EX-99 2 amsg8k20150225ex99.htm EXHIBIT 99 EX-99 (12.31.14)

 
Exhibit 99
Press Release
 
 
Contact:
Claire M. Gulmi
 
 
Executive Vice President and
 
 
Chief Financial Officer
 
 
(615) 665-1283

AMSURG REPORTS FOURTH-QUARTER AND 2014 RESULTS

ESTABLISHES 2015 FINANCIAL GUIDANCE


NASHVILLE, Tenn. ─ (February 25, 2015) ─ Christopher A. Holden, President and Chief Executive Officer of AmSurg Corp. (NASDAQ: AMSG), today announced financial results for the fourth quarter and year ended December 31, 2014. The Company’s results for the quarter included:

Net revenues of $581.8 million, an increase of 108% from the fourth quarter of 2013;
Net earnings from continuing operations attributable to AmSurg common shareholders of $25.3 million; adjusted net earnings of $39.6 million, up 95% from the fourth quarter of 2013;
Net earnings per diluted share from continuing operations attributable to AmSurg common shareholders of $0.53; adjusted net earnings per diluted share of $0.77, up 22% on 60% higher diluted shares outstanding; and
Adjusted EBITDA of $111.0 million, a 123% increase from the fourth quarter of 2013.

See pages 6 and 7 for a reconciliation of all GAAP and non-GAAP financial results.

For the year ended December 31, 2014, net revenues increased 53% to $1.62 billion from 2013. Net earnings from continuing operations attributable to AmSurg common shareholders were $50.8 million for 2014, and adjusted net earnings increased 53% to $114.2 million from 2013. Net earnings per diluted share from continuing operations attributable to AmSurg common shareholders were $1.28 for 2014, and adjusted net earnings per diluted share were $2.75, up 18% from 2013 on 30% higher diluted shares outstanding. Adjusted EBITDA for 2014 was $304.5 million.

Mr. Holden commented, “AmSurg generated strong financial performance for the fourth quarter of 2014. We are pleased with our 22% growth in adjusted net earnings per diluted share from the fourth quarter of 2013. Sheridan made a significant contribution in its first full quarter as a part of the Company. Operational integration with Sheridan is essentially completed. A strong cultural affinity between the two organizations has been a key factor to our smooth transition. At our core, we share a vision and commitment to build physician-centric organizations to ensure delivery of the highest quality care.

“The Company remains committed to the investment thesis for the AmSurg / Sheridan combination. We have achieved our targeted cost synergies and remain confident in our plan to achieve the $5 million of revenue synergies through a combination of acquisition, new contracts and health system ASC joint ventures. In the fourth quarter, we completed two physician services acquisitions and converted to Sheridan anesthesia at one of our ASCs. We have a strong development pipeline for both ambulatory and physician services. The market is active with ample opportunity to deploy our target of over $200 million in development capital in 2015. We are pleased with our early momentum and the breadth of outstanding synergistic opportunities. We believe our differentiated market position and current market conditions support our positive outlook and guidance for 2015.”

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AMSG Reports Fourth-Quarter Results
 
 
Page 2
 
 
February 25, 2015
 
 
 
 
 




Ambulatory Services

Net revenues for Ambulatory Services increased 6% for the fourth quarter of 2014, to $295.7 million from $279.1 million for the fourth quarter of 2013. Same-center revenue grew 1.1% for the fourth quarter compared with the fourth quarter of 2013 and increased 0.7% for full-year 2014. Adjusted EBITDA increased 4% to $51.9 million for the fourth quarter of 2014 from $49.7 million for the same prior-year quarter. Adjusted EBITDA margin was 17.6% for the fourth quarter of 2014 compared with 17.8% for the fourth quarter of 2013.

During the fourth quarter, Ambulatory Services acquired four ambulatory surgery centers, including one center acquired as part of the Sheridan transaction, and disposed of one center. Ambulatory Services acquired 10 centers for the full year and had 246 centers in operation at year end. There were also five centers under letter of intent at year end, one of which has since been acquired, and two centers under development, one of which is expected to open in 2015.

Physician Services

Net revenues for Physician Services were $286.1 million for the fourth quarter of 2014. Adjusted EBITDA was $59.1 million for the latest quarter, and adjusted EBITDA margin was 20.7%.

Comparable-quarter revenue growth for Physician Services was 17.4% and was comprised of 7.2% growth in same contract revenues, 2.3% growth in new contract revenues and 7.9% growth in acquisition revenues. Organic growth in net revenues totaled 11.4% for the fourth quarter of 2014 reflecting a 9.7% increase in same contract revenues and a 1.7% increase in new contract revenues. Same contract revenue growth for the fourth quarter was comprised of a 2.2% increase in patient encounters and a 7.4% increase in net revenue per patient encounter. Organic growth increased 8.5% for 2014 from 2013, reflecting a 6.3% increase in same contract revenues and a 2.2% increase in new contract revenues. Same contract revenue growth for 2014 was comprised of a 2.3% increase in patient encounters and a 4.0% increase in net revenue per patient encounter.

