UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934

Date of Report (date of earliest event reported): May 7, 2009

MEDNAX, INC.
(Exact Name of Registrant as Specified in Its Charter)

Florida

 

001-12111

 

26-3667538

(State or Other Jurisdiction of

Incorporation)

(Commission File

Number)

(IRS Employer Identification No.)

 

1301 Concord Terrace

Sunrise, Florida 33323

 

(Address of principal executive office) (zip code)

 


Registrant’s telephone number, including area code (954) 384-0175



Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))


Item 2.02     Results of Operations and Financial Condition.

On May 7, 2009, MEDNAX, Inc. (the “Company”) issued a press release announcing the results of its operations for the three months ended March 31, 2009 (the “First Quarter Release”).  A copy of the First Quarter Release is attached hereto as Exhibit 99.1 and is hereby incorporated in this Current Report by reference.  The information contained in this Item 2.02, including Exhibit 99.1, shall not be deemed “filed” with the Securities and Exchange Commission nor incorporated by reference in any registration statement or other document filed by the Company under the Securities Act of 1933, as amended, except as shall be expressly set forth by specific reference in such filing.  

Item 5.02     Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.

On May 7, 2009, the Company also issued a separate press release (the “Management Transition Press Release”) announcing a management transition plan that will lead to the promotions of its Chief Financial Officer, Karl B. Wagner, to the newly created position of President of the Company’s American Anesthesia operating group, and its Treasurer, Vivian Lopez-Blanco, to Chief Financial Officer of the Company.  The transition is expected to be completed by the end of 2009.  A copy of the Management Transition Press Release is attached hereto as Exhibit 99.2 and is hereby incorporated in this Current Report by reference.

Item 9.01     Financial Statements and Exhibits.


             (d)     Exhibits.


                       99.1—Press Release of MEDNAX, Inc. dated May 7, 2009.
                       99.2—Press Release of MEDNAX, Inc. dated May 7, 2009.


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

MEDNAX, INC.

 

 
Date: May 7, 2009 By:

/s/ Karl B. Wagner

Name: Karl B. Wagner

Title: Chief Financial Officer


EXHIBIT INDEX

Exhibit No.

 

Description

99.1 Press Release of MEDNAX, Inc. dated May 7, 2009.
99.2 Press Release of MEDNAX, Inc. dated May 7, 2009.

Exhibit 99.1

MEDNAX Reports 2009 First Quarter EPS of 74 Cents

Expects Second Quarter EPS of 84 to 90 Cents Per Share

FORT LAUDERDALE, Fla.--(BUSINESS WIRE)--May 7, 2009--MEDNAX, Inc. (NYSE:MD) today reported earnings of 74 cents per share for the 2009 first quarter that was the result of strong revenue growth from acquisitions as well as same-unit patient volume and reimbursement growth.

For the 2009 first quarter, compared to the prior year, MEDNAX reported:

“We continue to grow our business, despite a challenging economic environment, because of our consistent execution of a proven strategy that adds value principally to physicians attracted to practice as part of our national group, but also to our patients, referring physicians, hospital partners and third-party payors,” said Roger J. Medel, M.D., Chief Executive Officer of MEDNAX. “We remain committed to growing our business, and our results reflect the ongoing progress that we are making in expanding our national group practice.”

MEDNAX’s net patient service revenue for the three months ended March 31, 2009, increased by 24 percent, to $303.9 million, from $245.6 million for the comparable 2008 period.

Revenue growth consisted principally of contributions from acquisitions completed during the previous 12 months.


Same-unit revenue grew by 4.1 percent for the 2009 first quarter, when compared to the prior-year period, and was a combination of higher patient volume across all physician specialties, including neonatal, as well as improved reimbursement from third-party payors.

Total patient volume increased by 2.3 percent for the 2009 first quarter, compared to the 2008 first quarter. This increase included higher patient volume at the Company’s office-based maternal fetal and pediatric cardiology practices and its hospital-based anesthesia and neonatal intensive care unit (NICU) practices. During the 2009 first quarter, compared to the 2008 period, same-unit NICU volume increased by 0.2 percent, or 1.3 percent when adjusted to exclude the leap-year impact of an extra day in the 2008 first quarter results.

