Prospect Medical Holdings Reports Fiscal 2007 Fourth Quarter and Full Year Results
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Prospect Medical Holdings, Inc. (AMEX: PZZ) ("Prospect”),
which manages the medical care of approximately 241,000 HMO enrollees
and operates four community hospitals in southern California, today
announced financial results for its fiscal 2007 fourth quarter and
fiscal year ended September 30, 2007 (see attached tables). These
results include the operations of the two acquired entities since their
respective dates of acquisition; specifically the ProMed Entities ("ProMed”),
which Prospect acquired on June 1, 2007, and Alta Hospitals System, LLC
(f/k/a Alta Healthcare System, Inc.) ("Alta”),
which Prospect acquired on August 8, 2007.
CONSOLIDATED RESULTS OVERVIEW
Consolidated revenues for the fourth quarter of fiscal 2007 rose 117.8%
to $71.7 million from $32.9 million in the same period last year. This
was due primarily to a $15.6 million contribution from Alta and a $22.9
million contribution from ProMed, as compared to no such contributions
in the same period last year. The operating loss for the fiscal 2007
fourth quarter was $38.2 million as compared to operating income of $2.2
million in the fourth quarter of fiscal 2006. The net loss for the
fourth quarter of fiscal 2007 was $33.3 million, or $3.14 per diluted
share, as compared to net income of $1.3 million, or $0.15 per diluted
share, in the fourth quarter of 2006. The 2007 net loss amounts are
after the non-cash, non-recurring $38.8 million goodwill and
identifiable intangibles write-down described below.
Consolidated revenues for the full year of fiscal 2007 rose 33.0% to
$180.7 million from $135.8 million last year, due primarily to a $15.6
million contribution from Alta and a $30.5 million contribution from
ProMed, as compared to no such contributions last year. This increase
was offset by a $1.2 million decrease in Prospect’s
legacy IPA operation. The operating loss for fiscal 2007 was $38.1
million as compared to operating income of $8.3 million in fiscal 2006.
The net loss for fiscal 2007 was $33.5 million, or $3.94 per diluted
share, as compared to net income of $4.9 million, or $0.60 per diluted
share, in fiscal 2006. The 2007 net loss amounts are after the non-cash,
non-recurring $38.8 million goodwill and identifiable intangibles
write-down described below.
The operating and net losses for the fiscal 2007 fourth quarter and full
year included non-cash charges totaling $38.8 million, amounting to
$3.67 per diluted share in Q4 and $4.57 per diluted share for fiscal
2007, comprised of write-downs of $38.0 million in goodwill and $0.8
million in identifiable intangibles related to the legacy Prospect
portion of the IPA Management segment.
Exclusive of the $38.8 million in charges, operating and net income for
the fiscal 2007 fourth quarter would have been $573,000 and $5,500,000,
respectively, while operating and net income for all of fiscal 2007
would have been $689,000 and $5,300,000, respectively.
During fiscal 2007, Alta and ProMed performed as expected, generating
higher revenues and income as compared to the prior year. Prospect
continued to make significant investments in its core IPA operation,
consistent with its reputation for service, accessibility and
efficiency. These investments, while considered essential to the Company’s
strategy, did lower current year margins as compared to the prior year.
Key fiscal 2008 IPA initiatives include revenue management; claims
management; membership retention and growth; and increasing the number
of capitated specialist providers. Finally, the Company has taken a
variety of steps to strengthen Alta’s
internal controls, including in those areas that gave rise to the
restatement of Alta’s 2006 financial
statements, and is addressing and correcting any existing weaknesses as
part of ongoing efforts to improve its control environment.
SEGMENT RESULTS
Following the acquisitions of ProMed and Alta, Prospect is now organized
into the following primary reportable segments: "IPA
Management,” consisting of 11 legacy Prospect
IPAs and two legacy Management Services Organizations ("MSOs”),
two ProMed IPAs and one ProMed MSO; and "Hospital
Services,” consisting of Alta’s
four community based hospitals in southern California.
IPA Management
($ in 000s) Three Months Ended September 30 Year Ended September 30 2007
2006 2007
2006
Total Revenues
$
56,163
$
32,941
$
165,070
$
135,796
Operating Expenses:
Managed care cost of revenue
46,947
23,326
131,045
97,184
General and administrative
10,483
7,327
36,208
30,205
Depreciation and amortization
1,340
517
2,622
1,513
Goodwill and intangibles impairment
38,776
--
38,776
--
Total Operating Expenses
97,546
31,170
208,651
128,902
Operating Income from Unconsolidated Joint Venture
349
402
2,663
1,400
Operating (Loss) Income
$
(41,034
)
$
2,173
$
(40,918
)
$
8,294
Higher revenues for the fourth quarter and fiscal year ended September
30, 2007 were due primarily to the June 1, 2007 acquisition of ProMed.
