ý
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QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
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o
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
|
Delaware
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63-0860407
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(State or Other Jurisdiction of
Incorporation or Organization)
|
(I.R.S. Employer
Identification No.)
|
|
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3660 Grandview Parkway, Suite 200
Birmingham, Alabama
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35243
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(Address of Principal Executive Offices)
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(Zip Code)
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(205) 967-7116
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(Registrant’s telephone number)
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Page
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Item 3.
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Quantitative and Qualitative Disclosures about Market Risk
|
|
|
|
|
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||
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|
|
•
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each of the factors discussed in Item 1A,
Risk Factors
, of our Annual Report on Form 10-K for the year ended
December 31, 2015
, as well as uncertainties and factors discussed in Part II, Item 1A,
Risk Factors
, and elsewhere in this Form 10-Q, in our other filings from time to time with the SEC, or in materials incorporated therein by reference;
|
•
|
changes in the rules and regulations of the healthcare industry at either or both of the federal and state levels, including those contemplated now and in the future as part of national healthcare reform and deficit reduction such as the reinstatement of the “75% Rule” or the introduction of site neutral payments with skilled nursing facilities for certain conditions, and related increases in the costs of complying with such changes;
|
•
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reductions or delays in, or suspension of, reimbursement for our services by governmental or private payors, including our ability to obtain and retain favorable arrangements with third-party payors;
|
•
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delays in the administrative appeals process associated with denied Medicare reimbursement claims, including from various Medicare audit programs, and our exposure to the related delay or reduction in the receipt of the reimbursement amounts for services previously provided;
|
•
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the ongoing evolution of the healthcare delivery system, including alternative payment models and value-based purchasing initiatives;
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•
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our ability to comply with extensive and changing healthcare regulations as well as the increased costs of regulatory compliance and compliance monitoring in the healthcare industry, including the costs of investigating and defending asserted claims, whether meritorious or not;
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•
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our 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 our labor expenses from potential union activity and staffing recruitment and retention;
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•
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competitive pressures in the healthcare industry and our response to those pressures;
|
•
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changes in our payor mix or the acuity of our patients;
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•
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our ability to successfully complete and integrate de novo developments, acquisitions, investments, and joint ventures consistent with our growth strategy, including realization of anticipated revenues, cost savings, and productivity improvements arising from the related operations;
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•
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any adverse outcome of various lawsuits, claims, and legal or regulatory proceedings, including the ongoing investigations initiated by the U.S. Department of Health and Human Services, Office of the Inspector General;
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•
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increased costs of defending and insuring against alleged professional liability and other claims and the ability to predict the costs related to such claims;
|
•
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potential incidents affecting the proper operation, availability, or security of our information systems;
|
•
|
new or changing quality reporting requirements impacting operational costs or our Medicare reimbursement;
|
•
|
the price of our common stock as it affects our willingness and ability to repurchase shares and the financial and accounting effects of any repurchases;
|
•
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our ability and willingness to continue to declare and pay dividends on our common stock;
|
•
|
our ability to successfully integrate Encompass Home Health and Hospice, the inpatient rehabilitation hospitals acquired from Reliant Hospital Partners, LLC, and the home health agency operations of CareSouth Health System, Inc., including the realization of anticipated benefits from those acquisitions and avoidance of unanticipated difficulties, costs, or liabilities that could arise from the acquisitions or integrations;
|
•
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our ability to maintain proper local, state and federal licensing where we and our subsidiaries do business;
|
•
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our ability to attract and retain key management personnel, including as a part of executive management succession planning; and
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•
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general conditions in the economy and capital markets, including any instability or uncertainty related to governmental impasse over approval of the United States federal budget, an increase to the debt ceiling, or an international sovereign debt crisis.
|
Item 1.
|
Financial Statements (Unaudited)
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||||||
|
(In Millions)
|
||||||||||||||
Net operating revenues
|
$
|
920.7
|
|
|
$
|
764.4
|
|
|
$
|
1,830.5
|
|
|
$
|
1,505.0
|
|
Less: Provision for doubtful accounts
|
(15.4
|
)
|
|
(10.9
|
)
|
|
(31.9
|
)
|
|
(22.5
|
)
|
||||
Net operating revenues less provision for doubtful accounts
|
905.3
|
|
|
753.5
|
|
|
1,798.6
|
|
|
1,482.5
|
|
||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
||||||
Salaries and benefits
|
486.1
|
|
|
401.8
|
|
|
972.2
|
|
|
786.9
|
|
||||
Other operating expenses
|
121.5
|
|
|
104.2
|
|
|
240.7
|
|
|
207.4
|
|
||||
Occupancy costs
|
17.9
|
|
|
12.5
|
|
|
35.9
|
|
|
24.6
|
|
||||
Supplies
|
34.4
|
|
|
31.7
|
|
|
69.4
|
|
|
63.1
|
|
||||
General and administrative expenses
|
34.4
|
|
|
32.1
|
|
|
66.3
|
|
|
66.7
|
|
||||
Depreciation and amortization
|
42.9
|
|
|
32.7
|
|
|
85.3
|
|
|
64.6
|
|
||||
Government, class action, and related settlements
|
—
|
|
|
—
|
|
|
—
|
|
|
8.0
|
|
||||
Professional fees—accounting, tax, and legal
|
1.7
|
|
|
0.1
|
|
|
1.9
|
|
|
2.3
|
|
||||
Total operating expenses
|
738.9
|
|
|
615.1
|
|
|
1,471.7
|
|
|
1,223.6
|
|
||||
Loss on early extinguishment of debt
|
2.4
|
|
|
18.8
|
|
|
4.8
|
|
|
20.0
|
|
||||
Interest expense and amortization of debt discounts and fees
|
43.4
|
|
|
30.9
|
|
|
88.0
|
|
|
62.7
|
|
||||
Other income
|
(0.7
|
)
|
|
(3.0
|
)
|
|
(1.3
|
)
|
|
(3.5
|
)
|
||||
Equity in net income of nonconsolidated affiliates
|
(2.4
|
)
|
|
(2.3
|
)
|
|
(4.8
|
)
|
|
(3.9
|
)
|
||||
Income from continuing operations before income tax expense
|
123.7
|
|
|
94.0
|
|
|
240.2
|
|
|
183.6
|
|
||||
Provision for income tax expense
|
42.4
|
|
|
32.2
|
|
|
82.1
|
|
|
62.5
|
|
||||
Income from continuing operations
|
81.3
|
|
|
61.8
|
|
|
158.1
|
|
|
121.1
|
|
||||
Loss from discontinued operations, net of tax
|
(0.1
|
)
|
|
(1.6
|
)
|
|
(0.2
|
)
|
|
(1.9
|
)
|
||||
Net income
|
81.2
|
|
|
60.2
|
|
|
157.9
|
|
|
119.2
|
|
||||
Less: Net income attributable to noncontrolling interests
|
(18.6
|
)
|
|
(17.3
|
)
|
|
(37.3
|
)
|
|
(33.8
|
)
|
||||
Net income attributable to HealthSouth
|
62.6
|
|
|
42.9
|
|
|
120.6
|
|
|
85.4
|
|
||||
Less: Convertible perpetual preferred stock dividends
|
—
|
|
|
—
|
|
|
—
|
|
|
(1.6
|
)
|
||||
Net income attributable to HealthSouth common shareholders
|
$
|
62.6
|
|
|
$
|
42.9
|
|
|
$
|
120.6
|
|
|
$
|
83.8
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||||||
|
(In Millions, Except Per Share Data)
|
||||||||||||||
Weighted average common shares outstanding:
|
|
|
|
|
|
|
|
|
|
||||||
Basic
|
89.3
|
|
|
89.8
|
|
|
89.4
|
|
|
88.4
|
|
||||
Diluted
|
99.4
|
|
|
101.5
|
|
|
99.4
|
|
|
101.3
|
|
||||
|
|
|
|
|
|
|
|
||||||||
Earnings per common share:
|
|
|
|
|
|
|
|
||||||||
Basic earnings per share attributable to HealthSouth common shareholders:
|
|
|
|
|
|
|
|
|
|||||||
Continuing operations
|
$
|
0.70
|
|
|
$
|
0.49
|
|
|
$
|
1.34
|
|
|
$
|
0.96
|
|
Discontinued operations
|
—
|
|
|
(0.02
|
)
|
|
—
|
|
|
(0.02
|
)
|
||||
Net income
|
$
|
0.70
|
|
|
$
|
0.47
|
|
|
$
|
1.34
|
|
|
$
|
0.94
|
|
Diluted earnings per share attributable to HealthSouth common shareholders:
|
|
|
|
|
|
|
|
||||||||
Continuing operations
|
$
|
0.65
|
|
|
$
|
0.47
|
|
|
$
|
1.26
|
|
|
$
|
0.91
|
|
Discontinued operations
|
—
|
|
|
(0.02
|
)
|
|
—
|
|
|
(0.02
|
)
|
||||
Net income
|
$
|
0.65
|
|
|
$
|
0.45
|
|
|
$
|
1.26
|
|
|
$
|
0.89
|
|
|
|
|
|
|
|
|
|
||||||||
Cash dividends per common share
|
$
|
0.23
|
|
|
$
|
0.21
|
|
|
$
|
0.46
|
|
|
$
|
0.42
|
|
|
|
|
|
|
|
|
|
||||||||
Amounts attributable to HealthSouth common shareholders:
|
|
|
|
|
|
|
|
|
|||||||
Income from continuing operations
|
$
|
62.7
|
|
|
$
|
44.5
|
|
|
$
|
120.8
|
|
|
$
|
87.3
|
|
Loss from discontinued operations, net of tax
|
(0.1
|
)
|
|
(1.6
|
)
|
|
(0.2
|
)
|
|
(1.9
|
)
|
||||
Net income attributable to HealthSouth
|
$
|
62.6
|
|
|
$
|
42.9
|
|
|
$
|
120.6
|
|
|
$
|
85.4
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||||||
|
(In Millions)
|
||||||||||||||
COMPREHENSIVE INCOME
|
|
|
|
|
|
|
|
||||||||
Net income
|
$
|
81.2
|
|
|
$
|
60.2
|
|
|
$
|
157.9
|
|
|
$
|
119.2
|
|
Other comprehensive income, net of tax:
|
|
|
|
|
|
|
|
|
|
||||||
Net change in unrealized gain on available-for-sale securities:
|
|
|
|
|
|
|
|
|
|
||||||
Unrealized net holding gain arising during the period
|
0.4
|
|
|
0.8
|
|
|
0.6
|
|
|
0.9
|
|
||||
Reclassifications to net income
|
—
|
|
|
(0.6
|
)
|
|
—
|
|
|
(0.6
|
)
|
||||
Other comprehensive income before income taxes
|
0.4
|
|
|
0.2
|
|
|
0.6
|
|
|
0.3
|
|
||||
Provision for income tax expense related to other comprehensive income items
|
(0.2
|
)
|
|
(0.1
|
)
|
|
(0.3
|
)
|
|
(0.1
|
)
|
||||
Other comprehensive income, net of tax
|
0.2
|
|
|
0.1
|
|
|
0.3
|
|
|
0.2
|
|
||||
Comprehensive income
|
81.4
|
|
|
60.3
|
|
|
158.2
|
|
|
119.4
|
|
||||
Comprehensive income attributable to noncontrolling interests
|
(18.6
|
)
|
|
(17.3
|
)
|
|
(37.3
|
)
|
|
(33.8
|
)
|
||||
Comprehensive income attributable to HealthSouth
|
$
|
62.8
|
|
|
$
|
43.0
|
|
|
$
|
120.9
|
|
|
$
|
85.6
|
|
|
June 30,
2016 |
|
December 31,
2015 |
||||
|
(In Millions)
|
||||||
Assets
|
|
|
|
||||
Current assets:
|
|
|
|
||||
Cash and cash equivalents
|
$
|
70.3
|
|
|
$
|
61.6
|
|
Accounts receivable, net of allowance for doubtful accounts of $48.9 in 2016; $39.3 in 2015
|
420.6
|
|
|
410.5
|
|
||
Other current assets
|
168.6
|
|
|
126.6
|
|
||
Total current assets
|
659.5
|
|
|
598.7
|
|
||
Property and equipment, net
|
1,336.9
|
|
|
1,310.1
|
|
||
Goodwill
|
1,899.7
|
|
|
1,890.1
|
|
||
Intangible assets, net
|
414.2
|
|
|
419.4
|
|
||
Deferred income tax assets
|
115.5
|
|
|
190.8
|
|
||
Other long-term assets
|
206.8
|
|
|
197.0
|
|
||
Total assets
(1)
|
$
|
4,632.6
|
|
|
$
|
4,606.1
|
|
Liabilities and Shareholders’ Equity
|
|
|
|
||||
Current liabilities:
|
|
|
|
||||
Current portion of long-term debt
|
$
|
36.5
|
|
|
$
|
36.8
|
|
Accounts payable
|
67.1
|
|
|
61.6
|
|
||
Accrued expenses and other current liabilities
|
355.5
|
|
|
328.0
|
|
||
Total current liabilities
|
459.1
|
|
|
426.4
|
|
||
Long-term debt, net of current portion
|
3,050.0
|
|
|
3,134.7
|
|
||
Other long-term liabilities
|
154.1
|
|
|
144.6
|
|
||
|
3,663.2
|
|
|
3,705.7
|
|
||
Commitments and contingencies
|
|
|
|
||||
Redeemable noncontrolling interests
|
120.0
|
|
|
121.1
|
|
||
Shareholders’ equity:
|
|
|
|
|
|
||
HealthSouth shareholders’ equity
|
672.7
|
|
|
611.4
|
|
||
Noncontrolling interests
|
176.7
|
|
|
167.9
|
|
||
Total shareholders’ equity
|
849.4
|
|
|
779.3
|
|
||
Total liabilities
(1)
and shareholders’ equity
|
$
|
4,632.6
|
|
|
$
|
4,606.1
|
|
(1)
|
Our consolidated assets as of
June 30, 2016
include total assets of variable interest entities of
$255.3 million
, which cannot be used by us to settle the obligations of other entities. Our consolidated liabilities as of
June 30, 2016
include total liabilities of the variable interest entities of
$54.6 million
. See Note
3
,
Variable Interest Entities
.
