Delaware |
001-42180 |
61-1764793 |
(State or Other Jurisdiction
of Incorporation)
|
(Commission
File Number)
|
(I.R.S. Employer
Identification No.)
|
340 Seven Springs Way, Suite 100,
Brentwood, Tennessee
|
37027 |
|
(Address of Principal Executive Offices) |
(Zip Code) |
o |
Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
o |
Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
o |
Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
o |
Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
Title of each Class |
Trading
Symbol(s)
|
Name of each exchange
on which registered
|
||
Common Stock, $.01 par value per
share
|
ARDT |
New York Stock Exchange |
Exhibit No. |
Exhibit Description |
Exhibit 99.1 |
|
Exhibit 104 |
Cover Page Interactive Data File (embedded within the Inline XBRL document) |
Dated: November 6, 2024 |
ARDENT HEALTH PARTNERS, INC. |
|
By: |
/s/ Alfred Lumsdaine |
|
Name: |
Alfred Lumsdaine |
|
Title: |
Executive Vice President, Chief Financial Officer |
Total Revenue
$1.45 billion
+5.2% over PY
|
Net Income Attributable
to Ardent Health
$26 million | $0.19 per basic and diluted share
|
Adjusted EBITDA(1)
$98 million
+15.3% over PY, margin expansion of 50bps
|
Cash Flow from Operating Activities
$90 million
|
Adjusted Admissions
3.8% Growth Y/Y
|
Net Patient Service Revenue
per Adjusted Admission
0.9% Growth Y/Y
|
Adjusted EBITDAR(1)
$138 million
|
Increase Full-Year 2024 Adjusted EBITDA(1)
& Revenue Guidance
|
Strong Third Quarter Results – Raising 2024 Guidance
•“We are pleased with our third quarter performance," stated Marty Bonick, President and Chief Executive
Officer of Ardent Health. “Year-over-year growth in key metrics, including inpatient and outpatient surgeries and
admissions, accelerated compared to the first half of 2024. Net income attributable to Ardent Health increased
to $26 million and adjusted EBITDA improved 15% year-over-year with margins expanding 50bps to 6.7%.”
•“These results reflect the effectiveness of our consumer-focused growth strategy and operational excellence
initiatives,” continued Bonick. “We’ve continued our service line optimization initiatives, enhanced supply chain
efficiencies, and furthered our technological drive through deployment of new AI initiatives aimed at supporting
our caregivers, driving efficiencies, and elevating clinical outcomes. Collectively our strategic initiatives are
driving value, positioning us strongly for continued growth.”
•“Our solid third quarter results, coupled with momentum from our strategic execution, give us confidence to
increase our 2024 adjusted EBITDA guidance midpoint by 2% and modestly improve our revenue outlook,” said
Bonick.
|
Three Months Ended September 30, |
|||||
2024 |
2023 |
% Change |
|||
Adjusted admissions |
86,833 |
83,643 |
3.8% |
||
Admissions |
39,568 |
37,191 |
6.4% |
||
Inpatient surgeries |
8,871 |
8,826 |
0.5% |
||
Outpatient surgeries |
23,220 |
23,164 |
0.2% |
||
Total surgeries |
32,091 |
31,990 |
0.3% |
||
Emergency room visits |
161,343 |
157,182 |
2.6% |
||
Net patient service revenue per adjusted admission |
$16,312 |
$16,174 |
0.9% |
