THe Diffenbaugh Report; A Medical Industry Newsletter for Healthcare Professionals

Feb-March
2002
Issue

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Universal Health Services, Inc. Announces 30% Increase In Net Income

Universal Health Services, Inc. has announced today its final results for the fourth quarter and full year ended December 31, 2001. Net income for the year was $99.7 million or $1.60 per share (diluted) after recording pretax non recurring charges of $49 million or $.46 per share (diluted) after tax. Net income increased for the ninth consecutive year. Excluding the nonrecurring charges, earnings per share (diluted) for the year ended December 31, 2001 were $2.06, a 30% increase from the earnings recorded in the full year of 2000. Net revenues for the year ended December 31, 2001 were $2.8 billion, a 27% increase from prior year. Earnings before interest, depreciation and amortization, nonrecurring charges and income taxes were $370 million, representing a 25% increase from the prior year. Shareholders' equity at year-end was $808 million and debt, net of cash balances, was $698 million.

      Net income for the quarter ended December 31, 2001 was $.9 million, or $.02 per share (diluted) including the unfavorable nonrecurring pretax charges of $49 million or $.46 per share after tax. Earnings before interest, depreciation and amortization, nonrecurring charges and income taxes were $90 million, representing a 20% increase from the prior year quarter.

      They recorded three unusual charges in the fourth quarter of 2001. As previously disclosed, the Company took a pretax $40 million, or $.38 per share after tax, charge to earnings to reserve for malpractice expenses that may result because the Company's malpractice insurance company, PHICO, was placed in liquidation on February 1, 2002. As a result of the Company's successful refinancing activities in the fourth quarter, the Company recorded a pretax extraordinary expense of $1.6 million, or $.01 per share after tax, for the early termination of a $135 million, 83/4% note issued in 1995. The Company also recorded a pretax loss on derivative transactions of $7.4 million, or $.07 per share after tax, resulting from the early termination of interest rate swaps. The earnings per share for the 2001 year have been adjusted to reflect the assumed conversion of the Company's convertible debentures, however, the earnings per share for the fourth quarter have not been adjusted to assume the conversion of the debentures because the effect would have been anti-dilutive.

      Alan B. Miller, Chairman and CEO commented, "The core strengths of UHS were clearly evident in 2001. Admissions to our acute care hospitals and behavioral health facilities grew rapidly at 4.8% and 6.7% rates compared to the prior year. We continue to achieve substantial price increases from HMOs and insurance companies, and we are expanding our services in the many growing communities served by our hospitals. We acquired seven hospitals domestically and a leading hospital company in France during 2001. UHS remains one of the most financially stable organizations in health care and is well positioned to grow both from existing operations as well as through acquisitions of community hospitals and medical centers."

      Universal Health Services, Inc. is one of the nation's largest hospital companies, operating acute care and behavioral health hospitals and ambulatory surgery and radiation centers nationwide, in Puerto Rico, and in France. It acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust. Back to TOC.

HCA Shares Fall after Wall St Journal Report

Shares of HCA Inc., the largest U.S. hospital chain, fell more than 5 percent after the Wall Street Journal reported that the Medicare fraud charges facing the company may be more serious than previously thought. The paper's "Heard on the Street" column cited HCA's move to prevent U.S. Justice Department attorneys and whistleblowers from deposing former and current employees in the company's remaining civil cases over Medicare fraud.

      Whistleblower attorneys told the paper that HCA could pay damages of $2 billion for the remaining Medicare billing problems, which include allegations of physician kickbacks. Analysts dispute that figure, suggesting HCA could settle the case for $200 million to $400 million and that the company has the financial capabilities to do so.

      "If you look at past history, the government has had difficulty trying to prove Medicare fraud," Dirnagl said. He notes that the government has been investigating this matter since 1993 and HCA had already paid $840 million, including $95 million in criminal fines, to settle three of the charges.

