TORONTO, Aug. 25, 2016 /CNW/- Syncordia
Technologies and Healthcare Solutions, Corp. (TSXV: SYN)
("Syncordia" or the "Company") today reported financial results for
the three months ended June 30,
2016.
Reported results reflect three months of operations of Health
Services Integration Inc. ("HSI"), which was acquired effective
October 31, 2014, Paragon Billing
LLC, ("Paragon") which was acquired April
24, 2015, and Billing Solutions LLC ("Billing Solutions"),
which was acquired March 22, 2016.
All results are reported in thousands of US dollars and are
prepared in accordance with International Financial Reporting
Standards ("IFRS").
Management Commentary
We have improved operating
margins at Billing Solutions to position the business for good
growth over the coming years and have begun to combine this, with
the Syncordia software suite. Syncordia NECTAR press released
August 23rd, will be a
significant presence in the market place initially attracting new
customers to the Billing Solutions offering when it comes to market
in late September, early October of this year. NECTAR is a customer
facing business intelligence dashboard showing key medical practice
performance indicators.
Subsequent to when we reported our fourth quarter 2016 results,
we have been further testing our Syncordia Account Status Solution
with some potential clients (which was mentioned in our quarterly
call remarks on July
29th). Since then we have 39 leads, who we are
following up with. Claim sizes can range from as small as a few
hundred to hundreds of thousands claims per month. We anticipate
the margins to be similar to SaaS style activity. This product,
assuming successful testing outcomes, will join other Syncordia
software products such Syncordia Claim Editor and Syncordia
Coordinet, which we press released on July
6th and 7th of this year and our new
upcoming Syncordia NECTAR software product.
Additionally, we have taken approximately $1 million out of our Corporate and Platform
Syncordia costs, which we will see materialize in the income
statements in the coming quarters.
We are in the process of signing up 5 new, but small, 911
emergency ground clients at HSI, which will contribute
approximately $200 thousand in
revenue per year. These are affiliates of "Mercy" previously press
released on April 14th
2016. They will be on-boarded in the coming months.
First Quarter 2017 Compared to First Quarter 2016
- Revenue increased $717 or 21%,
$1,637 of which was attributable to
the acquisition of Billing Solutions offset by a $1,086 decrease attributable to REACH Air Medical
Holdings and affiliated entities as we wind down the provision of
billing services to this customer group.
- Gross margin decreased from 70% to 59% of revenue primarily
reflecting a lower portion of our revenue from higher margin air
transports
- Adjusted EBITDA before Syncordia Cloud and Corporate costs
decreased $726 or 46% primarily
reflecting lower revenues at HSI.
- Adjusted EBITDA was negative $136, before accounting for non-controlling
interests.
First Quarter 2017 Financial Highlights
- Revenue was $4,110 and is
segmented by RCM business as follows - $1,924 HSI, $549
Paragon and $1,637 Billing
Solutions
- Adjusted EBITDA was negative $180, reflecting our 80% interest in Billing
Solutions.
- Cash and cash equivalents of $3,663.
Business Highlights
- Completed the onboarding of Mercy Health North LLC and LACP/St.
Rita's Medical Center and began billing operation. This three-year
contract was signed in April
2016.
- Five-year contract with five year automatic renewals, with Jet
911 of Kew Gardens, New York, a
fixed wing air ambulance service.
- Contract extension with REACH Medical Holdings, LLC ("Reach"),
a wholly owned subsidiary of Air Medical Group Holdings, Inc.
pursuant to which, HSI will continue to provide RCM services for
claims in existence at November 30,
2015 until May 31, 2017
- Billing Solutions signed and began billing services for The
Bridges Network, LLC/The Cornerstone Recovery Center, LLC. This
two-year contract was signed in June
2016.
- Announced Claim Editor, a proprietary workflow automation tool
designed to minimize errors while maximizing payment rates in
submitting medical billing claims and decreasing the time to input
claims by more than 2.5 times.
- Announced Coordinet, a proprietary cloud-based application
designed to assist hospital systems in the coordination of care for
high risk patients with the goal of minimizing inappropriate
readmissions and the resulting fines from Centers for Medicare and
Medicaid.
