|
| [December 06, 2012] |
 |
IASIS Healthcare Announces Fourth Quarter and Year-End 2012 Results
FRANKLIN, Tenn. --(Business Wire)--
IASIS Healthcare® LLC ("IASIS") today announced financial and operating
results for the fiscal fourth quarter and year ended September 30, 2012.
Net revenue for the fourth quarter totaled $633.0 million, a decrease of
2.2%, compared to $647.5 million in the prior year quarter. Acute care
revenue for the fourth quarter increased $23.0 million or 4.9% compared
to the prior year quarter, while premium revenue at Health Choice, the
Company's Medicaid and Medicare managed health plan, decreased $37.5
million or 21.2% compared to the prior year quarter, as a result of an
Arizona state mandated reduction in certain Medicaid enrollees, along
with capitation rate reductions implemented by the Arizona Health Care
Cost Containment System ("AHCCCS"). Adjusted EBITDA for the fourth
quarter totaled $70.7 million, compared to $74.8 million in the prior
year quarter. Net earnings from continuing operations for the fourth
quarter totaled $3.0 million, compared to $4.9 million in the prior year
quarter.
During the fourth quarter, as a result of the dividend paid to the
common stockholders of IASIS' parent company in June 2012, the Company
reset the exercise prices of all outstanding common stock options. In
connection with the dividend and related option re-pricing, results for
the fourth quarter include stock-based and other compensation totaling
$3.6 million and $2.0 million, respectively. In addition, the fourth
quarter includes $1.7 million in start-up costs associated with the
expansion of the Company's St. Joseph Medical Center campus into the
Heights community of Houston, Texas.
In the fourth quarter, admissions and adjusted admissions increased 0.5%
and 2.0%, respectively, while net patient revenue per adjusted admission
increased 3.0%, each compared to the prior year quarter.
Net revenue for the year ended September 30, 2012, totaled $2.5 billion,
which was consistent with the prior year. Acute care revenue for the
year ended September 30, 2012, increased $187.3 million or 10.5%
compared to the prior year, while premium revenue at Health Choice
declined $188.2 million or 24.8% compared to the prior year. Adjusted
EBITDA for the year ended September 30, 2012, totaled $302.2 million,
compared to $304.7 million in the prior year. Net earnings from
continuing operations for the year ended September 30, 2012, totaled
$31.3 million, compared to $47.3 million in the prior year, which
included a $23.1 million loss on extinguishment of debt.
For the year ended September 30, 2012, admissions and adjusted
admissions increased 9.3% and 9.9%, respectively, compared to the prior
year. On a same-facility basis, admissions and adjusted admissions
increased 1.3% and 2.9%, respectively, while net patient revenue per
adjusted admission increased 1.8%, each compared to the prior year.
"The ongoing economic and industry headwinds, especially with regard to
substantial Medicaid cuts and increasing uncompensated care, presented
significant challenges, particularly in certain of our markets, during
our 2012 year. In light of overcoming these significant pressures, we
are pleased with our overall performance, which also includes volume
growth, improved quality metrics, increased patient satisfaction,
effective cost management and exciting business development activities,
including our new partnership with Aurora Health Care," said IASIS
Healthcare President and Chief Executive Officer Carl Whitmer.
Whitmer continued, "As we look toward the coming year, we continue to
focus on integrating our operational strategies designed for navigating
continuing healthcare reform, executing our development strategies and
enhancing our constant commitment to operational excellence across all
clinical and business sectors, all designed to position the Company for
future success."
A listen-only simulcast and 30-day replay of IASIS' fourth quarter and
year-end 2012 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 December 6, 2012. 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
of high quality, affordable healthcare services in urban and suburban
markets. With total annual net revenue of approximately $2.5 billion,
IASIS owns and operates 19 acute care hospitals, one behavioral health
hospital facility, several outpatient service facilities, more than 160
physician clinics, and Medicaid and Medicare managed health plans in
Arizona and Utah that serve more than 178,000 members. IASIS' healthcare
facilities offer a variety of access points for convenient patient care
in numerous regions across the U.S., including: Salt Lake City, Utah;
Phoenix, Arizona; Tampa-St. Petersburg, Florida; five cities in Texas,
including Houston and San Antonio; Las Vegas, Nevada; 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, 2011, 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 EBITDA represents net earnings from continuing operations
before interest expense, income tax expense, depreciation and
amortization, stock-based compensation, gain (loss) on disposal of
assets, loss on extinguishment of debt 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, 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. 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.
