EX-99.1 2 d139183dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

 

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Foundation HealthCare Reports

Fourth Quarter and Annual 2015 Financial Results

03/16/16

Primary contact: Brooks O’Neil, 952-239-7677 (brooks@whiteoaksir.com)

FOUNDATION HEALTHCARE ANNUAL REVENUE GROWS 22 PERCENT TO $127.5 MILLION; ADJUSTED EBITDA INCREASED 35 PERCENT TO $14.2 MILLION

OKLAHOMA CITY, March 16, 2016 – Foundation HealthCare, Inc. (OTCQB: FDNH), which is an owner and operator of surgical hospitals, announced today the Company’s final financial results for the fourth quarter and year ended December 31, 2015.

Highlights include:

 

    Annual net revenues increased 22 percent to $127.5 million.

 

    Annual adjusted EBITDA increased 35 percent to $14.2 million.

 

    Annual patient service revenue grew by 26 percent at majority owned hospitals.

 

    Houston hospital acquired December 31, 2015. Expected to be immediately accretive to EBITDA.

“We are very pleased with the results of operations for 2015 and recognize this growth is driven by our unwavering commitment to patient care. We view this commitment as a key differentiator in our business model,” said Stanton Nelson, CEO of Foundation HealthCare. “I am pleased to announce that our El Paso hospital was just awarded the Foundation Center of Excellence Award for Nursing Services. In 2015, our San Antonio hospital was awarded the Center of Excellence for Orthopedics as well as the Blue Cross Distinction award for Bariatric Surgery. Our physician partners and our clinical teams continue to deliver an unparalleled level of quality which is why our patient satisfaction scores continue to be among the highest in the country.”

“Foundation HealthCare reported impressive growth during the 2015. Total revenues grew 22 percent compared to 2014 and patient service revenues grew 26 percent compared to last year,” said Nelson. “This continued revenue growth validates our business strategy of recruiting top tier physicians, providing our patients with an unparalleled health experience and expanding ancillary services.”

“During the third quarter of 2015, we reached capacity in our San Antonio hospital and announced the construction of another operating room and the addition to two patient rooms for post-surgical care. This expansion, which will be completed this month, will increase our surgical capacity by 25 percent in San Antonio. Unfortunately, the construction during November and December did have an inhibiting effect on fourth quarter volumes and revenues,” said Nelson. “In addition, our surgical volume in El Paso was modestly lower than expected during 4Q.”

“We announced the acquisition of University General Hospital in Houston effective December 31, 2015,” said Nelson. “We have subsequently rebranded the facility “Foundation Surgical Hospital of Houston.” This facility is located in a great market and is an excellent addition to the Foundation family of surgically focused hospitals. In 2016, we expect strong growth due to continued solid performance in El Paso, the expansion in San Antonio and the addition of Foundation Surgical Hospital of Houston. We believe we have built an infrastructure that can support additional hospitals and we are actively seeking to add majority-owned surgical hospitals to our business.”

Fourth Quarter 2015 Financial Results:

Net revenues and equity in earnings of affiliates in the fourth quarter of 2015 were collectively $32.1 million, down 1.2 percent from $31.7 million in the fourth quarter of 2014. Our net revenues are composed of patient services, less our provision for doubtful accounts, management fees from affiliates and other revenue. Patient services revenue (net of the provision for doubtful accounts) increased $0.7 million, or 2.4 percent, to $29.0 million during the three months ended December 31, 2015 as compared to $28.3 million in the same period of 2014.

 

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Operating expenses for the fourth quarter of 2015 were $32.3 million compared to $28.9 million in the fourth quarter of 2014. The increase is due primarily to increased purchased services cost directly related to the increased net revenues generated from ancillary services.

During the fourth quarter of 2015, Foundation reported a $2.8 million gain (net of income taxes) on the sale of its 20% interest in the real estate of the Sherman, Texas hospital. The operating unit of the Sherman hospital was sold in the second quarter of 2015.