Key Performance Indicators
We report Encounters as a key performance indicator to assist
readers in better evaluating our performance. We define an
Encounter as a discrete business activity for which we would submit
a claim. We believe this metric provides investors with a better
proxy for measuring the level of business activity than revenue as
encounters measure the number of distinct services provided in the
period whereas revenue reflects the amount of services recognized
for accounting purposes and is typically a lagging indicator of
business activity.
|
|
|
Sequential
Quarterly Change
|
Quarter
|
Q1
2017
|
Q4
2016
|
#
|
%
|
Air
|
2,744
|
2,767
|
(23)
|
(1%)
|
Ground
|
7,202
|
5,821
|
1,381
|
24%
|
HSI
|
9,946
|
8,588
|
1,358
|
16%
|
Paragon
|
82,430
|
82,345
|
85
|
0%
|
Billing
Solutions
|
46,697
|
50,690
|
(3,993)
|
(8%)
|
(i) Encounters for
Billing Solutions are for the period January 1 to March 31,
2016.
|
|
HSI encounters increased 16% reflecting the on-boarding of Mercy
Health North LLC and LACP/St. Rita's Medical Center. Paragon
encounters were substantially unchanged. Billing Solutions
encounters decreased 8% due to seasonality, customer churn, and a
decrease in treatment activity associated with certain
insurers.
Notice of Annual General and Special Meeting
We would
like to remind shareholders of Syncordia that our annual general
and special meeting will be held at the offices of Norton Rose
Fulbright Canada LLP located at Suite 3800, 200 Bay Street, Royal
Bank Plaza, South Tower, Toronto,
Ontario, Canada on Friday, August
26th, 2016 at 10:00 am
(ET).
Notice of Conference Call
Syncordia will hold a
conference call on Friday, July 29,
2016, at 8:00 a.m (ET) to discuss its financial results and
other corporate developments. To access the conference call by
telephone, dial 647-427-7450 or 1-888-231-8191. A live audio
webcast will be available through www.syncordiahealth.com or
http://event.on24.com/r.htm?e=1246234&s=1&k=49C8B2FCA7CA6F9BBEDB9E67C57B3DD0.
An archived replay of the webcast will be available for 90 days. A
presentation will accompany the conference call and will be
available for download from the Investor Relations section of
Syncordia's website at:
http://www.syncordiahealth.com/company/investor-relations/events-presentations/.
Forward Looking Statements
Certain statements herein
may be "forward looking" statements that involve known and unknown
risks, uncertainties and other factors that may cause the actual
results, performance or achievements of Syncordia or the industry
to be materially different from any future results, performance or
achievements expressed or implied by such forward-looking
statements. Forward looking statements involve significant risks
and uncertainties, should not be read as guarantees of future
performance or results, and will not necessarily be accurate
indications of whether or not such results will be achieved. A
number of factors could cause actual results to vary significantly
from the results discussed in the forward looking statements. These
forward looking statements reflect current assumptions and
expectations regarding future events and operating performance and
are made as of the date hereof and we assume no obligation, except
as required by law, to update any forward looking statements to
reflect new events or circumstances.
Cautionary Note Regarding Non-IFRS Measures
This press
release contains references to "EBITDA," "Adjusted EBITDA," "Gross
margin," and "Adjusted EBITDA before Syncordia Cloud and Corporate
costs."
Earnings before Interest, Taxes, Depreciation and Amortization
("EBITDA") and Adjusted Earnings before Interest, Taxes,
Depreciation and Amortization ("Adjusted EBITDA") are non-IFRS
measures used by management to provide additional insight into our
performance and financial condition. We believe that these
non-IFRS measures are important as they provide an indication of
the results generated by our RCM business prior to taking into
consideration how those activities are financed as well as the
other items listed in their respective definitions.
