- First Quarter Highlighted by Continued Solid Performance of Core
Healthcare Services Businesses and Eighth Consecutive Quarter of
Positive Cash Flow from Operations -
TORONTO, May 6, 2014 /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, 2014.
Financial and Operating Highlights for the First Quarter
(All comparative figures are for the corresponding period of the prior
year)
-
Revenue and Adjusted EBITDA1 of $110.3 million and $6.7 million in 2014 compared with $113.3 million
and $7.8 million in 2013 due to the funding changes for seniors
physiotherapy services enacted in August 2013 and a perceived conflict
of interest matter which is temporarily impacting referrals in the
Retail and Home Medical Equipment segment;
-
Adjusted EBITDA1 of $6.7 million (margin of 6.1%) compared with $7.8 million (margin of
6.9%);
-
Adjusted EBITDA1 and Adjusted EBITDA1 margin increased from the fourth quarter of 2013;
-
Achieved eighth consecutive quarter of positive cash flow from
operations and generated an increase in working capital of $8.3 million
as a result of the Company's continued focus on cash management;
-
Appointed Chris Dennis as permanent President of the Retail and Home
Medical Equipment segment in March following his appointment on an
interim basis in January; and,
-
Entered into a definitive agreement to sell its Home Care operations to
an arm's length third party purchaser and, subsequent to quarter end,
signed a Letter of Intent to sell its Seniors Wellness operations,
which when completed will fully resolve the perceived conflict of
interest as determined by the Ontario Ministry of Health and Long Term
Care (MOHLTC).
Highlights Subsequent to Quarter End
-
Closed its under-performing surgical facility in Sarnia, Ontario.
"Our Pharmacy segment and the majority of our Rehabilitation and
Wellness operations continued to perform well and we saw a tangible
contribution from the Surgical Weight Loss Centres acquisition to our
Surgical and Medical Centres segment," said David Cutler, President and
Chief Executive Officer, Centric Health Corporation. "Pharmacy
continues to generate steady top line growth and margins have returned
to historical levels following our technology investments last year.
Profitability at our Surgical and Medical Centres was up 65 percent on
a 23 percent increase in revenue year-over-year and our decision to
close the underperforming Sarnia facility will benefit the bottom line
going forward."
"The solid performance in our core healthcare services businesses was
offset by the impacts of the change in the Ontario seniors
physiotherapy funding model effected last August and the perceived
conflict of interest between our Seniors Wellness/Homecare and Retail
operations. The pending sales of the Home Care and Seniors Wellness
operations will fully resolve the conflict and, when resolved, we
expect revenue in our Retail and Home Medical Equipment to
progressively return to historical levels over the medium term."
"Going forward, we are focused on optimizing the platform for our best,
long-term opportunities in our core healthcare services businesses that
minimize working capital requirements, generate strong cash flows and
limit legislative or funding risk."
"Our continuing focus on cash management enabled us to achieve our
eighth consecutive quarter of positive cash flow from operations,
complemented by an improvement in working capital of $8.3 million,"
said Daniel Gagnon, Chief Financial Officer, Centric Health
Corporation. "The recent amendments to certain financial performance
covenants in our Revolving Credit Facility provide us with additional
flexibility to execute our growth strategy, as we also focus on
strengthening our balance sheet."
FINANCIAL RESULTS
(All amounts below are in thousands except per share, shares
outstanding, and percentage data)
As a result of the strategic initiative to define the Company's long
term operating model and the markets which the Company serves, the
Company's Chief Operating Decision Maker ("CODM") has amended the
manner in which the business is operated and, accordingly, how
financial information is presented to the CODM. As a result, the
Company has amended its reportable operating segments and will now
report four reportable operating segments rather than five reportable
operating segments as it has previously. Operating segments, as
reported to the CODM are as follows: Rehabilitation and Wellness,
Pharmacy, Retail and Home Medical Equipment and Surgical and Medical
Centres. The Assessments operations, which were previously reported
separately, are now reported as part of the Rehabilitation and Wellness
segment (previously named the Physiotherapy segment).
