| | | |
Year Ended December 31,
|
| |
Nine Months Ended
September 30, |
| |
Pro Forma
Twelve Months Ended September 30, 2016 |
| |||||||||||||||||||||||||||
|
(dollars in thousands)
|
| |
2013
|
| |
2014
|
| |
2015
|
| |
2015
|
| |
2016
|
| |||||||||||||||||||||
| | | | | | | | | | | | | | | | | | | | | |
(unaudited)
|
| |
(unaudited)
|
| ||||||||||||
| Statement of comprehensive earnings data: | | | | | | | | ||||||||||||||||||||||||||||||
|
Net revenues before provision for uncollectibles
|
| | | $ | 4,313,848 | | | | | $ | 4,800,883 | | | | | $ | 5,999,458 | | | | | $ | 4,390,682 | | | | | $ | 5,581,210 | | | | | $ | 7,689,287 | | |
|
Provision for uncollectibles
|
| | | | 1,930,253 | | | | | | 1,981,240 | | | | | | 2,402,211 | | | | | | 1,773,062 | | | | | | 2,181,499 | | | | | | 3,003,821 | | |
|
Net revenues
|
| | | | 2,383,595 | | | | | | 2,819,643 | | | | | | 3,597,247 | | | | | | 2,617,620 | | | | | | 3,399,711 | | | | | | 4,685,465 | | |
|
Cost of services rendered (exclusive of depreciation and amortization shown separately below)
|
| | | | | | | ||||||||||||||||||||||||||||||
|
Professional service expenses
|
| | | | 1,867,817 | | | | | | 2,179,837 | | | | | | 2,836,474 | | | | | | 2,058,876 | | | | | | 2,703,436 | | | | | | 3,704,000 | | |
|
Professional liability costs
|
| | | | 74,185 | | | | | | 97,609 | | | | | | 107,505 | | | | | | 81,371 | | | | | | 114,351 | | | | | | 148,034 | | |
|
General and administrative expenses
(includes contingent purchase and other acquisition compensation expense of $12,230, $28,669, $23,962, $30,637 and $17,293 for the nine months ended September 30, 2015 and 2016 and for the years ended December 31, 2013, 2014 and 2015, respectively) |
| | | | 228,911 | | | | | | 281,054 | | | | | | 308,193 | | | | | | 219,214 | | | | | | 300,925 | | | | | | 427,865 | | |
|
Other (income) expenses, net
|
| | | | (4,536) | | | | | | (4,588) | | | | | | (1,935) | | | | | | (182) | | | | | | (7,947) | | | | | | (9,700) | | |
|
Depreciation
|
| | | | 17,070 | | | | | | 20,886 | | | | | | 24,581 | | | | | | 17,423 | | | | | | 25,081 | | | | | | 32,940 | | |
|
Amortization
|
| | | | 37,550 | | | | | | 55,647 | | | | | | 83,581 | | | | | | 62,085 | | | | | | 71,425 | | | | | | 93,119 | | |
|
Interest expense, net
|
| | | | 14,910 | | | | | | 15,050 | | | | | | 30,986 | | | | | | 14,132 | | | | | | 90,255 | | | | | | 191,677 | | |
|
Loss on refinancing of debt
|
| | | | — | | | | | | 3,648 | | | | | | — | | | | | | — | | | | | | 1,069 | | | | | | 1,069 | | |
|
Transaction, integration, and other reorganization costs
|
| | | | 3,809 | | | | | | 7,179 | | | | | | 58,301 | | | | | | 7,170 | | | | | | 48,337 | | | | | | 99,468 | | |
|
Earnings before income taxes
|
| | | | 143,879 | | | | | | 163,321 | | | | | | 149,561 | | | | | | 157,531 | | | | | | 52,779 | | | | | | (3,005) | | |
|
Provision for income taxes
|
| | | | 56,313 | | | | | | 65,232 | | | | | | 66,786 | | | | | | 65,178 | | | | | | 22,579 | | | | | | (3,344) | | |
|
Net earnings
|
| | | | 87,566 | | | | | | 98,089 | | | | | | 82,775 | | | | | | 92,353 | | | | | | 30,200 | | | | | | 338 | | |
|
Net earnings (loss) attributable to noncontrolling interest
|
| | | | 157 | | | | | | 351 | | | | | | 64 | | | | | | (78) | | | | | | 266 | | | | | | 408 | | |
|
Net earnings attributable to Team Health Holdings, Inc.
