BIRMINGHAM, Ala., July 27, 2011 /PRNewswire/ -- HealthSouth Corporation (NYSE: HLS), the nation's largest owner and operator of inpatient rehabilitation hospitals, today reported its results of operations for the second quarter ended June 30, 2011.

"The strength of our business model was again evident in the second quarter as net operating revenues increased 8.1% and Adjusted EBITDA grew 14.8% due to a 6.1% increase in the number of patients treated in our hospitals and disciplined expense management by our hospitals' leadership teams," said Jay Grinney, President and Chief Executive Officer of HealthSouth. "Most importantly, our quality metrics continued to outpace industry averages as our hospitals maintained their focus on providing a higher level of rehabilitative care to patients in need of such care. We also enhanced our balance sheet with the repayment of $335 million of our most expensive debt, and we plan to redeem the balance of this debt in the third quarter of 2011. The repayment of the remaining portion of our 10.75% Senior Notes is expected to decrease our interest expense by approximately $18 million in the second half of the year compared to the first half of 2011. Based on the solid results of the first two quarters, we are updating our guidance for 2011."

Second Quarter Results

• Consolidated net operating revenues were $505.1 million for the second quarter of 2011 compared to $467.3 million for the second quarter of 2010, an increase of 8.1%. This increase was attributable to a 6.1% increase in patient discharges and a 2.6% increase in net patient revenue per discharge. Discharge growth included a 3.5% increase in same-store discharges, with the remainder coming from hospitals opened or acquired in the prior 12 months. Net patient revenue per discharge increased primarily due to pricing adjustments.
• Income from continuing operations attributable to HealthSouth per share for the second quarter of 2011 included the following non-recurring and tax-related items that in aggregate decreased earnings by $0.33 per share for the three months ended June 30, 2011 compared to the same period of 2010:
  • a $26.1 million, or $0.28 per share, pre-tax loss on early extinguishment of debt resulting from the optional redemption in June 2011 of $335 million in principal of our 10.75% Senior Notes due 2016;
  • a $12.5 million, or $0.13 per share, increase in income tax expense in the second quarter of 2011 compared to the same period of 2010 resulting from the Company's reversal of a substantial portion of its valuation allowance in the fourth quarter of 2010;
  • a $10.6 million, or $0.11 per share, pre-tax gain related to a recovery from a disloyal former employee; and
  • a $2.7 million, or $0.03 per share, pre-tax increase in professional fees -- accounting, tax, and legal in the second quarter of 2011 compared to the same period of 2010 due primarily to our obligation to pay 35% of any recoveries from the disloyal former employee to the attorneys for the derivative shareholder plaintiffs.

After giving effect to these items, income from continuing operations attributable to HealthSouth per share for the three months ended June 30, 2011 was $0.14 per share compared to $0.40 per share for the same period of 2010. The Company's basic and diluted earnings per share were the same for both periods.

• Cash flows provided by operating activities were $156.9 million for the six months ended June 30, 2011 compared to $173.1 million for the same period of 2010. Cash flows provided by operating activities for the six months ended June 30, 2011 included $18.0 million related to the premium associated with the redemption of a portion of our 10.75% Senior Notes in June 2011 and a $16.7 million decrease in the liability associated with refunds due patients and other third party payors. The decrease in this liability primarily related to payments associated with previously disclosed settlements related to audits of unclaimed property.
• Adjusted EBITDA (see attached supplemental information) for the three months ended June 30, 2011 was $115.3 million compared to $100.4 million for the three months ended June 30, 2010, an increase of 14.8%. This improvement was driven by continued revenue growth and effective expense management.
• Adjusted free cash flow for the three months ended June 30, 2011 was $63.5 million compared to $52.6 million for the same period of 2010. The increase in adjusted free cash flow primarily resulted from growth in Adjusted EBITDA and the expiration of our interest rate swaps in March 2011. As anticipated, this growth was partially offset by increased interest expense and maintenance capital expenditures.  

"During the second quarter, we continued to improve our capital structure through two significant transactions," said Doug Coltharp, Executive Vice President and Chief Financial Officer of HealthSouth. "We amended our credit facility adding a $100 million term loan component, extending the maturity of our revolver to May 2016, and lowering our LIBOR spread by 100 basis points. We also repaid $335 million of our expensive 10.75% Senior Notes. Additionally, we agreed to sell five of our six long-term acute care hospitals. This transaction has purchase price consideration of approximately $117.5 million and is expected to close next week. It is our intent to use the proceeds from this transaction together with cash-on-hand and capacity under our revolving credit facility to redeem the balance of the 10.75% Senior Notes."

