Earnings Call: Q1 2020

May 14, 2020

Good morning, everyone. Welcome to the Medical Facilities Corporation twenty twenty First Quarter Earnings Call. After management's remarks, this call will include a question and answer session whereby qualified equity analysts will be permitted to ask questions. Before turning the call over to management, listeners are reminded that certain statements made in today's call, including responses to questions, may contain forward looking statements within the meaning of the safe harbor provisions of Canadian provincial securities laws. Forward looking statements involve risks and uncertainties and undue reliance should not be placed on such statements. Certain material factors or assumptions are applied in making forward looking statements and actual results may differ materially from those expressed or implied in such statements. For additional information about factors that may cause actual results to differ materially from expectations and about material factors or assumptions applied in making forward looking statements, please consult the MD and A for this quarter. There is a factor section of the annual information form and medical facilities or filings with Canadian securities regulators. Medical Facilities does not undertake to update any forward looking statements. Such statements speak only as of the date made. Please note today's call is being broadcast live over the Internet, and the webcast will be available for replay beginning approximately one hour following the completion of the call. Details of how to access the webcast replay are available in this morning's news release announcing the company's financial results. I would now like to turn the meeting over to Mr. Rob Horar, President and CEO of Medical Facilities. Please go ahead, Mr. Horar. Thank you, operator, and good morning, everyone. With me this morning is David Watson, our Chief Financial Officer Jim Rolfe, our Chief Development Officer and John Chariot, our COO. This morning, we released our first quarter results. Our news release, financial statements, MD and A may be accessed through our website at www.medicalfacilitiescorp.ca and have also been filed with SEDAR today. The COVID-nineteen pandemic has had an impact on our first quarter results. For this morning's call, I will start by discussing our experiences during and following the quarter and move on to our near term outlook and provide a brief update on our initiatives. Looking at our results, we had a strong start to our first quarter. Net revenue from continuing operations was up 6% for the first two months of twenty twenty when compared to the same period last year. However, in the March, conditions began to change quickly as stay at home orders and cessation of elective cases in advance of the pandemic spread across across the country. The impact from COVID nineteen has varied at each of our facilities and the situation continues to change as the crisis develops. Near the end of the first quarter, three of our ASCs were closed due to local state mandates and have only recently begun to reopen. We continue to evaluate and adjust our policies and procedures to address the constantly evolving situation. While the US federal and state government and local departments of health have recommended, or in some cases mandated, the limitation of nonessential surgeries, The ultimate medical decision currently lies with the discretion of the physician providers to subject matter experts in consultation with patients. Our facilities continue to screen patients and evaluate on a case by case basis to determine which cases can be safely delayed and which should not, as well as take every precaution to ensure our facilities remain safe places for physicians, staff, and patients. We continue to see a reduction in case volume so far in the second quarter. But it's important to keep in mind that a decision to delay a procedure does not mean that the procedure is not medically necessary. These procedures may still need to be performed just at an appropriate time. As a result, we expect there will be a significant backlog of surgeries that will need to be scheduled once there is clarity on the pandemic. This surge may occur in the second half of the year, but the risk and impact of a second wave of the virus is hard to predict at this time. Nevertheless, despite the immediate challenges from our pandemic crisis, we have dramatically improved our financial position over the past six months. The changes to our dividend and the transactions for Unity in Central Arkansas provide us with increased flexibility, allowing us to pursue long term value maximizing opportunities as they become available. I thought this would be a good point in the call to provide an update on the new ASC under development in Chesterfield, Missouri. Construction for St. Luke's Surgery Center of Chesterfield commenced last November. We were planning to open in June, but construction has been delayed slightly due to COVID-nineteen. We now expect to perform cases in the third quarter. The St. Luke's ASC will initially offer five specialties including orthopedics, gynecology, gastroenterology, plastic surgery, and general surgery. St. Luke's will be one of our larger ASCs and will have extended care rooms to support total knee and hip replacements. In addition to de novo opportunities such as this, we continue to have a pipeline of potential acquisition opportunities. Again, with the crisis still ongoing and situation changing daily, our primary focus is on supporting our existing partners. I would like to now turn the call over to David to discuss our first quarter financial results. David? Thanks, Rob, and good morning, everyone. As usual, a few reminders before I get started. First, all dollar amounts expressed in today's call are in U. S. Dollars, unless otherwise stated. Second, following the sale of the majority of our interest in Uniti back in February, we no longer consolidate Uniti's financial and operating results in the corporation's financial statements. The corporation accounts for its interest in Uniti under the equity method of accounting. The following comments are for continuing operations and exclude the results of the Uniti discontinued operation. Our revenue for the first quarter was $92,800,000 which was down 0.7% from the 93,400,000.0 we recorded in the first quarter of twenty nineteen. As Rob mentioned, we had a late quarter decline in case volume as a result of the COVID nineteen pandemic as facilities postponed elective procedures and some of our ASCs were temporarily closed. Overall, surgical cases were down by eight point six percent, as outpatient cases decreased by eleven percent, inpatient cases decreased by zero point eight percent, and observation cases decreased by three point eight percent. Revenue decreased due to the falling case volumes and was partly offset by favorable changes in case and payer mix, as well as an increase in other revenue, including pain and imaging. Operating expenses for the quarter increased 1.5% to 81,700,000.0. Of note, operating expenses at OSH were up 12.1%, mostly due to higher rent, equipment purchases, and increased pain management and other staffing. Adjusted EBITDA for the quarter was $18,600,000 or 20% of revenue compared to $20,700,000 or 22.2% in the first quarter of last year. In the first quarter, we generated cash available for distribution totaling CAD8.8 million resulting in a payout ratio of 24.6%. Our balance sheet is sound and our liquidity position was strong going into the crisis. At the end of the first quarter, we had cash and cash equivalents of $39,400,000 and consolidated net working capital of $63,100,000 compared to $71,500,000 at year end. The change from year end was primarily due to the decrease in assets held for sale and the liabilities associated with assets held for sale as a result of the sale of our controlling interest in Uniti. This concludes my financial review for the quarter. For additional detail on our financial results, including specific results for each facility, please refer to our MD and A. With that, we'd now like to open the line for questions. Operator? And we do not have any telephone questions at this time. Mr. Horar, I will turn the call over to you. Thank you, operator. I want to take this opportunity to express my gratitude to our team, our physician partners, and all medical professionals and employees for their hard work, support, and partnership during this extraordinary period. And I would like to thank our investors and everyone on this call for their support and continued interest in MFC. As always, we look forward to reporting on our progress again next quarter. Keep well and be safe. Thank you. This concludes today's conference call. You may now disconnect.