EX-99.1 2 exhibit991q22016earningsre.htm EXHIBIT 99.1 Exhibit





Exhibit 99.1

SURGERY PARTNERS, INC. ANNOUNCES SECOND QUARTER 2016 RESULTS
Revenues increase 24% over prior year period driven by strong same-facility revenue growth of 15%

NASHVILLE, Tenn., August 9, 2016 - Surgery Partners, Inc. (NASDAQ:SGRY) ("Surgery Partners" or the "Company"), a leading provider of surgical services, today announced results for the second quarter ended June 30, 2016.
•
Revenues increased 24.4% over second quarter 2015 to $289.7 million
•
Same-facility revenue increased 14.9% over second quarter 2015 to $279.7 million
•
Net income attributable to Surgery Partners increased 139.1% over second quarter 2015 to $2.1 million
•
Adjusted EBITDA increased 19.6% over second quarter 2015 to $46.0 million
•
Diluted net income per share of $0.04 vs. $(0.17) in second quarter 2015
•
Adjusted diluted net income per share of $0.16 vs. $0.04 in second quarter 2015
“I am pleased to report another strong quarter with solid case growth,” said Michael Doyle, Chief Executive Officer of Surgery Partners. “The positive results reflect the excellent quality of services delivered by our physician partners and staff and the favorable reception by patients and payors. We continue to see significant opportunities for growth at our existing facilities and for further expansion.”
“Through a combination of transactions in both existing and new markets, we continue to successfully execute our strategy of focused growth through an integrated outpatient healthcare delivery model. We completed five transactions during the quarter. As previously announced, we closed on a platform transaction in Jacksonville, FL that bolstered our position in that market by adding a second ambulatory surgery center, an integrated physician practice and related ancillary services. We also acquired an ambulatory surgery center and anesthesia practice in Houston, which will be our fifth market in Texas. Finally, we added two in-market physician practices and an urgent care facility in two of our existing markets.”
As of June 30, 2016, the Company owned or operated 103 surgical facilities primarily in partnership with physicians and, on a select basis, physicians and health systems. In addition, the Company provides anesthesia services to over 45 locations and operates 51 physician practices.
Second Quarter 2016 Results
Total revenues for the second quarter of 2016 increased 24.4% to $289.7 million from $232.8 million for the second quarter of 2015. Same-facility revenues for the second quarter of 2016 increased 14.9% to $279.7 million from $243.5 million in the same period last year. Results were driven by increased same-facility cases of 7.9%.
For the second quarter of 2016, the Company’s net income attributable to Surgery Partners increased 139.1% to $2.1 million compared to a net loss attributable to Surgery Partners of $5.4 million for the same period last year. For the second quarter of 2016, the Company’s Adjusted EBITDA increased 19.6% to $46.0 million compared to Adjusted EBITDA of $38.5 million for the same period last year.
Year To Date 2016 Results
Total revenues year to date 2016 increased 21.8% to $556.8 million from $457.0 million for the same period last year. Same-facility revenues for year to date 2016 increased 14.2% to $536.7 million from $469.9 million in the same period last year. Results were driven by increased same-facility cases of 9.8%.
For year to date 2016, the Company’s net loss attributable to Surgery Partners decreased 58.4% to $5.1 million compared to net loss attributable to Surgery Partners of $12.2 million for the same period last year. For year to date 2016, the Company’s Adjusted EBITDA increased 13.5% to $84.5 million compared to Adjusted EBITDA of $74.4 million for the same period last year.
Liquidity
At June 30, 2016, Surgery Partners had cash and cash equivalents of $51.6 million and availability of $146.9 million under its revolving credit facility. Net operating cash flow, including operating cash flow less distributions to non-controlling interests, was $33.9 million for the second quarter of 2016. As expected, the Company’s ratio of total debt to EBITDA, as calculated under the Company’s credit agreement, was 6.0x at the end of the second quarter of 2016.

1





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, August 10, 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 13640836. The replay will be available until August 24, 2016.
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: Adjusted EBITDA and adjusted net income per share, 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, earnings per share or any other measures of operating performance, liquidity or indebtedness derived in accordance with GAAP.





2





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 150 locations in 29 states, including ambulatory surgical facilities, surgical hospitals, a diagnostic laboratory, multi-specialty physician practices and urgent care facilities.