Our operations resulted in a net income attributable to Foundation HealthCare common stock of $1.6 million during the fourth quarter of 2015, compared to a net income of $1.2 million during the fourth quarter of 2014.

Adjusted EBITDA was $3.0 million for the 2015 fourth quarter compared to $4.7 million in the fourth quarter of 2014. This was primarily related to the lower surgical volume in San Antonio and El Paso.

Year-To-Date 2015 Financial Results:

Net revenues for the year ended December 31, 2015 were $127.5 million, up 22 percent from $104.8 million reported for the year ended December 31, 2014. Patient services revenue (net of the provision for doubtful accounts) increased $23.7 million, or 26 percent, to $114.8 million during the year ended December 31, 2015 as compared to $91.1 million in the same period of 2014.

The increase was primarily due to increased revenue at our El Paso hospital generated by more complex cases and increased revenues from ancillary services.

Operating expenses for the year ended December 31, 2015 were $121.3 million compared to $101.6 million for 2014. The increase is due primarily to increased purchased services cost directly related to the increased net revenues generated from ancillary services.

Our operations, including the gain on the sale of our minority interest in the Sherman, Texas hospital and real estate resulted in a net income attributable to Foundation HealthCare common stock of $5.2 million during the year ended December 31, 2015, compared to a net loss of $2.1 million during 2014. Net income per Foundation common share for the year ended December 31, 2015 was $0.30 compared to a net loss of $0.12 per share in the prior year.

Annual Adjusted EBITDA as of December 31, 2015 was $14.2 million compared to $10.6 million for 2014.

At December 31, 2015, cash and cash equivalents totaled $5.1 million, compared to $2.9 million at December 31, 2014.

Conference Call

Foundation’s CEO, Stanton Nelson, and CFO, Hugh King, will host a conference call today, followed by a question and answer period.

Date: March 16, 2016

Time: 4:30 p.m. Eastern time

Dial-In Number: (888) 348-6454

The conference call will be broadcast live at the investor relations section of the Company’s website at www.fdnh.com. Please call the conference telephone number 5-10 minutes prior to the start time. An operator will register your name and organization. In addition, a replay will be available after the call at the Foundation website or by calling (877) 870-5176 using passcode: 10082263.

About Foundation HealthCare – Headquartered in Oklahoma City, Okla., Foundation HealthCare owns and/or operates four surgical hospitals and ten surgery centers in seven states. Physicians who operate in our facilities currently provide general surgeries and surgeries in such specialties as orthopedics, neurosurgery, pain management, podiatry, gynecology, optometry, gastroenterology and pediatric ENT (tubes/adenoids).

 

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Foundation HealthCare’s management seeks to operate each facility efficiently and effectively such that patients receive high quality, cost effective care. The Foundation team seeks to improve the performance of each hospital by recruiting physicians to operate in its facilities and incorporating additional ancillary services in their markets. These additional service lines, such as toxicology, wound care, sleep management, radiology and imaging, truly make the Foundation specialty hospital environment unique.

The Company is also an industry leading ASC management and development company focused on partnering with physicians and employees to create an outstanding patient experience, while maximizing partner and shareholder value.

Reg G disclaimer – reconciling GAAP Net Income with EBITDA and Adjusted EBITDA

Foundation is providing EBITDA information, which is defined as net income plus interest, income taxes, depreciation and amortization expense and earnings or losses from discontinued operations, and Adjusted EBITDA which is defined as EBITDA plus impairment charges minus non-recurring gains. EBITDA and Adjusted EBITDA are a complement to our GAAP results. EBITDA and Adjusted EBITDA are commonly used by management and investors as a measure of leverage capacity, debt service ability and liquidity. EBITDA and Adjusted EBITDA are not considered a measure of financial performance under U.S. generally accepted accounting principles (GAAP), and the items excluded from EBITDA and Adjusted EBITDA are significant components in understanding and assessing our financial performance. EBITDA and Adjusted EBITDA should not be considered in isolation or as an alternative to, or superior to, such GAAP measures as net income, cash flows provided by or used in operating, investing or financing activities or other financial statement data presented in our consolidated financial statements as an indicator of financial performance or liquidity. Reconciliations of non-GAAP financial measures are provided in the news release in the accompanying tables. Since EBITDA and Adjusted EBITDA are not a measure determined in accordance with GAAP and is susceptible to varying calculations, EBITDA, and Adjusted EBITDA as presented, may not be comparable to other similarly titled measures of other companies.

