Graham NCAV Review: Dynacq Healthcare Inc

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May 25, 2010



In the latest in our NCAV review, we will examine Dynacq Healthcare Inc. which is a holding company that through its subsidiaries develops and manages general acute care hospitals that principally provide specialized surgeries. The for-profit hospital world is always a very tricky industry to analyze. There are many complicating factors including proper Medicare reimbursement and patient bad debt expense for out-of-pocket costs. The company has domestic exposure as well as a division in China. For those familiar with the hospital group you know it’s had a very rough stretch, and Dynacq is no exception.


Financials:













2009 Q4



2009 Q3



2009 Q2



2009 Q1



2008 Q4



Period End Date



08/31/2009



05/31/2009



02/28/2009



11/30/2008



08/31/2008



Assets























Cash and Short Term Investments



39.11



47.57



40.91



42.0



45.1







Cash & Equivalents



39.11



38.87



38.32



38.37



45.1



Short Term Investments



0.0



8.7



2.59



3.63



0.0







Total Receivables, Net



8.94



8.39



12.38



15.11



18.02







Total Inventory



1.52



1.47



1.48



1.28



1.47



Prepaid Expenses



0.37



0.34



0.59



0.55



0.48



Other Current Assets, Total



0.77



0.73



0.77



0.81



0.86



Total Current Assets



50.72



58.5



56.13



59.75



65.92



























Property/Plant/Equipment, Total - Net



14.86



14.97



15.07



15.33



15.23



Goodwill, Net



0.0



0.0



0.0



0.0



0.0



Intangibles, Net



0.0



2.58



2.4



0.0



0.0



Long Term Investments



18.57



0.0



0.0



0.0



0.0



Note Receivable - Long Term



0.0



0.0



0.0



0.0



0.0



Other Long Term Assets, Total



1.12



1.06



1.25



0.26



1.1



Other Assets, Total



0.0



0.0



0.0



0.0



0.0



Total Assets



85.27



77.1



74.85



75.34



82.25



























Liabilities and Shareholders' Equity























Accounts Payable



3.4



3.6



3.71



3.49



3.82



Payable/Accrued



0.0



0.0



0.0



0.0



0.0



Accrued Expenses



6.24



4.21



3.99



4.03



5.89



Notes Payable/Short Term Debt



0.0



0.0



0.0



0.0



0.0



Current Port. of LT Debt/Capital Leases



0.33



0.46



0.58



0.55



0.5



Other Current Liabilities, Total



0.13



0.61



0.22



0.19



4.42



Total Current Liabilities



10.1



8.88



8.5



8.27



14.62



























Total Long Term Debt



0.34



0.35



0.37



0.53



0.26







Long Term Debt



0.0



0.0



0.0



0.13



0.25



Capital Lease Obligations



0.34



0.35



0.37



0.4



0.01







Deferred Income Tax



2.75



0.18



0.0



0.23



0.36



Minority Interest



0.24



0.17



0.08



0.08



0.08



Other Liabilities, Total



0.0



0.0



0.0



0.0



0.0



Total Liabilities



13.43



9.58



8.96



9.11



15.32



Common Stock



0.02



0.02



0.02



0.02



0.02



Additional Paid-In Capital



14.8



15.39



15.27



15.14



15.02



Retained Earnings (Accumulated Deficit)



53.15



54.29



53.28



52.99



53.64



Treasury Stock - Common



-2.43



-2.48



-2.38



-2.31



-2.31



Other Equity, Total



6.3



0.3



-0.3



0.4



0.56



Total Equity



71.84



67.52



65.89



66.24



66.93



























Total Liabilities & Shareholders’ Equity



85.27



77.1



74.85



75.34



82.25






In prior NCAV reviews, we were able to break down the balance sheet into its components and assign values on each line item. There was a certain degree of confidence in our assumptions. This is a much different case.


The company currently has a market cap of $36m. As of the most recent 10Q, the company has approximately $42m in current assets against total liabilities of $12.7m. However, almost $5m of that is represented by accounts receivables. As previously mention, receivables are quite vulnerable in the hospital group. In fact, the company specifies this as a significant risk. I would zero out this line item from the balance sheet even though this may seem overly conservative. To be considered a deep value opportunity (at least the way I define it) there needs to be a significant discount. In a situation such as this, I would demand an extra layer of safety.


There is an X factor here listed under long-term investments (yes, I realize that doesn’t equate to a Net Current Asset valuation). It currently lists this entry at $18.5million – which describes this asset as bonds available for sale. This is a very curious item as it looks like the company shifted a like amount from accounts receivable in fiscal 2008. It would be highly unusual to take payment in securities rather than cash – which could speak to the quality of the payer. Needless to say, this isn’t a very good sign. If I can’t count on realizing that market value, the numbers don’t work.


My take – too much risk for the potential reward.





Disclosure: none