During the fourth quarter, Physician Services completed two acquisitions of children’s services practices. Subsequent to the end of 2014, two additional acquisitions were completed, which have previously been announced.

Liquidity

At the end of 2014, AmSurg had cash and cash equivalents of $208.1 million and availability of $300.0 million under its revolving credit facility. Net cash flows from operations, less distributions to noncontrolling interests and excluding transaction-related costs, were $91.7 million for the fourth quarter. For full-year 2014, net cash flows from operations, less distributions to noncontrolling interests and excluding transaction-related costs, were $267.3 million. The Company’s ratio of total debt at the end of 2014 to trailing 12 months EBITDA as calculated under the Company’s credit agreement was 5.3.

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AMSG Reports Fourth-Quarter Results
 
 
Page 3
 
 
February 25, 2015
 
 
 
 
 




Guidance

AmSurg today is establishing its financial and operating guidance for 2015 and for the first quarter of the year. The Company’s guidance for adjusted net earnings per diluted share from continuing operations attributable to common shareholders (“Adjusted EPS”) excludes transaction and severance costs related to acquisitions, acquisition-related amortization expense, gains or losses on deconsolidations and share-based compensation expense. The Company’s guidance for the first quarter of 2015 includes the normal season impact of higher salaries and benefits expense at the start of a new year, as well as ongoing trends in compensation. The Company’s guidance is as follows:

Revenues in a range of $2.44 billion to $2.47 billion;
Same-center revenue increase of 1% to 3% for Ambulatory Services, 5% to 7% organic revenue growth in Physician Services;
Adjusted EBITDA of $445 million to $451 million;
Adjusted EPS in a range of $3.24 to $3.32; and
For the first quarter of 2015, adjusted EPS in a range of $0.55 to $0.58, which includes the higher salary-related expenses historically experienced in Physician Services.

The information contained in the preceding paragraphs, including information regarding the Company’s financial results for future periods, is forward-looking information. Forward-looking information involves known and unknown risks and uncertainties as described below. There can be no assurance that AmSurg will attain the financial targets set forth in this press release. The Company’s actual results and performance could differ materially from those expressed or implied by the forward-looking information contained in this press release.

For the first quarter and full year of 2015, non-GAAP adjusted net earnings per diluted share from continuing operations exclude acquisition-related transaction costs, acquisition-related amortization expense, gains and losses on deconsolidation and share-based compensation expense, net of the tax impact thereon (see pages 6 and 7 for a reconciliation of all GAAP and non-GAAP financial results).

Conference Call

AmSurg Corp. will hold a conference call to discuss this release Thursday, February 26, 2015, at 9:00 a.m. Eastern time. Investors will have the opportunity to listen to the conference call over the Internet by going to www.amsurg.com and clicking “Investors” at least 15 minutes early to register, download, and install any necessary audio software. For those who cannot listen to the live broadcast, a replay will be available at these sites shortly after the call and continue for 30 days.

Safe Harbor

This press release contains forward-looking statements. These statements, which have been included in reliance on the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995, involve risks and uncertainties. Investors are hereby cautioned that these statements may be affected by important factors, including, but not limited to, the following risks: the risk that payments from third-party payors, including government healthcare programs, may decrease or not increase as costs increase; the potential loss of collections and revenue if the Company is unable to timely enroll providers in the Medicare and Medicaid programs; the Company’s ability to acquire and develop additional surgery centers and its ability to acquire or develop additional relationships with providers for outsourced physician services on favorable terms; the Company’s ability to compete for physician partners, managed care contracts, patients and strategic relationships; adverse developments affecting the medical practices of the Company’s physician partners and affiliated practices; the Company’s ability to maintain favorable relations with its physician partners, affiliated practices and clients; the Company’s ability to grow

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AMSG Reports Fourth-Quarter Results
 
 
Page 4
 
 
February 25, 2015
 
 
 
 
 




