HealthSouth Reports Results for Third Quarter 2017 and Updates Full-Year 2017 Guidance

10/26/2017

BIRMINGHAM, Ala., Oct. 26, 2017 /PRNewswire/ -- HealthSouth Corporation (NYSE: HLS), one of the nation's largest providers of post-acute healthcare services, offering both facility-based and home-based patient care, today reported its results of operations for the third quarter ended September 30, 2017.

HealthSouth Corporation logo (PRNewsFoto/HealthSouth Corporation)

"The third quarter was another strong quarter for HealthSouth with positive trends in volume and pricing, despite disruptions from three hurricanes," said Mark Tarr, President and Chief Executive Officer of HealthSouth. "In addition to the continued good performance and growth of our Company in both segments, we remain focused on developing and leveraging technology to improve patient care and operating efficiencies. These investments include the installation of our rehabilitation-specific electronic clinical information system and the formation of the Post-Acute Innovation Center."

Consolidated Results












Growth


Q3 2017


Q3 2016


Dollars


Percent


(In Millions, Except per Share Data)

Net operating revenues

$

995.6



$

926.8



$

68.8



7.4

%

Income from continuing operations attributable to

     HealthSouth per share

0.67



0.64



0.03



4.7

%

Adjusted earnings per share

0.66



0.65



0.01



1.5

%

Cash flows provided by operating activities

173.8



177.6



(3.8)



(2.1)

%

Adjusted EBITDA

204.6



198.4



6.2



3.1

%

Adjusted free cash flow

122.1



139.8



(17.7)



(12.7)%



Nine Months Ended
September 30,






2017


2016





Cash flows provided by operating activities

$

505.8



$

499.4



$

6.4



1.3

%

Adjusted free cash flow

376.1



394.5



(18.4)



(4.7)

%

Revenue growth was driven by volume and pricing growth in the inpatient rehabilitation segment and volume growth in the home health and hospice segment.

The increase in income from continuing operations attributable to HealthSouth per share and adjusted earnings per share resulted primarily from increased revenue. Growth in both earnings per share amounts was negatively impacted by higher stock-based compensation expense and higher depreciation and amortization related to capital investments.

Cash flows provided by operating activities increased in the first nine months of 2017 compared to the first nine months of 2016 primarily due to revenue growth.

Adjusted free cash flow for the first nine months of 2017 compared to the first nine months of 2016 decreased due to cash payments for taxes (due to exhaustion of the Company's federal net operating loss in the first quarter of 2017) and increased maintenance capital expenditures in 2017.

See attached supplemental information for calculations of non-GAAP measures and reconciliations to their most comparable GAAP measure.


 

Inpatient Rehabilitation Segment Results












Growth


Q3 2017


Q3 2016


Dollars


Percent

Net operating revenues:

(In Millions)

Inpatient

$

768.6



$

724.1



$

44.5



6.1

%

Outpatient and other

26.2



27.6



(1.4)



(5.1)%


Total segment revenue

$

794.8



$

751.7



$

43.1



5.7

%










(Actual Amounts)

Discharges

42,948



41,368



1,580



3.8

%

Same-store discharge growth







1.4

%

Net patient revenue per discharge

$

17,896



$

17,504



$

392



2.2

%










(In Millions)

Adjusted EBITDA

$

200.3



$

198.6



$

1.7



0.9

%

  • Revenue - Revenue growth resulted from volume growth and an increase in net patient revenue per discharge. Discharge growth from new stores resulted from the Company's joint ventures in Bryan, Texas (August 2016), Broken Arrow, Oklahoma (August 2016), Gulfport, Mississippi (April 2017), Westerville, Ohio (April 2017), and Jackson, Tennessee (July 2017), as well as a wholly owned hospital in Modesto, California (October 2016). Same-store discharge growth of 1.4% in the third quarter of 2017 was negatively impacted 200 to 250 discharges, or 50 to 60 basis points, due to Hurricanes Harvey, Irma, and Maria. Growth in net patient revenue per discharge primarily resulted from patient mix. Net patient revenue per discharge in the third quarter of 2016 included the benefit of a retroactive indirect medical education ("IME") adjustment of approximately $4 million at the former Reliant hospital in Woburn, Massachusetts.

    The decrease in outpatient and other revenues primarily was due to the closure of six outpatient programs in the latter half of 2016.
  • Adjusted EBITDA - The increase in Adjusted EBITDA for the inpatient rehabilitation segment primarily resulted from revenue growth. Expense ratios in the third quarter of 2017 compared to the third quarter of 2016 were negatively impacted by the aforementioned IME adjustment and $2.5 million in hurricane-related expenses in the third quarter of 2017. Salaries and benefits as a percent of net operating revenues were further impacted by salary and benefit cost increases, staffing increases at the former Reliant hospitals, and the ramping up of new stores. Bad debt expense as a percent of net operating revenues decreased from 1.8% in the third quarter of 2016 to 1.4% in the third quarter of 2017 primarily due to a reduction in new pre-payment claims denials.

