Psychiatric Solutions Exceeds Expectations With Fourth Quarter Income From Continuing Operations Per Diluted Share of $0.33
Posted on: Thursday, 15 February 2007, 18:01 CST
Psychiatric Solutions, Inc. ("PSI") (NASDAQ: PSYS) today announced financial results for the fourth quarter and year ended December 31, 2006. Revenue increased 27.1% to a record $280,960,000 for the fourth quarter of 2006 from $221,108,000 for the fourth quarter of 2005. Income from continuing operations was $18,044,000, or $0.33 per diluted share, for the fourth quarter of 2006, up from $13,800,000, or $0.26 per diluted share, for the fourth quarter of 2005. Adjusted income from continuing operations per diluted share, which excludes stock compensation expense of $0.02 for the fourth quarter of 2006, increased 34.6% to $0.35 from $0.26. All results in this release have been adjusted to reflect the 2-for-1 stock split effected in January 2006. Please see pages 7 and 8 for a reconciliation of GAAP and non-GAAP financial results.
Revenue for 2006 was $1.026 billion, an increase of 43.5% from $715,324,000 for 2005. Income from continuing operations was $61,881,000, or $1.14 per diluted share, up from $26,818,000 or $0.58 per diluted share. Adjusted income from continuing operations per diluted share, which excludes stock compensation expense of $0.15 for 2006 and loss on refinancing of long-term debt of $0.29 for 2005, increased 48.3% to $1.29 from $0.87, on a 17.0% increase in diluted shares used in computing per share amounts.
Joey Jacobs, Chairman, President and Chief Executive Officer of PSI, said, "As our results demonstrate, PSI continued to achieve strong profitable growth for the fourth quarter, as well as for the fiscal year. We are especially pleased with our substantial organic growth evidenced by the increase in same-facility revenue of 9.6% for the fourth quarter. The operating leverage we gained from this revenue growth, combined with our ongoing focus on enhancing productivity and operating efficiencies, accounted for the 80 basis point expansion of our same-facility EBITDA margin to 20.6% of same-facility revenue from 19.8% for the fourth quarter of 2005. Our same-facility revenue growth was comprised of a 4.5% increase in patient days and a 5.0% increase in revenue per patient day, and our full year same-facility revenue growth was 9.0%, the high end of our continuing annual target range of 7% to 9%.
"Over the last four years, we have averaged same-facility revenue growth of 8.75%, and we are optimistic about our ability to continue producing same-facility revenue growth within our target range, primarily by expanding patient days and revenue per patient day, each in a range of 3% to 5% annually.
"We have also continued to build the foundation for our future organic growth by expanding the number of our inpatient beds, to more than 8,000 at year end from over 6,400 at the end of 2005. We contributed to this total during the fourth quarter with the completion of the Alternative Behavioral Services transaction, through which we added nine inpatient facilities with over 1,000 beds. As a result, we acquired a total of 19 inpatient facilities during 2006, well above our annual target to acquire a minimum of six facilities.
"Furthermore, we are already well positioned to expand our inpatient beds during 2007. In December, we signed a definitive agreement to acquire Horizon Health Corporation, which, among other assets, owns or leases 15 inpatient facilities with over 1,500 beds and provides services under 115 behavioral health and physical rehabilitation program management contracts in acute care hospitals. Horizon Health produced revenue of $275 million for its fiscal year ended in August 2006. We expect to complete this transaction in the second quarter of 2007, subject to customary closing conditions, including regulatory approvals, clearance under the Hart-Scott-Rodino Act and approval by Horizon Health's stockholders. We also acquired Three Rivers Behavioral Health in January, an 86-bed inpatient facility, which was recently awarded a Certificate of Need for an additional 32 beds that we expect to complete in the second half of 2007. In addition to acquisitions, we plan to expand existing facilities with new inpatient beds totaling approximately 1% to 2% of our total base at the beginning of the year."
Based primarily on the Company's operating and financial results for 2006, PSI affirms its guidance for earnings per diluted share for 2007 in a range of $1.42 to $1.46. The Company's guidance does not include the impact from any future acquisitions, including Horizon Health. PSI expects the acquisition of Horizon Health to be accretive to its earnings per diluted share for the 12 months following the completion of the transaction by an amount in the range of $0.17 to $0.20.
Mr. Jacobs concluded, "In addition to the strong record of performance PSI has created, our confidence in our prospects for further profitable growth rests on the opportunities we see for organic growth and acquisitions and on the resources we can focus on accomplishing our goals. Chief among these resources, we have a team of skilled and dedicated colleagues numbering more than 18,000, who either work directly with our patients or who support those who do. The high quality of care these individuals provide is the essence of our continuing ability to serve our patients and their families, our shareholders and all our other stakeholders."