|
|
|
|
|
|
|
|
|
|
|
|
|
IASIS HEALTHCARE LLC
Consolidated Statements of Operations (Unaudited)
(in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Quarter Ended
September 30,
|
|
Year Ended
September 30,
|
|
|
|
|
|
2012
|
|
2011
|
|
2012
|
|
2011
|
|
|
Net revenue
|
|
|
|
|
|
|
|
|
|
|
|
Acute care revenue before provision for bad debts
|
|
|
$
|
584,500
|
|
|
$
|
540,226
|
|
|
$
|
2,283,126
|
|
|
$
|
2,023,387
|
|
|
|
Less: Provision for bad debts
|
|
|
|
(90,429
|
)
|
|
|
(69,163
|
)
|
|
|
(316,653
|
)
|
|
|
(244,263
|
)
|
|
|
Acute care revenue
|
|
|
|
494,071
|
|
|
|
471,063
|
|
|
|
1,966,473
|
|
|
|
1,779,124
|
|
|
|
Premium revenue
|
|
|
|
138,913
|
|
|
|
176,392
|
|
|
|
569,142
|
|
|
|
757,309
|
|
|
|
Net revenue
|
|
|
|
632,984
|
|
|
|
647,455
|
|
|
|
2,535,615
|
|
|
|
2,536,433
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Costs and expenses
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and benefits (includes stock-based compensation of
$6,113, $317, $10,077 and $1,681, respectively)
|
|
|
|
249,380
|
|
|
|
221,679
|
|
|
|
938,471
|
|
|
|
818,742
|
|
|
|
Supplies
|
|
|
|
85,118
|
|
|
|
78,846
|
|
|
|
342,039
|
|
|
|
316,277
|
|
|
|
Medical claims
|
|
|
|
116,835
|
|
|
|
145,568
|
|
|
|
466,125
|
|
|
|
630,203
|
|
|
|
Rentals and leases
|
|
|
|
11,733
|
|
|
|
11,982
|
|
|
|
49,370
|
|
|
|
46,211
|
|
|
|
Other operating expenses
|
|
|
|
119,868
|
|
|
|
115,816
|
|
|
|
470,733
|
|
|
|
431,070
|
|
|
|
Medicare and Medicaid EHR incentives
|
|
|
|
(14,527
|
)
|
|
|
(917
|
)
|
|
|
(23,213
|
)
|
|
|
(9,042
|
)
|
|
|
Interest expense, net
|
|
|
|
33,933
|
|
|
|
35,100
|
|
|
|
138,054
|
|
|
|
96,084
|
|
|
|
Depreciation and amortization
|
|
|
|
27,836
|
|
|
|
29,299
|
|
|
|
114,358
|
|
|
|
104,241
|
|
|
|
Management fees
|
|
|
|
1,250
|
|
|
|
1,250
|
|
|
|
5,000
|
|
|
|
5,000
|
|
|
|
Loss on extinguishment of debt
|
|
|
|
-
|
|
|
|
-
|
|
|
|
-
|
|
|
|
23,075
|
|
|
|
Total costs and expenses
|
|
|
|
631,426
|
|
|
|
638,623
|
|
|
|
2,500,937
|
|
|
|
2,461,861
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings from continuing operations before gain (loss) on disposal
of assets and income taxes
|
|
|
|
1,558
|
|
|
|
8,832
|
|
|
|
34,678
|
|
|
|
74,572
|
|
|
|
Gain (loss) on disposal of assets, net
|
|
|
|
1,961
|
|
|
|
(669
|
)
|
|
|
2,406
|
|
|
|
102
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings from continuing operations before income taxes
|
|
|
|
3,519
|
|
|
|
8,163
|
|
|
|
37,084
|
|
|
|
74,674
|
|
|
|
Income tax expense
|
|
|
|
540
|
|
|
|
3,296
|
|
|
|
5,833
|
|
|
|
27,374
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings from continuing operations
|
|
|
|
2,979
|
|
|
|
4,867
|
|
|
|
31,251
|
|
|
|
47,300
|
|
|
|
Earnings (loss) from discontinued operations, net of income taxes
|
|
|
|
(4
|
)
|
|
|
468
|
|
|
|
337
|
|
|
|
(5,601
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings
|
|
|
|
2,975
|
|
|
|
5,335
|
|
|
|
31,588
|
|
|
|
41,699
|
|
|
|
Net earnings attributable to non-controlling interests
|
|
|