Selected Financial Information
|
For the three month periods ended
March 31,
|
|
2014
$
|
2013 3
$
|
2012
$
|
Revenue
|
110,326
|
113,281
|
104,253
|
|
|
|
|
(Loss) income from operations
|
(3,534)
|
(3,030)
|
1,944
|
|
|
|
|
(Loss) income before interest expense and income taxes
|
(19,618)
|
7,801
|
694
|
|
|
|
|
EBITDA1
|
(11,174)
|
16,394
|
7,010
|
Adjusted EBITDA1
|
6,716
|
7,828
|
11,779
|
Per share - basic ($)
|
$0.05
|
$0.06
|
$0.11
|
Per share - diluted ($)
|
$0.04
|
$0.04
|
$0.09
|
Adjusted EBITDA1margin
|
6.1%
|
6.9%
|
11.3%
|
|
|
|
|
Net (loss) income
|
(27,958)
|
2,965
|
(4,651)
|
Per share ($) - basic
|
$(0.21)
|
$0.02
|
$(0.04)
|
Per share ($) - diluted
|
$(0.21)
|
$0.02
|
$(0.04)
|
|
|
|
|
Cash flow from operations
|
3,832
|
200
|
(10,903)
|
|
|
|
|
Weighted average shares outstanding (basic) 2
|
133,563
|
123,990
|
105,839
|
Shares outstanding March 31 2
|
133,563
|
125,934
|
112,447
|
1See "Non-IFRS Measures" below.
|
2Excludes contingent escrowed shares and restricted shares.
|
3As part of the year end financial statement close process for the year
ended December 31, 2013, the Company's Motion Specialties operations
performed an inventory count and valuation. Upon the completion of the
inventory count and inventory valuation, an adjustment of $1,915
($1,408 net of income taxes) was recorded for the three month period
ended March 31, 2013 which reduced inventory and increased cost of
healthcare services and supplies.
|
Consolidated Results
Consolidated revenue for the three month period ended March 31, 2014 was
$110.3 million compared with $113.3 million for the three month period
ended March 31, 2013. This decrease was primarily attributable to:
-
Rehabilitation and Wellness - a decrease of $8.2 million in the Seniors
Wellness operations as a result of the funding changes for
physiotherapy services for seniors implemented by the Ontario Ministry
of Health and Long Term Care in August 2013; and,
-
Retail and Home Medical Equipment - a decrease of $3.9 million due to
the impact on Assisted Device Program (ADP) referrals of the perceived
conflict on interest between its Seniors Wellness/Home Care operations
and its Retail and Home Medical Equipment operations as determined by
the Ontario MOHLTC and decreased order fulfillment at one of its larger
retail stores during an IT conversion.
Partially offsetting these decreases were:
-
Organic Growth - the Rehabilitation and Wellness, Pharmacy and Surgical
and Medical Centre segments contributed incremental revenue of $6.3
million;
-
Acquisitions - the purchase of Surgical Weight Loss Centres (SWLC) in
the fourth quarter of 2013 and other start-up initiatives contributed
incremental revenue of $2.0; and,
-
Business Days - one additional business day in the first quarter of 2014
contributed incremental revenue of $1.1 million.
Adjusted EBITDA1, which excludes transaction and restructuring costs, the change in fair
value of derivative financial instruments, non-cash impairments and the
non-cash change in the fair value of the contingent consideration
liability, for the three month period ended March 31, 2014 was $6.7
million compared with $7.8 million for the three month period ended
March 31, 2013. Organic growth in the Rehabilitation and Wellness and
Pharmacy segments and accretive growth from the SWLC acquisition were
more than offset by decreases in the Seniors Wellness operations of the
business and the Retail and Home Medical Equipment segments, consistent
with revenue for these segments.
Adjusted EBITDA1 margin for the three month period ended March 31, 2014 decreased to
6.1% from 6.9% for the corresponding period in 2012.
