TORONTO, May 7, 2013 /CNW/ - Centric Health Corporation ("Centric
Health" or "the Company") (TSX: CHH), Canada's leading diversified
healthcare services company, today announced financial results for the
first quarter ended March 31, 2013.
Financial and Operating Highlights for the First Quarter
-
Revenue increased to $113.3 million from $104.3 million for the
corresponding period of 2012, the result of acquisitions and organic
growth;
-
Adjusted EBITDA1 decreased to $9.7 million from $11.8 million for the corresponding
period of 2012, due mainly to a decline in the financial performance of
the surgical division and two fewer business days between the
comparative periods. Adjusted EBITDA increased marginally on a
sequential basis from $9.6 million for the fourth quarter of 2012;
-
Reported fourth consecutive quarter of positive cash flow from
operations as a result of the Company's continued focus on cash
management. Cash flow from operations was $0.2 million compared with
cash used in operations of $10.9 million for the corresponding period
of 2012;
-
Strengthened the senior management team with the appointments of Daniel
Gagnon as Chief Financial Officer, Chris Dennis as Chief Operating
Officer and Jim Black as Chief Information Officer;
-
Strengthened the Board of Directors with the appointment of Yazdi
Bharucha as an independent Director and Chair of the Audit Committee;
and,
-
Amended the consulting agreement with Global Healthcare Investments and
Solutions, Inc. ("GHIS"), (subject to approval of the shareholders of
the Company), which eliminates completion fees, removes consulting fees
for 2013, and reduces consulting fees beginning January 2014 to the
completion of the agreement in June 2015. The Company expects to issue
4,802,311 common shares (equivalent of $2.15 million, subject to a one
year hold period).
Financial and Operating Highlights Subsequent to the First Quarter
-
Strengthened balance sheet and added financial flexibility through a
successful $200 million public offering of second lien senior secured
notes which was used to repay its Term Loan, Revolving Facility and $10
million of preferred partnership units; and,
-
Entered into an amended and restated credit agreement with senior
lenders. The amended and restated agreement revises the Revolving
Facility to a maximum borrowing limit of $50 million which matures on
June 9, 2015. The Company utilized $12.5 million of the amended and
restated Revolving Facility to repay preferred partnership units;
"Centric Health has assembled an unparalleled national platform that is
favourably positioned to capitalize on the long-term secular trends in
the Canadian healthcare industry," said David Cutler, President and
Chief Executive Officer, Centric Health Corporation. "With our recent
additions to the senior management team, we now have the experience and
expertise across operations, information technology and finance to
realize the value inherent in the integration of the acquired
businesses and generate long-term, sustainable growth from the
platform. Importantly, we have taken a meaningful first step in our
stated objective to strengthen our balance sheet and add flexibility to
our financial position with a successful senior note offering and debt
refinancing, including the initial repayment of our most expensive debt
with Alaris."
Mr. Cutler continued, "Our results for the first quarter were in line
with our expectations for incremental sequential growth as we expect
our new team and the impact of our integration and growth strategies to
make a meaningful contribution beginning in the second half of this
year. We are driving forward with numerous growth and margin expansion
opportunities within each of our business segments. Most notably, we
continue to see momentum with our bundled services initiative with more
than 120 contracts won since last September. We are also making steady
progress across multiple initiatives to increase utilization at our
surgical centres."
