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IASIS Healthcare Announces Fourth Quarter and Year-End 2014 Results
[November 21, 2014]

IASIS Healthcare Announces Fourth Quarter and Year-End 2014 Results


FRANKLIN, Tenn. --(Business Wire)--

IASIS Healthcare® LLC ("IASIS" or the "Company") today announced financial and operating results for the fiscal fourth quarter and year ended September 30, 2014. The Company's discontinued operations in the accompanying consolidated financial statements have been excluded from segment information, consolidated financial and operating data and supplemental consolidated statements of operations information for the fiscal fourth quarters and years ended September 30, 2014 and 2013.

Key Financial & Operating Results

Fourth Quarter Fiscal 2014

Total revenue for the fourth quarter totaled $655.4 million, an increase of 16.4% compared to $563.0 million in the prior year quarter. Adjusted EBITDAR, which excludes rent expense associated with the sale-leaseback of certain hospital real estate, for the fourth quarter totaled $73.9 million, an increase of 16.5% compared to $63.5 million in the prior year quarter.

In the fourth quarter, admissions increased 0.8% and adjusted admissions increased 2.6%, each compared to the prior year quarter. Net patient revenue per adjusted admission in the fourth quarter increased 5.2% compared to the prior year quarter.

Acute care revenue for the fourth quarter increased 7.6% compared to the prior year quarter. Premium and service revenues at Health Choice for the fourth quarter, excluding the effect of $4.7 million of revenue associated with the new health insurer fee ("HIF"), increased 41.0% compared to the prior year quarter. Total lives served across all product lines increased 81.3% to 340,900, compared to 188,000 in the prior year quarter, while health plan lives increased 18.8% compared to the same prior year period.

"We are very pleased with the strong results in both our acute care and managed care operations. We are seeing continued improvements in employment and other economic factors in our local markets, solid fundamental operating performance, as well as continued improvements in our payor and service line mix," said IASIS Healthcare President and Chief Executive Officer Carl Whitmer. "We are excited about our plans for the upcoming 2015 fiscal year, which include growing our core provider business, expanding our managed care operations and continuing integration of our business lines in a manner that improves population health, results in more cost efficient care and drives value."

Fiscal Year 2014

Total revenue for the year ended September 30, 2014, totaled $2.5 billion, an increase of 10.9% compared to $2.3 billion in the prior year. Adjusted EBITDAR for the year ended September 30, 2014, totaled $287.7 million, an increase of 13.4% compared to $253.8 million in the prior year. Adjusted EBITDAR for fiscal 2014 includes $4.8 million in start-up related costs at Health Choice and $3.5 million of compensation expense associated with a special bonus paid to certain members of the Company's leadership team in recognition of the completion of certain strategic initiatives. Additionally, the prior year was negatively affected by $6.1 million of changes in reimbursement estimates associated with the Company's Houston market.

For the year ended September 30, 2014, admissions decreased 2.5% and adjusted admissions increased 0.8%, each compared to the prior year. Net patient revenue per adjusted admission for the year ended September 30, 2014, increased 4.4% compared to the prior year.

Acute care revenue for the year ended September 30, 2014, increased 4.8% compared to the prior year. Premium and service revenues at Health Choice for the year ended September 30, 2014, excluding the effect of $8.2 million of revenue associated with the new HIF, increased 28.0% compared to the prior year.

Cash flows provided by continuing operations for the year ended September 30, 2014, totaled $77.2 million, compared to cash flows provided by continuing operations of $101.2 million in the prior year. Cash flows provided by operations for the year ended September 30, 2014, were affected by the payment of $22.3 million in income taxes and other transaction costs, as well as additional rent payments of $22.2 million, both associated with the Company's sale-leaseback of certain hospital real estate that occurred at the end of fiscal 2013, and the continued delay of certain supplemental and other program reimbursement in Texas and Arizona.

On November 11, 2014, in connection with the Company's efforts to execute on both short- and long-term growth initiatives in its core markets and at Health Choice, the Company's managed care solutions business, IASIS signed a definitive agreement to sell its Nevada operations.

Conference Call

A listen-only simulcast and 30-day replay of IASIS' fourth quarter and year-end 2014 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 November 21, 2014. A copy of this press release will also be available on the Company's Web site.