      HCA Inc. is negotiating with the U.S. government to settle two civil charges, Chief Executive Jack Bovender told CNBC Friday. "We've settled...all of the criminal charges against the company, " he said, " and three out of five of the civil charges, and (we) are in active negotiations with the government to resolve all those issues now." Bovender said he would like to resolve the issues "as soon as its humanly possible to do" through negotiations and avoid any litigation. The chairman also said there is a "reasonable (financial) range" in which the healthcare firm believes it can settle the final issues. Back to TOC.

Health Management Associates, Inc. & Manor Care, Inc. Own Jointly

Health Management Associates, Inc. and Manor Care, Inc. to operate the two hospitals located in Mesquite, Texas. The 172-bed Mesquite Community Hospital, now owned by Manor Care, Inc. and the 176bed Medical Center of Mesquite acquired by HMA on December 31, 2001. HMA will own 80% of the two hospitals and will be responsible for the operations of the two facilities. This transaction is expected to be completed on or before June 1, 2002.

      This hospital represents HMA's fifth acquisition of fiscal year 2002, and these two hospitals represent approximately $130$140 million of net revenue. Mesquite, Texas serves a population of approximately 120,000 and has experienced more than 20% growth since 1990.

      HMA is a large, owner operator of general acute care hospitals, primarily in second tier communities in the Southeast and Southwest. They will operate 43 hospitals in 14 states with 5,968 licensed beds. HMA has experienced 13 years of uninterrupted operating earnings growth. Back to TOC.

Province Shares Take a Hit After Outlook

Shares of rural hospital operator Province Healthcare Co. fell more than 11 percent after the company's forecasts for 2002 earnings and admissions trends were not as high as investors had hoped, news that also sent other hospital stocks lower.

      The Brentwood, Tennessee-based company is expecting 36 percent earnings per share growth to $1.37 in 2002, compared with the $32.9 million, or $1.01 a share earned for 2001 that the company last reported. The 2002 estimate includes an accounting change that reduced goodwill expenses.

      Province is also forecasting admissions growth of 1 percent to 3 percent at hospitals open more than a year for 2002 after a 0.2 percent increase in the fourth quarter, the hospital said. Back to TOC.

Children's Comprehensive Services and Ameris Acquisition, Inc. Complete Merger

Children's Comprehensive Services, Inc. announced the completion of its previously announced merger with Ameris Acquisition, Inc. ("Ameris"). As a result, each outstanding share of CCS common stock has been converted into the right to receive $6.00 in cash, without interest.

      The Company's exchange agent will mail to each CCS shareholder a letter of transmittal and instructions for surrendering CCS stock certificates in exchange for cash. CCS shareholders should not submit stock certificate for exchange until receipt of the letter of transmittal and the instructions referred to above. CCS's common stock ceased trading on the NASDAQ at the close of business today.

      Children's Comprehensive Services provides education, treatment and juvenile justice services for at-risk and troubled youth either directly or through management contracts. It currently offers these services through the operation and management of nonresidential specialized education programs and day treatment programs and both open and secured residential treatment centers to approximately 3,200 youth in 14 states. Back to TOC.

LifePoint Reports 68.8% and 66.7% Increase in EPS for Fourth Q and Year, Respectively

Fourth Quarter Highlights
Continuing strong financial performance Quarterly EPS of $0.27 compared with $0.16 in the prior year EBITDA margin increased to 21.5%, a 60bp increase over prior year Increase in same-hospital revenues of 8.7% Increase in same-hospital EBITDA of 13.7% Increase in same-hospital admissions of 3.6% Increase in same-hospital equivalent admissions of 4.6% Completed acquisitions of 116bed Ville Platte Medical Center and 118bed Athens Regional Medical Center

2001 Highlights
Annual EPS of $0.90 compared with $0.54 in the prior year EBITDA margin increased to 21.2%, a 220bp increase over prior year Raised approximately $100 million through a secondary offering in March 2001 Fully repaid all outstanding bank borrowings Completed a $200 million, five-year amended and restated credit agreement  Cont. at Top of Column 2.


