Centric Health Reports Second Quarter 2013 Financial Results
- Quarter Highlighted by Record Revenue and Adjusted EBITDA, Fifth
Consecutive Quarter of Positive Cash Flow from Operations and
Strengthened Balance Sheet -
TORONTO, Aug. 13, 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
second quarter and six-month period ended June 30, 2013.
Financial and Operating Highlights for the Second Quarter
-
Revenue increased to a record $122.2 million as compared to $114.1
million for the corresponding period in 2012, primarily the result of
organic growth initiatives;
-
Adjusted EBITDA1increased to a record $13.2 million from $12.5 million for the
corresponding period in 2012 and from $9.7 million for the first
quarter in 2013;
-
The Company is now realizing the benefits of management's efforts in
response to regulatory reforms in the fall of 2010 in the Assessments
segment as Adjusted EBITDA1 increased to $2.6 million in the second quarter from $1.8 million in
the prior year;
-
Reported fifth consecutive quarter of positive cash flow from operations
as a result of the Company's continued focus on cash management and
improved operational income;
-
Strengthened the balance sheet and added financial flexibility through
completion of a $200 million public offering of second lien senior
secured notes, used to repay the Company's Term Loan, Revolving
Facility and a portion of outstanding preferred partnership units. The
Company also entered into an amended and restated agreement for its
Revolving Facility, providing for borrowing capacity of $50 million;
and,
-
Redeemed a total of $30 million of outstanding preferred partnership
units, the Company's most expensive debt instrument, which when
combined with the refinancing, is expected to generate more than $10
million in incremental cash flow annually.
Financial and Operating Highlights Subsequent to the Second Quarter
-
Established a five-year strategic alliance with Vancouver Imaging
("VI"), a premier sub-specialty Diagnostic and Interventional Radiology
Group based in British Columbia, under which VI will provide imaging
services at the Company's state-of-the-art False Creek Healthcare
Centre and the two parties will jointly explore other imaging
opportunities across Canada;
-
Established two specialized Centres of Excellence (COEs) at False Creek
Healthcare Centre:
-
Canada sinus and nasal centre; and,
-
Women's Urology Centre;
-
Launched an Extended Patient Choice Network (EPCN), a Canadian solution,
that offers patients out-of-province surgical choices for early
intervention and treatment through Centric Health's network of surgical
centres across Canada; and,
-
Launched a Triage Assessment Program (TAP) at the Rouge Valley Health
System in Toronto, Ontario which offers patients on waiting lists a
multi-disciplinary assessment and non-surgical treatment alternatives.
"Our record results for the second quarter are demonstrative of our
ability to leverage our one-of-a-kind healthcare services platform for
growth," said David Cutler, President and Chief Executive Officer,
Centric Health Corporation. "While we are pleased with this
performance, we are only just beginning to capitalize on the
significant long-term opportunity inherent in our platform. With key
additions to the senior management team in the first half of this year,
we remain focused on the many organic growth initiatives across our
business, as well as numerous cross-selling opportunities, and
expanding margins through ongoing right-sizing activities and
operational efficiency projects. As many of our growth initiatives have
protracted sales cycles, we expect to begin to see meaningful
contribution from some of these initiatives in the second half of this
year and into 2014. Of particular note, our Bundled Services Offering
to Long-term Care and Retirement Homes continues to gain momentum. Our
recently announced alliance with Vancouver Imaging is evidence of the
solid headway we are making with our strategy to drive utilization of
our surgical centres through innovative programs that partner with the
country's leading healthcare professionals."
Daniel Gagnon, Chief Financial Officer, Centric Health Corporation
added, "The second quarter saw meaningful progress on our stated
objectives to strengthen our balance sheet and improve our management
of working capital. Our debt refinancing activity during the quarter
provides additional financial flexibility to support our growth plans,
while the ongoing success of our cost savings and working capital
management programs is driving improved cash flow."
