Symbion, Inc. (NASDAQ/NM:SMBI), an owner and operator of surgery
centers, announced today results for the third quarter and nine
months ended September 30, 2005. For the third quarter ended
September 30, 2005, revenues increased 28% to $66.4 million
compared with $52.0 million for the third quarter ended September
30, 2004. Net income for the third quarter of 2005 increased 27% to
$4.2 million compared with $3.3 million for the third quarter of
2004. Earnings per diluted share for the third quarter of 2005
increased 19% to $0.19 compared with $0.16 for the third quarter of
2004. EBITDA less minority interests increased 29% to $11.6 million
for the third quarter of 2005 compared with $9.0 million for the
third quarter of 2004. Same store net patient service revenue for
the third quarter of 2005 increased 4% compared with the same
period in 2004. At September 30, 2005, the Company's outstanding
indebtedness was $110.0 million with a ratio of debt to total
capitalization of 30%. The results for the third quarter ended
September 30, 2005, were negatively impacted by the indefinite
closure in late August 2005 of one facility located in the New
Orleans suburb of Metairie and the temporary closing of two
facilities located in Hammond and Houma, Louisiana due to Hurricane
Katrina. Also impacted by other hurricanes during the third quarter
of 2005 were facilities in Wilmington, North Carolina and Houston,
Texas. The Company estimates that it lost approximately $1.0
million in revenue, or $0.01 in earnings per diluted share, and 2%
of same store net patient service revenue as a result of the
closure of these facilities affected by the hurricanes during the
third quarter. For the nine months ended September 30, 2005,
revenues increased 23% to $193.3 million compared with $156.7
million for the same period of 2004. Net income for the nine months
ended September 30, 2005, increased 41% to $13.4 million compared
with $9.5 million for the nine months ended September 30, 2004.
Earnings per diluted share for the nine months ended September 30,
2005, increased 30% to $0.61 compared with $0.47 for the same
nine-month period in 2004. EBITDA less minority interests increased
25% to $34.8 million for the nine months ended September 30, 2005,
compared with $27.8 million for the same period in 2004. Same store
net patient service revenue for the nine months ended September 30,
2005, increased 6% compared with the same period in 2004. The
results for the nine months ended September 30, 2005, include the
impact of the hurricanes in the third quarter as discussed above.
The results for the nine months ended September 30, 2004, include
an after-tax charge of $448,000, or $0.02 per diluted share, taken
in connection with a prepayment of notes in the first quarter of
2004. Commenting on the third quarter results, Richard E. Francis,
Jr., chairman and chief executive officer of Symbion, said, "We are
pleased with our performance in the third quarter. Despite the
impact of various hurricanes, we posted solid financial results and
profitability. We appreciate the efforts of our physician partners
and are extremely grateful for the dedication of our employees, who
continue to perform admirably in very difficult circumstances."
During the third quarter, the Company completed its acquisition of
an interest in five surgery centers in Southern California. The
Company acquired a majority interest in three surgery centers and a
minority interest in two recently opened de novo surgery centers.
In addition, as part of the transaction, Symbion acquired a
minority interest in a de novo surgery center currently under
development. Due to the impact of the hurricanes, the Company's
previously announced 2005 guidance for revenues of $260 million to
$266 million has been revised to $258 million to $264 million. The
previously announced guidance for diluted earnings per share of
$0.84 to $0.86 has been revised to $0.83 to $0.85. As usual, this
guidance does not include any impact from additional future
acquisitions. The Company also announced its guidance for 2006. The
Company expects to achieve revenues for 2006 in the range of $300
million to $305 million and earnings per diluted share for 2006 in
the range of $0.99 to $1.02. Same store net patient service revenue
growth for the year 2006 is expected to be 5% to 8% over 2005. The
Company's guidance does not include the impact from future
acquisitions or the Company's implementation on January 1, 2006 of
Financial Accounting Standards Board Statement No. 123(R),
"Share-Based Payment." In closing, Mr. Francis added, "As our
guidance suggests, we are optimistic about the future of Symbion.