Important Cautions Regarding Forward-Looking Statements

This press release contains forward-looking statements that are based on the Company’s current expectations, forecasts and assumptions. Forward-looking statements involve risks and uncertainties that could cause actual outcomes and results to differ materially from the Company’s expectations, forecasts and assumptions. These risks and uncertainties include risks and uncertainties not in the control of the Company, including, without limitation, the risk that Company will maintain enough liquidity to execute its business plan, continue as a going concern and other risks including those enumerated and described in the Company’s filings with the Securities and Exchange Commission, which filings are available on the SEC’s website at www.sec.gov. Unless otherwise required by law, the Company disclaims any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise.

CONTACT: Company Contact:

Foundation HealthCare, Inc.

Stanton Nelson, CEO

Tel 405-608-1715

 

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FOUNDATION HEALTHCARE, INC.

Reconciliation of Income (Loss) from Continuing Operations to EBITDA from Continuing Operations

(Unaudited)

 

     For the Three Months Ended      For the Year Ended  
     December 31,      December 31,  
     2015     2014      2015     2014  

Income (loss) from continuing operations, net of taxes

   $ 504,632      $ 2,859,137       $ 5,949,374      $ 2,872,015   

EBITDA adjustments:

         

Plus: Interest expense, net

     232,652        280,859         1,059,855        1,610,791   

Plus: Provision (benefit) for income taxes

     (604,574     217         (718,612     (851,788

Plus: Depreciation and amortization

     1,625,167        1,345,334         5,697,962        5,550,162   
  

 

 

   

 

 

    

 

 

   

 

 

 

Total EBITDA adjustments

     1,253,245        1,626,410         6,039,205        6,309,165   
  

 

 

   

 

 

    

 

 

   

 

 

 

EBITDA from continuing operations

   $ 1,757,877      $ 4,485,547       $ 11,988,579      $ 9,181,180   
  

 

 

   

 

 

    

 

 

   

 

 

 

EBITDA from continuing operations

   $ 1,757,877      $ 4,485,547       $ 11,988,579      $ 9,181,180   

Adjusted EBITDA adjustment

         

Plus: Stock compensation expense

     1,002,548        195,801         1,637,413        1,387,087   

Plus: S-1 filing expenses

     —          —           318,863        —     

Plus: Acquisition expenses

     272,729        —           272,729        —     
  

 

 

   

 

 

    

 

 

   

 

 

 

Total Adjusted EBITDA adjustments

     1,275,277        195,801         2,229,005        1,387,087   
  

 

 

   

 

 

    

 

 

   

 

 

 

Adjusted EBITDA

   $ 3,033,154      $ 4,681,348       $ 14,217,584      $ 10,568,267   
  

 

 

   

 

 

    

 

 

   

 

 

 

 

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FOUNDATION HEALTHCARE, INC.