 

     

In This Issue--Also See Archive

UHS Announces Income Surge
Universal Health Services, Inc. has announced today its final results for the fourth quarter...
HCA Stock Falls on Wall St. News
Shares of HCA Inc., the largest U.S. hospital chain, fell more than 5 percent...
HMA & Manor Care Joint Venture
Health Management Associates, Inc. and Manor Care, Inc. to operate the two hospitals located in Mesquite...
Province Shares Dive on Dim Forecast
Shares of rural hospital operator Province Healthcare Co. fell more than 11 percent after...
CCS Merges with AAI
Children's Comprehensive Services, Inc. announced the completion of its previously announced merger with Ameris...
LifePoint Posts Lively Q4 & Year
Continuing strong financial performance Quarterly EPS of $0.27 compared with $0.16 in the prior year...
Magellan Stays on Course in Rough Year
Magellan Health Services, Inc., reported operating results for the first quarter of fiscal year 2002...
Trigon Profits Healthy
Trigon Healthcare Inc., Virginia's largest managed health care company, said its net profit nearly doubled...
Tenet Not Tenative in Tender Offer
Tenet Healthcare Corporation has launched a tender offer for its 8 1/8 % Senior Subordinated Notes
US Onclocgy Q4 & Year-End Results
US Oncology Inc. announced results for the fourth quarter ended Dec. 31, 2001.

LifePoint Earnings Healthy

Continued from Bottom Column 1.

LifePoint Hospitals, Inc. operates 23 hospitals in non-urban areas. In most cases, the LifePoint facility is the only hospital in its community. LifePoint's non-urban operating strategy offers continued operational improvement by focusing on its five core values; delivering high quality patient care, supporting physicians, creating excellent workplaces for its employees, providing community value, and ensuring fiscal responsibility. Headquartered in Brentwood, Tennessee, LifePoint Hospitals is affiliated with over 6,000 employees. Back to TOC.

Magellan Health Services Announces First Quarter 2002 Financial Results

Magellan Health Services, Inc., reported operating results for the first quarter of fiscal year 2002. The company reported net revenues for the quarter of $444.8 million and segment profit (net revenues less cost of care, direct service costs and other operating expenses plus equity in earnings of unconsolidated subsidiaries) of $52.9 million. In the prior year quarter, the company recorded revenues of $445.9 million and segment profit of $71.3 million. As disclosed last year, the prior year quarter included certain nonrecurring items, including the favorable settlement of a pricing adjustment under one of the company's TRICARE contracts. Excluding these nonrecurring items, prior year quarterly revenues were $425.5 million and segment profit was $56.5 million.

      Income from continuing operations was $8.7 million or $0.21 per share for the quarter on a fully diluted basis. Adjusted income from continuing operations, which excludes restructuring charges in the current quarter of approximately $4.5 million pretax, was $11.3 million or $0.27 per share. Adjusted income from continuing operations was positively impacted by $6.8 million (net of tax) related to the adoption by the company in the quarter of Statement of Financial Accounting Standards No. 142, under which goodwill is no longer amortized.

      Cash flow from operations for the quarter was $24.1 million compared to $22.3 million in the prior year quarter. The company ended the quarter with $47.4 million in unrestricted cash, restricted cash of $132.5 million and approximately $110.9 million of availability, and no drawings, on its revolving credit facility. Headquartered in Columbia, Md., Magellan Health Services, Inc. (NYSEMGL news), is the country's leading behavioral-managed care organization, serving approximately 70 million individuals nationwide. Back to TOC.

Trigon 4 Quarter Profits Rise

Trigon Healthcare Inc., Virginia's largest managed health care company, said its net profit nearly doubled on strong enrollment growth in its benefit plans, and raised its 2002 profit forecast.