|
|
Six Months Ended June 30, 2016
|
|||||||||||||||||||||||||||||
|
(In Millions)
|
|||||||||||||||||||||||||||||
|
HealthSouth Common Shareholders
|
|
|
|
|
|||||||||||||||||||||||||
|
Number of Common
Shares Outstanding
|
|
Common Stock
|
|
Capital in Excess of
Par Value
|
|
Accumulated
Deficit
|
|
Accumulated Other
Comprehensive
Loss
|
|
Treasury Stock
|
|
Noncontrolling
Interests
|
|
Total
|
|||||||||||||||
Balance at beginning of period
|
90.1
|
|
|
$
|
1.1
|
|
|
$
|
2,834.9
|
|
|
$
|
(1,696.0
|
)
|
|
$
|
(1.2
|
)
|
|
$
|
(527.4
|
)
|
|
$
|
167.9
|
|
|
$
|
779.3
|
|
Net income
|
—
|
|
|
—
|
|
|
—
|
|
|
120.6
|
|
|
—
|
|
|
—
|
|
|
29.8
|
|
|
150.4
|
|
|||||||
Receipt of treasury stock
|
(0.4
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(9.9
|
)
|
|
—
|
|
|
(9.9
|
)
|
|||||||
Dividends declared on common stock
|
—
|
|
|
—
|
|
|
(41.7
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(41.7
|
)
|
|||||||
Stock-based compensation
|
—
|
|
|
—
|
|
|
11.5
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
11.5
|
|
|||||||
Stock options exercised
|
0.2
|
|
|
—
|
|
|
5.4
|
|
|
—
|
|
|
—
|
|
|
(4.7
|
)
|
|
—
|
|
|
0.7
|
|
|||||||
Distributions declared
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(29.9
|
)
|
|
(29.9
|
)
|
|||||||
Capital contributions from consolidated affiliates
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
7.6
|
|
|
7.6
|
|
|||||||
Fair value adjustments to redeemable noncontrolling interests, net of tax
|
—
|
|
|
—
|
|
|
2.8
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
2.8
|
|
|||||||
Repurchases of common stock in open market
|
(0.7
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(24.1
|
)
|
|
—
|
|
|
(24.1
|
)
|
|||||||
Other
|
0.6
|
|
|
—
|
|
|
1.7
|
|
|
—
|
|
|
0.3
|
|
|
(0.6
|
)
|
|
1.3
|
|
|
2.7
|
|
|||||||
Balance at end of period
|
89.8
|
|
|
$
|
1.1
|
|
|
$
|
2,814.6
|
|
|
$
|
(1,575.4
|
)
|
|
$
|
(0.9
|
)
|
|
$
|
(566.7
|
)
|
|
$
|
176.7
|
|
|
$
|
849.4
|
|
|
Six Months Ended June 30, 2015
|
|||||||||||||||||||||||||||||
|
(In Millions)
|
|||||||||||||||||||||||||||||
|
HealthSouth Common Shareholders
|
|
|
|
|
|||||||||||||||||||||||||
|
Number of Common Shares Outstanding
|
|
Common Stock
|
|
Capital in Excess of Par Value
|
|
Accumulated Deficit
|
|
Accumulated Other Comprehensive Loss
|
|
Treasury Stock
|
|
Noncontrolling Interests
|
|
Total
|
|||||||||||||||
Balance at beginning of period
|
87.8
|
|
|
$
|
1.0
|
|
|
$
|
2,810.5
|
|
|
$
|
(1,879.1
|
)
|
|
$
|
(0.5
|
)
|
|
$
|
(458.7
|
)
|
|
$
|
146.3
|
|
|
$
|
619.5
|
|
Net income
|
—
|
|
|
—
|
|
|
—
|
|
|
85.4
|
|
|
—
|
|
|
—
|
|
|
27.4
|
|
|
112.8
|
|
|||||||
Conversion of preferred stock
|
3.3
|
|
|
—
|
|
|
93.2
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
93.2
|
|
|||||||
Receipt of treasury stock
|
(0.5
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(16.6
|
)
|
|
—
|
|
|
(16.6
|
)
|
|||||||
Dividends declared on common stock
|
—
|
|
|
—
|
|
|
(38.0
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(38.0
|
)
|
|||||||
Dividends declared on convertible perpetual preferred stock
|
—
|
|
|
—
|
|
|
(1.6
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(1.6
|
)
|
|||||||
Stock-based compensation
|
—
|
|
|
—
|
|
|
14.9
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
14.9
|
|
|||||||
Stock options exercised
|
0.2
|
|
|
—
|
|
|
5.6
|
|
|
—
|
|
|
—
|
|
|
(3.6
|
)
|
|
—
|
|
|
2.0
|
|
|||||||
Distributions declared
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(23.4
|
)
|
|
(23.4
|
)
|
|||||||
Capital contributions from consolidated affiliates
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
8.6
|
|
|
8.6
|
|
|||||||
Fair value adjustments to redeemable noncontrolling interests, net of tax
|
—
|
|
|
—
|
|
|
(6.8
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(6.8
|
)
|
|||||||
Other
|
0.7
|
|
|
0.1
|
|
|
0.6
|
|
|
(0.2
|
)
|
|
0.2
|
|
|
(0.5
|
)
|
|
(0.1
|
)
|
|
0.1
|
|
|||||||
Balance at end of period
|
91.5
|
|
|
$
|
1.1
|
|
|
$
|
2,878.4
|
|
|
$
|
(1,793.9
|
)
|
|
$
|
(0.3
|
)
|
|
$
|
(479.4
|
)
|
|
$
|
158.8
|
|
|
$
|
764.7
|
|
|
Six Months Ended June 30,
|
||||||
|
2016
|
|
2015
|
||||
|
(In Millions)
|
||||||
Cash flows from operating activities:
|
|
|
|
||||
Net income
|
$
|
157.9
|
|
|
$
|
119.2
|
|
Loss from discontinued operations, net of tax
|
0.2
|
|
|
1.9
|
|
||
Adjustments to reconcile net income to net cash provided by operating activities—
|
|
|
|
|
|
||
Provision for doubtful accounts
|
31.9
|
|
|
22.5
|
|
||
Depreciation and amortization
|
85.3
|
|
|
64.6
|
|
||
Loss on early extinguishment of debt
|
4.8
|
|
|
20.0
|
|
||
Equity in net income of nonconsolidated affiliates
|
(4.8
|
)
|
|
(3.9
|
)
|
||
Distributions from nonconsolidated affiliates
|
3.0
|
|
|
3.7
|
|
||
Stock-based compensation
|
13.1
|
|
|
15.6
|
|
||
Deferred tax expense
|
73.2
|
|
|
55.6
|
|
||
Other
|
6.9
|
|
|
11.0
|
|
||
Change in assets and liabilities, net of acquisitions—
|
|
|
|
|
|||
Accounts receivable
|
(59.5
|
)
|
|
(62.1
|
)
|
||
Other assets
|
(4.3
|
)
|
|
(6.5
|
)
|
||
Accounts payable
|
1.2
|
|
|
1.7
|
|
||
Accrued payroll
|
9.3
|
|
|
(23.6
|
)
|
||
Other liabilities
|
(1.9
|
)
|
|
(10.7
|
)
|
||
Premium received on bond issuance
|
—
|
|
|
8.0
|
|
||
Premium paid on redemption of bonds
|
(3.9
|
)
|
|
(11.8
|
)
|
||
Net cash used in operating activities of discontinued operations
|
(0.5
|
)
|
|
(0.3
|
)
|
||
Total adjustments
|
153.8
|
|
|
83.8
|
|
||
Net cash provided by operating activities
|
311.9
|
|
|
204.9
|
|
||
|
|
|
|
|
Six Months Ended June 30,
|
||||||
|
2016
|
|
2015
|
||||
|
(In Millions)
|
||||||
Cash flows from investing activities:
|
|
|
|
||||
Purchases of property and equipment
|
(71.4
|
)
|
|
(46.3
|
)
|
||
Capitalized software costs
|
(15.2
|
)
|
|
(15.2
|
)
|
||
Acquisitions of businesses, net of cash acquired
|
(9.4
|
)
|
|
(77.7
|
)
|
||
Net change in restricted cash
|
(11.5
|
)
|
|
13.1
|
|
||
Other
|
2.0
|
|
|
(0.6
|
)
|
||
Net cash used in investing activities
|
(105.5
|
)
|
|
(126.7
|
)
|
||
Cash flows from financing activities:
|
|
|
|
||||
Proceeds from bond issuance
|
—
|
|
|
700.0
|
|
||
Principal payments on debt, including pre-payments
|
(112.8
|
)
|
|
(546.1
|
)
|
||
Borrowings on revolving credit facility
|
165.0
|
|
|
270.0
|
|
||
Payments on revolving credit facility
|
(145.0
|
)
|
|
(442.0
|
)
|
||
Debt amendment and issuance costs
|
—
|
|
|
(13.9
|
)
|
||
Repurchases of common stock, including fees and expenses
|
(24.1
|
)
|
|
—
|
|
||
Dividends paid on common stock
|
(41.9
|
)
|
|
(37.1
|
)
|
||
Dividends paid on convertible perpetual preferred stock
|
—
|
|
|
(3.1
|
)
|
||
Distributions paid to noncontrolling interests of consolidated affiliates
|
(33.6
|
)
|
|
(26.2
|
)
|
||
Other
|
(5.3
|
)
|
|
(1.0
|
)
|
||
Net cash used in financing activities
|
(197.7
|
)
|
|
(99.4
|
)
|
||
Increase (decrease) in cash and cash equivalents
|
8.7
|
|
|
(21.2
|
)
|
||
Cash and cash equivalents at beginning of period
|
61.6
|
|
|
66.7
|
|
||
Cash and cash equivalents at end of period
|
$
|
70.3
|
|
|
$
|
45.5
|
|
|
|
|
|
||||
Supplemental schedule of noncash financing activity:
|
|
|
|
||||
Conversion of preferred stock to common stock
|
$
|
—
|
|
|
$
|
93.2
|
|
1.
|
Basis of Presentation
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||
Medicare
|
74.7
|
%
|
|
74.5
|
%
|
|
75.1
|
%
|
|
74.7
|
%
|
Medicare Advantage
|
8.1
|
%
|
|
7.7
|
%
|
|
7.9
|
%
|
|
8.0
|
%
|
Managed care
|
10.0
|
%
|
|
10.1
|
%
|
|
9.8
|
%
|
|
10.0
|
%
|
Medicaid
|
3.2
|
%
|
|
3.1
|
%
|
|
3.3
|
%
|
|
2.9
|
%
|
Other third-party payors
|
1.4
|
%
|
|
1.8
|
%
|
|
1.4
|
%
|
|
1.6
|
%
|
Workers’ compensation
|
0.7
|
%
|
|
0.9
|
%
|
|
0.8
|
%
|
|
0.9
|
%
|
Patients
|
0.5
|
%
|
|
0.6
|
%
|
|
0.5
|
%
|
|
0.6
|
%
|
Other income
|
1.4
|
%
|
|
1.3
|
%
|
|
1.2
|
%
|
|
1.3
|
%
|
Total
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||
Medicare
|
73.1
|
%
|
|
72.7
|
%
|
|
73.3
|
%
|
|
73.1
|
%
|
Medicare Advantage
|
7.8
|
%
|
|
7.8
|
%
|
|
7.7
|
%
|
|
8.1
|
%
|
Managed care
|
11.5
|
%
|
|
11.4
|
%
|
|
11.2
|
%
|
|
11.3
|
%
|
Medicaid
|
2.9
|
%
|
|
2.6
|
%
|
|
3.0
|
%
|
|
2.3
|
%
|
Other third-party payors
|
1.7
|
%
|
|
2.1
|
%
|
|
1.7
|
%
|
|
1.9
|
%
|
Workers’ compensation
|
0.8
|
%
|
|
1.1
|
%
|
|
1.0
|
%
|
|
1.1
|
%
|
Patients
|
0.6
|
%
|
|
0.7
|
%
|
|
0.6
|
%
|
|
0.7
|
%
|
Other income
|
1.6
|
%
|
|
1.6
|
%
|
|
1.5
|
%
|
|
1.5
|
%
|
Total
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||
Medicare
|
82.3
|
%
|
|
83.9
|
%
|
|
82.9
|
%
|
|
83.8
|
%
|
Medicare Advantage
|
9.0
|
%
|
|
7.2
|
%
|
|
8.9
|
%
|
|
7.3
|
%
|
Managed care
|
3.7
|
%
|
|
2.9
|
%
|
|
3.2
|
%
|
|
3.0
|
%
|
Medicaid
|
4.8
|
%
|
|
5.8
|
%
|
|
4.8
|
%
|
|
5.7
|
%
|
Other third-party payors
|
—
|
%
|
|
0.1
|
%
|
|
—
|
%
|
|
0.1
|
%
|
Patients
|
0.1
|
%
|
|
0.1
|
%
|
|
0.1
|
%
|
|
0.1
|
%
|
Other income
|
0.1
|
%
|
|
—
|
%
|
|
0.1
|
%
|
|
—
|
%
|
Total
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
2.
|
Business Combinations
|
Property and equipment
|
$
|
5.1
|
|
Identifiable intangible asset:
|
|
|
|
Trade name (useful life of 20 years)
|
0.2
|
|
|
Goodwill
|
1.8
|
|
|
Total assets acquired
|
$
|
7.1
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||||||
Fair value of assets acquired
|
$
|
—
|
|
|
$
|
62.8
|
|
|
$
|
5.3
|
|
|
$
|
62.8
|
|
Goodwill
|
—
|
|
|
0.7
|
|
|
1.8
|
|
|
0.7
|
|
||||
Fair value of liabilities assumed
|
—
|
|
|
(2.7
|
)
|
|
—
|
|
|
(2.7
|
)
|
||||
Fair value of noncontrolling interest owned by joint venture partner
|
—
|
|
|
(4.2
|
)
|
|
(7.1
|
)
|
|
(4.2
|
)
|
||||
Net cash paid for acquisition
|
$
|
—
|
|
|
$
|
56.6
|
|
|
$
|
—
|
|
|
$
|
56.6
|
|
Identifiable intangible asset:
|
|
|
|
Noncompete agreements (useful lives of 5 years)
|
$
|
0.1
|
|
Certificate of need (useful life of 10 years)
|
1.0
|
|
|
Licenses (useful lives of 10 years)
|
0.3
|
|
|
Goodwill
|
8.1
|
|
|
Total assets acquired
|
9.5
|
|
|
Total liabilities assumed
|
(0.1
|
)
|
|
Net assets acquired
|
$
|
9.4
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||||||
Fair value of assets acquired
|
$
|
1.4
|
|
|
$
|
7.1
|
|
|
$
|
1.4
|
|
|
$
|
8.4
|
|
Goodwill
|
8.1
|
|
|
6.8
|
|
|
8.1
|
|
|
12.8
|
|
||||
Fair value of liabilities assumed
|
(0.1
|
)
|
|
(0.1
|
)
|
|
(0.1
|
)
|
|
(0.1
|
)
|
||||
Net cash paid for acquisitions
|
$
|
9.4
|
|
|
$
|
13.8
|
|
|
$
|
9.4
|
|
|
$
|
21.1
|
|
|
Net Operating Revenues
|
|
Net Income Attributable to HealthSouth
|
||||
Acquired entities only: Actual from acquisition date to June 30, 2016
|
$
|
3.0
|
|
|
$
|
(0.8
|
)
|
Combined entity: Supplemental pro forma from 04/01/2016-06/30/2016
|
921.2
|
|
|
62.6
|
|
||
Combined entity: Supplemental pro forma from 04/01/2015-06/30/2015
|
766.9
|
|
|
43.0
|
|
||
Combined entity: Supplemental pro forma from 01/01/2016-06/30/2016
|
1,833.0
|
|
|
120.7
|
|
||
Combined entity: Supplemental pro forma from 01/01/2015-06/30/2015
|
1,510.1
|
|
|
85.8
|
|
3.