FINANCIAL RESULTS
(All amounts below are in thousands except per share, shares
outstanding, and percentage data)
Selected Financial Information
|
|
|
|
Three months ended March 31,
|
|
|
|
|
2013
$
|
|
|
2012
$
|
|
|
2011
$
|
Revenue
|
|
|
|
113,281
|
|
|
104,253
|
|
|
23,035
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) Income from operations
|
|
|
|
(1,115)
|
|
|
1,944
|
|
|
387
|
|
% of revenue
|
|
|
|
(1.0)%
|
|
|
1.9%
|
|
|
1.7%
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before interest
expense and income taxes
|
|
|
|
9,716
|
|
|
694
|
|
|
(1,767)
|
EBITDA1
|
|
|
|
18,309
|
|
|
7,010
|
|
|
(950)
|
Adjusted EBITDA1
|
|
|
|
9,743
|
|
|
11,779
|
|
|
2,195
|
|
Per share - basic ($)
|
|
|
|
$ 0.08
|
|
|
$ 0.11
|
|
|
0.03
|
Per share - diluted ($)
|
|
|
|
$ 0.05
|
|
|
$ 0.09
|
|
|
$ 0.03
|
Adjusted EBITDA1 margin
|
|
|
|
8.6%
|
|
|
11.3%
|
|
|
9.5%
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
|
|
4,373
|
|
|
(4,651)
|
|
|
(2,404)
|
|
Per share ($) - basic
|
|
|
|
$0.04
|
|
|
($0.04)
|
|
|
($0.03)
|
|
Per share ($) - diluted
|
|
|
|
$0.02
|
|
|
($0.04)
|
|
|
($0.03)
|
|
|
|
|
|
|
|
|
|
|
|
Cash flow from operations
|
|
|
|
200
|
|
|
(10,903)
|
|
|
(1,821)
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average shares
|
|
|
|
123,990
|
|
|
105,839
|
|
|
77,198
|
|
outstanding (basic) *
|
|
|
|
|
|
|
|
|
|
|
Shares outstanding March 31*
|
|
|
|
125,934
|
|
|
112,447
|
|
|
80,443
|
|
|
|
|
|
|
|
|
|
|
|
|
*Excludes contingent escrowed shares and restricted shares
Consolidated Results
Consolidated revenue for the first quarter of 2013 increased by 8.7% to
$113.3 million from $104.3 million for the comparable period of 2012.
This increase was primarily due to:
-
Acquisitions - purchase of Motion Specialties in February 2012 which
increased revenue by $9.6 million on a comparative basis in addition to
physiotherapy clinics acquired in the first quarter of 2012 and retail
and home medical equipment stores acquired in the fourth quarter of
2012 and the first quarter of 2013; and
-
Organic growth - same store revenue growth of $4.4 million in its
physiotherapy, pharmacy and retail and home medical equipment segments.
Offsetting these increases were:
-
Working days - two fewer working days in the current quarter as compared
to the same period in the prior year resulting in decreased revenues of
$1.9 million;
-
Pharmacy - a decrease in revenue of $1.5 million as a result of certain
high volume drugs becoming generic;
-
Assessments - decrease of $1.5 million due to a decline in referrals
resulting from legislative changes in this segment;
-
Surgical - a decline of $1.0 million mainly due to management changes at
the Company's Sarnia location; and
-
Physiotherapy - an impact of $0.5 million from physiotherapy clinics
that were closed since the first quarter of 2012.
Adjusted EBITDA1, which excludes transaction and restructuring costs, the change in fair
value of derivative financial instruments and the non-cash change in
the fair value of the contingent consideration liability, for the first
quarter of 2013 decreased to $9.7 million from $11.8 million for the
corresponding period of 2012. The decrease is primarily the result of
low utilization of operating room capacity in the Surgical and Medical
Centres segment and there being two fewer business days in the quarter
as compared to the prior year. Adjusted EBITDA increased marginally on
a sequential basis from $9.6 million for the fourth quarter of 2012.
Adjusted EBITDA1 margin for the first quarter of 2013 was 8.6% compared with 11.3% for
the corresponding period of 2012. As excess operating room capacity in
the surgical segment decreases in the future an improvement in margins
in the surgical segment is anticipated. The margins for Motion
Specialties which was acquired in February 2012 are lower than the
Company's other operating segments which impacts on the Company's
overall margin percentage. Adjusted EBITDA margin was unchanged on a
sequential basis from 8.6% for the fourth quarter of 2012.