revenues by increasing procedure volume while maintaining operating margins and profitability within its existing centers and outsourced physician services operations; the Company’s ability to manage the growth in its business, successfully integrate and operate acquired businesses and achieve expected benefits from acquisitions; the Company’s ability to obtain sufficient capital resources to complete acquisitions and develop new surgery centers or operations related to its outsourced physician services; the Company’s ability to generate sufficient cash to service all of its indebtedness; adverse weather and other factors beyond the Company’s control that may affect its surgery centers or operations of its outsourced physician services; the Company’s failure to comply with applicable laws and regulations; the Company’s failure to effectively and timely transition to the ICD-10 coding system; the risk of changes in legislation, regulations or regulatory interpretations that may negatively affect the Company; the risk of becoming subject to federal and state investigation; the risk from an unpredictable impact of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010; the risk of regulatory changes that may obligate the Company to buy out interests of physicians who are minority owners of its surgery centers; the risk that non-competition agreements in place with the Company’s physicians or other clinical employees may not be enforceable; the risk of payment delays, forfeiture of payment or civil and criminal penalties related to failing to satisfy any notification and reapplication requirements for any acquired companies to maintain licensure, certification and other authorities to operate after an acquisition; potential liabilities associated with the Company’s status as a general partner of limited partnerships; liabilities for claims brought against the Company; the risk that the Company’s reserves established with respect to its losses covered under its insurance programs are not adequate; the Company’s legal responsibility to minority owners of its surgery centers, which may conflict with its interests and prevent the Company from acting solely in its best interests; potential write-offs of the impaired portion of intangible assets; and potential liabilities relating to the tax deductibility of goodwill; and other risk factors described in AmSurg’s Current Report on Form 8-K filed with the Securities and Exchange Commission on June 23, 2014, and Annual Report on Form 10-K for the fiscal year ended December 31, 2013, as updated by other filings with the Securities and Exchange Commission. Consequently, actual results, performance or developments may differ materially from the forward-looking statements included above. AmSurg disclaims any intent or obligation to update these forward-looking statements.

About AmSurg

AmSurg Corp. operates an Ambulatory Services business that acquires, develops and operates ambulatory surgery centers in partnership with physician practice groups throughout the U.S. AmSurg also operates a Physician Services business that provides outsourced physician services in multiple specialties to hospitals, ASCs and other healthcare facilities, primarily in the areas of anesthesiology, children’s services, emergency medicine and radiology. Through these businesses as of December 31, 2014, AmSurg owns and operates 246 ASCs in 34 states and provides physician services in 24 states, employing more than 2,800 physicians and other healthcare professionals.


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AMSG Reports Fourth-Quarter Results
 
 
Page 5
 
 
February 25, 2015
 
 
 
 
 



AMSURG CORP.
Unaudited Selected Consolidated Financial and Operating Data
(In thousands, except earnings per share)

 
Three Months Ended December 31,
 
Year Ended December 31,
Statement of Earnings Data:
2014
 
2013
 
2014
 
2013
Revenues
$
645,619

 
$
279,095

 
$
1,738,950

 
$
1,057,196

Provision for uncollectibles
(63,808
)
 

 
(117,001
)
 

Net revenues
581,811

 
279,095

 
1,621,949

 
1,057,196

Operating expenses:
 
 
 
 
 
 
 
Salaries and benefits
288,037

 
84,658

 
694,576

 
327,585

Supply cost
43,732

 
41,462

 
164,296

 
153,126

Other operating expenses
93,685

 
58,041

 
284,928

 
216,501

Transaction costs
5,209

 
15

 
33,890

 
300

Depreciation and amortization
22,811

 
8,330

 
60,344

 
32,400

Total operating expenses
453,474

 
192,506

 
1,238,034

 
729,912

Gain on deconsolidation

 

 
3,411

 
2,237

Equity in earnings of unconsolidated affiliates
3,577

 
958

 
7,038

 
3,151

Operating income
131,914


87,547

 
394,364

 
332,672

Interest expense, net
30,379

 
7,184

 
83,285

 
29,525

Debt extinguishment costs

 

 
16,887

 

Earnings from continuing operations before income taxes
101,535


80,363

 
294,192

 
303,147

Income tax expense
22,301

 
13,015

 
48,103

 
48,654

Net earnings from continuing operations
79,234


67,348

 
246,089

 
254,493

Net earnings (loss) from discontinued operations
(150
)
 
3,820

 
(1,296
)
 
7,051

Net earnings
79,084


71,168

 
244,793

 
261,544

Less net earnings attributable to noncontrolling interests
51,705

 
51,610

 
191,092

 
188,841

Net earnings attributable to AmSurg Corp. shareholders
27,379


19,558

 
53,701

 
72,703

Preferred stock dividends
(2,264
)
 

 
(4,503
)
 

Net earnings attributable to AmSurg Corp. common shareholders
$
25,115


$
19,558

 
$
49,198

 
$
72,703

 
 
 
 
 
 
 
 
Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
$
25,311

 
$
18,931

 
$
50,777

 
$
71,009

Earnings (loss) from discontinued operations, net of income tax
(196
)
 
627

 
(1,579
)
 
1,694

Net earnings attributable to AmSurg Corp. common shareholders
$
25,115


$
19,558


$
49,198


$
72,703

Basic earnings per share attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
Net earnings from continuing operations
$
0.53

 
$
0.60

 
$
1.29

 
$
2.27

Net earnings (loss) from discontinued operations

 
0.02

 
(0.04
)
 
0.05

Net earnings
$
0.53

 
$
0.62


$
1.25


$
2.32

Diluted earnings per share attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
Net earnings from continuing operations
$
0.53

 
$
0.59

 
$
1.28

 
$
2.22

Net earnings (loss) from discontinued operations

 
0.02

 
(0.04
)
 
0.05

Net earnings
$
0.53

 
$
0.61


$
1.24


$
2.28

Weighted average number of shares and share equivalents outstanding:
 
