to $1,281.6 million;
  • Same hospital net revenue per adjusted admission increased 7.3%;
  • Same hospital Adjusted EBITDA increased 5.8% to $225.5 million, resulting in a 30 basis point improvement in margin, to 17.6%; and
  • Same hospital surgeries increased 0.1%.

The tables accompanying this press release include a reconciliation of consolidated net income to all presentations of Adjusted EBITDA (which is not a GAAP measure) contained in this press release. Those tables also contain disclaimers and other important information regarding how Health Management defines and uses Adjusted EBITDA.

For continuing operations at hospitals operated by Health Management for one year or more, referred to as same hospital operations, net revenue increased $51.6 million or 4.2% to $1,281.6 million compared to the prior year’s second quarter. Adjusted EBITDA from same hospital operations grew 5.8% to $225.5 million, representing 17.6% of net revenue, as compared to $213.2 million and 17.3% of net revenue for the same quarter a year ago. Declines in uninsured admissions and births, as well as weather-related disruptions, contributed to a 6.4% decline in admissions from same hospital continuing operations in the second quarter and a decline of 2.9% in same hospital adjusted admissions when compared to the prior year’s second quarter. For comparison purposes, Health Management led the publicly traded hospital group in the second quarter a year ago with same hospital adjusted admissions growth of 3.7%.

“We are very pleased to report another solid quarter,” said Gary D. Newsome, Health Management’s President and Chief Executive Officer. “There are a number of exciting things taking place at Health Management, and we remain focused on the fundamentals – effective cost controls, emergency room operations, physician recruitment and market service development. We continue to believe that over the foreseeable future the acquisition and partnership pipeline represents a tremendous growth opportunity for us. We continue to review partnership opportunities with community hospitals in non-urban and midsize markets, and we will remain disciplined in our acquisition approach.”

Health Management’s provision for doubtful accounts, or bad debt expense, was $170.8 million, or 12.2% of net revenue, for the second quarter compared to $147.9 million, or 12.0% of net revenue, for the same quarter a year ago.

Uninsured self-pay patient discounts for the second quarter were $232.5 million, compared to $189.4 million for the same quarter a year ago. Charity/indigent care write-offs for the quarter were $23.4 million, compared to $20.1 million for the same quarter a year ago. The sum of uninsured discounts, charity/indigent write-offs and bad debt expense, as a percent of the sum of net revenue, uninsured discounts and charity/indigent write-offs (which Health Management refers to as the Uncompensated Patient Care Percentage) was 25.8% for the second quarter, compared to 24.8% for the second quarter a year ago, and 25.0% for the first quarter ended March 31, 2011. Health Management believes that its Uncompensated Patient Care Percentage provides key information regarding the aggregate level of patient care for which it does not receive remuneration.

Cash flow from continuing operating activities for the second quarter was $156.1 million, after cash interest and cash tax payments aggregating $98.1 million. Health Management’s total leverage ratio and interest coverage ratio were 3.93 and 3.63, respectively, at June 30, 2011. These ratios are well within the requirements of Health Management’s credit facilities.

For the six months ended June 30, 2011, Health Management reported net revenue of $2,822.2 million and Adjusted EBITDA of $416.2 million. Likewise, during the six month period, income from continuing operations was $118.9 million and net income attributable to Health Management’s common stockholders was $104.1 million, or $0.42 per diluted share from continuing operations, a 20.0% increase compared to $0.35 per diluted share from continuing operations for the six months ended June 30, 2010.

Health Management is increasing its diluted EPS from continuing operations objective range for fiscal year 2011 to be between $0.76 and $0.80 from between $0.74 and $0.78, and also expects 2011 same hospital admissions to be flat to down 2% compared to 2010 same hospital admissions.