|
(3,388
|
)
|
|
|
(2,283
|
)
|
|
|
(8,712
|
)
|
|
|
(10,338
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings (loss) attributable to IASIS Healthcare LLC
|
|
|
$
|
(413
|
)
|
|
$
|
(3,052
|
)
|
|
$
|
22,876
|
|
|
$
|
31,361
|
|
|
|
|
|
|
|
|
|
|
|
IASIS HEALTHCARE LLC
Consolidated Balance Sheets (Unaudited)
(in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
Sept. 30,
2012
|
|
Sept. 30,
2011
|
|
|
|
|
|
|
|
|
|
|
ASSETS
|
|
|
|
|
|
|
|
|
|
|
Current assets
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
|
$
|
48,882
|
|
$
|
147,327
|
|
|
Accounts receivable, net
|
|
|
|
339,749
|
|
|
277,932
|
|
|
Inventories
|
|
|
|
67,650
|
|
|
68,330
|
|
|
Deferred income taxes
|
|
|
|
19,744
|
|
|
40,415
|
|
|
Prepaid expenses and other current assets
|
|
|
|
117,851
|
|
|
72,914
|
|
|
Total current assets
|
|
|
|
593,876
|
|
|
606,918
|
|
|
|
|
|
|
|
|
|
|
Property and equipment, net
|
|
|
|
1,171,657
|
|
|
1,167,920
|
|
|
Goodwill
|
|
|
|
818,424
|
|
|
808,651
|
|
|
Other intangible assets, net
|
|
|
|
29,161
|
|
|
32,779
|
|
|
Other assets, net
|
|
|
|
68,498
|
|
|
63,509
|
|
|
Total assets
|
|
|
$
|
2,681,616
|
|
$
|
2,679,777
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND EQUITY
|
|
|
|
|
|
|
|
|
|
|
Current liabilities
|
|
|
|
|
|
|
|
Accounts payable
|
|
|
$
|
101,706
|
|
$
|
92,805
|
|
|
Salaries and benefits payable
|
|
|
|
65,390
|
|
|
58,379
|
|
|
Accrued interest payable
|
|
|
|
28,034
|
|
|
30,045
|
|
|
Medical claims payable
|
|
|
|
61,142
|
|
|
85,723
|
|
|
Other accrued expenses and other current liabilities
|
|
|
|
83,243
|
|
|
100,830
|
|
|
Current portion of long-term debt and capital lease obligations
|
|
|
|
13,387
|
|
|
14,020
|
|
|
Total current liabilities
|
|
|
|
352,902
|
|
|
381,802
|
|
|
|
|
|
|
|
|
|
|
Long-term debt and capital lease obligations
|
|
|
|
1,853,107
|
|
|
1,864,749
|
|
|
Deferred income taxes
|
|
|
|
120,961
|
|
|
131,018
|
|
|
Other long-term liabilities
|
|
|
|
104,110
|
|
|
78,441
|
|
|
|
|
|
|
|
|
|
|
Non-controlling interests with redemption rights
|
|
|
|
99,164
|
|
|
95,977
|
|
|
|
|
|
|
|
|
|
|
Equity
|
|
|
|
|
|
|
|
Member's equity
|
|
|
|
141,589
|
|
|
118,000
|
|
|
Non-controlling interests
|
|
|
|
9,783
|
|
|
9,790
|
|
|
Total equity
|
|
|
|
151,372
|
|
|
127,790
|
|
|
Total liabilities and equity
|
|
|
$
|
2,681,616
|
|
$
|
2,679,777
|
|
|
|
|
|
|
|
|
IASIS HEALTHCARE LLC
Consolidated Statements of Cash Flows (Unaudited)
(in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended
September 30,
|
|
|
|
|
|
2012
|
|
2011
|
|
|
Cash flows from operating activities
|
|
|
|
|
|
|
|
Net earnings
|
|
|
$
|
31,588
|
|
|
$
|
41,699
|
|
|
|
Adjustments to reconcile net earnings to net cash provided by
operating activities:
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
|
114,358
|
|
|
|
104,241
|
|
|
|
Amortization of loan costs
|
|
|
|
7,309
|
|
|
|
4,887
|
|
|
|
Stock-based compensation
|
|
|
|
10,077
|
|
|
|
1,681
|
|
|
|
Deferred income taxes
|
|
|
|
15,443
|
|
|
|
6,597
|
|
|
|
