News Release Details
Surgery Partners, Inc. Announces Third Quarter 2020 Results
November 4, 2020
• | Revenues increased 9.8% from the prior year period to |
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° | Adjusted Revenues increased 9.9% to |
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° | Same-facility Revenues increased 8.4% from the prior year period | ||
° | Same-facility case volume was at 97% of the case volume from the prior year period | ||
• | Net loss attributable to common stockholders was |
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° | Adjusted EBITDA, excluding the impact of CARES Act grants, increased approximately 7% over the prior year period to |
"As further evidence to the quality and safety of our model, we continue to recruit new physicians into our facilities adding an additional 180 in the third quarter and over 400 on a year-to-date basis. This recruiting success is especially evident in our same store surgical volumes, which improved to 97% compared to the prior quarter and 99% in the month of September when compared to September 2019.”
Third Quarter 2020 Results
Adjusted Revenues for the third quarter of 2020 increased 9.9% to $503.9 million from $458.3 million for the third quarter of 2019. Same-facility Revenues for the third quarter of 2020 increased 8.4% from the same period last year, with an 11.9% increase in revenue per case offset by a 3.1% decrease in same-facility cases. For the third quarter of 2020, the Company’s net loss attributable to common stockholders and Adjusted EBITDA, excluding the impact of CARES Act grants, was $71.6 million and
Year to Date 2020 Results
Adjusted Revenues for the nine months ended
Liquidity
Surgery Partners had cash and cash equivalents of $450.0 million and
Operating cash flows were
On
The Company is closely monitoring legislative actions and regulatory guidance at the federal, state and local levels with respect to the Coronavirus Aid, Relief, and Economic Security (CARES) Act and other governmental assistance that is or might become available. Through
On
Conference Call Information
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 replay will also be available on this same website for a limited time 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 future periods 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,” “may,” “could,” 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, (i) the duration and severity of the COVID-19 outbreak in
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 similar measures 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
(Dollars in millions, except per share amounts, shares in thousands)
Three Months Ended |
Nine Months Ended |
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2020 | 2019 | 2020 | 2019 | ||||||||||||
Revenues | $ | 496.1 | $ | 452.0 | $ | 1,311.8 | $ | 1,314.2 | |||||||
Operating expenses: | |||||||||||||||
Salaries and benefits | 141.7 | 139.3 | 398.2 | 401.2 | |||||||||||
Supplies | 142.8 | 126.2 | 382.2 | 364.6 | |||||||||||
Professional and medical fees | 46.3 | 38.5 | 138.4 | 110.0 | |||||||||||
Lease expense | 21.9 | 21.4 | 64.7 | 63.0 | |||||||||||
Other operating expenses | 29.2 | 27.7 | 83.9 | 80.8 | |||||||||||
Cost of revenues | 381.9 | 353.1 | 1,067.4 | 1,019.6 | |||||||||||
General and administrative expenses | 25.2 | 19.9 | 73.3 | 64.9 | |||||||||||
Depreciation and amortization | 24.1 | 18.4 | 69.3 | 56.3 | |||||||||||
Income from equity investments | (3.1 | ) | (2.4 | ) | (7.6 | ) | (6.6 | ) | |||||||
Loss (gain) on disposals and deconsolidations, net | 0.7 | 0.6 | 7.1 | (7.0 | ) | ||||||||||
Transaction and integration costs | 5.4 | 3.4 | 15.8 | 11.6 | |||||||||||
Impairment charges | 33.5 | — | 33.5 | — | |||||||||||
Grant funds | 9.9 | — | (33.2 | ) | — | ||||||||||
Litigation settlement | — | — | 1.2 | — | |||||||||||
Loss on debt extinguishment | — | — | — | 11.7 | |||||||||||
Other income | — | — | (1.7 | ) | (0.4 | ) | |||||||||
Total operating expenses | 477.6 | 393.0 | 1,225.1 | 1,150.1 | |||||||||||
Operating income | 18.5 | 59.0 | 86.7 | 164.1 | |||||||||||
Tax receivable agreement expense | — | — | — | (2.4 | ) | ||||||||||
Interest expense, net | (51.5 | ) | (45.7 | ) | (147.8 | ) | (134.1 | ) | |||||||
(Loss) income before income taxes | (33.0 | ) | 13.3 | (61.1 | ) | 27.6 | |||||||||
Income tax expense (benefit) | 1.3 | 2.4 | (14.5 | ) | 5.1 | ||||||||||
Net (loss) income | (34.3 | ) | 10.9 | (46.6 | ) | 22.5 | |||||||||
Less: Net income attributable to non-controlling interests | (27.3 | ) | (26.6 | ) | (75.0 | ) | (78.1 | ) | |||||||
Net loss attributable to |
(61.6 | ) | (15.7 | ) | (121.6 | ) | (55.6 | ) | |||||||
Less: Amounts attributable to participating securities | (10.0 | ) | (9.1 | ) | (29.2 | ) | (26.4 | ) | |||||||
Net loss attributable to common stockholders | $ | (71.6 | ) | $ | (24.8 | ) | $ | (150.8 | ) | $ | (82.0 | ) | |||
Net loss per share attributable to common stockholders | |||||||||||||||
Basic | $ | (1.46 | ) | $ | (0.51 | ) | $ | (3.09 | ) | $ | (1.70 | ) | |||
Diluted (1) | $ | (1.46 | ) | $ | (0.51 | ) | $ | (3.09 | ) | $ | (1.70 | ) | |||
Weighted average common shares outstanding | |||||||||||||||
Basic | 48,883 | 48,310 | 48,736 | 48,265 | |||||||||||
Diluted (1) | 48,883 | 48,310 | 48,736 | 48,265 |
(1) The impact of potentially dilutive securities for all periods presented was not considered because the effect would be anti-dilutive in those periods.