 
 
 
 
 
 
Basic
47,384

 
31,549

 
39,311

 
31,338

Diluted
47,828

 
32,082

 
39,625

 
31,954




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AMSG Reports Fourth-Quarter Results
 
 
Page 6
 
 
February 25, 2015
 
 
 
 
 



AMSURG CORP.
Unaudited Selected Consolidated Financial and Operating Data, continued
(In thousands, except earnings per share)

 
Three Months Ended December 31,
 
Year Ended December 31,
 
2014
 
2013
 
2014
 
2013
Reconciliation of net earnings to Adjusted net earnings (1):
 
 
 
 
 
 
 
Net earnings attributable to AmSurg Corp. shareholders
$
27,379

 
$
19,558

 
$
53,701

 
$
72,703

(Earnings) loss from discontinued operations
327

 
510

 
2,220

 
(1,694
)
Amortization of purchased intangibles
12,179

 

 
22,148

 

Share-based compensation
2,716

 
2,251

 
10,104

 
8,321

Gain on deconsolidation

 

 
(3,411
)
 
(2,237
)
Transaction costs
5,209

 
15

 
33,890

 
300

Debt extinguishment costs

 

 
16,887

 

Deferred financing write-off

 

 
12,763

 

Total pre-tax adjustments
20,431

 
2,776

 
94,601

 
4,690

Tax effect
8,172

 
2,046

 
34,140

 
2,560

Total adjustments, net
12,259

 
730

 
60,461

 
2,130

Adjusted net earnings
$
39,638

 
$
20,288

 
$
114,162

 
$
74,833

 
 
 
 
 
 
 
 
Basic shares outstanding
47,384

 
31,549

 
39,311

 
31,338

Effect of dilutive securities options and non-vested shares
3,891

 
533

 
2,152

 
616

Diluted shares outstanding, if converted
51,275

 
32,082

 
41,463

 
31,954

 
 
 
 
 
 
 
 
Adjusted earnings per share
$
0.77

 
$
0.63

 
$
2.75

 
$
2.34

 
 
 
 
 
 
 
 
Reconciliation of net earnings to Adjusted EBITDA (2):
 
 
 
 
 
 
 
Net earnings attributable to AmSurg Corp. shareholders
$
27,379

 
$
19,558

 
$
53,701

 
$
72,703

(Earnings) loss from discontinued operations
196

 
(627
)
 
1,579

 
(1,694
)
Interest expense, net
30,379

 
7,184

 
83,285

 
29,525

Income tax expense
22,301

 
13,015

 
48,103

 
48,654

Depreciation and amortization
22,811

 
8,330

 
60,344

 
32,400

EBITDA
103,066

 
47,460

 
247,012

 
181,588

Adjustments:
 
 
 
 
 
 
 
Share-based compensation
2,716

 
2,251

 
10,104

 
8,321

Transaction costs
5,209

 
15

 
33,890

 
300

Gain on deconsolidation

 

 
(3,411
)
 
(2,237
)
Debt extinguishment costs

 

 
16,887

 

Total adjustments
7,925

 
2,266

 
57,470

 
6,384

Adjusted EBITDA
$
110,991

 
$
49,726

 
$
304,482

 
$
187,972

 
 
 
 
 
 
 
 
Segment Information:
 
 
 
 
 
 
 
Ambulatory Services Adjusted EBITDA
$
51,904

 
$
49,726

 
$
197,377

 
$
187,972

Physician Services Adjusted EBITDA
59,087

 

 
107,105

 

Adjusted EBITDA
$
110,991

 
$
49,726

 
$
304,482

 
$
187,972

 
 
 
 
 
 
 
 
Net Revenue by Segment:
 
 
 
 
 
 
 
Ambulatory Services
$
295,729

 
$
279,095

 
$
1,109,935

 
$
1,057,196

Physician Services
286,082

 

 
512,014

 

Total net revenue
$
581,811

 
$
279,095

 
$
1,621,949

 
$
1,057,196


See footnotes on page 12

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AMSG Reports Fourth-Quarter Results
 
 
Page 7
 
 
February 25, 2015
 
 
 
 
 



AMSURG CORP.
Unaudited Selected Consolidated Financial and Operating Data, continued
(In thousands, except earnings per share and operating data)
 
Three Months Ended December 31,
 
Year Ended December 31,
Operating Data- Ambulatory Services:
2014
 
2013
 
2014
 
2013
Centers in operation at end of period (consolidated)
237

 
233

 
237

 
233

Centers in operation at end of period (unconsolidated)
9

 
3

 
9

 
3

Average number of continuing centers in operation (consolidated)
235

 
232

 
233

 
230

New centers added during the period
4

 
1

 
10

 
6

Centers discontinued during the period
1

 
2

 
6

 
3

Centers under development/not opened at end of period
2

 

 
2

 