Segment Results
(in 000s of dollars)
|
|
For the three month periods ended March 31,
|
|
|
Revenue
|
Adjusted EBITDA1
|
|
|
2014
|
2013
|
2014
|
2013
|
|
|
$
|
$
|
$
|
%
|
$
|
%
|
Rehabilitation and Wellness
|
|
48,367
|
52,925
|
6,314
|
13.1
|
7,824
|
14.8
|
Pharmacy
|
|
27,611
|
24,278
|
3,501
|
12.7
|
2,474
|
10.2
|
Retail & Home Medical Equipment
|
|
25,217
|
28,679
|
(845)
|
(3.4)
|
(160)
|
(0.6)
|
Surgical & Medical Centres
|
|
9,131
|
7,399
|
645
|
7.1
|
391
|
5.3
|
Corporate
|
|
—
|
—
|
(2,899)
|
—
|
(2,701)
|
—
|
Total
|
|
110,326
|
113,281
|
6,716
|
6.1
|
7,828
|
6.9
|
SHARES OUTSTANDING
As at March 31, 2014 and the date of this press release (May 6, 2014),
the Company had total shares outstanding of 152,995,764. The
outstanding shares include 19,432,470 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
133,563,294 common shares outstanding as at March 31, 2014 and
133,363,294 shares outstanding at December 31, 2013. The number of
options outstanding is 8,266,000 at March 31, 2014 and May 6, 2014. The
number of restricted share units outstanding is 1,550,269 at March 31,
2014 and May 6, 2014. The number of warrants outstanding is 33,177,310
at March 31, 2014 and at May 6, 2014. Should all outstanding options
and warrants that were exercisable at March 31, 2014 be exercised, the
Company would receive proceeds of $26.0 million.
FINANCING
During the first quarter of 2014, the Company finalized a suite of
amendments to the covenants for its $50 million Revolving Credit
Facility for 2014 and beyond. The amendments resulted from the funding
reductions in Ontario from the MOHLTC for seniors physiotherapy
services and a perceived conflict of interest matter which impacts the
profitability of Motion Specialties and the Seniors Wellness
operations. Based on its 2014 operating budget and cash flow
management initiatives, the Company believes it will be in compliance
with the new financial performance covenants for the Revolving Facility
at each quarterly measurement date through to the end of 2014. The
Company was in compliance with its financial performance covenants at
March 31, 2014. The Company paid $1.7 million in cash interest on its
borrowings for the first quarter of 2014.
OUTLOOK
Centric Health remains well positioned to capitalize on its unparalleled
national healthcare platform. The Company's senior leadership team,
under the direction of CEO David Cutler, has completed a review which
analyzed and evaluated the Company's businesses individually and as a
group. They have evaluated the businesses in the context of the key
factors relevant to the success of a Canadian healthcare services
company, its core competencies and best opportunities, as well as the
evolving nature of the regulatory environments within which it
operates. Senior leadership will continue to focus on optimization of
the platform to minimize working capital requirements, generate strong
cash flows, limit regulatory risk and maximize long-term potential,
with the objective of generating long-term value for shareholders.
Centric Health's growth strategy is focused in three major areas:
Expanding the footprint of its physiotherapy clinic network; expanding
its Pharmacy operations to Western Canada; and growing its offering of
specialized surgical solutions. The Company plans on only launching an
acquisition or growth initiative once a comprehensive and complete
analysis has been completed to ensure they are accretive within a
reasonable period. Organic growth initiatives will be focused on those
with a low cost capital investment that utilize the Company's existing
resources and capacity. Acquisitions should provide an appropriate
return relative to any requisite investment and the return is expected
to be in excess of the Company's risk adjusted weighted average cost of
capital.
Rehabilitation and Wellness
The Company continued to focus on growth in the Rehabilitation and
Wellness segment from the Company's rehabilitation clinics and
assessment centres through organic expansion initiatives such as
expanding its preferred provider relationships with employers and other
organizations. The Company is also seeking to increase its local
marketing initiatives in order to increase the volume of patient visits
and brand awareness. The Company may expand its rehabilitation clinic
footprint through strategic acquisitions. However, growth through
acquisition will only occur if the acquisition will be accretive to
income and complementary to the Company's national network. Growth at
the Company's assessment centres will be achieved by increasing market
share through successful RFPs.