Segment Results
|
|
Three months ended March 31,
|
|
|
Revenue
|
|
|
Adjusted EBITDA1
|
|
|
2013
|
|
|
2012
|
|
|
2013
|
|
|
2012
|
|
|
$
|
|
|
$
|
|
|
$
|
|
|
|
%
|
|
|
$
|
|
|
|
%
|
Physiotherapy
|
|
44,614
|
|
|
45,125
|
|
|
6,118
|
|
|
|
13.7
|
|
|
6,974
|
|
|
|
15.5
|
Pharmacy
|
|
24,278
|
|
|
23,300
|
|
|
2,281
|
|
|
|
9.4
|
|
|
2,530
|
|
|
|
10.9
|
Retail & Home Medical Equipment
|
|
28,679
|
|
|
17,158
|
|
|
1,460
|
|
|
|
5.1
|
|
|
1,917
|
|
|
|
11.2
|
Assessments
|
|
8,311
|
|
|
10,124
|
|
|
1,552
|
|
|
|
18.7
|
|
|
1,521
|
|
|
|
15.0
|
Surgical & Medical Centres
|
|
7,399
|
|
|
8,546
|
|
|
368
|
|
|
|
5.0
|
|
|
1,135
|
|
|
|
13.3
|
Corporate
|
|
-
|
|
|
-
|
|
|
(2,036)
|
|
|
|
-
|
|
|
(2,298)
|
|
|
|
-
|
Total
|
|
$ 113,281
|
|
|
$ 104,253
|
|
|
$ 9,743
|
|
|
|
8.6%
|
|
|
$ 11,779
|
|
|
|
11.3%
|
*Adjusted EBITDA margins reflect acquisitions since the first quarter of
2012 which generate lower margins than legacy operations.
SHARES OUTSTANDING
As at March 31, 2013 and the date of this news release, the Company has
total shares outstanding of 144,620,526 and 145,170,526 respectively,
of which 18,686,853 are held in escrow pending acquired businesses
achieving performance targets or restricted. Consequently, there are
125,933,673 and 126,483,673 shares, respectively outstanding excluding
restricted shares and shares held in escrow as contingent consideration
for the vendors of acquired businesses at March 31, 2013 and May 7,
2013. The number of options outstanding is 10,099,500 at March 31,
2013 and 9,194,500 at May 7, 2013. The number of restricted share
units outstanding is 610,000 at March 31, 2013 and May 7, 2013. The
number of warrants outstanding is 33,078,390 at March 31, 2012 and May
7, 2013. Should all outstanding options and warrants that were
exercisable at March 31, 2013 be exercised, the Company would receive
proceeds of $24,994.
FINANCING
The Company was in compliance with its financial performance covenants
at March 31, 2013. The Company used the net proceeds from its April
2013 public offering to repay its Term Loan, Revolving Facility and $10
million of preferred partnership units. The Company also entered into
an amended and restated credit agreement which provides the Company
with a new Revolving Facility with a limit of $50 million. The Company
used $12.5 million of the new Revolving Facility to repay preferred
partnership units. The new Revolving Facility includes less onerous
financial performance covenants. The Company anticipates that, based
on meeting its 2013 operating budget, it will generate sufficient cash
flow from operations in 2013 to meet its obligations as they come due.
OUTLOOK
Centric Health has established an integrated national healthcare company
with a platform for growth that is unparalleled in Canada and well
positioned to assist with Canada's ever-expanding healthcare needs. The
Company appointed David Cutler as its new President and Chief Executive
Officer in September 2012, an individual with a track record of success
in the healthcare industry, in order to drive the Company to realize
its full potential over the long-term. Under the direction of Mr.
Cutler, the Company made several significant personnel appointments in
the first quarter of 2013 including the hiring of Daniel Gagnon as CFO,
Chris Dennis as COO and Jim Black as CIO. This new management team is
focused on optimizing and growing results from the Company's existing
platform. Projects aimed at the advancement and implementation of
growth initiatives, the effective use of technology to enhance business
integration, management of working capital and cost saving initiatives
have been launched since September 2012 and further initiatives are
forthcoming from the new leadership team.