IASIS Healthcare, located in Franklin, Tennessee, is a leading provider and manager of high-quality, affordable healthcare services in urban and suburban markets. With total annual total revenue of approximately $2.5 billion, IASIS owns and operates 16 acute care hospitals, one behavioral health hospital, several outpatient service facilities, 134 physician clinics, and Health Choice, a provider-owned, managed care organization and insurer delivering healthcare services to over 340,000 members through multiple health plans, accountable care networks and managed care solutions. IASIS offers a variety of access points for convenient patient care in numerous regions across the U.S., including: Salt Lake City, Utah; Phoenix, Arizona; five cities in Texas, including Houston and San Antonio; and West Monroe, Louisiana. 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, 2013, 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.

Adjusted EBITDAR represents adjusted EBITDA before rent expense associated with the sale-leaseback of certain hospital real estate. Adjusted EBITDA represents net earnings (loss) from continuing operations before interest expense, income tax expense (benefit), depreciation and amortization, stock-based compensation and related expenses, 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. Neither adjusted EBITDAR nor adjusted EBITDA should be considered as a measure of financial performance under generally accepted accounting principles, and the items excluded from such EBITDAR and EBITDA measures are significant components in understanding and assessing financial performance. Neither EBITDAR nor EBITDA measures should 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. Such EBITDAR and EBITDA measures may not be comparable to similarly titled measures of other companies. A table describing adjusted EBITDAR and adjusted EBITDA and reconciling net earnings (loss) from continuing operations to such EBITDAR and EBITDA measures is included in this press release in the attached Supplemental Consolidated Statements of Operations Information.





   

IASIS HEALTHCARE LLC

Consolidated Statements of Operations (Unaudited)

(in thousands)

 
Quarter Ended

September 30,

Year Ended

September 30,

  2014       2013     2014       2013  
Revenues

Acute care revenue before provision for bad debts

$ 527,217 $ 514,390 $ 2,140,675 $ 2,047,880
Less: Provision for bad debts   (76,869 )   (93,522 )   (337,118 )   (326,978 )
Acute care revenue 450,348 420,868 1,803,557 1,720,902
Premium and service revenues   205,035     142,093     730,030     564,152  
Total revenue 655,383 562,961 2,533,587 2,285,054
 
Costs and expenses
Salaries and benefits (includes stock-based compensation of $1,533, $909, $10,329 and $3,855, respectively) 227,164 213,781 892,714 848,010
Supplies 72,344 70,030 299,760 294,409
Medical claims 160,024 118,738 596,778 467,294
Rentals and leases 18,270 13,929 72,714 52,896
Other operating expenses 115,347 95,090 426,933 393,516
Medicare and Medicaid EHR incentives (5,460 ) (10,839 ) (14,753 ) (20,723 )
Interest expense, net 32,520 33,220 130,818 133,206
Depreciation and amortization 25,540 23,381 95,312 94,026
Management fees   1,250     1,250     5,000     5,000  
Total costs and expenses 646,999 558,580 2,505,276 2,267,634
 

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

8,384 4,381 28,311 17,420
Gain (loss) on disposal of assets, net   2,304     (9,626 )   3,402     (8,982 )
 

Earnings (loss) from continuing operations before income taxes

10,688 (5,245 ) 31,713 8,438
Income tax expense (benefit)   (5,609 )   (2,756 )   8,424     3,647  
 

Net earnings (loss) from continuing operations

16,297 (2,489 ) 23,289 4,791

Earnings (loss) from discontinued operations, net of income taxes

  (8,262 )   2,947     (14,005 )   5,708  
 
Net earnings 8,035 458 9,284 10,499

Net earnings attributable to non-controlling interests

  (2,811 )   (4,026 )   (11,668 )   (7,215 )
 

Net earnings (loss) attributable to IASIS Healthcare LLC

$ 5,224   $ (3,568 ) $ (2,384 ) $ 3,284  
 

     

IASIS HEALTHCARE LLC

Consolidated Balance Sheets (Unaudited)

(in thousands)

 

Sept. 30,
2014

Sept. 30,
2013

 
ASSETS
 
Current assets
Cash and cash equivalents $ 341,180 $ 438,131
Accounts receivable, net 305,654 371,006
Inventories 57,632 57,781
Deferred income taxes 2,523 26,096
Prepaid expenses and other current assets 235,155 126,412
Assets held for sale   50,151   119,141
Total current assets 992,295 1,138,567
 
Property and equipment, net 826,478 833,169
Goodwill 814,498 816,410
Other intangible assets, net 23,331 25,957
Other assets, net   62,362   66,162
Total assets $ 2,718,964 $ 2,880,265
 