Improved reimbursement, principally from commercial payors, resulted in same-unit revenue growth of 1.8 percent for the 2009 first quarter when compared to the prior-year period. MEDNAX’s percentage of reimbursement from government payors for the 2009 first quarter was essentially unchanged when compared to the 2008 first quarter though it was lower than 2008 fourth quarter levels.

MEDNAX reported income from operations of $56.6 million for the 2009 first quarter, an increase of 9 percent from $51.9 million for the comparable 2008 period.

General and administrative expenses continued to grow at a rate that was slightly lower than overall revenue growth, largely as a result of ongoing expense management by the Company.

For the 2009 first quarter, income from continuing operations and net income were both $34.1 million, or 74 cents per share based on a weighted average 45.9 million shares outstanding during the period. Income from continuing operations increased by 6 percent from $32.1 million for the 2008 first quarter, and by 12 percent on a per share basis, from 66 cents, based on a weighted average 48.9 million shares outstanding during the comparable year period.

During the 2008 first quarter, MEDNAX completed the sale of its metabolic screening laboratory which resulted in income from discontinued operations of $23.7 million, or 48 cents per share. Net income for the 2008 first quarter, which includes income from discontinued operations, was $55.8 million, or $1.14 per share.

MEDNAX had cash and cash equivalents of $21.3 million at March 31, 2009, and net accounts receivable were $165.2 million. At the end of the 2009 first quarter the Company had $181 million outstanding on its $350 million revolving credit facility.

During the 2009 first quarter, MEDNAX used $22.0 million of its cash to fund operations, which compares with $27.3 million of cash used to fund operations for the 2008 first quarter. The Company typically has negative cash flow during the first quarter of each year as it pays incentive bonuses, principally to physicians, and employee benefit plan matching contributions that had accrued during the prior year.

In addition, during the 2009 first quarter MEDNAX used $11.5 million of its cash for acquisitions and contingent purchase price payments for previously completed acquisitions. MEDNAX completed three physician group practice acquisitions during the period.


Outlook

MEDNAX expects earnings per share for the 2009 second quarter to be in a range from 84 to 90 cents. This outlook anticipates that same-unit NICU patient volume for the 2009 second quarter will range from unchanged to growth of up to 2 percent when compared with the 2008 second quarter, and that the percentage of services reimbursed under government programs for the 2009 second quarter will be as much as 2 percentage points higher, to unchanged, when compared with the 2009 first quarter.

MEDNAX’s 2009 second quarter earnings outlook also anticipates contributions from practice acquisitions to be completed within its neonatal, maternal-fetal and pediatric cardiology physician services. MEDNAX previously announced that it expects to invest $70 to $75 million in practice acquisitions within those physician services areas during 2009.

Earnings conference call

MEDNAX, Inc. will host an investor conference call to discuss the quarterly results at 10 a.m., Eastern Daylight Time, today. The conference call Webcast may be accessed from the Company’s Website, www.mednax.com. A telephone replay of the conference call will be available from noon, EDT, today through midnight, EDT, May 21, 2009, by dialing 800-475-6701, access code 996444. The replay will also be available at www.mednax.com.

About MEDNAX

MEDNAX, Inc., is a national medical group that comprises the nation’s leading provider of neonatal, maternal-fetal and pediatric physician subspecialty services as well as anesthesia services. Physicians and advanced practitioners practicing as part of MEDNAX are reshaping the delivery of care within their specialties and subspecialties, using evidence-based tools, continuous quality initiatives and clinical research to enhance patient outcomes and provide high-quality, cost-effective care. Pediatrix Medical Group, a unit of MEDNAX, was founded in 1979 and now includes neonatal physicians who provide services at more than 250 neonatal intensive care units, who collaborate with affiliated maternal-fetal medicine, pediatric cardiology and pediatric intensivist physician subspecialists to provide a clinical care continuum. Pediatrix is also the nation’s largest provider of newborn hearing screens. In 2007, the Company expanded into anesthesia services. Today, American Anesthesiology includes more than 450 anesthesiologists and advanced practitioners. MEDNAX, through its affiliated professional corporations, employs more than 1,275 physicians in 32 states and Puerto Rico. Additional information is available at www.mednax.com.