|
| | | $ | 87,409 | | | | | $ | 97,738 | | | | | $ | 82,711 | | | | | $ | 92,431 | | | | | $ | 29,934 | | | | | $ | (70) | | |
| | |||||||||||||||||||||||||||||||||||||
| | | |
As of December 31,
|
| |
As of
September 30, |
| |
Pro Forma
as of September 30, 2016 |
| |||||||||||||||||||||||||||
|
(dollars in thousands)
|
| |
2013
|
| |
2014
|
| |
2015
|
| |
2015
|
| |
2016
|
| |||||||||||||||||||||
| | | | | | | | | | | | | | | | | | | | | |
(unaudited)
|
| |
(unaudited)
|
| ||||||||||||
| Balance sheet data: | | | | | | | | ||||||||||||||||||||||||||||||
|
Cash and cash equivalents
|
| | | $ | 32,331 | | | | | $ | 20,094 | | | | | $ | 28,563 | | | | | $ | 18,194 | | | | | $ | 15,315 | | | | | $ | — | | |
|
Working capital(1)
|
| | | | 64,258 | | | | | | (143,054) | | | | | | 169,245 | | | | | | (39,765) | | | | | | (130,623) | | | | | | 302,490 | | |
|
Total assets(2)
|
| | | | 1,355,553 | | | | | | 1,967,802 | | | | | | 4,060,842 | | | | | | 2,144,179 | | | | | | 4,470,575 | | | | | | 7,240,783 | | |
|
Total debt(3)
|
| | | | 495,706 | | | | | | 798,330 | | | | | | 2,406,263 | | | | | | 755,000 | | | | | | 2,689,105 | | | | | | 3,615,000 | | |
|
Total shareholders’ equity including
noncontrolling interests |
| | | | 268,481 | | | | | | 422,636 | | | | | | 646,688 | | | | | | 569,408 | | | | | | 718,151 | | | | | | 2,622,339 | | |
| | | |
Year Ended December 31,
|
| |
Nine Months Ended
September 30, |
| |
Twelve
Months Ended September 30, 2016 |
| |||||||||||||||||||||||||||
|
(dollars in thousands except ratios and
percentages) |
| |
2013
|
| |
2014
|
| |
2015
|
| |
2015
|
| |
2016
|
| |||||||||||||||||||||
| Cash flow data: | | | | | | | | ||||||||||||||||||||||||||||||
|
Net cash provided by operating activities
|
| | | $ | 154,409 | | | | | $ | 198,663 | | | | | $ | 145,824 | | | | | $ | 131,943 | | | | | $ | 107,425 | | | | |||||
|
Net cash used in investing activities
|
| | | | (194,089) | | | | | | (543,017) | | | | | | (1,636,780) | | | | | | (127,381) | | | | | | (401,039) | | | | |||||
|
Net cash (used in) provided by financing activities
|
| | | | 30,771 | | | | | | 332,117 | | | | | | 1,499,425 | | | | | | (6,462) | | | | | | 280,366 | | | | |||||
| Other financial data and credit statistics: | | | | | | | | ||||||||||||||||||||||||||||||
|
Adjusted EBITDA(4)
|
| | | | 251,268 | | | | | | 325,234 | | | | | | 387,539 | | | | | | 289,812 | | | | | | 346,535 | | | | | $ | 444,262 | | |
|
Management Pro Forma Adjusted EBITDA(4)
|
| | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 527,683 | | |
|
Pro forma interest expense(5)
|
| | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 191,677 | | |
|
Pro forma total debt
|
| | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 3,615,000 | | |
|
Ratio of pro forma total debt to Management Pro Forma Adjusted EBITDA
|
| | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 6.85x | | |
|
Ratio of pro forma total debt less cash to Management Pro Forma Adjusted
EBITDA |
| | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 6.85x | | |
|
Maintenance capex(6)
|
| | | | 21,378 | | | | | | 24,576 | | | | | | 40,690 | | | | | | 31,123 | | | | | | 22,186 | | | | | | 31,753 | | |
|
Acquisition capex(7)
|
| | | | 188,212 | | | | | | 580,758 | | | | | | 1,625,404 | | | | | | 128,557 | | | | | | 419,132 | | | | | | 1,915,979 | | |
|
Ratio of Adjusted EBITDA to pro forma interest expense
|
| | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 2.75x | | |
|
Adjusted EBITDA less maintenance capex
|
| | | | 229,890 | | | | | | 300,658 | | | | | | 346,849 | | | | | | 258,689 | | | | | | 324,349 | | | | | | 412,509 | | |
|
Cash flow conversion(8)
|
| | | | 91.5% | | | | | | 92.4% | | | | | | 89.5% | | | | | | 89.3% | | | | | | 93.6% | | | | | | 92.9% | | |
| | | |
Year Ended December 31,
|
| |
Nine Months Ended
September 30, |
| |
Twelve
Months Ended September 30, 2016 |
| |||||||||||||||||||||||||||
|
(dollars in thousands)
|
| |
2013
|
| |
2014
|
| |
2015
|
| |
2015
|
| |
2016
|
| |||||||||||||||||||||
|
Net earnings attributable to Team Health Holdings, Inc.