|
Variable Interest Entities
|
|
June 30, 2016
|
||
Assets
|
|
||
Current assets:
|
|
||
Cash and cash equivalents
|
$
|
1.5
|
|
Accounts receivable, net of allowance for doubtful accounts
|
31.4
|
|
|
Other current assets
|
6.7
|
|
|
Total current assets
|
39.6
|
|
|
Property and equipment, net
|
132.6
|
|
|
Goodwill
|
73.5
|
|
|
Intangible assets, net
|
8.6
|
|
|
Other long-term assets
|
1.0
|
|
|
Total assets
|
$
|
255.3
|
|
Liabilities
|
|
||
Current liabilities:
|
|
||
Current portion of long-term debt
|
$
|
1.4
|
|
Accounts payable
|
8.5
|
|
|
Accrued expenses and other current liabilities
|
14.1
|
|
|
Total current liabilities
|
24.0
|
|
|
Long-term debt, net of current portion
|
30.6
|
|
|
Total liabilities
|
$
|
54.6
|
|
4.
|
Investments in and Advances to Nonconsolidated Affiliates
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||||||
Net operating revenues
|
$
|
10.9
|
|
|
$
|
8.9
|
|
|
$
|
22.1
|
|
|
$
|
17.1
|
|
Operating expenses
|
(5.8
|
)
|
|
(3.8
|
)
|
|
(12.1
|
)
|
|
(7.7
|
)
|
||||
Income from continuing operations, net of tax
|
5.0
|
|
|
4.8
|
|
|
10.0
|
|
|
8.7
|
|
||||
Net income
|
5.0
|
|
|
4.8
|
|
|
10.0
|
|
|
8.7
|
|
5.
|
Long-term Debt
|
|
June 30, 2016
|
|
December 31, 2015
|
||||
Credit Agreement—
|
|
|
|
||||
Advances under revolving credit facility
|
$
|
150.0
|
|
|
$
|
130.0
|
|
Term loan facilities
|
432.3
|
|
|
443.3
|
|
||
Bonds payable—
|
|
|
|
||||
7.75% Senior Notes due 2022
|
75.3
|
|
|
174.3
|
|
||
5.125% Senior Notes due 2023
|
294.9
|
|
|
294.6
|
|
||
5.75% Senior Notes due 2024
|
1,192.9
|
|
|
1,192.6
|
|
||
5.75% Senior Notes due 2025
|
343.6
|
|
|
343.4
|
|
||
2.00% Convertible Senior Subordinated Notes due 2043
|
270.7
|
|
|
265.9
|
|
||
Other notes payable
|
43.3
|
|
|
39.2
|
|
||
Capital lease obligations
|
283.5
|
|
|
288.2
|
|
||
|
3,086.5
|
|
|
3,171.5
|
|
||
Less: Current portion
|
(36.5
|
)
|
|
(36.8
|
)
|
||
Long-term debt, net of current portion
|
$
|
3,050.0
|
|
|
$
|
3,134.7
|
|
|
Face Amount
|
|
Net Amount
|
||||
July 1 through December 31, 2016
|
$
|
18.2
|
|
|
$
|
18.2
|
|
2017
|
36.8
|
|
|
36.8
|
|
||
2018
|
37.2
|
|
|
37.2
|
|
||
2019
|
40.1
|
|
|
40.0
|
|
||
2020
|
834.2
|
|
|
783.5
|
|
||
2021
|
10.7
|
|
|
10.7
|
|
||
Thereafter
|
2,179.4
|
|
|
2,160.1
|
|
||
Total
|
$
|
3,156.6
|
|
|
$
|
3,086.5
|
|
6.
|
Redeemable Noncontrolling Interests
|
|
Six Months Ended June 30,
|
||||||
|
2016
|
|
2015
|
||||
Balance at beginning of period
|
$
|
121.1
|
|
|
$
|
84.7
|
|
Net income attributable to noncontrolling interests
|
7.5
|
|
|
6.4
|
|
||
Distributions declared
|
(4.3
|
)
|
|
(4.0
|
)
|
||
Change in fair value
|
(4.3
|
)
|
|
11.4
|
|
||
Balance at end of period
|
$
|
120.0
|
|
|
$
|
98.5
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
|||||||||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||||||
Net income attributable to nonredeemable noncontrolling interests
|
$
|
15.0
|
|
|
$
|
13.8
|
|
|
$
|
29.8
|
|
|
$
|
27.4
|
|
Net income attributable to redeemable noncontrolling interests
|
3.6
|
|
|
3.5
|
|
|
7.5
|
|
|
6.4
|
|
||||
Net income attributable to noncontrolling interests
|
$
|
18.6
|
|
|
$
|
17.3
|
|
|
$
|
37.3
|
|
|
$
|
33.8
|
|
7.
|
Fair Value Measurements
|
|
|
|
Fair Value Measurements at Reporting Date Using
|
||||||||||||||
As of June 30, 2016
|
Fair Value
|
|
Quoted Prices in Active Markets for Identical Assets
(Level 1)
|
|
Significant Other Observable Inputs
(Level 2)
|
|
Significant Unobservable Inputs
(Level 3)
|
|
Valuation Technique
(1)
|
||||||||
Other current assets:
|
|
|
|
|
|
|
|
|
|
||||||||
Current portion of restricted marketable securities
|
$
|
27.4
|
|
|
$
|
—
|
|
|
$
|
27.4
|
|
|
$
|
—
|
|
|
M
|
Other long-term assets:
|
|
|
|
|
|
|
|
|
|
||||||||
Restricted marketable securities
|
29.9
|
|
|
—
|
|
|
29.9
|
|
|
—
|
|
|
M
|
||||
Redeemable noncontrolling interests
|
120.0
|
|
|
—
|
|
|
—
|
|
|
120.0
|
|
|
I
|
||||
As of December 31, 2015
|
|
|
|
|
|
|
|
|
|
||||||||
Other current assets:
|
|
|
|
|
|
|
|
|
|
||||||||
Current portion of restricted marketable securities
|
$
|
16.1
|
|
|
$
|
—
|
|
|
$
|
16.1
|
|
|
$
|
—
|
|
|
M
|
Other long-term assets:
|
|
|
|
|
|
|
|
|
|
||||||||
Restricted marketable securities
|
40.1
|
|
|
—
|
|
|
40.1
|
|
|
—
|
|
|
M
|
||||
Redeemable noncontrolling interests
|
121.1
|
|
|
—
|
|
|
—
|
|
|
121.1
|
|
|
I
|
•
|
Restricted marketable securities
- The fair values of our available-for-sale restricted marketable securities are determined based on quoted market prices in active markets or quoted prices, dealer quotations, or alternative pricing sources supported by observable inputs in markets that are not considered to be active.
|
•
|
Redeemable noncontrolling interests
- The fair value of the
Redeemable noncontrolling interest
related to our home health segment is determined using the product of a twelve-month specified performance measure and a specified median market price multiple based on a basket of public health companies. To determine the fair value of the
Redeemable noncontrolling interests
in our joint venture hospitals, we use the applicable hospitals’
|
|
As of June 30, 2016
|
|
As of December 31, 2015
|
||||||||||||
|
Carrying Amount
|
|
Estimated Fair Value
|
|
Carrying Amount
|
|
Estimated Fair Value
|
||||||||
Long-term debt:
|
|
|
|
|
|
|
|
|
|
|
|
||||
Advances under revolving credit facility
|
$
|
150.0
|
|
|
$
|
150.0
|
|
|
$
|
130.0
|
|
|
$
|
130.0
|
|
Term loan facilities
|
432.3
|
|
|
433.8
|
|
|
443.3
|
|
|
445.0
|
|
||||
7.75% Senior Notes due 2022
|
75.3
|
|
|
79.3
|
|
|
174.3
|
|
|
183.7
|
|
||||
5.125% Senior Notes due 2023
|
294.9
|
|
|
297.8
|
|
|
294.6
|
|
|
288.0
|
|
||||
5.75% Senior Notes due 2024
|
1,192.9
|
|
|
1,215.8
|
|
|
1,192.6
|
|
|
1,146.0
|
|
||||
5.75% Senior Notes due 2025
|
343.6
|
|
|
350.0
|
|
|
343.4
|
|
|
332.5
|
|
||||
2.00% Convertible Senior Subordinated Notes due 2043
|
270.7
|
|
|
372.4
|
|
|
265.9
|
|
|
345.0
|
|
||||
Other notes payable
|
43.3
|
|
|
43.3
|
|
|
39.2
|
|
|
39.2
|
|
||||
Financial commitments:
|
|
|
|
|
|
|
|
||||||||
Letters of credit
|
—
|
|
|
35.0
|
|
|
—
|
|
|
34.2
|
|
8.
|
Share-Based Payments
|
9.
|
Income Taxes
|
|
Gross Unrecognized Income Tax Benefits
|
||
Balance at December 31, 2015
|
$
|
2.9
|
|
Gross amount of increases in unrecognized tax benefits related to prior periods
|
0.3
|
|
|
Gross amount of decreases in unrecognized tax benefits related to prior periods
|
(0.4
|
)
|
|
Gross amount of increases in unrecognized tax benefits related to current periods
|
0.1
|
|
|
Gross amount of decreases in unrecognized tax benefits related to current periods
|
(0.1
|
)
|
|
Balance at June 30, 2016
|
$
|
2.8
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||||||
Basic:
|
|
|
|
|
|
|
|
||||||||
Numerator:
|
|
|
|
|
|
|
|
||||||||
Income from continuing operations
|
$
|
81.3
|
|
|
$
|
61.8
|
|
|
$
|
158.1
|
|
|
$
|
121.1
|
|
Less: Net income attributable to noncontrolling interests included in continuing operations
|
(18.6
|
)
|
|
(17.3
|
)
|
|
(37.3
|
)
|
|
(33.8
|
)
|
||||
Less: Income allocated to participating securities
|
(0.2
|
)
|
|
(0.3
|
)
|
|
(0.4
|
)
|
|
(0.6
|
)
|
||||
Less: Convertible perpetual preferred stock dividends
|
—
|
|
|
—
|
|
|
—
|
|
|
(1.6
|
)
|
||||
Income from continuing operations attributable to HealthSouth common shareholders
|
62.5
|
|
|
44.2
|
|
|
120.4
|
|
|
85.1
|
|
||||
Loss from discontinued operations, net of tax, attributable to HealthSouth common shareholders
|
(0.1
|
)
|
|
(1.6
|
)
|
|
(0.2
|
)
|
|
(1.9
|
)
|
||||
Net income attributable to HealthSouth common shareholders
|
$
|
62.4
|
|
|
$
|
42.6
|
|
|
$
|
120.2
|
|
|
$
|
83.2
|
|
Denominator:
|
|
|
|
|
|
|
|
||||||||
Basic weighted average common shares outstanding
|
89.3
|
|
|
89.8
|
|
|
89.4
|
|
|
88.4
|
|
||||
Basic earnings per share attributable to HealthSouth common shareholders:
|
|
|
|
|
|
|
|
||||||||
Continuing operations
|
$
|
0.70
|
|
|
$
|
0.49
|
|
|
$
|
1.34
|
|
|
$
|
0.96
|
|
Discontinued operations
|
—
|
|
|
(0.02
|
)
|
|
—
|
|
|
(0.02
|
)
|
||||
Net income
|
$
|
0.70
|
|
|
$
|
0.47
|
|
|
$
|
1.34
|
|
|
$
|
0.94
|
|
|
|
|
|
|
|
|
|
||||||||
Diluted:
|
|
|
|
|
|
|
|
||||||||
Numerator:
|
|
|
|
|
|
|
|
||||||||
Income from continuing operations
|
$
|
81.3
|
|
|
$
|
61.8
|
|
|
$
|
158.1
|
|
|
$
|
121.1
|
|
Less: Net income attributable to noncontrolling interests included in continuing operations
|
(18.6
|
)
|
|
(17.3
|
)
|
|
(37.3
|
)
|
|
(33.8
|
)
|
||||
Add: Interest on convertible debt, net of tax
|
2.4
|
|
|
2.3
|
|
|
4.8
|
|
|
4.6
|
|
||||
Income from continuing operations attributable to HealthSouth common shareholders
|
65.1
|
|
|
46.8
|
|
|
125.6
|
|
|
91.9
|
|
||||
Loss from discontinued operations, net of tax, attributable to HealthSouth common shareholders
|
(0.1
|
)
|
|
(1.6
|
)
|
|
(0.2
|
)
|
|
(1.9
|
)
|
||||
Net income attributable to HealthSouth common shareholders
|
$
|
65.0
|
|
|
$
|
45.2
|
|
|
$
|
125.4
|
|
|
$
|
90.0
|
|
Denominator:
|
|
|
|
|
|
|
|
||||||||
Diluted weighted average common shares outstanding
|
99.4
|
|
|
101.5
|
|
|
99.4
|
|
|
101.3
|
|
||||
Diluted earnings per share attributable to HealthSouth common shareholders:
|
|
|
|
|
|
|
|
||||||||
Continuing operations
|
$
|
0.65
|
|
|
$
|
0.47
|
|
|
$
|
1.26
|
|
|
$
|
0.91
|
|
Discontinued operations
|
—
|
|
|
(0.02
|
)
|
|
—
|
|
|
(0.02
|
)
|
||||
Net income
|
$
|
0.65
|
|
|
$
|
0.45
|
|
|
$
|
1.26
|
|
|
$
|
0.89
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||
Basic weighted average common shares outstanding
|
89.3
|
|
|
89.8
|
|
|
89.4
|
|
|
88.4
|
|
Convertible perpetual preferred stock
|
—
|
|
|
0.8
|
|
|
—
|
|
|
2.0
|
|
Convertible senior subordinated notes
|
8.5
|
|
|
8.2
|
|
|
8.5
|
|
|
8.2
|
|
Restricted stock awards, dilutive stock options, restricted stock units, and common stock warrants
|
1.6
|
|
|
2.7
|
|
|
1.5
|
|
|
2.7
|
|
Diluted weighted average common shares outstanding
|
99.4
|
|
|
101.5
|
|
|
99.4
|
|
|
101.3
|
|
11.
|
Contingencies and Other Commitments
|
12.
|
Segment Reporting
|
•
|
Inpatient Rehabilitation
- Our national network of inpatient rehabilitation hospitals stretches across
29
states and Puerto Rico, with a concentration of hospitals in the eastern half of the United States and Texas. As of
June 30, 2016
, we operate
121
inpatient rehabilitation hospitals, including
one
hospital that operates as a joint venture which we account for using the equity method of accounting. In addition, we manage
four
inpatient rehabilitation units through management contracts. We provide specialized rehabilitative treatment on both an inpatient and outpatient basis. Our inpatient rehabilitation hospitals provide a higher level of rehabilitative care to patients who are recovering from conditions such as stroke and other neurological disorders, cardiac and pulmonary conditions, brain and spinal cord injuries, complex orthopedic conditions, and amputations.
|
•
|
Home Health and Hospice
- As of
June 30, 2016
, we provide home health and hospice services in
218
locations across
24
stat
es.