Certain statements and information in this press release may be deemed to contain forward-looking statements which may include, but are not limited to, statements relating to our objectives, plans and strategies, and all statements (other than statements of historical facts) that address activities, events or developments that we intend, expect, project, believe or anticipate will or may occur in the future. These statements are often characterized by terminology such as “believe”, “hope”, “may”, “anticipate”, “should”, “intend”, “plan”, “will”, “expect”, “estimate”, “project”, “positioned”, “strategy” and similar expressions, and are based on assumptions and assessments made by MEDNAX’s management in light of their experience and their perception of historical trends, current conditions, expected future developments and other factors they believe to be appropriate. Any forward-looking statements in this press release are made as of the date hereof, and MEDNAX undertakes no duty to update or revise any such statements, whether as a result of new information, future events or otherwise. Forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties. Important factors that could cause actual results, developments, and business decisions to differ materially from forward-looking statements are described in MEDNAX’s most recent Annual Report on Form 10-K and its Quarterly Reports on Form 10-Q, including the sections entitled “Risk Factors”, as well MEDNAX’s current reports on Form 8-K, filed with the Securities and Exchange Commission.


MEDNAX, Inc.

Consolidated Statements of Income

(Unaudited)

 
  Three months ended
March 31,

2009

 

2008

 

(in thousands,

except for per share data)

 
Net patient service revenue

$

303,885

$

245,573

Operating expenses:
Practice salaries and benefits 194,008 151,360
Practice supplies and other operating expenses 12,641 9,714
General and administrative expenses 36,650 29,756
Depreciation and amortization

3,963

2,816

 
Total operating expenses

247,262

193,646

 
Income from operations 56,623 51,927
 
Investment income 441 1,313
Interest expense

(1,011

)

(385

)

 
Income from continuing operations before income taxes 56,053 52,855
Income tax provision

(22,001

)

(20,726

)

 
Income from continuing operations   34,052   32,129  
 
Income from discontinued operations, net of income taxes

--

23,677

 
Net income $ 34,052   $ 55,806  
 
Per common and common equivalent share data (diluted):
 
Net income from continuing operations $ 0.74 $ 0.66
 
Net income from discontinued operations $ 0.00 $ 0.48
 
Net income $ 0.74 $ 1.14
 
Weighted average shares used in computing net income per common and common equivalent share (diluted) 45,931 48,933
 

 

Balance Sheet Highlights

(Unaudited)

 
  As of

Mar 31, 2009

  As of

Dec. 31, 2008

(in thousands)
Assets:
Cash and cash equivalents $ 21,343 $ 14,346
Short-term investments 16,838 20,764
Accounts receivable, net 165,228 162,395
Other current assets 93,391 87,396
Other assets, property and equipment

1,225,113

1,211,973

Total assets $ 1,521,913 $ 1,496,874
 
Liabilities and shareholders’ equity:
Accounts payable & accrued expenses $ 224,722 $ 302,584
Total debt 181,674 140,114
Other liabilities

109,645

89,038

Total liabilities 516,041 531,736
Shareholders' equity

1,005,872

965,138

Total liabilities and shareholders’ equity $ 1,521,913 $ 1,496,874

CONTACT:
MEDNAX, Inc., Fort Lauderdale
Bob Kneeley, Director, Investor Relations, 954-384-0175, Ext. 5300
bob_kneeley@mednax.com

Exhibit 99.2

MEDNAX Announces Management Transition Plan

CFO Karl Wagner to Become Anesthesia Group President; Vivian LopezBlanco to Become CFO

FORT LAUDERDALE, Fla.--(BUSINESS WIRE)--May 7, 2009--MEDNAX, Inc. (NYSE:MD) today announced a management transition plan that will lead to the promotions of its Chief Financial Officer, Karl B. Wagner, to the newly created position of President of the Company’s American Anesthesiology operating group, and MEDNAX’s Treasurer, Vivian LopezBlanco, to Chief Financial Officer. The transition is expected to be completed by the end of 2009.