For the 2007 fourth quarter and fiscal year, ProMed contributed $22.9
million and $30.5 million in revenues, respectively. There were no such
contributions during fiscal 2006. Revenues for the 2007 fourth quarter
and fiscal year were also positively impacted by $1.1 million and $3.3
million, respectively, due to the reassignment of revenues under the
CalOptima contract from the AMVI/Prospect Joint Venture directly to
Prospect Medical Group, and higher pay-for-performance revenues for the
delivery of quality medical care. These increases were slightly offset
by lower hospital risk pool revenue, decreased enrollment, and lower
capitation rates for senior members under Medicare’s
risk adjusted payment methodology.
Total IPA operating expenses increased by 212.9% in the fourth quarter
of fiscal 2007 and by 61.8% for the full year compared to the respective
prior year periods, and were comprised of the following:
Higher managed care cost of revenue for the fiscal 2007 fourth quarter
and fiscal year, the result of the ProMed acquisition, which Prospect
owned during the last four months of fiscal 2007, as well as higher
per member per month medical costs, offset by enrollment declines in
Prospect’s legacy IPA business.
Higher general and administrative expenses ("G&A”)
for the fiscal 2007 fourth quarter and fiscal year due primarily to
increases in staffing, and increased audit, legal, Sarbanes-Oxley Act
compliance and information technology consulting costs. Higher G&A was
also due, in part, to the acquisition of ProMed, which increased these
expenses by approximately $1.4 million in the fiscal 2007 fourth
quarter and by approximately $1.9 million for all of fiscal 2007.
Exclusive of the ProMed acquisition, as a percentage of revenue, G&A
increased to approximately 27.2% for the fiscal 2007 fourth quarter
from 22.2% for the fourth quarter of 2006, and to 25.5% for the full
year 2007 from 22.2% for fiscal 2006.
Depreciation and amortization increased primarily as a result of
increased amortization of intangible assets acquired in connection
with the ProMed acquisition, as well as depreciation expense
associated with increased capital expenditures.
During the fourth quarter of fiscal 2007, Prospect, together with its
outside valuation experts, determined that the current and future
operating cash flows of its legacy IPA operation, inclusive of the
costs of managing that operation, indicated the need to write down
goodwill and identifiable intangibles in that legacy Prospect unit. As
a result of these analyses, goodwill and identifiable intangibles in
the legacy Prospect reporting unit were determined to be impaired and
written down by a total of $38.8 million.
Income from unconsolidated joint venture increased as a result of
increased profitability from the participation in the CalOptima OneCare
program for Medicare/MediCal eligible beneficiaries during fiscal 2007.
The operating losses in the IPA segment for the fiscal 2007 fourth
quarter and full year were due primarily to the $38.8 million in
pre-tax, non-cash impairment charges described above and, to a lesser
extent, a decline in members, higher claims per member rates, and higher
general and administrative costs.
Hospital Services
Following the acquisition of Alta, and for the period August 8, 2007
through September 30, 2007, Prospect’s
Hospital Services segment reported revenue of $15.6 million, operating
expenses of $12.8 million, and operating income of $2.8 million.
Prospect did not have a Hospital Services segment during the fiscal 2006
period.
UPCOMING EVENTS
Prospect expects to file its Form 10-Q for the three months ended
December 31, 2007 and Form 10-Q for the three months ended March 31,
2008 by June 16, 2008.
As previously announced, Prospect has been notified that the AMEX has
conditionally accepted the Company’s plan
for regaining compliance with the exchange’s
continued listing requirements and has extended the compliance period
to July 28, 2008. As detailed in previous announcements, following the
filings, as outlined above, and the meeting of certain other terms and
conditions, Prospect believes it will be compliant with the continued
listing requirements of the AMEX and will qualify for its common stock
to resume trading.
Prospect management will host an investor conference call following
the filing of its second quarter Form 10-Q at a date and time that
will be announced prior to the call.
With the Form 10-K to be filed on June 2, 2008, Prospect will begin
preparing its 2007 Proxy Statement, together with other related
materials, in preparation for its (previously postponed) Annual
Meeting, which Prospect expects to be held within the next few months.
