Acadia Healthcare Company, Inc. (NASDAQ: ACHC) today announced financial results for the fourth quarter and year ended December 31, 2017. Revenue increased 3.1% for the quarter to $724.5 million from $702.9 million for the fourth quarter of 2016. Net income attributable to Acadia stockholders was $69.6 million, or $0.80 per diluted share, for the fourth quarter of 2017 compared with $41.8 million, or $0.48 per diluted share, for the fourth quarter of 2016. Results for the fourth quarter of 2017 include a non-cash decrease in the provision for income taxes of $20.2 million from the impact of the Tax Cuts and Jobs Act of 2017 on net deferred tax liabilities. This estimate will continue to be evaluated as further information becomes available. Adjusted income from continuing operations attributable to Acadia stockholders per diluted share ("adjusted EPS") was $0.61 for the fourth quarter of 2017 compared with $0.59 for the fourth quarter of 2016, excluding the impact of a tax benefit of $20.2 million due to the Tax Cuts and Jobs Act of 2017; transaction-related expenses of $5.4 million and $14.8 million for the fourth quarter of 2017 and 2016, respectfully; and debt extinguishment costs of $0.8 million and loss on divestiture of $4.1 million for the fourth quarter of 2016. A reconciliation of all non-GAAP financial results in this release appears beginning on page 8.

Joey Jacobs, Chairman and Chief Executive Officer of Acadia, commented, "We are pleased with our results for the fourth quarter of 2017. We note that the results for the fourth quarter of 2016 include revenue of approximately $30 million and adjusted EPS of approximately $0.05 from 22 facilities in the U.K. that were divested on November 30, 2016."

Same facility revenue for Acadia's U.S. operations increased 6.6% for the fourth quarter of 2017 from the fourth quarter of 2016, with a 3.1% increase in patient days and a 3.3% increase in revenue per patient day. U.S. same facility EBITDA margin was 26.3% for the latest quarter, unchanged from the fourth quarter of 2016.

Same facility revenue for Acadia's U.K. operations increased 3.7% for the fourth quarter of 2017 compared with the fourth quarter of 2016, with a 1.5% increase in patient days and a 2.2% increase in revenue per patient day. U.K. same facility EBITDA margin was 21.1% for the fourth quarter compared with 22.3% for the fourth quarter of 2016. Mr. Jacobs added, "The fourth quarter results for our operations in the U.K. met our revised expectations. Our results still reflect a lower census than normal and continued pressure from higher agency labor expense, primarily for nurses and other clinical staff, due to tightening in the U.K. labor market."

Total same facility revenue for the fourth quarter of 2017 increased 5.6%, with a 2.4% increase in patient days and a 3.1% increase in revenue per patient day. Total same facility EBITDA margin was 24.5% for the fourth quarter of 2017 compared with 24.9% for the fourth quarter of 2016. The growth in same facility revenue reflected the addition of 750 beds to existing and new facilities in 2017, of which 398 beds opened in the fourth quarter. The Company expects to add more than 800 beds to existing and new facilities in 2018.

Acadia's consolidated adjusted EBITDA for the fourth quarter of 2017 was $153.5 million, or 21.2% of revenue, compared with $149.5 million, or 21.3% of revenue, for the fourth quarter of 2016.

Acadia today established its financial guidance for 2018 and the first quarter of 2018, as follows:
  • Revenue for 2018 in a range of $3.04 billion to $3.08 billion;
  • Adjusted EBITDA for 2018 in a range of $637 million to $644 million;
  • Adjusted earnings per diluted share for 2018 in a range of $2.42 to $2.48;
  • Adjusted earnings per diluted share for the first quarter of 2018 in a range of $0.47 to $0.49; and
  • An exchange rate of $1.35 per British Pound Sterling and a tax rate of approximately 21%.

The Company's guidance does not include the impact of any future acquisitions or transaction-related expenses.