Condensed Consolidated Balance Sheets

(Unaudited)

 

     December 31,     December 31,  
     2015     2014  

ASSETS

    

Cash and cash equivalents

   $ 5,062,492      $ 2,860,025   

Accounts receivable, net of allowance for doubtful accounts of $1,206,000 and $1,742,000, respectively

     30,383,942        18,971,435   

Receivables from affiliates

     509,886        1,157,184   

Supplies inventories

     3,566,940        1,863,175   

Prepaid and other current assets

     4,161,620        4,487,873   

Current assets from discontinued operations

     197,307        342,441   
  

 

 

   

 

 

 

Total current assets

     43,882,187        29,682,133   
  

 

 

   

 

 

 

Property and equipment, net

     53,515,123        13,465,190   

Equity method investments in affiliates

     3,012,631        3,558,020   

Intangible assets, net

     7,022,170        9,080,395   

Goodwill

     10,594,819        973,927   

Other assets

     1,259,029        437,809   

Other assets from discontinued operations

     8,713        2,329,395   
  

 

 

   

 

 

 

Total assets

   $ 119,294,672      $ 59,526,869   
  

 

 

   

 

 

 

LIABILITIES, PREFERRED NONCONTROLLING INTEREST AND
SHAREHOLDERS’ DEFICIT

    

Liabilities:

    

Accounts payable

   $ 9,060,060      $ 10,364,160   

Accrued liabilities

     12,877,711        10,223,388   

Preferred noncontrolling interests dividends payable

     157,887        195,212   

Short-term debt

     308,769        456,784   

Current portion of long-term debt

     10,429,750        5,023,048   

Other current liabilities

     590,827        1,052,543   

Current liabilities from discontinued operations

     1,735,615        839,791   
  

 

 

   

 

 

 

Total current liabilities

     35,160,619        28,154,926   
  

 

 

   

 

 

 

Long-term debt, net of current portion

     69,954,911        24,737,719   

Deferred lease incentive

     7,672,745        8,608,716   

Other liabilities

     6,479,181        5,424,313   
  

 

 

   

 

 

 

Total liabilities

     119,267,456        66,925,674   

Preferred noncontrolling interest

     6,960,000        8,700,000   

Commitments and contingencies (Note 10)

    

Foundation Healthcare shareholders’ deficit:

    

Preferred stock $0.0001 par value, 10,000,000 authorized; no shares issued and outstanding

     —          —     

Common stock $0.0001 par value, 500,000,000 shares authorized; 17,303,180 and 17,263,842 issued and outstanding, respectively

     1,730        1,726   

Paid-in capital

     20,885,915        19,321,267   

Accumulated deficit

     (32,130,178     (37,265,044
  

 

 

   

 

 

 

Total Foundation Healthcare shareholders’ deficit

     (11,242,533     (17,942,051

Noncontrolling interests

     4,309,749        1,843,246   
  

 

 

   

 

 

 

Total deficit

     (6,932,784     (16,098,805
  

 

 

   

 

 

 

Total liabilities, preferred noncontrolling interest and shareholders’ deficit

   $ 119,294,672      $ 59,526,869   
  

 

 

   

 

 

 

 

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FOUNDATION HEALTHCARE, INC.

Condensed Consolidated Statements of Operations

For the Three Months Ended December 31, 2015 and 2014

(Unaudited)

 

     2015     2014  

Net Revenues:

    

Patient services

   $ 31,341,845      $ 30,612,740   

Provision for doubtful accounts

     (2,358,193     (2,318,957
  

 

 

   

 

 

 

Net patient services revenue

     28,983,652        28,293,783   

Management fees from affiliates

     1,009,170        1,337,685   

Other revenue

     1,744,151        1,090,737   
  

 

 

   

 

 

 

Revenues

     31,736,973        30,722,205   

Equity in earnings of affiliates

     391,193        939,482   

Operating Expenses:

    

Salaries and benefits

     9,516,422        6,955,774   

Supplies

     7,184,251        6,617,114   

Other operating expenses

     14,000,847        13,957,445   

Depreciation and amortization

     1,625,167        1,345,334   
  

 

 

   

 

 

 

Total operating expenses

     32,326,687        28,875,667   
  

 

 

   

 

 

 

Other Income (Expense):

    

Interest expense, net

     (232,652     (280,859

Other income

     331,231        354,193   
  

 

 

   

 

 

 

Net other (expense)

     98,579        73,334   
  

 