Income tax benefit from stock-based compensation
|
|
|
|
6
|
|
|
|
-
|
|
|
|
Income taxes related to parent company interest
|
|
|
|
(191
|
)
|
|
|
6,981
|
|
|
|
Fair value change in interest rate hedges
|
|
|
|
(1,410
|
)
|
|
|
(1,589
|
)
|
|
|
Amortization of other comprehensive loss
|
|
|
|
2,057
|
|
|
|
942
|
|
|
|
Gain on disposal of assets, net
|
|
|
|
(2,406
|
)
|
|
|
(102
|
)
|
|
|
Loss on extinguishment of debt
|
|
|
|
-
|
|
|
|
23,075
|
|
|
|
Loss (earnings) from discontinued operations, net
|
|
|
|
(337
|
)
|
|
|
5,601
|
|
|
|
Changes in operating assets and liabilities, net of the effect of
acquisitions and dispositions:
|
|
|
|
|
|
|
|
Accounts receivable, net
|
|
|
|
(62,623
|
)
|
|
|
(18,593
|
)
|
|
|
Inventories, prepaid expenses and other current assets
|
|
|
|
(46,124
|
)
|
|
|
(2,480
|
)
|
|
|
Accounts payable, other accrued expenses and other accrued
liabilities
|
|
|
|
(25,883
|
)
|
|
|
(27,837
|
)
|
|
|
Net cash provided by operating activities - continuing operations
|
|
|
|
41,864
|
|
|
|
145,103
|
|
|
|
Net cash used in operating activities - discontinued operations
|
|
|
|
(7
|
)
|
|
|
(8,002
|
)
|
|
|
Net cash provided by operating activities
|
|
|
|
41,857
|
|
|
|
137,101
|
|
|
|
|
|
|
|
|
|
|
|
Cash flows from investing activities
|
|
|
|
|
|
|
|
Purchases of property and equipment, net
|
|
|
|
(112,372
|
)
|
|
|
(98,316
|
)
|
|
|
Cash paid for acquisitions, net
|
|
|
|
(8,912
|
)
|
|
|
(151,697
|
)
|
|
|
Proceeds from sale of assets
|
|
|
|
225
|
|
|
|
154
|
|
|
|
Change in other assets, net
|
|
|
|
5,178
|
|
|
|
99
|
|
|
|
Net cash used in investing activities
|
|
|
|
(115,881
|
)
|
|
|
(249,760
|
)
|
|
|
|
|
|
|
|
|
|
|
Cash flows from financing activities
|
|
|
|
|
|
|
|
Proceeds from refinancing
|
|
|
|
-
|
|
|
|
1,863,730
|
|
|
|
Payment of debt and capital lease obligations
|
|
|
|
(14,177
|
)
|
|
|
(1,053,147
|
)
|
|
|
Debt financing costs incurred
|
|
|
|
(998
|
)
|
|
|
(52,254
|
)
|
|
|
Distributions to parent company
|
|
|
|
-
|
|
|
|
(632,866
|
)
|
|
|
Distributions to non-controlling interests
|
|
|
|
(8,666
|
)
|
|
|
(8,842
|
)
|
|
|
Costs paid for the repurchase of non-controlling interests, net
|
|
|
|
(589
|
)
|
|
|
(1,146
|
)
|
|
|
Other
|
|
|
|
9
|
|
|
|
-
|
|
|
|
Net cash provided by (used in) financing activities
|
|
|
|
(24,421
|
)
|
|
|
115,475
|
|
|
|
|
|
|
|
|
|
|
|
Change in cash and cash equivalents
|
|
|
|
(98,445
|
)
|
|
|
2,816
|
|
|
|
Cash and cash equivalents at beginning of period
|
|
|
|
147,327
|
|
|
|
144,511
|
|
|
|
Cash and cash equivalents at end of period
|
|
|
$
|
48,882
|
|
|
$
|
147,327
|
|
|
|
|
|
|
|
|
|
|
|
Supplemental disclosure of cash flow information
|
|
|
|
|
|
|
|
Cash paid for interest
|
|
|
$
|
132,134
|
|
|
$
|
74,774
|
|
|
|
Cash paid (received) for income taxes, net
|
|
|
$
|
(13,946
|
)
|
|
$
|
17,608
|
|
|
|
|
|
|
|
|
|
IASIS HEALTHCARE LLC
Segment Information (Unaudited)
(in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
For the Quarter Ended September 30, 2012
|
|
|
|
|