Effective July 1, 2011, Health Management terminated the lease of 25-bed Fishermen's Hospital, located in Marathon, Florida. As a result, such hospital has been placed in discontinued operations and prior periods have been reclassified. The loss from discontinued operations of $0.01 per diluted share for the three and six months ended June 30, 2011 is primarily due to a goodwill impairment charge at Fishermen’s Hospital resulting from the lease termination.

As previously announced on July 1, 2011, a subsidiary of Health Management signed a definitive agreement to acquire substantially all of the assets of Mercy Health Partners, Inc. which is a subsidiary of Catholic Health Partners. Pursuant to the agreement, Health Management will acquire or lease all seven of Mercy's hospitals, which include a total of 1,323 licensed beds and additional continuum-of-care services that are part of Mercy Health Partners’ Knoxville-based East Tennessee health system. Mercy Health Partners generates approximately $600 million of annual net revenue. The purchase price for this transaction is expected to be approximately $525 million in cash, plus certain adjustments for working capital, and the assumption of certain long-term lease liabilities.

The proposed acquisition is subject to review and approval by appropriate authorities, including the Vatican, as well as other conditions customary to closing. This transaction is expected to be completed by October 1, 2011.

As previously announced on July 19, 2011, Health Management’s Pulse System® Version 11.1 was certified by the Certification Commission for Health Information Technology (CCHIT®), in its EACH™ program. PULSE® Version 11.1 was found to be compliant in accordance with the applicable hospital certification criteria adopted by the Secretary of Health and Human Services. As a result, Health Management is now eligible to receive funding under the American Recovery and Reinvestment Act.

Health Management’s executive team will hold a conference call and webcast to discuss the contents of this press release and Health Management’s consolidated financial results for the second quarter and six months ended June 30, 2011 on Thursday, July 28, 2011 at 11:00 a.m. EDT. Investors are invited to access the webcast via Health Management’s website at www.HMA.com or via www.streetevents.com. Alternatively, investors may join the conference call by dialing 877-476-3476.

Health Management will archive a copy of the audio webcast of the conference call, along with any related information that Health Management may be required to provide pursuant to Securities and Exchange Commission rules, on its website under the heading “Investor Relations” for a period of 60 days following the conference call.

Health Management enables America's best local health care by providing the people, processes, capital and expertise necessary for its hospital and physician partners to fulfill their local missions of delivering superior health care services.

Upon completion of the previously announced Mercy Health Partners transaction, Health Management, through its subsidiaries, will operate 66 hospitals, with approximately 10,400 licensed beds, in non-urban communities located throughout the United States. All references to "Health Management," "HMA" or the "Company" used in this release refer to Health Management Associates, Inc. and its affiliates.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. Forward-looking statements are subject to risks, uncertainties and assumptions and are identified by words such as “expects,” “estimates,” “projects,” “anticipates,” “believes,” “plans,” “could” and other similar words. All statements addressing operating performance, events or developments that Health Management Associates, Inc. expects or anticipates will occur in the future, including but not limited to projections of revenue, income or loss, capital expenditures, earnings per share, debt structure, bad debt expense, capital structure, repayment of indebtedness, other financial items and operating statistics, statements regarding the plans and objectives of management for future operations, innovations, or market service development, statements regarding acquisitions, joint ventures, divestitures and other proposed or contemplated transactions (including but not limited to statements regarding the potential for future acquisitions and perceived benefits of acquisitions), statements of future economic performance, statements regarding the effects and/or interpretations of recently enacted or future health care laws and regulations, statements of the assumptions underlying or relating to any of the foregoing statements, and other statements which are other than statements of historical fact, are considered to be “forward-looking statements.”

Because they are forward-looking, such statements should be evaluated in light of important risk factors and uncertainties. These risk factors and uncertainties are more fully described in Health Management Associates, Inc.’s most recent Annual Report on Form 10-K, including under the heading entitled “Risk Factors.” Should one or more of these risks or uncertainties materialize, or should any of Health Management Associates, Inc.'s underlying assumptions prove incorrect, actual results could vary materially from those currently anticipated. In addition, undue reliance should not be placed on Health Management Associates, Inc.'s forward-looking statements. Except as required by law, Health Management Associates, Inc. disclaims any obligation to update such risk factors or to publicly announce any revisions to any of the forward-looking statements contained in this press release.