The new executive team is focused on strengthening the Company's balance
sheet by concentrating on financial performance and free-cash flow
generation, thereby reducing the Company's senior debt and total debt
leverage ratios over the medium term. The Company recently completed a
$200 million prospectus supplement for second lien senior secured notes
in April 2013 which was used to pay down the Company's Term Loan,
Revolving Facility and $10 million of preferred partnership units. A
further $12.5 million was drawn from the Company's amended and restated
Revolving Facility in April 2013 in order to further pay down preferred
partnership units. A key initiative is the repayment of preferred
partnership units as this is the Company's most expensive debt
instrument. In addition, the second lien senior secured notes and the
amended and restated Revolving Facility contain less onerous financial
performance covenants. The Company anticipates that based on meeting
the sensitivity adjusted 2013 operating budget, it will generate
sufficient cash flow from operations in 2013 to meet its obligations as
they come due.
While the Company continues to seek out strategic acquisitions that will
bolster its existing national platform, its main focus in 2013 will be
to grow its existing businesses. Many organic growth initiatives were
commenced in 2012 which tend to have a long sales cycle and as such,
the Company does not expect to begin to realize the benefits of these
initiatives until the second half of 2013 and beyond. Cross-selling
initiatives include bundled service contracts which leverage the
Company's platform to offer bundled services of physiotherapy, pharmacy
and home medical equipment services to long-term care and retirement
homes. The Company signed new bundled services contracts in the first
quarter of 2013 and plans on continuing its focus in this area. Other
cross-selling initiatives include expanding orthotic sales in
physiotherapy clinics, Motion Specialties and MEDIchair stores and
promoting rehabilitative services to surgical patients to expedite
recovery. Growth from future expansion or new initiatives will only
occur if the acquisition or initiative will be accretive to income
within a reasonable period of time and is complementary to the
Company's national network.
In addition to growth initiatives, the Company continues to focus on
improving its operating margins through right-sizing activities and
operational efficiency projects. The Company is working to further
consolidate purchasing initiatives in its surgical and retail and home
medical equipment operations and has undertaken systems integration
initiatives specifically aimed at its Retail and Home Medical Equipment
operations.
The Company is currently evaluating proposed regulatory changes
announced by the Ontario Ministry of Health in April 2013 related to
physiotherapy services for seniors. Approximately 12% of consolidated
revenues in 2012 were derived from services that may be impacted by
these proposed regulatory changes. The Company is continuing its
strategy to expand the number of beds serviced in retirement and
long-term care homes through the Company's bundled services
initiatives, ensuring the continued provision of quality care and
outcomes to the seniors we serve.
1Non-IFRS Measures
This press release includes certain measures which have not been
prepared in accordance with IFRS such as EBITDA, Adjusted EBITDA and
Adjusted EBITDA per share. These non-IFRS measures are not recognized
under IFRS and, accordingly, shareholders are cautioned that these
measures should not be construed as alternatives to net income
determined in accordance with IFRS. The Company defines EBITDA as
earnings before depreciation and amortization, interest expense,
amortization of lease incentives, and income tax recovery (expense).
Adjusted EBITDA is defined as EBITDA before transaction and
restructuring costs, changes in the fair value of the contingent
consideration liability, stock based compensation expense, change in
fair value of derivative financial instruments and (gain) loss on
disposal of property and equipment recognized in the statement of
income. Adjusted EBITDA % is defined as Adjusted EBITDA divided by
revenue. Adjusted EBITDA per share is defined as Adjusted EBITDA
divided by the weighted outstanding shares on both a basic and diluted
basis. The Company believes that Adjusted EBITDA is a meaningful
financial metric as it assists in the ability to measure cash generated
from operations. EBITDA and Adjusted EBITDA are not recognized
measures under IFRS.