EBITDA is defined as net income adjusted for net income (loss) attributable to noncontrolling interests, (benefit from) provision for income taxes, net interest expense and depreciation and amortization. Adjusted EBITDA is defined as EBITDA adjusted for equity-based compensation expense, transaction-related expenses, debt extinguishment costs, loss on divestiture and gain on foreign currency derivatives. Adjusted income is defined as net income adjusted for transaction-related expenses, tax reform impact, debt extinguishment costs, loss on divestiture, gain on foreign currency derivatives and income tax effect of adjustments to income.

Acadia will hold a conference call to discuss its fourth quarter financial results at 9:00 a.m. Eastern Time on Thursday, February 22, 2018. A live webcast of the conference call will be available at www.acadiahealthcare.com in the "Investors" section of the website. The webcast of the conference call will be available through March 8, 2018.

Risk Factors

This news release contains forward-looking statements. Generally, words such as "may," "will," "should," "could," "anticipate," "expect," "intend," "estimate," "plan," "continue," and "believe" or the negative of or other variation on these and other similar expressions identify forward-looking statements. These forward-looking statements are made only as of the date of this news release. We do not undertake to update or revise the forward-looking statements, whether as a result of new information, future events or otherwise. Forward-looking statements are based on current expectations and involve risks and uncertainties and our future results could differ significantly from those expressed or implied by our forward-looking statements. Factors that may cause actual results to differ materially include, without limitation, (i) potential difficulties operating our business in light of political and economic instability in the U.K. and globally following the referendum in the U.K. on June 23, 2016, in which voters approved an exit from the European Union, or Brexit; (ii) the impact of fluctuations in foreign exchange rates, including the devaluation of the British Pound Sterling (GBP) relative to the U.S. Dollar (USD) following the Brexit vote; (iii) Acadia's ability to complete acquisitions and successfully integrate the operations of acquired facilities; (iv) Acadia's ability to add beds, expand services, enhance marketing programs and improve efficiencies at its facilities; (v) potential reductions in payments received by Acadia from government and third-party payors; (vi) the occurrence of patient incidents and governmental investigations, which could adversely affect the price of our common stock and result in substantial fines and incremental regulatory burdens; (vii) the risk that Acadia may not generate sufficient cash from operations to service its debt and meet its working capital and capital expenditure requirements; and (viii) potential operating difficulties, labor costs, client preferences, changes in competition and general economic or industry conditions that may prevent Acadia from realizing the expected benefits of its business strategy. These factors and others are more fully described in Acadia's periodic reports and other filings with the SEC.

About Acadia

Acadia is a provider of behavioral healthcare services. At December 31, 2017, Acadia operated a network of 582 behavioral healthcare facilities with approximately 17,800 beds in 39 states, the United Kingdom and Puerto Rico. Acadia provides behavioral health and addiction services to its patients in a variety of settings, including inpatient psychiatric hospitals, specialty treatment facilities, residential treatment centers and outpatient clinics.
 
Acadia Healthcare Company, Inc.
Condensed Consolidated Statements of Operations
(Unaudited)
       
Three Months Ended December 31, Year Ended December 31,
2017 2016 2017 2016
(In thousands, except per share amounts)
 
Revenue before provision for doubtful accounts $ 733,538 $ 713,784 $ 2,877,234 $ 2,852,823
Provision for doubtful accounts   (9,026 )   (10,896 )   (40,918 )   (41,909 )
Revenue 724,512 702,888 2,836,316 2,810,914
 

Salaries, wages and benefits (including equity-based compensation expense of $4,460, $7,356, $23,467 and $28,345, respectively)
390,582 384,297 1,536,160 1,541,854
Professional fees 53,451 47,516 196,223 185,486
Supplies 29,439 28,976 114,439 117,425
Rents and leases 19,320 18,335 76,775 73,348
Other operating expenses 82,666 81,606 331,827 312,556
Depreciation and amortization 37,754 33,958 143,010 135,103
Interest expense, net 45,230 46,010 176,007 181,325
Debt extinguishment costs - 842 810 4,253
Loss on divestiture - 4,070 - 178,809
Gain on foreign currency derivatives - - - (523 )
Transaction-related expenses   5,431     14,840     24,267     48,323  
Total expenses   663,873     660,450     2,599,518     2,777,959  
Income before income taxes 60,639 42,438 236,798 32,955
(Benefit from) provision for income taxes   (9,050 )   1,012     37,209     28,779  
Net income 69,689 41,426 199,589 4,176
Net (income) loss attributable to noncontrolling interests   (60 )   392     246     1,967  
Net income attributable to Acadia Healthcare Company, Inc. $ 69,629   $ 41,818   $ 199,835   $ 6,143  
 