LIABILITIES AND EQUITY
 
Current liabilities
Accounts payable $ 127,953 $ 129,542
Salaries and benefits payable 71,121 62,884
Accrued interest payable 28,820 27,519
Medical claims payable 79,449 57,514
Other accrued expenses and current liabilities 73,497 92,553
Current portion of long-term debt, capital leases and other obligations 12,690 13,221
Advance from divestiture - 144,803
Liabilities held for sale   9,171   3,208
Total current liabilities 402,701 531,244
 
Long-term debt, capital leases and other obligations 1,841,110 1,852,822
Deferred income taxes 100,868 115,592
Other long-term liabilities 117,289 123,120
 
Non-controlling interests with redemption rights 108,156 105,464
 
Equity
Member's equity 139,164 142,262
Non-controlling interests   9,676   9,761
Total equity   148,840   152,023
Total liabilities and equity $ 2,718,964 $ 2,880,265
 

 

IASIS HEALTHCARE LLC

Consolidated Statements of Cash Flows (Unaudited)

(in thousands)

 

Year Ended
September 30,

  2014       2013  
Cash flows from operating activities
Net earnings $ 9,284 $ 10,499
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation and amortization 95,312 94,026
Amortization of loan costs 7,412 7,612
Amortization of deferred gain from sale-leaseback (2,496 ) -
Change in physician minimum revenue guarantees 2,709 2,807
Stock-based compensation 10,329 3,855
Deferred income taxes 3,491 (6,220 )
Income tax benefit from exercise of employee stock options - 16
Income tax benefit from parent company 3 489
Loss (gain) on disposal of assets, net (3,402 ) 8,982
Loss (earnings) from discontinued operations, net 14,005 (5,708 )

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

 

Accounts receivable, net (1,551 ) (1,724 )
Inventories, prepaid expenses and other current assets (107,413 ) (14,277 )
Accounts payable, other accrued expenses and other accrued liabilities 71,808 822

Income taxes and other transaction costs payable related to sale-leaseback of real estate

  (22,270 )   -  
Net cash provided by operating activities - continuing operations 77,221 101,179
Net cash used in operating activities - discontinued operations   (18,350 )   (3,027 )
Net cash provided by operating activities 58,871 98,152
Cash flows from investing activities
Purchases of property and equipment (114,586 ) (106,555 )
Cash received (paid) for acquisitions, net (1,038 ) 2,996
Cash advance on divestiture - 144,803
Cash received (paid) for sale-leaseback of real estate (3,025 ) 277,983
Proceeds from sale of assets 1,903 83
Change in other assets, net   (631 )   (2,210 )
Net cash provided by (used in) investing activities - continuing operations (117,377 ) 317,100
Net cash used in investing activities - discontinued operations   (5,038 )   (5,128 )
Net cash provided by (used in) investing activities   (122,415 )   311,972  
Cash flows from financing activities
Payment of long-term debt, capital leases and other obligations (13,365 ) (178,459 )
Proceeds from revolving credit facilities - 165,000
Payment of debt financing costs (1,691 ) (1,024 )
Distributions to non-controlling interests (15,618 ) (6,012 )
Cash received for the sale of non-controlling interests - 849
Cash paid for the repurchase of non-controlling interests (770 ) (1,211 )
Other   (1,838 )   22  
Net cash used in financing activities - continuing operations (33,282 ) (20,835 )
Net cash used in financing activities - discontinued operations   (125 )   (40 )
Net cash used in financing activities   (33,407 )   (20,875 )
 
Change in cash and cash equivalents (96,951 ) 389,249
Cash and cash equivalents at beginning of period   438,131     48,882  
Cash and cash equivalents at end of period $ 341,180   $ 438,131  
 
Supplemental disclosure of cash flow information
Cash paid for interest $ 123,253   $ 126,693  
Cash paid (received) for income taxes, net $ 33,086   $ (16,181 )
 

 

IASIS HEALTHCARE LLC

Segment Information (Unaudited)

(in thousands)

 
For the Quarter Ended September 30, 2014
Acute Care   Health Choice   Eliminations   Consolidated
Acute care revenue before provision for bad debts $ 527,217 $ - $ - $ 527,217
Less: Provision for bad debts   (76,869 )   -   -     (76,869 )
Acute care revenue 450,348 - - 450,348
Premium and service revenues - 205,035 - 205,035
Revenue between segments   4,540     -   (4,540 )   -  
Total revenue 454,888 205,035 (4,540 ) 655,383
 