PSI will hold a conference call to discuss this release tomorrow at 10:00 a.m. Eastern time. Participants will have the opportunity to listen to the conference call over the Internet by going to www.psysolutions.com and clicking Investor Relations or by going to www.earnings.com. Participants are encouraged to go to the selected web sites 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 through the end of business on March 2, 2007.
This press release contains forward-looking statements within the meaning of the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements include statements other than those made solely with respect to historical fact and are based on the intent, belief or current expectations of PSI and its management. PSI's business and operations are subject to a variety of risks and uncertainties that might cause actual results to differ materially from those projected by any forward-looking statements. Factors that could cause such differences include, but are not limited to: (1) PSI's ability to complete the acquisition of Horizon Health Corporation and to successfully integrate the Horizon Health operations; (2) potential competition which alters or impedes PSI's acquisition strategy by decreasing PSI's ability to acquire additional inpatient facilities on favorable terms; (3) the ability of PSI to integrate and improve the operations of acquired inpatient facilities; (4) the ability to maintain favorable and continuing relationships with physicians who use PSI's facilities; (5) the ability to receive timely additional financing on terms acceptable to PSI to fund PSI's acquisition strategy and capital expenditure needs, including financing for the acquisition of Horizon Health; (6) risks inherent to the health care industry, including the impact of unforeseen changes in regulation, reimbursement rates from federal and state health care programs or managed care companies and exposure to claims and legal actions by patients and others; and (7) PSI's ability to comply with applicable licensure and accreditation requirements. The forward-looking statements herein are qualified in their entirety by the risk factors set forth in PSI's filings with the Securities and Exchange Commission. PSI undertakes no obligation to update any forward-looking statements, whether as a result of new information, future events or otherwise. Readers should not place undue reliance on forward-looking statements, which reflect management's views only as of the date hereof.
PSI offers an extensive continuum of behavioral health programs to critically ill children, adolescents and adults through its operation of 75 owned or leased freestanding psychiatric inpatient facilities with more than 8,000 beds in 29 states, Puerto Rico and the U.S. Virgin Islands. PSI also manages freestanding psychiatric inpatient facilities for government agencies and psychiatric inpatient units within medical/surgical hospitals owned by others.
PSYCHIATRIC SOLUTIONS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(Unaudited, in thousands except for per share amounts)
Three Months Ended December 31,
Year EndedDecember 31,
2006
2005
2006
2005
Revenue
$ 280,960
$ 221,108
$ 1,026,490
$ 715,324
Salaries, wages and employee benefits (including share-based compensation of $2,086 and $12,535 for the three months and year ended December 31, 2006, respectively)
157,576
122,707
580,223
392,309
Professional fees
26,403
22,051
97,613
73,177
Supplies
16,302
12,856
59,310
42,993
Rentals and leases
3,762
3,408
13,685
11,450
Other operating expenses
24,876
21,250
95,759
74,609
Provision for doubtful accounts
5,815
3,231
19,586
13,498
Depreciation and amortization
5,773
4,459
20,619
14,738
Interest expense
11,770
8,864
40,307
27,056
Loss on refinancing long-term debt
-
-
-
21,871
252,277
198,826
927,102
671,701
Income from continuing operations before income taxes
28,683
22,282
99,388
43,623
Provision for income taxes
10,639
8,482
37,507
16,805
Income from continuing operations
18,044
13,800
61,881
26,818
(Loss) income from discontinued operations, net of income tax benefit (provision) of $258, $(86), $724 and $(211) for the respective three and twelve month periods in 2006 and 2005
(489)
140
(1,249)
336
Net income
$ 17,555
$ 13,940
$ 60,632
$ 27,154