Centers under letter of intent at end of period
5

 
5

 
5

 
5

Average revenue per consolidated center
$
1,258

 
$
1,203

 
$
4,755

 
$
4,594

Same center revenues increase
1.1
%
 
2.0
%
 
0.7
%
 
0.6
%
Procedures performed during the period at consolidated centers
434,285

 
421,364

 
1,645,350

 
1,609,761


Operating Data- Physician Services:
Three Months Ended December 31, 2014
 
Year Ended December 31, 2014
Same contract revenue growth
9.7
%
 
6.3
%
New contract revenue growth
1.7
%
 
2.2
%
Total organic revenue growth
11.4
%
 
8.5
%

 
Three Months Ended March 31, 2015
 
Year Ended December 31, 2015
2015 Guidance Reconciliation:
Low
 
High
 
Low
 
High
Reconciliation of net earnings to Adjusted net earnings (1):
 
 
 
 
 
 
 
Net earnings attributable to AmSurg Corp. shareholders
$
18,500

 
$
20,000

 
$
127,500

 
$
131,500

Amortization of purchased intangibles
12,000

 
12,000

 
50,000

 
50,000

Share-based compensation
3,800

 
3,800

 
13,800

 
13,800

Transaction costs
450

 
450

 
1,800

 
1,800

Total pre-tax adjustments
16,250

 
16,250

 
65,600

 
65,600

Tax effect
6,500

 
6,500

 
26,240

 
26,240

Total adjustments, net
9,750

 
9,750

 
39,360

 
39,360

Adjusted net earnings
$
28,250

 
$
29,750

 
$
166,860

 
$
170,860

 
 
 
 
 
 
 
 
Diluted shares outstanding, if converted
51,500

 
51,500

 
51,500

 
51,500

 
 
 
 
 
 
 
 
Adjusted earnings per share
$
0.55

 
$
0.58

 
$
3.24

 
$
3.32

 
 
 
 
 
 
 
 
Reconciliation of net earnings to Adjusted EBITDA (2):
 
 
 
 
 
 
 
Net earnings attributable to AmSurg Corp. shareholders
 
 
 
 
$
127,500

 
$
131,500

Interest expense, net
 
 
 
 
121,000

 
120,800

Income tax expense
 
 
 
 
84,900

 
87,600

Depreciation and amortization
 
 
 
 
96,000

 
95,500

EBITDA


 


 
429,400

 
435,400

Adjustments:
 
 
 
 
 
 
 
Share-based compensation
 
 
 
 
13,800

 
13,800

Transaction costs
 
 
 
 
1,800

 
1,800

Total adjustments


 


 
15,600

 
15,600

Adjusted EBITDA


 


 
$
445,000

 
$
451,000

See footnotes on page 12

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AMSG Reports Fourth-Quarter Results
 
 
Page 8
 
 
February 25, 2015
 
 
 
 
 



AMSURG CORP.
Unaudited Selected Consolidated Financial and Operating Data, continued
(In thousands)
 
December 31,
 
December 31,
Balance Sheet Data:
2014
 
2013
Assets
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
208,079

 
$
50,840

Restricted cash and marketable securities
10,219

 

Accounts receivable, net of allowance of $113,357 and $27,862, respectively
233,053

 
105,072

Supplies inventory
19,974

 
18,414

Prepaid and other current assets
115,362

 
36,699

Total current assets
586,687

 
211,025

Property and equipment, net
180,448

 
163,690

Investments in unconsolidated affiliates
75,475

 
15,526

Goodwill
3,381,149

 
1,758,970

Intangible assets, net
1,273,879

 
27,867

Other assets
25,886

 
866

Total assets
$
5,523,524

 
$
2,177,944

Liabilities and Equity
 
 
 
Current liabilities:
 
 
 
Current portion of long-term debt
$
18,826

 
$
20,844

Accounts payable
29,585

 
27,501

Accrued salaries and benefits
140,044

 
32,294

Accrued interest
29,644

 
1,885

Other accrued liabilities
67,986

 
7,346

Total current liabilities
286,085

 
89,870

Long-term debt
2,232,186

 
583,298

Deferred income taxes
633,480

 
176,020

Other long-term liabilities
89,443

 
25,503

Commitments and contingencies
 
 
 
Noncontrolling interests – redeemable
184,099

 
177,697

Equity:
 
 
 
Mandatory convertible preferred stock, no par value, 5,000 shares authorized, 1,725 and 0 shares issued and outstanding, respectively
166,632

 

Common stock, no par value, 70,000 shares authorized, 48,113 and 32,353 shares outstanding, respectively
885,393

 
185,873

Retained earnings
627,522

 
578,324

Total AmSurg Corp. equity
1,679,547

 
764,197

Noncontrolling interests – non-redeemable
418,684

 
361,359

Total equity
2,098,231

 
1,125,556

Total liabilities and equity
$
5,523,524

 
$
2,177,944



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AMSG Reports Fourth-Quarter Results
 
 
Page 9
 
 
February 25, 2015
 
 
 
 
 