Salaries and benefits (excludes stock-based compensation)

214,366 11,265 - 225,631
Supplies 72,284 60 - 72,344
Medical claims - 164,564 (4,540 ) 160,024

Rentals and leases (excludes sale-leaseback rent expense)

13,028 533 - 13,561
Other operating expenses 102,814 12,533 - 115,347
Medicare and Medicaid EHR incentives   (5,460 )   -   -     (5,460 )
Adjusted EBITDAR 57,856 16,080 - 73,936

Sale-leaseback rent expense

  4,709     -   -     4,709  
Adjusted EBITDA 53,147 16,080 - 69,227
 
Interest expense, net 32,520 - - 32,520
Depreciation and amortization 24,515 1,025 - 25,540

Stock-based compensation and related expenses

1,533 - - 1,533
Management fees   1,250     -   -     1,250  

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

(6,671 ) 15,055 - 8,384
Gain on disposal of assets, net   2,304     -   -     2,304  

Earnings (loss) from continuing operations before income taxes

$ (4,367 ) $ 15,055 $ -   $ 10,688  
 
  For the Quarter Ended September 30, 2013
Acute Care  

Health Choice

  Eliminations   Consolidated

Acute care revenue before provision for bad debts

$ 514,390 $ - $ - $ 514,390
Less: Provision for bad debts   (93,522 )   -   -     (93,522 )
Acute care revenue 420,868 - - 420,868
Premium and service revenues - 142,093 - 142,093
Revenue between segments   1,758     -   (1,758 )   -  
Total revenue 422,626 142,093 (1,758 ) 562,961
 

Salaries and benefits (excludes stock-based compensation)

206,507 6,365 - 212,872
Supplies 69,989 41 - 70,030
Medical claims - 120,496 (1,758 ) 118,738

Rentals and leases (excludes sale-leaseback rent expense)

13,264 352 - 13,616
Other operating expenses 89,141 5,949 - 95,090

Medicare and Medicaid EHR incentives

  (10,839 )   -   -     (10,839 )
Adjusted EBITDAR 54,564 8,890 - 63,454
Sale-leaseback rent expense   313     -   -     313  
Adjusted EBITDA 54,251 8,890 - 63,141
 
Interest expense, net 33,220 - - 33,220
Depreciation and amortization 22,329 1,052 - 23,381
Stock-based compensation 909 - - 909
Management fees   1,250     -   -     1,250  

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

(3,457 ) 7,838 - 4,381
Loss on disposal of assets, net   (9,626 )   -   -     (9,626 )

Earnings (loss) from continuing operations before income taxes

$ (13,083 ) $ 7,838 $ -   $ (5,245 )

 

IASIS HEALTHCARE LLC

Segment Information (Unaudited)

(in thousands)

 
For the Year Ended September 30, 2014
Acute Care   Health Choice   Eliminations   Consolidated

Acute care revenue before provision for bad debts

$ 2,140,675 $ - $ - $ 2,140,675
Less: Provision for bad debts   (337,118 )   -   -     (337,118 )
Acute care revenue 1,803,557 - - 1,803,557
Premium and service revenues - 730,030 - 730,030
Revenue between segments   13,079     -   (13,079 )   -  
Total revenue 1,816,636 730,030 (13,079 ) 2,533,587
 

Salaries and benefits (excludes stock-based compensation)

847,460 34,925 - 882,385
Supplies 299,527 233 - 299,760
Medical claims - 609,857 (13,079 ) 596,778

Rentals and leases (excludes sale-leaseback rent expense)

53,066 1,698 - 54,764
Other operating expenses 385,957 40,976 - 426,933
Medicare and Medicaid EHR incentives   (14,753 )   -   -     (14,753 )
Adjusted EBITDAR 245,379 42,341 - 287,720
Sale-leaseback rent expense   17,950     -   -     17,950  
Adjusted EBITDA 227,429 42,341 - 269,770
 
Interest expense, net 130,818 - - 130,818
Depreciation and amortization 91,150 4,162 - 95,312

Stock-based compensation and related expenses

10,329 - - 10,329
Management fees   5,000     -   -     5,000  

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

(9,868 ) 38,179 - 28,311
Gain on disposal of assets, net   3,402     -   -     3,402  