Basic earnings per share:
Income from continuing operations
$ 0.34
$ 0.27
$ 1.17
$ 0.60
(Loss) income from discontinued operations, net of taxes
(0.01)
-
(0.02)
0.01
Net income
$ 0.33
$ 0.27
$ 1.15
$ 0.61
Diluted earnings per share:
Income from continuing operations
$ 0.33
$ 0.26
$ 1.14
$ 0.58
(Loss) income from discontinued operations, net of taxes
(0.01)
-
(0.02)
0.01
Net income
$ 0.32
$ 0.26
$ 1.12
$ 0.59
Shares used in computing per share amounts:
Basic
53,259
52,233
52,953
44,792
Diluted
54,440
53,852
54,169
46,296
PSYCHIATRIC SOLUTIONS, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited, in thousands)
December 31,
2006
2005
ASSETS
Current assets:
Cash and cash equivalents
$ 18,541
$ 54,700
Accounts receivable, less allowance for doubtful accounts of $18,903 and $15,355, respectively
180,137
132,288
Prepaids and other
44,582
52,142
Total current assets
243,260
239,130
Property and equipment, net of accumulated depreciation
543,806
378,162
Cost in excess of net assets acquired
761,026
526,536
Other assets
33,104
31,203
Total assets
$ 1,581,196
$ 1,175,031
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
Accounts payable
$ 25,294
$ 18,726
Salaries and benefits payable
66,438
46,872
Other accrued liabilities
45,855
34,363
Current portion of long-term debt
2,386
325
Total current liabilities
139,973
100,286
Long-term debt, less current portion
740,921
482,064
Deferred tax liability
44,924
32,151
Other liabilities
27,599
20,818
Total liabilities
953,417
635,319
Stockholders' equity:
Common stock, $0.01 par value, 125,000 shares authorized; 53,421 and 52,430 issued and outstanding, respectively
534
524
Additional paid-in capital
523,193
495,768
Retained earnings
104,052
43,420
Total stockholders' equity
627,779
539,712
Total liabilities and stockholders' equity
$ 1,581,196
$ 1,175,031
PSYCHIATRIC SOLUTIONS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited, in thousands)
Year Ended December 31,
2006
2005
Operating activities:
Net income
$
60,632
$
27,154
Adjustments to reconcile net income to net cash provided by continuing operating activities:
Depreciation and amortization
20,619
14,738
Share-based compensation
12,535
-
Amortization of loan costs
1,672
1,187
Loss on refinancing long-term debt
-
21,871
Change in income tax assets and liabilities
35,322
9,494
Loss (income) from discontinued operations, net of taxes
1,249
(336)
Changes in operating assets and liabilities, net of effect of acquisitions:
Accounts receivable
(12,723)
(9,399)
Prepaids and other current assets
(9,243)
(3,673)
Accounts payable
312
2,116
Salaries and benefits payable
5,786
2,598
Accrued liabilities and other liabilities
5,839
13,340
Other
-
463
Net cash provided by continuing operating activities
122,000
79,553
Net cash provided by discontinued operating activities
1,707
222
Net cash provided by operating activities
123,707
79,775
Investing activities:
Cash paid for acquisitions, net of cash acquired
(385,078)
(514,525)
Capital purchases of leasehold improvements,
equipment and software
(33,816)
(21,750)
Purchases of short-term investments
-
(29,400)
Sales of short-term investments
-
29,400
Cash paid for investments in equity method investees
-
(1,340)
Other assets
(594)
1,219
Net cash used in investing activities
(419,488)
(536,396)
Financing activities:
Net increase in revolving credit facility
$
101,000
$
-
Borrowings on long-term debt
150,000
545,000
Principal payments on long-term debt
(465)
(236,822)
Payment of loan and issuance costs
(1,576)
(13,932)
Refinancing of long-term debt
-
(15,398)
Excess tax benefits from share-based payment arrangements
4,354
-
Proceeds from public offering of common stock
-
192,637
Proceeds from exercises of common stock options
6,309
6,385
Net cash provided by financing activities
259,622
477,870
Net (decrease) increase in cash
(36,159)
21,249
Cash and cash equivalents at beginning of the period
54,700
33,451
Cash and cash equivalents at end of the period
$
18,541
$
54,700
Effect of Acquisitions:
Assets acquired, net of cash acquired
$
432,533
$
624,821
Cash paid for prior year acquisitions
-
5,793
Liabilities assumed
(32,819)
(51,324)
Common stock issued
(4,277)
(64,765)
Long-term debt assumed
(10,359)
Cash paid for acquisitions, net of cash acquired
$
385,078
$
514,525
Psychiatric Solutions, Inc.