Following the MOHLTC's determination that a perceived conflict existed
between its Seniors Wellness and Home Care operations and its Retail
operations, management acted definitively and expeditiously in the best
interests of all the affected physiotherapists, customers' residents
and patients, as well as the health of these businesses overall, making
the decision to sell its Seniors Wellness and Home Care operations. The
pending sales of the Seniors Wellness and Home Care operations will
fully resolve the perceived conflict. Year-over-year comparisons for
the Rehabilitation and Wellness segment for the remainder of 2014 will
reflect the divestiture of these operations.
Pharmacy
Revenues for the Company's Pharmacy segment are expected to continue to
increase in the balance of 2014 due to organic growth resulting from
successful contract tenders, retail initiatives, bundled service
offerings, and maximizing the utilization of existing infrastructure.
Adjusted EBITDA margins have returned to historical levels following
non-recurring costs to implement Electronic Medical Administrative
Records ("EMAR") for existing long-term care home contracts and are
expected to be maintained in upcoming quarters. The Company is
exploring expansion of its Pharmacy operations, which currently reside
wholly in Ontario, into Western Canada.
Surgical and Medical Centres
Following a decline in the second half of 2012 and first half of 2013,
the financial results of the Surgical and Medical Centres segment
showed signs of stability in the second half of 2013 and improved on a
year-over-year basis in the first quarter of 2014, primarily due to the
acquisition of SWLC, in the fourth quarter of 2013. SWLC will expand
the Company's bariatric footprint across its surgical locations. The
acquisition of SWLC contributed to a 23% year-over-year increase in
revenue and 65% increase in Adjusted EBITDA in the first quarter of
2014.
Following significant effort to rebuild operations at its Sarnia
facility that were not realized and due ongoing losses and projected
losses into the future, the Company closed the Sarnia facility on April
30, 2014.
The Company is continuing its efforts to expand the roster of physicians
to utilize excess operating room capacity at all centres. In addition,
in the second half of 2013, the Company launched multiple initiatives
to drive capacity utilization in the Surgical and Medical Centre
segment, including a five-year strategic alliance with Vancouver
Imaging, two specialized Centres of Excellence for Sinus and Nasal and
Women's Urology, Extended Patient Choice Network, and the first Triage
Assessment Program (TAP) at the Rouge Valley Health System.
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.
Retail and Home Medical Equipment
The Company's Retail and Home Medical Equipment segment achieved revenue
growth in the first three quarters of 2013, however, growth has been
stalled in the last two quarters due to the perceived conflict of
interest matter, which resulted in lower ADP referrals during these
periods. The matter will be resolved through the sales of the Seniors
Wellness and Home Care operations subsequent to the end of the first
quarter of 2014 and the segment's revenue growth is expected to
progressively improve to historical levels and beyond over the medium
term. Adjusted EBITDA for this segment has not reflected its revenue
growth as the Company has invested in revenue generating personnel for
initiatives with a longer sales cycle. The benefits of these
investments are not expected to be fully realized until the fourth
quarter of 2014. Motion Specialties reduced head count both in the
second quarter of 2013 and in the first quarter of 2014 through
attrition and restructuring in order to better align its resourcing
needs.
