News Release Details
Surgery Partners, Inc. Announces Fourth Quarter and Full Year 2018 Results
March 13, 2019
Same Store Volume and Revenue Growth, Along with Expanding Margins, Highlight Progress of Strategic Growth Initiatives
Highlights for the Fourth Quarter 2018:
- Revenues increased 6.7% to
$491.2 million and adjusted revenues increased 8.5% to$499.7 million - Same-facility revenues increased 7.4% to
$513.3 million - Net loss attributable to common shareholders of
$156.2 million in the fourth quarter 2018, inclusive of non-cash goodwill impairment and litigation charges of$74.4 million and$46.0 million , respectively, resulting in a net loss per share of$3.25 - Adjusted EBITDA increased 14.7% to
$73.3 million
Highlights for 2018:
- Revenues increased 32.1% to
$1.8 billion and adjusted revenues increased 34.6% to$1.8 billion - Same-facility revenues increased 5.0% over 2017 to
$1.8 billion - Net loss attributable to common shareholders of
$238.1 million inclusive of non-cash goodwill impairment and litigation charges of$74.4 million and$46.0 million , respectively, resulting in a net loss per share of$4.96 - Adjusted EBITDA increased 42.9% to
$234.8 million
2019 Outlook:
- Revenues projected to grow low single digit percentage; when normalized for revenues divested in 2018, growth is projected to be mid-to-high single digits
- Adjusted EBITDA to grow low double digit percentage
- Outlook does not include impact of unidentified merger and acquisition activity
Adjusted revenues and Adjusted EBITDA are non-GAAP financial measures. A definition and reconciliation of these measures appears beginning on page 7.
Mr. DeVeydt continued, “Looking ahead to 2019, we are excited to provide investors an outlook for double-digit Adjusted EBITDA growth. As our growth strategy continues to gain traction, our goal is to make 2019 the first of many years of double-digit Adjusted EBITDA growth.”
Fourth Quarter 2018 Results
Revenues increased 6.7% to
Results for the fourth quarter of 2018 include a non-cash goodwill impairment charge of
Full Year 2018 Results
Total revenues for 2018 increased 32.1% to
Net loss attributable to common shareholders for 2018 includes the non-cash goodwill impairment and litigation related charges as described above.
Liquidity
Surgery Partners had cash and cash equivalents of $184.3 million and availability of approximately $71.2 million under its revolving credit facility at
2019 Outlook
The Company projects that it will be able to grow revenues at a low single-digit percentage rate in 2019; when the 2018 baseline is adjusted for divested revenues, 2019 revenue growth is projected to be high single digits. The Company also projects that it will be able to grow Adjusted EBITDA at a double-digit percentage rate in 2019, which is expected to be weighted more towards the back half of the year. The Company’s outlook does not incorporate the impact of unidentified merger and acquisition activity.
Conference Call Information
Surgery Partners will hold a conference call today,
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.
About Surgery Partners
Headquartered in
Forward-Looking Statements
This press release contains forward-looking statements, including those regarding growth, our anticipated operating results for 2019, our expectations regarding resolving the previously disclosed government investigation into our practices and other similar statements. These statements can be identified by the use of words such as “believes,” “anticipates,” “expects,” “intends,” “plans,” “continues,” “estimates,” “predicts,” “projects,” “forecasts,” and similar expressions. All forward looking statements are based on current expectations and beliefs as of the date of this release and are subject to risks, uncertainties and assumptions that could cause actual results to differ materially from those discussed in, or implied by, the forward-looking statements, including but not limited to, our ability to execute on our operational and strategic initiatives, the timing and impact of our portfolio optimization efforts, our ability to continue to improve same store volume and revenue growth on the timeline anticipated, if at all, our ability to successfully integrate acquisitions, the anticipated impact and timing of our ongoing efficiency efforts, including insurance consolidations and completed headcount actions, as well as our ongoing procurement and revenue cycle efforts, the impact of adverse weather conditions and other events outside of our control, whether or not a settlement is reached with the government relating to the previously disclosed investigation, the terms of any such settlement and the ongoing cost of complying with the terms of any such settlement, as well as the risks identified and discussed from time to time in the Company’s reports filed with the
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,
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 revenue, 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.
