Prospect Medical Holdings, Inc. (NYSE Alternext US: PZZ)
(�Prospect�), which owns and operates four community-based
hospitals and manages the medical care of approximately 194,000 HMO
enrollees in southern California, today announced financial results
for its fiscal 2008 fourth quarter and year ended September 30,
2008. These results include the operations of the ProMed Entities
(�ProMed�), acquired on June 1, 2007, and Alta Hospitals System
(�Alta�), acquired on August 8, 2007, since their acquisition
dates. Results for all periods exclude the Antelope Valley
entities, since their sale on August 1, 2008 and pre-sale results
have been classified as discontinued operations in the consolidated
financial statements. The Company continues to focus on improving
operating efficiencies, rationalizing costs and strengthening its
financial position and credit profile. Cash and equivalents at
fiscal year end were $33.6 million, an increase of approximately
$11.5 million over the prior year. The Company continues to meet
all of its debt obligations, including making additional principal
payments, as it works down its acquisition-related debt.
CONSOLIDATED RESULTS OVERVIEW Consolidated revenues for the fourth
quarter of fiscal 2008 rose 31.0% to $87.7 million, from $67.0
million in the same period last year, due primarily to an increased
contribution of approximately $20.1 million from Alta. Consolidated
revenues for all of fiscal 2008 rose 102.7% to $329.5 million, from
$162.6 million last year, due primarily to an increased
contribution of approximately $111.1 million from Alta and an
increased contribution of approximately $60.8 million from ProMed.
Operating income for the fiscal 2008 fourth quarter was $8.7
million, compared to an operating loss of $27.2 million in the same
period last year. Operating income for fiscal 2008 was $23.7
million, compared to an operating loss of $27.5 million for fiscal
2007. Net income attributable to common stockholders for the fourth
quarter of fiscal 2008 was $6.5 million, or $0.32 per diluted
share, on approximately 20.6 million diluted shares outstanding, as
compared to a net loss attributable to common stockholders of $34.4
million, or $3.25 per diluted share, in the fourth quarter of
fiscal 2007, on approximately 10.6 million diluted shares
outstanding. Net income for the 2008 fourth quarter included a loss
on interest rate swap arrangements of approximately $976,000 as
compared to a loss of approximately $868,000 in the prior year
period. The fiscal 2008 quarter included preferred stock dividends
of approximately $962,000, as compared to preferred stock dividends
of approximately $1.1 million in the fiscal 2007 quarter. For
fiscal 2008, the net loss attributable to common stockholders was
approximately $2.6 million, or $0.20 per basic and diluted share,
on approximately 12.9 million weighted average shares outstanding,
as compared to a net loss attributable to common stockholders for
fiscal 2007 of $34.6 million, or $4.08 per basic and diluted share,
on approximately 8.5 million weighted average shares outstanding.
The net loss for fiscal 2008 included a one-time $8.3 million
non-cash loss on debt extinguishment and a gain on interest rate
swap arrangements of approximately $3.1 million, as compared to a
loss of approximately $868,000 in the prior year period. For fiscal
2008, the impact of recording preferred stock dividends amounted to
approximately $6.8 million, as compared to approximately $1.1
million in fiscal 2007. All accrued preferred stock dividends were
forgiven during August 2008, in connection with the conversion of
preferred stock to common stock. Adjusted EBITDA for the fourth
quarter and full fiscal year 2008 was $11.6 million and $40.1
million, respectively (see reconciliation tables in this release).
SEGMENT RESULTS IPA Management ($ in 000s) Three Months Ended
September 30, � Twelve Months Ended September 30, 2008 � 2007 2008
� 2007 (unaudited) � Total managed care revenues $52,147 $ 51,390
$202,844 $146,976 Total managed care cost of revenues 38,459 43,924
� 158,908 119,657 � Gross margin 13,688 7,466 43,936 27,319 �
General and administrative 7,583 6,658 29,848 24,307 Depreciation
and amortization 870 1,120 3,479 2,298 Impairment of goodwill and
identifiable intangibles 0 27,512 � 0 27,513 � Total non-medical
expenses 8,453 35,290 33,327 54,118 � Income from unconsolidated
joint venture 439 349 � 2,563 2,664 � � Operating income (loss)
$5,674 $(27,475 ) $13,172 $(24,135 ) Managed care revenues for the
fourth quarter of fiscal 2008 increased by approximately $757,000,
or 1.5%, compared with the fourth quarter of fiscal 2007. This 2008
increase reflects the net impact of lower HMO enrollment and rate
increases. Managed care revenues for the full year rose 38.0%, to
$202.8 million, reflecting a $60.8 million increased contribution
from ProMed, given its inclusion for a full year in fiscal 2008,
combined with the net effect of decreased enrollment and rate
increases at Prospect�s legacy IPAs. Managed care cost of revenues
decreased to 73.8% and 78.3% of total managed care revenues for the
fiscal 2008 fourth quarter and full year, from 85.5% and 81.4%,
respectively, in the fiscal 2007 fourth quarter and full year.