Earnings per share attributable to Acadia Healthcare Company, Inc. stockholders:
Basic $ 0.80   $ 0.48   $ 2.30   $ 0.07  
Diluted $ 0.80   $ 0.48   $ 2.30   $ 0.07  
 
Weighted-average shares outstanding:
Basic 87,052 86,668 86,948 85,701
Diluted 87,166 86,890 87,060 85,972
 

   
Acadia Healthcare Company, Inc.
Condensed Consolidated Balance Sheets
(Unaudited)
 
December 31,
2017 2016
(In thousands)
 
ASSETS
Current assets:
Cash and cash equivalents $ 67,290 $ 57,063

Accounts receivable, net of allowance for doubtful accounts of $39,803 and $38,916, respectively
296,925 263,327
Other current assets   107,335     107,537  
Total current assets 471,550 427,927
Property and equipment, net 3,048,130 2,703,695
Goodwill 2,751,174 2,681,188
Intangible assets, net 87,348 83,310
Deferred tax assets - noncurrent 3,731 3,780
Derivative instruments 12,997 73,509
Other assets   49,572     51,317  
Total assets $ 6,424,502   $ 6,024,726  
 
 
LIABILITIES AND EQUITY
Current liabilities:
Current portion of long-term debt $ 34,830 $ 34,805
Accounts payable 102,299 80,034
Accrued salaries and benefits 99,047 105,068
Other accrued liabilities   141,213     122,958  
Total current liabilities 377,389 342,865
Long-term debt 3,205,058 3,253,004
Deferred tax liabilities - noncurrent 80,333 78,520
Other liabilities   166,434     164,859  
Total liabilities 3,829,214 3,839,248
Redeemable noncontrolling interests 22,417 17,754
Equity:
Common stock 871 867
Additional paid-in capital 2,517,545 2,496,288
Accumulated other comprehensive loss (374,118 ) (549,570 )
Retained earnings   428,573     220,139  
Total equity   2,572,871     2,167,724  
Total liabilities and equity $ 6,424,502   $ 6,024,726  
 

 
Acadia Healthcare Company, Inc.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
   
Year Ended December 31,
2017 2016
(In thousands)
Operating activities:
Net income $ 199,589 $ 4,176
Adjustments to reconcile net income to net cash provided by continuing operating activities:
Depreciation and amortization 143,010 135,103
Amortization of debt issuance costs 9,855 10,324
Equity-based compensation expense 23,467 28,345
Deferred income tax expense 31,372 28,647
Debt extinguishment costs 810 4,253
Loss on divestiture - 178,809
Gain on foreign currency derivatives - (523 )
Other 11,412 4,715
Change in operating assets and liabilities, net of effect of acquisitions:
Accounts receivable, net (28,570 ) (15,718 )
Other current assets 20,808 (20,648 )
Other assets (3,176 ) (4,354 )
Accounts payable and other accrued liabilities (10,113 ) 22,693
Accrued salaries and benefits (8,988 ) (8,572 )
Other liabilities   11,794     4,484  
Net cash provided by continuing operating activities 401,270 371,734
Net cash used in discontinued operating activities   (1,693 )   (10,256 )
Net cash provided by operating activities 399,577 361,478
 
Investing activities:
Cash paid for acquisitions, net of cash acquired (18,191 ) (683,455 )
Cash paid for capital expenditures (274,177 ) (307,472 )
Cash paid for real estate acquisitions (41,057 ) (40,757 )
Settlement of foreign currency derivatives - 523
Cash received on divestitures - 373,266
Other   (3,101 )   (2,470 )
Net cash used in investing activities (336,526 ) (660,365 )
 