Two
of these agencies operate as joint ventures which we account for using the equity method of accounting. Our home health services include a comprehensive range of Medicare-certified home nursing services to adult patients in need of care. These services include, among others, skilled nursing, physical, occupational, and speech therapy, medical social work, and home health aide services. We also provide specialized home care services in Texas and Kansas for pediatric patients with severe medical conditions. Our hospice services primarily
|
|
Inpatient Rehabilitation
|
|
Home Health and Hospice
|
||||||||||||||||||||||||||||
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||||||||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||||||||||||||
Net operating revenues
|
$
|
752.6
|
|
|
$
|
645.3
|
|
|
$
|
1,501.8
|
|
|
$
|
1,275.6
|
|
|
$
|
168.1
|
|
|
$
|
119.1
|
|
|
$
|
328.7
|
|
|
$
|
229.4
|
|
Less: Provision for doubtful accounts
|
(14.5
|
)
|
|
(10.2
|
)
|
|
(30.1
|
)
|
|
(21.2
|
)
|
|
(0.9
|
)
|
|
(0.7
|
)
|
|
(1.8
|
)
|
|
(1.3
|
)
|
||||||||
Net operating revenues less provision for doubtful accounts
|
738.1
|
|
|
635.1
|
|
|
1,471.7
|
|
|
1,254.4
|
|
|
167.2
|
|
|
118.4
|
|
|
326.9
|
|
|
228.1
|
|
||||||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
Inpatient rehabilitation:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
Salaries and benefits
|
366.1
|
|
|
317.6
|
|
|
736.0
|
|
|
624.0
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Other operating expenses
|
106.8
|
|
|
93.5
|
|
|
211.6
|
|
|
188.7
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Supplies
|
31.8
|
|
|
29.9
|
|
|
64.2
|
|
|
59.7
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Occupancy costs
|
15.4
|
|
|
10.7
|
|
|
31.0
|
|
|
21.1
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Home health and hospice:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
Cost of services sold (excluding depreciation and amortization)
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
81.6
|
|
|
56.7
|
|
|
160.0
|
|
|
110.1
|
|
||||||||
Support and overhead costs
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
58.0
|
|
|
41.0
|
|
|
115.0
|
|
|
79.1
|
|
||||||||
|
520.1
|
|
|
451.7
|
|
|
1,042.8
|
|
|
893.5
|
|
|
139.6
|
|
|
97.7
|
|
|
275.0
|
|
|
189.2
|
|
||||||||
Other income
|
(0.7
|
)
|
|
(0.4
|
)
|
|
(1.3
|
)
|
|
(0.9
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Equity in net income of nonconsolidated affiliates
|
(2.2
|
)
|
|
(2.3
|
)
|
|
(4.4
|
)
|
|
(3.9
|
)
|
|
(0.2
|
)
|
|
—
|
|
|
(0.4
|
)
|
|
—
|
|
||||||||
Noncontrolling interests
|
16.8
|
|
|
15.6
|
|
|
33.6
|
|
|
30.8
|
|
|
1.8
|
|
|
1.7
|
|
|
3.7
|
|
|
3.0
|
|
||||||||
Segment Adjusted EBITDA
|
$
|
204.1
|
|
|
$
|
170.5
|
|
|
$
|
401.0
|
|
|
$
|
334.9
|
|
|
$
|
26.0
|
|
|
$
|
19.0
|
|
|
$
|
48.6
|
|
|
$
|
35.9
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
Capital expenditures
|
$
|
47.4
|
|
|
$
|
33.1
|
|
|
$
|
86.1
|
|
|
$
|
59.4
|
|
|
$
|
1.9
|
|
|
$
|
1.9
|
|
|
$
|
2.4
|
|
|
$
|
2.2
|
|
|
Inpatient Rehabilitation
|
|
Home Health and Hospice
|
|
HealthSouth Consolidated
|
||||||
As of June 30, 2016
|
|
|
|
|
|
||||||
Total assets
|
$
|
3,612.4
|
|
|
$
|
1,091.5
|
|
|
$
|
4,632.6
|
|
Investments in and advances to nonconsolidated affiliates
|
10.8
|
|
|
2.8
|
|
|
13.6
|
|
|||
As of December 31, 2015
|
|
|
|
|
|
||||||
Total assets
|
$
|
3,589.0
|
|
|
$
|
1,088.4
|
|
|
$
|
4,606.1
|
|
Investments in and advances to nonconsolidated affiliates
|
9.3
|
|
|
2.4
|
|
|
11.7
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||||||
Total segment Adjusted EBITDA
|
$
|
230.1
|
|
|
$
|
189.5
|
|
|
$
|
449.6
|
|
|
$
|
370.8
|
|
General and administrative expenses
|
(34.4
|
)
|
|
(32.1
|
)
|
|
(66.3
|
)
|
|
(66.7
|
)
|
||||
Depreciation and amortization
|
(42.9
|
)
|
|
(32.7
|
)
|
|
(85.3
|
)
|
|
(64.6
|
)
|
||||
(Loss) gain on disposal or impairment of assets
|
(0.2
|
)
|
|
(0.8
|
)
|
|
(0.4
|
)
|
|
0.7
|
|
||||
Government, class action, and related settlements
|
—
|
|
|
—
|
|
|
—
|
|
|
(8.0
|
)
|
||||
Professional fees - accounting, tax, and legal
|
(1.7
|
)
|
|
(0.1
|
)
|
|
(1.9
|
)
|
|
(2.3
|
)
|
||||
Loss on early extinguishment of debt
|
(2.4
|
)
|
|
(18.8
|
)
|
|
(4.8
|
)
|
|
(20.0
|
)
|
||||
Interest expense and amortization of debt discounts and fees
|
(43.4
|
)
|
|
(30.9
|
)
|
|
(88.0
|
)
|
|
(62.7
|
)
|
||||
Net income attributable to noncontrolling interests
|
18.6
|
|
|
17.3
|
|
|
37.3
|
|
|
33.8
|
|
||||
Gain related to SCA equity interest
|
—
|
|
|
2.6
|
|
|
—
|
|
|
2.6
|
|
||||
Income from continuing operations before income tax expense
|
$
|
123.7
|
|
|
$
|
94.0
|
|
|
$
|
240.2
|
|
|
$
|
183.6
|
|
|
June 30, 2016
|
|
December 31, 2015
|
||||
Total assets for reportable segments
|
$
|
4,703.9
|
|
|
$
|
4,677.4
|
|
Reclassification of deferred income tax liabilities to net deferred income tax assets
|
(71.3
|
)
|
|
(71.3
|
)
|
||
Total consolidated assets
|
$
|
4,632.6
|
|
|
$
|
4,606.1
|
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||||||
Inpatient rehabilitation:
|
|
|
|
|
|
|
|
||||||||
Inpatient
|
$
|
721.2
|
|
|
$
|
618.7
|
|
|
$
|
1,440.5
|
|
|
$
|
1,225.3
|
|
Outpatient and other
|
31.4
|
|
|
26.6
|
|
|
61.3
|
|
|
50.3
|
|
||||
Total inpatient rehabilitation
|
752.6
|
|
|
645.3
|
|
|
1,501.8
|
|
|
1,275.6
|
|
||||
Home health and hospice:
|
|
|
|
|
|
|
|
||||||||
Home health
|
157.1
|
|
|
111.5
|
|
|
308.0
|
|
|
215.4
|
|
||||
Hospice
|
11.0
|
|
|
7.6
|
|
|
20.7
|
|
|
14.0
|
|
||||
Total home health and hospice
|
168.1
|
|
|
119.1
|
|
|
328.7
|
|
|
229.4
|
|
||||
Total net operating revenues
|
$
|
920.7
|
|
|
$
|
764.4
|
|
|
$
|
1,830.5
|
|
|
$
|
1,505.0
|
|
13.
|
Condensed Consolidating Financial Information
|
|
Three Months Ended June 30, 2016
|
||||||||||||||||||
|
HealthSouth Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
HealthSouth Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Net operating revenues
|
$
|
5.1
|
|
|
$
|
546.1
|
|
|
$
|
398.9
|
|
|
$
|
(29.4
|
)
|
|
$
|
920.7
|
|
Less: Provision for doubtful accounts
|
—
|
|
|
(10.6
|
)
|
|
(4.8
|
)
|
|
—
|
|
|
(15.4
|
)
|
|||||
Net operating revenues less provision for doubtful accounts
|
5.1
|
|
|
535.5
|
|
|
394.1
|
|
|
(29.4
|
)
|
|
905.3
|
|
|||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
Salaries and benefits
|
11.0
|
|
|
248.7
|
|
|
231.0
|
|
|
(4.6
|
)
|
|
486.1
|
|
|||||
Other operating expenses
|
6.9
|
|
|
76.7
|
|
|
49.4
|
|
|
(11.5
|
)
|
|
121.5
|
|
|||||
Occupancy costs
|
0.9
|
|
|
22.4
|
|
|
7.9
|
|
|
(13.3
|
)
|
|
17.9
|
|
|||||
Supplies
|
—
|
|
|
22.4
|
|
|
12.0
|
|
|
—
|
|
|
34.4
|
|
|||||
General and administrative expenses
|
31.2
|
|
|
—
|
|
|
3.2
|
|
|
—
|
|
|
34.4
|
|
|||||
Depreciation and amortization
|
2.4
|
|
|
25.9
|
|
|
14.6
|
|
|
—
|
|
|
42.9
|
|
|||||
Professional fees—accounting, tax, and legal
|
1.7
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
1.7
|
|
|||||
Total operating expenses
|
54.1
|
|
|
396.1
|
|
|
318.1
|
|
|
(29.4
|
)
|
|
738.9
|
|
|||||
Loss on early extinguishment of debt
|
2.4
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
2.4
|
|
|||||
Interest expense and amortization of debt discounts and fees
|
36.6
|
|
|
5.7
|
|
|
6.0
|
|
|
(4.9
|
)
|
|
43.4
|
|
|||||
Other income
|
(4.9
|
)
|
|
(0.1
|
)
|
|
(0.6
|
)
|
|
4.9
|
|
|
(0.7
|
)
|
|||||
Equity in net income of nonconsolidated affiliates
|
—
|
|
|
(2.2
|
)
|
|
(0.2
|
)
|
|
—
|
|
|
(2.4
|
)
|
|||||
Equity in net income of consolidated affiliates
|
(88.7
|
)
|
|
(10.4
|
)
|
|
—
|
|
|
99.1
|
|
|
—
|
|
|||||
Management fees
|
(33.8
|
)
|
|
25.9
|
|
|
7.9
|
|
|
—
|
|
|
—
|
|
|||||
Income from continuing operations before income tax (benefit) expense
|
39.4
|
|
|
120.5
|
|
|
62.9
|
|
|
(99.1
|
)
|
|
123.7
|
|
|||||
Provision for income tax (benefit) expense
|
(23.3
|
)
|
|
48.1
|
|
|
17.6
|
|
|
—
|
|
|
42.4
|
|
|||||
Income from continuing operations
|
62.7
|
|
|
72.4
|
|
|
45.3
|
|
|
(99.1
|
)
|
|
81.3
|
|
|||||
Loss from discontinued operations, net of tax
|
(0.1
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(0.1
|
)
|
|||||
Net income
|
62.6
|
|
|
72.4
|
|
|
45.3
|
|
|
(99.1
|
)
|
|
81.2
|
|
|||||
Less: Net income attributable to noncontrolling interests
|
—
|
|
|
—
|
|
|
(18.6
|
)
|
|
—
|
|
|
(18.6
|
)
|
|||||
Net income attributable to HealthSouth
|
$
|
62.6
|
|
|
$
|
72.4
|
|
|
$
|
26.7
|
|
|
$
|
(99.1
|
)
|
|
$
|
62.6
|
|
Comprehensive income
|
$
|
62.8
|
|
|
$
|
72.4
|
|
|
$
|
45.3
|
|
|
$
|
(99.1
|
)
|
|
$
|
81.4
|
|
Comprehensive income attributable to HealthSouth
|
$
|
62.8
|
|
|
$
|
72.4
|
|
|
$
|
26.7
|
|
|
$
|
(99.1
|
)
|
|
$
|
62.8
|
|
|
Three Months Ended June 30, 2015
|
||||||||||||||||||
|
HealthSouth Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
HealthSouth Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Net operating revenues
|
$
|
5.1
|
|
|
$
|
460.0
|
|
|
$
|
325.0
|
|
|
$
|
(25.7
|
)
|
|
$
|
764.4
|
|
Less: Provision for doubtful accounts
|
—
|
|
|
(8.1
|
)
|
|
(2.8
|
)
|
|
—
|
|
|
(10.9
|
)
|
|||||
Net operating revenues less provision for doubtful accounts
|
5.1
|
|
|
451.9
|
|
|
322.2
|
|
|
(25.7
|
)
|
|
753.5
|
|
|||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
Salaries and benefits
|
12.2
|
|
|
212.1
|
|
|
181.7
|
|
|
(4.2
|
)
|
|
401.8
|
|
|||||
Other operating expenses
|
6.7
|
|
|
67.0
|
|
|
40.7
|
|
|
(10.2
|
)
|
|
104.2
|
|
|||||
Occupancy costs
|
1.0
|
|
|
15.8
|
|
|
7.0
|
|
|
(11.3
|
)
|
|
12.5
|
|
|||||
Supplies
|
—
|
|
|
20.7
|
|
|
11.0
|
|
|
—
|
|
|
31.7
|
|
|||||
General and administrative expenses
|
31.5
|
|
|
—
|
|
|
0.6
|
|
|
—
|
|
|
32.1
|
|
|||||
Depreciation and amortization
|
2.4
|
|
|
19.4
|
|
|
10.9
|
|
|
—
|
|
|
32.7
|
|
|||||
Professional fees—accounting, tax, and legal
|
0.1
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
0.1
|
|
|||||
Total operating expenses
|
53.9
|
|
|
335.0
|
|
|
251.9
|
|
|
(25.7
|
)
|
|
615.1
|
|
|||||
Loss on early extinguishment of debt
|
18.8
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
18.8
|
|
|||||
Interest expense and amortization of debt discounts and fees
|
28.4
|
|
|
2.1
|
|
|
2.9
|
|
|
(2.5
|
)
|
|
30.9
|
|
|||||
Other income
|
(4.8
|
)
|
|
(0.1
|
)
|
|
(0.6
|
)
|
|
2.5
|
|
|
(3.0
|
)
|
|||||
Equity in net income of nonconsolidated affiliates
|
—
|
|
|
(2.3
|
)
|
|
—
|
|
|
—
|
|
|
(2.3
|
)
|
|||||
Equity in net income of consolidated affiliates
|
(81.7
|
)
|
|
(8.8
|
)
|
|
—
|
|
|
90.5
|
|
|
—
|
|
|||||
Management fees
|
(29.3
|
)
|
|
21.8
|
|
|
7.5
|
|
|
—
|
|
|
—
|
|
|||||
Income from continuing operations before income tax (benefit) expense
|
19.8
|
|
|
104.2
|
|
|
60.5
|
|
|
(90.5
|
)
|
|
94.0
|
|
|||||
Provision for income tax (benefit) expense
|
(24.7
|
)
|
|
39.7
|
|
|
17.2
|
|
|
—
|
|
|
32.2
|
|
|||||
Income from continuing operations
|
44.5
|
|
|
64.5
|
|
|
43.3
|
|
|
(90.5
|
)
|
|
61.8
|
|
|||||
Loss from discontinued operations, net of tax
|
(1.6
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(1.6
|
)
|
|||||
Net income
|
42.9
|
|
|
64.5
|
|
|
43.3
|
|
|
(90.5
|
)
|
|
60.2
|
|
|||||
Less: Net income attributable to noncontrolling interests
|
—
|
|
|
—
|
|
|
(17.3
|
)
|
|
—
|
|
|
(17.3
|
)
|
|||||
Net income attributable to HealthSouth
|
$
|
42.9
|
|
|
$
|
64.5
|
|
|
$
|
26.0
|
|
|
$
|
(90.5
|
)
|
|
$
|
42.9
|
|
Comprehensive income
|
$
|
43.0
|
|
|
$
|
64.5
|
|
|
$
|
43.3
|
|
|
$
|
(90.5
|
)
|
|
$
|
60.3
|
|
Comprehensive income attributable to HealthSouth
|
$
|
43.0
|
|
|
$
|
64.5
|
|
|
$
|
26.0
|
|
|
$
|
(90.5
|
)
|
|
$
|
43.0
|
|
|
Six Months Ended June 30, 2016
|
||||||||||||||||||
|
HealthSouth Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
HealthSouth Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Net operating revenues
|
$
|
10.0
|
|
|
$
|
1,088.5
|
|