SELECTED CONSOLIDATED FINANCIAL DATA
(Amounts in thousands, except shares and per share amounts)
Three Months Ended December 31, |
Year Ended December 31, |
|||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Revenues | $ | 491,168 | $ | 460,346 | $ | 1,771,456 | $ | 1,341,219 | ||||||||
Operating expenses: | ||||||||||||||||
Salaries and benefits | 139,544 | 133,619 | 534,740 | 416,552 | ||||||||||||
Supplies | 134,550 | 125,987 | 490,251 | 354,337 | ||||||||||||
Professional and medical fees | 38,167 | 33,807 | 145,461 | 102,992 | ||||||||||||
Lease expense | 21,763 | 21,010 | 86,673 | 64,371 | ||||||||||||
Other operating expenses | 25,716 | 24,281 | 104,306 | 75,548 | ||||||||||||
Cost of revenues | 359,740 | 338,704 | 1,361,431 | 1,013,800 | ||||||||||||
General and administrative expenses | 23,829 | 21,376 | 93,558 | 75,950 | ||||||||||||
Depreciation and amortization | 18,061 | 18,474 | 67,440 | 51,928 | ||||||||||||
Provision for doubtful accounts | — | 8,765 | — | 28,752 | ||||||||||||
Income from equity investments | (2,615 | ) | (2,607 | ) | (8,898 | ) | (6,467 | ) | ||||||||
Loss (gain) on disposal and deconsolidations, net | 15,947 | (328 | ) | 31,822 | 1,720 | |||||||||||
Transaction and integration costs | 7,894 | 4,487 | 31,665 | 13,054 | ||||||||||||
Impairment charges | 74,359 | — | 74,359 | — | ||||||||||||
Loss on debt refinancing | — | — | — | 18,211 | ||||||||||||
Loss (gain) on litigation settlements | 46,009 | (8,740 | ) | 46,009 | (12,534 | ) | ||||||||||
Gain on acquisition escrow release | — | (167 | ) | — | (1,167 | ) | ||||||||||
Other (income) expense | (167 | ) | 38 | (3,768 | ) | (262 | ) | |||||||||
Total operating expenses | 543,057 | 380,002 | 1,693,618 | 1,182,985 | ||||||||||||
Operating (loss) income | (51,889 | ) | 80,344 | 77,838 | 158,234 | |||||||||||
Gain on amendment to tax receivable agreement | — | — | — | 16,392 | ||||||||||||
Tax receivable agreement benefit | — | 25,329 | — | 25,329 | ||||||||||||
Interest expense, net | (39,635 | ) | (32,857 | ) | (147,003 | ) | (117,669 | ) | ||||||||
(Loss) income before income taxes | (91,524 | ) | 72,816 | (69,165 | ) | 82,286 | ||||||||||
Income tax expense (benefit) | 15,556 | 71,850 | 26,461 | 53,550 | ||||||||||||
Net (loss) income | (107,080 | ) | 966 | (95,626 | ) | 28,736 | ||||||||||
Less: Net income attributable to non-controlling interests | (40,662 | ) | (33,142 | ) | (110,080 | ) | (81,721 | ) | ||||||||
Net loss attributable to Surgery Partners, Inc. | (147,742 | ) | (32,176 | ) | (205,706 | ) | (52,985 | ) | ||||||||
Less: Amounts attributable to participating securities | (8,453 | ) | (7,848 | ) | (32,426 | ) | (26,047 | ) | ||||||||
Net loss attributable to common stockholders | $ | (156,195 | ) | $ | (40,024 | ) | $ | (238,132 | ) | $ | (79,032 | ) | ||||
Net loss per share attributable to common stockholders | ||||||||||||||||
Basic | $ | (3.25 | ) | $ | (0.83 | ) | $ | (4.96 | ) | $ | (1.64 | ) | ||||
Diluted (1) | $ | (3.25 | ) | $ | (0.83 | ) | $ | (4.96 | ) | $ | (1.64 | ) | ||||
Weighted average common shares outstanding | ||||||||||||||||
Basic | 48,047,192 | 48,319,851 | 48,027,875 | 48,187,844 | ||||||||||||
Diluted (1) | 48,047,192 | 48,319,851 | 48,027,875 | 48,187,844 |
(1) The impact of potentially dilutive securities for all periods was not considered because the effect would be anti-dilutive in each periods.