Full Year 2024 Projected |
|||||||
(Dollars in millions, except per share amount) |
Previous Guidance |
New Guidance |
|||||
Total revenue |
$5,750 |
— |
$5,900 |
$5,800 |
— |
$5,875 |
|
Net income attributable to Ardent Health Partners, Inc. |
$163 |
— |
$182 |
$156 |
— |
$176 |
|
Adjusted EBITDA |
$415 |
— |
$435 |
$425 |
— |
$440 |
|
Rent expense payable to REITs |
$161 |
— |
$161 |
$161 |
— |
$161 |
|
Diluted earnings per share |
$1.23 |
— |
$1.37 |
$1.18 |
— |
$1.32 |
|
Adjusted admissions growth |
4.0% |
— |
4.5% |
4.5% |
— |
5.0% |
|
Net patient service revenue per adjusted admission growth |
2.3% |
— |
4.4% |
2.6% |
— |
3.3% |
|
Capital expenditures |
$170 |
— |
$185 |
$170 |
— |
$185 |
Three Months Ended September 30, |
|||||||
2024 |
2023 |
||||||
Amount |
% |
Amount |
% |
||||
Total revenue |
$1,449,817 |
100.0% |
$1,377,727 |
100.0% |
|||
Expenses: |
|||||||
Salaries and benefits |
635,223 |
43.8% |
595,580 |
43.2% |
|||
Professional fees |
274,223 |
18.9% |
246,540 |
17.9% |
|||
Supplies |
251,862 |
17.4% |
249,548 |
18.1% |
|||
Rents and leases |
26,410 |
1.8% |
24,506 |
1.8% |
|||
Rents and leases, related party |
37,249 |
2.6% |
36,413 |
2.6% |
|||
Other operating expenses |
117,700 |
8.2% |
124,642 |
9.1% |
|||
Government stimulus income |
— |
0.0% |
— |
0.0% |
|||
Interest expense |
14,629 |
1.0% |
19,041 |
1.4% |
|||
Depreciation and amortization |
36,771 |
2.5% |
35,488 |
2.6% |
|||
Loss on extinguishment and modification of debt |
1,490 |
0.1% |
— |
0.0% |
|||
Other non-operating gains |
(2,807) |
(0.2)% |
— |
0.0% |
|||
Total operating expenses |
1,392,750 |
96.1% |
1,331,758 |
96.7% |
|||
Income before income taxes |
57,067 |
3.9% |
45,969 |
3.3% |
|||
Income tax expense |
11,062 |
0.7% |
7,261 |
0.5% |
|||
Net income |
46,005 |
3.2% |
38,708 |
2.8% |
|||
Net income attributable to noncontrolling interests |
19,683 |
1.4% |
17,870 |
1.3% |
|||
Net income attributable to Ardent Health Partners, Inc. |
$26,322 |
1.8% |
$20,838 |
1.5% |
|||
Net income per share: |
|||||||
Basic |
$0.19 |
$0.17 |
|||||
Diluted |
$0.19 |
$0.17 |
|||||
Weighted-average common shares outstanding: |
|||||||
Basic |
137,107,595 |
126,115,301 |
|||||
Diluted |
137,542,995 |
126,115,301 |
Nine Months Ended September 30, |
|||||||
2024 |
2023 |
||||||
Amount |
% |
Amount |
% |
||||
Total revenue |
$4,359,783 |
100.0% |
$4,063,449 |
100.0% |
|||
Expenses: |
|||||||
Salaries and benefits |
1,880,790 |
43.1% |
1,785,939 |
44.0% |
|||
Professional fees |
810,820 |
18.6% |
715,111 |
17.6% |
|||
Supplies |
769,034 |
17.6% |
743,713 |
18.3% |
|||
Rents and leases |
76,251 |
1.7% |
73,230 |
1.8% |
|||
Rents and leases, related party |
111,413 |
2.6% |
108,914 |
2.7% |
|||
Other operating expenses |
354,851 |
8.2% |
342,026 |
8.3% |
|||
Government stimulus income |
— |
0.0% |
(8,463) |
(0.2)% |
|||
Interest expense |
52,050 |
1.2% |
55,854 |
1.4% |
|||
Depreciation and amortization |
108,434 |
2.5% |
104,860 |
2.6% |
|||
Loss on extinguishment and modification of debt |
3,388 |
0.1% |
— |
0.0% |
|||
Other non-operating gains |
(3,062) |
(0.1)% |
(522) |
0.0% |
|||
Total operating expenses |