 

 

Home Health and Hospice Segment Results












Growth


Q3 2017


Q3 2016


Dollars


Percent

Net operating revenues:

(In Millions)

Home health

$

181.2



$

162.0



$

19.2



11.9

%

Hospice and other

19.6



13.1



6.5



49.6

%

Total segment revenue

$

200.8



$

175.1



$

25.7



14.7

%










(Actual Amounts)

Admissions

31,471



27,239



4,232



15.5

%

Same-store admissions growth







8.8

%

Episodes

53,757



46,866



6,891



14.7

%

Same-store episode growth







9.5

%

Revenue per episode

$

3,022



$

3,032



$

(10)



(0.3)%











(In Millions)

Adjusted EBITDA

$

34.8



$

25.8



$

9.0



34.9

%

  • Revenue - Revenue growth resulted from strong same-store and new-store volume growth. Same-store admission growth of 8.8% in the third quarter of 2017 was negatively impacted 325 to 375 admissions, or 120 to 140 basis points, due to Hurricanes Harvey and Irma. The decrease in revenue per episode resulted from Medicare reimbursement rate cuts partially offset by changes in patient mix and reconciliation payments attributed to various alternative payment models (e.g., BPCI; ACOs).

    The increase in hospice and other revenue primarily resulted from acquisitions completed in 2016.
  • Adjusted EBITDA - Growth in Adjusted EBITDA primarily resulted from revenue growth and staffing productivity gains. Adjusted EBITDA for the home health and hospice segment for the third quarter of 2017 included a $0.9 million benefit from the true-up to the purchase price of a 2016 acquisition. Adjusted EBITDA for the third quarter of 2017 also included approximately $0.3 million in hurricane-related expenses.

 

Corporate General and Administrative Expenses



Q3 2017


% of
Consolidated
Revenue


Q3 2016


% of
Consolidated
Revenue


(In Millions)

General and administrative expenses,
  excluding stock-based compensation

$

30.5



3.1%


$

26.0



2.8%













  • General and administrative expenses increased as a percent of consolidated revenue primarily due to expenses associated with the Company's rebranding and name change and TeamWorks clinical collaboration initiative. During the third quarter of 2017, the Company invested $1.5 million in its rebranding and name change and $2.3 million in its TeamWorks clinical collaboration initiative, all of which was included in general and administrative expenses.

2017 Guidance

Based on its results for the first nine months of 2017 and its current expectations for the remainder of 2017, the Company is updating its full-year guidance ranges.


Full-Year 2017 Guidance Ranges


Previous Guidance


Updated Guidance


(In Millions, Except Per Share Data)

Net operating revenues

$3,875 to $3,950


$3,900 to $3,950

Adjusted EBITDA

$805 to $820


$810 to $820

Adjusted earnings per share from continuing
  operations attributable to HealthSouth

$2.64 to $2.73


$2.67 to $2.73

For additional considerations regarding the Company's 2017 guidance ranges, see the supplemental information posted on the Company's website at http://investor.healthsouth.com. See also the "Other Information" section below for an explanation of why the Company does not provide guidance for comparable GAAP measures for Adjusted EBITDA and adjusted earnings per share.

Post-Acute Innovation Center

During the third quarter of 2017, the Company announced the formation of the Post-Acute Innovation Center in collaboration with Cerner Corporation to develop enhanced tools to manage patients across the continuum of care. Cerner is a global leader in health information technology and collaborated with HealthSouth on the development and implementation of its clinical information system. The Post-Acute Innovation Center will develop clinical decision support tools designed to more effectively and efficiently manage patients across multiple care settings. The objective of the Innovation Center is to use diverse data sets from multiple care settings to develop initiatives that facilitate efficient and high-quality patient care, enhanced care coordination, post-acute network performance, and cost management across the post-acute continuum.

Amendment of Credit Agreement Governing Senior Secured Credit Facility

In the third quarter of 2017, the Company amended the credit agreement governing its senior secured credit facility. The amendment increased the size of its revolver from $600 million to $700 million, decreased the balance of its term loan facilities by approximately $110 million to $300 million, reduced the interest rate spread by 25 basis points, and extended the agreement's maturity by two years to 2022. As a result of this exercise, the Company recorded a $0.3 million loss on early extinguishment of debt in the third quarter of 2017.

"The restructuring of our credit facility further enhances our liquidity and financial flexibility," said Doug Coltharp, Executive Vice President and Chief Financial Officer of HealthSouth. "This action is consistent with our strategy of proactively managing our capital structure to maintain a strong balance sheet."

Rebranding and Name Change

As a reminder, effective January 1, 2018, HealthSouth Corporation will change its name to Encompass Health Corporation, with a corresponding ticker symbol change from "HLS" to "EHC." Both of the Company's business segments will transition to the Encompass Health branding.

Earnings Conference Call and Webcast

The Company will host an investor conference call at 9:00 a.m. Eastern Time on Friday, October 27, 2017 to discuss its results for the third quarter of 2017. For reference during the call, the Company will post certain supplemental information at http://investor.healthsouth.com.

The conference call may be accessed by dialing 877 587-6761 and giving the pass code 87444165. International callers should dial 706 679-1635 and give the same pass code. Please call approximately ten minutes before the start of the call to ensure you are connected. The conference call will also be webcast live and will be available at http://investor.healthsouth.com by clicking on an available link.

An on-line replay of the conference call will be available after the live broadcast at http://investor.healthsouth.com.