|
$
|
790.3
|
|
|
$
|
(58.3
|
)
|
|
$
|
1,830.5
|
|
Less: Provision for doubtful accounts
|
—
|
|
|
(22.4
|
)
|
|
(9.5
|
)
|
|
—
|
|
|
(31.9
|
)
|
|||||
Net operating revenues less provision for doubtful accounts
|
10.0
|
|
|
1,066.1
|
|
|
780.8
|
|
|
(58.3
|
)
|
|
1,798.6
|
|
|||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
Salaries and benefits
|
22.3
|
|
|
500.0
|
|
|
459.1
|
|
|
(9.2
|
)
|
|
972.2
|
|
|||||
Other operating expenses
|
12.5
|
|
|
152.6
|
|
|
98.1
|
|
|
(22.5
|
)
|
|
240.7
|
|
|||||
Occupancy costs
|
1.8
|
|
|
44.8
|
|
|
15.9
|
|
|
(26.6
|
)
|
|
35.9
|
|
|||||
Supplies
|
—
|
|
|
45.2
|
|
|
24.2
|
|
|
—
|
|
|
69.4
|
|
|||||
General and administrative expenses
|
64.3
|
|
|
—
|
|
|
2.0
|
|
|
—
|
|
|
66.3
|
|
|||||
Depreciation and amortization
|
4.8
|
|
|
51.8
|
|
|
28.7
|
|
|
—
|
|
|
85.3
|
|
|||||
Professional fees—accounting, tax, and legal
|
1.9
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
1.9
|
|
|||||
Total operating expenses
|
107.6
|
|
|
794.4
|
|
|
628.0
|
|
|
(58.3
|
)
|
|
1,471.7
|
|
|||||
Loss on early extinguishment of debt
|
4.8
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
4.8
|
|
|||||
Interest expense and amortization of debt discounts and fees
|
75.4
|
|
|
10.9
|
|
|
11.4
|
|
|
(9.7
|
)
|
|
88.0
|
|
|||||
Other income
|
(9.6
|
)
|
|
(0.2
|
)
|
|
(1.2
|
)
|
|
9.7
|
|
|
(1.3
|
)
|
|||||
Equity in net income of nonconsolidated affiliates
|
—
|
|
|
(4.4
|
)
|
|
(0.4
|
)
|
|
—
|
|
|
(4.8
|
)
|
|||||
Equity in net income of consolidated affiliates
|
(174.4
|
)
|
|
(19.9
|
)
|
|
—
|
|
|
194.3
|
|
|
—
|
|
|||||
Management fees
|
(68.0
|
)
|
|
51.7
|
|
|
16.3
|
|
|
—
|
|
|
—
|
|
|||||
Income from continuing operations before income tax (benefit) expense
|
74.2
|
|
|
233.6
|
|
|
126.7
|
|
|
(194.3
|
)
|
|
240.2
|
|
|||||
Provision for income tax (benefit) expense
|
(46.6
|
)
|
|
93.2
|
|
|
35.5
|
|
|
—
|
|
|
82.1
|
|
|||||
Income from continuing operations
|
120.8
|
|
|
140.4
|
|
|
91.2
|
|
|
(194.3
|
)
|
|
158.1
|
|
|||||
Loss from discontinued operations, net of tax
|
(0.2
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(0.2
|
)
|
|||||
Net income
|
120.6
|
|
|
140.4
|
|
|
91.2
|
|
|
(194.3
|
)
|
|
157.9
|
|
|||||
Less: Net income attributable to noncontrolling interests
|
—
|
|
|
—
|
|
|
(37.3
|
)
|
|
—
|
|
|
(37.3
|
)
|
|||||
Net income attributable to HealthSouth
|
$
|
120.6
|
|
|
$
|
140.4
|
|
|
$
|
53.9
|
|
|
$
|
(194.3
|
)
|
|
$
|
120.6
|
|
Comprehensive income
|
$
|
120.9
|
|
|
$
|
140.4
|
|
|
$
|
91.2
|
|
|
$
|
(194.3
|
)
|
|
$
|
158.2
|
|
Comprehensive income attributable to HealthSouth
|
$
|
120.9
|
|
|
$
|
140.4
|
|
|
$
|
53.9
|
|
|
$
|
(194.3
|
)
|
|
$
|
120.9
|
|
|
Six Months Ended June 30, 2015
|
||||||||||||||||||
|
HealthSouth Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
HealthSouth Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Net operating revenues
|
$
|
10.4
|
|
|
$
|
907.7
|
|
|
$
|
637.3
|
|
|
$
|
(50.4
|
)
|
|
$
|
1,505.0
|
|
Less: Provision for doubtful accounts
|
—
|
|
|
(17.0
|
)
|
|
(5.5
|
)
|
|
—
|
|
|
(22.5
|
)
|
|||||
Net operating revenues less provision for doubtful accounts
|
10.4
|
|
|
890.7
|
|
|
631.8
|
|
|
(50.4
|
)
|
|
1,482.5
|
|
|||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
||||||||||
Salaries and benefits
|
20.3
|
|
|
418.2
|
|
|
356.7
|
|
|
(8.3
|
)
|
|
786.9
|
|
|||||
Other operating expenses
|
16.2
|
|
|
128.7
|
|
|
83.1
|
|
|
(20.6
|
)
|
|
207.4
|
|
|||||
Occupancy costs
|
2.1
|
|
|
30.4
|
|
|
13.6
|
|
|
(21.5
|
)
|
|
24.6
|
|
|||||
Supplies
|
—
|
|
|
41.1
|
|
|
22.0
|
|
|
—
|
|
|
63.1
|
|
|||||
General and administrative expenses
|
65.8
|
|
|
—
|
|
|
0.9
|
|
|
—
|
|
|
66.7
|
|
|||||
Depreciation and amortization
|
4.7
|
|
|
38.3
|
|
|
21.6
|
|
|
—
|
|
|
64.6
|
|
|||||
Government, class action, and related settlements
|
8.0
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
8.0
|
|
|||||
Professional fees—accounting, tax, and legal
|
2.3
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
2.3
|
|
|||||
Total operating expenses
|
119.4
|
|
|
656.7
|
|
|
497.9
|
|
|
(50.4
|
)
|
|
1,223.6
|
|
|||||
Loss on early extinguishment of debt
|
20.0
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
20.0
|
|
|||||
Interest expense and amortization of debt discounts and fees
|
57.6
|
|
|
4.4
|
|
|
5.6
|
|
|
(4.9
|
)
|
|
62.7
|
|
|||||
Other income
|
(7.1
|
)
|
|
(0.1
|
)
|
|
(1.2
|
)
|
|
4.9
|
|
|
(3.5
|
)
|
|||||
Equity in net income of nonconsolidated affiliates
|
—
|
|
|
(3.9
|
)
|
|
—
|
|
|
—
|
|
|
(3.9
|
)
|
|||||
Equity in net income of consolidated affiliates
|
(160.1
|
)
|
|
(17.4
|
)
|
|
—
|
|
|
177.5
|
|
|
—
|
|
|||||
Management fees
|
(57.8
|
)
|
|
43.1
|
|
|
14.7
|
|
|
—
|
|
|
—
|
|
|||||
Income from continuing operations before income tax (benefit) expense
|
38.4
|
|
|
207.9
|
|
|
114.8
|
|
|
(177.5
|
)
|
|
183.6
|
|
|||||
Provision for income tax (benefit) expense
|
(48.9
|
)
|
|
79.1
|
|
|
32.3
|
|
|
—
|
|
|
62.5
|
|
|||||
Income from continuing operations
|
87.3
|
|
|
128.8
|
|
|
82.5
|
|
|
(177.5
|
)
|
|
121.1
|
|
|||||
Loss from discontinued operations, net of tax
|
(1.9
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(1.9
|
)
|
|||||
Net income
|
85.4
|
|
|
128.8
|
|
|
82.5
|
|
|
(177.5
|
)
|
|
119.2
|
|
|||||
Less: Net income attributable to noncontrolling interests
|
—
|
|
|
—
|
|
|
(33.8
|
)
|
|
—
|
|
|
(33.8
|
)
|
|||||
Net income attributable to HealthSouth
|
$
|
85.4
|
|
|
$
|
128.8
|
|
|
$
|
48.7
|
|
|
$
|
(177.5
|
)
|
|
$
|
85.4
|
|
Comprehensive income
|
$
|
85.6
|
|
|
$
|
128.8
|
|
|
$
|
82.5
|
|
|
$
|
(177.5
|
)
|
|
$
|
119.4
|
|
Comprehensive income attributable to HealthSouth
|
$
|
85.6
|
|
|
$
|
128.8
|
|
|
$
|
48.7
|
|
|
$
|
(177.5
|
)
|
|
$
|
85.6
|
|
|
As of June 30, 2016
|
||||||||||||||||||
|
HealthSouth Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
HealthSouth Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Assets
|
|
|
|
|
|
|
|
|
|
||||||||||
Current assets:
|
|
|
|
|
|
|
|
|
|
||||||||||
Cash and cash equivalents
|
$
|
56.5
|
|
|
$
|
2.4
|
|
|
$
|
11.4
|
|
|
$
|
—
|
|
|
$
|
70.3
|
|
Accounts receivable, net
|
—
|
|
|
262.0
|
|
|
158.6
|
|
|
—
|
|
|
420.6
|
|
|||||
Other current assets
|
67.3
|
|
|
23.1
|
|
|
138.2
|
|
|
(60.0
|
)
|
|
168.6
|
|
|||||
Total current assets
|
123.8
|
|
|
287.5
|
|
|
308.2
|
|
|
(60.0
|
)
|
|
659.5
|
|
|||||
Property and equipment, net
|
21.1
|
|
|
987.8
|
|
|
328.0
|
|
|
—
|
|
|
1,336.9
|
|
|||||
Goodwill
|
—
|
|
|
860.6
|
|
|
1,039.1
|
|
|
—
|
|
|
1,899.7
|
|
|||||
Intangible assets, net
|
15.2
|
|
|
119.0
|
|
|
280.0
|
|
|
—
|
|
|
414.2
|
|
|||||
Deferred income tax assets
|
99.5
|
|
|
64.1
|
|
|
—
|
|
|
(48.1
|
)
|
|
115.5
|
|
|||||
Other long-term assets
|
49.2
|
|
|
88.6
|
|
|
69.0
|
|
|
—
|
|
|
206.8
|
|
|||||
Intercompany notes receivable
|
537.3
|
|
|
—
|
|
|
—
|
|
|
(537.3
|
)
|
|
—
|
|
|||||
Intercompany receivable and investments in consolidated affiliates
|
2,809.9
|
|
|
13.8
|
|
|
—
|
|
|
(2,823.7
|
)
|
|
—
|
|
|||||
Total assets
|
$
|
3,656.0
|
|
|
$
|
2,421.4
|
|
|
$
|
2,024.3
|
|
|
$
|
(3,469.1
|
)
|
|
$
|
4,632.6
|
|
Liabilities and Shareholders’ Equity
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Current liabilities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Current portion of long-term debt
|
$
|
40.0
|
|
|
$
|
6.3
|
|
|
$
|
7.7
|
|
|
$
|
(17.5
|
)
|
|
$
|
36.5
|
|
Accounts payable
|
5.6
|
|
|
39.7
|
|
|
21.8
|
|
|
—
|
|
|
67.1
|
|
|||||
Accrued expenses and other current liabilities
|
153.7
|
|
|
92.7
|
|
|
151.6
|
|
|
(42.5
|
)
|
|
355.5
|
|
|||||
Total current liabilities
|
199.3
|
|
|
138.7
|
|
|
181.1
|
|
|
(60.0
|
)
|
|
459.1
|
|
|||||
Long-term debt, net of current portion
|
2,743.2
|
|
|
252.4
|
|
|
54.4
|
|
|
—
|
|
|
3,050.0
|
|
|||||
Intercompany notes payable
|
—
|
|
|
—
|
|
|
537.3
|
|
|
(537.3
|
)
|
|
—
|
|
|||||
Other long-term liabilities
|
40.8
|
|
|
14.6
|
|
|
146.5
|
|
|
(47.8
|
)
|
|
154.1
|
|
|||||
Intercompany payable
|
—
|
|
|
—
|
|
|
176.3
|
|
|
(176.3
|
)
|
|
—
|
|
|||||
|
2,983.3
|
|
|
405.7
|
|
|
1,095.6
|
|
|
(821.4
|
)
|
|
3,663.2
|
|
|||||
Commitments and contingencies
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Redeemable noncontrolling interests
|
—
|
|
|
—
|
|
|
120.0
|
|
|
—
|
|
|
120.0
|
|
|||||
Shareholders’ equity:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
HealthSouth shareholders’ equity
|
672.7
|
|
|
2,015.7
|
|
|
632.0
|
|
|
(2,647.7
|
)
|
|
672.7
|
|
|||||
Noncontrolling interests
|
—
|
|
|
—
|
|
|
176.7
|
|
|
—
|
|
|
176.7
|
|
|||||
Total shareholders’ equity
|
672.7
|
|
|
2,015.7
|
|
|
808.7
|
|
|
(2,647.7
|
)
|
|
849.4
|
|
|||||
Total liabilities and shareholders’ equity
|
$
|
3,656.0
|
|
|
$
|
2,421.4
|
|
|
$
|
2,024.3
|
|
|
$
|
(3,469.1
|
)
|
|
$
|
4,632.6
|
|
|
As of December 31, 2015
|
||||||||||||||||||
|
HealthSouth Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
HealthSouth Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Assets
|
|
|
|
|
|
|
|
|
|
||||||||||
Current assets:
|
|
|
|
|
|
|
|
|
|
||||||||||
Cash and cash equivalents
|
$
|
41.2
|
|
|
$
|
1.2
|
|
|
$
|
19.2
|
|
|
$
|
—
|
|
|
$
|
61.6
|
|
Accounts receivable, net
|
—
|
|
|
261.5
|
|
|
149.0
|
|
|
—
|
|
|
410.5
|
|
|||||
Other current assets
|
29.3
|
|
|
22.2
|
|
|
93.9
|
|
|
(18.8
|
)
|
|
126.6
|
|
|||||
Total current assets
|
70.5
|
|
|
284.9
|
|
|
262.1
|
|
|
(18.8
|
)
|
|
598.7
|
|
|||||
Property and equipment, net
|
14.5
|
|
|
988.4
|
|
|
307.2
|
|
|
—
|
|
|
1,310.1
|
|
|||||
Goodwill
|
—
|
|
|
860.7
|
|
|
1,029.4
|
|
|
—
|
|
|
1,890.1
|
|
|||||
Intangible assets, net
|
8.8
|
|
|
122.4
|
|
|
288.2
|
|
|
—
|
|
|
419.4
|
|
|||||
Deferred income tax assets
|
176.2
|
|
|
64.1
|
|
|
—
|
|
|
(49.5
|
)
|
|
190.8
|
|
|||||
Other long-term assets
|
48.6
|
|
|
75.3
|
|
|
73.1
|
|
|
—
|
|
|
197.0
|
|
|||||
Intercompany notes receivable
|
546.6
|
|
|
—
|
|
|
—
|
|
|
(546.6
|
)
|
|
—
|
|
|||||
Intercompany receivable and investments in consolidated affiliates
|
2,779.7
|
|
|
—
|
|
|
—
|
|
|
(2,779.7
|
)
|
|
—
|
|
|||||
Total assets
|
$
|
3,644.9
|
|
|
$
|
2,395.8
|
|
|
$
|
1,960.0
|
|
|
$
|
(3,394.6
|
)
|
|
$
|
4,606.1
|
|
Liabilities and Shareholders’ Equity
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Current liabilities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Current portion of long-term debt
|
$
|
40.0
|
|
|
$
|
6.8
|
|
|
$
|
7.5
|
|
|
$
|
(17.5
|
)
|
|
$
|
36.8
|
|
Accounts payable
|
5.8
|
|
|
35.4
|
|
|
20.4
|
|
|
—
|
|
|
61.6
|
|
|||||
Accrued expenses and other current liabilities
|
122.2
|
|
|
71.8
|
|
|
135.3
|
|
|
(1.3
|
)
|
|
328.0
|
|
|||||
Total current liabilities
|
168.0
|
|
|
114.0
|
|
|
163.2
|
|
|
(18.8
|
)
|
|
426.4
|
|
|||||
Long-term debt, net of current portion
|
2,821.9
|
|
|
255.6
|
|
|
57.2
|
|
|
—
|
|
|
3,134.7
|
|
|||||
Intercompany notes payable
|
—
|
|
|
—
|
|
|
546.6
|
|
|
(546.6
|
)
|
|
—
|
|
|||||
Other long-term liabilities
|
43.6
|
|
|
12.3
|
|
|
137.8
|
|
|
(49.1
|
)
|
|
144.6
|
|
|||||
Intercompany payable
|
—
|
|
|
156.7
|
|
|
157.5
|
|
|
(314.2
|
)
|
|
—
|
|
|||||
|
3,033.5
|
|
|
538.6
|
|
|
1,062.3
|
|
|
(928.7
|
)
|
|
3,705.7
|
|
|||||
Commitments and contingencies
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Redeemable noncontrolling interests
|
—
|
|
|
—
|
|
|
121.1
|
|
|
—
|
|
|
121.1
|
|
|||||
Shareholders’ equity:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
HealthSouth shareholders’ equity
|
611.4
|
|
|
1,857.2
|
|
|
608.7
|
|
|
(2,465.9
|
)
|
|
611.4
|
|
|||||
Noncontrolling interests
|
—
|
|
|
—
|
|
|
167.9
|
|
|
—
|
|
|
167.9
|
|
|||||
Total shareholders’ equity
|
611.4
|
|
|
1,857.2
|
|
|
776.6
|
|
|
(2,465.9
|
)
|
|
779.3
|
|
|||||
Total liabilities and shareholders’ equity
|
$
|
3,644.9
|
|
|
$
|
2,395.8
|
|
|
$
|
1,960.0
|
|
|
$
|
