The company does have debt of $110 million, could that be the problem? Well, it would seem that the company's services are of a non-discretionary nature (unlike some other cyclical health companies we have seen), since even during this recession operating cash flow remains rather stable. As a result, the company has paid down its debt by $17 million in the last four quarters from its operating cash flow, suggesting the situation is well under control.
Sixty-million dollars of that debt, however, is convertible into equity. Surely, this potential dilution is scaring investors off, right? Actually, this too does not appear to be that big a deal. At first glance, the conversion price of the convertibles is $6.37/share, which is below the stock's current price of $7.83. But when the company issued these convertibles, it also purchased call options on its own stock at $6.37 (and sold call options at $8.31), effectively raising the convertible price (from the company's perspective) to $8.31. Should it so choose, the company also has the option of paying cash, rather than shares, to the converters of the debt, to avoid dilution at a poor price.
So the debt, even the convertible debt, seems manageable. So why is the market offering up this company for so cheap? The answer lies in the lower rungs of the income statement, where few investors venture. While the company generates $6 million of earnings per quarter, it pays most of this to the physicians it has partnered with (as per the first line of this post). The "minority interests" are getting a majority of the profits in this situation!
A glance at the cash flow statement further illustrates that the economics of this company are not as neat as they first appear to be. While the company has earned net income of over $57 million over the last three years, it has paid out almost $50 million in "Distributions to minority interests", the doctors that are performing the surgeries.
The top of the income statement (revenues, COGS, SG&A) is its most popular section. But sometimes companies are structured in a way such that it is the bottom of the statement that affects the stock's intrinsic value the most. This company would appear to be a screaming steal to those who do not closely scrutinize the company's statement of earnings from its revenues all the way down to the shareholder's pocket.