HealthSouth Corporation
“The fourth quarter was another solid quarter for HealthSouth: same store discharges were up an impressive 9.7%; consolidated net operating revenues increased 6.7%; and adjusted earnings per share increased $0.25 per diluted share compared to the same period of last year,” said Jay Grinney, President and Chief Executive Officer of HealthSouth. “We believe these results demonstrate the solid foundation and strength of HealthSouth’s business model. We also believe our emphasis on providing high quality patient care and enhancing our balance sheet through continued debt repayment will position HealthSouth to achieve its previously targeted 15% to 20% EPS growth in 2009.”
In addition, the Company continued to deleverage its balance sheet. During 2008, the Company used approximately $254 million of cash to reduce its total debt outstanding. Due to the addition of two capital leases for hospitals, the Company’s net total debt reduction was approximately $228 million during the year. Total debt outstanding approximated $1.8 billion as of December 31, 2008. Total cash and cash equivalents as of December 31, 2008 approximated $32.2 million compared to $19.8 million as of December 31, 2007.
“Our ability to continue to generate cash from operations and non-operating sources allowed us to reduce our leverage ratio by a full turn in 2008,” said John Workman, Executive Vice President and Chief Financial Officer. “We will continue to be disciplined in our use of cash in 2009 with a heavy focus towards debt reduction. In fact, we have reduced our debt by an additional $64 million, thereby reducing our leverage ratio by another 0.2 turn, since the end of 2008. “
2009 Guidance
Adjusted diluted earnings per share for 2009 is expected to be in the range of $0.85 to $0.90 per share, compared to $0.75 per diluted share in 2008. Adjusted diluted earnings per share excludes the fair value adjustments to the liability associated with the Company’s securities litigation settlement that are required until the applicable common stock and warrants are issued, any gain or loss associated with the fair value adjustments to the Company’s interest rate swap that is not classified as a hedge, professional fees (related primarily to the Company’s derivative litigation), and other non-recurring items.
Adjusted Consolidated EBITDA for 2009 is expected to be in the range of $342.0 million to $352.0 million, compared to $341.8 million for 2008. The Company’s Credit Agreement allows all unusual noncash items or nonrecurring charges to be added to arrive at Adjusted Consolidated EBITDA. See the Company’s Current Report on Form 8-K furnished with this press release on February 23, 2009 for additional information related to the definition of Adjusted Consolidated EBITDA under the Company’s Credit Agreement.
Other Information
The information in this press release is summarized and should be read in conjunction with the Company’s Annual Report on Form 10-K for the year ended December 31, 2008 (the “2008 Form 10-K”), when filed, as well as the Company’s Current Report on Form 8-K filed on February 23, 2009. In addition, the Company will post certain supplemental slides today on the investor section of its website at www.healthsouth.com for reference during its February 24, 2009 earnings call.
The Company expects to file its 2008 Form 10K this week. When filed, the report can be found on the investor section of the Company’s website at www.healthsouth.com and the SEC’s website at www.sec.gov.