(3,394.6
|
)
|
|
$
|
4,606.1
|
|
|
Six Months Ended June 30, 2016
|
||||||||||||||||||
|
HealthSouth Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
HealthSouth Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Net cash provided by operating activities
|
$
|
31.5
|
|
|
$
|
182.5
|
|
|
$
|
97.9
|
|
|
$
|
—
|
|
|
$
|
311.9
|
|
Cash flows from investing activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Purchases of property and equipment
|
(5.4
|
)
|
|
(35.3
|
)
|
|
(30.7
|
)
|
|
—
|
|
|
(71.4
|
)
|
|||||
Capitalized software costs
|
(7.6
|
)
|
|
(6.0
|
)
|
|
(1.6
|
)
|
|
—
|
|
|
(15.2
|
)
|
|||||
Acquisitions of businesses, net of cash acquired
|
—
|
|
|
—
|
|
|
(9.4
|
)
|
|
—
|
|
|
(9.4
|
)
|
|||||
Net change in restricted cash
|
—
|
|
|
—
|
|
|
(11.5
|
)
|
|
—
|
|
|
(11.5
|
)
|
|||||
Funding of intercompany note receivable
|
(6.5
|
)
|
|
—
|
|
|
—
|
|
|
6.5
|
|
|
—
|
|
|||||
Proceeds from repayment of intercompany note receivable
|
22.0
|
|
|
—
|
|
|
—
|
|
|
(22.0
|
)
|
|
—
|
|
|||||
Other
|
(2.8
|
)
|
|
(0.1
|
)
|
|
4.9
|
|
|
—
|
|
|
2.0
|
|
|||||
Net cash used in investing activities
|
(0.3
|
)
|
|
(41.4
|
)
|
|
(48.3
|
)
|
|
(15.5
|
)
|
|
(105.5
|
)
|
|||||
Cash flows from financing activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Principal payments on debt, including pre-payments
|
(111.2
|
)
|
|
(0.8
|
)
|
|
(0.8
|
)
|
|
—
|
|
|
(112.8
|
)
|
|||||
Principal borrowings on intercompany note payable
|
—
|
|
|
—
|
|
|
6.5
|
|
|
(6.5
|
)
|
|
—
|
|
|||||
Principal payments on intercompany note payable
|
—
|
|
|
—
|
|
|
(22.0
|
)
|
|
22.0
|
|
|
—
|
|
|||||
Borrowings on revolving credit facility
|
165.0
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
165.0
|
|
|||||
Payments on revolving credit facility
|
(145.0
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(145.0
|
)
|
|||||
Repurchases of common stock, including fees and expenses
|
(24.1
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(24.1
|
)
|
|||||
Dividends paid on common stock
|
(41.9
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(41.9
|
)
|
|||||
Distributions paid to noncontrolling interests of consolidated affiliates
|
—
|
|
|
—
|
|
|
(33.6
|
)
|
|
—
|
|
|
(33.6
|
)
|
|||||
Other
|
2.2
|
|
|
(2.9
|
)
|
|
(4.6
|
)
|
|
—
|
|
|
(5.3
|
)
|
|||||
Change in intercompany advances
|
139.1
|
|
|
(136.2
|
)
|
|
(2.9
|
)
|
|
—
|
|
|
—
|
|
|||||
Net cash used in financing activities
|
(15.9
|
)
|
|
(139.9
|
)
|
|
(57.4
|
)
|
|
15.5
|
|
|
(197.7
|
)
|
|||||
Increase (decrease) in cash and cash equivalents
|
15.3
|
|
|
1.2
|
|
|
(7.8
|
)
|
|
—
|
|
|
8.7
|
|
|||||
Cash and cash equivalents at beginning of period
|
41.2
|
|
|
1.2
|
|
|
19.2
|
|
|
—
|
|
|
61.6
|
|
|||||
Cash and cash equivalents at end of period
|
$
|
56.5
|
|
|
$
|
2.4
|
|
|
$
|
11.4
|
|
|
$
|
—
|
|
|
$
|
70.3
|
|
|
Six Months Ended June 30, 2015
|
||||||||||||||||||
|
HealthSouth Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
HealthSouth Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Net cash (used in) provided by operating activities
|
$
|
(13.5
|
)
|
|
$
|
120.9
|
|
|
$
|
97.5
|
|
|
$
|
—
|
|
|
$
|
204.9
|
|
Cash flows from investing activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Purchases of property and equipment
|
(5.1
|
)
|
|
(24.2
|
)
|
|
(17.0
|
)
|
|
—
|
|
|
(46.3
|
)
|
|||||
Capitalized software costs
|
(13.9
|
)
|
|
—
|
|
|
(1.3
|
)
|
|
—
|
|
|
(15.2
|
)
|
|||||
Acquisitions of businesses, net of cash acquired
|
(56.5
|
)
|
|
—
|
|
|
(21.2
|
)
|
|
—
|
|
|
(77.7
|
)
|
|||||
Net change in restricted cash
|
—
|
|
|
—
|
|
|
13.1
|
|
|
—
|
|
|
13.1
|
|
|||||
Other
|
7.7
|
|
|
3.3
|
|
|
(5.6
|
)
|
|
(6.0
|
)
|
|
(0.6
|
)
|
|||||
Net cash used in investing activities
|
(67.8
|
)
|
|
(20.9
|
)
|
|
(32.0
|
)
|
|
(6.0
|
)
|
|
(126.7
|
)
|
|||||
Cash flows from financing activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Proceeds from bond issuance
|
700.0
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
700.0
|
|
|||||
Principal payments on debt, including pre-payments
|
(545.0
|
)
|
|
(0.8
|
)
|
|
(0.3
|
)
|
|
—
|
|
|
(546.1
|
)
|
|||||
Borrowings on revolving credit facility
|
270.0
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
270.0
|
|
|||||
Payments on revolving credit facility
|
(442.0
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(442.0
|
)
|
|||||
Debt amendment and issuance costs
|
(13.9
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(13.9
|
)
|
|||||
Dividends paid on common stock
|
(37.1
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(37.1
|
)
|
|||||
Dividends paid on convertible perpetual preferred stock
|
(3.1
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(3.1
|
)
|
|||||
Distributions paid to noncontrolling interests of consolidated affiliates
|
—
|
|
|
—
|
|
|
(26.2
|
)
|
|
—
|
|
|
(26.2
|
)
|
|||||
Other
|
1.7
|
|
|
(0.8
|
)
|
|
(7.9
|
)
|
|
6.0
|
|
|
(1.0
|
)
|
|||||
Change in intercompany advances
|
138.6
|
|
|
(98.6
|
)
|
|
(40.0
|
)
|
|
—
|
|
|
—
|
|
|||||
Net cash provided by (used in) financing activities
|
69.2
|
|
|
(100.2
|
)
|
|
(74.4
|
)
|
|
6.0
|
|
|
(99.4
|
)
|
|||||
Decrease in cash and cash equivalents
|
(12.1
|
)
|
|
(0.2
|
)
|
|
(8.9
|
)
|
|
—
|
|
|
(21.2
|
)
|
|||||
Cash and cash equivalents at beginning of period
|
41.9
|
|
|
1.4
|
|
|
23.4
|
|
|
—
|
|
|
66.7
|
|
|||||
Cash and cash equivalents at end of period
|
$
|
29.8
|
|
|
$
|
1.2
|
|
|
$
|
14.5
|
|
|
$
|
—
|
|
|
$
|
45.5
|
|
Item 2.
|
Management’s Discussion and Analysis of Financial Condition and Results of Operations
|
•
|
continuing to provide high-quality, cost-effective care to patients in our existing markets;
|
•
|
achieving organic growth at our existing hospitals, home health agencies, and hospice agencies;
|
•
|
expanding our services to more patients who require post-acute healthcare services by constructing and acquiring new hospitals in new markets and acquiring home health and hospice agencies in new markets;
|
•
|
continuing our shareholder value-enhancing strategies such as common stock dividends and repurchases of our common stock; and
|
•
|
positioning the Company for continued success in the evolving healthcare delivery system. This preparation includes continuing the installation of our electronic clinical information system in our hospitals which allows for interfaces with all major acute care electronic medical record systems and health information exchanges and participating in bundling projects and Accountable Care Organizations (“ACOs”).
|
•
|
began operating the 27-bed inpatient rehabilitation hospital at CHI St. Vincent Hot Springs, a Catholic Health Initiatives’ hospital, in Hot Springs, Arkansas with our joint venture partner, St. Vincent Community Health Services, Inc, in February 2016. The joint venture completed construction of a new 40-bed hospital and began accepting patients on July 1, 2016;
|
•
|
acquired, in May 2016, Home Health Agency of Georgia, LLC., a home health and hospice provider with two home health locations and two hospice locations in the Greater Atlanta area;
|
•
|
began accepting patients at our new home health locations in Lee’s Summit, Missouri in February 2016 and New Port Richey, Florida in May 2016;
|
•
|
continued our capacity expansions by adding 60 new beds to existing hospitals; and
|
•
|
continued development of the following de novo hospitals:
|
Location
|
# of Beds
|
Actual / Expected Construction Start Date
|
Expected Operational Date
|
Modesto, California
|
50
|
Q1 2015
|
Q4 2016
|
Pearland, Texas
(1)
|
40
|
Q4 2016
|
Q4 2017
|
Shelby County, Alabama
(2)
|
34
|
First half of 2017
|
First half of 2018
|
Murrieta, California
(3)
|
50
|
First half of 2017
|
Second half of 2018
|
•
|
In March 2016, we redeemed $50.0 million of the outstanding principal amount of our existing 7.75% Senior Notes due 2022 (the “2022 Notes”) using cash on hand and capacity under our revolving credit facility. Pursuant to the terms of these notes, this optional redemption was made at a price of 103.875%, which resulted in a total cash outlay of approximately $52 million.
|
•
|
In May 2016, we redeemed an additional $50.0 million of the outstanding principal amount of the 2022 Notes using cash on hand and capacity under our revolving credit facility. Pursuant to the terms of these notes, this optional redemption was also made at a price of 103.875%, which resulted in a total cash outlay of approximately $52 million.
|
•
|
Operating in a Highly Regulated Industry
. We are required to comply with extensive and complex laws and regulations at the federal, state, and local government levels. These rules and regulations have affected, or could in the future affect, our business activities by having an impact on the reimbursement we receive for services provided or the costs of compliance, mandating new documentation standards, requiring additional licensure or certification, regulating our relationships with physicians and other referral sources, regulating the use of our properties, and limiting our ability to enter new markets or add new capacity to existing hospitals and agencies. Ensuring continuous compliance with extensive laws and regulations is an operating requirement for all healthcare providers.
|
Market basket update
|
2.7%
|
Healthcare reform reduction
|
75 basis points
|
Productivity adjustment
|
50 basis points
|
•
|
Changes to Our Operating Environment Resulting from Healthcare Reform
. Our challenges related to healthcare reform are discussed in Item 1,
Business
, “Sources of Revenues,” Item 1A,
Risk Factors
, and Item 7,
Management’s Discussion and Analysis of Financial Condition and Results of Operations
, “Executive Overview—Key Challenges,” to the 2015 Form 10-K. Many provisions within the 2010 Healthcare Reform Laws have impacted, or could in the future impact, our business. Most notably for us are the reductions to our hospitals’ annual market basket updates, including productivity adjustments, mandated reductions to home health and hospice Medicare reimbursements, and future payment reforms such as ACOs and bundled payments.
|
•
|
Maintaining Strong Volume Growth
. Various factors, including competition, increasing regulatory and administrative burdens, and changes in the healthcare delivery system, may impact our ability to maintain and grow our hospital, home health, and hospice volumes. In any particular market, we may encounter competition from local or national entities with longer operating histories or other competitive advantages, such as acute care hospitals who provide post-acute services similar to ours or other post-acute providers with relationships with referring acute care hospitals or physicians. Aggressive payment review practices by Medicare contractors, aggressive enforcement of regulatory policies by government agencies, and restrictive or burdensome rules, regulations or statutes governing admissions practices may lead us to not accept patients who would be appropriate for and would benefit from the services we provide. In addition, from time to time, we must get
|
•
|
Recruiting and Retaining High-Quality Personnel
. See Item 1A,
Risk Factors
, to the 2015 Form 10-K for a discussion of competition for staffing, shortages of qualified personnel, and other factors that may increase our labor costs. Recruiting and retaining qualified personnel for our inpatient hospitals and home health and hospice agencies remain a high priority for us. We attempt to maintain a comprehensive compensation and benefits package that allows us to remain competitive in this challenging staffing environment while remaining consistent with our goal of being a high-quality, cost-effective provider of post-acute services.