|
| | | $ | 87,409 | | | | | $ | 97,738 | | | | | $ | 82,711 | | | | | $ | 92,431 | | | | | $ | 29,934 | | | | | $ | 20,214 | | |
|
Interest expense, net
|
| | | | 14,910 | | | | | | 15,050 | | | | | | 30,986 | | | | | | 14,132 | | | | | | 90,255 | | | | | | 107,109 | | |
|
Provision for income taxes
|
| | | | 56,313 | | | | | | 65,232 | | | | | | 66,786 | | | | | | 65,178 | | | | | | 22,579 | | | | | | 24,187 | | |
|
Depreciation
|
| | | | 17,070 | | | | | | 20,886 | | | | | | 24,581 | | | | | | 17,423 | | | | | | 25,081 | | | | | | 32,239 | | |
|
Amortization
|
| | | | 37,550 | | | | | | 55,647 | | | | | | 83,581 | | | | | | 62,085 | | | | | | 71,425 | | | | | | 92,921 | | |
|
Other (income) expenses, net(a)
|
| | | | (4,536) | | | | | | (4,588) | | | | | | (1,935) | | | | | | (182) | | | | | | (7,947) | | | | | | (9,700) | | |
|
Loss on extinguishment and refinancing of debt(b)
|
| | | | — | | | | | | 3,648 | | | | | | — | | | | | | — | | | | | | 1,069 | | | | | | 1,069 | | |
|
Contingent purchase and other acquisition compensation expense(c)
|
| | | | 23,962 | | | | | | 30,637 | | | | | | 17,293 | | | | | | 12,230 | | | | | | 28,669 | | | | | | 33,732 | | |
|
Transaction, integration and reorganization costs(d)
|
| | | | 3,809 | | | | | | 7,179 | | | | | | 58,301 | | | | | | 7,170 | | | | | | 48,337 | | | | | | 99,468 | | |
|
Equity based compensation expense(e)
|
| | | | 9,889 | | | | | | 16,152 | | | | | | 17,538 | | | | | | 13,197 | | | | | | 20,531 | | | | | | 24,872 | | |
|
Insurance subsidiaries interest income
|
| | | | 1,795 | | | | | | 2,012 | | | | | | 2,108 | | | | | | 1,558 | | | | | | 1,630 | | | | | | 2,180 | | |
|
Severance and other charges
|
| | | | 3,097 | | | | | | 8,553 | | | | | | 5,589 | | | | | | 4,590 | | | | | | 688 | | | | | | 1,687 | | |
|
Actuarial adjustment associated with prior periods
|
| | | | — | | | | | | 7,088 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
|
Professional liability loss reserve adjustments associated with prior years(f)
|
| | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 14,284 | | | | | | 14,284 | | |
|
Adjusted EBITDA
|
| | | $ | 251,268 | | | | | $ | 325,234 | | | | | $ | 387,539 | | | | | $ | 289,812 | | | | | $ | 346,535 | | | | | $ | 444,262 | | |
| Out-of-period revenue adjustments(g) | | | | | (5,006) | | | ||||||||||||||||||||||||||||||
| Out-of-period adjustment for IPC purchase accounting(h) | | | | | (3,681) | | | ||||||||||||||||||||||||||||||
| Out-of-period adjustment for workers’ compensation reserve(i) | | | | | 528 | | | ||||||||||||||||||||||||||||||
| Non-cash joint venture equity income(j) | | | | | (3,972) | | | ||||||||||||||||||||||||||||||
| Pro forma full-year acquisition adjustments(k) | | | | | 37,652 | | | ||||||||||||||||||||||||||||||
| IPC synergies(l) | | | | | 53,861 | | | ||||||||||||||||||||||||||||||
| Start-up losses associated with new customer contracts(m) | | | | | 4,039 | | | ||||||||||||||||||||||||||||||
| Management Pro Forma Adjusted EBITDA | | | | $ | 527,683 | | | ||||||||||||||||||||||||||||||
| | |||||||||||||||||||||||||||||||||||||
| | | | | | | | | |
Not Yet Realized
|
| |
Full
Potential |
| ||||||||||||
|
(dollars in millions)
|
| |
Realized
|
| |
Actioned
|
| |
Prospective
|
| |||||||||||||||
|
Executive team and duplicative public company costs
|
| | | $ | 4 | | | | | $ | 2 | | | | | $ | 1 | | | | | $ | 8 | | |
|
Operations / headcount to consolidate markets
|
| | | | 8 | | | | | | 7 | | | | | | 5 | | | | | | 20 | | |
|
Corporate costs including health / dental insurance plans
|
| | | | 4 | | | | | | 4 | | | | | | (1) | | | | | | 7 | | |
|
Revenue cycle / IT: physician training and headcount
|
| | | | — | | | | | | — | | | | | | 2 | | | | | | 2 | | |
|
Cost synergy subtotal EBITDA impact
|
| | | $ | 16 | | | | | $ | 14 | | | | | $ | 7 | | | | | $ | 38 | | |
|
Managed care pricing: migrating IPC onto Team Health rates / contracts
|
| | | $ | 3 | | | | | $ | 6 | | | | | $ | 14 | | | | | $ | 23 | | |
|
Billing: AR intelligence software to improve collections
|
| | | | — | | | | | | 1 | | | | | | 9 | | | | | | 10 | | |
|
Improved subsidies from hospitals on IPC contracts
|
| | | | — | | | | | | 1 | | | | | | 2 | | | | | | 3 | | |
|
Operating synergy subtotal EBITDA impact
|
| | | $ | 4 | | | | | $ | 8 | | | | | $ | 25 | | | | | $ | 37 | | |
|
Total potential IPC synergy EBITDA impact
|
| | | $ | 20 | | | | | $ | 22 | | | | | $ | 32 | | | | | $ | 74 | | |