Financing activities:
Borrowings on long-term debt - 1,480,000
Borrowings on revolving credit facility - 179,000
Principal payments on revolving credit facility - (337,000 )
Principal payments on long-term debt (34,805 ) (49,941 )
Repayment of assumed debt - (1,348,389 )
Repayment of long-term debt (22,500 ) (200,594 )
Payment of debt issuance costs - (36,649 )
Issuance of common stock, net - 685,097
Common stock withheld for minimum statutory taxes, net (3,455 ) (8,846 )
Other   686     (3,837 )
Net cash (used in) provided by financing activities   (60,074 )   358,841  
 
Effect of exchange rate changes on cash   7,250     (14,106 )
 
Net increase in cash and cash equivalents 10,227 45,848
Cash and cash equivalents at beginning of the period   57,063     11,215  
Cash and cash equivalents at end of the period $ 67,290   $ 57,063  
 
Effect of acquisitions:
Assets acquired, excluding cash $ 19,649 $ 2,516,880
Liabilities assumed (1,458 ) (1,616,543 )
Issuance of common stock in connection with acquisition   -     (216,882 )
Cash paid for acquisitions, net of cash acquired $ 18,191   $ 683,455  
 

 
Acadia Healthcare Company, Inc.
Operating Statistics
(Unaudited, Revenue in thousands)
             
Three Months Ended December 31, Year Ended December 31,
2017 2016 % Change 2017 2016 % Change
Same Facility Results (a,d)
Revenue $ 693,619 $ 657,087 5.6% $ 2,602,315 $ 2,464,289 5.6%
Patient Days 1,103,891 1,078,217 2.4% 4,173,465 4,027,440 3.6%
Admissions 39,120 37,031 5.6% 156,437 147,172 6.3%
Average Length of Stay (b) 28.2 29.1 -3.1% 26.7 27.4 -2.5%
Revenue per Patient Day $ 628 $ 609 3.1% $ 624 $ 612 1.9%
EBITDA margin 24.5% 24.9% -40 bps 25.3% 25.6% -30 bps
 
U.S. Same Facility Results (a)
Revenue $ 451,958 $ 424,092 6.6% $ 1,774,461 $ 1,665,344 6.6%
Patient Days 607,850 589,457 3.1% 2,429,171 2,318,598 4.8%
Admissions 36,868 35,029 5.2% 148,611 139,886 6.2%
Average Length of Stay (b) 16.5 16.8 -2.0% 16.3 16.6 -1.4%
Revenue per Patient Day $ 744 $ 719 3.3% $ 730 $ 718 1.7%
EBITDA margin 26.3% 26.3% 0 bps 27.0% 27.1% -10 bps
 
U.K. Same Facility Results (a,d)
Revenue $ 241,661 $ 232,995 3.7% $ 827,854 $ 798,945 3.6%
Patient Days 496,041 488,760 1.5% 1,744,294 1,708,842 2.1%
Admissions 2,252 2,002 12.5% 7,826 7,286 7.4%
Average Length of Stay (b) 220.3 244.1 -9.8% 222.9 234.5 -5.0%
Revenue per Patient Day $ 487 $ 477 2.2% $ 475 $ 468 1.5%
EBITDA margin 21.1% 22.3% -120 bps 21.7% 22.5% -80 bps
 
 
 
U.S. Facility Results (c)
Revenue $ 454,529 $ 426,811 6.5% $ 1,809,844 $ 1,683,776 7.5%
Patient Days 608,353 589,656 3.2% 2,461,512 2,321,908 6.0%
Admissions 36,952 35,070 5.4% 151,467 140,691 7.7%
Average Length of Stay (b) 16.5 16.8 -2.1% 16.3 16.5 -1.5%
Revenue per Patient Day $ 747 $ 724 3.2% $ 735 $ 725 1.4%
EBITDA margin 25.5% 25.7% -20 bps 26.3% 26.4% -10 bps
 