Selected Financial and Operating Data
(Dollars in millions, except per case and per share amounts)
2020 |
2019 |
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Balance Sheet Data: | |||||
Cash and cash equivalents | $ | 450.0 | $ | 92.7 | |
Total current assets | 893.4 | 525.5 | |||
Total assets | 5,312.9 | 5,018.9 | |||
Current maturities of long-term debt | 61.1 | 56.0 | |||
Total current liabilities | 590.9 | 398.1 | |||
Long-term debt, less current maturities | 2,761.3 | 2,524.7 | |||
Total liabilities | 3,783.2 | 3,319.5 | |||
Non-controlling interests—redeemable | 304.7 | 321.0 | |||
Redeemable preferred stock | 424.2 | 395.0 | |||
101.2 | 296.8 | ||||
Non-controlling interests—non-redeemable | 699.6 | 686.6 | |||
Total stockholders' equity | 800.8 | 983.4 |
Three Months Ended |
Nine Months Ended |
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2020 | 2019 | 2020 | 2019 | ||||||||||||
Cash Flow Data: | |||||||||||||||
Net cash provided by (used in): | |||||||||||||||
Operating activities | $ | 26.9 | $ | 56.9 | $ | 238.0 | $ | 104.1 | |||||||
Investing activities | 29.3 | (18.9 | ) | 6.8 | (61.8 | ) | |||||||||
Capital expenditures | (7.9 | ) | (18.4 | ) | (27.8 | ) | (50.2 | ) | |||||||
Payments for acquisitions, net of cash acquired | (1.8 | ) | (0.6 | ) | (14.2 | ) | (13.8 | ) | |||||||
Financing activities | 67.5 | (44.1 | ) | 112.5 | (115.3 | ) | |||||||||
Distributions to non-controlling interests | (30.6 | ) | (28.6 | ) | (82.3 | ) | (89.5 | ) |
Three Months Ended |
Nine Months Ended |
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2020 | 2019 | 2020 | 2019 | ||||||||||||||||
Other Data: | |||||||||||||||||||
Number of surgical facilities as of the end of period | 126 | 128 | 126 | 128 | |||||||||||||||
Number of consolidated surgical facilities as of the end of period | 106 | 107 | 106 | 107 | |||||||||||||||
Cases | 126,557 | 129,908 | 324,888 | 387,613 | |||||||||||||||
Adjusted Revenue per case (1) | $ | 3,982 | $ | 3,528 | $ | 4,116 | $ | 3,447 | |||||||||||
Adjusted EBITDA (1) | $ | 61.1 | $ | 62.2 | $ | 165.8 | $ | 174.2 | |||||||||||
Adjusted EBITDA excluding grant funds (1) | $ | 66.5 | $ | 62.2 | $ | 143.9 | $ | 174.2 | |||||||||||
Adjusted EBITDA margin (2) | 12.1 | % | 13.6 | % | 12.4 | % | 13.0 | % | |||||||||||
Adjusted net loss per share attributable to common stockholders - Basic (1) | $ | (0.53 | ) | $ | (0.28 | ) | $ | (1.35 | ) | $ | (0.99 | ) | |||||||
Adjusted net loss per share attributable to common stockholders - Diluted (1) | $ | (0.53 | ) | $ | (0.28 | ) | $ | (1.35 | ) | $ | (0.99 | ) |
(1) A reconciliation of these non-GAAP financial measures appears below.