AMSURG CORP.
Unaudited Selected Consolidated Financial and Operating Data, continued
(In thousands)
 
Three Months Ended December 31,
 
Year Ended December 31,
Statement of Cash Flow Data:
2014
 
2013
 
2014
 
2013
Cash flows from operating activities:
 
 
 
 
 
 
 
Net earnings
$
79,084

 
$
71,168

 
$
244,793

 
$
261,544

Adjustments to reconcile net earnings to net cash flows provided by operating activities:
 
 
 
 
 
 
 
Depreciation and amortization
22,811

 
8,330

 
60,344

 
32,400

Amortization of deferred loan costs
2,070

 

 
17,715

 
1,977

Provision for uncollectibles
69,559

 

 
139,274

 
21,947

Net (gain) loss on sale of long-lived assets
375

 
(1,552
)
 
2,843

 
(1,468
)
Gain on deconsolidation

 

 
(3,411
)
 
(2,237
)
Share-based compensation
2,716

 
2,251

 
10,104

 
8,321

Excess tax benefit from share-based compensation
(889
)
 
(5,357
)
 
(3,177
)
 
(7,247
)
Deferred income taxes
(608
)
 
8,528

 
30,780

 
38,363

Equity in earnings of unconsolidated affiliates
(3,577
)
 
(958
)
 
(7,038
)
 
(3,151
)
Debt extinguishment costs

 

 
4,536

 

Increases (decreases) in cash and cash equivalents, net of acquisitions and dispositions:
 
 
 
 
 
 
 
Accounts receivable
(71,905
)
 
142

 
(137,663
)
 
(23,244
)
Supplies inventory
(274
)
 
470

 
(206
)
 
132

Prepaid, supplies and other current assets
15,323

 
(4,307
)
 
(9,091
)
 
(5,308
)
Accounts payable
1,567

 
3,264

 
(8,440
)
 
441

Accrued expenses and other liabilities
17,807

 
(127
)
 
66,175

 
6,693

Other, net
2,261

 
2,039

 
4,833

 
3,661

Net cash flows provided by operating activities
136,320

 
83,891

 
412,371

 
332,824

Cash flows from investing activities:
 
 
 
 
 
 
 
Acquisitions and related expenses
(45,410
)
 
(14,139
)
 
(2,184,058
)
 
(73,594
)
Acquisition of property and equipment
(17,108
)
 
(8,145
)
 
(40,217
)
 
(28,856
)
Proceeds from sale of interests in surgery centers
2,100

 
3,402

 
7,069

 
3,553

Purchases of marketable securities
(2,988
)
 

 
(6,474
)
 

Maturities of marketable securities
3,486

 

 
3,486

 

Other
(7,023
)
 
52

 
(4,941
)
 
159

Net cash flows used in investing activities
(66,943
)
 
(18,830
)
 
(2,225,135
)
 
(98,738
)
Cash flows from financing activities:
 
 
 
 
 
 
 
Proceeds from long-term borrowings
2,559

 
32,769

 
2,048,958

 
162,204

Repayment on long-term borrowings
(5,432
)
 
(50,407
)
 
(408,475
)
 
(202,083
)
Distributions to noncontrolling interests
(50,654
)
 
(47,068
)
 
(190,097
)
 
(184,149
)
Proceeds from preferred stock offering

 

 
172,500

 

Cash dividends for preferred shares
(2,264
)
 

 
(4,503
)
 

Proceeds from common stock offering

 

 
439,875

 

Proceeds from issuance of common stock upon exercise of stock options
480

 
10,060

 
2,630

 
33,349

Repurchase of common stock
(1,725
)
 
(10,483
)
 
(4,615
)
 
(45,964
)
Excess tax benefit from share-based compensation
889

 
5,357

 
3,177

 
7,247

Payments of equity issuance costs
(128
)
 

 
(24,494
)
 

Financing costs incurred
(138
)
 
(65
)
 
(65,811
)
 
(1,322
)
Other
1,034

 
113

 
858

 
1,074

Net cash flows provided by (used in) financing activities
(55,379
)
 
(59,724
)
 
1,970,003

 
(229,644
)
Net increase in cash and cash equivalents
13,998

 
5,337

 
157,239

 
4,442

Cash and cash equivalents, beginning of year
194,081

 
45,503

 
50,840

 
46,398

Cash and cash equivalents, end of year
$
208,079

 
$
50,840

 
$
208,079

 
$
50,840


-MORE-

AMSG Reports Fourth-Quarter Results
 
 
Page 10
 
 
February 25, 2015
 
 
 
 
 



AMSURG CORP.
Unaudited Selected Consolidated Financial and Operating Data, continued
(In thousands, except earnings per share)

Presented below is certain statement of earnings and operating data for 2014, which have been restated in order to present additional discontinued operations.
 