HealthSouth Corporation and Subsidiaries
Condensed Consolidated Statements of Operations
(Unaudited)
Three Months Ended Year Ended
December 31, December 31,
2008 2007 2008 2007
(In Millions, Except Per Share Data)
Net operating revenues $463.8 $434.5 $1,842.4 $1,737.5
Operating expenses:
Salaries and benefits 233.7 217.4 934.7 863.6
Other operating expenses 66.2 56.0 268.3 243.8
General and
administrative expenses 26.7 26.1 105.5 127.9
Supplies 27.8 25.4 108.9 100.3
Depreciation and
amortization 18.0 19.4 83.8 76.2
Impairment of long-lived
assets - - 0.6 15.1
Gain on UBS Settlement (121.3) - (121.3) -
Occupancy costs 12.2 13.9 49.8 52.4
Provision for doubtful
accounts 7.0 7.5 27.8 33.6
Loss on disposal of
assets 1.4 3.6 2.0 5.9
Government, class action,
and related
settlements expense (39.3) 31.2 (67.2) (2.8)
Professional
fees-accounting, tax,
and legal 31.5 7.3 44.4 51.6
Total operating expenses 263.9 407.8 1,437.3 1,567.6
Loss on early
extinguishment of debt 0.1 8.3 5.9 28.2
Interest expense and
amortization of debt
discounts and fees 28.4 51.9 159.7 229.8
Other expense (income) 2.0 (0.9) (0.1) (15.5)
Loss on interest rate
swap 39.6 23.6 55.7 30.4
Equity in net income of
nonconsolidated
affiliates (2.8) (2.9) (10.6) (10.3)
Minority interests in
earnings of consolidated
affiliates 8.1 8.2 29.8 31.4
Income (loss) from
continuing operations
before income tax benefit 124.5 (61.5) 164.7 (124.1)
Provision for income tax
benefit (48.4) (34.2) (70.1) (322.4)
Income (loss) from
continuing operations 172.9 (27.3) 234.8 198.3
Income (loss) from
discontinued operations,
net of income tax benefit
(expense) 9.0 (18.6) 17.6 455.1
Net income (loss) 181.9 (45.9) 252.4 653.4
Convertible perpetual
preferred stock
dividends (6.5) (6.5) (26.0) (26.0)
Net income (loss)
available to common
shareholders $175.4 $(52.4) $226.4 $627.4
Weighted average common
shares outstanding:
Basic 87.4 78.6 83.0 78.7
Diluted 100.7 91.9 96.4 92.0
Earnings (loss) per
common share:
Basic:
Income (loss) from
continuing operations
available
to common shareholders $1.91 $(0.43) $2.52 $2.19
Income (loss) from
discontinued operations,
net of tax 0.10 (0.24) 0.21 5.78
Net income (loss) per
share available to
common shareholders $2.01 $(0.67) $2.73 $7.97
Diluted:
Income (loss) from
continuing operations
available
to common shareholders $1.72 $(0.43) $2.44 $2.16
Income (loss) from
discontinued operations,
net of tax 0.09 (0.24) 0.18 4.94
Net income (loss) per
share available to
common shareholders $1.81 $(0.67) $2.62 $7.10
HealthSouth Corporation and Subsidiaries
Condensed Consolidated Balance Sheets
(Unaudited)
As of December 31,
2008 2007
(In Millions)
Assets
Current assets:
Cash and cash equivalents $32.2 $19.8
Restricted cash 154.0 63.6
Restricted marketable securities 20.3 28.9
Accounts receivable, net of allowance for doubtful
accounts of $31.1
in 2008; $37.6 in 2007 235.9 217.7
Other current assets 55.1 58.4
Insurance recoveries receivable 182.8 230.0
Current assets held for sale 2.4 19.0
Total current assets 682.7 637.4
Property and equipment, net 674.3 729.6
Goodwill 414.7 406.1
Intangible assets, net 42.8 26.1
Investments in and advances to nonconsolidated
affiliates 36.7 42.7
Assets held for sale 24.5 78.0
Income tax refund receivable 55.9 52.5
Other long-term assets 66.6 78.2
Total assets $1,998.2 $2,050.6
Liabilities and Shareholders' Deficit
Current liabilities
Current portion of long-term debt $24.8 $68.3
Accounts payable 45.7 48.7
Accrued expenses and other current liabilities 371.8 364.2
Government, class action, and related settlements 268.5 400.7
Current liabilities held for sale 35.4 88.6
Total current liabilities 746.2 970.5
Long-term debt, net of current portion 1,789.6 1,974.4
Liabilities held for sale 3.8 4.2
Other long-term liabilities 158.4 171.4