ABOUT THE COMPANY
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
to be filed on June 2, 2008, as well as risks and uncertainties arising
from Prospect's acquisition of Alta and ProMed, the debt incurred by
Prospect in connection with those acquisitions, and the ability of the
Company to regain compliance with the AMEX’s
continued listing requirements. 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. Consolidated Statements of Operations ($ in 000s)
Three months ended September 30, Fiscal Year Ended September 30, 2007
2006 2007
2006
Revenues:
Managed care revenues
$
56,164
$
32,941
$
165,070
$
135,796
Hospital operating revenues
15,583
-
15,583
-
Total revenues
71,747
32,941
180,653
135,796
Operating expenses:
Managed care cost of revenues
46,947
23,326
131,045
97,184
Hospital operating expenses
10,699
-
10,699
-
General and administrative
12,052
7,327
37,777
30,205
Depreciation and amortization
1,824
517
3,107
1,513
Impairment of goodwill and identifiable intangibles
38,776
-
38,776
--
Total operating expenses
110,298
31,170
221,404
128,902
Operating income from unconsolidated joint venture
349
402
2,664
1,400
Operating income (loss)
(38,202
)
2,173
(38,087
)
8,294
Other income (expense):
Investment income
288
254
1,097
913
Interest expense and amortization of debt
discounts and fees
(3,988
)
(291
)
(5,257
)
(1,107
)
Loss on interest rate swap
(868 )
--
(868 )
-
Total other (expense)
(4,568 )
(37
)
(5,029 )
(194 )
Income (loss) before income taxes
(42,770
)
2,136
(43,116
)
8,100
Provision (benefit) for income taxes
(9,520 )
880
(9,649 )
3,194
Net income (loss) before minority interest
(33,250
)
1,255
(33,467
)
4,907
Minority interest
(4 )
(1 )
(10 )
( 17
)
Net income (loss)
$ (33,254 ) $ 1,254
$ (33,477
)
$ 4,890
Net earnings (loss) per common share:
Basic
$ (3.14 ) $ 0.18
$ (3.94
)
$ 0.71
Diluted
$ (3.14 ) $ 0.15
$ (3.94
)
$ 0.60
Weighted average shares outstanding:
Basic
10,575
7,096
8,489
6,913
Diluted
10,575
8,295
8,489
8,107
Prospect Medical Holdings, Inc. Consolidated Balance Sheet ($ in 000s)
September 30, 2007
2006 ASSETS Current assets:
Cash and cash equivalents
$
21,599
$
16,623
Investments, primarily restricted certificates of deposit
637
836
Patient accounts receivable, net of allowance for doubtful accounts
of $4,447 at September 30, 2007
15,840
--
Government program receivables
4,274
-
Risk pool receivables
179
1,419
Other receivables, net of allowances of $509 and $632 at September
30, 2006 and 2007
2,559
1,917
Notes receivable, current portion
59
176
Refundable income taxes
5,041
2,493
Deferred income taxes, net
3,395
658
Prepaid expenses and other current assets
3,816
646
Total current assets
57,399
24,768
Property, improvements and equipment, net of accumulated
depreciation and amortization
of $5,094 at September 30, 2007 and $4,000 at September 30, 2006
48,294
1,286
Notes receivables, less current portion
490
414
Deposits and other assets
914
613
Deferred financing costs
7,431
101
Goodwill
129,122
37,838
Other intangible assets, net
51,989
1,637
Total assets
$ 295,639 $ 66,657
LIABILITIES AND SHAREHOLDERS’
EQUITY
Current liabilities:
Accrued medical claims and other health care costs payable
$
22,639
$
11,400
Accounts payable and other accrued liabilities
14,972
6,861
Third-party settlements
1,034
-
Accrued salaries, wages and benefits
6,898
1,331
Current portion of capital leases
356
-
Current portion of long-term debt
8,000
5,300
Other current liabilities
1,252
-
Total current liabilities
55,151
24,892
Deferred income taxes
28,669
1,146
Malpractice reserve
645
-
Long-term debt, less current portion
138,750
6,700
Capital leases, net of current portion
644
-
Interest rate swap liability
1,934
-
Other long-term liabilities
231
34
Total liabilities
226,024
32,772
Minority interest
79
82
Total shareholders’ equity
69,536
33,803
Total liabilities and shareholders’ equity
$ 295,639 $ 66,657