(2) Defined as Adjusted EBITDA as a % of Adjusted Revenues.
Supplemental Information
(Dollars in millions, except per case amounts)
Three Months Ended |
Nine Months Ended |
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2020 | 2019 | 2020 | 2019 | ||||||||||||
Same-facility Information (1): | |||||||||||||||
Cases | 135,696 | 140,005 | 346,733 | 416,926 | |||||||||||
Case growth | (3.1 | ) | % | N/A | (16.8 | ) | % | N/A | |||||||
Revenue per case | $ | 3,636 | $ | 3,250 | $ | 3,722 | $ | 3,178 | |||||||
Revenue per case growth | 11.9 | % | N/A | 17.1 | % | N/A | |||||||||
Number of work days in the period | 64 | 64 | 192 | 191 | |||||||||||
Case growth (days adjusted) | (3.1 | ) | % | N/A | (17.3 | ) | % | N/A | |||||||
Revenue growth (days adjusted) | 8.4 | % | N/A | (3.1 | ) | % | N/A |
(1) Same-facility information includes cases and revenues from our consolidated and non-consolidated surgical facilities (excluding facilities acquired in new markets or divested during the current and prior periods).
Three Months Ended |
Nine Months Ended |
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2020 | 2019 | 2020 | 2019 | ||||||||
Segment Revenues: | |||||||||||
Surgical facility services | $ | 478.6 | $ | 431.1 | $ | 1,262.8 | $ | 1,250.9 | |||
Ancillary services | 16.7 | 20.0 | 46.9 | 60.3 | |||||||
Optical services | 0.8 | 0.9 | 2.1 | 3.0 | |||||||
Total revenues | $ | 496.1 | $ | 452.0 | $ | 1,311.8 | $ | 1,314.2 |
Three Months Ended |
Nine Months Ended |
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2020 | 2019 | 2020 | 2019 | ||||||||||||
Adjusted EBITDA: | |||||||||||||||
Surgical facility services | $ | 82.5 | $ | 77.1 | $ | 229.7 | $ | 223.9 | |||||||
Ancillary services | (0.6 | ) | 0.9 | (3.9 | ) | 3.5 | |||||||||
Optical services | 0.4 | 0.4 | 1.0 | 1.3 | |||||||||||
All other | (21.2 | ) | (16.2 | ) | (61.0 | ) | (54.5 | ) | |||||||
Total Adjusted EBITDA | $ | 61.1 | $ | 62.2 | $ | 165.8 | $ | 174.2 |
Reconciliation of Non-GAAP Financial Measures
(Dollars in millions)
The following table reconciles Adjusted Revenues to revenues in the selected consolidated financial information, the most directly comparable GAAP financial measure:
Three Months Ended |
Nine Months Ended |
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2020 | 2019 | 2020 | 2019 | ||||||||
Adjusted Revenues (1): | |||||||||||
Revenues | $ | 496.1 | $ | 452.0 | $ | 1,311.8 | $ | 1,314.2 | |||
Exclude provision for doubtful accounts | 7.8 | 6.3 | 25.3 | 21.8 | |||||||
Total Adjusted Revenues | $ | 503.9 | $ | 458.3 | $ | 1,337.1 | $ | 1,336.0 |
(1) Adjusted Revenues is not a measurement of financial performance under GAAP, and should not be considered in isolation or as a substitute for revenues as calculated in accordance with GAAP.
The following table reconciles Adjusted EBITDA to (loss) income before income taxes in the reported condensed consolidated financial information, the most directly comparable GAAP financial measure:
Three Months Ended |
Nine Months Ended |
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2020 | 2019 | 2020 | 2019 | ||||||||||||
(Loss) income before income taxes | $ | (33.0 | ) | $ | 13.3 | $ | (61.1 | ) | $ | 27.6 | |||||
Net income attributable to non-controlling interests | (27.3 | ) | (26.6 | ) | (75.0 | ) | (78.1 | ) | |||||||
Depreciation and amortization | 24.1 | 18.4 | 69.3 | 56.3 | |||||||||||
Interest expense, net | 51.5 | 45.7 | 147.8 | 134.1 | |||||||||||
Equity-based compensation expense | 3.0 | 2.7 | 9.9 | 7.6 | |||||||||||
Transaction, integration and acquisition costs (1) | 7.5 | 5.3 | 30.2 | 16.8 | |||||||||||
Impairment charges [See Note to SP below] | 33.5 | — | 33.5 | — | |||||||||||
Loss (gain) on disposals and deconsolidations, net | 0.7 | 0.6 | 7.1 | (7.0 | ) | ||||||||||
Litigation settlement and other litigation costs (2) | 1.1 | 2.8 | 4.9 | 2.8 | |||||||||||
Gain on escrow release (3) | — | — | (0.8 | ) | — | ||||||||||
Loss on debt extinguishment | — | — | — | 11.7 | |||||||||||
Tax receivable agreement expense | — | — | — | 2.4 | |||||||||||
Adjusted EBITDA (4) | $ | 61.1 | $ | 62.2 | $ | 165.8 | $ | 174.2 | |||||||
Less: Impact of grant funds (5) | 5.4 | — | (21.9 | ) | — | ||||||||||
Adjusted EBITDA excluding grant funds | $ | 66.5 | $ | 62.2 | $ | 143.9 | $ | 174.2 |
(1) This amount includes transaction and integration costs of
(2) This amount includes other litigation costs of
(3) Included in other income in the condensed consolidated statement of operations for the nine months ended
(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 GAAP. 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) Represents the impact of grant funds recognized, net of amounts attributable to non-controlling interests.
