investor update - medical facilities corp · formerly: nueterra healthcare management, mountain...
TRANSCRIPT
Investor UpdateMay 2020
Forward-Looking Statements
This presentation may contain forward-looking statements within the meaning of certain securities laws,
including the “safe harbour” provisions of the Securities Act (Ontario) and other provincial securities law in
Canada. These forward-looking statements include, among others, statements with respect to our objectives,
goals and strategies to achieve those objectives and goals, as well as statements with respect to our beliefs,
plans, objectives, expectations, anticipations, estimates and intentions. The words “may”, “will”, “could”,
“should”, “would”, “suspect”, “outlook”, “believe”, “plan”, “anticipate”, “estimate”, “expect”, “intend”, “forecast”,
“objective” and “continue” (or the negative thereof), and words and expressions of similar import, are intended
to identify forward-looking statements. Any such statements are subject to risks and uncertainties that could
cause actual results to differ materially from those projected in these forward-looking statements. For more
information on the risk factors related to these forward-looking statements, please refer to the management’s
discussion and analysis, annual information form and ongoing quarterly filings of Medical Facilities Corporation
available on SEDAR at www.sedar.com.
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MFC Overview
* Figures have been modified to reflect continuing operations only, which is defined as
consolidated operations excluding Unity Medical and Surgical Hospital and RRI Mishawaka
Hospital, LP. These entities are treated as discontinued operations in the financial results for
the fourth quarter and year ended December 31, 2019.
** As at March 31, 2020.
US$398.1
million
2019 Revenue*
US$96.2
million
2019 Adj. EBITDA*
186
Physician Partners**
US$44.5
million
2019 Income from
Operations*
• HIGHER PATIENT SATISFACTION ratings resulting from HIGHER QUALITY OF CARE
• DIRECT PHYSICIAN INVOLVEMENT in facility management, resulting in SUPERIOR PROCESSES AND EFFICIENCIES
Strategic Guiding Principles
MFC delivers value from a strong foundation of high-quality facilities providing
exceptional patient care while exercising prudent financial management that has
resulted in a long track record of solid returns.
Industry leading quality
and service
Focused on maximizing
operating efficiencies
Organic and acquisition
growth strategies
Strong physician-centric
management model
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Diverse High Quality Portfolio
Specialty Surgical Hospitals
Ambulatory Surgery Centers
• 11 facilities in 10 states
• 62 operating rooms
• 127 overnight beds
• 11 procedure rooms
• 6 urgent care clinics
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Strong Payor Mix
51%
34%
15%
Private Insurance Medicare/Medicaid Other
38%
34%
28%
Private Insurance Medicare/Medicaid Other
Source: Centers for Medicare & Medicaid Services, National Health Expenditure Projections
2019 MFC Facility Service Revenue 2019 U.S. Healthcare System Revenue
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Growing Demand for Healthcare
0
15
30
45
60
75
2015 Today 2020 2025 2030
U.S. population aged 65+ (millions)
Drivers:
• Overall population growth
• Aging population
Sources: Census.gov; United Nations, Department of Economic and Social Affairs, Population Division 7
The U.S. Healthcare Landscape
Facility type Number Services MFC’s position
Acute Care Hospital Approx. 5,500
General medicine and
surgery, including emergency
and maternity care, open
24/7
Specialty Surgical Hospital <300 physician-owned
Scheduled elective
procedures (e.g. orthopedics,
neurosurgery, pain
management)
Owns 4 in conjunction with
physician partners
Ambulatory Surgery Center Approx. 5,500
Scheduled elective
procedures;
Day surgery only
Owns 7 in conjunction with
physician partners
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Focused on Growth
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Expand capacity of
existing facilities
Diversify our revenue
base
Leverage our MFC
Nueterra Partnership
• Recruit new physicians
• Enhance facilities and
equipment through capital
investment
• Add ancillary services
• i.e. urgent care clinics
• De novo opportunities
• Acquisitions
Disciplined Approach to Acquisitions
Strict
acquisition
criteria
Accretion, with growth available from a strong
provider base and opportunities for operating
enhancements
High quality and optimum clinical outcomes
Continued strong earnings and
opportunity for growth
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(US$ millions, except where noted otherwise) Q1 2020 Q1 2019 Change %
REVENUE 92.8 93.4 -0.7%
INCOME FROM OPERATIONS 11.0 12.8 -14.1%
ADJUSTED EBITDA 18.6 20.7 -10.4%
ADJUSTED EBITDA MARGIN 20.0% 22.2% -9.9%
CASH AVAILABLE FOR DISTRIBUTION
(C$ MILLIONS)8.8 5.3 +67.9%
PAYOUT RATIO 24.6% 166.3% -85.2%
Adjusted EBITDA, cash distributions and payout ratio are non-IFRS financial measures. Please refer to “Non-IFRS Financial Measures” and “Reconciliation of Non-IFRS Financial Measures” sections in the Management’s Discussion and Analysis of Consolidated Financial Condition and Results of Operations for the three months ended March 31, 2020.
Q1 Highlights
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Well Resourced for Growth
$39.4
million
Cash & Short-term
Investments
1.04
Net Debt* /
Equity
1.96
Net Debt* /
Adj. EBITDA
1.8x
Current Ratio
As at March 31, 2020 12* inclusive of lease liabilities per IFRS 16
Management Team
David N.T. WatsonChief Financial Officer
Formerly: Clearway Pain Solutions,
National Surgical Hospitals
Robert O. HorrarPresident and Chief Executive Officer
Formerly: Community Health Systems, Humana
James D. RolfeChief Development Officer
Formerly: VMG Health, Community Health Systems
John ScharioChief Operating Officer
Formerly: Nueterra Healthcare Management,
Mountain States Health Alliance
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Investment Highlights
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• Large, growing & fragmented market for outpatient services
• Diverse portfolio of highly rated, high quality facilities
• Scalable platform for growth – organically and via acquisitions
• Experienced, entrepreneurial management team
• Competitive dividend
Capital Markets ProfileAs at April 30, 2020
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Stock Symbol: TSX: DR
Shares Outstanding: 31.1 million
Price: $4.41
Market Capitalization: $137.18 million
Annualized Distribution (per share): $0.28
Current Yield: 6.35%
*All figures in Canadian dollars