Selected Financial and Operating Data
(Amounts in thousands, except shares and per share amounts)
December 31, 2018 |
December 31, 2017 |
|||||||
Balance Sheet Data (at period end): | ||||||||
Cash and cash equivalents | $ | 184,308 | $ | 174,914 | ||||
Total current assets | 588,322 | 563,225 | ||||||
Total assets | 4,676,267 | 4,622,773 | ||||||
Current maturities of long-term debt | 55,552 | 58,726 | ||||||
Total current liabilities | 349,299 | 303,005 | ||||||
Long-term debt, less current maturities | 2,270,898 | 2,130,556 | ||||||
Total liabilities | 2,891,384 | 2,656,041 | ||||||
Total Surgery Partners, Inc. stockholders' equity | 404,640 | 654,731 | ||||||
Non-controlling interests—non-redeemable | 694,305 | 681,879 | ||||||
Total stockholders' equity | 1,098,945 | 1,336,610 |
Three Months Ended December 31, |
Year Ended December 31, |
|||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Cash Flow Data: | ||||||||||||||||
Net cash provided by (used in): | ||||||||||||||||
Operating activities | $ | 45,546 | $ | 54,447 | $ | 144,600 | $ | 120,943 | ||||||||
Investing activities | (62,251 | ) | (35,890 | ) | (128,862 | ) | (783,449 | ) | ||||||||
Purchases of property and equipment, net | (13,187 | ) | (8,987 | ) | (39,805 | ) | (29,600 | ) | ||||||||
Payments for acquisitions, net of cash acquired | (51,559 | ) | (28,086 | ) | (106,772 | ) | (755,102 | ) | ||||||||
Financing activities | 121,890 | (43,344 | ) | (6,344 | ) | 767,721 | ||||||||||
Distributions to non-controlling interest holders | (28,933 | ) | (27,046 | ) | (109,024 | ) | (83,833 | ) |
Three Months Ended December 31, |
Year Ended December 31, |
|||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Other Data: | ||||||||||||||||
Number of surgical facilities at the end of period | 123 | 124 | 123 | 124 | ||||||||||||
Number of consolidated surgical facilities as of the end of period | 106 | 108 | 106 | 108 | ||||||||||||
Cases | 137,028 | 136,108 | 520,741 | 468,443 | ||||||||||||
Revenue per case | $ | 3,584 | $ | 3,382 | $ | 3,402 | $ | 2,863 | ||||||||
Adjusted EBITDA | $ | 73,303 | $ | 63,895 | $ | 234,768 | $ | 164,301 | ||||||||
Adjusted EBITDA as a % of revenues | 14.9 | % | 13.9 | % | 13.3 | % | 12.3 | % |
Supplemental Information
(Unaudited, in thousands, except cases and growth rates)
Three Months Ended December 31, |
Year Ended December 31, |
|||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Same-facility Information: | ||||||||||||||||
Cases | 143,007 | 141,444 | 542,335 | 546,719 | ||||||||||||
Case growth | 1.1 | % | N/A | (0.8 | )% | N/A | ||||||||||
Revenue per case (2) | $ | 3,589 | $ | 3,378 | $ | 3,408 | $ | 3,220 | ||||||||
Revenue per case growth | 6.3 | % | N/A | 5.8 | % | N/A |
(2) Same-facility revenue per case reflects revenues from our consolidated and non-consolidated surgical facilities (excluding facilities acquired in new markets or divested during the current and prior periods) along with the revenues from our ancillary services comprised of a diagnostic laboratory, multi-specialty physician practices, urgent care facilities, anesthesia services, optical services and specialty pharmacy services that complement our surgical facilities in our existing markets.