For the Three Months Ended
 
For the Nine Months Ended
 
March, 31
 
June 30,
 
Sept. 30,
 
Sept. 30,
Statement of Earnings Data:
2014
 
2014
 
2014
 
2014
Revenue
$
259,561

 
$
278,227

 
$
555,543

 
$
1,093,331

Provision for uncollectibles

 

 
(53,193
)
 
(53,193
)
Net revenue
259,561

 
278,227


502,350


1,040,138

Operating expenses:
 
 
 
 
 
 
 
Salaries and benefits
82,149

 
84,053

 
240,337

 
406,539

Supply cost
37,805

 
40,873

 
41,886

 
120,564

Other operating expenses
54,168

 
55,812

 
81,263

 
191,243

Transaction costs

 
3,579

 
25,102

 
28,681

Depreciation and amortization
8,259

 
8,436

 
20,838

 
37,533

Total operating expenses
182,381

 
192,753


409,426


784,560

Gain on deconsolidation
2,045

 
1,366

 

 
3,411

Equity in earnings of unconsolidated affiliates
764

 
539

 
2,158

 
3,461

Operating income
79,989

 
87,379


95,082


262,450

Interest expense, net
6,960

 
6,892

 
39,054

 
52,906

Debt extinguishment costs

 

 
16,887

 
16,887

Earnings from continuing operations before income taxes
73,029

 
80,487


39,141


192,657

Income tax expense
12,982

 
12,798

 
22

 
25,802

Net earnings from continuing operations
60,047

 
67,689


39,119


166,855

Net earnings (loss) from discontinued operations
68

 
483

 
(1,697
)
 
(1,146
)
Net earnings
60,115

 
68,172


37,422


165,709

Net earnings attributable to noncontrolling interests
42,920

 
49,211

 
47,256

 
139,387

Net earnings (loss) attributable to AmSurg Corp. shareholders
17,195

 
18,961


(9,834
)

26,322

Preferred stock dividends

 

 
(2,239
)
 
(2,239
)
Net earnings (loss) attributable to AmSurg Corp. common shareholders
$
17,195

 
$
18,961


$
(12,073
)

$
24,083

 
 
 
 
 
 
 
 
Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
Earnings (loss) from continuing operations, net of income tax
$
17,392

 
$
18,771

 
$
(10,697
)
 
$
25,466

Earnings (loss) from discontinued operations, net of income tax
(197
)
 
190

 
(1,376
)
 
(1,383
)
Net earnings (loss) attributable to AmSurg Corp. common shareholders
$
17,195

 
$
18,961


$
(12,073
)

$
24,083

Basic earnings (loss) per share attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
Net earnings (loss) from continuing operations
$
0.55

 
$
0.59


$
(0.23
)

$
0.70

Net earnings (loss) from discontinued operations
(0.01
)
 
0.01


(0.03
)

(0.04
)
Net earnings (loss)
$
0.54

 
$
0.60


$
(0.26
)

$
0.66

Diluted earnings (loss) per share attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
Net earnings (loss) from continuing operations
$
0.54

 
$
0.58


$
(0.23
)

$
0.69

Net earnings (loss) from discontinued operations
(0.01
)
 
0.01


(0.03
)

(0.04
)
Net earnings (loss)
$
0.54

 
$
0.59


$
(0.26
)

$
0.65

Weighted average number of shares and share equivalents outstanding:
 
 
 
 
 
 
 
Basic
31,716

 
31,825

 
46,320

 
36,620

Diluted
32,120

 
32,233

 
46,320

 
37,026



-MORE-

AMSG Reports Fourth-Quarter Results
 
 
Page 11
 
 
February 25, 2015
 
 
 
 
 



AMSURG CORP.
Unaudited Selected Consolidated Financial and Operating Data, continued
(In thousands, except earnings per share)

Presented below is certain statement of earnings and operating data for 2013, which have been restated in order to present additional discontinued operations.
 
For the Three Months Ended
 
 
 
March 31,
 
June 30,
 
Sept. 30,
 
Dec. 31,
 
Year Ended
Statement of Earnings Data:
2013
 
2013
 
2013
 
2013
 
Dec. 31, 2013
Net revenues
$
253,364

 
$
262,497

 
$
262,240

 
$
279,095

 
$
1,057,196

Operating expenses:
 
 
 
 
 
 
 
 
 
Salaries and benefits
79,839

 
79,897

 
83,191

 
84,658

 
327,585

Supply cost
36,377

 
38,144

 
37,143

 
41,462

 
153,126

Other operating expenses
51,269

 
52,417

 
54,774

 
58,041

 
216,501

Transaction costs
35

 
140

 
110

 
15

 
300

Depreciation and amortization
7,874

 
7,986

 
8,210

 
8,330

 
32,400

Total operating expenses
175,394

 
178,584

 
183,428

 
192,506

 
729,912

Gain on deconsolidation
2,237

 

 

 