|
Acute Care
|
|
Health Choice
|
|
Eliminations
|
|
Consolidated
|
|
|
Acute care revenue before provision for bad debts
|
|
|
$
|
584,500
|
|
|
$
|
-
|
|
$
|
-
|
|
|
$
|
584,500
|
|
|
|
Less: Provision for bad debts
|
|
|
|
(90,429
|
)
|
|
|
-
|
|
|
-
|
|
|
|
(90,429
|
)
|
|
|
Acute care revenue
|
|
|
|
494,071
|
|
|
|
-
|
|
|
-
|
|
|
|
494,071
|
|
|
|
Premium revenue
|
|
|
|
-
|
|
|
|
138,913
|
|
|
-
|
|
|
|
138,913
|
|
|
|
Revenue between segments
|
|
|
|
1,879
|
|
|
|
-
|
|
|
(1,879
|
)
|
|
|
-
|
|
|
|
Net revenue
|
|
|
|
495,950
|
|
|
|
138,913
|
|
|
(1,879
|
)
|
|
|
632,984
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and benefits (excludes stock-based compensation)
|
|
|
|
238,187
|
|
|
|
5,080
|
|
|
-
|
|
|
|
243,267
|
|
|
|
Supplies
|
|
|
|
85,075
|
|
|
|
43
|
|
|
-
|
|
|
|
85,118
|
|
|
|
Medical claims
|
|
|
|
-
|
|
|
|
118,714
|
|
|
(1,879
|
)
|
|
|
116,835
|
|
|
|
Rentals and leases
|
|
|
|
11,331
|
|
|
|
402
|
|
|
-
|
|
|
|
11,733
|
|
|
|
Other operating expenses
|
|
|
|
114,492
|
|
|
|
5,376
|
|
|
-
|
|
|
|
119,868
|
|
|
|
Medicare and Medicaid EHR incentives
|
|
|
|
(14,527
|
)
|
|
|
-
|
|
|
-
|
|
|
|
(14,527
|
)
|
|
|
Adjusted EBITDA
|
|
|
|
61,392
|
|
|
|
9,298
|
|
|
-
|
|
|
|
70,690
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest expense, net
|
|
|
|
33,933
|
|
|
|
-
|
|
|
-
|
|
|
|
33,933
|
|
|
|
Depreciation and amortization
|
|
|
|
26,628
|
|
|
|
1,208
|
|
|
-
|
|
|
|
27,836
|
|
|
|
Stock-based compensation
|
|
|
|
6,113
|
|
|
|
-
|
|
|
-
|
|
|
|
6,113
|
|
|
|
Management fees
|
|
|
|
1,250
|
|
|
|
-
|
|
|
-
|
|
|
|
1,250
|
|
|
|
Earnings (loss) from continuing operations before gain on disposal
of assets and income taxes
|
|
|
|
(6,532
|
)
|
|
|
8,090
|
|
|
-
|
|
|
|
1,558
|
|
|
|
Gain on disposal of assets, net
|
|
|
|
1,961
|
|
|
|
-
|
|
|
-
|
|
|
|
1,961
|
|
|
|
Earnings (loss) from continuing operations before income taxes
|
|
|
$
|
(4,571
|
)
|
|
$
|
8,090
|
|
$
|
-
|
|
|
$
|
3,519
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Quarter Ended September 30, 2011
|
|
|
|
|
|
Acute Care
|
|
Health Choice
|
|
Eliminations
|
|
Consolidated
|
|
|
Acute care revenue before provision
for bad debts
|
|
|
$
|
540,226
|
|
|
$
|
-
|
|
$
|
-
|
|
|
$
|
540,226
|
|
|
|
Less: Provision for bad debts
|
|
|
|
(69,163
|
)
|
|
|
-
|
|
|
-
|
|
|
|
(69,163
|
)
|
|
|
Acute care revenue
|
|
|
|
471,063
|
|
|
|
-
|
|
|
-
|
|
|
|
471,063
|
|
|
|
Premium revenue
|
|
|
|
-
|
|
|
|
176,392
|
|
|
-
|
|
|
|
176,392
|
|
|
|
Revenue between segments
|
|
|
|
2,019
|
|
|
|
-
|
|
|
(2,019
|
)
|
|
|
-
|
|
|
|
Net revenue
|
|
|
|
473,082
|
|
|
|
176,392
|
|
|
(2,019
|
)
|
|
|
647,455
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and benefits (excludes stock-based compensation)
|
|
|
|
216,439
|
|
|
|
4,923
|
|
|
-
|
|
|
|
221,362
|
|
|
|
Supplies
|
|
|
|
78,802
|
|
|
|
44
|
|
|
-
|
|
|
|
78,846
|
|
|
|
Medical claims
|
|
|
|
-
|
|
|
|
147,587
|
|
|
(2,019
|
)
|
|
|
145,568
|
|
|
|
Rentals and leases
|
|
|
|
11,595
|
|
|
|
387
|
|
|
-
|
|
|
|
