Category: Healthcare

Nobilis Health Corp. Releases Strong Third Quarter 2015 Results, Completes Previously Announced Financial Restatement

HOUSTON, TX--(January 12, 2016) - Nobilis Health Corp. (NYSE MKT: HLTH) (TSX: NHC) ("Nobilis" or the "Company") today announced its third quarter financial results and that it has filed all restated financial results arising from the restatement announced on January 5, 2016 and detailed in the Form 8-K (Item 4.02) filed on January 5, 2016 (collectively, the "Restatement Reports"). 

Detailed information relating to the financial results for the three and nine months ended September 30, 2015 is available in our Form 10-Q filed today with the Securities and Exchange Commission and applicable Canadian securities regulators, which can be accessed on our web site www.NobilisHealth.com, www.SEC.gov, and www.Sedar.com.

Detailed information relating to the Company's restated financial result for fiscal year ended December 31, 2014 (including financial information contained therein for prior periods) is available on Form 10-K/A filed today with the Securities and Exchange Commission and applicable Canadian securities regulators, and detailed information relating to the Company's restated financial results for the fiscal quarters ended March 31, 2015 and June 30, 2015, is available on the Form 10-Q/A filed today with the Securities and Exchange Commission and applicable Canadian securities regulators for each such fiscal quarter, which can be accessed on our web site www.NobilisHealth.com, www.SEC.gov, and www.Sedar.com. All dollar amounts are in United States currency unless otherwise stated; percentage calculations are based on the numbers in the financial statements and may not correspond to rounded figures presented in this release.

This information in this press release is not intended to provide a comprehensive comparison of financial results.

Third Quarter Results

"The third quarter proved to be our strongest quarter so far with $52.5 million in total revenue and $10.9 million in net income attributable to Nobilis. Year to date through the end of the third quarter, we achieved $139.2 million in total revenue and $6.0 million in net income attributable to Nobilis," said Harry Fleming, CEO of Nobilis Health. "I believe the results of our third quarter showcase management's ability to execute on operations amid healthy YTD growth. Our growth this year is proving management's belief that direct to consumer marketing and strategic partnerships can drive growth. We believe that 2015 will finish strong and we look forward to carrying this momentum into 2016."

Total revenues for the three months ended September 30, 2015 totaled $52.5 million, an increase of $35.3 million or 205%, compared to $17.2 million from the prior corresponding 2014 period.

Total cases for the three months ended September 30, 2015 were 4,418, representing an increase of 2,769 cases or 168% from 1,649 cases in the prior corresponding 2014 period. Net income attributable to Nobilis for the three months ended September 30, 2015 was $10.9 million compared with a net income of $1.2 million from the prior corresponding 2014 period.

The increase in total revenues resulted in Nobilis having an Adjusted EBITDA of $9.7 million, for the three months ended September 30, 2015 compared with $1.9 million from the prior corresponding 2014 period, representing an increase of 398%.

See below for a reconciliation of GAAP and non-GAAP financial results.

Nine Months Results

Total revenues for the nine months ended September 30, 2015 totaled $139.2 million, an increase of $94.8 million or 214%, compared to $44.4 million from the prior corresponding 2014 period.

Total cases for the nine months ended September 30, 2015 were 12,549, representing an increase of 162% from the prior corresponding 2014 period. Net income attributable to Nobilis for the nine months ended September 30, 2015 was $6.0 million compared with a net income of $1.7 million from the prior corresponding 2014 period.

Adjusted EBITDA for the nine months ended September 30, 2015 was $21.0 million as compared with $2.9 million from the prior corresponding 2014 period, representing an increase of 615%.

Cash flows provided by operating activities in the nine months ended September 30, 2015 were $2.8 million, which represented a $1.7 million decrease compared to the prior corresponding 2014 period, which provided $4.5 million in cash flows from operating activities.

At September 30, 2015, Nobilis had consolidated net working capital of $55.8 million, including cash of $21.1 million. This compares with $22.3 million and $7.6 million, respectively, as of December 31, 2014. 

Conference Call Information

Nobilis will host a conference call on Thursday, January 14, 2016, at 8 a.m. CST to discuss its financial results for the third quarter ended September 30, 2015. To participate in the conference call, please dial (855) 789-8159 in the US and Canada, and (631) 485-4889 internationally. Please enter passcode 25541107. There will be a livestream of the conference call available at: http://edge.media-server.com/m/p/b7t6q95q.

Restatement and Management Cease Trade Order

Nobilis also announced that it has completed the Restatement Reports, which are in line with the information contained in its press release dated January 5, 2016. Restatement Reports are being filed in conjunction with the Form 10-Q for the three and nine months ended September 30, 2015.

The Company expects that the Ontario Securities Commission, as principal Canadian regulator for the Company, will lift the management cease trade order issued on Friday, December 4, 2015, because the Company filed the Restatement Reports today as well as its unaudited interim financial statements for the three and nine months ended September 30, 2015, the related management's discussion and analysis and CEO and CFO certificates. 

