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First Quarter 2020 Cautionary Statement Regarding Forward-Looking Statements This release and any schedules incorporated by reference into it may contain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933,


  1. First Quarter 2020

  2. Cautionary Statement Regarding Forward-Looking Statements This release and any schedules incorporated by reference into it may contain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, which are not historical facts but rather are based on current expectations, estimates and projections about our business and industry, and our beliefs and assumptions. Words such as “believes,” “anticipates,” “plans,” “expects,” “will,” “goal,” and similar expressions are intended to identify forward-looking statements. The inclusion of forward-looking statements should not be regarded as a representation by us that any of our plans will be achieved. We undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Such forward-looking information is also subject to various risks and uncertainties. Such risks and uncertainties include, but are not limited to, risks arising from our providing services exclusively to the healthcare industry, primarily providers of long-term care; the impact of and future effects of the COVID-19 pandemic or other potential pandemics; having a significant portion of our consolidated revenues contributed by one customer during the three months ended March 31, 2020; credit and collection risks associated with the healthcare industry; risks associated with the ongoing Securities and Exchange Commission investigation into our earnings per share calculation practices and related litigation; our claims experience related to workers’ compensation and general liability insurance; the effects of changes in, or interpretations of laws and regulations governing the healthcare industry, our workforce and services provided, including state and local regulations pertaining to the taxability of our services and other labor-related matters such as minimum wage increases; the Company's expectations with respect to selling, general, and administrative expense; continued realization of tax benefits arising from our corporate reorganization and self-funded health insurance program; the impact of the Securities and Exchange Commission investigation and related class action lawsuit; risks associated with the reorganization of our corporate structure; realization of our expectations regarding the impact of the Tax Cuts and Jobs Act on our tax rates and financial results; and the risk factors described in Part I of our Form 10-K for the fiscal year ended December 31, 2019 under “Government Regulation of Clients,” “Competition” and “Service Agreements and Collections,” and under Item IA. “Risk Factors” in such Form 10-K. These factors, in addition to delays in payments from clients and/or clients in bankruptcy, have resulted in, and could continue to result in, significant additional bad debts in the near future. Additionally, our operating results would be adversely affected if unexpected increases in the costs of labor and labor-related costs, materials, supplies and equipment used in performing services (including the impact of potential tariffs and COVID-19) could not be passed on to our clients. In addition, we believe that to improve our financial performance we must continue to obtain service agreements with new clients, retain and provide new services to existing clients, achieve modest price increases on current service agreements with existing clients and/or maintain internal cost reduction strategies at our various operational levels. Furthermore, we believe that our ability to sustain the internal development of managerial personnel is an important factor impacting future operating results and the successful execution of our projected growth strategies. Healthcare Services Group, Inc. is the largest national provider of professional housekeeping, laundry and dietary services to long-term care and related healthcare facilities. Company Contacts: Theodore Wahl Matthew J. McKee President & Chief Executive Officer Chief Communications Officer 215-639-4274 investor-relations@hcsgcorp.com

  3. Industry Trends • Legislation • Cost containment / Managed Care • The “Graying” of America • DRGs • Subacute Care • Assisted Living • Prospective Pay System (PPS)

  4. Market Penetration Long Term & Hospitals Post Acute Care Number of Facilities 6,900 23,000 Total Expenditures $774.0 Billion $149.3 Billion Housekeeping & Laundry Costs $23.2 Billion (3%) $9.0 Billion (6%) Contractual Management 24% < 18% Dining & Nutrition Costs $46.4 Billion (6%) $18.0 Billion (12%) Contractual Management 28% < 8% Sources: American Hospital Association, Dept. of Health and Human Services, Center for Medicare and Medicaid Services, Modern Healthcare Survey

  5. Market Penetration (con’t) • One of the largest Housekeeping & Laundry and Dining & Nutrition service providers to the health care industry • Over 3,000 facilities under management • >90% client retention rate • Recurring revenue stream

  6. Market Penetration (con’t)

  7. Services (% of Revenues) Dining & Nutrition 50% Housekeeping & Laundry 50%

  8. Operational Structure Vice President of Operations Director of Operations District Manager Training Manager Facility Manager / Assistant Facility Manager Over 3,000 Facilities

  9. Sales & Marketing Structure Vice President Director of Operations Director of Sales District Manager Facility-Based Leads

  10. Sources of Growth • Geographic expansion of regional and local clients • National chains • Sale of Housekeeping & Laundry Services to new and existing clients • Sale of Dining & Nutrition services to new and existing clients

  11. The Advantage • Demonstrated cost savings and cost containment to health care industry • Superior professional management system • Operational structure to service local, regional and national accounts • Substantial capacity to absorb incremental business within existing infrastructure

  12. Revenues $2,003 $2,000 $1,866 $1,841 $1,800 $1,563 $1,600 $1,437 $1,400 $1,293 $1,200 (in Millions) $1,000 $800 $600 $476 $449 $400 $200 $0 2014 2015 2016 2017 2018 2019 2019 2020 Year-to-Date

  13. Net Income $103.0 $96.4 $100 $88.2 $77.4 $80 $67.2 (in Millions) $58.9 $60 $40 $28.4 $21.7 $20 $0 2014* 2015* 2016 2017 2018* 2019* 2019* 2020* Year-to-Date * Excludes non-recurring charges

  14. Investment Considerations • Cash & Marketable Securities - $155.0 million • Current Assets - $520.6 million • Current Ratio - 2.8:1 • Stockholders Equity - $438.2 million • Dividend - $0.81 per share (annualized, post 3:2 split) ◦ $614.3 million of dividend payouts since 2003 • Book Value - 5.9 (split adjusted)

  15. Growth Objectives • Expand established regions • Local operators • National chains • Expand Dining & Nutrition services to client base • >90% client retention rate

  16. Opportunity • “Graying” of America • Cost containment • Growing market with little competition • Organization in place for growth

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