4,163,969 |
95.5% |
3,920,662 |
96.5% |
|||
Income before income taxes |
195,814 |
4.5% |
142,787 |
3.5% |
|||
Income tax expense |
36,997 |
0.9% |
24,591 |
0.6% |
|||
Net income |
158,817 |
3.6% |
118,196 |
2.9% |
|||
Net income attributable to noncontrolling interests |
62,678 |
1.4% |
60,139 |
1.5% |
|||
Net income attributable to Ardent Health Partners, Inc. |
$96,139 |
2.2% |
$58,057 |
1.4% |
|||
Net income per share: |
|||||||
Basic |
$0.74 |
$0.46 |
|||||
Diluted |
$0.74 |
$0.46 |
|||||
Weighted-average common shares outstanding: |
|||||||
Basic |
129,877,510 |
126,115,301 |
|||||
Diluted |
130,022,643 |
126,115,301 |
Nine Months Ended
September 30,
|
|||
2024 |
2023 |
||
Cash flows from operating activities: |
|||
Net income |
$158,817 |
$118,196 |
|
Adjustments to reconcile net income to net cash provided by operating activities: |
|||
Depreciation and amortization |
108,434 |
104,860 |
|
Other non-operating gains |
— |
(45) |
|
Loss on extinguishment and modification of debt |
2,158 |
— |
|
Amortization of deferred financing costs and debt discounts |
4,235 |
4,266 |
|
Deferred income taxes |
1,690 |
5,346 |
|
Equity-based compensation |
8,873 |
723 |
|
Loss from non-consolidated affiliates |
2,160 |
3,622 |
|
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures: |
|||
Accounts receivable |
77,284 |
(54,896) |
|
Inventories |
(2,545) |
(556) |
|
Prepaid expenses and other current assets |
(21,189) |
(20,450) |
|
Accounts payable and other accrued expenses and liabilities |
(132,031) |
9,996 |
|
Accrued salaries and benefits |
(12,429) |
(16,863) |
|
Net cash provided by operating activities |
195,457 |
154,199 |
|
Cash flows from investing activities: |
|||
Investment in acquisitions, net of cash acquired |
(8,044) |
— |
|
Purchases of property and equipment |
(106,234) |
(79,959) |
|
Other |
(738) |
(1,318) |
|
Net cash used in investing activities |
(115,016) |
(81,277) |
|
Cash flows from financing activities: |
|||
Proceeds from initial public offering, net of underwriting discounts and commissions |
208,656 |
— |
|
Proceeds from insurance financing arrangements |
10,797 |
24,749 |
|
Proceeds from long-term debt |
3,600 |
1,225 |
|
Payments of principal on insurance financing arrangements |
(7,370) |
(15,885) |
|
Payments of principal on long-term debt |
(106,335) |
(10,549) |
|
Debt issuance costs |
(2,450) |
— |
|
Payments of initial public offering costs |
(8,636) |
— |
|
Distributions to noncontrolling interests |
(53,138) |
(50,677) |
|
Redemption of equity attributable to noncontrolling interests |
— |
(26,024) |
|
Other |
— |
(7,209) |
|
Net cash provided by (used in) financing activities |
45,124 |
(84,370) |
|
Net increase (decrease) in cash and cash equivalents |
125,565 |
(11,448) |
|
Cash and cash equivalents at beginning of year |
437,577 |
456,124 |
|
Cash and cash equivalents at end of year |
$563,142 |
$444,676 |
|
Supplemental Cash Flow Information: |
|||
Non-cash purchases of property and equipment |
$5,546 |
$13,188 |
|
Offering costs not yet paid |
$898 |
$— |
September 30,
2024 (1)
|
December 31,
2023 (1)
|
||
Assets |
|||
