8-K


 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 8-K

CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): May 5, 2016
 
Surgery Partners, Inc.
(Exact Name of Registrant as Specified in Charter)
Delaware
001-37576
47-3620923
(State or Other Jurisdiction
of Incorporation)
(Commission
File Number)
(IRS Employer
Identification No.)
40 Burton Hills Boulevard, Suite 500
Nashville, Tennessee 37215

(Address of Principal Executive Offices) (Zip Code)
 
(615) 234-5900
(Registrant's Telephone Number, Including Area Code)
 
Not Applicable
(Former Name or Former Address, If Changed Since Last Report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
o    Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o    Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o    Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o    Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))













Item 2.02 Results of Operations and Financial Condition.
On May 5, 2016, Surgery Partners, Inc. issued a press release announcing results for the three months ended March 31, 2016. See the press release attached as Exhibit 99.1.
In accordance with General Instruction B.2 of Form 8-K, the information in this Current Report on Form 8-K, including Exhibit 99.1, shall not be deemed filed for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933.
Item 9.01. Financial Statements and Exhibits.
(d) Exhibits.
99.1 Press release dated May 5, 2016.





SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
SURGERY PARTNERS, INC.
 
 
By:
/s/ Teresa F. Sparks
Teresa F. Sparks
Executive Vice President and Chief Financial Officer
Date: May 5, 2016





EXHIBIT INDEX
Exhibit
Number
 
Description
 
 
 
99.1
 
Press release dated May 5, 2016.




Exhibit





Exhibit 99.1

SURGERY PARTNERS, INC. ANNOUNCES FIRST QUARTER 2016 RESULTS
Revenues increase 19% over prior year period driven by strong same-facility revenue growth of 13.3%

NASHVILLE, Tenn., May 5, 2016 - Surgery Partners, Inc. (NASDAQ:SGRY) ("Surgery Partners" or the "Company"), a leading provider of surgical services, today announced results for the first quarter ended March 31, 2016.
Revenues increased 19.2% over first quarter 2015 to $267.1 million
Same-facility revenue increased 13.3% over first quarter 2015 to $259.7 million
Adjusted EBITDA increased 6.8% over first quarter 2015 to $38.4 million
“The first quarter of 2016 continued the momentum we enjoyed in 2015, with solid operating performance and further expansion of our network of surgical facilities, physician practices and ancillary services, “said Michael Doyle, Chief Executive Officer of Surgery Partners. “Our growing portfolio of healthcare facilities and services continue to deliver high quality healthcare in a cost effective manner across 29 states. Our integrated approach drives consistent same-facility case growth, favorable patient and physician surveys and strong financial performance.”
“During the first quarter we completed three in-market transactions, including two in-market physician practices and one in-market surgical facility. Subsequent to quarter end, we continue to focus on our in-market strategy completing a platform transaction in Jacksonville, FL to significantly strengthen our presence in this market with a second ambulatory surgery center, an integrated physician practice with multiple locations and related ancillary services. This expansion in the northeast Florida market enhances our strategic focus of providing multiple complimentary service lines in the five largest markets in the state.”
As of March 31, 2016, the Company owned or operated 101 surgical facilities primarily in partnership with physicians and, on a select basis, physicians and health systems, in addition to a network of 48 physician practices.
First Quarter 2016 Results
Total revenues for the first quarter of 2016 increased 19.2% to $267.1 million from $224.1 million for the first quarter of 2015. Same-facility revenues for the first quarter of 2016 increased 13.3% to $259.7 million from $229.3 million in the same period last year. Results were driven by increased same-facility cases of 11.6%.
For the first quarter of 2016, the Company’s Adjusted EBITDA was $38.4 million compared to Adjusted EBITDA of $36.0 million for the same period last year.
Liquidity
Surgery Partners had cash and cash equivalents of $135.0 million at March 31, 2016 and availability of $146.8 million under its revolving credit facility. Net operating cash flow, including operating cash flow less distributions to non-controlling interests, was $7.7 million for the first quarter of 2016. Normalized free cash flow for the fist quarter was $11.4 million. As expected, the Company’s ratio of total debt to EBITDA at the end of the first quarter of 2016, as calculated under the Company’s credit agreement, was 6.0x reflecting the financing of transaction costs related to the issuance of $400 million senior unsecured notes during the first quarter.
Full Year 2016 Guidance
For 2016, the Company reiterates the guidance provided on our conference call in March of this year. The Company continues to expect Adjusted EBITDA in the range of $184.0 million to $191.0 million representing growth of 16% to 21% over 2015.
Conference Call Information
Surgery Partners will hold its conference call tomorrow, May 6, 2016 at 8:30 a.m. (Eastern Time). The conference call can be accessed live over the phone by dialing 1-877-407-0789, or for international callers, 1-201-689-8562. A replay will be available two hours after the call and can be accessed by dialing 1-877-870-5176 or for international callers, 1-858-384-5517. The passcode for the live call and the replay is 13635670. The replay will be available until May 20, 2016.