Accordingly, we are presenting EBITDA, Adjusted EBITDA and Adjusted
EBITDA before Syncordia Cloud and Corporate costs in this MD&A
to enhance the usefulness of our MD&A. We have provided below a
reconciliation of EBITDA, Adjusted EBITDA and Adjusted EBITDA
before Syncordia Cloud Corporate costs to the most directly
comparable IFRS figures, disclosure of the purpose of the non-IFRS
measure, and how the non-IFRS measures is used in managing the
business.
EBITDA, Adjusted EBITDA and Adjusted EBITDA before Syncordia
Cloud and Corporate costs are not calculations based on IFRS and
should not be considered an alternative to operating income or net
income (loss) in measuring the our performance, nor should it be
used as an exclusive measure of cash flow, because it does not
consider the impact of working capital growth, capital
expenditures, debt principal reductions and other sources and uses
of cash which are disclosed in the consolidated statements of cash
flows. Investors should carefully consider the specific items
included in our computation of these measures.
Management defines EBITDA as Earnings before Interest, Taxes,
Depreciation and Amortization.
Management defines Adjusted EBITDA as Earnings before Interest,
Taxes, Depreciation, Amortization, Transaction Costs, Fair Value
Gains/Losses, Foreign Exchange Gains/Losses, Stock Based
Compensation and Cash based Share Compensation Arrangements.
Transaction costs include professional fees associated with
business transactions.
Management defines Adjusted EBITDA before Syncordia Cloud and
Corporate costs as Earnings before Interest, Taxes, Depreciation,
Amortization, Transaction Costs, Fair Value Gains/Losses, Foreign
Exchange Gains/Losses, Stock Based Compensation, Cash based Share
Compensation Arrangements and costs of our Syncordia Cloud and
Corporate segment. This metric is used to assess the performance of
RCM and Syncordia Cloud segments.
Gross margin is a non-IFRS measure defined by management to
reflect revenue less direct cost of sale, excluding amortization of
intellectual property, customer lists, other amortizations and fair
value gains/losses.
Syncordia Cloud and Corporate costs include sales and marketing,
general and administrative and research and development, less
amortization and depreciation, foreign exchange gains and losses,
and stock-based compensation expense indexed to our share
price.
About Syncordia Technologies and Healthcare Solutions,
Corp.
We are a technology enhanced revenue cycle management
("RCM") company focused on underserved niche segments of the
healthcare industry. We are building a diversified software and
services business by consolidating healthcare billing providers.
Our growth strategy is to acquire RCM businesses with and without
software and, improve their profitability by increasing revenues
and operating efficiencies using our software, and in time,
commercializing the Syncordia Cloud, our cloud-based software
offering, to provide customer demanded turn-key solutions from a
single provider and to address compelling RCM market
opportunities.
Neither the TSX Venture Exchange nor its Regulation Services
Provider (as that term is defined in policies of the TSX Venture
Exchange) accepts responsibility for the adequacy or accuracy of
