Surgery Partners (NASDAQ:SGRY) Use Of Debt Could Be Considered Risky

Warren Buffett famously said, ‘Volatility is far from synonymous with risk.’ So it might be obvious that you need to consider debt, when you think about how risky any given stock is, because too much debt can sink a company. We note that Surgery Partners, Inc. (NASDAQ:SGRY) does have debt on its balance sheet. But the more important question is: how much risk is that debt creating?

When Is Debt A Problem?

Debt assists a business until the business has trouble paying it off, either with new capital or with free cash flow. If things get really bad, the lenders can take control of the business. However, a more frequent (but still costly) occurrence is where a company must issue shares at bargain-basement prices, permanently diluting shareholders, just to shore up its balance sheet. Of course, the upside of debt is that it often represents cheap capital, especially when it replaces dilution in a company with the ability to reinvest at high rates of return. When we examine debt levels, we first consider both cash and debt levels, together.

Check out our latest analysis for Surgery Partners

How Much Debt Does Surgery Partners Carry?

You can click the graphic below for the historical numbers, but it shows that as of June 2020 Surgery Partners had US$2.51b of debt, an increase on US$2.31b, over one year. On the flip side, it has US$326.3m in cash leading to net debt of about US$2.18b.

debt-equity-history-analysis
NasdaqGS:SGRY Debt to Equity History September 16th 2020

How Strong Is Surgery Partners’s Balance Sheet?

Zooming in on the latest balance sheet data, we can see that Surgery Partners had liabilities of US$571.2m due within 12 months and liabilities of US$3.05b due beyond that. Offsetting these obligations, it had cash of US$326.3m as well as receivables valued at US$319.1m due within 12 months. So its liabilities total US$3.0b more than the combination of its cash and short-term receivables.

This deficit casts a shadow over the US$1.15b company, like a colossus towering over mere mortals. So we’d watch its balance sheet closely, without a doubt. At the end of the day, Surgery Partners would probably need a major re-capitalization if its creditors were to demand repayment.

We use two main ratios to inform us about debt levels relative to earnings. The first is net debt divided by earnings before interest, tax, depreciation, and amortization (EBITDA), while the second is how many times its earnings before interest and tax (EBIT) covers its interest expense (or its interest cover, for short). The advantage of this approach is that we take into account both the absolute quantum of debt (with net debt to EBITDA) and the actual interest expenses associated with that debt (with its interest cover ratio).

Weak interest cover of 0.99 times and a disturbingly high net debt to EBITDA ratio of 8.1 hit our confidence in Surgery Partners like a one-two punch to the gut. The debt burden here is substantial. Worse, Surgery Partners’s EBIT was down 31% over the last year. If earnings continue to follow that trajectory, paying off that debt load will be harder than convincing us to run a marathon in the rain. There’s no doubt that we learn most about debt from the balance sheet. But ultimately the future profitability of the business will decide if Surgery Partners can strengthen its balance sheet over time. So if you want to see what the professionals think, you might find this free report on analyst profit forecasts to be interesting.

Finally, while the tax-man may adore accounting profits, lenders only accept cold hard cash. So we clearly need to look at whether that EBIT is leading to corresponding free cash flow. Over the most recent three years, Surgery Partners recorded free cash flow worth 62% of its EBIT, which is around normal, given free cash flow excludes interest and tax. This cold hard cash means it can reduce its debt when it wants to.

Our View

To be frank both Surgery Partners’s EBIT growth rate and its track record of staying on top of its total liabilities make us rather uncomfortable with its debt levels. But on the bright side, its conversion of EBIT to free cash flow is a good sign, and makes us more optimistic. We should also note that Healthcare industry companies like Surgery Partners commonly do use debt without problems. Taking into account all the aforementioned factors, it looks like Surgery Partners has too much debt. That sort of riskiness is ok for some, but it certainly doesn’t float our boat. When analysing debt levels, the balance sheet is the obvious place to start. But ultimately, every company can contain risks that exist outside of the balance sheet. To that end, you should be aware of the 4 warning signs we’ve spotted with Surgery Partners .

If you’re interested in investing in businesses that can grow profits without the burden of debt, then check out this free list of growing businesses that have net cash on the balance sheet.

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