Current assets: |
|||
Cash and cash equivalents |
$563,142 |
$437,577 |
|
Accounts receivable |
705,747 |
775,452 |
|
Inventories |
108,231 |
105,485 |
|
Prepaid expenses |
119,956 |
77,281 |
|
Other current assets |
193,616 |
222,290 |
|
Total current assets |
1,690,692 |
1,618,085 |
|
Property and equipment, net |
814,860 |
811,089 |
|
Operating lease right of use assets |
261,214 |
260,003 |
|
Operating lease right of use assets, related party |
932,246 |
941,150 |
|
Goodwill |
852,001 |
844,704 |
|
Other intangible assets, net |
76,930 |
76,930 |
|
Deferred income taxes |
34,764 |
32,491 |
|
Other assets |
137,307 |
147,106 |
|
Total assets |
$4,800,014 |
$4,731,558 |
|
Liabilities and Equity |
|||
Current liabilities: |
|||
Current installments of long-term debt |
$12,167 |
$18,605 |
|
Accounts payable |
368,850 |
474,543 |
|
Accrued salaries and benefits |
255,370 |
267,685 |
|
Other accrued expenses and liabilities |
250,945 |
233,271 |
|
Total current liabilities |
887,332 |
994,104 |
|
Long-term debt, less current installments |
1,083,725 |
1,168,253 |
|
Long-term operating lease liability |
233,786 |
235,241 |
|
Long-term operating lease liability, related party |
922,665 |
932,090 |
|
Self-insured liabilities |
231,951 |
243,552 |
|
Other long-term liabilities |
53,686 |
76,002 |
|
Total liabilities |
3,413,145 |
3,649,242 |
|
Redeemable noncontrolling interests |
2,391 |
7,302 |
|
Equity: |
|||
Common units, no and unlimited units authorized as of September 30, 2024 and December 31, 2023,
respectively; no and 484,922,828 units issued and outstanding as of September 30, 2024 and December
31, 2023, respectively
|
— |
496,882 |
|
Preferred stock, par value $0.01 per share; 50,000,000 and no shares authorized as of September 30,
2024 and December 31, 2023, respectively; no shares issued and outstanding as of September 30, 2024
and December 31, 2023
|
— |
— |
|
Common stock, par value $0.01 per share; 750,000,000 and no shares authorized as of September 30,
2024 and December 31, 2023, respectively; 142,735,842 and no shares issued and outstanding as of
September 30, 2024 and December 31, 2023, respectively
|
1,428 |
— |
|
Additional paid in capital |
743,364 |
— |
|
Accumulated other comprehensive income |
9,486 |
18,561 |
|
Retained earnings |
251,592 |
155,453 |
|
Equity attributable to Ardent Health Partners, Inc. |
1,005,870 |
670,896 |
|
Noncontrolling interests |
378,608 |
404,118 |
|
Total equity |
1,384,478 |
1,075,014 |
|
Total liabilities and equity |
$4,800,014 |
$4,731,558 |
Three Months Ended September 30, |
Nine Months Ended September 30, |
||||||
2024 |
%
Change
|
2023 |
2024 |
%
Change
|
2023 |
||
Total revenue (in thousands) |
$1,449,817 |
5.2% |
$1,377,727 |
$4,359,783 |
7.3% |
$4,063,449 |
|
Hospitals operated (at period end) (1) |
30 |
(3.2)% |
31 |
30 |
(3.2)% |
31 |
|
Licensed beds (at period end) (2) |
4,287 |
(0.8)% |
4,323 |
4,287 |
(0.8)% |
4,323 |
|
Utilization of licensed beds (3) |
46% |
4.5% |
44% |
46% |
2.2% |
45% |
|
Admissions (4) |
39,568 |
6.4% |
37,191 |
116,995 |
5.6% |
110,754 |
|
Adjusted admissions (5) |
86,833 |
3.8% |
83,643 |