this release.
The following is a reconciliation of EBITDA with net loss and
comprehensive loss:
(in thousands of US Dollars)
|
|
|
|
|
|
|
Three Months
ended
|
Three Months
ended
|
|
Jun
30
2016
|
June
30
2015
|
Jun
30
2016
|
Mar
31
2016
|
Net loss and
comprehensive loss
|
(1,576)
|
(1,190)
|
(1,576)
|
(1,186)
|
Amortization of
operating and other assets
|
930
|
729
|
930
|
809
|
Interest
expense
|
523
|
444
|
523
|
477
|
Income tax expense
(recovery)
|
(28)
|
-
|
(28)
|
(391)
|
EBITDA
|
(151)
|
(17)
|
(151)
|
(291)
|
The following is a reconciliation of Adjusted EBITDA and
Adjusted EBITDA before Corporate costs with Net loss and
comprehensive loss:
(in thousands of US Dollars)
|
|
|
|
|
|
|
Three Months
ended
|
Three Months
ended
|
|
Jun
30
2016
|
Jun
30
2015
|
Jun
30
2016
|
Mar
31
2016
|
Net loss and
comprehensive loss
|
(1,576)
|
(1,190)
|
(1,576)
|
(1,186)
|
Amortization of
operating and other assets
|
930
|
729
|
930
|
809
|
Interest
expense
|
523
|
444
|
523
|
477
|
Income tax expense
(recovery)
|
(28)
|
-
|
(28)
|
(391)
|
Transaction
costs
|
1
|
1,722
|
1
|
160
|
Foreign exchange
(gains) and losses
|
3
|
28
|
3
|
(3)
|
Unrealized (gains)
and losses on derivative financial liability
|
-
|
-
|
-
|
(1)
|
Realized gain on
contingent consideration
|
-
|
(1,111)
|
-
|
-
|
Stock based
compensation
|
11
|
29
|
11
|
15
|
Adjusted EBITDA
(i)
|
(136)
|
651
|
(136)
|
(120)
|
Syncordia Cloud costs
(i)
|
487
|
300
|
487
|
371
|
Corporate costs
(i)
|
485
|
611
|
485
|
555
|
Adjusted EBITDA
before Syncordia Cloud and Corporate costs
(i)
|
836
|
1,562
|
836
|
806
|
Notes:
|
|
(i)
|
Non-IFRS measure,
Syncordia Cloud and Corporate costs exclude stock based
compensation, transaction costs, foreign exchange gains and loss,
fair value adjustments, and amortization.
|
Syncordia
Technologies and Healthcare Solutions, Corp. Condensed
Interim Consolidated Statements of Financial Position
As at June 30, 2016 and March 31, 2016
|
|
|
|
June 30 2016
|
March 31 2016
|
|
|
|
Assets
|
|
|
|
|
|
Current
assets
|
|
|
|
Cash and cash
equivalents
|
3,663,376
|
4,436,844
|
|
Accounts
receivable
|
2,250,441
|
2,226,715
|
|
Other
assets
|
258,302
|
377,185
|
|
|
|
|
6,172,119
|
7,040,744
|
|
|
|
Property and
equipment
|
300,054
|
338,622
|
|
|
|
Intangible
assets
|
21,887,572
|
22,694,613
|
|
|
|
Goodwill
|
10,781,769
|
10,781,769
|
|
|
|
|
39,141,513
|
40,855,748
|
|
|
|
Liabilities
|
|
|
|
|
|
Current
liabilities
|
|
|
|
Accounts payable and
accrued liabilities
|
1,496,125
|
1,584,735
|
|
Holdback
payable
|
-
|
250,000
|
|
Current portion of
notes payable
|
4,444,129
|
2,222,065
|
|
|
|
|
5,940,254
|
4,056,800
|
|
|
|
Notes
payable
|
10,361,689
|
12,350,631
|
|
|
|
Deferred tax
liabilities
|
1,866,166
|
1,932,097
|
|
|
|
Other non-current
liabilities
|
179,165
|
133,076
|
|
|
|
|
12,407,020
|
18,472,604
|
|
|
|
Shareholders'
Equity
|
|
|
|
|
|
Share
capital
|
25,517,330
|
25,517,330
|
|
|
|
Contributed
surplus
|
1,970,428
|
1,963,529
|
|
|
|
Deficit
|
(7,612,145)
|
(6,010,506)
|
|
Equity attributable
to shareholders of Syncordia
|
19,875,613
|
21,470,353
|
|
Non-controlling
interests
|
918,626
|
912,791
|
|
20,794,239
|
22,383,144
|
|
|
|
|
39,141,513
|
40,855,748
|
Syncordia
Technologies and Healthcare Solutions, Corp.