 
2,237

Equity in earnings of unconsolidated affiliates
402

 
696

 
1,095

 
958

 
3,151

Operating income
80,609

 
84,609

 
79,907

 
87,547

 
332,672

Interest expense, net
7,540

 
7,509

 
7,292

 
7,184

 
29,525

Earnings from continuing operations before income taxes
73,069

 
77,100

 
72,615

 
80,363

 
303,147

Income tax expense
12,001

 
12,493

 
11,145

 
13,015

 
48,654

Net earnings from continuing operations
61,068

 
64,607

 
61,470

 
67,348

 
254,493

Net earnings from discontinued operations
1,205

 
1,229

 
797

 
3,820

 
7,051

Net earnings
62,273

 
65,836

 
62,267

 
71,168

 
261,544

Net earnings attributable to noncontrolling interests
44,462

 
47,273

 
45,496

 
51,610

 
188,841

Net earnings attributable to AmSurg Corp. common shareholders
$
17,811

 
$
18,563

 
$
16,771

 
$
19,558

 
$
72,703

 
 
 
 
 
 
 
 
 
 
Amounts attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
 
Earnings from continuing operations, net of income tax
$
17,349

 
$
18,093

 
$
16,636

 
$
18,931

 
$
71,009

Discontinued operations, net of income tax
462

 
470

 
135

 
627

 
1,694

Net earnings attributable to AmSurg Corp. common shareholders
$
17,811

 
$
18,563

 
$
16,771

 
$
19,558

 
$
72,703

Basic earnings per share attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
Net earnings from continuing operations
$
0.56

 
$
0.58

 
$
0.53

 
$
0.60

 
$
2.27

Net earnings from discontinued operations
0.01

 
0.02

 

 
0.02

 
0.05

Net earnings
$
0.57


$
0.59


$
0.53


$
0.62


$
2.32

Diluted earnings per share attributable to AmSurg Corp. common shareholders:
 
 
 
 
 
 
 
 
Net earnings from continuing operations
$
0.54

 
$
0.57

 
$
0.52

 
$
0.59

 
$
2.22

Net earnings from discontinued operations
0.01

 
0.01

 

 
0.02

 
0.05

Net earnings
$
0.56


$
0.58


$
0.52


$
0.61


$
2.28

Weighted average number of shares and share equivalents outstanding:
 
 
 
 
 
 
 
 
 
Basic
31,217

 
31,208

 
31,376

 
31,549

 
31,338

Diluted
31,881

 
31,862

 
31,991

 
32,082

 
31,954


-MORE-

AMSG Reports Fourth-Quarter Results
 
 
Page 12
 
 
February 25, 2015
 
 
 
 
 




AMSURG CORP.
Footnotes to Reconciliations of Non-GAAP Measures to GAAP Measures

(1)
We believe the calculation of adjusted net earnings from continuing operations per diluted share attributable to AmSurg Corp. common shareholders provides a better measure of our ongoing performance and provides better comparability to prior periods because it excludes the gains or loss from deconsolidations, which are non-cash in nature, acquisition costs, including associated debt extinguishment costs and deferred financing write-off, and acquisition-related amortization expense (the majority of which relate to the Sheridan transaction and which are of a nature and significance not generally associated with our historical individual center acquisition activity) and share-based compensation expense. Adjusted net earnings from continuing operations per diluted share attributable to AmSurg Corp. common shareholders should not be considered as a measure of financial performance under accounting principles generally accepted in the United States, and the item excluded from it is a significant component in understanding and assessing financial performance. Because adjusted net earnings from continuing operations per diluted share attributable to AmSurg Corp. common shareholders is not a measurement determined in accordance with accounting principles generally accepted in the United States and is thus susceptible to varying calculations, it may not be comparable as presented to other similarly titled measures of other companies. For purposes of calculating adjusted earnings per share, the Company utilizes the if-converted method to determine the number of diluted shares outstanding. In periods where utilizing the if-converted method is anti-dilutive, the mandatory convertible preferred stock will not be included in the calculation of diluted shares outstanding.

(2)
We define Adjusted EBITDA of AmSurg as earnings before interest, income taxes, depreciation, amortization, share-based compensation, acquisition costs and gains or losses on deconsolidations and discontinued operations. Adjusted EBITDA should not be considered a measure of financial performance under generally accepted accounting principles. Items excluded from Adjusted EBITDA are significant components in understanding and assessing financial performance. Adjusted EBITDA is an analytical indicator used by management and the health care industry to evaluate company performance, allocate resources and measure leverage and debt service capacity. Adjusted EBITDA should not be considered in isolation or as an alternative to net income, cash flows generated by operations, investing or financing activities, or other financial statement data presented in the consolidated financial statements as indicators of financial performance or liquidity. Because Adjusted EBITDA is not a measurement determined in accordance with generally accepted accounting principles and is thus susceptible to varying calculations, Adjusted EBITDA as presented may not be comparable to other similarly titled measures of other companies. Net earnings from continuing operations attributable to AmSurg Corp. common shareholders is the financial measure calculated and presented in accordance with generally accepted accounting principles that is most comparable to Adjusted EBITDA as defined.



-END-