These decreases resulted from several factors, including improved
per enrollee reimbursements, improved contracting, and the
inclusion of ProMed for all of fiscal 2008. Higher general and
administrative (�G&A�) expenses for the fiscal 2008 fourth
quarter and year were primarily due to the inclusion of the
acquired entities for the entire periods in fiscal 2008. Income
from unconsolidated joint ventures amounted to approximately
$439,000 and $2.6 million in the 2008 fiscal fourth quarter and
full year, respectively. This compares to approximately $349,000
and $2.7 million in the 2007 fiscal fourth quarter and full year,
respectively. Operating income for the fiscal 2008 fourth quarter
was $5.7 million, as compared to an operating loss of $27.5 million
in the fourth quarter of fiscal 2007, including consideration of
each of the items discussed above. The operating income for all of
fiscal 2008 amounted to $13.2 million, as compared to an operating
loss of approximately $24.1 million for all of fiscal 2007,
including consideration of each of the items discussed above.
Hospital Services (Since August 8, 2007) Prospect�s Hospital
Services segment consists of Alta�s four community-based hospitals
in southern California, acquired in August 2007. ($ in 000s)
Fifty-Four Days Ended September 30, 2007 � Three Months Ended
September 30, 2008 � Twelve Months Ended September 30, 2008
(unaudited) � Net patient revenues $15,583 $35,598 $126,692
Operating expenses: Hospital operating expenses 10,699 24,621
84,353 General and administrative 1,382 3,726 12,481 Depreciation
and amortization 671 2,151 4,286 Total operating expenses 12,752
30,498 101,120 � Operating income $2,831 $5,100 $25,572 The
information above reflects the segment results for the periods
since Alta�s acquisition, which, during fiscal 2007, represented
fifty-four days. Given Alta�s acquisition date, comparison with
fiscal 2007 periods is not meaningful. However, for the periods
detailed above, key performance indicators, including utilization
rates, net inpatient revenue per admission and net inpatient
revenue per patient day have each increased. There has been no
change in the number of hospitals, average licensed beds, or
average available beds. Discontinued Operations The Company sold
its Antelope Valley (�AV�) entities effective August 1, 2008.
Pre-sale results are classified as discontinued operations in the
financial statements, for all periods presented. Revenues for the
AV entities totaled approximately $14.7 million and $18.1 million
during the fiscal years ended September 30, 2008 (AV included for
10 months) and 2007. During fiscal 2008, the AV entities� ten month
net loss from operations (exclusive of any gain on sale) was
approximately $0.4 million. During fiscal 2007, the AV entities�
net loss from operations was approximately $10.0 million (primarily
comprised of an $8.9 million, after tax, write down of associated
goodwill and other intangibles). Use of Adjusted EBITDA Adjusted
EBITDA (earnings before interest, taxes, depreciation and
amortization) is not a measure of financial performance under
generally accepted accounting principles (�GAAP�). Management
believes Adjusted EBITDA, in addition to operating income, net
income and other GAAP measures, is a useful indicator of Prospect�s
financial and operating performance and its ability to generate
cash flows from operations that are available for taxes and capital
expenditures. Investors should recognize that Adjusted EBITDA might
not be comparable to similarly-titled measures of other companies.
This measure should be considered in addition to, and not as a
substitute for, or superior to, any measure of performance prepared
in accordance with GAAP. Reconciliations of Adjusted EBITDA amounts
to the most directly comparable GAAP measures for each of the
quarterly periods in fiscal 2008 are included in the financial
information provided as part of this release. CONFERENCE CALL
Management will host a conference call on Thursday, January 8, 2009
at 2:00 pm ET / 11:00 am PT, to discuss these results, current
operating initiatives, progress on addressing legacy business
issues, and initiatives for 2009. Interested parties may
participate in the call by dialing (866) 267-2584 (Domestic) or
(706) 634-4739 (International) approximately 10 minutes before the
call is scheduled to begin and ask to be connected to the Prospect
Medical conference call. The conference call will be broadcast live
over the Internet at the following link:
http://investor.shareholder.com/media/eventdetail.cfm?eventid=63447&CompanyID=PROSPECT&e=1&mediaKey=FD1088B6F9BDB79FFAEA6E426404E661.