FINANCIAL RESULTS
(All amounts below are in thousands except per share, shares
outstanding, and percentage data)
Selected Financial Information
|
Three months ended June 30,
|
Six months ended June 30,
|
|
2013
$
|
2012
$
|
2011
$
|
2013
$
|
2012
$
|
2011
$
|
Revenue
|
122,184
|
114,123
|
33,596
|
235,465
|
218,376
|
56,631
|
|
|
|
|
|
|
|
(Loss) income from operations
|
(1,136)
|
3,167
|
2,632
|
(2,251)
|
5,111
|
4,381
|
|
% of revenue
|
(0.9)%
|
2.8%
|
7.8%
|
(1.0)%
|
2.3%
|
7.7%
|
|
|
|
|
|
|
|
(Loss) income before interest expense and income taxes
|
(1,514)
|
48,165
|
14,087
|
8,201
|
48,859
|
7,969
|
EBITDA1
|
7,469
|
54,460
|
15,236
|
25,777
|
61,470
|
9,981
|
Adjusted EBITDA1
|
13,211
|
12,454
|
3,213
|
22,955
|
24,233
|
5,408
|
|
Per share - basic ($)
|
0.10
|
0.11
|
0.04
|
0.18
|
0.22
|
0.07
|
Per share - diluted ($)
|
0.07
|
0.10
|
0.03
|
0.13
|
0.18
|
0.07
|
Adjusted EBITDA1margin
|
10.8%
|
10.9%
|
9.6%
|
9.7%
|
11.1%
|
9.5%
|
|
|
|
|
|
|
|
Net (loss) income
|
(12,361)
|
42,366
|
11,722
|
(7,989)
|
37,715
|
4,598
|
|
Per share ($) - basic
|
(0.10)
|
0.38
|
$0.15
|
(0.06)
|
0.35
|
0.06
|
|
Per share ($) - diluted
|
(0.10)
|
0.34
|
$0.11
|
(0.06)
|
0.29
|
0.05
|
|
|
|
|
|
|
|
Cash flow from operations
|
6,464
|
8,003
|
(439)
|
6,661
|
(2,900)
|
(2,260)
|
|
|
|
|
|
|
|
Weighted average shares outstanding (basic) *
|
126,698
|
112,370
|
80,525
|
125,355
|
109,123
|
74,298
|
Shares outstanding June 30*
|
127,424
|
112,847
|
80,643
|
127,424
|
112,847
|
80,643
|
*Excludes contingent escrowed shares and restricted shares
Consolidated Results
Consolidated revenue for the second quarter of 2013 increased by 7.1% to
$122.2 from $114.1 million for the second quarter of 2012. This
increase was primarily attributable to:
-
Organic growth - Same store revenue growth of $8.6 million, with growth
in all segments except Surgical and Medical Centres;
-
Acquisitions - Retail and Home Medical Equipment stores acquired in the
fourth quarter of 2012 and the first quarter of 2013 were accretive to
revenue by $1.6 million; and,
-
Working days - Higher revenue of $1.4 million as a result of one
additional working day in the second quarter of 2012.
Offsetting these increases were:
-
Pharmacy - A decrease in revenue of $2.0 million as a result of certain
high volume drugs becoming generic; and,
-
Surgical and Medical Centres - A decrease in revenue of $1.5 million
resulting from the restructuring of the Sarnia operations in order to
position this centre for future growth opportunities.
The Company's revenue for the first six months of 2013 increased by 7.8%
to $235.5 million from $218.4 million for the first six months of 2012.
This increase was primarily attributable to:
-
Acquisitions - Purchase of Motion Specialties in February 2012, the
addition of 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 collectively increased
revenue by $12.5 million; and,
-
Organic growth - Same store revenue growth of $13.5 million in the
Physiotherapy, Pharmacy and Retail and Home Medical Equipment segments.
Offsetting these increases were:
-
Pharmacy - A decrease in revenue of $3.5 million as a result of certain
high volume drugs becoming generic;
-
Surgical - A decrease in revenue of $2.8 million resulting from the
restructuring of the Sarnia operations in order to position this centre
for future growth opportunities;
-
Assessments - A decrease in revenue of $1.2 million due to a decline in
referrals resulting from legislative changes in this segment; and
-
Physiotherapy - The impact of $0.9 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
second quarter of 2013 increased to $13.2 million from $12.5 million
for the corresponding period in 2012. The majority of this increase was
the result of organic growth initiatives in all segments except for the
Surgical and Medical Centres segment. Adjusted EBITDA also increased on
a sequential basis from $9.7 million in the first quarter of 2013.
Adjusted EBITDA grew in every segment from the first to the second
quarter of 2013.
Adjusted EBITDA1 margin for the second quarter of 2013 increased sequentially to 10.8%
from 8.6% for the first quarter of 2013, and was essentially unchanged
from 10.9% for the second quarter of 2012.
Adjusted EBITDA, for the first six months of the year decreased to $23.0
million from $24.2 million for the corresponding period in 2012.