We are successfully integrating recent accretive acquisitions,
demand for our services remains robust, and we continue to benefit
from our reputation for delivering exceptional services to
physicians. We plan to focus on these strengths, coupled with an
active development pipeline and continued fiscal discipline, all of
which bodes well for our physician partners, employees and
stockholders." The live broadcast of Symbion's third quarter
conference call will begin at 9:30 a.m. Eastern Time on October 27,
2005. An online replay of the call will be available for 30 days
following the conclusion of the live broadcast. A link for these
events can be found on the Company's website at www.symbion.com or
at www.earnings.com. Symbion, Inc., headquartered in Nashville,
Tennessee, owns and operates a network of surgery centers in 22
states. The Company's surgery centers provide non-emergency
surgical procedures across many specialties. This press release
contains forward-looking statements based on management's current
expectations and projections about future events and trends that
they believe may affect the Company's financial condition, results
of operations, business strategy and financial needs. The words
"anticipate," "believe," "continue," "estimate," "expect,"
"intend," "may," "plan," "will" and similar expressions are
generally intended to identify forward-looking statements. These
statements, including those regarding the Company's growth and
continued success, have been included in reliance on the "safe
harbor" provisions of the Private Securities Litigation Reform Act
of 1995. These statements involve risks, uncertainties and other
factors that may cause actual results to differ from the
expectations expressed in the statements. Many of these factors are
beyond the ability of the Company to control or predict. These
factors include, without limitation: (i) the Company's dependence
on payments from third-party payors, including government health
care programs and managed care organizations; (ii) the Company's
ability to acquire and develop additional surgery centers on
favorable terms; (iii) numerous business risks in acquiring and
developing additional surgery centers, including potential
difficulties in operating and integrating such surgery centers;
(iv) efforts to regulate the construction, acquisition or expansion
of health care facilities; (v) the risk that the Company's revenues
and profitability could be adversely affected if it fails to
attract and maintain good relationships with the physicians who use
its facilities; (vi) the Company's ability to comply with
applicable laws and regulations, including health care regulations,
corporate governance laws and financial reporting standards; (vii)
risks related to the Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 and future legislation, which could
restrict the Company's ability to operate its facilities licensed
as hospitals and could adversely impact its reimbursement revenues;
(viii) the risk of changes to physician self-referral laws that may
require the Company to restructure some of its relationships, which
could result in a significant loss of revenues and divert other
resources; (ix) the Company's significant indebtedness; (x) the
intense competition for physicians, strategic relationships,
acquisitions and managed care contracts, which may result in a
decline in the Company's revenues, profitability and market share;
(xi) the geographic concentration of the Company's operations,
which makes the Company particularly sensitive to regulatory,
economic and other conditions in certain states; (xii) the
Company's dependence on its senior management; (xiii) the Company's
ability to enhance operating efficiencies at its surgery centers;
and (xiv) other risks and uncertainties detailed from time to time
in the Company's filings with the Securities and Exchange
Commission. In light of the significant uncertainties inherent in
the forward-looking statements contained in this press release, you
should not place undue reliance on them. The Company undertakes no
obligation to update any forward-looking statements or to make any
other forward-looking statements, whether as a result of new
information, future events or otherwise. -0- *T SYMBION, INC.