11,982
|
|
|
|
Other operating expenses
|
|
|
|
109,369
|
|
|
|
6,447
|
|
|
-
|
|
|
|
115,816
|
|
|
|
Medicare and Medicaid EHR incentives
|
|
|
|
(917
|
)
|
|
|
-
|
|
|
-
|
|
|
|
(917
|
)
|
|
|
Adjusted EBITDA
|
|
|
|
57,794
|
|
|
|
17,004
|
|
|
-
|
|
|
|
74,798
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest expense, net
|
|
|
|
35,100
|
|
|
|
-
|
|
|
-
|
|
|
|
35,100
|
|
|
|
Depreciation and amortization
|
|
|
|
28,412
|
|
|
|
887
|
|
|
-
|
|
|
|
29,299
|
|
|
|
Stock-based compensation
|
|
|
|
317
|
|
|
|
-
|
|
|
-
|
|
|
|
317
|
|
|
|
Management fees
|
|
|
|
1,250
|
|
|
|
-
|
|
|
-
|
|
|
|
1,250
|
|
|
|
Earnings (loss) from continuing operations before loss on disposal
of assets and income taxes
|
|
|
|
(7,285
|
)
|
|
|
16,117
|
|
|
-
|
|
|
|
8,832
|
|
|
|
Loss on disposal of assets, net
|
|
|
|
(669
|
)
|
|
|
-
|
|
|
-
|
|
|
|
(669
|
)
|
|
|
Earnings (loss) from continuing operations before income taxes
|
|
|
$
|
(7,954
|
)
|
|
$
|
16,117
|
|
$
|
-
|
|
|
$
|
8,163
|
|
|
|
|
|
|
|
|
|
IASIS HEALTHCARE LLC
Segment Information (Unaudited)
(in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended September 30, 2012
|
|
|
|
|
|
Acute Care
|
|
Health Choice
|
|
Eliminations
|
|
Consolidated
|
|
|
Acute care revenue before provision for bad debts
|
|
|
$
|
2,283,126
|
|
|
$
|
-
|
|
$
|
-
|
|
|
$
|
2,283,126
|
|
|
|
Less: Provision for bad debts
|
|
|
|
(316,653
|
)
|
|
|
-
|
|
|
-
|
|
|
|
(316,653
|
)
|
|
|
Acute care revenue
|
|
|
|
1,966,473
|
|
|
|
-
|
|
|
-
|
|
|
|
1,966,473
|
|
|
|
Premium revenue
|
|
|
|
-
|
|
|
|
569,142
|
|
|
-
|
|
|
|
569,142
|
|
|
|
Revenue between segments
|
|
|
|
7,092
|
|
|
|
-
|
|
|
(7,092
|
)
|
|
|
-
|
|
|
|
Net revenue
|
|
|
|
1,973,565
|
|
|
|
569,142
|
|
|
(7,092
|
)
|
|
|
2,535,615
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and benefits (excludes stock-based compensation)
|
|
|
|
906,867
|
|
|
|
21,527
|
|
|
-
|
|
|
|
928,394
|
|
|
|
Supplies
|
|
|
|
341,811
|
|
|
|
228
|
|
|
-
|
|
|
|
342,039
|
|
|
|
Medical claims
|
|
|
|
-
|
|
|
|
473,217
|
|
|
(7,092
|
)
|
|
|
466,125
|
|
|
|
Rentals and leases
|
|
|
|
47,837
|
|
|
|
1,533
|
|
|
-
|
|
|
|
49,370
|
|
|
|
Other operating expenses
|
|
|
|
448,255
|
|
|
|
22,478
|
|
|
-
|
|
|
|
470,733
|
|
|
|
Medicare and Medicaid EHR incentives
|
|
|
|
(23,213
|
)
|
|
|
-
|
|
|
-
|
|
|
|
(23,213
|
)
|
|
|
Adjusted EBITDA
|
|
|
|
252,008
|
|
|
|
50,159
|
|
|
-
|
|
|
|
302,167
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest expense, net
|
|
|
|
138,054
|
|
|
|
-
|
|
|
-
|
|
|
|
138,054
|
|
|
|
Depreciation and amortization
|
|
|
|
110,474
|
|
|
|
3,884
|
|
|
-
|
|
|
|
114,358
|
|
|
|
Stock-based compensation
|
|
|
|
10,077
|
|
|
|
-
|
|
|
-
|
|
|
|
10,077
|
|
|
|
Management fees
|
|
|
|
5,000
|
|
|
|
-
|
|
|
-
|
|
|
|
5,000
|
|
|
|
Earnings (loss) from continuing operations before gain on disposal
of assets and
income taxes
|
|
|
|
(11,597
|
)
|
|
|
46,275
|
|
|
-
|
|
|
|
34,678
|
|
|
|
Gain on disposal of assets, net
|
|
|
|
2,406
|
|
|
|
-
|
|
|
-
|
|
|
|
2,406