Adjusted EBITDA margin decreased to 9.7% from 11.1% for the
corresponding period in 2012, due primarily to low utilization of
operating room capacity in the Surgical and Medical Centres segment and
the contribution of Motion Specialties (acquired in January 2012),
which generates lower margins.
Segment Results
|
|
|
Three months ended June 30,
|
|
|
|
Revenue
|
Adjusted EBITDA1
|
|
|
2013
|
2012
|
2013
|
2012
|
|
|
$
|
$
|
$
|
%
|
$
|
%
|
Physiotherapy
|
|
47,716
|
45,563
|
7,570
|
15.9
|
7,284
|
16.0
|
Pharmacy
|
|
26,392
|
23,381
|
2,779
|
10.5
|
2,426
|
10.4
|
Retail & Home Medical Equipment
|
|
29,895
|
26,307
|
1,633
|
5.5
|
1,961
|
7.5
|
Assessments
|
|
10,020
|
9,545
|
2,552
|
25.5
|
1,831
|
19.2
|
Surgical & Medical Centres
|
|
8,161
|
9,327
|
541
|
6.6
|
1,132
|
12.1
|
Corporate
|
|
-
|
-
|
(1,864)
|
-
|
(2,180)
|
-
|
Total
|
|
$ 122,184
|
$ 114,123
|
$ 13,211
|
10.8
|
$ 12,454
|
10.9
|
|
|
|
Six months ended June 30,
|
|
|
|
Revenue
|
Adjusted EBITDA1
|
|
|
2013
|
2012
|
2013
|
2012
|
|
|
$
|
$
|
$
|
%
|
$
|
%
|
Physiotherapy
|
|
92,329
|
90,688
|
13,688
|
14.8
|
14,258
|
15.7
|
Pharmacy
|
|
50,669
|
46,680
|
5,060
|
10.0
|
4,955
|
10.6
|
Retail & Home Medical Equipment
|
|
58,574
|
43,467
|
3,093
|
5.3
|
3,878
|
8.9
|
Assessments
|
|
18,332
|
19,668
|
4,103
|
22.4
|
3,352
|
17.0
|
Surgical & Medical Centres
|
|
15,561
|
17,873
|
909
|
5.8
|
2,268
|
12.7
|
Corporate
|
|
-
|
-
|
(3,898)
|
-
|
(4,478)
|
-
|
Total
|
|
$ 235,465
|
$ 218,376
|
$ 22,955
|
9.7
|
$ 24,233
|
11.1
|
|
|
|
|
|
|
|
|
SHARES OUTSTANDING
As at June 30, 2013 and the date of this press release, the Company had
total shares outstanding of 145,981,068 and 150,808,381 respectively.
The outstanding shares include 18,557,470 shares which are restricted
or held in escrow and will be released to certain vendors of acquired
businesses based on the achievement of certain performance targets.
Accordingly, for financial reporting purposes, the Company reported
127,423,598 common shares outstanding as at June 30, 2013 and
121,389,445 shares outstanding at December 31, 2012. The number of
options outstanding is 8,683,500 at June 30, 2013 and 8,383,500 at
August 13, 2013. The number of restricted share units outstanding is
1,707,707 at June 30, 2013 and August 13, 2013. The number of warrants
outstanding is 33,078,390 at June 30, 2013 and August 13, 2013. Should
all outstanding options and warrants that were exercisable at June 30,
2013 be exercised, the Company would receive proceeds of $25,443.
FINANCING
During the six month period ended June 30, 2013, the Company repaid
$188,253 for its Term Loan and original Revolving Facility from the net
proceeds of $194,217 which were received from the issuance of second
lien senior secured notes in April 2013. For the three and six month
periods ended June 30, 2013, the Company borrowed an additional $18,100
from its restated and amended Revolving Facility. The Company utilized
$30,000 of proceeds from the second lien senior secured notes and the
restated and amended Revolving Facility to redeem preferred partnership units whose
interest rate was higher than the Company's senior debt facilities. The
Company paid $4,963 and $9,580 in cash interest on its borrowings for
the three and six month periods ended June 30, 2013.
OUTLOOK
Under the leadership of its new President and CEO, David Cutler,
appointed September 2012, and supported by the appointments of Daniel
Gagnon as CFO, Chris Dennis as COO and Jim Black as CIO in the first
half of 2013, Centric Health is poised to take advantage of its
unparalleled Canadian national healthcare platform and the Company's
new management team continues to focus on optimizing and growing
results from that platform. Projects have been launched for the
advancement and implementation of growth initiatives, the effective use
of technology to enhance business integration, management of working
capital and cost saving initiatives.