| | |||||||||||||||||||||||||
| | | |
Team Health
Historical |
| |
Transaction
Adjustments |
| |
Pro Forma
Combined |
| |||||||||
| Assets | | | | | | | | | | ||||||||||
| Current assets: | | | | | | | | | | ||||||||||
|
Cash and cash equivalents
|
| | | $ | 15,315 | | | | | $ | (15,315)(a) | | | | | $ | — | | |
|
Short-term investments
|
| | | | 1,581 | | | | | | — | | | | | | 1,581 | | |
|
Accounts receivable, net
|
| | | | 821,963 | | | | | | — | | | | | | 821,963 | | |
|
Prepaid expenses and other current assets
|
| | | | 65,138 | | | | | | 88,800(a) | | | | | | 149,571 | | |
| | | | | | | | | | | | (4,367)(b) | | | | | | | | |
|
Receivables under insured programs
|
| | | | 38,913 | | | | | | — | | | | | | 38,913 | | |
|
Income tax receivable
|
| | | | 3,287 | | | | | | — | | | | | | 3,287 | | |
|
Total current assets
|
| | | | 946,197 | | | | | | 69,118 | | | | | | 1,015,315 | | |
|
Insurance subsidiaries and other investments
|
| | | | 99,939 | | | | | | — | | | | | | 99,939 | | |
|
Receivables under insured programs
|
| | | | 102,272 | | | | | | — | | | | | | 102,272 | | |
|
Deferred income taxes
|
| | | | 48,625 | | | | | | — | | | | | | 48,625 | | |
|
Property and equipment, net
|
| | | | 84,141 | | | | | | — | | | | | | 84,141 | | |
|
Other intangibles, net
|
| | | | 320,477 | | | | | | — | | | | | | 320,477 | | |
|
Goodwill
|
| | | | 2,485,591 | | | | | | 2,701,090(c) | | | | | | 5,186,681 | | |
|
Other
|
| | | | 383,333 | | | | | | — | | | | | | 383,333 | | |
|
Total Assets
|
| | | $ | 4,470,575 | | | | | $ | 2,770,208 | | | | | $ | 7,240,783 | | |
| Liabilities and shareholders’ equity | | | | | |||||||||||||||
| Current liabilities: | | | | | |||||||||||||||
|
Accounts payable
|
| | | $ | 57,060 | | | | | $ | — | | | | | $ | 57,060 | | |
|
Accrued compensation and physician payable
|
| | | | 323,709 | | | | | | — | | | | | | 323,709 | | |
|
Other accrued liabilities
|
| | | | 305,931 | | | | | | — | | | | | | 305,931 | | |
|
Current maturities of long-term debt
|
| | | | 390,120 | | | | | | (390,120)(a) | | | | | | 26,125 | | |
| | | | | | | | | | | | 26,125(b) | | | | | | | | |
|
Total current liabilities
|
| | | | 1,076,820 | | | | | | (363,995) | | | | | | 712,825 | | |
|
Long-term debt, less current maturities
|
| | | | 2,298,985 | | | | | | (2,298,985)(a) | | | | | | 3,529,000 | | |
| | | | | | | | | | | | 3,529,000(b) | | | | | | | | |
|
Other non-current liabilities
|
| | | | 376,619 | | | | | | | | | | | | 376,619 | | |
|
Common stock
|
| | | | 743 | | | | | | (743)(c) | | | | | | — | | |
|
Additional paid in capital
|
| | | | 876,908 | | | | | | (876,908)(c) | | | | | | — | | |
|
Retained earnings (deficit)
|
| | | | (164,039) | | | | | | 164,039(c) | | | | | | (133,200) | | |
| | | | | | | | | | | | (133,200)(a) | | | | | | | | |
|
Members equity
|
| | | | — | | | | | | 2,751,000(a) | | | | | | 2,751,000 | | |
|
TeamHealth shareholders’ equity
|
| | | | 713,612 | | | | | | 1,904,188 | | | | | | 2,617,800 | | |
|
Noncontrolling interests
|
| | | | 4,539 | | | | | | — | | | | | | 4,539 | | |
|
Total equity
|
| | | | 718,151 | | | | | | 1,904,188 | | | | | | 2,622,339 | | |
|
Total liabilities and shareholders’ equity
|
| | | $ | 4,470,575 | | | | | $ | 2,770,208 | | | | | $ | 7,240,783 | | |
| | |||||||||||||||||||
| | | |
Team Health
Historical |
| |
Completed
Team Health Acquisitions Pro Forma Adjustments(d)(f) |
| |
Team Health
Pro Forma |
| |
Transaction
Adjustments |
| |
Pro Forma
Combined |
| |||||||||||||||
|
Net revenue before provision for uncollectibles
|
| | | $ | 5,999,458 | | | | | $ | 1,638,078 | | | | | $ | 7,637,536 | | | | | | — | | | | | $ | 7,637,536 | | |
|
Provision for uncollectibles
|
| | | | 2,402,211 | | | | | | 655,894 | | | | | | 3,058,105 | | | | | | — | | | | | | 3,058,105 | | |
|
Net Revenue
|
| | | | 3,597,247 | | | | | | 982,184 | | | | | | 4,579,431 | | | | | | — | | | | | | 4,579,431 | | |
|
Professional service expense
|
| | | | 2,836,474 | | | | | | 719,238 | | | | | | 3,555,712 | | | | | | — | | | | | | 3,555,712 | | |
|
Professional liability cost
|
| | | | 107,505 | | | | | | 22,427 | | | | | | 129,932 | | | | | | — | | | | | | 129,932 | | |
|
General and administrative expenses
(including contingent purchase and other acquisition compensation expense) |
| | | | 308,193 | | | | | | 153,979 | | | | | | 462,172 | | | | | | — | | | | | | 462,172 | | |
|
Other (income) expense, net
|