|
|
|
|
Earnings (loss) from continuing operations before income taxes
|
|
|
$
|
(9,191
|
)
|
|
$
|
46,275
|
|
$
|
-
|
|
|
$
|
37,084
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Year Ended September 30, 2011
|
|
|
|
|
|
Acute Care
|
|
Health Choice
|
|
Eliminations
|
|
Consolidated
|
|
|
Acute care revenue before provision for bad debts
|
|
|
$
|
2,023,387
|
|
|
$
|
-
|
|
$
|
-
|
|
|
$
|
2,023,387
|
|
|
|
Less: Provision for bad debts
|
|
|
|
(244,263
|
)
|
|
|
-
|
|
|
-
|
|
|
|
(244,263
|
)
|
|
|
Acute care revenue
|
|
|
|
1,779,124
|
|
|
|
-
|
|
|
-
|
|
|
|
1,779,124
|
|
|
|
Premium revenue
|
|
|
|
-
|
|
|
|
757,309
|
|
|
-
|
|
|
|
757,309
|
|
|
|
Revenue between segments
|
|
|
|
10,551
|
|
|
|
-
|
|
|
(10,551
|
)
|
|
|
-
|
|
|
|
Net revenue
|
|
|
|
1,789,675
|
|
|
|
757,309
|
|
|
(10,551
|
)
|
|
|
2,536,433
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and benefits (excludes stock-based compensation)
|
|
|
|
796,667
|
|
|
|
20,394
|
|
|
-
|
|
|
|
817,061
|
|
|
|
Supplies
|
|
|
|
316,076
|
|
|
|
201
|
|
|
-
|
|
|
|
316,277
|
|
|
|
Medical claims
|
|
|
|
-
|
|
|
|
640,754
|
|
|
(10,551
|
)
|
|
|
630,203
|
|
|
|
Rentals and leases
|
|
|
|
44,586
|
|
|
|
1,625
|
|
|
-
|
|
|
|
46,211
|
|
|
|
Other operating expenses
|
|
|
|
405,282
|
|
|
|
25,788
|
|
|
-
|
|
|
|
431,070
|
|
|
|
Medicare and Medicaid EHR incentives
|
|
|
|
(9,042
|
)
|
|
|
-
|
|
|
-
|
|
|
|
(9,042
|
)
|
|
|
Adjusted EBITDA
|
|
|
|
236,106
|
|
|
|
68,547
|
|
|
-
|
|
|
|
304,653
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest expense, net
|
|
|
|
96,084
|
|
|
|
-
|
|
|
-
|
|
|
|
96,084
|
|
|
|
Depreciation and amortization
|
|
|
|
100,685
|
|
|
|
3,556
|
|
|
-
|
|
|
|
104,241
|
|
|
|
Stock-based compensation
|
|
|
|
1,681
|
|
|
|
-
|
|
|
-
|
|
|
|
1,681
|
|
|
|
Management fees
|
|
|
|
5,000
|
|
|
|
-
|
|
|
-
|
|
|
|
5,000
|
|
|
|
Loss on extinguishment of debt
|
|
|
|
23,075
|
|
|
|
-
|
|
|
-
|
|
|
|
23,075
|
|
|
|
Earnings from continuing operations before gain on disposal of
assets and income taxes
|
|
|
|
9,581
|
|
|
|
64,991
|
|
|
-
|
|
|
|
74,572
|
|
|
|
Gain on disposal of assets, net
|
|
|
|
102
|
|
|
|
-
|
|
|
-
|
|
|
|
102
|
|
|
|
Earnings from continuing operations before income taxes
|
|
|
$
|
9,683
|
|
|
$
|
64,991
|
|
$
|
-
|
|
|
$
|
74,674
|
|
|
|
|
|
|
|
|
|
|
|
IASIS HEALTHCARE LLC
Consolidated Financial and Operating Data (Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Quarter Ended
September 30,
|
|
Year Ended
September 30,
|
|
|
|
|
|
2012
|
|
|
2011
|
|
|
2012
|
|
|
2011
|
|
|
|
Consolidated Hospital Facilities
|
|
|
|
|
|
|
|
|
|
|
|
Number of acute care hospital facilities at end of period
|
|
|
19
|
|
|
18
|
|
|
19
|
|
|
18
|
|
|
|
Licensed beds at end of period
|
|
|
4,461
|
|
|
4,365
|
|
|
4,461
|
|
|
4,365
|
|
|
|
Average length of stay (days)
|
|
|
5.0
|
|
|
4.8
|
|
|
5.0
|
|
|
4.9
|
|
|
|
Occupancy rates (average beds in service)
|
|
|
49.3
|
%
|
|
47.8
|
%
|
|
49.2
|
%
|
|
48.4
|
%
|
|
|
Admissions
|
|
|
31,524
|
|
|
31,368
|
|
|
126,640