Safe Harbor

This press release contain certain forward-looking statements within the meaning of Canadian and United States securities laws, including the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995. Forward-looking statements include all statements that do not relate solely to historical or current facts and may be identified by the use of words such as "may," "believe," "will," "expect," "project," "estimate," "anticipate," "plan" or "continue." These forward-looking statements are based on current plans and expectations and are subject to a number of risks, uncertainties and other factors which could significantly affect current plans and expectations and our future financial condition and results. These factors, which could cause actual results, performance and achievements to differ materially from those anticipated, include, but are not limited to the risk that we may face challenges managing our new Marketing Segment and may not realize anticipated benefits; our ability to successfully maintain effective internal controls over financial reporting; our ability to implement our business strategy, manage the growth in our business, and integrate acquired businesses; the risk of litigation and investigations, and liability claims for damages and other expenses not covered by insurance; the risk that payments from third-party payers, including government healthcare programs, may decrease or not increase as costs increase; adverse developments affecting the medical practices of our physician limited partners; our ability to maintain favorable relations with our physician limited partners; our ability to grow revenues by increasing case and procedure volume while maintaining profitability at the Nobilis Facilities; failure to timely or accurately bill for services; our ability to compete for physician partners, patients and strategic relationships; the risk of changes in patient volume and patient mix; the risk that laws and regulations that regulate payments for medical services made by government healthcare programs could cause our revenues to decrease; the risk that contracts are cancelled or not renewed or that we are not able to enter into additional contracts under terms that are acceptable to us; and the risk of potential decreases in our reimbursement rates. The foregoing are significant factors we think could cause our actual results to differ materially from expected results. However, there could be additional factors besides those listed herein that also could affect us in an adverse manner.

We have not undertaken any obligation to publicly update or revise any forward-looking statements. All of our forward-looking statements speak only as of the date of the document in which they are made or, if a date is specified, as of such date. Subject to an mandatory requirements of applicable law, we disclaim any obligation or undertaking to provide any updates or revisions to any forward-looking statement to reflect any change in our expectations or any changes in events, conditions, circumstances or information on which the forward-looking statement is based. All subsequent written and oral forward-looking statements attributable to us or persons acting on our behalf are expressly qualified in their entirety by the foregoing factors and in our Annual Report on Form 10-K for the fiscal year ended December 31, 2014, filed on April 2, 2015, as updated by other filings with the Securities and Exchange Commission.

About Nobilis Health Corp.
Nobilis utilizes innovative direct-to-patient marketing focused on a specified set of procedures that are performed at our centers by local physicians. Currently, Nobilis owns or manages four surgical hospitals and five ASCs, partners with an additional 31 facilities throughout the country, and markets six independent brands.

   
   
NOBILIS HEALTH CORP. AND SUBSIDIARIES  
CONSOLIDATED BALANCE SHEETS  
(In thousands)  
   
    September 30, 2015     December 31, 2014  
    (Unaudited)     (Restated)  
                 
Assets                
Current Assets:                
  Cash   $ 21,093     $ 7,568  
  Trade accounts receivable, net     57,068       40,461  
  Medical supplies     3,567       1,412  
  Prepaid expenses and other current assets     5,907       3,554  
    Total current assets     87,635       52,995  
Property and equipment, net     21,875       9,087  
Intangible assets, net     19,906       19,609  
Goodwill     33,174       21,589  
Notes receivable     150       659  
Investments in associates     2,570       880  
Other long-term assets     212       234  
  Total Assets   $ 165,522     $ 105,053  
Liabilities and Shareholders' Equity                
Current Liabilities:                
  Trade accounts payable   $ 12,865     $ 10,528  
  Accrued liabilities     13,581       8,558  
  Lines of credit     -       5,420  
  Subordinated notes payable     -       635  
  Current portion of warrant and stock option liabilities     910       300  
  Current portion of debt     868       3,437  
  Current portion of capital leases     3,019       257  
  Other current liabilities     585       1,485  
    Total current liabilities     31,828       30,620  
Long-term capital leases, net of current portion     3,592       573  
Lines of credit     -       -  
Long-term debt, net of current portion     22,270       10,582  
Warrant and stock option liabilities, net of current portion     7,338       6,357  
Other long-term liabilities     72       252  
    Total liabilities     65,100       48,384  
Contingently redeemable noncontrolling interest     15,689       12,867  
Shareholders' Equity:                
Common stock (no par value; authorized unlimited shares, 70,988,979 and 59,418,227 shares issued and outstanding, respectively)     -       -  
  Additional paid in capital     210,251       176,356  
  Accumulated deficit     (130,145 )     (136,576 )
  Accumulated other comprehensive loss     (57 )     (111 )
    Total shareholders' equity attributable to Nobilis Health Corp.     80,049       39,669  
Noncontrolling interests     4,684       4,133  
    Total shareholders' equity     84,733       43,802  
Total Liabilities and Shareholders' Equity   $ 165,522     $ 105,053  
                 
                 
                 