About HealthSouth

HealthSouth is one of the nation's largest providers of post-acute healthcare services, offering both facility-based and home-based patient care in 36 states and Puerto Rico through its network of inpatient rehabilitation hospitals, home health agencies, and hospice agencies. HealthSouth can be found on the Web at www.healthsouth.com.

Other Information

The information in this press release is summarized and should be read in conjunction with the Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 2017 (the "September 2017 Form 10-Q"), when filed, as well as the Company's Current Report on Form 8-K filed on October 26, 2017 (the "Q3 Earnings Form 8-K"), to which this press release is attached as Exhibit 99.1. In addition, the Company will post supplemental information today on its website at http://investor.healthsouth.com for reference during its October 27, 2017 earnings call.

The financial data contained in the press release and supplemental information include non-GAAP financial measures, including the Company's adjusted earnings per share, leverage ratio, Adjusted EBITDA, and adjusted free cash flow. Reconciliations to their most comparable GAAP measure, except with regard to non-GAAP guidance, are included below or in the Q3 Earnings Form 8-K. Readers are encouraged to review the "Note Regarding Presentation of Non-GAAP Financial Measures" included in the Q3 Earnings Form 8-K which provides further explanation and disclosure regarding the Company's use of these non-GAAP financial measures.

Excluding net operating revenues, the Company does not provide guidance on a GAAP basis because it is unable to predict, with reasonable certainty, the future impact of items that are deemed to be outside the control of the Company or otherwise non-indicative of its ongoing operating performance. Such items include government, class action, and related settlements; professional fees—accounting, tax, and legal; mark-to-market adjustments for stock appreciation rights; gains or losses related to hedging instruments; loss on early extinguishment of debt; adjustments to its income tax provision (such as valuation allowance adjustments and settlements of income tax claims); items related to corporate and facility restructurings; and certain other items the Company believes to be non-indicative of its ongoing operations. These items cannot be reasonably predicted and will depend on several factors, including industry and market conditions, and could be material to the Company's results computed in accordance with GAAP.

However, the following reasonably estimable GAAP measures for 2017 would be included in a reconciliation for Adjusted EBITDA if the other reconciling GAAP measures could be reasonably predicted:

  • Provision for doubtful accounts - estimate of 1.6% to 1.8% of net operating revenues
  • Interest expense and amortization of debt discounts and fees - estimate of $155 million to $160 million
  • Amortization of debt-related items - approximately $10 million

The Q3 Earnings Form 8-K and, when filed, the September 2017 Form 10-Q can be found on the Company's website at http://investor.healthsouth.com and the SEC's website at www.sec.gov.

 

HealthSouth Corporation and Subsidiaries

Condensed Consolidated Statements of Operations

(Unaudited)



Three Months Ended
September 30,


Nine Months Ended
September 30,


2017


2016


2017


2016


(In Millions)

Net operating revenues

$

995.6



$

926.8



$

2,951.7



$

2,757.3


Less: Provision for doubtful accounts

(12.6)



(14.8)



(42.7)



(46.7)


Net operating revenues less provision for doubtful accounts

983.0



912.0



2,909.0



2,710.6


Operating expenses:








Salaries and benefits

542.1



497.4



1,600.0



1,469.6


Other operating expenses

137.6



126.3



397.2



367.0


Occupancy costs

18.6



17.6



54.8



53.5


Supplies

36.5



34.8



110.6



104.2


General and administrative expenses

39.7



30.3



128.6



96.6


Depreciation and amortization

46.2



43.5



137.2



128.8


Professional fees—accounting, tax, and legal







1.9


Total operating expenses

820.7



749.9



2,428.4



2,221.6


Loss on early extinguishment of debt

0.3



2.6



10.7



7.4


Interest expense and amortization of debt discounts and fees

36.8



42.5



118.5



130.5


Other income

(1.0)



(0.8)



(2.9)



(2.1)


Equity in net income of nonconsolidated affiliates

(2.1)



(2.5)



(6.2)



(7.3)


Income from continuing operations before income tax expense

128.3



120.3



360.5



360.5


Provision for income tax expense

43.1



42.1



111.4



124.2


Income from continuing operations

85.2



78.2



249.1



236.3


Loss from discontinued operations, net of tax

(0.1)



(0.1)



(0.2)



(0.3)


Net income

85.1



78.1



248.9



236.0


Less: Net income attributable to noncontrolling interests

(19.2)



(16.4)



(53.2)



(53.7)


Net income attributable to HealthSouth

$

65.9



$

61.7



$

195.7



$

182.3


 


HealthSouth Corporation and Subsidiaries  

Condensed Consolidated Statements of Operations (Continued)  

(Unaudited)  



Three Months Ended
September 30,


Nine Months Ended

September 30,


2017


2016


2017


2016


(In Millions, Except Per Share Data)

Weighted average common shares outstanding:








Basic

97.8



89.1



92.3



89.3


Diluted

99.0



99.4



99.1



99.5










Earnings per common share:








Basic earnings per share attributable to HealthSouth common shareholders:








Continuing operations

$

0.67



$

0.69



$

2.11



$

2.03


Discontinued operations








Net income

$

0.67



$

0.69



$

2.11



$

2.03


Diluted earnings per share attributable to HealthSouth common shareholders:








Continuing operations

$

0.67



$

0.64



$

2.08



$

1.90


Discontinued operations








Net income

$

0.67



$

0.64



$

2.08



$

1.90










Cash dividends per common share

$

0.25



$

0.24



$

0.73



$

0.70










Amounts attributable to HealthSouth common shareholders:








Income from continuing operations

$

66.0



$

61.8



$

195.9



$

182.6


Loss from discontinued operations, net of tax

(0.1)



(0.1)



(0.2)



(0.3)


Net income attributable to HealthSouth

$

65.9



$

61.7



$

195.7



$

182.3


 


HealthSouth Corporation and Subsidiaries

Condensed Consolidated Balance Sheets  

(Unaudited)  



September 30,
 2017


December 31,
 2016


(In Millions)

Assets




Current assets:




Cash and cash equivalents

$

67.6



$

40.5


Accounts receivable, net of allowance for doubtful accounts of $58.5 in 2017; $53.9 in 2016

441.6



443.8


Other current assets

178.2



170.2


Total current assets

687.4



654.5


Property and equipment, net

1,482.3



1,391.8


Goodwill

1,971.7



1,927.2


Intangible assets, net

405.1



411.3


Deferred income tax assets

91.6



75.8


Other long-term assets

245.3



221.3


Total assets

$

4,883.4



$

4,681.9


Liabilities and Shareholders' Equity




Current liabilities:




Current portion of long-term debt

$

31.1



$

37.1


Accounts payable

81.8



68.3


Accrued expenses and other current liabilities

398.3



370.2


Total current liabilities

511.2



475.6


Long-term debt, net of current portion

2,591.3



2,979.3


Other long-term liabilities

186.4



160.0



3,288.9



3,614.9


Commitments and contingencies




Redeemable noncontrolling interests

221.3



138.3


Shareholders' equity:




HealthSouth shareholders' equity

1,136.4



735.9


Noncontrolling interests

236.8



192.8


Total shareholders' equity

1,373.2



928.7


Total liabilities and shareholders' equity

$

4,883.4



$

4,681.9


 

 

HealthSouth Corporation and Subsidiaries  

Condensed Consolidated Statements of Cash Flows  

(Unaudited)  



Nine Months Ended September 30,


2017


2016


(In Millions)

Cash flows from operating activities:




Net income

$

248.9



$

236.0


Loss from discontinued operations, net of tax

0.2



0.3


Adjustments to reconcile net income to net cash provided by operating activities—




Provision for doubtful accounts

42.7



46.7


Depreciation and amortization

137.2



128.8


Loss on early extinguishment of debt

10.7



7.4


Equity in net income of nonconsolidated affiliates

(6.2)



(7.3)


Distributions from nonconsolidated affiliates

6.6



5.9


Stock-based compensation

37.9



17.4


Deferred tax expense

51.3



110.6


Other, net

9.8



11.7


Change in assets and liabilities, net of acquisitions—




Accounts receivable

(54.2)



(75.7)


Other assets

(7.4)



(4.4)


Accounts payable

6.1



1.9


Accrued payroll

3.1



8.7


Accrued interest payable

7.3



6.0


Other liabilities

12.5



11.8


Premium paid on redemption of bonds



(5.8)


Net cash used in operating activities of discontinued operations

(0.7)



(0.6)


Total adjustments

256.7



263.1


Net cash provided by operating activities

505.8



499.4







 

HealthSouth Corporation and Subsidiaries  

Condensed Consolidated Statements of Cash Flows (Continued)  

(Unaudited)  



Nine Months Ended September 30,


2017


2016


(In Millions)

Cash flows from investing activities:




Purchases of property and equipment

(155.7)



(113.9)


Additions to capitalized software costs

(14.6)



(17.5)


Acquisitions of businesses, net of cash acquired

(36.6)



(19.6)


Net change in restricted cash

(9.9)



(7.1)


Other, net

7.6



1.8


Net cash used in investing activities

(209.2)



(156.3)


Cash flows from financing activities:




Principal payments on debt, including pre-payments

(125.4)



(195.2)


Borrowings on revolving credit facility

241.3



260.0


Payments on revolving credit facility

(255.3)



(240.0)


Repurchases of common stock, including fees and expenses

(38.1)



(24.1)


Dividends paid on common stock

(67.0)



(62.4)


Proceeds from exercising stock warrants

26.6




Distributions paid to noncontrolling interests of consolidated affiliates

(38.3)



(49.5)


Taxes paid on behalf of employees for shares withheld

(19.8)



(9.9)


Other, net

6.5



(7.2)


Net cash used in financing activities

(269.5)



(328.3)


Increase in cash and cash equivalents

27.1



14.8


Cash and cash equivalents at beginning of period

40.5



61.6


Cash and cash equivalents at end of period

$

67.6



$

76.4






Supplemental schedule of noncash financing activity:




Conversion of convertible debt

$

319.4



$


 

 

 


HealthSouth Corporation and Subsidiaries  

Supplemental Information  

Earnings Per Share  



Three Months Ended
September 30,


Nine Months Ended
September 30,


2017


2016


2017


2016


(In Millions, Except Per Share Data)