| | | | (1,935) | | | | | | (2) | | | | | | (1,937) | | | | | | — | | | | | | (1,937) | | |
|
Transaction Cost
|
| | | | 58,301 | | | | | | — | | | | | | 58,301 | | | | | | — | | | | | | 58,301 | | |
| Depreciation | | | | | 24,581 | | | | | | 4,232 | | | | | | 28,813 | | | | | | — | | | | | | 28,813 | | |
| Amortization | | | | | 83,581 | | | | | | 1,196 | | | | | | 84,777 | | | | | | — | | | | | | 84,777 | | |
|
Interest expense, net
|
| | | | 30,986 | | | | | | 1,124 | | | | | | 32,110 | | | | | | (32,110)(b) | | | | | | 191,352 | | |
| | | | | | | | | | | | | | | | | | | | | | | | 191,352(b) | | | | | | | | |
|
Loss on refinancing of debt
|
| | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
|
Earnings before income taxes
|
| | | | 149,561 | | | | | | 79,990 | | | | | | 229,551 | | | | | | (159,242) | | | | | | 70,309 | | |
|
Provision for Taxes
|
| | | | 66,786 | | | | | | 30,720 | | | | | | 97,506 | | | | | | (71,909)(h) | | | | | | 26,397 | | |
|
Net earnings including noncontrolling interests
|
| | | | 82,775 | | | | | | 49,270 | | | | | | 132,045 | | | | | | (88,133) | | | | | | 43,912 | | |
|
Less: Net earnings attributable to noncontrolling interests
|
| | | | 64 | | | | | | — | | | | | | 64 | | | | | | — | | | | | | 64 | | |
|
Net earnings (loss) attributable to TeamHealth
|
| | | $ | 82,711 | | | | | $ | 49,270 | | | | | $ | 131,981 | | | | | $ | (88,133) | | | | | $ | 43,848 | | |
|
Weighted average shares outstanding:
|
| | | | | | |||||||||||||||||||||||||
|
Basic
|
| | | | 72,086 | | | | | | | | | | | | 72,086 | | | | | | | | | | | | 72,086 | | |
|
Diluted
|
| | | | 73,807 | | | | | | | | | | | | 73,807 | | | | | | | | | | | | 73,807 | | |
|
TeamHealth earnings per share as reported:
|
| | | | | | |||||||||||||||||||||||||
|
Basic
|
| | | $ | 1.15 | | | | | | | | | | | $ | 1.83 | | | | | | | | | | | $ | 0.61 | | |
|
Diluted
|
| | | $ | 1.12 | | | | | | | | | | | $ | 1.79 | | | | | | | | | | | $ | 0.59 | | |
| | | |
Team Health
Historical |
| |
Completed
Team Health Acquisitions Pro Forma Adjustments(f) |
| |
Team Health
Pro Forma |
| |
Transaction
Adjustments |
| |
Pro Forma
Combined |
| |||||||||||||||
|
Net revenue before provision for uncollectibles
|
| | | $ | 5,581,210 | | | | | $ | 220,349 | | | | | $ | 5,801,559 | | | | | | — | | | | | $ | 5,801,559 | | |
|
Provision for uncollectibles
|
| | | | 2,181,499 | | | | | | 86,127 | | | | | | 2,267,626 | | | | | | — | | | | | | 2,267,626 | | |
|
Net Revenue
|
| | | | 3,399,711 | | | | | | 134,222 | | | | | | 3,533,933 | | | | | | — | | | | | | 3,533,933 | | |
|
Professional service expense
|
| | | | 2,703,436 | | | | | | 97,789 | | | | | | 2,801,225 | | | | | | — | | | | | | 2,801,225 | | |
|
Professional liability cost
|
| | | | 114,351 | | | | | | 3,521 | | | | | | 117,872 | | | | | | — | | | | | | 117,872 | | |
|
General and administrative expenses (including contingent purchase and other acquisition compensation expense)
|
| | | | 300,925 | | | | | | 11,528 | | | | | | 312,453 | | | | | | — | | | | | | 312,453 | | |
|
Other (income) expense, net
|
| | | | (7,947) | | | | | | — | | | | | | (7,947) | | | | | | — | | | | | | (7,947) | | |
|
Transaction Cost
|
| | | | 48,337 | | | | | | — | | | | | | 48,337 | | | | | | — | | | | | | 48,337 | | |
| Depreciation | | | | | 25,081 | | | | | | — | | | | | | 25,081 | | | | | | — | | | | | | 25,081 | | |
| Amortization | | | | | 71,425 | | | | | | — | | | | | | 71,425 | | | | | | — | | | | | | 71,425 | | |
|
Interest expense, net
|
| | | | 90,255 | | | | | | — | | | | | | 90,255 | | | | | | (90,255)(b) | | | | | | 143,994 | | |
| | | | | | | | | | | | | | | | | | — | | | | | | 143,994(b) | | | | | | | | |
|
Loss on refinancing of debt
|
| | | | 1,069 | | | | | | — | | | | | | 1,069 | | | | | | — | | | | | | 1,069 | | |
|
Earnings before income taxes
|
| | | | 52,779 | | | | | | 21,385 | | | | | | 74,164 | | | | | | (53,739) | | | | | | 20,425 | | |
|
Provision for Taxes
|
| | | | 22,579 | | | | | | 8,180 | | | | | | 30,759 | | | | | | (22,990)(h) | | | | | | 7,769 | | |
|
Net earnings including noncontrolling interests
|
| | | | 30,200 | | | | | | 13,205 | | | | | | 43,405 | | | | | | (30,749) | | | | | | 12,656 | | |
|
Less: Net earnings attributable to noncontrolling interests
|
| | | | 266 | | | | | | — | | | | | | 266 | | | | | | — | | | | | | 266 | | |
|
Net earnings attributable to TeamHealth
|
| | | $ | 29,934 | | | | | $ | 13,205 | | | | | $ | 43,139 | | | | | $ | (30,749) | | | | | $ | 12,390 | | |