In the first quarter of 2014, the Company upgraded leadership of the
segment, replacing several members of the management team, including
the appointment of Chris Dennis (previously Centric Health's Chief
Operating Officer) as President. Under the direction of Mr. Dennis,
decisive action has been taken including a strategic review of the
in-process IT integration, staffing changes, organizational structure
changes, cost rationalization initiatives and a continuous improvement
project designed to standardize and streamline business processes. A
major system integration of Motion Specialties is in progress with
pilot launches in September 2013 and February 2014. However, the
process re-engineering of day-to-day activities and the automation of
inventory is taking longer than management had expected. In order to
effectively implement new processes in conjunction with the new system,
the Company has revised its estimated completion date to the end of
2015, with approximately half of this segment's inventory balance
migrated to a perpetual inventory system by the end of 2014. It is
expected that this project will drive operational improvements and
improve Adjusted EBITDA margins once it is completed. The Company has
brought on personnel with experience in process re-engineering and
supply chain management in order to assist Mr. Dennis with his
strategic plans for this segment. Cost management is also an area of
focus which includes reducing discretionary spending, bulk-purchasing
initiatives and spending caps.
Financial
The activities senior management has undertaken to improve its balance
sheet since the beginning of 2013, including amendment of certain
financial performance covenants for its $50 million Revolving Credit
Facility during the first quarter of 2014, have provided the Company
with additional financial flexibility to execute its strategy.
Management's focus on cash management has resulting in eight
consecutive quarters and significantly improved working capital in the
first quarter of 2014.
The Company's debt profile has improved such that it has no debt
principal repayment obligations until June 2015 and, with the exception
of the Jamon related-party debt, all of the Company's convertible debt
offerings can be settled in common shares at the discretion of the
Company.
The Company will continue to focus on strengthening its balance sheet
through strategic repayments of the Company's most expensive debt
arrangements based on the generation of free cash flow from operations
and from other opportunities as they arise.
1Non-IFRS Measures
This press release includes certain measures which have not been
prepared in accordance with IFRS such as EBITDA, Adjusted EBITDA,
Adjusted EBITDA margin 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
non-IFRS measures presented are unlikely to be comparable to similar
measures presented by other issuers.
The Company defines EBITDA as earnings before depreciation and
amortization, interest expense, amortization of lease incentives, and
income tax expense (recovery). Adjusted EBITDA is defined as EBITDA
before transaction and restructuring costs, changes in the fair value
of the contingent consideration liability, impairments, stock based
compensation expense, change in fair value of derivative financial
instruments and gain on disposal of property and equipment recognized
in the statement of income. Adjusted EBITDA margin 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. The Company's agreements with
senior lenders are structured with certain financial performance
covenants which includes Adjusted EBITDA as a key component of the
covenant calculations. EBITDA and Adjusted EBITDA are not recognized
measures under IFRS.
Reconciliation of Non-IFRS Measures
|
|
For the three month periods
ended March 31,
|
|
|
2014
$
|
2013 3
$
|
Net (loss) income
|
(27,958)
|
2,965
|
|
Depreciation and amortization
|
8,359
|
8,561
|
|
Interest expense
|
8,271
|
6,918
|
|
Amortization of lease incentives
|
85
|
32
|
|
Income tax expense (recovery)
|
69
|
(2,082)
|
EBITDA1
|
(11,174)
|
16,394
|
|
Transaction and restructuring costs
|
1,383
|
523
|
|
Change in fair value of contingent consideration liability
|
(17)
|
(6,945)
|
|
Impairments
|
16,494
|
—
|
|
Stock-based compensation expense
|
423
|
1,747
|
|
Change in fair value of derivative financial instruments
|
(393)
|
(3,886)
|
|
Gain on disposal of property and equipment
|
—
|
(5)
|
Adjusted EBITDA1
|
6,716
|
7,828
|
|
|
|
Basic weighted average number of shares
|
133,563
|
123,990
|
Adjusted EBITDA per share (basic)
|
$0.05
|
$0.06
|
|
|
|
Fully diluted weighted average number of shares
|
189,837
|
179,423
|
Adjusted EBITDA per share (diluted)
|
$0.04
|
$0.04
|
CONFERENCE CALL
Centric Health will host a conference call, including a slide
presentation, to discuss its first quarter 2014 financial results
tomorrow, Wednesday, May 7, 2014, 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 14, 2014 at midnight. To access the archived conference
call, dial 1-855-859-2056 and enter the reservation number 30885558.
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