To listen to the live call on the Internet, go to the web site at
least 15 minutes early to register, download and install any
necessary audio software. If you are unable to participate in the
live call, the conference call will be archived and can be accessed
for approximately 30 days. ABOUT PROSPECT MEDICAL HOLDINGS Prospect
Medical Holdings operates four community-based hospitals in the
greater Los Angeles area and manages the medical care of
individuals enrolled in HMO plans in Southern California, through a
network of approximately 14,000 specialist and primary care
physicians. This press release contains forward-looking statements.
Additional written or oral forward-looking statements may be made
by Prospect from time to time, in filings with the Securities and
Exchange Commission, or otherwise. Statements contained herein that
are not historical facts are forward-looking statements. Investors
are cautioned that forward-looking statements, including the
statements regarding anticipated or expected results, involve risks
and uncertainties which may affect the Company's business and
prospects, including those outlined in Prospect's Form 10-K filed
on December 29, 2008, as well as risks and uncertainties arising
from Prospect's acquisition of Alta and ProMed, and the debt
incurred by Prospect in connection with those acquisitions. Any
forward-looking statements contained in this press release
represent our estimates only as of the date hereof, or as of such
earlier dates as are indicated, and should not be relied upon as
representing our estimates as of any subsequent date. While we may
elect to update forward-looking statements at some point in the
future, we specifically disclaim any obligation to do so, even if
our estimates change. Prospect Medical Holdings, Inc. � Condensed
Consolidated Statements of Operations ($ in 000s, except per share
data) � Three months endedSeptember 30,(Unaudited) Twelve months
endedSeptember 30, 2008 � 2007 2008 � 2007 Revenues: Managed care
revenues $52,147 $51,390 $202,844 $146,976 Net patient revenues
35,597 � � 15,583 � � 126,692 � � 15,583 � Total revenues 87,744
66,973 329,536 162,559 � Operating expenses: Managed care cost of
revenues 38,459 43,924 158,907 119,657 Hospital operating expenses
24,621 10,699 84,353 10,699 General and administrative 14,342
10,546 57,399 31,897 Depreciation and amortization 2,077 1,798
7,789 2,997 Impairment of goodwill and intangibles 0 � � 27,512 � �
0 � � 27,512 � Total operating expenses 79,499 94,479 308,448
192,762 � Operating income from unconsolidated joint venture 439 �
� 349 � � 2,563 � � 2,664 � Operating income (loss) 8,684 (27,157 )
23,651 (27,539 ) Other (income) expense: Investment income (92 )
(303 ) (616 ) (1,097 ) Interest expense and amortization of
deferred financing costs 6,285 3,902 22,341 5,049 Gain in value of
interest rate swap arrangements 976 868 (3,096 ) 869 Loss on debt
extinguishment 0 � � 0 � � 8,309 � � 0 � Total other expense, net
7,169 4,467 26,938 4,821 � � Income (loss) before income taxes
1,515 (31,624 ) (3,287 ) (32,360 ) Provision (benefit) for income
taxes 383 � � (6,967 ) � (1,327 ) � (8,913 ) Income (loss) before
minority interest 1,132 (24,657 ) (1,960 ) (23,447 ) Minority
interest (10 ) � 3 � � 1 � � 10 � Income (loss) from continuing
operations 1,142 (24,660 ) (1,961 ) (23,457 ) Income (loss) from
discontinued operations, net of tax 6,354 � � (8,593 ) � 6,169 � �
(10,020 ) Net income (loss) before preferred dividend 7,496 (33,253
) 4,208 (33,477 ) Dividend to preferred stockholders (962 ) �
(1,122 ) � (6,760 ) � (1,122 ) � Net income (loss) attributable to
common stockholders 6,534 � � (34,375 ) � (2,552 ) � (34,599 ) �
Per share data: Basic: Continuing operations $0.01 $(2.44 ) $(0.68
) $(2.90 ) Discontinued operations $0.39 � � $(0.81 ) � $0.48 � �
$(1.18 ) Net Income (loss) attributable to common stockholders