U.K. Facility Results (c,d)
Revenue $ 269,983 $ 261,393 3.3% $ 1,026,472 $ 917,841 11.8%
Patient Days 686,708 691,560 -0.7% 2,735,132 2,476,178 10.5%
Admissions 2,554 2,306 10.8% 10,222 8,765 16.6%
Average Length of Stay (b) 268.9 299.9 -10.3% 267.6 282.5 -5.3%
Revenue per Patient Day $ 393 $ 378 4.0% $ 375 $ 371 1.2%
EBITDA margin 19.1% 20.6% -150 bps 19.3% 20.8% -150 bps
 
Total Facility Results (c,d)
Revenue $ 724,512 $ 688,204 5.3% $ 2,836,316 $ 2,601,617 9.0%
Patient Days 1,295,061 1,281,216 1.1% 5,196,644 4,798,086 8.3%
Admissions 39,506 37,376 5.7% 161,689 149,456 8.2%
Average Length of Stay (b) 32.8 34.3 -4.4% 32.1 32.1 0.1%
Revenue per Patient Day $ 559 $ 537 4.2% $ 546 $ 542 0.7%
EBITDA margin 23.1% 23.8% -70 bps 23.8% 24.4% -60 bps
 
(a) Same-facility results for the periods presented exclude the 22 facilities in the U.K. sold on November 30, 2016, the elderly care division of our U.K. operations and other closed services.
(b) Average length of stay is defined as patient days divided by admissions.
(c) Total Facility results for the periods presented exclude the 22 facilities in the U.K. sold on November 30, 2016 and other closed services.
(d) Revenue and revenue per patient day for the three months and year ended December 31, 2016 is adjusted to reflect the foreign currency exchange rate for the comparable periods of 2017 in order to eliminate the effect of changes in the exchange rate. The exchange rate used in the adjusted revenue and revenue per patient day amounts for the three months and year ended December 31, 2016 is 1.33 and 1.29, respectively.
 

 
Acadia Healthcare Company, Inc.
Reconciliation of Net Income Attributable to Acadia Healthcare Company, Inc. to Adjusted EBITDA
(Unaudited)
       
Three Months Ended December 31, Year Ended December 31,
2017 2016 2017 2016
(in thousands)
 
Net income attributable to Acadia Healthcare Company, Inc. $ 69,629 $ 41,818 $ 199,835 $ 6,143
Net income (loss) attributable to noncontrolling interests 60 (392 ) (246 ) (1,967 )
(Benefit from) provision for income taxes (9,050 ) 1,012 37,209 28,779
Interest expense, net 45,230 46,010 176,007 181,325
Depreciation and amortization   37,754     33,958     143,010     135,103  
EBITDA 143,623 122,406 555,815 349,383
 
Adjustments:
Equity-based compensation expense (a) 4,460 7,356 23,467 28,345
Transaction-related expenses (b) 5,431 14,840 24,267 48,323
Debt extinguishment costs (c) - 842 810 4,253
Loss on divestiture (d) - 4,070 - 178,809
Gain on foreign currency derivatives (e)   -     -     -     (523 )
Adjusted EBITDA $ 153,514   $ 149,514   $ 604,359   $ 608,590  
 
See footnotes on page 10.
 

 
Acadia Healthcare Company, Inc.
Reconciliation of Adjusted Income Attributable to Acadia Healthcare Company, Inc. to
Net Income Attributable to Acadia Healthcare Company, Inc.
(Unaudited)
       
Three Months Ended December 31, Year Ended December 31,
2017 2016 2017 2016
(in thousands, except per share amounts)
 
Net income attributable to Acadia Healthcare Company, Inc. $ 69,629 $ 41,818 $ 199,835 $ 6,143
 
Adjustments to income:
Transaction-related expenses (b) 5,431 14,840 24,267 48,323
Tax reform impact (f) (20,188 ) - (20,188 ) -
Debt extinguishment costs (c) - 842 810 4,253
Loss on divestiture (d) - 4,070 - 178,809
Gain on foreign currency derivatives (e) - - - (523 )
Income tax effect of adjustments to income (g)   (1,978 )   (10,229 )   (4,492 )   (26,760 )
Adjusted income attributable to Acadia Healthcare Company, Inc. $ 52,894   $ 51,341   $ 200,232   $ 210,245  
 
Weighted-average shares outstanding - diluted 87,166 86,890 87,060 85,972
 

Adjusted income attributable to Acadia Healthcare Company, Inc. per diluted share
$ 0.61   $ 0.59   $ 2.30   $ 2.45  
 
See footnotes on page 10.
 