 

   

 

 

 

Income from continuing operations, before taxes

     (99,942     2,859,354   

Benefit (provision) for income taxes

     604,574        (217
  

 

 

   

 

 

 

Income from continuing operations, net of taxes

     504,632        2,859,137   

Income from discontinued operations, net of tax

     2,830,002        263,631   
  

 

 

   

 

 

 

Net income

     3,334,634        3,122,768   

Less: Net income attributable to noncontrolling interests

     1,532,473        1,772,567   
  

 

 

   

 

 

 

Net income attributable to Foundation Healthcare

     1,802,160        1,350,201   

Preferred noncontrolling interests dividends

     (157,887     (195,213
  

 

 

   

 

 

 

Net income attributable to Foundation Healthcare common stock

   $ 1,644,273      $ 1,154,988   
  

 

 

   

 

 

 

Earnings per common share (basic and diluted):

    

Net income (loss) attributable to continuing operations attributable to Foundation Healthcare common stock

   $ (0.07   $ 0.05   

Income from discontinued operations, net of tax

     0.16        0.02   
  

 

 

   

 

 

 

Net income per share, attributable to Foundation Healthcare common stock

   $ 0.09      $ 0.07   
  

 

 

   

 

 

 

Weighted average number of common and diluted shares outstanding

     17,271,513        17,080,451   
  

 

 

   

 

 

 

 

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FOUNDATION HEALTHCARE, INC.

Condensed Consolidated Statements of Operations

For the Years Ended December 31, 2015 and 2014

(Unaudited)

 

     2015     2014  

Net Revenues:

    

Patient services

   $ 121,197,748      $ 96,219,746   

Provision for doubtful accounts

     (6,359,423     (5,118,194
  

 

 

   

 

 

 

Net patient services revenue

     114,838,325        91,101,552   

Management fees from affiliates

     5,449,354        5,394,666   

Other revenue

     5,852,145        5,361,931   
  

 

 

   

 

 

 

Revenues

     126,139,824        101,858,149   

Equity in earnings of affiliates

     1,369,488        2,979,293   

Operating Expenses:

    

Salaries and benefits

     33,870,730        29,273,542   

Supplies

     27,759,861        24,000,276   

Other operating expenses

     53,928,367        42,767,477   

Depreciation and amortization

     5,697,962        5,550,162   
  

 

 

   

 

 

 

Total operating expenses

     121,256,920        101,591,457   
  

 

 

   

 

 

 

Other Income (Expense):

    

Interest expense, net

     (1,059,855     (1,610,791

Other income

     38,226        385,033   
  

 

 

   

 

 

 

Net other (expense)

     (1,021,629     (1,225,758
  

 

 

   

 

 

 

Income from continuing operations, before taxes

     5,230,762        2,020,227   

Benefit for income taxes

     718,612        851,788   
  

 

 

   

 

 

 

Income from continuing operations, net of taxes

     5,949,374        2,872,015   

Income (loss) from discontinued operations, net of tax

     6,593,188        (357,452
  

 

 

   

 

 

 

Net income

     12,542,562        2,514,563   

Less: Net income attributable to noncontrolling interests

     6,645,210        3,827,439   
  

 

 

   

 

 

 

Net income (loss) attributable to Foundation Healthcare

     5,897,352        (1,312,876

Preferred noncontrolling interests dividends

     (706,395     (780,853
  

 

 

   

 

 

 

Net income (loss) attributable to Foundation Healthcare common stock

   $ 5,190,957      $ (2,093,729
  

 

 

   

 

 

 

Earnings per common share (basic and diluted):

    

Net loss attributable to continuing operations attributable to Foundation Healthcare common stock

   $ (0.08   $ (0.10

Income (loss) from discontinued operations, net of tax

     0.38        (0.02
  

 

 

   

 

 

 

Net income (loss) per share, attributable to Foundation Healthcare common stock

   $ 0.30      $ (0.12
  

 

 

   

 

 

 

Weighted average number of common and diluted shares outstanding

     17,267,301        17,080,451   
  

 

 

   

 

 

 

 

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FOUNDATION HEALTHCARE, INC.