HEALTH MANAGEMENT ASSOCIATES, INC.

CONSOLIDATED STATEMENTS OF INCOME

(unaudited, in thousands, except per share amounts)

       
 
Three Months Ended Six Months Ended
June 30, June 30,
2011 2010 2011 2010
 
 
Net revenue $ 1,395,353 $ 1,230,101 $ 2,822,182 $ 2,495,255
 
Operating expenses:
Salaries and benefits 546,198 483,423 1,115,236 983,443
Supplies 185,789 175,036 380,255 353,491
Provision for doubtful accounts 170,787 147,906 342,856 304,065
Depreciation and amortization 64,201 60,280 128,829 120,802
Rent expense 36,774 30,042 72,621 59,594
Other operating expenses   252,037     212,233     494,975     418,340  
 
Total operating expenses   1,255,786     1,108,920     2,534,772     2,239,735  
 
Income from operations 139,567 121,181 287,410 255,520
 
Other income (expense):
Gains (losses) on sales of assets, net (854 ) 84 (794 ) 1,279
Interest and other income, net 993 2,651 1,127 3,922
Interest expense   (51,033 )   (52,530 )   (102,070 )   (106,104 )
 
Income from continuing operations before income taxes 88,673 71,386 185,673 154,617
Provision for income taxes   (31,757 )   (25,318 )   (66,791 )   (55,061 )
 
Income from continuing operations 56,916 46,068 118,882 99,556
Loss from discontinued operations, net of income taxes   (1,583 )   (355 )   (1,437 )   (424 )
 
Consolidated net income 55,333 45,713 117,445 99,132
Net income attributable to noncontrolling interests   (6,722 )   (6,056 )   (13,310 )   (12,535 )
 
Net income attributable to Health Management Associates, Inc. $ 48,611   $ 39,657   $ 104,135   $ 86,597  
 
Earnings (loss) per share attributable to Heath Management
Associates, Inc. common stockholders:
Basic and Diluted:
Continuing operations $ 0.20 $ 0.16 $ 0.42 $ 0.35
Discontinued operations   (0.01 )   -     (0.01 )   -  
 
Net income $ 0.19   $ 0.16   $ 0.41   $ 0.35  
 
Weighted average number of shares outstanding:
Basic   251,765     248,390     250,898     247,975  
 
Diluted   255,235     251,198     254,478     250,535  
 
Net income attributable to Health Management Associates, Inc.
Income from continuing operations, net of income taxes $ 50,194 $ 40,012 $ 105,572 $ 87,021
Loss from discontinued operations, net of income taxes   (1,583 )   (355 )   (1,437 )   (424 )
 
Net income attributable to Health Management Associates, Inc. $ 48,611   $ 39,657   $ 104,135   $ 86,597  
 

HEALTH MANAGEMENT ASSOCIATES, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(unaudited, in thousands)

         
 
Six Months Ended June 30,
2011 2010
 
Cash flows from operating activities:
Consolidated net income $ 117,445 $ 99,132
Adjustments to reconcile consolidated net income to net cash
provided by continuing operating activities:
Depreciation and amortization 132,162 124,165
Provision for doubtful accounts 342,856 304,065
Stock-based compensation expense 12,945 8,934
(Gains) losses on sales of assets, net 794 (1,279 )
Gains on sales of available-for-sale securities, net (7 ) (2,754 )
Deferred income tax expense (benefit) 13,615 (8,698 )
Changes in assets and liabilities of continuing operations, net of the effects of acquisitions:
Accounts receivable (355,170 ) (307,282 )
Supplies, prepaid expenses and other current assets (6,722 ) (9,078 )
Prepaid and recoverable income taxes 10,448 14,367
Deferred charges and other long-term assets (3,333 ) (7,726 )
Accounts payable, accrued expenses and other liabilities 7,946 21,042
Equity compensation excess income tax benefits (2,919 ) (1,112 )
Loss from discontinued operations, net of income taxes   1,437     424  
 