 
Acadia Healthcare Company, Inc.
Footnotes
   
We have included certain financial measures in this press release, including EBITDA, Adjusted EBITDA, and Adjusted income, which are "non-GAAP financial measures" as defined under the rules and regulations promulgated by the SEC. We define EBITDA as net income adjusted for net income (loss) attributable to noncontrolling interests, (benefit from) provision for income taxes, net interest expense and depreciation and amortization. We define Adjusted EBITDA as EBITDA adjusted for equity-based compensation expense, transaction-related expenses, debt extinguishment costs, loss on divestiture and gain on foreign currency derivatives. We define Adjusted income as net income adjusted for transaction-related expenses, tax reform impact, debt extinguishment costs, loss on divestiture, gain on foreign currency derivatives and income tax effect of adjustments to income.
 
EBITDA, Adjusted EBITDA, and Adjusted income are supplemental measures of our performance and are not required by, or presented in accordance with, generally accepted accounting principles in the United States ("GAAP"). EBITDA, Adjusted EBITDA, and Adjusted income are not measures of our financial performance under GAAP and should not be considered as alternatives to net income or any other performance measures derived in accordance with GAAP or as an alternative to cash flow from operating activities as measures of our liquidity. Our measurements of EBITDA, Adjusted EBITDA, and Adjusted income may not be comparable to similarly titled measures of other companies. We have included information concerning EBITDA, Adjusted EBITDA, and Adjusted income in this press release because we believe that such information is used by certain investors as measures of a company's historical performance. We believe these measures are frequently used by securities analysts, investors and other interested parties in the evaluation of issuers of equity securities, many of which present EBITDA, Adjusted EBITDA, and Adjusted income when reporting their results. Our presentation of EBITDA, Adjusted EBITDA, and Adjusted income should not be construed as an inference that our future results will be unaffected by unusual or nonrecurring items.
 
The Company is not able to provide a reconciliation of projected Adjusted EBITDA and adjusted earnings per diluted share, where provided, to expected results due to the unknown effect, timing and potential significance of transaction-related expenses and the tax effect of such expenses.
 
(a) Represents the equity-based compensation expense of Acadia.
 
(b) Represents transaction-related expenses incurred by Acadia related to acquisitions and integration efforts.
 
(c) Represents debt extinguishment costs recorded in connection with the Amended and Restated Credit Agreement, including the discount and write-off of deferred financing costs.
 
(d) As part of divestitures in the U.K. and U.S., the loss on divestiture includes an allocation of goodwill to the disposal groups of approximately $106.9 million, loss on the sale of properties of approximately $45.0 million, transaction-related expenses of approximately $26.8 million and write-off of intangible assets of approximately $0.1 million.
 
(e) Represents the change in fair value of foreign currency derivatives purchased by Acadia related to (i) acquisitions in the U.K. and (ii) certain transfers of cash between the U.S. and U.K. under the Company's cash management and foreign currency risk management programs.
 
(f) Represents the Company's estimate of the one-time remeasurement of deferred taxes pursuant to the enactment of the Tax Cuts and Jobs Act. The estimate of the tax reform impact may be revised as further information is evaluated.
 
(g) Represents the income tax effect of adjustments to income based on tax rates of 19.87% and 17.96% for the three months ended December 31, 2017 and 2016, respectively, and 23.65% and 20.90% for the year ended December 31, 2017 and 2016, respectively. The adjusted income tax provision for the year ended December 31, 2017 excludes the impact of adopting ASU 2016-09 "Improvements to Employee Share-Based Payment Accounting" of approximately $1.7 million.

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