Adjusted EBITDA

$

204.6



$

198.4



$

614.9



$

594.8


Interest expense and amortization of debt discounts and fees

(36.8)



(42.5)



(118.5)



(130.5)


Depreciation and amortization

(46.2)



(43.5)



(137.2)



(128.8)


Stock-based compensation expense

(9.2)



(4.3)



(37.9)



(17.4)


Noncash loss on disposal of assets

(3.0)



(1.6)



(3.3)



(2.0)



109.4



106.5



318.0



316.1


Certain items non-indicative of ongoing operations:








Loss on early extinguishment of debt

(0.3)



(2.6)



(10.7)



(7.4)


Professional fees—accounting, tax, and legal







(1.9)


Pre-tax income

109.1



103.9



307.3



306.8


Income tax expense (1)

(43.1)



(42.1)



(111.4)



(124.2)


Income from continuing operations (2)

$

66.0



$

61.8



$

195.9



$

182.6










Basic shares (3)

97.8



89.1



92.3



89.3


Diluted shares

99.0



99.4



99.1



99.5










Basic earnings per share (2)

$

0.67



$

0.69



$

2.11



$

2.03


Diluted earnings per share (2)

$

0.67



$

0.64



$

2.08



$

1.90




(1)     

Current income tax expense for the three months ended September 30, 2017 and 2016 was $36.0 million and $4.6 million, respectively. Current income tax expense for the nine months ended September 30, 2017 and 2016 was $60.1 million and $13.6 million, respectively.

(2)     

Income from continuing operations attributable to HealthSouth.

(3)      

Increased basic share count in 2017 resulted from the Company's exercise of its early redemption option on its 2.0% Convertible Senior Subordinated Notes in the second quarter of 2017

 

 

HealthSouth Corporation and Subsidiaries  

Supplemental Information  

Adjusted Earnings Per Share  



Q3


9 Months


2017


2016


2017


2016









Earnings per share, as reported

$

0.67



$

0.64



$

2.08



$

1.90


Adjustments, net of tax:








Professional fees—accounting, tax, and legal







0.01


Mark-to-market adjustments for stock appreciation rights

(0.01)



(0.01)



0.08



(0.01)


Sale of hospital







(0.01)


Loss on early extinguishment of debt(1)



0.02





0.04


Income tax adjustments(2)





(0.10)




Adjusted earnings per share(3)

$

0.66



$

0.65



$

2.07



$

1.95




(1)

The interest and amortization and the loss on early extinguishment of debt related to the convertible senior subordinated notes must be added to income from continuing operations when calculating diluted earnings per share because the debt was assumed to have been converted at the beginning of the period, and the applicable shares were included in the diluted share count.

(2)

New guidance in ASU 2016-09, "Improvements to Employee Share-Based Payment Accounting," requires entities to record all of the tax effects related to share-based payments at settlement (or expiration) through the income statement. Historically, HealthSouth recorded such tax effects to equity.

(3)

Adjusted EPS may not sum due to rounding.

 

 


HealthSouth Corporation and Subsidiaries  

Supplemental Information  

Adjusted Earnings Per Share  



For the Three Months Ended September 30, 2017




Adjustments




As Reported


Mark-to-Market Adjustment for Stock Appreciation Rights


Income Tax Adjustments(1)


Loss on Early Extinguishment of Debt


As Adjusted


(In Millions, Except Per Share Amounts)

Adjusted EBITDA(2)

$

204.6



$



$



$



$

204.6


Depreciation and amortization

(46.2)









(46.2)


Loss on early extinguishment of debt

(0.3)







0.3




Interest expense and amortization of debt discounts and fees

(36.8)









(36.8)


Stock-based compensation

(9.2)



(1.0)







(10.2)


Loss on disposal of assets

(3.0)









(3.0)


Income from continuing operations before income tax expense

109.1



(1.0)





0.3



108.4


Provision for income tax expense

(43.1)



0.4



(0.4)



(0.1)



(43.2)


Income from continuing operations attributable to HealthSouth

$

66.0



$

(0.6)



$

(0.4)



$

0.2



$

65.2


 Add: Interest, amortization, and loss on extinguishment of
 convertible debt, net of tax










Numerator for diluted earnings per share

$

66.0









$

65.2












Diluted earnings per share from continuing operations, as reported(3)

$

0.67



$

(0.01)



$



$



$

0.66


Diluted shares used in calculation

99.0












(1)   

New guidance in ASU 2016-09, "Improvements to Employee Share-Based Payment Accounting," requires entities to record all of the tax effects related to share-based payments at settlement (or expiration) through the income statement. Historically, HealthSouth recorded such tax effects to equity.

(2)    

See reconciliation of net income to Adjusted EBITDA

(3)     

Adjusted EPS may not sum across due to rounding.