254,909 |
3.5% |
246,298 |
|
Inpatient surgeries (6) |
8,871 |
0.5% |
8,826 |
26,829 |
0.3% |
26,751 |
|
Outpatient surgeries (7) |
23,220 |
0.2% |
23,164 |
69,201 |
(1.7)% |
70,417 |
|
Emergency room visits (8) |
161,343 |
2.6% |
157,182 |
475,212 |
3.7% |
458,160 |
|
Patient days (9) |
182,023 |
4.8% |
173,687 |
540,196 |
2.6% |
526,634 |
|
Total encounters (10) |
1,482,655 |
7.5% |
1,378,599 |
4,304,097 |
4.7% |
4,109,144 |
|
Average length of stay (11) |
4.60 |
(1.5)% |
4.67 |
4.62 |
(2.7)% |
4.75 |
|
Net patient service revenue per adjusted admission (12) |
$16,312 |
0.9% |
$16,174 |
$16,784 |
3.6% |
$16,206 |
Three Months Ended September 30, |
Nine Months Ended September 30, |
||||||
2024 |
2023 |
2024 |
2023 |
||||
Net income |
$46,005 |
$38,708 |
$158,817 |
$118,196 |
|||
Adjusted EBITDA Addbacks: |
|||||||
Income tax expense |
11,062 |
7,261 |
36,997 |
24,591 |
|||
Interest expense, net |
14,629 |
19,041 |
52,050 |
55,854 |
|||
Depreciation and amortization |
36,771 |
35,488 |
108,434 |
104,860 |
|||
Noncontrolling interest earnings |
(19,683) |
(17,870) |
(62,678) |
(60,139) |
|||
Loss on extinguishment and modification of debt |
1,490 |
— |
3,388 |
— |
|||
Other non-operating losses (gains) (1) |
47 |
— |
(208) |
(522) |
|||
Cybersecurity Incident recoveries, net (2) |
(4,976) |
— |
(4,976) |
— |
|||
Restructuring, exit and acquisition-related costs (3) |
3,796 |
1,511 |
11,694 |
11,473 |
|||
Epic expenses (4) |
485 |
437 |
1,500 |
1,415 |
|||
Equity-based compensation |
8,135 |
181 |
8,873 |
723 |
|||
Loss (income) from disposed operations |
3 |
3 |
1,989 |
(65) |
|||
Adjusted EBITDA |
$97,764 |
$84,760 |
$315,880 |
$256,386 |
Three Months
Ended
September 30,
|
Nine Months
Ended
September 30,
|
||
2024 |
2024 |
||
Net income |
$46,005 |
$158,817 |
|
Adjusted EBITDAR Addbacks: |
|||
Income tax expense |
11,062 |
36,997 |
|
Interest expense, net |
14,629 |
52,050 |
|
Depreciation and amortization |
36,771 |
108,434 |
|
Noncontrolling interest earnings |
(19,683) |
(62,678) |
|
Loss on extinguishment and modification of debt |
1,490 |
3,388 |
|
Other non-operating losses (gains) (1) |
47 |
(208) |
|
Cybersecurity Incident recoveries, net (2) |
(4,976) |
(4,976) |
|
Restructuring, exit and acquisition-related costs (3) |
3,796 |
11,694 |
|
Epic expenses (4) |
485 |
1,500 |
|
Equity-based compensation |
8,135 |
8,873 |
|
Loss from disposed operations |
3 |
1,989 |
|
Rent expense payable to REITs (5) |
40,056 |
119,826 |
|
Adjusted EBITDAR |
$137,820 |
$435,706 |
For the Full Year Ending
December 31, 2024
|
|||
Low |
High |
||
Net income |
$241 |
$263 |
|
Adjusted EBITDA Addbacks: |
|||
Income tax expense |
39 |
45 |
|
Interest expense, net |
66 |
65 |
|
Depreciation and amortization |
145 |
144 |
|
Noncontrolling interest earnings |
(85) |
(87) |
|
Loss on extinguishment and modification of debt |
3 |
3 |
|
Cybersecurity Incident recoveries, net (1) |
(20) |
(25) |
|
Restructuring, exit and acquisition-related costs |
13 |
12 |
|
Epic expenses |
4 |
3 |
|
Equity-based compensation |
17 |
17 |
|
Loss from disposed operations |
2 |
— |
|
Adjusted EBITDA |
$425 |
$440 |