Three Months Ended December 31, |
Year Ended December 31, |
|||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Segment Revenues: | ||||||||||||||||
Surgical facility services | $ | 470,816 | $ | 438,863 | $ | 1,682,278 | $ | 1,253,183 | ||||||||
Ancillary services | 19,321 | 18,885 | 79,633 | 76,921 | ||||||||||||
Optical services | 1,031 | 2,598 | 9,545 | 11,115 | ||||||||||||
Total revenues | $ | 491,168 | $ | 460,346 | $ | 1,771,456 | $ | 1,341,219 |
Three Months Ended December 31, |
Year Ended December 31, |
|||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Adjusted EBITDA: | ||||||||||||||||
Surgical facility services | $ | 92,974 | $ | 82,813 | $ | 309,513 | $ | 229,672 | ||||||||
Ancillary services | 83 | (990 | ) | 3,008 | (8,781 | ) | ||||||||||
Optical services | 413 | 543 | 2,500 | 2,950 | ||||||||||||
All other | (20,167 | ) | (18,471 | ) | (80,253 | ) | (59,540 | ) | ||||||||
Total | $ | 73,303 | $ | 63,895 | $ | 234,768 | $ | 164,301 |
Reconciliation of Non-GAAP Financial Measures
(Unaudited, Amounts in thousands)
The following table reconciles adjusted revenues to revenues in the selected consolidated financial information, the most directly comparable U.S. GAAP measure:
2018 | ||||||||||||||||||||
Q1 | Q2 | Q3 | Q4 | Full-Year | ||||||||||||||||
Adjusted Revenues (3): | ||||||||||||||||||||
Revenues prior to provision for doubtful accounts reclassification | $ | 411,332 | $ | 436,579 | $ | 432,377 | $ | 491,168 | $ | 1,771,456 | ||||||||||
Add: provision for doubtful accounts | 6,037 | 8,196 | 11,555 | 8,482 | 34,270 | |||||||||||||||
Total adjusted revenues | $ | 417,369 | $ | 444,775 | $ | 443,932 | $ | 499,650 | $ | 1,805,726 |
(3) In accordance with a new accounting standard that was effective prospectively beginning
The following table reconciles Adjusted EBITDA to (loss) income before income taxes in the reported consolidated financial information, the most directly comparable U.S. GAAP financial measure:
Three Months Ended December 31, |
Year Ended December 31, |
|||||||||||||||
2018 | 2017 | 2018 | 2017 | |||||||||||||
Adjusted EBITDA (4) | 73,303 | 63,895 | 234,768 | 164,301 | ||||||||||||
Net income attributable to non-controlling interests | 40,662 | 33,142 | 110,080 | 81,721 | ||||||||||||
Depreciation and amortization | (18,061 | ) | (18,474 | ) | (67,440 | ) | (51,928 | ) | ||||||||
Interest expense, net | (39,635 | ) | (32,857 | ) | (147,003 | ) | (117,669 | ) | ||||||||
Non-cash stock compensation expense | (3,041 | ) | (204 | ) | (9,344 | ) | (5,584 | ) | ||||||||
Contingent acquisition compensation expense | — | (1,377 | ) | (1,510 | ) | (7,039 | ) | |||||||||
Transaction, integration and practice acquisition costs (5) | (8,437 | ) | (5,873 | ) | (33,856 | ) | (17,007 | ) | ||||||||
(Loss) gain on litigation settlement | (46,009 | ) | 8,740 | (46,009 | ) | 12,534 | ||||||||||
Gain on acquisition escrow | — | 167 | — | 1,167 | ||||||||||||
(Loss) gain on disposal or impairment of long-lived assets, net | (15,947 | ) | 328 | (31,822 | ) | (1,720 | ) | |||||||||
Reserve adjustments | — | — | (2,670 | ) | — | |||||||||||
Impairment charges | (74,359 | ) | — | (74,359 | ) | — | ||||||||||
Gain on amendment to tax receivable agreement | — | — | — | 16,392 | ||||||||||||
Tax receivable agreement benefit | — | 25,329 | — | 25,329 | ||||||||||||
Loss on debt refinancing | — | — | — | (18,211 | ) | |||||||||||
(Loss) income before income taxes | $ | (91,524 | ) | $ | 72,816 | $ | (69,165 | ) | $ | 82,286 |
(4) We use Adjusted EBITDA as a measure of financial performance. Adjusted EBITDA is a key measure used by management to assess operating performance, make business decisions and allocate resources. Non-controlling interests represent the interests of third parties, such as physicians, and in some cases, healthcare systems that own an interest in surgical facilities that we consolidate for financial reporting purposes. We believe that it is helpful to investors to present Adjusted EBITDA as defined above because it excludes the portion of net income attributable to these third-party interests and clarifies for investors our portion of Adjusted EBITDA generated by our surgical facilities and other operations.