Reconciliation of Net Income to
Adjusted Income From Continuing Operations
(Unaudited)
(In thousands, except per share amounts)
Three Months Ended
Year Ended
December 31,
December 31,
2006
2005
2006
2005
Net income
$17,555
$13,940
$60,632
$27,154
Plus reconciling items:
Discontinued operations, net of taxes
489
(140)
1,249
(336)
Provision for income taxes
10,639
8,482
37,507
16,805
Income from continuing operations before income taxes
28,683
22,282
99,388
43,623
Stock compensation
2,086
-
12,535
-
Loss on refinancing long-term debt
-
-
-
21,871
Adjusted income from continuing operations before income taxes
30,769
22,282
111,923
65,494
Adjusted provision for income taxes
11,612
8,482
42,244
25,230
Adjusted income from continuing operations(a)
$19,157
$13,800
$69,679
$40,264
Income from continuing operations per diluted share
$0.33
$0.26
$1.14
$0.58
Adjusted income from continuing operations per diluted share(a)
$0.35
$0.26
$1.29
$0.87
Diluted shares used in computing per share amounts:
54,440
53,852
54,169
46,296
(a) PSI believes its calculation of adjusted income from continuing operations per diluted share provides a better measure of the Company's ongoing performance and provides better comparability to prior periods because it excludes items not related to the Company's core business operations. Adjusted income from continuing operations per diluted share should not be considered as a measure of financial performance under accounting principles generally accepted in the United States, and the items excluded from it are significant components in understanding and assessing financial performance. Because adjusted income from continuing operations per diluted share 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.
Psychiatric Solutions, Inc.
Reconciliation of Income from Continuing Operations to EBITDA and Adjusted EBITDA
(Unaudited)
(In thousands, except per share amounts)
Three Months Ended
Year Ended
December 31,
December 31,
2006
2005
2006
2005
Income from continuing operations
$18,044
$13,800
$61,881
$26,818
Provision for income taxes
10,639
8,482
37,507
16,805
Interest expense
11,770
8,864
40,307
27,056
Depreciation and amortization
5,773
4,459
20,619
14,738
EBITDA(a)
46,226
35,605
160,314
85,417
Other expenses:
Stock compensation
2,086
-
12,535
-
Loss on refinancing long-term debt
-
-
-
21,871
Adjusted EBITDA(a)
$48,312
$35,605
$172,849
$107,288
(a) EBITDA and adjusted EBITDA are non-GAAP financial measures. EBITDA is defined as income from continuing operations before interest expense (net of interest income), income taxes, depreciation and amortization. Adjusted EBITDA is defined as income from continuing operations before interest expense (net of interest income), income taxes, depreciation, amortization, stock compensation and other items included in the caption above labeled "Other expenses". These other expenses may occur in future periods but the amounts recognized can vary significantly from period to period and do not directly relate to the ongoing operations of our health care facilities. PSI's management relies on EBITDA and adjusted EBITDA as the primary measures to review and assess operating performance of its facilities and their management teams. PSI believes it is useful to investors to provide disclosures of its operating results on the same basis as that used by management. Management and investors also review EBITDA and adjusted EBITDA to evaluate PSI's overall performance and to compare PSI's current operating results with corresponding periods and with other companies in the health care industry. You should not consider EBITDA and adjusted EBITDA in isolation or as a substitute for net income, operating cash flows or other cash flow statement data determined in accordance with accounting principles generally accepted in the United States. Because EBITDA and adjusted EBITDA are not measures of financial performance under accounting principles generally accepted in the United States and are susceptible to varying calculations, they may not be comparable to similarly titled measures of other companies.
Psychiatric Solutions, Inc.
Operating Statistics - Owned Facilities
(Unaudited)
(Revenue in thousands)
Three Months Ended
Year Ended
December 31,
%
December 31,
%
2006
2005
Chg.
2006
2005
Chg.
Same-facility results:
Revenue
$228,045
$207,981
9.6%
$722,750
$663,236
9.0%
Admissions
24,459
23,376
4.6%
78,961
77,097
2.4%
Patient days
434,687
416,125
4.5%
1,442,570
1,392,877
3.6%
Average length of stay(a)
17.8
17.8
0.0%
18.3
18.1
1.1%
Revenue per patient day(b)
$525
$500
5.0%
$501
$476
5.3%
EBITDA margin
20.6%
19.8%
80 bps
20.0%
18.2%
180 bps
Total facility results:
Revenue
$266,257
$207,981
28.0%
$973,535
$663,236
46.8%
Admissions
27,544
23,376
17.8%
107,199
77,097
39.0%
Patient days
506,297
416,125
21.7%
1,871,244
1,392,877
34.3%
Average length of stay(a)
18.4
17.8
3.4%
17.5
18.1
(3.3)%
Revenue per patient day(b)
$526
$500
5.2%
$520
$476
9.2%
EBITDA margin
20.0%
19.8%
20 bps
19.8%
18.2%
160 bps
(a) Average length of stay is defined as patient days divided by admissions.
(b) Revenue per patient day is defined as owned facility revenue divided by patient days.
Source: Business Wire
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