Reconciliation of Non-IFRS Measures
|
|
|
|
Three months ended
March 31,
|
|
|
|
|
2013
$
|
|
|
|
2012
$
|
Net income (loss)
|
|
|
|
4,373
|
|
|
|
(4,651)
|
|
Depreciation and amortization
|
|
|
|
8,561
|
|
|
|
6,233
|
|
Interest expense
|
|
|
|
6,918
|
|
|
|
5,070
|
|
Amortization of lease incentives
|
|
|
|
32
|
|
|
|
83
|
|
Income tax (recovery) expense
|
|
|
|
(1,575)
|
|
|
|
275
|
EBITDA1
|
|
|
|
18,309
|
|
|
|
7,010
|
|
Transaction and restructuring costs
|
|
|
|
523
|
|
|
|
2,327
|
|
Change in fair value of contingent consideration liability
|
|
|
|
(6,945)
|
|
|
|
1,402
|
|
Stock-based compensation expense
|
|
|
|
1,747
|
|
|
|
1,148
|
|
Change in fair value of derivative financial instruments
|
|
|
|
(3,886)
|
|
|
|
(152)
|
|
(Gain) loss on disposal of property and equipment
|
|
|
|
(5)
|
|
|
|
44
|
Adjusted EBITDA1
|
|
|
|
9,743
|
|
|
|
11,779
|
|
|
|
|
|
|
|
|
|
Basic weighted average number of shares
|
|
|
|
123,990
|
|
|
|
105,839
|
Adjusted EBITDA per share (basic)
|
|
|
|
$0.08
|
|
|
|
$0.11
|
Fully diluted weighted average number of shares
|
|
|
|
179,423
|
|
|
|
126,105
|
Adjusted EBITDA per share (diluted)
|
|
|
|
$0.05
|
|
|
|
$0.09
|
|
|
|
|
|
|
|
|
CONFERENCE CALL
Centric Health will host a conference call, including a slide
presentation, to discuss its first 2013 financial results tomorrow,
Wednesday, May 8, 2013, at 8:30 a.m. (ET).
Telephone Dial-In Access Information
To access the conference call by telephone, dial 647-427-7450 or
1-888-231-8191. Please connect approximately 10 minutes prior to the
beginning of the call to ensure participation. Those participating in
the conference call by telephone can view the slide presentation by
accessing the online webcast (see instructions below) and choosing the
Non-Streaming Audio option.
Webcast Access Information
A live webcast of the conference call, including the slide presentation,
will be available on the Events and Presentations page of the Investors
section of the Company's web site (http://www.centrichealth.ca/events-presentations.php). Please connect at least 15 minutes prior to the conference call to
ensure adequate time for any software download that may be required to
join the webcast. To view the webcast presentation with slides, please
choose either the Real Streaming Audio or Windows Streaming Audio
option.
Archive Access Information
The conference call will be archived for replay by telephone until
Wednesday, May 15, 2013 at midnight. To access the archived conference
call, dial 1-855-859-2056 and enter the reservation number 59251620.
The webcast with slide presentation will be archived for 90 days on the
Events and Presentations page of the Investors section of the Company's
web site (http://www.centrichealth.ca/events-presentations.php).
For further information please refer to the Company's complete filings
at www.sedar.com.
About Centric Health
Centric Health is Canada's leading diversified healthcare company and
dedicated to building on the strengths of Canada's healthcare system
through innovative solutions. Through a series of strategic
acquisitions, the Company has amassed a national platform for delivery
of a broad range of services through more than 3,600 staff and
consultants at almost 1,000 locations and has preferred provider
contracts with over 50 corporations, government agencies and employers,
and over 600 contracts with Long Term Care and Retirement Homes. This
platform provides compelling growth prospects through synergies,
rationalization and cross-pollination opportunities to create
meaningful value for all stakeholders. Above all, Centric Health has
an unwavering commitment to employ the highest service and ethical
standards and deliver a superior quality of care with the best possible
clinical outcomes. For more information, visit www.centrichealth.ca.
This press release contains statements that may constitute
"forward-looking statements" within the meaning of applicable Canadian
securities legislation. These forward-looking statements include,
among others, statements regarding business strategy, plans and other
expectations, beliefs, goals, objectives, information and statements
about possible future events. Readers are cautioned not to place undue
reliance on such forward-looking statements. Forward-looking statements
are based on current expectations, estimates and assumptions that
involve a number of risks, which could cause actual results to vary and
in some instances to differ materially from those anticipated by
Centric Health and described in the forward-looking statements
contained in this press release. No assurance can be given that any of
the events anticipated by the forward-looking statements will transpire
or occur or, if any of them do so, what benefits Centric Health will
derive there-from.
SOURCE: Centric Health Corporation