Reconciliation of Non-GAAP Financial Measures
(Dollars in millions, except per share amounts, shares in thousands)
From time to time, the Company incurs certain non-recurring gains or losses that are normally non-operational in nature and that it does not consider relevant in assessing its ongoing operating performance. When significant, Surgery Partners’ management and Board of Directors typically exclude these gains or losses when evaluating the Company’s operating performance and in certain instances when evaluating performance for incentive compensation purposes. Additionally, the Company believes that certain investors and equity analysts exclude these or similar items when evaluating the Company’s current or future operating performance and in making informed investment decisions regarding the Company. Accordingly, the Company provides adjusted net loss attributable to common stockholders and adjusted net loss per share attributable to common stockholders as supplements to the comparable GAAP financial measures. Adjusted net loss attributable to common stockholders and adjusted net loss per share attributable to common stockholders should not be considered measures of financial performance under GAAP, and the items excluded from such measures are significant components in understanding and assessing financial performance. These measures should not be considered in isolation or as an alternative to the comparable GAAP financial measures as presented in the consolidated financial statements.
The following table reconciles net (loss) income as reflected in the consolidated statements of operations to adjusted net loss used to calculate adjusted net loss per share attributable to common stockholders:
Three Months Ended |
Nine Months Ended |
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2020 | 2019 | 2020 | 2019 | ||||||||||||
Consolidated Statements of Operations Data: | |||||||||||||||
Net (loss) income | $ | (34.3 | ) | $ | 10.9 | $ | (46.6 | ) | $ | 22.5 | |||||
Plus (minus): | |||||||||||||||
Net income attributable to non-controlling interests | (27.3 | ) | (26.6 | ) | (75.0 | ) | (78.1 | ) | |||||||
Amounts attributable to participating securities | (10.0 | ) | (9.1 | ) | (29.2 | ) | (26.4 | ) | |||||||
Equity-based compensation expense | 3.0 | 2.7 | 9.9 | 7.6 | |||||||||||
Transaction, integration and acquisition costs | 7.5 | 5.3 | 30.2 | 16.8 | |||||||||||
Loss (gain) on disposals and deconsolidations, net | 0.7 | 0.6 | 7.1 | (7.0 | ) | ||||||||||
Impairment charges | 33.5 | — | 33.5 | — | |||||||||||
Litigation settlement and other litigation costs | 1.1 | 2.8 | 4.9 | 2.8 | |||||||||||
Gain on escrow release | — | — | (0.8 | ) | — | ||||||||||
Loss on debt extinguishment | — | — | — | 11.7 | |||||||||||
Tax receivable agreement expense | — | — | — | 2.4 | |||||||||||
Adjusted net loss attributable to common stockholders | $ | (25.8 | ) | $ | (13.4 | ) | $ | (66.0 | ) | $ | (47.7 | ) | |||
Adjusted net loss per share attributable to common stockholders | |||||||||||||||
Basic | $ | (0.53 | ) | $ | (0.28 | ) | $ | (1.35 | ) | $ | (0.99 | ) | |||
Diluted (1) | $ | (0.53 | ) | $ | (0.28 | ) | $ | (1.35 | ) | $ | (0.99 | ) | |||
Weighted average common shares outstanding | |||||||||||||||
Basic | 48,883 | 48,310 | 48,736 | 48,265 | |||||||||||
Diluted (1) | 48,883 | 48,310 | 48,736 | 48,265 |
(1) The impact of potentially dilutive securities for all periods presented was not considered because the effect would be anti-dilutive in those periods.
Contact
Surgery Partners Investor Relations
(615) 234-8940
IR@surgerypartners.com
Source: Surgery Partners, Inc.