2,698.0 3,120.5
Commitments and contingencies
Minority interest in equity of consolidated
affiliates 82.2 97.2
Convertible perpetual preferred stock 387.4 387.4
Shareholders' deficit:
Total shareholders' deficit (1,169.4) (1,554.5)
Total liabilities and shareholders' deficit $1,998.2 $2,050.6
HealthSouth Corporation and Subsidiaries
Condensed Consolidated Statements of Cash Flows
Year Ended
December 31,
2008 2007
(In Millions)
Net cash provided by operating activities $227.2 $230.6
Net cash (used in) provided by investing
activities (40.0) 1,184.5
Net cash used in financing activities (176.0) (1,436.6)
Effect of exchange rate changes on cash and cash
equivalents 0.8 0.1
Increase (decrease) in cash and cash equivalents 12.0 (21.4)
Cash and cash equivalents at beginning of year 19.8 27.2
Cash and cash equivalents of divisions and
facilities held for sale at beginning of year 0.4 14.4
Less: Cash and cash equivalents of divisions and
facilities held for sale at end of year - (0.4)
Cash and cash equivalents at end of year $32.2 $19.8
Operating activities. Net cash provided by operating activities in 2008 and 2007 included federal income tax refunds of approximately $46 million and $440 million, respectively. If the Company excludes these cash refunds in each year, its net cash provided by (used in) operating activities becomes $181.2 million and ($209.4) million, respectively, or a year-over-year improvement of $390.6 million. Net cash provided by operating activities increased year over year due to an increase in net operating revenues, a decrease in cash interest expense, and a decrease in cash settlement payments related primarily to the Company’s Medicare Program Settlement negotiated in 2004 and its SEC Settlement negotiated in 2005. The year ended December 31, 2008 included cash settlement payments of $7.4 million related primarily to the Company’s settlement with the United States Department of Health and Human Services Office of Inspector General negotiated in 2007.
Investing activities. The decrease in net cash provided by investing activities was due to the cash proceeds received from the divestitures of the Company’s surgery centers, outpatient, and diagnostic divisions during 2007. Net cash used in investing activities for 2008 included $39.2 million in expenditures associated with the Company’s development activities, including $6.4 million of capital expenditures associated with land purchases for de novo projects.
Financing activities. The decrease in net cash used in financing activities was due to the use of the cash proceeds from the divestitures of the Company’s surgery centers, outpatient, and diagnostic divisions to reduce debt outstanding under its Credit Agreement during 2007. During 2008, the Company made approximately $254.2 million of net debt payments. During 2007, the Company made approximately $1.3 billion of net debt payments. The net debt payments made during 2008 primarily resulted from the sale of the Company’s corporate campus in March 2008, the net proceeds from its June 2008 equity offering, and the Company’s federal income tax recovery in October 2008.
HealthSouth Corporation and Subsidiaries
Supplemental Non-GAAP Disclosures
Reconciliation of Net Income (Loss) to Adjusted Income (Loss)
from Continuing Operations
and Adjusted Consolidated EBITDA (1) (5)
Three Months Ended December 31,
2008 Per 2007 Per
Share(2) Share(2)
(In Millions, Except per Share Data)
Net income (loss) $181.9 $2.08 $(45.9) $(0.58)
(Income) loss from discontinued
operations (9.0) (0.10) 18.6 0.24
Income (loss) from continuing
operations 172.9 1.98 (27.3) (0.35)
Gain on UBS Settlement (121.3) (1.39) - -
Government, class action, and
related settlements (39.3) (0.45) 31.2 0.40
Professional fees - accounting,