$0.40 � � $(3.25 ) � $(0.20 ) � $(4.08 ) Diluted: Continuing
operations $0.01 � � $(2.44 ) � $(0.68 ) � $(2.90 ) Discontinued
operations $0.31 � � $(0.81 ) � $0.48 � � $(1.18 ) Net Income
(loss) attributable to common stockholders $0.32 � � $(3.25 ) �
$(0.20 ) � $(4.08 ) � Weighted average shares outstanding: Basic
16,239 � � 10,575 � � 12,885 � � 8,489 � Diluted 20,610 � � 10,575
� � 12,885 � � 8,489 � Prospect Medical Holdings, Inc. Condensed
Consolidated Balance Sheets ($ in 000s) � September 30, September
30, 2008 2007 ASSETS Current assets: Cash and cash equivalents
$33,583 $22,095 Investments, primarily restricted certificates of
deposit 637 637 Patient accounts receivable, net of allowance for
doubtful accounts of $3,891 and $4,447 at September 30, 2008 and
2007 18,314 15,840 Government program receivables 4,365 4,274 Risk
pool receivables 338 179 Other receivables 2,598 2,111 Third party
settlement 216 0 Notes receivable current portion 224 59 Refundable
income taxes 2,654 5,041 Deferred income taxes, net 5,788 3,395
Prepaid expenses and other current assets 4,237 3,764 Current
assets � discontinued operations 0 � 789 � Total current assets
72,954 58,184 � Property, improvements and equipment: Land and land
improvements 18,452 18,452 Buildings 22,233 22,233 Leasehold
improvements 1,505 1,418 Equipment 10,628 9,494 Furniture and
fixtures 912 � 958 � 53,730 52,555 Less accumulated depreciation
and amortization (7,911 ) (4,412 ) Property, improvements and
equipment, net 45,819 48,143 Notes receivables, long term portion
238 490 Deposits and other assets 778 776 Deferred financing costs
662 7,431 Goodwill 128,877 129,122 Other intangible assets, net
47,740 � 51,989 � Total assets $297,068 � $296,135 � � LIABILITIES
AND SHAREHOLDERS� EQUITY Current liabilities: Accrued medical
claims and other health care costs payable $20,480 $21,406 Accounts
payable and other accrued liabilities 16,296 14,424 Third-party
settlements 0 1,034 Accrued salaries, wages and benefits 11,257
6,579 Current portion of capital leases 341 356 Current portion of
long-term debt 12,100 8,000 Other current liabilities 107 1,250
Current liabilities � discontinued operations 0 � 2,728 � Total
current liabilities 60,581 55,777 Long-term debt, less current
portion 131,921 138,750 Deferred income taxes 24,433 28,670
Malpractice reserve 786 645 Capital leases, net of current portion
442 644 Interest rate swap liability 6,013 1,934 Other long-term
liabilities 0 � 100 � Total liabilities 224,176 � 226,520 �
Minority interest 81 79 Total shareholders� equity 72,811 � 69,536
� Total liabilities and shareholders� equity $297,068 � $296,135 �
Adjusted EBITDA Reconciliation (Unaudited) A reconciliation of
Adjusted EBITDA (also referred to as �Normalized EBITDA� in
Management discussions) to the most directly comparable GAAP
measure in accordance with SEC Regulation S-K follows, for each of
the four quarters of fiscal 2008. Q1 08 � Q2 08 � Q3 08 � Q4 08 �
Fiscal 2008 ($ in millions) � Operating income � per earnings
release (1) $4.1 $6.4 $4.1 $8.7 Depreciation and amortization 1.9
1.9 1.9 2.1 Prior CEO severance 1.3 Other adjustments (2) 2.4 1.6
2.9 0.8 � Adjusted EBITDA $8.4 $ 9.9 $10.2 $11.6 $40.1 � � Net
Debt: Adjusted EBITDA Ratio: Ending long-term debt $144,021 Less:
Ending cash and cash equivalents (33,583 ) Ending Net Debt $110,438
� Net Debt: Adjusted EBITDA Ratio 2.75 � (1) Operating income for
all of fiscal 2008 is not intended to correspond to the sum of the
quarterly operating income per prior earnings releases due
primarily to classification of the results of discontinued
operations. (2) Comprised of amounts considered by management to be
non-recurring, including certain legacy IPA costs, special
investigation costs, restatement costs, lender charges, and a
portion of the Q4 08 charge for equity grants.
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