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||
Medicare
|
74.7
|
%
|
|
74.5
|
%
|
|
75.1
|
%
|
|
74.7
|
%
|
Medicare Advantage
|
8.1
|
%
|
|
7.7
|
%
|
|
7.9
|
%
|
|
8.0
|
%
|
Managed care
|
10.0
|
%
|
|
10.1
|
%
|
|
9.8
|
%
|
|
10.0
|
%
|
Medicaid
|
3.2
|
%
|
|
3.1
|
%
|
|
3.3
|
%
|
|
2.9
|
%
|
Other third-party payors
|
1.4
|
%
|
|
1.8
|
%
|
|
1.4
|
%
|
|
1.6
|
%
|
Workers’ compensation
|
0.7
|
%
|
|
0.9
|
%
|
|
0.8
|
%
|
|
0.9
|
%
|
Patients
|
0.5
|
%
|
|
0.6
|
%
|
|
0.5
|
%
|
|
0.6
|
%
|
Other income
|
1.4
|
%
|
|
1.3
|
%
|
|
1.2
|
%
|
|
1.3
|
%
|
Total
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
Three Months Ended June 30,
|
|
Percentage Change
|
|
Six Months Ended June 30,
|
|
Percentage Change
|
||||||||||||||
|
2016
|
|
2015
|
|
2016 vs. 2015
|
|
2016
|
|
2015
|
|
2016 vs. 2015
|
||||||||||
|
(In Millions, Except Percentage Change)
|
||||||||||||||||||||
Net operating revenues
|
$
|
920.7
|
|
|
$
|
764.4
|
|
|
20.4
|
%
|
|
$
|
1,830.5
|
|
|
$
|
1,505.0
|
|
|
21.6
|
%
|
Less: Provision for doubtful accounts
|
(15.4
|
)
|
|
(10.9
|
)
|
|
41.3
|
%
|
|
(31.9
|
)
|
|
(22.5
|
)
|
|
41.8
|
%
|
||||
Net operating revenues less provision for doubtful accounts
|
905.3
|
|
|
753.5
|
|
|
20.1
|
%
|
|
1,798.6
|
|
|
1,482.5
|
|
|
21.3
|
%
|
||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Salaries and benefits
|
486.1
|
|
|
401.8
|
|
|
21.0
|
%
|
|
972.2
|
|
|
786.9
|
|
|
23.5
|
%
|
||||
Other operating expenses
|
121.5
|
|
|
104.2
|
|
|
16.6
|
%
|
|
240.7
|
|
|
207.4
|
|
|
16.1
|
%
|
||||
Occupancy costs
|
17.9
|
|
|
12.5
|
|
|
43.2
|
%
|
|
35.9
|
|
|
24.6
|
|
|
45.9
|
%
|
||||
Supplies
|
34.4
|
|
|
31.7
|
|
|
8.5
|
%
|
|
69.4
|
|
|
63.1
|
|
|
10.0
|
%
|
||||
General and administrative expenses
|
34.4
|
|
|
32.1
|
|
|
7.2
|
%
|
|
66.3
|
|
|
66.7
|
|
|
(0.6
|
)%
|
||||
Depreciation and amortization
|
42.9
|
|
|
32.7
|
|
|
31.2
|
%
|
|
85.3
|
|
|
64.6
|
|
|
32.0
|
%
|
||||
Government, class action, and related settlements
|
—
|
|
|
—
|
|
|
N/A
|
|
|
—
|
|
|
8.0
|
|
|
(100.0
|
)%
|
||||
Professional fees—accounting, tax, and legal
|
1.7
|
|
|
0.1
|
|
|
1,600.0
|
%
|
|
1.9
|
|
|
2.3
|
|
|
(17.4
|
)%
|
||||
Total operating expenses
|
738.9
|
|
|
615.1
|
|
|
20.1
|
%
|
|
1,471.7
|
|
|
1,223.6
|
|
|
20.3
|
%
|
||||
Loss on early extinguishment of debt
|
2.4
|
|
|
18.8
|
|
|
(87.2
|
)%
|
|
4.8
|
|
|
20.0
|
|
|
(76.0
|
)%
|
||||
Interest expense and amortization of debt discounts and fees
|
43.4
|
|
|
30.9
|
|
|
40.5
|
%
|
|
88.0
|
|
|
62.7
|
|
|
40.4
|
%
|
||||
Other income
|
(0.7
|
)
|
|
(3.0
|
)
|
|
(76.7
|
)%
|
|
(1.3
|
)
|
|
(3.5
|
)
|
|
(62.9
|
)%
|
||||
Equity in net income of nonconsolidated affiliates
|
(2.4
|
)
|
|
(2.3
|
)
|
|
4.3
|
%
|
|
(4.8
|
)
|
|
(3.9
|
)
|
|
23.1
|
%
|
||||
Income from continuing operations before income tax expense
|
123.7
|
|
|
94.0
|
|
|
31.6
|
%
|
|
240.2
|
|
|
183.6
|
|
|
30.8
|
%
|
||||
Provision for income tax expense
|
42.4
|
|
|
32.2
|
|
|
31.7
|
%
|
|
82.1
|
|
|
62.5
|
|
|
31.4
|
%
|
||||
Income from continuing operations
|
81.3
|
|
|
61.8
|
|
|
31.6
|
%
|
|
158.1
|
|
|
121.1
|
|
|
30.6
|
%
|
||||
Loss from discontinued operations, net of tax
|
(0.1
|
)
|
|
(1.6
|
)
|
|
(93.8
|
)%
|
|
(0.2
|
)
|
|
(1.9
|
)
|
|
(89.5
|
)%
|
||||
Net income
|
81.2
|
|
|
60.2
|
|
|
34.9
|
%
|
|
157.9
|
|
|
119.2
|
|
|
32.5
|
%
|
||||
Less: Net income attributable to noncontrolling interests
|
(18.6
|
)
|
|
(17.3
|
)
|
|
7.5
|
%
|
|
(37.3
|
)
|
|
(33.8
|
)
|
|
10.4
|
%
|
||||
Net income attributable to HealthSouth
|
$
|
62.6
|
|
|
$
|
42.9
|
|
|
45.9
|
%
|
|
$
|
120.6
|
|
|
$
|
85.4
|
|
|
41.2
|
%
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||
Provision for doubtful accounts
|
1.7
|
%
|
|
1.4
|
%
|
|
1.7
|
%
|
|
1.5
|
%
|
Operating expenses:
|
|
|
|
|
|
|
|
||||
Salaries and benefits
|
52.8
|
%
|
|
52.6
|
%
|
|
53.1
|
%
|
|
52.3
|
%
|
Other operating expenses
|
13.2
|
%
|
|
13.6
|
%
|
|
13.1
|
%
|
|
13.8
|
%
|
Occupancy costs
|
1.9
|
%
|
|
1.6
|
%
|
|
2.0
|
%
|
|
1.6
|
%
|
Supplies
|
3.7
|
%
|
|
4.1
|
%
|
|
3.8
|
%
|
|
4.2
|
%
|
General and administrative expenses
|
3.7
|
%
|
|
4.2
|
%
|
|
3.6
|
%
|
|
4.4
|
%
|
Depreciation and amortization
|
4.7
|
%
|
|
4.3
|
%
|
|
4.7
|
%
|
|
4.3
|
%
|
Government, class action, and related settlements
|
—
|
%
|
|
—
|
%
|
|
—
|
%
|
|
0.5
|
%
|
Professional fees—accounting, tax, and legal
|
0.2
|
%
|
|
—
|
%
|
|
0.1
|
%
|
|
0.2
|
%
|
Total operating expenses
|
80.3
|
%
|
|
80.5
|
%
|
|
80.4
|
%
|
|
81.3
|
%
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||
Medicare
|
73.1
|
%
|
|
72.7
|
%
|
|
73.3
|
%
|
|
73.1
|
%
|
Medicare Advantage
|
7.8
|
%
|
|
7.8
|
%
|
|
7.7
|
%
|
|
8.1
|
%
|
Managed care
|
11.5
|
%
|
|
11.4
|
%
|
|
11.2
|
%
|
|
11.3
|
%
|
Medicaid
|
2.9
|
%
|
|
2.6
|
%
|
|
3.0
|
%
|
|
2.3
|
%
|
Other third-party payors
|
1.7
|
%
|
|
2.1
|
%
|
|
1.7
|
%
|
|
1.9
|
%
|
Workers’ compensation
|
0.8
|
%
|
|
1.1
|
%
|
|
1.0
|
%
|
|
1.1
|
%
|
Patients
|
0.6
|
%
|
|
0.7
|
%
|
|
0.6
|
%
|
|
0.7
|
%
|
Other income
|
1.6
|
%
|
|
1.6
|
%
|
|
1.5
|
%
|
|
1.5
|
%
|
Total
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
Three Months Ended June 30,
|
|
Percentage Change
|
|
Six Months Ended June 30,
|
|
Percentage Change
|
||||||||||||||
|
2016
|
|
2015
|
|
2016 vs. 2015
|
|
2016
|
|
2015
|
|
2016 vs. 2015
|
||||||||||
|
(In Millions, Except Percentage Change)
|
||||||||||||||||||||
Net operating revenues:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Inpatient
|
$
|
721.2
|
|
|
$
|
618.7
|
|
|
16.6
|
%
|
|
$
|
1,440.5
|
|
|
$
|
1,225.3
|
|
|
17.6
|
%
|
Outpatient and other
|
31.4
|
|
|
26.6
|
|
|
18.0
|
%
|
|
61.3
|
|
|
50.3
|
|
|
21.9
|
%
|
||||
Inpatient rehabilitation segment revenues
|
752.6
|
|
|
645.3
|
|
|
16.6
|
%
|
|
1,501.8
|
|
|
1,275.6
|
|
|
17.7
|
%
|
||||
Less: Provision for doubtful accounts
|
(14.5
|
)
|
|
(10.2
|
)
|
|
42.2
|
%
|
|
(30.1
|
)
|
|
(21.2
|
)
|
|
42.0
|
%
|
||||
Net operating revenues less provision for doubtful accounts
|
738.1
|
|
|
635.1
|
|
|
16.2
|
%
|
|
1,471.7
|
|
|
1,254.4
|
|
|
17.3
|
%
|
||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Salaries and benefits
|
366.1
|
|
|
317.6
|
|
|
15.3
|
%
|
|
736.0
|
|
|
624.0
|
|
|
17.9
|
%
|
||||
Other operating expenses
|
106.8
|
|
|
93.5
|
|
|
14.2
|
%
|
|
211.6
|
|
|
188.7
|
|
|
12.1
|
%
|
||||
Supplies
|
31.8
|
|
|
29.9
|
|
|
6.4
|
%
|
|
64.2
|
|
|
59.7
|
|
|
7.5
|
%
|
||||
Occupancy costs
|
15.4
|
|
|
10.7
|
|
|
43.9
|
%
|
|
31.0
|
|
|
21.1
|
|
|
46.9
|
%
|
||||
Other income
|
(0.7
|
)
|
|
(0.4
|
)
|
|
75.0
|
%
|
|
(1.3
|
)
|
|
(0.9
|
)
|
|
44.4
|
%
|
||||
Equity in net income of nonconsolidated affiliates
|
(2.2
|
)
|
|
(2.3
|
)
|
|
(4.3
|
)%
|
|
(4.4
|
)
|
|
(3.9
|
)
|
|
12.8
|
%
|
||||
Noncontrolling interests
|
16.8
|
|
|
15.6
|
|
|
7.7
|
%
|
|
33.6
|
|
|
30.8
|
|
|
9.1
|
%
|
||||
Segment Adjusted EBITDA
|
$
|
204.1
|
|
|
$
|
170.5
|
|
|
19.7
|
%
|
|
$
|
401.0
|
|
|
$
|
334.9
|
|
|
19.7
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
(Actual Amounts)
|
||||||||||||||||||||
Discharges
|
41,365
|
|
|
36,408
|
|
|
13.6
|
%
|
|
82,463
|
|
|
71,524
|
|
|
15.3
|
%
|
||||
Net patient revenue per discharge
|
$
|
17,435
|
|
|
$
|
16,994
|
|
|
2.6
|
%
|
|
$
|
17,468
|
|
|
$
|
17,131
|
|
|
2.0
|
%
|
Outpatient visits
|
164,761
|
|
|
144,914
|
|
|
13.7
|
%
|
|
327,410
|
|
|
276,267
|
|
|
18.5
|
%
|
||||
Average length of stay (days)
|
12.6
|
|
|
13.0
|
|
|
(3.1
|
)%
|
|
12.8
|
|
|
13.1
|
|
|
(2.3
|
)%
|
||||
Occupancy %
|
68.2
|
%
|
|
70.4
|
%
|
|
(3.1
|
)%
|
|
68.8
|
%
|
|
70.2
|
%
|
|
(2.0
|
)%
|
||||
# of licensed beds
|
8,430
|
|
|
7,374
|
|
|
14.3
|
%
|
|
8,430
|
|
|
7,374
|
|
|
14.3
|
%
|
||||
Full-time equivalents*
|
19,708
|
|
|
17,601
|
|
|
12.0
|
%
|
|
19,627
|
|
|
17,302
|
|
|
13.4
|
%
|
||||
Employees per occupied bed
|
3.43
|
|
|
3.41
|
|
|
0.6
|
%
|
|
3.39
|
|
|
3.36
|
|
|
0.9
|
%
|
*
|
Excludes approximately 420 full-time equivalents for the three and six months ended June 30, 2016 and approximately 400 full-time equivalents for the three and six months ended June 30, 2015 who are considered part of corporate overhead with their salaries and benefits included in
General and administrative expenses
in our consolidated statements of operations. Full-time equivalents included in the above table represent HealthSouth employees who participate in or support the operations of our hospitals and exclude an estimate of full-time equivalents related to contract labor.