tax, and legal 31.5 0.36 7.3 0.09
Loss on interest rate swap 39.6 0.45 23.6 0.30
Interest associated with UBS
Settlement (4) (9.4) (0.11) - -
Provision for income tax
Benefit (48.4) (0.55) (34.2) (0.44)
Estimated state tax expense (1.3) (0.01) (1.3) (0.02)
Adjusted income (loss) from
Continuing operations (1) (5) 24.3 0.28 (0.7) (0.01)
Adjustment to GAAP EPS for
dilution (2) (0.04) -
Adjusted income (loss) from
continuing operations
per diluted share (2) (5) $0.24 $(0.01)
Estimated state tax expense 1.3 1.3
Interest expense and
amortization of debt discounts
and fees, excluding interest
associated with UBS Settlement 37.8 51.9
Depreciation and amortization 18.0 19.4
81.4 71.9
Other adjustments per the
Company's Credit Agreement:
Impairment charges related to
investments 1.8 -
Net noncash loss on disposal of
assets 1.4 3.6
Loss on early extinguishment of
debt 0.1 8.3
Compensation expense under FASB
Statement No. 123(R) 3.2 2.5
Other (0.1) 0.1
Adjusted Consolidated EBITDA
(1) (5) (6) $87.8 $86.4
Weighted average common shares
outstanding:
Basic 87.4 78.6
Diluted 100.7 91.9
HealthSouth Corporation and Subsidiaries
Supplemental Non-GAAP Disclosures
Reconciliation of Net Income to Adjusted Income (Loss)
from Continuing Operations
and Adjusted Consolidated EBITDA (1) (5)
Year Ended December 31,
2008 Per 2007 Per
Share(2) Share(2)
(In Millions, Except per Share Data)
Net income $252.4 $3.04 $653.4 $8.30
Income from discontinued
operations (17.6) (0.21) (455.1) (5.78)
Income from continuing operations 234.8 2.83 198.3 2.52
Gain on UBS Settlement (121.3) (1.46) - -
Government, class action, and
related settlements (67.2) (0.81) (2.8) (0.04)
Professional fees - accounting,
tax, and legal 44.4 0.53 51.6 0.66
Loss on interest rate swap 55.7 0.67 30.4 0.39
Accelerated depreciation of
corporate campus (3) 10.0 0.12 - -
Gain on sale of investment in
Source Medical - - (8.6) (0.11)
Interest associated with UBS
Settlement (4) (9.4) (0.11) - -
Provision for income tax benefit (70.1) (0.84) (322.4) (4.10)
Estimated state tax expense (5.0) (0.06) (5.0) (0.06)
Adjusted income (loss) from
Continuing operations (1) (5) 71.9 0.87 (58.5) (0.74)
Adjustment to GAAP EPS for
dilution (2) (0.12) 0.10
Adjusted income (loss) from
continuing operations
per diluted share (2) (5) $0.75 $(0.64)
Estimated state tax expense 5.0 5.0
Interest expense and amortization
of debt discounts and fees,
excluding interest associated
with UBS Settlement 169.1 229.8
Depreciation and amortization,
excluding accelerated
depreciation of corporate campus 73.8 76.2
319.8 252.5
Other adjustments per the
Company's
Credit Agreement:
Impairment charges, including
investments 2.4 15.1
Net noncash loss on disposal of
assets 2.0 5.9
Loss on early extinguishment of
debt 5.9 28.2
Gain on sale of investment in
Source Medical - 8.6
Compensation expense under FASB
Statement No. 123(R) 11.7 10.6
Other - 0.4
Adjusted Consolidated EBITDA
(1)(5)(6) $341.8 $321.3
Weighted average common shares
outstanding:
Basic 83.0 78.7
Diluted 96.4 92.0
HealthSouth Corporation and Subsidiaries
Supplemental Non-GAAP Disclosures
Notes to Reconciliations
(1) Adjusted income (loss) from continuing operations and Adjusted Consolidated EBITDA are non-GAAP financial measures. Management and some members of the investment community utilize adjusted income (loss) from continuing operations as a financial measure and Adjusted Consolidated EBITDA as a liquidity measure on an ongoing basis. These measures are not recognized in accordance with GAAP and should not be viewed as an alternative to GAAP measures of performance or liquidity. In evaluating these adjusted measures, the reader should be aware that in the future HealthSouth may incur expenses similar to the adjustments set forth above.