1






Interested investors and other parties may also listen to a simultaneous webcast of the conference call by logging onto the Investor Relations section of the Company's website at www.surgerypartners.com. The on-line replay will remain available for a limited time beginning immediately following the call.
To learn more about Surgery Partners, please visit the company's website at www.surgerypartners.com. Surgery Partners uses its website as a channel of distribution for material Company information. Financial and other material information regarding Surgery Partners is routinely posted on the Company's website and is readily accessible.

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. These statements, which have been included in reliance of the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995, involve risks and uncertainties and assumptions relating to our operations, financial condition, business, prospects, growth strategy and liquidity, which may cause our actual results to differ materially from those projected by such forward-looking statements, and the Company cannot give assurances that such statements will prove to be correct. You can identify forward-looking statements because they do not relate strictly to historical or current facts. These statements may include words such as “aim,” “anticipate,” “believe,” “estimate,” “expect,” “forecast,” “outlook,” “potential,” “project,” “projection,” “plan,” “intend,” “seek,” “may,” “could,” “would,” “will,” “should,” “can,” “can have,” “likely,” the negatives thereof and other words and terms of similar meaning in connection with any discussion of the timing or nature of future operating or financial performance or other events.
The forward-looking statements appear in a number of places throughout this press release and include statements regarding our intentions, beliefs or current expectations concerning, among other things, our results of operations, financial condition, liquidity, prospects, growth, strategies and the industry in which we operate. All forward-looking statements are subject to risks and uncertainties, including but not limited to those risks and uncertainties described in “Risk Factors” in our Annual Report on form 10-K for the year ended December 31, 2015 that may cause actual results to differ materially from those that we expected.
The forward-looking statements made in this press release are made only as of the date of the hereof. Except as required by law, we undertake no obligation to update any forward-looking statement, whether as a result of new information or otherwise. More information about potential factors that could affect our business and financial results is included in our filings with the Securities and Exchange Commission.
Use of Non-GAAP Financial Measures
In addition to the results prepared in accordance with generally accepted accounting principles in the United States ("GAAP") provided throughout this press release, Surgery Partners has presented the following non-GAAP financial measures: EBITDA and Adjusted EBITDA, which exclude various items detailed in the attached "Reconciliation of Non-GAAP Financial Measures".
These non-GAAP financial measures are not intended to replace financial performance measures determined in accordance with GAAP. Rather, they are presented as supplemental measures of the Company's performance that management believes may enhance the evaluation of the Company's ongoing operating results. These non-GAAP financial measures are not presented in accordance with GAAP, and the Company’s computation of these non-GAAP financial measures may vary from those used by other companies. These measures have limitations as an analytical tool, and should not be considered in isolation or as a substitute or alternative to net income or loss, operating income or loss, cash flows from operating activities, total indebtedness or any other measures of operating performance, liquidity or indebtedness derived in accordance with GAAP.
About Surgery Partners
Headquartered in Nashville, Tennessee, Surgery Partners is a leading healthcare services company with a differentiated outpatient delivery model focused on providing high quality, cost effective solutions for surgical and related ancillary care in support of both patients and physicians. Founded in 2004, Surgery Partners is one of the largest and fastest growing surgical services businesses in the country, with more than 140 locations in 29 states, including ambulatory surgical facilities, surgical hospitals, a diagnostic laboratory, multi-specialty physician practices and urgent care facilities.


2






SURGERY PARTNERS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands, except shares and per share amounts)
(Unaudited)
 
 
Three Months Ended March 31,
 
 
2016
 
2015
 
 
 
 
 
Revenues
 
$
267,074

 
$
224,143

Operating expenses:
 
 
 
 
Salaries and benefits
 
86,886

 
60,151

Supplies
 
63,662

 
57,086

Professional and medical fees
 
19,654

 
14,740

Lease expense
 
12,434

 
10,960

Other operating expenses
 
14,067

 
12,836

Cost of revenues
 
196,703

 
155,773

General and administrative expenses
 
12,197

 
11,862

Depreciation and amortization
 
9,568

 
8,462

Provision for doubtful accounts
 
3,873

 
5,186

Income from equity investments
 
(758
)
 
(707
)
(Gain) loss on disposal or impairment of long-lived assets, net
 
(206
)
 
223

Loss on debt refinancing
 
8,281

 

Merger transaction and integration costs
 
3,172

 
5,006

Electronic health records incentive income
 
(93
)
 

Other expense (income)
 
57

 
(13
)
Total operating expenses
 
232,794

 
185,792

Operating income
 
34,280

 
38,351

Interest expense, net
 
(22,153
)
 
(25,756
)
Income before income taxes
 
12,127

 
12,595

Income tax expense
 
1,770

 
2,107

Net income
 
10,357

 
10,488

Less: Net income attributable to non-controlling interests
 
(17,547
)
 
(17,250
)
Net loss attributable to Surgery Partners, Inc.
 