|
|
|
115,837
|
|
|
|
Percentage change
|
|
|
0.5
|
%
|
|
|
|
9.3
|
%
|
|
|
|
|
Adjusted admissions
|
|
|
54,608
|
|
|
53,540
|
|
|
215,305
|
|
|
195,999
|
|
|
|
Percentage change
|
|
|
2.0
|
%
|
|
|
|
9.9
|
%
|
|
|
|
|
Patient days
|
|
|
158,938
|
|
|
150,430
|
|
|
630,878
|
|
|
564,651
|
|
|
|
Adjusted patient days
|
|
|
275,324
|
|
|
256,757
|
|
|
1,072,576
|
|
|
955,402
|
|
|
|
Outpatient revenue as a percentage of gross patient revenue
|
|
|
42.3
|
%
|
|
41.4
|
%
|
|
41.2
|
%
|
|
40.9
|
%
|
|
|
Same-Facility Hospitals (1) (2)
|
|
|
|
|
|
|
|
|
|
|
|
Number of acute care hospital facilities at end of period
|
|
|
19
|
|
|
18
|
|
|
18
|
|
|
17
|
|
|
|
Licensed beds at end of period
|
|
|
4,461
|
|
|
4,365
|
|
|
3,669
|
|
|
3,573
|
|
|
|
Average length of stay (days)
|
|
|
5.0
|
|
|
4.8
|
|
|
5.0
|
|
|
4.9
|
|
|
|
Occupancy rates (average beds in service)
|
|
|
49.3
|
%
|
|
47.8
|
%
|
|
48.0
|
%
|
|
47.5
|
%
|
|
|
Admissions
|
|
|
31,524
|
|
|
31,368
|
|
|
110,147
|
|
|
108,743
|
|
|
|
Percentage change
|
|
|
0.5
|
%
|
|
|
|
1.3
|
%
|
|
|
|
|
Adjusted admissions
|
|
|
54,608
|
|
|
53,540
|
|
|
190,029
|
|
|
184,708
|
|
|
|
Percentage change
|
|
|
2.0
|
%
|
|
|
|
2.9
|
%
|
|
|
|
|
Patient days
|
|
|
158,938
|
|
|
150,430
|
|
|
545,895
|
|
|
529,782
|
|
|
|
Adjusted patient days
|
|
|
275,324
|
|
|
256,757
|
|
|
941,794
|
|
|
899,874
|
|
|
|
Outpatient revenue as a percentage of gross patient revenue
|
|
|
42.3
|
%
|
|
41.4
|
%
|
|
42.0
|
%
|
|
41.1
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) Years ended September 30, 2012 and 2011, exclude
the impact of the St. Joseph Medical Center acquisition effective
May 1, 2011.
|
|
(2) Quarter and year ended September 30, 2012, include
operating results of Wadley Regional Medical Center at Hope,
located in Hope, Arkansas.
|
|
|
|
|
|
|
|
|
|
IASIS HEALTHCARE LLC
Supplemental Consolidated Statements of Operations Information
(Unaudited)
(in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Quarter Ended
September 30,
|
|
Year Ended
September 30,
|
|
|
|
|
|
2012
|
|
2011
|
|
2012
|
|
2011
|
|
|
Consolidated Results
|
|
|
|
|
|
|
|
|
|
|
|
Net earnings from continuing operations
|
|
|
$
|
2,979
|
|
|
$
|
4,867
|
|
$
|
31,251
|
|
|
$
|
47,300
|
|
|
|
Add:
|
|
|
|
|
|
|
|
|
|
|
|
Interest expense, net
|
|
|
|
33,933
|
|
|
|
35,100
|
|
|
138,054
|
|
|
|
96,084
|
|
|
|
Income tax expense
|
|
|
|
540
|
|
|
|
3,296
|
|
|
5,833
|
|
|
|
27,374
|
|
|
|
Depreciation and amortization
|
|
|
|
27,836
|
|
|
|
29,299
|
|
|
114,358
|
|
|
|
104,241
|
|
|
|
Stock-based compensation
|
|
|
|
6,113
|
|
|
|
317
|
|
|
10,077
|
|
|
|
1,681
|
|
|
|
Loss (gain) on disposal of assets, net
|
|
|
|
(1,961
|
)
|
|
|
669
|
|
|
(2,406
|
)
|
|
|
(102
|
)
|
|
|
Management fees
|
|
|
|
1,250
|
|
|
|
1,250
|
|
|
5,000
|
|
|
|
5,000
|
|
|
|
Loss on extinguishment of debt
|
|
|
|
-
|
|
|
|
-
|
|
|
-
|
|
|
|
23,075
|
|
|
|
Adjusted EBITDA
|
|
|
$
|
70,690
|
|
|
$
|
74,798
|
|
$
|
302,167
|
|
|
$
|
304,653
|
|
|

[ Back To education 's Homepage ]
|