Adjusted EBITDA is not a measurement of financial performance under GAAP, and should not be considered in isolation or as a substitute for net income, operating income or any other measure calculated in accordance with generally accepted accounting principles. The items excluded from Adjusted EBITDA are significant components in understanding and evaluating our financial performance. We believe such adjustments are appropriate, as the magnitude and frequency of such items can vary significantly and are not related to the assessment of normal operating performance. Our calculation of Adjusted EBITDA may not be comparable to similarly titled measures reported by other companies.
(5) This amount includes merger transaction and integration costs of
This amount includes merger transaction and integration costs of
In connection with the Preferred Private Placement and the Private Sale, as previously disclosed on Form 8-K filed with the
The following table reconciles the consolidated statement of operations for the year ended
Successor | Predecessor | |||||||||
September 1 to December 31, |
January 1 to August 31, |
|||||||||
2017 | 2017 | |||||||||
Revenues | $ | 592,604 | $ | 748,615 | ||||||
Operating expenses: | ||||||||||
Salaries and benefits | 175,403 | 241,149 | ||||||||
Supplies | 161,015 | 193,322 | ||||||||
Professional and medical fees | 45,061 | 57,931 | ||||||||
Lease expense | 27,868 | 36,503 | ||||||||
Other operating expenses | 32,281 | 43,267 | ||||||||
Cost of revenues | 441,628 | 572,172 | ||||||||
General and administrative expenses (6) | 29,153 | 46,797 | ||||||||
Depreciation and amortization | 21,804 | 30,124 | ||||||||
Provision for doubtful accounts | 12,455 | 16,297 | ||||||||
Income from equity investments | (3,319 | ) | (3,148 | ) | ||||||
Loss on disposals and deconsolidations, net | 5 | 1,715 | ||||||||
Transaction and integration costs | 7,470 | 5,584 | ||||||||
Loss on debt refinancing | — | 18,211 | ||||||||
Gain on litigation settlements | (8,740 | ) | (3,794 | ) | ||||||
Gain on acquisition escrow release | (167 | ) | (1,000 | ) | ||||||
Other expense (income) | 45 | (307 | ) | |||||||
Total operating expenses | 500,334 | 682,651 | ||||||||
Operating income | 92,270 | 65,964 | ||||||||
Gain on amendment to tax receivable agreement | 1,098 | 15,294 | ||||||||
Tax receivable agreement benefit | 25,329 | — | ||||||||
Interest expense, net | (48,740 | ) | (68,929 | ) | ||||||
Income before income taxes | 69,957 | 12,329 | ||||||||
Income tax expense (benefit) | 71,639 | (18,089 | ) | |||||||
Net (loss) income | (1,682 | ) | 30,418 | |||||||
Less: Net income attributable to non-controlling interests | (39,634 | ) | (42,087 | ) | ||||||
Net loss attributable to Surgery Partners, Inc. | (41,316 | ) | (11,669 | ) | ||||||
Less: Amounts attributable to participating securities (7) | (26,047 | ) | — | |||||||
Net loss attributable to common stockholders | $ | (67,363 | ) | $ | (11,669 | ) | ||||
Net loss per share attributable to common stockholders | ||||||||||
Basic | $ | (1.39 | ) | $ | (0.24 | ) | ||||
Diluted (8) | $ | (1.39 | ) | $ | (0.24 | ) | ||||
Weighted average common shares outstanding | ||||||||||
Basic | 48,319,193 | 48,121,404 | ||||||||
Diluted (8) | 48,319,193 | 48,121,404 |
(6) Includes contingent acquisition compensation expense of
(7) Includes accrued dividends of
(8) The impact of potentially dilutive securities for both periods presented was not considered because the effect would be anti-dilutive.