Condensed Consolidated Statements of Cash Flows

For the Years Ended December 31, 2015 and 2014

(Unaudited)

 

     2015     2014  

Operating activities:

    

Net income

   $ 12,542,562      $ 2,514,563   

Less: Income (loss) from discontinued operations, net of tax

     6,593,188        (357,452
  

 

 

   

 

 

 

Income from continuing operations, net of tax

     5,949,374        2,872,015   

Adjustments to reconcile net income (loss) from continuing operations, net of tax, to net cash provided by operating activities:

    

Depreciation and amortization

     5,697,962        5,550,162   

Deferred tax benefit

     —          (1,154,252

Stock-based compensation, net of cashless vesting

     1,564,652        1,064,854   

Provision for doubtful accounts

     6,359,423        5,118,194   

Equity in earnings of affiliates

     (1,369,488     (2,979,293

Changes in assets and liabilities:

    

Accounts receivable, net of provision for doubtful accounts

     (17,771,930     (11,333,987

Receivables from affiliates

     647,298        (309,182

Supplies inventories

     (1,703,765     67,967   

Prepaid and other current assets

     326,253        (1,528,377

Other assets

     (10,821,220     (193,211

Accounts payable

     (1,304,100     (1,284,827

Accrued liabilities

     2,784,061        6,383,015   

Other current liabilities

     (461,716     (3,613,586

Other liabilities

     118,897        4,274,861   
  

 

 

   

 

 

 

Net cash provided by (used in) operating activities from continuing operations

     (9,984,299     2,934,353   

Net cash provided by (used in) operating activities from discontinued operations

     1,566,595        (488,300
  

 

 

   

 

 

 

Net cash provided by (used in) operating activities

     (8,417,704     2,446,053   
  

 

 

   

 

 

 

Investing activities:

    

Purchase of property and equipment

     (43,599,313     (4,884,948

Disposal of property and equipment

     165,000        1,807   

Proceeds from sale of equity investment

     —          178,000   

Distributions from affiliates

     1,914,877        2,778,257   
  

 

 

   

 

 

 

Net cash used in investing activities from continuing operations

     (41,519,436     (1,926,884

Net cash provided by investing activities from discontinued operations

     8,388,233        —     
  

 

 

   

 

 

 

Net cash used in investing activities

     (33,131,203     (1,926,884
  

 

 

   

 

 

 

 

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FOUNDATION HEALTHCARE, INC.

Condensed Consolidated Statements of Cash Flows – Continued

For the Years Ended December 31, 2015 and 2014

(Unaudited)

 

Financing activities:

    

Debt proceeds

     81,745,831        32,885,948   

Debt payments

     (31,269,952     (26,284,135

Preferred noncontrolling interest dividends

     (743,720     (781,052

Preferred noncontrolling interest redemptions

     (1,740,000     —     

Distributions to noncontrolling interests

     (4,234,784     (3,731,252

Proceeds from noncontrolling interests

     —          112,167   
  

 

 

   

 

 

 

Net cash provided by financing activities from continuing operations

     43,757,375        2,201,676   

Net cash used in financing activities from discontinued operations

     —          (4,072,896
  

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     43,757,375        (1,871,220
  

 

 

   

 

 

 

Net change in cash and cash equivalents

     2,208,467        (1,352,051

Cash and cash equivalents at beginning of period

     2,860,025        4,212,076   
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 5,068,492      $ 2,860,025   
  

 

 

   

 

 

 

Cash Paid for Interest and Income Taxes:

    

Interest expense

   $ 1,059,855      $ 2,052,213   

Interest expense, discontinued operations

   $ —        $ 168,733   

Income taxes, continuing operations

   $ 1,600,000      $ 3,255,623   

 

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