3





SURGERY PARTNERS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Amounts in thousands, except shares and per share amounts)
(Unaudited)
 
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
 
2016
 
2015
 
2016
 
2015
 
 
 
 
 
 
 
 
 
Revenues
 
$
289,681

 
$
232,827

 
$
556,755

 
$
456,970

Operating expenses:
 
 
 
 
 
 
 
 
Salaries and benefits
 
93,791

 
62,182

 
180,677

 
122,333

Supplies
 
66,915

 
59,087

 
130,577

 
116,173

Professional and medical fees
 
20,304

 
16,171

 
39,957

 
30,911

Lease expense
 
13,074

 
11,096

 
25,508

 
22,056

Other operating expenses
 
14,768

 
13,022

 
28,836

 
25,858

Cost of revenues
 
208,852

 
161,558

 
405,555

 
317,331

General and administrative expenses (includes acquisition compensation expense of $1,530 in 2016)
 
15,023

 
11,846

 
27,220

 
23,708

Depreciation and amortization
 
9,702

 
8,465

 
19,271

 
16,927

Provision for doubtful accounts
 
3,544

 
5,023

 
7,417

 
10,209

Income from equity investments
 
(1,082
)
 
(839
)
 
(1,840
)
 
(1,546
)
Loss (gain) on disposal or impairment of long-lived assets, net
 
1,331

 
(2,906
)
 
1,125

 
(2,683
)
Loss on debt refinancing
 
—

 
—

 
8,281

 
—

Merger transaction and integration costs
 
1,325

 
8,642

 
4,497

 
13,648

Electronic health records incentive income
 
(2
)
 
50

 
(95
)
 
50

Other expense (income)
 
40

 
(13
)
 
97

 
(26
)
Total operating expenses
 
238,733

 
191,826

 
471,528

 
377,618

Operating income
 
50,948

 
41,001

 
85,227

 
79,352

Interest expense, net
 
(26,235
)
 
(26,178
)
 
(48,388
)
 
(51,934
)
Income before income taxes
 
24,713

 
14,823

 
36,839

 
27,418

Income tax expense
 
2,420

 
2,344

 
4,190

 
4,451

Net income
 
22,293

 
12,479

 
32,649

 
22,967

Less: Net income attributable to non-controlling interests
 
(20,173
)
 
(17,905
)
 
(37,720
)
 
(35,155
)
Net income (loss) attributable to Surgery Partners, Inc.
 
$
2,120

 
$
(5,426
)
 
$
(5,071
)
 
$
(12,188
)
 
 
 
 
 
 
 
 
 
Net income (loss) per share attributable to common stockholders
 
 
 
 
 
 
Basic
 
$
0.04

 
$
(0.17
)
 
$
(0.11
)
 
$
(0.38
)
Diluted (1)
 
$
0.04

 
$
(0.17
)
 
$
(0.11
)
 
$
(0.38
)
Weighted average common shares outstanding
 
 
 
 
 
 
 
 
Basic
 
48,019,652

 
32,054,089

 
48,018,228

 
32,054,089

Diluted (1)
 
48,129,041

 
32,054,089

 
48,018,228

 
32,054,089

(1) The impact of potentially dilutive securities for the six months ended June 30, 2016 and the three and six months ended June 30, 2015 was not considered because the effect would be anti-dilutive in each of those periods.


4





SURGERY PARTNERS, INC.
Unaudited Selected Financial and Operating Data
(Amounts in thousands, except shares and per share amounts)
 
June 30, 2016
 
December 31, 2015
 
 
 
 
Balance Sheet Data (at period end):
 
 
 
Cash and cash equivalents
$
51,599

 
$
57,933

Total current assets
316,950

 
310,957

Total assets
2,213,523

 
2,104,443

 
 
 
 
Current maturities of long-term debt
28,738

 
27,247

Total current liabilities
182,437

 
181,289

Long-term debt, less current maturities
1,325,778

 
1,228,112

Total liabilities
1,717,245

 
1,623,077

 
 
 
 
Total Surgery Partners, Inc. stockholders' deficit
(6,626
)
 
(4,028
)
Non-controlling interests--non-redeemable
320,237

 
301,955

Total stockholders' equity
313,611

 
297,927

 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2016

2015
 
2016
 
2015
 
 
 
 
 
 
 
 
Cash Flow Data:
 
 
 
 
 
 
 
Net cash provided by (used in):
 
 
 
 
 
 
 
Operating activities
$
48,793

 
$
21,472

 
$
74,037

 
$
30,986

Investing activities
(114,514
)
 
(7,546
)
 
(133,367
)
 
(12,742
)
Capital expenditures
(8,546
)
 
(6,085
)
 
(20,350
)
 