Earnings (loss) from continuing operations before income taxes

$ (6,466 ) $ 38,179 $ -   $ 31,713  
 
For the Year Ended September 30, 2013
Acute Care   Health Choice   Eliminations   Consolidated

Acute care revenue before provision for bad debts

$ 2,047,880 $ - $ - $ 2,047,880
Less: Provision for bad debts   (326,978 )   -   -     (326,978 )
Acute care revenue 1,720,902 - - 1,720,902
Premium and service revenues - 564,152 - 564,152
Revenue between segments   7,092     -   (7,092 )   -  
Total revenue 1,727,994 564,152 (7,092 ) 2,285,054
 

Salaries and benefits (excludes stock-based compensation)

820,170 23,985 - 844,155
Supplies 294,226 183 - 294,409
Medical claims - 474,386 (7,092 ) 467,294

Rentals and leases (excludes sale-leaseback rent expense)

51,039 1,544 - 52,583
Other operating expenses 370,068 23,448 - 393,516

Medicare and Medicaid EHR incentives

  (20,723 )   -   -     (20,723 )
Adjusted EBITDAR 213,214 40,606 - 253,820
Sale-leaseback rent expense   313     -   -     313  
Adjusted EBITDA 212,901 40,606 - 253,507
 
Interest expense, net 133,206 - - 133,206
Depreciation and amortization 89,878 4,148 - 94,026
Stock-based compensation 3,855 - - 3,855
Management fees   5,000     -   -     5,000  

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

(19,038 ) 36,458 - 17,420
Loss on disposal of assets, net   (8,982 )   -   -     (8,982 )

Earnings (loss) from continuing operations before income taxes

$ (28,020 ) $ 36,458 $ -   $ 8,438  

   

IASIS HEALTHCARE LLC

Consolidated Financial and Operating Data (Unaudited)

 

Quarter Ended

September 30,

Year Ended
September 30,

2014     2013   2014     2013  
Acute care operations (1)

Number of acute care hospital facilities at end of period

15 15 15 15
Licensed beds at end of period 3,601 3,626 3,601 3,626
Average length of stay (days) 5.0 4.9 5.0 4.9
Occupancy rates (average beds in service) 48.0 % 46.2 % 48.5 % 48.5 %
Admissions 25,333 25,129 100,909 103,509
Percentage change 0.8 % (2.5 %)
Adjusted admissions 47,869 46,638 186,609 185,147
Percentage change 2.6 % 0.8 %
Patient days 125,553 122,140 503,648 508,157
Adjusted patient days 237,246 226,686 931,387 908,941
Surgeries 16,150 15,952 65,484 64,460
Emergency room visits 105,578 100,359 411,156 410,503

Outpatient revenue as a percentage of gross patient revenue

47.1 % 46.1 % 45.9 % 44.1 %
 
 
Managed care operations
Health plan lives 223,400 188,000 223,400 188,000
Management service organization (MSO) lives 83,400 - 83,400 -

Accountable care network lives

34,100   -   34,100   -  
Total lives 340,900 188,000 340,900 188,000

Medical loss ratio (2)

83.4 % 84.8 % 84.9 % 84.1 %
 

(1) Excludes the Company's Nevada and Florida operations, which are now reflected in discontinued operations in both periods.

(2) Represents medical claims expense as a percentage of premium revenue (excludes the effect of service-related revenue and HIF revenue).

 

   

IASIS HEALTHCARE LLC

Supplemental Consolidated Statements of Operations Information (Unaudited)

(in thousands)

 

Quarter Ended
September 30,

Year Ended
September 30,

  2014       2013     2014       2013  
Consolidated Results
Net earnings (loss) from continuing operations $ 16,297 $ (2,489 ) $ 23,289 $ 4,791
Add:
Interest expense, net 32,520 33,220 130,818 133,206
Income tax expense (benefit) (5,609 ) (2,756 ) 8,424 3,647
Depreciation and amortization 25,540 23,381 95,312 94,026
Sale-leaseback rent expense 4,709 313 17,950 313
Stock-based compensation and related expenses 1,533 909 10,329 3,855
Loss (gain) on disposal of assets, net (2,304 ) 9,626 (3,402 ) 8,982
Management fees   1,250     1,250     5,000     5,000  
Adjusted EBITDAR 73,936 63,454 287,720 253,820
Sale-leaseback rent expense   (4,709 )   (313 )   (17,950 )   (313 )
Adjusted EBITDA $ 69,227   $ 63,141   $ 269,770   $ 253,507  


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