(2) Per share amounts for each period presented are based on basic weighted average common shares outstanding for all amounts except adjusted income (loss) from continuing operations per diluted share, which is based on diluted shares outstanding. The diluted share counts contain approximately 13.1 million shares related to the potential dilution of the Company’s convertible perpetual preferred stock. Per share amounts do not include 5.0 million shares of common stock or warrants to purchase approximately 8.2 million shares of common stock not yet issued under the securities litigation settlement. The increase in the Company’s basic and diluted weighted average common shares outstanding for the three months and year ended December 31, 2008 compared to the same periods of 2007 was primarily the result of its equity offering of 8.8 million shares that was completed on June 27, 2008. The calculation of adjusted loss from continuing operations per diluted share ignores the antidilutive impact in 2007.
(3) In the first quarter of 2008, and in accordance with Financial Accounting Standards Board Statement No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets, the Company accelerated the depreciation of its corporate campus so that the net book value of the campus equaled the estimated net proceeds the Company expected to receive on the sale transaction’s closing date. The year-over-year impact of this acceleration of depreciation approximated $10 million. No similar charges are expected in 2009.
(4) Interest expense and amortization of debt discounts and fees in the Company’s consolidated statements of operations for the three months and year ended December 31, 2008 included the reversal of approximately $9.4 million of accrued interest related to the loan guarantee for which the Company received a release as part of the UBS Settlement.
(5) Adjusted income (loss) from continuing operations per diluted share and Adjusted Consolidated EBITDA are two components of the Company’s guidance.
(6) The Company’s Credit Agreement allows all unusual non-cash items or non-recurring charges to be added to arrive at Adjusted Consolidated EBITDA. In addition, the Company is allowed to add investment and other income, including interest income, as well as non-recurring cash gains, to the calculation of Adjusted Consolidated EBITDA under its Credit Agreement. This includes interest income associated with the Company’s federal income tax recoveries and the estimated cash proceeds from legal settlements, such as the UBS Settlement. These amounts have not been included in the above calculation as it would not be indicative of the Company’s Adjusted Consolidated EBITDA for future periods.
The Company will host an investor conference call at 9:30 a.m. Eastern Time on Tuesday, February 24, 2009 to discuss its results for the fourth quarter and year ended December 31, 2008. For reference during the call, the Company will post certain supplemental slides on the investor section of its website at www.healthsouth.com.
The conference call may be accessed by dialing 8664065369 and giving the pass code 76626362. International callers should dial 9735822847 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 in the investor section of its website, www.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 February 24 until March 10, 2009. To access the replay, please dial 8006421687. International callers should dial 7066459291. The webcast will also be archived for replay purposes after the live broadcast in the investor section of www.healthsouth.com.
About HealthSouth
HealthSouth is the nation’s largest provider of inpatient rehabilitative services. Operating in 26 states across the country and in Puerto Rico, HealthSouth serves patients through its network of inpatient rehabilitation hospitals, long-term acute care hospitals, outpatient rehabilitation satellites, and home health agencies. HealthSouth strives to be the nation’s preeminent provider of inpatient rehabilitation services and can be found on the Web at www.healthsouth.com.
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 and involve a number of risks and uncertainties. HealthSouth’s actual results may differ materially from the results 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 results to differ materially from those estimated by HealthSouth include, but are not limited to, any adverse outcome of various lawsuits, claims, and legal or regulatory proceedings that may be brought against the Company; significant changes in HealthSouth’s management team; HealthSouth’s ability to continue to operate in the ordinary course and manage its relationships with its creditors, including its lenders, bondholders, vendors and suppliers, employees, and customers; changes, delays in, 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; general conditions in the economy and capital markets; and other factors which may be identified from time to time in the Company’s SEC filings and other public announcements, including HealthSouth’s Form 10K for the year ended December 31, 2008, which is expected to be filed later this week.
Media Contact Andy Brimmer, 205-410-2777 Investor Relations Contact Mary Ann Arico, 205-969-6175maryann.arico@healthsouth.com
First Call Analyst:
FCMN Contact:
SOURCE: HealthSouth Corporation
CONTACT: Andy Brimmer, +1-205-410-2777; Investor Relations Contact: Mary
Ann Arico, +1-205-969-6175,
HealthSouth