2011 Guidance

When considering the Company's full-year 2011 guidance, it is important to understand the following:

• In the Company's Current Report on Form 8-K dated February 17, 2011 and related earnings release, the Company provided 2011 guidance which consisted of Adjusted EBITDA in the range of $440 million to $450 million and income from continuing operations attributable to HealthSouth per diluted share in the range of $1.01 to $1.06 per diluted share. This guidance assumed the inclusion of the Company's six long-term acute care hospitals ("LTCHs") in continuing operations for 2011.

• In the Company's Current Report on Form 8-K dated April 28, 2011 and related earnings release, the Company provided 2011 guidance which consisted of Adjusted EBITDA in the range of $440 million to $450 million and income from continuing operations attributable to HealthSouth per diluted share in the range of $1.28 to $1.33 per diluted share. The $0.27 per share increase in the earnings per share guidance resulted from the income tax benefit recorded by the Company in the first quarter of 2011 (see attached supplemental schedule). In addition, the Company stated it expected to be at the high end of, or higher than, these guidance ranges. This guidance also assumed the inclusion of the Company's six LTCHs in continuing operations for 2011.

• On May 17, 2011, the Company entered into an agreement to sell substantially all of the assets of all six of its LTCHs. In 2010, the LTCHs contributed $17.5 million of Adjusted EBITDA to the Company's consolidated results. As discussed below, the LTCHs were reclassified to discontinued operations in the second quarter of 2011, with retroactive application of this reclassification made to all prior periods. With the Company's six LTCHs no longer included in continuing operations, on this date, the Company raised its Adjusted EBITDA guidance for 2011 to the high end of, or higher than, its range of $440 million to $450 million, now exclusive of its six LTCHs for all of 2011.

• On June 15, 2011, and as discussed above, the Company completed a call of $335 million in principal of its 10.75% Senior Notes due 2016. The Company intends to redeem the remainder of its 10.75% Senior Notes due 2016 in the third quarter of 2011 using the proceeds from the sale of five of its LTCHs, as discussed below, cash on hand, and availability under its revolving credit facility. As a result of these transactions, the Company recorded a $26.1 million loss on early extinguishment of debt in the second quarter of 2011 and expects to record an approximate additional $13 million loss on early extinguishment of debt in the third quarter of 2011. Also as a result of these transactions, interest expense is expected to be approximately $52 million in the second half of 2011 compared to $70.0 million in the first half of 2011.

Based on its results for the first half of 2011, the reclassification of its six LTCHs to discontinued operations for all of 2011, and its capital structure enhancements, the Company is:

• updating its full-year 2011 Adjusted EBITDA guidance to a range of $447 million to $453 million.

• updating its full-year 2011 earnings per share guidance to $1.17 to $1.22 per share. This revision is resulting primarily from the dilutive impact of the loss on early extinguishment of debt associated with the complete retirement of the 10.75% Senior Notes. Basic and diluted earnings per share are expected to be the same for 2011.

Reclassifications

As previously announced, on May 17, 2011, the Company entered into a definitive agreement with certain subsidiaries of LifeCare Holdings, Inc. (collectively, the "Buyer"), pursuant to which we agreed to sell, and the Buyer agreed to acquire, substantially all of the assets of all six of our long-term acute care hospitals ("LTCHs") for approximately $120 million, consisting of cash and retained working capital. On July 21, 2011, the Company and the Buyer amended the definitive agreement to remove HealthSouth Hospital of Houston (the "Houston LTCH") from the sale transaction and reduce the aggregate purchase price by $2.5 million to $117.5 million. HealthSouth expects to close the Houston LTCH in the third quarter of 2011 and sell the related real estate.

Accordingly, the Company reclassified its condensed consolidated balance sheet as of December 31, 2010 to present the assets and liabilities of all six of its LTCHs as held for sale. The Company also reclassified its condensed consolidated statements of operations and condensed consolidated statements of cash flows for the 2010 periods presented in this document to include these facilities and their results of operations as discontinued operations.

The transaction to sell five of the Company's LTCHs is expected to close next week.

Earnings Conference Call and Webcast

The Company will host an investor conference call at 9:30 a.m. Eastern Time on Thursday, July 28, 2011 to discuss its results for the second quarter of 2011. For reference during the call, the Company will post certain supplemental slides at http://investor.healthsouth.com.

The conference call may be accessed by dialing 877-587-6761 and giving the pass code 70160041. 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.

A replay of the conference call will be available, beginning approximately two hours after the completion of the conference call, from July 28 until August 11, 2011. To access the replay, please dial 800-642-1687. International callers should dial 706-645-9291. The webcast will also be archived for replay purposes after the live broadcast at http://investor.healthsouth.com.