(11,546
)
Investments in new businesses
(105,968
)
 
(3,961
)
 
(113,017
)
 
(12,063
)
Financing activities
(17,727
)
 
(22,463
)
 
52,996

 
(45,257
)
Distributions to non-controlling interests
(14,849
)
 
(16,317
)
 
(32,362
)
 
(32,376
)
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2016
 
2015
 
2016
 
2015
Other Data:
 
 
 
 
 
 
 
Number of surgical facilities as of the end of period
103

 
102

 
103

 
102

Number of consolidated surgical facilities as of the end of period
92

 
90

 
92

 
90

Cases
107,931

 
97,851

 
208,687

 
189,059

Revenue per case
$
2,684

 
$
2,379

 
$
2,668

 
$
2,417

Adjusted EBITDA
$
46,032

 
$
38,474

 
$
84,457

 
$
74,442

Adjusted EBITDA as a % of revenues
15.9
%
 
16.5
%
 
15.2
%
 
16.3
%
Adjusted EPS- Basic
$
0.16

 
$
0.05

 
$
0.26

 
$
0.04

Adjusted EPS- Diluted
$
0.16

 
$
0.04

 
$
0.26

 
$
0.03





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

Three Months Ended June 30,
 
Six Months Ended June 30,

2016

2015
 
2016
 
2015
Same-facility Information(2):
 
 
 
 
 
 
 
Cases
110,503

 
102,396

 
211,758

 
192,911

Case growth
7.9
%
 
N/A

 
9.8
%
 
N/A

Revenue per case
$
2,531

 
$
2,378

 
$
2,535

 
$
2,436

Revenue per case growth
6.4
%
 
N/A

 
4.1
%
 
N/A

(2) Same-facility revenue includes 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 June 30,
 
Six Months Ended June 30,
 
2016
 
2015
 
2016
 
2015
Segment Revenues:
 
 
 
 
 
 
 
Surgical facility services
$
263,783

 
$
216,585

 
$
509,453

 
$
424,269

Ancillary services
22,503

 
12,492

 
40,283

 
25,211

Optical services
3,395

 
3,750

 
7,019

 
7,490

        Total revenues
$
289,681

 
$
232,827

 
$
556,755

 
$
456,970


During the second quarter of 2016, the Company reassessed its segment reporting and realigned the disclosures to reflect the review and decision making made by the Chief Operating Decision Maker (“CODM”). The purpose of these changes was to replace operating income with adjusted EBITDA as the primary profit/loss metric reviewed by the CODM in making key business decisions and on allocation of resources. The Company has revised the segment disclosures below to replace operating income with adjusted EBITDA and has provided a reconciliation from adjusted EBITDA back to net income in the reported condensed consolidated financial information. These changes had no effect on the Company’s reportable segments, which are presented consistent with prior periods.

6





 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2016
 
2015
 
2016
 
2015
Segment Adjusted EBITDA:
 
 
 
 
 
 
 
Surgical facility services
$
54,311

 
$
43,486

 
$
99,971

 
$
85,306

Ancillary services
3,068

 
4,484

 
6,568

 
8,300

Optical services
849

 
1,173

 
1,728

 
2,191

        Total segment adjusted EBITDA (3)
$
58,228

 
$
49,143

 
$
108,267

 
$
95,797

 
 
 
 
 
 
 
 
General and administrative expenses
$
(15,023
)
 
$
(11,846
)
 
$
(27,220
)
 
$
(23,708
)
Non-cash stock compensation expense
502

 
427

 
635

 
853

Contingent acquisition compensation expense
$
1,530

 
$
—

 
$
1,530

 
$
—

Management fee (4)
—

 
750

 
—

 
1,500

Acquisition related costs
$
795

 
$
—

 
$
1,245

 
$
—

 
 
 
 
 
 
 
 
Total adjusted EBITDA (3)
$
46,032

 
$
38,474

 
$
84,457

 
$
74,442

 
 
 
 
 
 
 
 
Net income attributable to non-controlling interests
$
20,173

 
$
17,905

 
$
37,720

 
$
35,155

Depreciation and amortization
(9,702
)
 
(8,465
)
 
(19,271
)
 
(16,927
)
Interest and other expense, net
$
(26,235
)
 
$
(26,178
)
 
$
(48,388
)
 
$
(51,934
)
Income tax expense
(2,420
)
 
(2,344
)
 
(4,190
)
 
(4,451
)
Non-cash stock compensation expense
$
(502
)
 
$
(427
)
 
$
(635
)
 