NOBILIS HEALTH CORP. AND SUBSIDIARIES  
CONSOLIDATED STATEMENTS OF OPERATIONS  
(In thousands, except share and per share amounts)  
(Unaudited)  
   
    Three months ended September 30,     Nine months ended September 30,  
    2015     2014     2015     2014  
          (Restated)           (Restated)  
                                 
Revenues:                                
  Patient and net professional fees   $ 46,237     $ 17,193     $ 126,661     $ 44,428  
  Contracted marketing revenues     4,410       -       8,059       -  
  Factoring revenues     1,836       -       4,481       -  
    Total revenue     52,483       17,193       139,201       44,428  
Cost of revenues     284       -       1,255       -  
  Gross Profit     52,199       17,193       137,946       44,428  
Operating expenses:                                
  Salaries and benefits     10,255       2,964       26,927       6,882  
  Drugs and supplies     8,121       2,267       21,010       6,236  
  General and administrative     21,025       6,164       54,625       18,076  
  Bad debt expense     929       -       1,129       -  
  Depreciation and amortization     1,522       344       3,114       947  
    Total operating expenses     41,852       11,739       106,805       32,141  
Corporate costs:                                
  Salaries and benefits     1,540       636       3,532       1,665  
  General and administrative     5,192       690       17,707       1,926  
  Legal expenses     521       204       1,733       826  
  Depreciation     43       26       99       87  
    Total corporate costs     7,296       1,556       23,071       4,504  
    Income from operations     3,051       3,898       8,070       7,783  
Other expense (income):                                
  Change in fair value of warrant and stock option liabilities     (6,381 )     2       (4,677 )     (744 )
  Interest expense     322       22       1,106       135  
  Bargain purchase gain     (4,358 )     -       (4,358 )     -  
  Other income, net     (106 )     (40 )     (1,518 )     (106 )
    Total other (income) expense     (10,523 )     (16 )     (9,447 )     (715 )
Net income before income taxes and noncontrolling interests     13,574       3,914       17,517       8,498  
Income tax     256       94       862       332  
    Net income     13,318       3,820       16,655       8,166  
Net income attributable to noncontrolling interests     2,375       2,580       10,617       6,444  
Net income (loss) attributable to Nobilis Health Corp.   $ 10,943     $ 1,240     $ 6,038     $ 1,722  
Net income (loss) per basic common share   $ 0.15     $ 0.03     $ 0.09     $ 0.04  
Net income (loss) per fully diluted common share   $ 0.14     $ 0.03     $ 0.08     $ 0.04  
Weighted average shares outstanding (basic)     70,935,587       44,591,772       65,310,610       43,736,386  
Weighted average shares outstanding (fully diluted)     77,656,264       45,475,000       75,067,623       44,441,948  
                                 
                                 
                                 
NOBILIS HEALTH CORP. AND SUBSIDIARIES  
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES  
(In thousands)  
(Unaudited)  
   
    Three months ended September 30,   Nine months ended September 30,  
    2015     2014   2015     2014  
Reconciliation of net earnings to Adjusted EBITDA(1):                              
  Net income (loss) attributable to Nobilis Health Corp.   $ 10,943     $ 1,240   $ 6,038     $ 1,722  
  Interest Expense     322       22     1,106       135  
  Income Tax     256       94     862       332  
  Depreciation and amortization     1,565       370     3,213       1,034  
EBITDA   $ 13,086     $ 1,726   $ 11,219     $ 3,223  
Adjustments:                              
  Non-cash compensation expenses     2,343       212     12,469       408  
  Deal Costs     617       -     1,955       45  
  Change in fair value of warrant and stock option liabilities     (6,381 )     2     (4,677 )     (744 )
Total Adjustments     (3,421 )     214     9,747       (291 )
  Adjusted EBITDA   $ 9,665     $ 1,940   $ 20,966     $ 2,932  

1Adjusted EBITDA is defined as earnings before interest, income taxes, depreciation and amortization, non-cash compensation, expenses, acquisition expenses and change in fair value of warrant and stock option liabilities. Adjusted EBITDA should not be considered a measure of financial performance under generally accepted accounting principles. Items excluded from adjusted EBITDA are significant components in understanding and assessing financial performance. Adjusted EBITDA is an analytical indicator used by management and the health care industry to evaluate company performance, allocate resources and measure leverage and debt service capacity. Adjusted EBITDA should not be considered in isolation or as an alternative to net income, cash flows generated by operations, investing or financing activities, or other financial statement data presented in the consolidated financial statements as indicators of financial performance or liquidity. Because adjusted EBITDA is not a measurement determined in accordance with generally accepted accounting principles and is thus susceptible to varying calculations, adjusted EBITDA as presented may not be comparable to other similarly titled measures of other companies. Net income attributable to Nobilis Health Corp. common shareholders is the financial measure calculated and presented in accordance with generally accepted accounting principles that is most comparable to adjusted EBITDA as defined.  

Contact:

Contact Information:
Kenny Klein
Chief Financial Officer
Tel: (713) 355-8614