 

HealthSouth Corporation and Subsidiaries  

Supplemental Information  

Adjusted Earnings Per Share  



For the Three Months Ended September 30, 2016




Adjustments




As Reported


Mark-to-Market Adjustment for Stock Appreciation Rights


Loss on Early Extinguishment of Debt


As Adjusted


(In Millions, Except Per Share Amounts)

Adjusted EBITDA(1)

$

198.4



$



$



$

198.4


Depreciation and amortization

(43.5)







(43.5)


Loss on early extinguishment of debt

(2.6)





2.6




Interest expense and amortization of debt discounts and fees

(42.5)







(42.5)


Stock-based compensation

(4.3)



(1.8)





(6.1)


Loss on disposal of assets

(1.6)







(1.6)


Income from continuing operations before income tax expense

103.9



(1.8)



2.6



104.7


Provision for income tax expense

(42.1)



0.7



(1.0)



(42.4)


Income from continuing operations attributable to HealthSouth

$

61.8



$

(1.1)



$

1.6



$

62.3


Add: Interest on convertible debt, net of tax

2.4







2.4


Numerator for diluted earnings per share

$

64.2







$

64.7










Diluted earnings per share from continuing operations(2)

$

0.64



$

(0.01)



$

0.02



$

0.65


Diluted shares used in calculation

99.4










(1)   

See reconciliation of net income to Adjusted EBITDA

(2)    

Adjusted EPS may not sum across due to rounding.

 

HealthSouth Corporation and Subsidiaries  

Supplemental Information  

Adjusted Earnings Per Share  



For the Nine Months Ended September 30, 2017




Adjustments




As Reported


Mark-to-Market Adjustment for Stock Appreciation Rights


Loss on Early Extinguishment of Debt


Income Tax Adjustments(1)


As Adjusted


(In Millions, Except Per Share Amounts)

Adjusted EBITDA(2)

$

614.9



$



$



$



$

614.9


Depreciation and amortization

(137.2)









(137.2)


Loss on early extinguishment of debt

(10.7)





0.3





(10.4)


Interest expense and amortization of debt discounts and fees

(118.5)









(118.5)


Stock-based compensation

(37.9)



13.9







(24.0)


Loss on disposal of assets

(3.3)









(3.3)


Income from continuing operations before income tax expense

307.3



13.9



0.3





321.5


Provision for income tax expense

(111.4)



(5.6)



(0.1)



(10.4)



(127.5)


Income from continuing operations attributable to HealthSouth

$

195.9



$

8.3



$

0.2



$

(10.4)



$

194.0


Add: Interest, amortization, and loss on extinguishment of convertible debt, net of tax

10.8









10.8


Numerator for diluted earnings per share

$

206.7









$

204.8












Diluted earnings per share from continuing operations, as reported(3)

$

2.08



$

0.08



$



$

(0.10)



$

2.07


Diluted shares used in calculation

99.1












(1)    

New guidance in ASU 2016-09, "Improvements to Employee Share-Based Payment Accounting," requires entities to record all of the tax effects related to share-based payments at settlement (or expiration) through the income statement. Historically, HealthSouth recorded such tax effects to equity.

(2)     

See reconciliation of net income to Adjusted EBITDA

(3)      

Adjusted EPS may not sum across due to rounding.

 

 

 

HealthSouth Corporation and Subsidiaries  

Supplemental Information  

Adjusted Earnings Per Share  



For the Nine Months Ended September 30, 2016




Adjustments




As Reported


Professional FeesAccounting, Tax, and Legal


Mark-to-Market Adjustment for Stock Appreciation Rights


Loss on Early Extinguishment of Debt


Sale of Hospital


As Adjusted


(In Millions, Except Per Share Amounts)

Adjusted EBITDA(1)

$

594.8



$



$



$



$



$

594.8


Depreciation and amortization

(128.8)











(128.8)


Professional fees—accounting, tax, and legal

(1.9)



1.9










Loss on early extinguishment of debt

(7.4)







7.4






Interest expense and amortization of debt discounts and fees

(130.5)











(130.5)


Stock-based compensation

(17.4)





(1.4)







(18.8)


Loss on disposal of assets

(2.0)









(0.9)



(2.9)


Income from continuing operations before income tax expense

306.8



1.9



(1.4)



7.4



(0.9)



313.8


Provision for income tax expense

(124.2)



(0.8)



0.5



(3.0)



0.4



(127.1)


Income from continuing operations attributable to HealthSouth

$

182.6



$

1.1



$

(0.9)



$

4.4



$

(0.5)



$

186.7


Add: Interest on convertible debt, net of tax

7.2











7.2


Numerator for diluted earnings per share

$

189.8











$

193.9














Diluted earnings per share from continuing operations(2)

$

1.90



$

0.01



$

(0.01)



$

0.04



$

(0.01)



$

1.95


Diluted shares used in calculation

99.5














(1)   

See reconciliation of net income to Adjusted EBITDA

(2)    

Adjusted EPS may not sum across due to rounding.