$
(853
)
Contingent acquisition compensation expense
(1,530
)
 
—

 
(1,530
)
 
—

Management fee (4)
$
—

 
$
(750
)
 
$
—

 
$
(1,500
)
Merger transaction and integration costs
(2,192
)
 
(8,642
)
 
(6,108
)
 
(13,648
)
(Loss) gain on disposal or impairment of long-lived assets, net
$
(1,331
)
 
$
2,906

 
$
(1,125
)
 
$
2,683

Loss on debt extinguishment
—

 
—

 
(8,281
)
 
—

Total net income
$
22,293

 
$
12,479

 
$
32,649

 
$
22,967


(3) The above table reconciles adjusted EBITDA by segment to net income as reflected in the unaudited condensed consolidated statements of operations.
When we use the term “Adjusted EBITDA,” we are referring to net income minus (a) net income attributable to non-controlling interests plus (b) income tax expense, (c) interest and other expense, net, (d) depreciation and amortization, (e) management fee, (f) merger transaction, integration and practice acquisition costs, (g) non-cash stock compensation expense, (h) loss on debt refinancing, (i) contingent acquisition compensation expense and (j) (gain) loss on disposal of investments and long-lived assets. 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. Our operating strategy is to apply a market-based approach in structuring our partnerships with individual market dynamics driving the structure. 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.
We use Adjusted EBITDA as a measure of liquidity. We have included it because we believe that it provides investors with additional information about our ability to incur and service debt and make capital expenditures.
Adjusted EBITDA is not a measurement of financial performance or liquidity under GAAP. It should not be considered in isolation or as a substitute for net income, operating income, cash flows from operating, investing or financing activities, 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 financial performance and liquidity. Our calculation of Adjusted EBITDA may not be comparable to similarly titled measures reported by other companies.
(4) 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.


7





SURGERY PARTNERS, INC.
Reconciliation of Non-GAAP Financial Measures
(Unaudited, Amounts in thousands except shares and per share amounts)
From time to time, the Company incurs certain non-recurring gains or losses that are normally nonoperational 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 some 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 income per share attributable to Surgery Partners, Inc. stockholders as a supplement to its comparable GAAP measure of net income per share attributable to Surgery Partners, Inc. Adjusted net income per share attributable to Surgery Partners, Inc. stockholders should not be considered as a measure of financial performance under GAAP, and the items excluded from adjusted net income per share attributable to Surgery Partners, Inc. stockholders are significant components in understanding and assessing financial performance. Adjusted net income per share attributable to Surgery Partners, Inc. stockholders should not be considered in isolation or as an alternative to net income per share attributable to Surgery Partners, Inc. stockholders as presented in the condensed consolidated financial statements.
The following table reconciles net income as reflected in the unaudited condensed consolidated statements of operations to adjusted net income used to calculate adjusted net income per share attributable to Surgery Partners, Inc. stockholders:
 
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
 
2016
 
2015
 
2016
 
2015
Consolidated Statements of Operations Data:
 
 
 
 
 
 
 
 
Net Income
 
$
22,293

 
$
12,479

 
$
32,649

 
$
22,967

Less:
 
 
 
 
 
 
 
 
Net income attributable to non-controlling interest
 
20,173

 
17,905

 
37,720

 
35,155

Plus:
 
 
 
 
 
 
 
 
Management fee (4)
 
—

 
750

 
—

 
1,500

Merger transaction, integration and practice acquisition costs
 
2,192

 
8,642

 
6,108

 
13,648

Non-cash stock compensation expense
 
502

 
427

 
635

 
853

Contingent acquisition compensation expense
 
1,530

 
—

 
1,530

 
—

Loss on debt refinancing
 
—

 
—

 
8,281

 
—

Loss (gain) on disposal of investment and long-lived assets
 
1,331

 
(2,906
)
 
1,125

 
(2,683
)
Adjusted net income
 
$
7,547

 
$
1,487

 
$
12,479

 
$
1,130

 
 
 
 
 
 
 
 
 
Adjusted net income per share
 
 
 
 
 
 
 
 
Basic
 
$
0.16

 
$
0.05

 
$
0.26

 
$
0.04

Diluted
 
$
0.16

 
$
0.04

 
$
0.26

 
$
0.03

Weighted average common shares outstanding:
 
 
 
 
 
 
 
 
Basic
 
48,019,652

 
32,054,089

 
48,018,431

 
32,054,089

Diluted
 
48,129,041

 
33,871,990

 
48,118,991

 
33,871,990



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

8