Condensed Interim Consolidated Statements of Loss and Comprehensive
Loss
For the three months ended June 30, 2016 and 2015
|
|
|
|
|
June
30 2016
|
June
30 2015
|
|
|
|
Revenue
|
4,109,582
|
3,392,795
|
|
|
|
Gain on settlement
of contingent consideration
|
-
|
1,111,342
|
|
4,109,582
|
4,504,137
|
|
|
|
Cost of
sales
|
1,681,220
|
1,012,732
|
|
|
|
Amortization of
operating assets
|
844,910
|
664,331
|
|
1,583,452
|
2,827,024
|
|
|
|
Operating
expenses
|
2,578,938
|
1,785,923
|
|
|
|
Transaction
costs
|
916
|
1,722,050
|
|
|
|
Other
amortization
|
85,157
|
65,300
|
Loss before
financing expenses and tax
|
(1,081,560)
|
(746,199)
|
|
|
|
Interest
expense
|
522,668
|
443,886
|
|
|
|
Net loss before
tax
|
(1,604,228)
|
(1,190,085)
|
|
|
|
Income tax expense
(recovery)
|
(28,424)
|
-
|
|
|
|
Net loss and
comprehensive loss for the period
|
(1,575,804)
|
(1,190,085)
|
|
|
|
|
|
|
|
|
|
Net loss and
comprehensive loss attributable to:
|
|
|
|
Shareholders of
Syncordia
|
(1,601,639)
|
(1,190,085)
|
|
Non-controlling
interests
|
25,835
|
-
|
|
|
|
|
|
|
Net loss per
share
|
|
|
|
Basic and diluted
earnings per share
|
(0.08)
|
(0.08)
|
|
|
|
Weighted average
number of shares outstanding
|
|
|
|
Basic
|
19,643,635
|
15,556,014
|
|
Diluted
|
19,643,635
|
18,227,387
|
Syncordia
Technologies and Healthcare Solutions, Corp. Condensed
Interim Consolidated Statements of Cash Flows
For the three month periods ended June 30, 2016 and 2015
|
|
|
|
|
June
30 2016
|
June
30 2015
|
|
|
|
Cash provided by
(used in)
|
|
|
|
|
|
Operating
activities
|
|
|
Net loss for the
period
|
(1,575,804)
|
(1,190,085)
|
Items not affecting
cash
|
|
|
|
Gain on settlement of
contingent consideration
|
-
|
(1,111,342)
|
|
Reverse Takeover
transaction costs
|
-
|
1,068,920
|
|
Income tax expense
(recovery)
|
(65,931)
|
729,631
|
|
Amortization
|
930,067
|
1,082,194
|
|
Non-cash interest on
notes payable
|
215,164
|
157,759
|
|
Share-based
compensation and awards
|
10,533
|
29,084
|
Changes in non-cash
working capital items
|
|
|
|
Accounts
receivable
|
(23,726)
|
(141,390)
|
|
Other
assets
|
118,883
|
(84,405)
|
|
Accounts payable and
accrued liabilities
|
(92,583)
|
370,833
|
|
Other non-current
liabilities
|
1,211
|
40,249
|
|
(482,184)
|
(130,746)
|
|
|
|
Investing
activities
|
|
|
Purchase of property,
equipment and intangible assets
|
(21,284)
|
(68,674)
|
Acquisition of
Paragon (net of cash acquired)
|
-
|
3,479,929
|
Settlement of Paragon
holdback
|
(250,000)
|
-
|
Settlement of
contingent consideration
|
-
|
(1,208,658)
|
|
(271,284)
|
(4,757,261)
|
|
|
|
Financing
activities
|
|
|
Issuance of Class B
Series 2 preferred shares
|
-
|
3,405,000
|
Issuance of private
placement
|
-
|
8,052,460
|
Cash consideration
from issuance of Reverse Takeover shares
|
-
|
402,065
|
Share issuance
costs
|
-
|
(830,640)
|
Proceeds from
long-term notes
|
-
|
1,332,388
|
Deferred financing
costs
|
-
|
(29,960)
|
Distributions to
non-controlling interest
|
(20,000)
|
-
|
|
(20,000)
|
12,331,853
|
|
|
|
Increase/(decrease) in cash and cash equivalents
during the period
|
(773,468)
|
7,443,846
|
|
|
|
Cash and cash
equivalents - Beginning of period
|
4,436,844
|
2,842,413
|
Cash and cash
equivalents - End of period
|
3,663,376
|
10,286,259
|
|
|
|
Cash interest
paid
|
307,331
|
286,127
|
SOURCE Syncordia Technologies and Healthcare Solutions,
Corp.