 


HealthSouth Corporation and Subsidiaries  

Supplemental Information  

Reconciliation of Net Income to Adjusted EBITDA  



Three Months Ended
September 30,


Nine Months Ended

September 30,


2017


2016


2017


2016


(In Millions)

Net income

$

85.1



$

78.1



$

248.9



$

236.0


Loss from discontinued operations, net of tax, attributable to HealthSouth

0.1



0.1



0.2



0.3


Provision for income tax expense

43.1



42.1



111.4



124.2


Interest expense and amortization of debt discounts and fees

36.8



42.5



118.5



130.5


Professional fees—accounting, tax, and legal







1.9


Loss on early extinguishment of debt

0.3



2.6



10.7



7.4


Net noncash loss on disposal of assets

3.0



1.6



3.3



2.0


Depreciation and amortization

46.2



43.5



137.2



128.8


Stock-based compensation expense

9.2



4.3



37.9



17.4


Net income attributable to noncontrolling interests

(19.2)



(16.4)



(53.2)



(53.7)


Adjusted EBITDA

$

204.6



$

198.4



$

614.9



$

594.8


 

Reconciliation of Segment Adjusted EBITDA to Income from Continuing Operations Before Income Tax Expense



Three Months Ended
September 30,


Nine Months Ended
September 30,


Year Ended
December 31, 2016


2017


2016


2017


2016



(In Millions)

Total segment Adjusted EBITDA

$

235.1



$

224.4



$

705.6



$

674.0



$

899.6


General and administrative expenses

(39.7)



(30.3)



(128.6)



(96.6)



(133.4)


Depreciation and amortization

(46.2)



(43.5)



(137.2)



(128.8)



(172.6)


Loss on disposal of assets

(3.0)



(1.6)



(3.3)



(2.0)



(0.7)


Professional fees—accounting, tax, and legal







(1.9)



(1.9)


Loss on early extinguishment of debt

(0.3)



(2.6)



(10.7)



(7.4)



(7.4)


Interest expense and amortization of debt discounts and fees

(36.8)



(42.5)



(118.5)



(130.5)



(172.1)


Net income attributable to noncontrolling interests

19.2



16.4



53.2



53.7



70.5


Income from continuing operations before income tax expense

$

128.3



$

120.3



$

360.5



$

360.5



$

482.0


 


HealthSouth Corporation and Subsidiaries  

Supplemental Information  

Reconciliation of Net Cash Provided by Operating Activities to Adjusted EBITDA  



Three Months Ended
September 30,


Nine Months
Ended September 30,


Year Ended
December 31,





2017


2016


2017


2016


2016


2015


(In Millions)

Net cash provided by operating activities

$

173.8



$

177.6



$

505.8



$

499.4



$

634.4



$

502.0


Provision for doubtful accounts

(12.6)



(14.8)



(42.7)



(46.7)



(61.2)



(47.2)


Professional fees—accounting, tax, and legal







1.9



1.9



3.0


Interest expense and amortization of debt discounts and fees

36.8



42.5



118.5



130.5



172.1



142.9


Equity in net income of nonconsolidated affiliates

2.1



2.5



6.2



7.3



9.8



8.7


Net income attributable to noncontrolling interests in continuing operations

(19.2)



(16.4)



(53.2)



(53.7)



(70.5)



(69.7)


Amortization of debt-related items

(1.0)



(3.5)



(7.7)



(10.3)



(13.8)



(14.3)


Distributions from nonconsolidated affiliates

(2.2)



(2.9)



(6.6)



(5.9)



(8.5)



(7.7)


Current portion of income tax expense

36.0



4.6



60.1



13.6



31.0



14.8


Change in assets and liabilities

(9.8)



6.4



32.6



51.7



91.3



129.9


Net premium paid on bond transactions



1.9





5.8



5.8



3.9


Net cash used in operating activities of discontinued operations

0.1



0.1



0.7



0.6



0.7



0.7


Transaction costs











12.3


Other

0.6



0.4



1.2



0.6



0.6



3.2


Consolidated Adjusted EBITDA

$

204.6



$

198.4



$

614.9



$

594.8



$

793.6



$

682.5


 


HealthSouth Corporation and Subsidiaries  

Supplemental Information  

Reconciliation of Net Cash Provided by Operating Activities to Adjusted Free Cash Flow  



Three Months Ended
September 30,


Nine Months Ended
September 30,




2017


2016


2017


2016


(In Millions)

Net cash provided by operating activities

$

173.8



$

177.6



$

505.8



$

499.4


Impact of discontinued operations

0.1



0.1



0.7



0.6


Net cash provided by operating activities of continuing operations

173.9



177.7



506.5



500.0


Capital expenditures for maintenance

(37.6)



(23.9)



(92.1)



(64.5)


Distributions paid to noncontrolling interests of consolidated affiliates

(14.2)



(15.9)



(38.3)



(49.5)


Items non-indicative of ongoing operations:








Cash paid for professional fees—accounting, tax, and legal







1.9


Transaction costs and related assumed liabilities







0.8


Net premium on bond issuance/repayment



1.9





5.8


Adjusted free cash flow

$

122.1



$

139.8



$

376.1



$

394.5


For the three months ended September 30, 2017, net cash used in investing activities was $77.6 million and primarily resulted from capital expenditures and acquisitions of businesses. Net cash used in financing activities during the three months ended September 30, 2017 was $99.7 million and primarily resulted from net debt payments, cash dividends paid on common stock, repurchases of common stock, and distributions paid to noncontrolling interests of consolidated affiliates.

For the three months ended September 30, 2016, net cash used in investing activities was $50.7 million and primarily resulted from capital expenditures. Net cash used in financing activities during the three months ended September 30, 2016 was $120.7 million and primarily resulted from the redemption of $76 million of 7.75% Senior Notes due 2022 in September 2016, cash dividends paid on common stock, and distributions paid to noncontrolling interests of consolidated affiliates.