Unaudited Condensed Consolidated Statement of Operations (in
thousands, except per share amounts) Three Months Ended Nine Months
Ended September 30, September 30, ------------------
------------------ 2005 2004 2005 2004 -------- -------- --------
-------- Revenues $66,422 $52,031 $193,254 $156,705 Operating
expenses: Salaries and benefits 17,762 13,717 49,621 41,036
Supplies 12,006 10,324 35,261 31,170 Professional and medical fees
3,510 2,849 10,316 8,155 Rent and lease expense 4,488 3,420 12,395
9,859 Other operating expenses 4,515 4,378 14,138 13,304 --------
-------- -------- -------- Cost of revenues 42,281 34,688 121,731
103,524 General and administrative expense 5,069 4,496 16,377
13,673 Depreciation and amortization 3,359 2,846 9,619 8,304
Provision for doubtful accounts 1,378 995 3,160 2,524 Income on
equity investments (233) (374) (842) (861) Impairment and loss on
disposal of long-lived assets 664 -- 1,520 16 Gain on sale of
long-lived assets (758) -- (1,785) (157) -------- -------- --------
-------- Total operating expenses 51,760 42,651 149,780 127,023
-------- -------- -------- -------- Operating income 14,662 9,380
43,474 29,682 Minority interests in income of consolidated
subsidiaries (6,453) (3,246) (18,285) (10,204) Interest expense,
net (1,408) (718) (3,322) (3,991) -------- -------- --------
-------- Income before income taxes 6,801 5,416 21,867 15,487
Provision for income taxes 2,619 2,084 8,419 5,961 --------
-------- -------- -------- Net income $4,182 $3,332 $13,448 $9,526
======== ======== ======== ======== Net income per share: Basic
$0.20 $0.16 $0.63 $0.49 ======== ======== ======== ======== Diluted
$0.19 $0.16 $0.61 $0.47 ======== ======== ======== ========
Weighted average number of common shares outstanding and common
equivalent shares: Basic 21,321 20,951 21,237 19,309 Diluted 22,075
21,474 21,929 20,075 SYMBION, INC. Condensed Consolidated Balance
Sheets (dollars in thousands) Sept. 30, Dec. 31, 2005 2004 --------
-------- (Unaudited) (Audited) ASSETS Current assets: Cash and cash
equivalents $26,803 $23,276 Accounts receivable, less allowance for
doubtful accounts 29,803 28,893 Inventories 6,647 6,068 Prepaid
expenses and other current assets 9,670 7,246 -------- --------
Total current assets 72,923 65,483 Property and equipment, net of
accumulated depreciation 69,079 67,793 Goodwill 266,953 215,533
Other intangible assets, net 725 950 Investments in and advances to
affiliates 14,319 12,927 Other assets 13,660 3,075 --------
-------- Total assets $437,659 $365,761 ======== ========
LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities: Accounts
payable $4,576 $5,237 Accrued payroll and benefits 8,174 7,985
Other accrued expenses 7,554 9,186 Current maturities of long-term
debt 1,187 1,620 -------- -------- Total current liabilities 21,491
24,028 Long-term debt, less current maturities 108,810 69,747 Other
liabilities 26,084 10,350 Minority interests 28,512 23,638 Total
stockholders' equity 252,762 237,998 -------- -------- Total
liabilities and stockholders' equity $437,659 $365,761 ========
======== SYMBION, INC. Supplemental Operating Data (dollars in
thousands, except per case and per share data) Three Months Ended
Nine Months Ended September 30, September 30, ------------------
------------------ 2005 2004 2005 2004 -------- -------- --------
-------- Same store statistics (1): Cases 48,146 47,345 147,831
141,505 Cases percentage growth 1.7% N/A 4.5% N/A Net patient
service revenue per case $1,137 $1,113 $1,129 $1,115 Net patient
service revenue per case percentage growth 2.2% N/A 1.3% N/A Number
of same store surgery centers 35 N/A 35 N/A Consolidated
Statistics: Cases 52,643 43,152 155,469 129,323 Cases percentage
growth 22.0% N/A 20.2% N/A Net patient service revenue per case
$1,202 $1,121 $1,183 $1,130 Net patient service revenue per case
percentage growth 7.2% N/A 4.7% N/A Number of surgery centers
operated as of end of period (2) 59 51 59 51 Number of states in
which the Company operates surgery centers 22 20 22 20 Revenues:
Net patient service revenues $63,263 $48,354 $183,929 $146,095
Physician service revenues 1,091 1,020 3,235 3,020 Other service
revenues 2,068 2,657 6,090 7,590 -------- -------- --------
-------- Total revenues $66,422 $52,031 $193,254 $156,705 ========
======== ======== ======== Cash flow information: Net cash provided
by operating activities $11,352 $6,709 $27,150 $18,633 Net cash