The management transition is a progression of the Company’s development under a holding company structure that included its name change from Pediatrix Medical Group, Inc., at the beginning of 2009, to reflect the Company’s growth in anesthesia physician services to accompany its traditional neonatal, maternal fetal and pediatric subspecialty services.

Mr. Wagner, 43, will lead the development of American Anesthesiology as a national group practice of anesthesiologists and advanced practice anesthetists, as well as administrative infrastructure that will be required to support the group’s clinical activities. American Anesthesiology currently includes more than 450 anesthesiologists and advanced practice anesthetists who provide patient care at acute-care hospitals, ambulatory surgery centers, physician offices and pain management centers in northern Virginia, Atlanta, Georgia, and Raleigh, North Carolina.

Mr. Wagner joined Pediatrix in 1997 as Controller, and was promoted to Chief Financial Officer in 1998. Prior to joining Pediatrix, he was Chief Financial Officer for the East Region of Columbia/HCA’s Ambulatory Surgery Group.

Ms. LopezBlanco, 51, joined MEDNAX in May 2008 as Treasurer. She was Chief Financial Officer of Carrols Corporation’s Hispanic Restaurants Division, which includes the Pollo Tropical and Taco Cabana concepts, and had combined annual revenue of more than $400 million in 2007. Ms. LopezBlanco joined Pollo Tropical in 1997 as Controller and was promoted to CFO in 1998. She led the Company through its acquisition by Carrols. Prior to Pollo Tropical, Ms. LopezBlanco was with the accounting firm of Arthur Andersen.

About MEDNAX

MEDNAX, Inc., is a national medical group that comprises the nation’s leading provider of neonatal, maternal-fetal and pediatric physician subspecialty services as well as anesthesia services. Physicians and advanced practitioners practicing as part of MEDNAX are reshaping the delivery of care within their specialties and subspecialties, using evidence-based tools, continuous quality initiatives and clinical research to enhance patient outcomes and provide high-quality, cost-effective care. Pediatrix Medical Group, a unit of MEDNAX, was founded in 1979 and now includes neonatal physicians who provide services at more than 250 neonatal intensive care units, who collaborate with affiliated maternal-fetal medicine, pediatric cardiology and pediatric intensivist physician subspecialists to provide a clinical care continuum. Pediatrix is also the nation’s largest provider of newborn hearing screens. In 2007, the Company expanded into anesthesia services. Today, American Anesthesiology includes more than 450 anesthesiologists and advanced practitioners. MEDNAX, through its affiliated professional corporations, employs more than 1,275 physicians in 32 states and Puerto Rico. Additional information is available at www.mednax.com.

Certain statements and information in this press release may be deemed to contain forward-looking statements which may include, but are not limited to, statements relating to our objectives, plans and strategies, and all statements (other than statements of historical facts) that address activities, events or developments that we intend, expect, project, believe or anticipate will or may occur in the future. These statements are often characterized by terminology such as “believe”, “hope”, “may”, “anticipate”, “should”, “intend”, “plan”, “will”, “expect”, “estimate”, “project”, “positioned”, “strategy” and similar expressions, and are based on assumptions and assessments made by MEDNAX’s management in light of their experience and their perception of historical trends, current conditions, expected future developments and other factors they believe to be appropriate. Any forward-looking statements in this press release are made as of the date hereof, and MEDNAX undertakes no duty to update or revise any such statements, whether as a result of new information, future events or otherwise. Forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties. Important factors that could cause actual results, developments, and business decisions to differ materially from forward-looking statements are described in MEDNAX’s most recent Annual Report on Form 10-K and its Quarterly Reports on Form 10-Q, including the sections entitled “Risk Factors”, as well MEDNAX’s current reports on Form 8-K, filed with the Securities and Exchange Commission.

CONTACT:
MEDNAX, Inc., Fort Lauderdale
Bob Kneeley, Director, Investor Relations, 954-384-0175, x-5300
bob_kneeley@mednax.com