| Weighted average shares outstanding: | | | | | | | |||||||||||||||||||||||||
|
Basic
|
| | | | 73,823 | | | | | | | | | | | | 73,823 | | | | | | | | | | | | 73,823 | | |
|
Diluted
|
| | | | 75,225 | | | | | | | | | | | | 75,225 | | | | | | | | | | | | 75,225 | | |
|
TeamHealth earnings per share as reported:
|
| | | | | | |||||||||||||||||||||||||
|
Basic
|
| | | $ | 0.41 | | | | | | | | | | | $ | 0.58 | | | | | | | | | | | $ | 0.17 | | |
|
Diluted
|
| | | $ | 0.40 | | | | | | | | | | | $ | 0.57 | | | | | | | | | | | $ | 0.16 | | |
| | | |
Team Health
Historical |
| |
Completed
Team Health Acquisitions Pro Forma Adjustments(e)(f) |
| |
Team Health
Pro Forma |
| |
IPC
Historical |
| |
Completed
IPC Acquisitions Pro Forma Adjustments(g) |
| |
IPC Pro
Forma |
| |
Transaction
Adjustments |
| |
Pro Forma
Combined |
| ||||||||||||||||||||||||
|
Net revenue before provision for uncollectibles
|
| | | $ | 4,390,682 | | | | | $ | 755,678 | | | | | $ | 5,146,360 | | | | | $ | 563,165 | | | | | $ | 40,284 | | | | | $ | 603,449 | | | | | | — | | | | | $ | 5,749,809 | | |
|
Provision for uncollectibles
|
| | | | 1,773,062 | | | | | | 534,312 | | | | | | 2,307,374 | | | | | | 13,581 | | | | | | 955 | | | | | | 14,536 | | | | | | — | | | | | | 2,321,910 | | |
|
Net Revenue
|
| | | | 2,617,620 | | | | | | 221,366 | | | | | | 2,838,986 | | | | | | 549,584 | | | | | | 39,329 | | | | | | 588,913 | | | | | | — | | | | | | 3,427,899 | | |
|
Professional service expense
|
| | | | 2,058,876 | | | | | | 168,291 | | | | | | 2,227,167 | | | | | | 396,037 | | | | | | 29,733 | | | | | | 425,770 | | | | | | — | | | | | | 2,652,937 | | |
|
Professional liability cost
|
| | | | 81,371 | | | | | | 5,375 | | | | | | 86,746 | | | | | | 12,081 | | | | | | 943 | | | | | | 13,024 | | | | | | — | | | | | | 99,770 | | |
|
General and administrative expenses
(including contingent purchase and other acquisition compensation expense) |
| | | | 219,214 | | | | | | 16,863 | | | | | | 236,077 | | | | | | 105,767 | | | | | | 4,916 | | | | | | 110,683 | | | | | | — | | | | | | 346,760 | | |
|
Other (income) expense, net
|
| | | | (182) | | | | | | (0) | | | | | | (182) | | | | | | (2) | | | | | | — | | | | | | (2) | | | | | | — | | | | | | (184) | | |
|
Transaction Cost
|
| | | | 7,170 | | | | | | — | | | | | | 7,170 | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | 7,170 | | |
| Depreciation | | | | | 17,423 | | | | | | 7 | | | | | | 17,430 | | | | | | 3,524 | | | | | | — | | | | | | 3,524 | | | | | | — | | | | | | 20,954 | | |
| Amortization | | | | | 62,085 | | | | | | 2 | | | | | | 62,087 | | | | | | 996 | | | | | | — | | | | | | 996 | | | | | | — | | | | | | 63,083 | | |
|
Interest expense, net
|
| | | | 14,132 | | | | | | 2 | | | | | | 14,134 | | | | | | 936 | | | | | | — | | | | | | 936 | | | | | | (15,070)(b) | | | | | | 143,669 | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | — | | | | | | | | | | | | 143,669(b) | | | | | | | | |
|
Loss on refinancing of debt
|
| | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | |
|
Earnings before income taxes
|
| | | | 157,531 | | | | | | 30,826 | | | | | | 188,357 | | | | | | 30,245 | | | | | | 3,737 | | | | | | 33,982 | | | | | | (128,559) | | | | | | 93,739 | | |
|
Provision for Taxes
|
| | | | 65,178 | | | | | | 12,626 | | | | | | 77,804 | | | | | | 11,493 | | | | | | 1,420 | | | | | | 12,913 | | | | | | (53,208)(h) | | | | | | 37,509 | | |
|
Net earnings including noncontrolling interests
|
| | | | 92,353 | | | | | | 18,200 | | | | | | 110,553 | | | | | | 18,752 | | | | | | 2,317 | | | | | | 21,069 | | | | | | (75,392) | | | | | | 56,230 | | |
|
Less: Net earnings attributable to noncontrolling interests
|
| | | | (78) | | | | | | — | | | | | | (78) | | | | | | — | | | | | | — | | | | | | — | | | | | | — | | | | | | (78) | | |
|
Net earnings attributable to TeamHealth
|
| | | $ | 92,431 | | | | | $ | 18,200 | | | | | $ | 110,631 | | | | | $ | 18,752 | | | | | $ | 2,317 | | | | | $ | 21,069 | | | | | $ | (75,392) | | | | | $ | 56,308 | | |
| Weighted average shares outstanding: | | | | | | | | | | ||||||||||||||||||||||||||||||||||||||||
|
Basic
|
| | | | 71,900 | | | | | | | | | | | | 71,900 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 71,900 | | |
|
Diluted
|
| | | | 73,351 | | | | | | | | | | | | 73,351 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 73,351 | | |
|
TeamHealth earnings per share as reported:
|