      The Richmond, Virginia-based company is among a number of health insurers that have posted strong fourth-quarter results and now expect better profit growth in the year ahead. These companies have raised the premium rates they charge employers to keep ahead of soaring medical expenses.

      Trigon, which provides health benefits to about 2 million members through Blue Cross and Blue Shield plans, said net income in the fourth quarter rose $41.4 million, or $1.13 a share, from $21 million, or 54 cents a share, a year ago. Trigon has added 122,606 new members during 2001, a 6.1 percent increase in enrollment. Back to TOC.

Tenet Launches $841 Million Tender Offer

Tenet Healthcare Corporation has launched a tender offer for its 8 1/8 % Senior Subordinated Notes due 2008. The company is tendering, with a consent solicitation, for all $841,080,000 of its 8 1/8 % Senior Subordinated Notes due Dec. 1, 2008 that are currently outstanding. The purchase price to be paid for each $1,000 principal amount tendered will be based on a fixed spread of 50 basis points over the yield of the 4.25% U.S. Treasury Note due May 31, 2003. The tender offer for the senior subordinated notes is expected to remain open until 5 p.m. EST on April 3, 2002.

      Concurrent with the tender offer for the senior subordinated notes, Tenet is soliciting consents to eliminate or modify substantially all of the restrictive covenants in the indenture governing the notes so that they conform to those governing Tenet's other senior debt. Tenet will pay $20 per $1,000 principal amount to the holders of the notes described above who tender their notes and deliver their consents at or prior to 500 p.m. EST on March 19, 2002. This payment is included in the amounts cited above.

      The tender offer is contingent upon the holders of a majority in aggregate principal amount of the series of notes consenting to the indenture amendments. Tendered notes may be withdrawn at any time prior to the satisfaction of this consent condition.

      Proceeds from the sale of Tenet's 6.5% Senior Notes and amounts available to Tenet from cash on hand and from the company's borrowing facilities will be sufficient to pay for all securities purchased pursuant to the tender offer. Back to TOC.

US Oncology Reports Fourth Quarter and Year-end Results for 2001

US Oncology Inc. announced results for the fourth quarter ended Dec. 31, 2001.

      Net patient revenue for the quarter was $498.0 million, an increase of 4.6 percent over the third quarter and up 10.2 percent year over year. The Company's revenue (net patient revenue less amounts retained by physicians) for the quarter was $385.8 million, an increase of 3.5 percent over the third quarter and up 8.4 percent year over year.

      Net income for the fourth quarter was $12.8 million, or $0.13 per diluted share, compared to $12.9 million, or $0.13 per diluted share, in the third quarter and $11.9 million, or $0.12 per diluted share, for the same period in 2000, excluding unusual charges. Including unusual charges, net loss for the fourth quarter of 2000 was $123.3 million or ($1.25) per diluted share.

      Additional key results since the third quarter that contributed to US Oncology's strong financial position included an increase in operating cash flow to $55.1 million for the fourth quarter, compared to $53.4 million for the third quarter and $16 million for the same period in 2000. A decrease in accounts receivable days outstanding to 50 as of Dec. 31, 2001, down from 56 at the end of the third quarter and 67 at the end of 2000. An increase in field EBITDA to $169.1 million during the fourth quarter, up from $158.5 million for the third quarter of 2001 and $156.9 million for the fourth quarter of 2000. Relatively flat EBITDA for the fourth quarter at $44.6 million, compared to $43.4 million sequentially, and $44.8 million for the fourth quarter of 2000. The opening of five cancer centers and the installation of eight Positron Emission Tomography (PET) imaging units in 2001. The completion of a private placement of $175 million aggregate principal amount of unsecured senior subordinated notes in the first quarter of 2002. Net proceeds of the offering were used to repay existing senior debt and for general business purposes.

      US Oncology, headquartered in Houston, Texas, is affiliated with over 850 physicians operating in over 450 locations, including 77 outpatient cancer centers, in 27 states. Back to TOC.