For the nine months ended September 30, 2017, net cash used in investing activities was $209.2 million and primarily resulted from capital expenditures and acquisitions of businesses. Net cash used in financing activities during the nine months ended September 30, 2017 was $269.5 million and primarily resulted from net debt payments, cash dividends paid on common stock, distributions paid to noncontrolling interests of consolidated affiliates, and repurchases of common stock.

For the nine months ended September 30, 2016, net cash used in investing activities was $156.3 million and primarily resulted from capital expenditures and acquisitions of businesses. Net cash used in financing activities during the nine months ended September 30, 2016 was $328.3 million and primarily resulted from net debt payments, including the redemptions of $176 million of 7.75% Senior Notes due 2022, cash dividends on common stock, distributions paid to noncontrolling interests of consolidated affiliates, and repurchases of common stock.

 

HealthSouth Corporation and Subsidiaries
Forward-Looking Statements

Statements contained in this press release which are not historical facts, such as those relating to financial guidance and assumptions, balance sheet and cash flow plans, and anticipated acquisitions, are forward-looking statements. In addition, HealthSouth, through its senior management, may from time to time make forward-looking public statements concerning the matters described herein. All such estimates, projections, and forward-looking information speak only as of the date hereof, and HealthSouth undertakes no duty to publicly update or revise such forward-looking information, whether as a result of new information, future events, or otherwise. Such forward-looking statements are necessarily estimates based upon current information, involve a number of risks and uncertainties, and relate to, among other things, future events, HealthSouth's plan to repurchase its debt or equity securities, dividend strategies, effective income tax rates, HealthSouth's business strategy, its financial plans, its future financial performance, its projected business results or model, its ability to return value to shareholders, its projected capital expenditures, its leverage ratio, its acquisition opportunities, and the impact of future legislation or regulation. Actual events or results may differ materially from those anticipated in these forward-looking statements as a result of a variety of factors. While it is impossible to identify all such factors, factors which could cause actual events or results to differ materially from those estimated by HealthSouth include, but are not limited to, the Company's ongoing rebranding and name change initiative and the impact on HealthSouth's common stock price and existing operations, including the Company's ability to attract patient referrals to its hospitals as well as the associated costs with the rebranding; the price of HealthSouth's common stock as it affects the Company's willingness and ability to repurchase shares and the financial and accounting effects of any repurchases; any adverse outcome of various lawsuits, claims, and legal or regulatory proceedings involving HealthSouth, including its pending DOJ and HHS-OIG investigations and any matters related to yet undiscovered issues, if any, in acquired operations; HealthSouth's ability to attract and retain key management personnel, including as a part of executive management succession planning; any adverse effects on HealthSouth's stock price resulting from the integration of acquired operations; potential disruptions, breaches, or other incidents affecting the proper operation, availability, or security of HealthSouth's information systems, including unauthorized access to or theft of patient, business associate, or other sensitive information or inability to provide patient care because of system unavailability as well as unforeseen issues, if any, related to integration of acquired systems; the ability to successfully integrate acquired operations, including realization of anticipated tax benefits, revenues, and cost savings, minimizing the negative impact on margins arising from the changes in staffing and other operating practices, and avoidance of unforeseen exposure to liabilities; HealthSouth's ability to successfully complete and integrate de novo developments, acquisitions, investments, and joint ventures consistent with its growth strategy; changes, delays in (including in connection with resolution of Medicare payment reviews or appeals), or suspension of reimbursement for HealthSouth's services by governmental or private payors; changes in the regulation of the healthcare industry at either or both of the federal and state levels, including as part of national healthcare reform and deficit reduction; competitive pressures in the healthcare industry and HealthSouth's response thereto; HealthSouth's ability to obtain and retain favorable arrangements with third-party payors; HealthSouth's ability to control costs, particularly labor and employee benefit costs, including group medical expenses; adverse effects resulting from coverage determinations made by Medicare Administrative Contractors regarding its Medicare reimbursement claims and lengthening delays in HealthSouth's ability to recover improperly denied claims through the administrative appeals process on a timely basis; HealthSouth's ability to adapt to changes in the healthcare delivery system, including involvement in coordinated care initiatives or programs that may arise with its referral sources; HealthSouth's ability to attract and retain nurses, therapists, and other healthcare professionals in a highly competitive environment with often severe staffing shortages and the impact on HealthSouth's labor expenses from potential union activity and staffing shortages; general conditions in the economy and capital markets, including any crisis resulting from uncertainty in the sovereign debt market; HealthSouth's ability to maintain its operations, including adequate supplies, utilities, and staffing, during times of significant disaster disruption; the increase in the costs of defending and insuring against alleged professional liability claims and HealthSouth's ability to predict the estimated costs related to such claims; and other factors which may be identified from time to time in HealthSouth's SEC filings and other public announcements, including HealthSouth's Form 10-K for the year ended December 31, 2016 and Form 10-Q for the quarters ended March 31, 2017, June 30, 2017, and September 30, 2017, when filed.

Media Contact


Casey Lassiter, 205 447-6410


casey.lassiter@healthsouth.com




Investor Relations Contact


Crissy Carlisle, 205 970-5860


crissy.carlisle@healthsouth.com


 

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SOURCE HealthSouth Corporation