| | | | | | | | | ||||||||||||||||||||||||||||||||||||||||
|
Basic
|
| | | $ | 1.29 | | | | | | | | | | | $ | 1.54 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | $ | 0.78 | | |
|
Diluted
|
| | | $ | 1.26 | | | | | | | | | | | $ | 1.51 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | $ | 0.77 | | |
| | | |
Team Health
Historical |
| |
Completed
Team Health & IPC(i) Acquisitions Pro Forma Adjustments |
| |
TeamHealth
Pro Forma |
| |
Transaction
Adjustments |
| |
Pro Forma
Combined |
| |||||||||||||||
|
Net revenue before provision for uncollectibles
|
| | | $ | 7,189,986 | | | | | $ | 499,301 | | | | | $ | 7,689,287 | | | | | $ | — | | | | | $ | 7,689,287 | | |
|
Provision for uncollectibles
|
| | | | 2,810,648 | | | | | | 193,173 | | | | | | 3,003,821 | | | | | | — | | | | | | 3,003,821 | | |
|
Net Revenue
|
| | | | 4,379,338 | | | | | | 306,127 | | | | | | 4,685,465 | | | | | | — | | | | | | 4,685,465 | | |
|
Professional service expense
|
| | | | 3,481,034 | | | | | | 222,966 | | | | | | 3,704,000 | | | | | | — | | | | | | 3,704,000 | | |
|
Professional liability cost
|
| | | | 140,485 | | | | | | 7,549 | | | | | | 148,034 | | | | | | — | | | | | | 148,034 | | |
|
General and administrative expenses (including contingent purchase and other acquisition compensation expense)
|
| | | | 389,904 | | | | | | 37,961 | | | | | | 427,865 | | | | | | — | | | | | | 427,865 | | |
|
Other (income) expense, net
|
| | | | (9,700) | | | | | | (0) | | | | | | (9,700) | | | | | | — | | | | | | (9,700) | | |
|
Transaction Cost
|
| | | | 99,468 | | | | | | — | | | | | | 99,468 | | | | | | — | | | | | | 99,468 | | |
| Depreciation | | | | | 32,239 | | | | | | 701 | | | | | | 32,940 | | | | | | — | | | | | | 32,940 | | |
| Amortization | | | | | 92,921 | | | | | | 198 | | | | | | 93,119 | | | | | | — | | | | | | 93,119 | | |
|
Interest expense, net
|
| | | | 107,109 | | | | | | 186 | | | | | | 107,295 | | | | | | (107,295) | | | | | | 191,677 | | |
| | | | | | — | | | | | | — | | | | | | — | | | | | | 191,677 | | | | | | — | | |
|
Loss on refinancing of debt
|
| | | | 1,069 | | | | | | — | | | | | | 1,069 | | | | | | | | | | | | 1,069 | | |
|
Earnings before income taxes
|
| | | | 44,809 | | | | | | 36,567 | | | | | | 81,376 | | | | | | (84,382) | | | | | | (3,005) | | |
|
Provision for Taxes
|
| | | | 24,187 | | | | | | 13,361 | | | | | | 37,548 | | | | | | (40,891) | | | | | | (3,334) | | |
|
Net earnings including noncontrolling
interests |
| | | | 20,622 | | | | | | 23,207 | | | | | | 43,829 | | | | | | (43,491) | | | | | | 338 | | |
|
Less: Net earnings attributable to noncontrolling interests
|
| | | | 408 | | | | | | — | | | | | | 408 | | | | | | — | | | | | | 408 | | |
|
Net earnings attributable to
TeamHealth |
| | | $ | 20,214 | | | | | $ | 23,207 | | | | | $ | 43,421 | | | | | $ | (43,491) | | | | | $ | (70) | | |
| Weighted average shares outstanding: | | | | | | | |||||||||||||||||||||||||
|
Basic
|
| | | | 73,823 | | | | | | | | | | | | 73,823 | | | | | | | | | | | | 73,823 | | |
|
Diluted
|
| | | | 75,225 | | | | | | | | | | | | 75,225 | | | | | | | | | | | | 75,225 | | |
|
TeamHealth earnings per share as reported:
|
| | | | | | |||||||||||||||||||||||||
|
Basic
|
| | | $ | 0.27 | | | | | | | | | | | $ | 0.59 | | | | | | | | | | | $ | 0.00 | | |
|
Diluted
|
| | | $ | 0.27 | | | | | | | | | | | $ | 0.58 | | | | | | | | | | | $ | 0.00 | | |
| | Sources: | | | |||||
| |
New $400mm Revolving Credit Facility
|
| | | $ | — | | |
| |
New Term Loan Facility
|
| | | | 2,600,000 | | |
| |
Notes offered hereby
|
| | | | 1,015,000 | | |
| |
Sponsor equity
|
| | | | 2,751,000 | | |
| |
Total Sources
|
| | | $ | 6,366,000 | | |
| | Uses: | | | |||||
| |
Equity purchase price
|
| | | $ | 3,362,000 | | |
| |
Refinancing of existing debt
|
| | | | 2,722,000(i) | | |
| |
Fees, Costs and Expenses
|
| | | | 282,000(ii) | | |
| |
Total Uses
|
| | | $ | 6,366,000 | | |
| | ||||||||
| |
Current long term debt
|
| | | $ | 390,120 | | |
| |
Noncurrent long term debt, net of deferred financing costs
|
| | | | 2,298,985 | | |
| |
Deferred Financing costs
|
| | | | 48,335 | | |
| |
Existing cash
|
| | | | (15,315) | | |
| |
Revolving credit facility increase
|
| | | | (125) | | |
| |
Total refinance
|
| | | | 2,722,000 | | |
| | ||||||||
| |
Fees and Expenses
|
| | | $ | 282,000 | | |
| |
Deferred Fees and Expenses
|
| | | | 60,000 | | |
| |
Non-Deferred Fees and Expenses
|
| | | $ | 222,000 | | |
| |
Tax Impact
|