Net cash provided by continuing operating activities   271,497     234,200  
 
Cash flows from investing activities:
Acquisitions and other (42,891 ) (10,959 )
Additions to property, plant and equipment (133,034 ) (91,428 )
Proceeds from sales of assets and insurance recoveries 1,329 2,189
Purchases of available-for-sale securities (687,218 ) (348,549 )
Proceeds from sales of available-for-sale securities 604,219 248,854
Increase in restricted funds   (11,559 )   (9,021 )
 
Net cash used in continuing investing activities   (269,154 )   (208,914 )
 
Cash flows from financing activities:
Principal payments on debt and capital lease obligations (19,741 ) (19,992 )
Proceeds from exercises of stock options 14,067 5,462
Cash received from noncontrolling shareholders - 2,547
Cash payments to noncontrolling shareholders (16,285 ) (9,866 )
Equity compensation excess income tax benefits   2,919     1,112  
 
Net cash used in continuing financing activities   (19,040 )   (20,737 )
 
Net increase (decrease) in cash and cash equivalents before
discontinued operations (16,697 ) 4,549
Net increases (decreases) in cash and cash equivalents
from discontinued operations:
Operating activities 5,248 3,128
Investing activities   (56 )   (1,058 )
 
Net increase (decrease) in cash and cash equivalents (11,505 ) 6,619
Cash and cash equivalents at the beginning of the period   101,812     106,018  
 
Cash and cash equivalents at the end of the period $ 90,307   $ 112,637  
 

HEALTH MANAGEMENT ASSOCIATES, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS AND STATISTICS

   
 
June 30, December 31,
(unaudited, in thousands) 2011 2010
 
Assets
Current assets:
Cash and cash equivalents $ 90,307 $ 101,812
Available-for-sale securities 140,430 57,327
Accounts receivable, net 761,776 759,131
Other current assets 269,967

268,726

Assets of discontinued operations

6,530

11,384

Property, plant and equipment, net 2,741,546

2,662,947

Restricted funds 69,710 51,067
Other assets   1,021,795  

997,691

 
Total assets $ 5,102,061 $ 4,910,085
 
 
Liabilities and Stockholders' Equity
Current liabilities $ 557,103 $ 555,630
Deferred income taxes 189,038 157,177
Other long-term liabilities 697,997 680,073
Long-term debt 2,984,915 2,983,719
Stockholders' equity   673,008   533,486
 
Total liabilities and stockholders' equity $ 5,102,061 $ 4,910,085
         
 
Three Months Ended June 30, Six Months Ended June 30,
  2011       2010     % Change   2011       2010   % Change  
Continuing Operations
Occupancy 42.7 % 43.9 % 44.8 % 46.2 %
Patient days 343,107 326,981 4.9 % 723,650 688,461 5.1 %
 
Admissions 80,753 79,028 2.2 % 168,896 163,557 3.3 %
Adjusted admissions 152,216 143,338 6.2 % 311,390 290,105 7.3 %
 
Average length of stay 4.2 4.1 4.3 4.2
Surgeries 82,502 78,116 5.6 % 165,348 155,773 6.1 %
Emergency room visits 378,125 345,077 9.6 % 768,862 686,075 12.1 %
 
Net revenue (in thousands) $ 1,395,353 $ 1,230,101 13.4 % $ 2,822,182 $ 2,495,255 13.1 %
Net revenue per adjusted admission $ 9,167 $ 8,582 6.8 % $ 9,063 $ 8,601 5.4 %
Total inpatient revenue percentage 47.6 % 50.1 % 49.0 % 51.1 %
Total outpatient revenue percentage 52.4 % 49.9 % 51.0 % 48.9 %
 