$
(7,190
)
 
$
(6,762
)
 
 
 
 
 
Net loss per share attributable to common stockholders
 
 
 
 
Basic
 
$
(0.15
)
 
$
(0.21
)
Diluted (1)
 
$
(0.15
)
 
$
(0.21
)
Weighted average common shares outstanding
 
 
 
 
Basic
 
48,017,226

 
32,054,089

Diluted (1)
 
48,017,226

 
32,054,089

(1) The impact of potentially dilutive securities for the three months March 31, 2016 and 2015 was not considered because the effect would be anti-dilutive in each of those periods.


3






SURGERY PARTNERS, INC.
Unaudited Selected Financial and Operating Data
(Amounts in thousands, except shares and per share amounts)
 
March 31, 2016
 
December 31, 2015
 
 
 
 
Balance Sheet Data (at period end):
 
 
 
Cash and cash equivalents
$
135,047

 
$
57,933

Total current assets
394,886

 
310,957

Total assets
2,202,340

 
2,104,443

 
 
 
 
Current maturities of long-term debt
27,169

 
27,247

Total current liabilities
183,781

 
181,289

Long-term debt, less current maturities
1,328,739

 
1,228,112

Total liabilities
1,727,078

 
1,623,077

 
 
 
 
Total Surgery Partners, Inc. stockholders' deficit
(9,887
)
 
(4,028
)
Noncontrolling interests--non-redeemable
302,121

 
301,955

Total stockholders' equity
292,234

 
297,927

 
Three Months Ended March 31,
 
2016

2015
 
 
 
 
Cash Flow Data:
 
 
 
Net cash provided by (used in):
 
 
 
Operating activities
$
25,244

 
$
9,514

Investing activities
(18,853
)
 
(5,196
)
Capital expenditures
(11,804
)
 
(5,461
)
Investments in new businesses
(7,049
)
 
(8,102
)
Financing activities
70,723

 
(22,794
)
Distributions to noncontrolling interests
(17,513
)
 
(16,059
)
 
Three Months Ended March 31,
 
2016
 
2015
Other Data:
 
 
 
Cases
100,756

 
91,208

Revenue per case
$
2,651

 
$
2,457

Adjusted EBITDA
$
38,426

 
$
35,968

Adjusted EBITDA as a % of revenues
14.4
%
 
16.0
%
Number of surgical facilities as of the end of period
101

 
102

Number of consolidated surgical facilities as of the end of period
90

 
90





4






SURGERY PARTNERS, INC.
Supplemental Information
(Unaudited, in thousands, except cases and growth rates)

Three Months Ended March 31,

2016

2015
Same-facility Information:
 
 
 
Cases (2)
103,296

 
92,574

Case growth
11.6
%
 
N/A

Revenue per case (2)
$
2,514

 
$
2,476

Revenue per case growth
1.5
%
 
N/A

(2) Includes non-consolidated joint ventures
 
Three Months Ended March 31,
 
2016
 
2015
Segment Revenues:
 
 
 
Surgical facility services
$
245,670

 
$
207,684

Ancillary services
17,780

 
12,719

Optical services
3,624

 
3,740

        Total revenues
$
267,074

 
$
224,143


 
Three Months Ended March 31,
 
2016
 
2015
Segment Operating Income:
 
 
 
Surgical facility services
$
56,201

 
$
52,253

Ancillary services
2,458

 
3,442

Optical services
506

 
610

        Total
$
59,165

 
$
56,305

 
 
 
 
General and administrative
$
(13,638
)
 
$
(12,725
)
Gain (loss) on disposal or impairment of long-lived assets, net
206

 
(223
)
Loss on debt extinguishment
(8,281
)
 

Merger transaction and integration costs
(3,172
)
 
(5,006
)
Total operating income
$
34,280

 
$
38,351




5






SURGERY PARTNERS, INC.
Reconciliation of Non-GAAP Financial Measures
(Unaudited, Amounts in thousands)

 
 
Three Months Ended March 31,
 
 
2016
 
2015
Consolidated Statements of Operations Data (in thousands):
 
 
 
 
Net income
 
$
10,357

 
$
10,488

(Minus):
 
 
 
 
Net income attributable to non-controlling interests
 
17,547

 
17,250

Plus (minus):
 
 
 
 
Income tax expense
 
1,770

 
2,107

Interest and other expense, net
 
22,153

 
25,756

Depreciation and amortization
 
9,568

 
8,462

EBITDA
 
26,301

 
29,563

Plus:
 
 
 
 
Management fee (5)
 

 
750

Merger transaction, integration and practice acquisition costs
 
3,917

 
5,006

Non-cash stock compensation expense
 
133

 
426

Loss on debt refinancing
 
8,281

 

(Gain) loss on disposal of investments and long-lived assets, net
 
(206
)
 
223

Adjusted EBITDA
 
$
38,426

 
$
35,968

(5) Fee payable pursuant the Management and Investment Advisory Services Agreement between the Company and Bayside Capital, Inc., which was terminated in connection with our IPO.


Contact
 
Teresa Sparks, CFO
Surgery Partners, Inc.
(615) 234-8940
IR@surgerypartners.com

6