used in investing activities (49,115) (15,501) (61,827) (57,310)
Net cash provided by financing activities 39,555 5,786 38,204
38,850 Other information: EBITDA less minority interests (3)
$11,568 $8,980 $34,808 $27,782 (1) For purposes of this release,
the Company defines same store facilities as those centers that the
Company owned an interest in and managed throughout both of the
respective periods shown. Same store facilities include centers
that the Company does not consolidate for financial reporting
purposes. (2) The data for 2005 and 2004 includes nine surgery
centers that the Company managed but in which it did not have an
ownership interest. (3) When the term "EBITDA" is used, it refers
to operating income plus depreciation and amortization. "EBITDA
less minority interests" represents the Company's portion of
EBITDA, after subtracting the interests of third parties that own
interests in surgery centers that the Company consolidates for
financial reporting purposes. The Company's operating strategy
involves sharing ownership of its surgery centers with physicians,
physician groups and hospitals, and these third parties own an
interest in all but one of the Company's centers. The Company
believes that it is preferable to present EBITDA less minority
interests because it excludes the portion of EBITDA attributable to
these third-party interests and clarifies for investors the
Company's portion of EBITDA generated by its surgery centers and
other operations. The Company uses EBITDA and EBITDA less minority
interests as measures of liquidity. The Company has included them
because it believes that they provide investors with additional
information about the Company's ability to incur and service debt
and make capital expenditures. The Company also uses EBITDA, with
some variation in the calculation, to determine compliance with
some of the covenants under the Company's senior credit facility,
as well as to determine the interest rate and commitment fee
payable under the senior credit facility. EBITDA and EBITDA less
minority interests are not measurements of financial performance or
liquidity under generally accepted accounting principles. They
should not be considered in isolation or as a substitute for net
income, operating income, cash flows from operating, investing or
financing activities, or any other measure calculated in accordance
with generally accepted accounting principles. The items excluded
from EBITDA and EBITDA less minority interests are significant
components in understanding and evaluating financial performance
and liquidity. The Company's calculation of EBITDA and EBITDA less
minority interests may not be comparable to similarly titled
measures reported by other companies. The following table
reconciles EBITDA and EBITDA less minority interests to net cash
provided by operating activities: Three Months Ended Nine Months
Ended (in thousands) September 30, September 30, ------------------
------------------ 2005 2004 2005 2004 -------- -------- --------
-------- EBITDA $18,021 $12,226 $53,093 $37,986 Minority interests
in income of consolidated subsidiaries (6,453) (3,246) (18,285)
(10,204) -------- -------- -------- -------- EBITDA less minority
interests 11,568 8,980 34,808 27,782 Depreciation and amortization
(3,359) (2,846) (9,619) (8,304) Interest expense, net (1,408) (718)
(3,322) (3,991) Income taxes (2,619) (2,084) (8,419) (5,961)
-------- -------- -------- -------- Net income 4,182 3,332 13,448
9,526 Depreciation and amortization 3,359 2,846 9,619 8,304
Impairment and loss on disposal of long-lived assets 664 -- 1,520
16 Gain on sale of long-lived assets (758) -- (1,785) (157)
Minority interests in income of consolidated subsidiaries 6,453
3,246 18,285 10,204 Income taxes 2,619 2,084 8,419 5,961
Distributions to minority partners (5,689) (3,073) (15,645) (9,982)
Income on equity investments (233) (374) (842) (861) Provision for
doubtful accounts 1,378 995 3,160 2,524 Changes in operating assets
and liabilities, net of effects of acquisitions and dispositions:
Accounts receivable 1,029 (139) (1,106) (1,241) Other assets and
liabilities (1,652) (2,208) (7,923) (5,661) -------- --------
-------- -------- Net cash provided by operating activities $11,352
$6,709 $27,150 $18,633 ======== ======== ======== ======== *T
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