The following table reconciles the selected cash flow data for the year ended
Successor | Predecessor | |||||||||
September 1 to December 31, |
January 1 to August 31, |
|||||||||
2017 | 2017 | |||||||||
Cash Flow Data: | ||||||||||
Net cash provided by (used in): | ||||||||||
Operating activities | $ | 53,225 | $ | 67,718 | ||||||
Investing activities | (38,893 | ) | (744,556 | ) | ||||||
Capital expenditures | (10,827 | ) | (18,773 | ) | ||||||
Investments in new businesses | (29,249 | ) | (725,853 | ) | ||||||
Financing activities | (53,624 | ) | 821,345 | |||||||
Distributions to non-controlling interests | (33,490 | ) | (50,343 | ) |
The following table reconciles the revenues by segment for the year ended
Successor | Predecessor | |||||||||
September 1 to December 31, |
January 1 to August 31, |
|||||||||
2017 | 2017 | |||||||||
Revenues: | ||||||||||
Surgical facility services | $ | 564,458 | $ | 688,725 | ||||||
Ancillary services | 24,660 | 52,261 | ||||||||
Optical services | 3,486 | 7,629 | ||||||||
Total revenues | $ | 592,604 | $ | 748,615 |
The following table reconciles the Adjusted EBITDA tables for the year ended
Successor | Predecessor | |||||||||
September 1 to December 31, |
January 1 to August 31, |
|||||||||
2017 | 2017 | |||||||||
Adjusted EBITDA: | ||||||||||
Surgical facility services | $ | 103,760 | $ | 125,912 | ||||||
Ancillary services | (2,255 | ) | (6,526 | ) | ||||||
Optical services | 736 | 2,214 | ||||||||
All other | (23,504 | ) | (36,036 | ) | ||||||
Total Adjusted EBITDA | 78,737 | 85,564 | ||||||||
Net income attributable to non-controlling interests | 39,634 | 42,087 | ||||||||
Depreciation and amortization | (21,804 | ) | (30,124 | ) | ||||||
Interest expense, net | (48,740 | ) | (68,929 | ) | ||||||
Non-cash stock compensation expense | (1,887 | ) | (3,697 | ) | ||||||
Contingent acquisition compensation expense | (1,982 | ) | (5,057 | ) | ||||||
Transaction, integration and practice acquisition costs (9) | (9,330 | ) | (7,677 | ) | ||||||
Gain on litigation settlement | 8,740 | 3,794 | ||||||||
Gain on acquisition escrow release | 167 | 1,000 | ||||||||
Loss on disposal or impairment of long-lived assets, net | (5 | ) | (1,715 | ) | ||||||
Gain on amendment to tax receivable agreement | 1,098 | 15,294 | ||||||||
Tax receivable agreement benefit | 25,329 | — | ||||||||
Loss on debt refinancing | — | (18,211 | ) | |||||||
Income before income taxes | $ | 69,957 | $ | 12,329 |
(9) This amount includes merger transaction and integration costs of
This amount includes practice acquisition costs of
Contact
(615) 234-8940
IR@surgerypartners.com
Source: Surgery Partners, Inc.