The Company's principal focus in 2013 is on organic growth initiatives.
Many organic growth initiatives were commenced in2012 and in the first
half of 2013 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. The Company
expects that seasonal factors will affect their third quarter results
as revenues tend to be lower in the Physiotherapy and Surgical and
Medical Centre segments during the summer months.
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 half of 2013 and plans on continuing
its focus in this area. Other cross-selling initiatives include
expanding orthotic sales in physiotherapy clinics and Motion
Specialties and MEDI chair stores, and promoting rehabilitative
services to surgical patients to expedite recovery. The Company
recently launched its first Triage Assessment Program at the Rouge
Valley hospital in Toronto and entered into a strategic alliance with
Vancouver Imaging. The Company also continues to assess potential
strategic acquisitions that will bolster its existing national
platform, however any such acquisitions must provide an appropriate
return relative to any debt which the Company incurs to complete the
acquisition and the return is expected to be in excess of the Company's
risk adjusted weighted average cost of capital including cross platform
pollination benefits. Further initiatives are forthcoming from the
Company's new leadership team, which include a common branding
initiative and pilot projects in the Surgical and Medical Centre
segment.
The Company's focus on improving its operating margins through
right-sizing activities and operational efficiency projects is ongoing.
The Company expects to realize further margin benefits in the surgical
segment as capacity utilization increases through additional demand
from COEs and the introduction of new technologies and in the retail
and home medical segment as it realizes the benefits from a significant
IT integration.
A key strategic priority for the new executive team is strengthening the
Company's balance sheet as evidenced by the completion of the $200
million second lien senior secured notes offering in April 2013, used
to pay down the Company's Term Loan, Revolving Facility and $10 million
of preferred partnership units. A further $20 million was drawn from
the Company's amended and restated Revolving Facility in April and June
2013 in order to further pay down preferred partnership units. In
aggregate, these transactions are expected to provide the Company with
more than $10 million in incremental free cash flow on an annualized
basis. The Company anticipates that, based on meeting its risk-adjusted
2013 operating budget, it will generate sufficient cash flow from
operations in 2013 to meet its obligations as they come due.
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
June 30,
|
Six months ended
June 30,
|
|
|
2013
$
|
2012
$
|
2013
$
|
2012
$
|
Net (loss) income
|
(12,361)
|
42,366
|
(7,989)
|
37,715
|
|
Depreciation and amortization
|
8,878
|
6,319
|
17,439
|
12,552
|
|
Interest expense
|
12,568
|
5,584
|
19,486
|
10,654
|
|
Amortization of lease incentives
|
105
|
(24)
|
137
|
59
|
|
Income tax (recovery) expense
|
(1,721)
|
215
|
(3,296)
|
490
|
EBITDA1
|
7,469
|
54,460
|
25,777
|
61,470
|
|
Transaction and restructuring costs
|
1,889
|
2,454
|
2,413
|
4,781
|
|
Change in fair value of contingent consideration liability
|
(48)
|
(44,993)
|
(6,993)
|
(43,591)
|
|
Stock-based compensation expense
|
3,475
|
538
|
5,222
|
1,686
|
|
Change in fair value of derivative financial instruments
|
426
|
(5)
|
(3,459)
|
(157)
|
|
(Gain) loss on disposal of property and equipment
|
-
|
-
|
(5)
|
44
|
Adjusted EBITDA1
|
13,211
|
12,454
|
22,955
|
24,233
|
|
|
|
|
|
Basic weighted average number of shares
|
126,698
|
112,370
|
125,355
|
109,123
|
Adjusted EBITDA per share (basic)
|
$0.10
|
$0.11
|
$0.18
|
$0.22
|
Fully diluted weighted average number of shares
|
183,873
|
126,288
|
183,056
|
131,505
|
Adjusted EBITDA per share (diluted)
|
$0.07
|
$0.10
|
$0.13
|
$0.18
|
|
|
|
|
|
CONFERENCE CALL
Centric Health will host a conference call, including a slide
presentation, to discuss its second quarter 2013 financial results
tomorrow, Wednesday, August 14, 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, August 21, 2013 at midnight. To access the archived
conference call, dial 1-855-859-2056 and enter the reservation number
22194370.
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
|
|