Same Hospitals
Occupancy 41.7 % 43.9 % 44.2 % 46.2 %
Patient days 311,890 326,981 -4.6 % 660,845 688,461 -4.0 %
 
Admissions 73,936 79,028 -6.4 % 155,196 163,557 -5.1 %
Adjusted admissions 139,201 143,338 -2.9 % 285,646 290,105 -1.5 %
 
Average length of stay 4.2 4.1 4.3 4.2
Surgeries 78,233 78,116 0.1 % 156,709 155,773 0.6 %
Emergency room visits 344,483 345,077 -0.2 % 702,328 686,075 2.4 %
 
Net revenue (in thousands) $ 1,281,644 $ 1,230,101 4.2 % $ 2,607,802 $ 2,495,255 4.5 %
Net revenue per adjusted admission $ 9,207 $ 8,582 7.3 % $ 9,129 $ 8,601 6.1 %
Total inpatient revenue percentage 47.8 % 50.1 % 49.3 % 51.1 %
Total outpatient revenue percentage 52.2 % 49.9 % 50.7 % 48.9 %
 

HEALTH MANAGEMENT ASSOCIATES, INC.

SUPPLEMENTAL CONSOLIDATED STATEMENTS OF INCOME INFORMATION

(unaudited, in thousands)

   
 
Three Months Ended Six Months Ended
June 30, June 30,
2011   2010 2011   2010
 
Net revenue $ 1,395,353 $ 1,230,101 $ 2,822,182 $ 2,495,255
Less acquisitions   113,709     -     214,380     -  
 
Same hospital net revenue $ 1,281,644   $ 1,230,101   $ 2,607,802   $ 2,495,255  
 
 
Consolidated net income $ 55,333 $ 45,713 $ 117,445 $ 99,132
 
Adjustments:
Loss from discontinued operations, net of income taxes 1,583 355 1,437 424
Provision for income taxes 31,757 25,318 66,791 55,061
(Gains) losses on sales of assets, net 854 (84 ) 794 (1,279 )
Interest and other income, net (993 ) (2,651 ) (1,127 ) (3,922 )
Interest expense 51,033 52,530 102,070 106,104
Depreciation and amortization   64,201     60,280     128,829     120,802  
 
Adjusted EBITDA (a) 203,768 181,461 416,239 376,322
 
Adjustment for acquisitions, corporate and other   21,735     31,761     50,674     65,603  
 
Same hospital operating Adjusted EBITDA (a) $ 225,503   $ 213,222   $ 466,913   $ 441,925  
 
Same hospital operating Adjusted EBITDA margins =
Same hospital operating Adjusted EBITDA / Same hospital net revenue (a)   17.6 %   17.3 %   17.9 %   17.7 %
 
 
(a) Adjusted EBITDA is defined as consolidated net income before discontinued operations, net gains (losses) on sales of assets, net interest and
other income, interest expense, income taxes, and depreciation and amortization. Adjusted EBITDA margin is defined as Adjusted EBITDA divided
by net revenue. Adjusted EBITDA is not a measure determined in accordance with generally accepted accounting principles in the United States,
commonly known as GAAP. Nevertheless, Health Management believes that providing non-GAAP information such as Adjusted EBITDA is important
for investors and other readers of Health Management's consolidated financial statements, as it is commonly used as an analytical indicator within the health care
industry and Health Management's debt facilities contain covenants that use Adjusted EBITDA in their calculations. Because Adjusted EBITDA is a
non-GAAP measure and is thus susceptible to varying calculations, Adjusted EBITDA, as presented, may not be directly comparable to other similarly
titled measures used by other companies.



CONTACT:

Health Management Associates, Inc.
John C. Merriwether, 239-598-3131
Vice President of Financial Relations

KEYWORDS:   United States  North America  Florida

INDUSTRY KEYWORDS:   Health  Hospitals  Professional Services  Finance  General Health

MEDIA:

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