About HealthSouth

HealthSouth is the nation's largest owner and operator of inpatient rehabilitation hospitals in terms of revenues, number of hospitals, and patients treated and discharged. Operating in 26 states across the country and in Puerto Rico, HealthSouth serves patients through its network of inpatient rehabilitation hospitals, outpatient rehabilitation satellite clinics, and home health agencies. HealthSouth's hospitals provide a higher level of rehabilitative care to patients who are recovering from conditions such as stroke and other neurological disorders, orthopedic, cardiac and pulmonary conditions, brain and spinal cord injury, and amputations. 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 June 30, 2011, when filed, as well as the Company's Current Report on Form 8-K filed on July 27, 2011. In addition, the Company will post supplemental slides today on its website at http://investor.healthsouth.com for reference during its July 28, 2011 earnings call.

The Company expects to file its second quarter 2011 Form 10-Q next week. When filed, the report can be found on the Company's website at http://investor.healthsouth.com and the SEC's website at www.sec.gov.

For the three months ended June 30, 2011, net cash used in investing activities was $25.8 million and resulted primarily from capital expenditures. Net cash used in financing activities during the three months ended June 30, 2011 was $122.7 million and resulted primarily from net debt payments, including the June 2011 optional redemption of $335 million of the Company's 10.75% Senior Notes due 2016, distributions paid to noncontrolling interests of consolidated affiliates, and dividends paid on the Company's convertible perpetual preferred stock.

For the three months ended June 30, 2010, net cash used in investing activities was $13.9 million and resulted primarily from capital expenditures, including the acquisition of an inpatient rehabilitation hospital, net settlement payments related to interest rate swaps, and net purchases of restricted investments offset by a decrease in restricted cash. Net cash used in financing activities during the three months ended June 30, 2010 was $18.7 million and resulted primarily from distributions paid to noncontrolling interests of consolidated affiliates, dividends paid on the Company's convertible perpetual preferred stock, and net debt payments.

For the six months ended June 30, 2011, net cash used in investing activities was $49.2 million and resulted primarily from capital expenditures, net settlement payments related to interest rate swaps, and purchases of restricted investments offset by a decrease in restricted cash. Net cash used in financing activities during the six months ended June 30, 2011 was $95.8 million and resulted primarily from net debt payments, including the June 2011 optional redemption of $335 million of the Company's 10.75% Senior Notes due 2016, distributions paid to noncontrolling interests of consolidated affiliates, and dividends paid on the Company's convertible perpetual preferred stock.

For the six months ended June 30, 2010, net cash used in investing activities was $40.1 million and resulted primarily from capital expenditures, including the acquisition of an inpatient rehabilitation hospital, and net settlement payments related to interest rate swaps offset by a decrease in restricted cash and proceeds from the sale of our hospital in Baton Rouge, Louisiana. Net cash used in financing activities during the six months ended June 30, 2010 was $41.4 million and resulted primarily from distributions paid to noncontrolling interests of consolidated affiliates, dividends paid on the Company's convertible perpetual preferred stock, and net debt payments.

For the year ended December 31, 2010, net cash used in investing activities was $125.9 million and resulted primarily from capital expenditures, net settlement payments related to interest rate swaps, acquisitions of businesses, and net purchases of restricted investments offset by a decrease in restricted cash and proceeds from the sale of the Company's hospital in Baton Rouge. Net cash used in financing activities during the year ended December 31, 2010 was $237.7 million and resulted primarily from net debt payments, distributions paid to noncontrolling interests of consolidated affiliates, dividends paid on the Company's convertible perpetual preferred stock, and debt amendment and issuance costs.

Statements contained in this press release which are not historical facts 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, the timing of the redemption of senior notes, the timing or outcome of the HHS-OIG investigation, the ability to close the long-term acute care hospital disposition when and as previously announced, HealthSouth's business strategy, its financial plans, its future financial performance, or its projected business results, or its projected capital expenditures. 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 possibility the sale of the long-term acute care hospitals will not close, the risk of a significant adjustment to the purchase price, and regulatory delay in closing that sale; any adverse outcome of various lawsuits, claims, and legal or regulatory proceedings involving the Company; significant changes in HealthSouth's management team; HealthSouth's ability to successfully complete and integrate 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; 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 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; the increase in the costs of defending and insuring against alleged professional liability claims and our 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 10K for the year ended December 31, 2010 and Form 10-Q for the quarters ended June 30, 2011 (expected to be filed next week) and March 31, 2011.

Media Contact
Andy Brimmer, 205-410-2777
Helen Todd, 205-969-5608
helen.todd@healthsouth.com

Investor Relations Contact
Mary Ann Arico, 205-969-6175
maryann.arico@healthsouth.com

SOURCE HealthSouth Corporation