| | | | 88,800 | | |
| |
After-tax Non-Deferred Fees and Expenses
|
| | | $ | 133,200 | | |
| | ||||||||
| |
New Senior Secured Credit Facility and the notes offered hereby
|
| | | $ | 3,615,125(i) | | |
| |
Estimated total deferred financing costs
|
| | | | 60,000 | | |
| |
Current Portion
|
| | | | 26,125 | | |
| |
Long Term Portion
|
| | | $ | 3,529,000 | | |
| |
Repayment of Team Health debt, net of deferred financing costs
|
| | | | (2,689,105) | | |
| |
Removal of former Team Health revolving credit facility deferred financing balance
|
| | | | (4,367) | | |
| |
Removal of Team Health’s total interest expense for year ended December 31, 2015
|
| | | $ | 32,110 | | |
| |
Removal of Team Health’s total interest expense for nine months ended September 30, 2016
|
| | | $ | 90,255 | | |
| |
Removal of Team Health’s total interest expense for nine months ended September 30, 2015
|
| | | $ | 15,070 | | |
| |
Removal of Team Health’s total interest expense for twelve months ended September 30, 2016
|
| | | $ | 107,295 | | |
| |
Total interest and amortization of deferred financing costs expense for the New Senior Secured Credit Facility and the notes offered hereby for the year ended December 31, 2015
|
| | | $ | 191,352 | | |
| |
Total interest and amortization of deferred financing costs expense for the New Senior Secured Credit Facility and the notes offered hereby for the nine months ended September 30, 2016
|
| | | $ | 143,994 | | |
| |
Total interest and amortization of deferred financing costs expense for the New Senior Secured Credit Facility and the notes offered hereby for the nine months ended September 30, 2015
|
| | | $ | 143,669 | | |
| |
Total interest and amortization of deferred financing costs expense for the New
Senior Secured Credit Facility and the notes offered hereby for the twelve months ended September 30, 2016 |
| | | $ | 191,677 | | |
| | | |
+0.25%
|
| |
-0.25%
|
| ||||||
|
Total interest and amortization of deferred financing costs expense for the New Senior Secured Credit Facility and the notes offered hereby for the year ended December 31, 2015
|
| | | $ | 200,326 | | | | | $ | 182,379 | | |
|
Total interest and amortization of deferred financing costs expense for the New Senior Secured Credit Facility and the notes offered hereby for the nine months ended September 30, 2016
|
| | | $ | 150,742 | | | | | $ | 137,246 | | |
|
Total interest and amortization of deferred financing costs expense for the New Senior Secured Credit Facility and the notes offered hereby for the nine months ended September 30, 2015
|
| | | $ | 150,407 | | | | | $ | 136,931 | | |
|
Total interest and amortization of deferred financing costs expense for the New Senior Secured Credit Facility and the notes offered hereby for the twelve months ended September 30, 2016
|
| | | $ | 200,660 | | | | | $ | 182,694 | | |
| |
Estimated cash consideration
|
| | | $ | 3,362,000 | | |
| |
Assumption of debt, less deferred financing costs, cash, and short term investments
|
| | | | 2,720,419 | | |
| | | | | | $ | 6,082,419 | | |
| |
Accounts receivable
|
| | | | 821,963 | | |
| |
Prepaid expenses and other current assets
|
| | | | 65,138(ii) | | |
| |
Deferred financing costs of Existing Revolving Credit Facility
|
| | | | (4,367) | | |
| |
Receivables under insured programs – current
|
| | | | 38,913 | | |
| |
Income tax receivable
|
| | | | 3,287 | | |
| |
Insurance sub and other investments
|
| | | | 99,939 | | |
| |
Receivables under insured programs – noncurrent
|
| | | | 102,272 | | |
| |
Deferred income taxes – noncurrent
|
| | | | 48,625 | | |
| |
Property and equipment
|
| | | | 84,141 | | |
| |
Intangibles, net
|
| | | | 320,477 | | |
| |
Other assets
|
| | | | 383,333 | | |
| |
Accounts payable – current
|
| | | | (57,060) | | |
| |
Accrued compensation and physician payable – current
|
| | | | (323,709) | | |
| |
Other accrued liabilities – current
|
| | | | (305,931) | | |
| |
Other long term liabilities – noncurrent
|
| | | | (376,619) | | |
| |
Noncontrolling interest
|
| | | | (4,539) | | |
| |
Fair value of assets acquired and liabilities assumed
|
| | | $ | 895,738 | | |
| |
Estimated goodwill
|
| | | | 5,186,681 | | |
| |
Less: historical goodwill
|
| | | | 2,485,591 | | |
| |
Goodwill adjustment
|
| | | $ | 2,701,090 | | |
| |
Common Stock
|
| | | $ | 743(i) | | |
| |
Additional Paid-in-Capital
|
| | | $ | 876,908(i) | | |
| |
Retained Earnings
|
| | | $ | (164,039)(i) | | |