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||
Medicare
|
82.3
|
%
|
|
83.9
|
%
|
|
82.9
|
%
|
|
83.8
|
%
|
Medicare Advantage
|
9.0
|
%
|
|
7.2
|
%
|
|
8.9
|
%
|
|
7.3
|
%
|
Managed care
|
3.7
|
%
|
|
2.9
|
%
|
|
3.2
|
%
|
|
3.0
|
%
|
Medicaid
|
4.8
|
%
|
|
5.8
|
%
|
|
4.8
|
%
|
|
5.7
|
%
|
Other third-party payors
|
—
|
%
|
|
0.1
|
%
|
|
—
|
%
|
|
0.1
|
%
|
Patients
|
0.1
|
%
|
|
0.1
|
%
|
|
0.1
|
%
|
|
0.1
|
%
|
Other income
|
0.1
|
%
|
|
—
|
%
|
|
0.1
|
%
|
|
—
|
%
|
Total
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
Three Months Ended June 30,
|
|
Percentage Change
|
|
Six Months Ended June 30,
|
|
Percentage Change
|
||||||||||||||
|
2016
|
|
2015
|
|
2016 vs. 2015
|
|
2016
|
|
2015
|
|
2016 vs. 2015
|
||||||||||
|
(In Millions, Except Percentage Change)
|
||||||||||||||||||||
Net operating revenues:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Home health
|
$
|
157.1
|
|
|
$
|
111.5
|
|
|
40.9
|
%
|
|
$
|
308.0
|
|
|
$
|
215.4
|
|
|
43.0
|
%
|
Hospice
|
11.0
|
|
|
7.6
|
|
|
44.7
|
%
|
|
20.7
|
|
|
14.0
|
|
|
47.9
|
%
|
||||
Home health and hospice segment revenues
|
168.1
|
|
|
119.1
|
|
|
41.1
|
%
|
|
328.7
|
|
|
229.4
|
|
|
43.3
|
%
|
||||
Less: Provision for doubtful accounts
|
(0.9
|
)
|
|
(0.7
|
)
|
|
28.6
|
%
|
|
(1.8
|
)
|
|
(1.3
|
)
|
|
38.5
|
%
|
||||
Net operating revenues less provision for doubtful accounts
|
167.2
|
|
|
118.4
|
|
|
41.2
|
%
|
|
326.9
|
|
|
228.1
|
|
|
43.3
|
%
|
||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Cost of services sold (excluding depreciation and amortization)
|
81.6
|
|
|
56.7
|
|
|
43.9
|
%
|
|
160.0
|
|
|
110.1
|
|
|
45.3
|
%
|
||||
Support and overhead costs
|
58.0
|
|
|
41.0
|
|
|
41.5
|
%
|
|
115.0
|
|
|
79.1
|
|
|
45.4
|
%
|
||||
Equity in net income of nonconsolidated affiliates
|
(0.2
|
)
|
|
—
|
|
|
N/A
|
|
|
(0.4
|
)
|
|
—
|
|
|
N/A
|
|
||||
Noncontrolling interests
|
1.8
|
|
|
1.7
|
|
|
5.9
|
%
|
|
3.7
|
|
|
3.0
|
|
|
23.3
|
%
|
||||
Segment Adjusted EBITDA
|
$
|
26.0
|
|
|
$
|
19.0
|
|
|
36.8
|
%
|
|
$
|
48.6
|
|
|
$
|
35.9
|
|
|
35.4
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
(Actual Amounts)
|
||||||||||||||||||||
Home health:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Admissions
|
25,753
|
|
|
16,862
|
|
|
52.7
|
%
|
|
51,516
|
|
|
33,361
|
|
|
54.4
|
%
|
||||
Recertifications
|
20,432
|
|
|
15,103
|
|
|
35.3
|
%
|
|
39,885
|
|
|
29,588
|
|
|
34.8
|
%
|
||||
Episodes
|
45,774
|
|
|
31,817
|
|
|
43.9
|
%
|
|
89,618
|
|
|
61,329
|
|
|
46.1
|
%
|
||||
Average revenue per episode
|
$
|
3,033
|
|
|
$
|
3,082
|
|
|
(1.6
|
)%
|
|
$
|
3,034
|
|
|
$
|
3,092
|
|
|
(1.9
|
)%
|
Episodic visits per episode
|
18.9
|
|
|
19.4
|
|
|
(2.6
|
)%
|
|
19.0
|
|
|
19.5
|
|
|
(2.6
|
)%
|
||||
Total visits
|
967,968
|
|
|
675,095
|
|
|
43.4
|
%
|
|
1,905,772
|
|
|
1,306,094
|
|
|
45.9
|
%
|
||||
Cost per visit
|
$
|
73
|
|
|
$
|
71
|
|
|
2.8
|
%
|
|
$
|
73
|
|
|
$
|
71
|
|
|
2.8
|
%
|
Hospice:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Admissions
|
785
|
|
|
594
|
|
|
32.2
|
%
|
|
1,509
|
|
|
1,218
|
|
|
23.9
|
%
|
||||
Patient days
|
71,277
|
|
|
49,272
|
|
|
44.7
|
%
|
|
134,709
|
|
|
90,170
|
|
|
49.4
|
%
|
||||
Revenue per day
|
$
|
154
|
|
|
$
|
154
|
|
|
—
|
%
|
|
$
|
154
|
|
|
$
|
155
|
|
|
(0.6
|
)%
|
|
Six Months Ended June 30,
|
||||||
|
2016
|
|
2015
|
||||
Net cash provided by operating activities
|
$
|
311.9
|
|
|
$
|
204.9
|
|
Net cash used in investing activities
|
(105.5
|
)
|
|
(126.7
|
)
|
||
Net cash used in financing activities
|
(197.7
|
)
|
|
(99.4
|
)
|
||
Increase (decrease) in cash and cash equivalents
|
$
|
8.7
|
|
|
$
|
(21.2
|
)
|
|
Total
|
|
July 1 through December 31, 2016
|
|
2017 - 2018
|
|
2019 - 2020
|
|
2021 and thereafter
|
||||||||||
Long-term debt obligations:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Long-term debt, excluding revolving credit facility and capital lease obligations
(a)
|
$
|
2,653.0
|
|
|
$
|
12.2
|
|
|
$
|
47.4
|
|
|
$
|
654.2
|
|
|
$
|
1,939.2
|
|
Revolving credit facility
|
150.0
|
|
|
—
|
|
|
—
|
|
|
150.0
|
|
|
—
|
|
|||||
Interest on long-term debt
(b)
|
1,037.4
|
|
|
67.3
|
|
|
270.8
|
|
|
267.3
|
|
|
432.0
|
|
|||||
Capital lease obligations
(c)
|
527.3
|
|
|
15.5
|
|
|
68.6
|
|
|
58.3
|
|
|
384.9
|
|
|||||
Operating lease obligations
(d)(e)
|
411.7
|
|
|
30.7
|
|
|
109.8
|
|
|
84.7
|
|
|
186.5
|
|
|||||
Purchase obligations
(e)(f)
|
95.8
|
|
|
15.3
|
|
|
49.9
|
|
|
23.7
|
|
|
6.9
|
|
|||||
Other long-term liabilities
(g)(h)
|
3.6
|
|
|
0.1
|
|
|
0.4
|
|
|
0.4
|
|
|
2.7
|
|
|||||
Total
|
$
|
4,878.8
|
|
|
$
|
141.1
|
|
|
$
|
546.9
|
|
|
$
|
1,238.6
|
|
|
$
|
2,952.2
|
|
(a)
|
Included in long-term debt are amounts owed on our bonds payable and other notes payable. These borrowings are further explained in Note
5
,
Long-term Debt
, to the condensed consolidated financial statements included in Part I, Item 1,
Financial Statements (Unaudited)
, of this report and Note 8,
Long-term Debt,
to the consolidated financial statements accompanying the
2015 Form 10-K
.
|
(b)
|
Interest on our fixed rate debt is presented using the stated interest rate. Interest expense on our variable rate debt is estimated using the rate in effect as of
June 30, 2016
. Interest pertaining to our credit agreement and bonds is included to their respective ultimate maturity dates. Interest related to capital lease obligations is excluded from this line. Future minimum payments, which are accounted for as interest, related to sale/leaseback transactions involving real estate accounted for as financings are included in this line (see Note 5,
Property and Equipment
, and Note 8,
Long-term Debt
, to the consolidated financial statements accompanying the
2015 Form 10-K
). Amounts exclude amortization of debt discounts, amortization of loan fees, or fees for lines of credit that would be included in interest expense in our consolidated statements of operations.
|
(c)
|
Amounts include interest portion of future minimum capital lease payments.
|
(d)
|
Our inpatient rehabilitation segment leases approximately 16% of its hospitals as well as other property and equipment under operating leases in the normal course of business. Our home health and hospice segment leases relatively small office spaces in the localities it serves, space for its corporate office, and other equipment under operating leases in the normal course of business. Some of our hospital leases contain escalation clauses based on changes in the Consumer Price Index while others have fixed escalation terms. The minimum lease payments do not include contingent rental expense. Some lease agreements provide us with the option to renew the lease or purchase the leased property. Our future operating lease obligations would change if we exercised these renewal options and if we entered into additional operating lease agreements. For more information, see Note 5,
Property and Equipment,
to the consolidated financial statements accompanying the
2015 Form 10-K
.
|
(e)
|
Future operating lease obligations and purchase obligations are not recognized in our condensed consolidated balance sheet.
|
(f)
|
Purchase obligations include agreements to purchase goods or services that are enforceable and legally binding on HealthSouth and that specify all significant terms, including: fixed or minimum quantities to be purchased; fixed, minimum, or variable price provisions; and the approximate timing of the transaction. Purchase obligations exclude agreements that are cancelable without penalty. Our purchase obligations primarily relate to software licensing and support.
|
(g)
|
Because their future cash outflows are uncertain, the following noncurrent liabilities are excluded from the table above: general liability, professional liability, and workers' compensation risks, noncurrent amounts related to third-party billing audits, and deferred income taxes. Also, as of
June 30, 2016
, we had
$2.8 million
of total gross
|
(h)
|
The table above does not include
Redeemable noncontrolling interests
of
$120.0 million
because of the uncertainty surrounding the timing and amounts of any related cash outflows.
|
|
Three Months Ended June 30,
|
|
Six Months Ended June 30,
|
||||||||||||
|
2016
|
|
2015
|
|
2016
|
|
2015
|
||||||||
Net income
|
$
|
81.2
|
|
|
$
|
60.2
|
|
|
$
|
157.9
|
|
|
$
|
119.2
|
|
Loss from discontinued operations, net of tax, attributable to HealthSouth
|
0.1
|
|
|
1.6
|
|
|
0.2
|
|
|
1.9
|
|
||||
Provision for income tax expense
|
42.4
|
|
|
32.2
|
|
|
82.1
|
|
|
62.5
|
|
||||
Interest expense and amortization of debt discounts and fees
|
43.4
|
|
|
30.9
|
|
|
88.0
|
|
|
62.7
|
|
||||
Professional fees—accounting, tax, and legal
|
1.7
|
|
|
0.1
|
|
|
1.9
|
|
|
2.3
|
|
||||
Government, class action, and related settlements
|
—
|
|
|
—
|
|
|
—
|
|
|
8.0
|
|
||||
Net noncash loss (gain) on disposal or impairment of assets
|
0.2
|
|
|
0.8
|
|
|
0.4
|
|
|
(0.7
|
)
|
||||
Depreciation and amortization
|
42.9
|
|
|
32.7
|
|
|
85.3
|
|
|
64.6
|
|
||||
Loss on early extinguishment of debt
|
2.4
|
|
|
18.8
|
|
|
4.8
|
|
|
20.0
|
|
||||
Stock-based compensation expense
|
8.6
|
|
|
6.2
|
|
|
13.1
|
|
|
15.6
|
|
||||
Net income attributable to noncontrolling interests
|
(18.6
|
)
|
|
(17.3
|
)
|
|
(37.3
|
)
|
|
(33.8
|
)
|
||||
Transaction costs
|
—
|
|
|
3.3
|
|
|
—
|
|
|
3.3
|
|
||||
Adjusted EBITDA
|
$
|
204.3
|
|
|
$
|
169.5
|
|
|
$
|
396.4
|
|
|
$
|
325.6
|
|
|
Six Months Ended June 30,
|
||||||
|
2016
|
|
2015
|
||||
Net cash provided by operating activities
|
$
|
311.9
|
|
|
$
|
204.9
|
|
Provision for doubtful accounts
|
(31.9
|
)
|
|
(22.5
|
)
|
||
Professional fees—accounting, tax, and legal
|
1.9
|
|
|
2.3
|
|
||
Interest expense and amortization of debt discounts and fees
|
88.0
|
|
|
62.7
|
|
||
Equity in net income of nonconsolidated affiliates
|
4.8
|
|
|
3.9
|
|
||
Net income attributable to noncontrolling interests in continuing operations
|
(37.3
|
)
|
|
(33.8
|
)
|
||
Amortization of debt-related items
|
(6.8
|
)
|
|
(6.3
|
)
|
||
Distributions from nonconsolidated affiliates
|
(3.0
|
)
|
|
(3.7
|
)
|
||
Current portion of income tax expense
|
9.0
|
|
|
6.9
|
|
||
Change in assets and liabilities
|
55.2
|
|
|
101.2
|
|
||
Premium received on bond issuance
|
—
|
|
|
(8.0
|
)
|
||
Premium paid on bond redemption
|
3.9
|
|
|
11.8
|
|
||
Transaction costs
|
—
|
|
|
3.3
|
|
||
Net cash used in operating activities of discontinued operations
|
0.5
|
|
|
0.3
|
|
||
Other
|
0.2
|
|
|
2.6
|
|
||
Adjusted EBITDA
|
$
|
396.4
|
|
|
$
|
325.6
|
|
Item 3.
|
Quantitative and Qualitative Disclosures about Market Risk
|
Item 4.
|
Controls and Procedures
|
Item 1.
|
Legal Proceedings
|
Item 1A.
|
Risk Factors
|
Item 2.
|
Unregistered Sales of Equity Securities and Use of Proceeds
|
Period
|
|
Total Number of Shares (or Units) Purchased
(1)
|
|
Average Price Paid per Share (or Unit) ($)
|
|
Total Number of Shares Purchased as Part of Publicly Announced Plans or Programs
|
|
Maximum Number (or Approximate Dollar Value) of Shares That May Yet Be Purchased Under the Plans or Programs
(2)
|
||||||
April 1 through
April 30, 2016
|
|
38,794
|
|
|
$
|
35.42
|
|
|
35,776
|
|
|
$
|
147,505,752
|
|
May 1 through May 31, 2016
|
|
145,447
|
|
|
39.83
|
|
|
145,447
|
|
|
141,712,702
|
|
||
June 1 through June 30, 2016
|
|
106,623
|
|
|
39.49
|
|
|
106,449
|
|
|
137,508,756
|
|
||
Total
|
|
290,864
|
|
|
39.12
|
|
|
287,672
|
|
|
|
|
(1)
|
Except as noted in the following sentence, the number of shares reported in this column includes the shares purchased under the plan or program as reported in the third column of this table and the shares tendered by employees as payments of the tax liabilities incident to the vesting of previously awarded shares of restricted stock and the exercise price and tax liability incident to the net settlement of an option exercise. In April, 1,112 shares were purchased pursuant to our Directors’ Deferred Stock Investment Plan. This plan is a nonqualified deferral plan allowing non-employee directors to make advance elections to defer a fixed percentage of their director fees. The plan administrator acquires the shares in the open market which are then held in a rabbi trust. The plan provides that dividends paid on the shares held for the accounts of the directors will be reinvested in shares of our common stock which will also be held in the trust. The directors’ rights to all shares in the trust are nonforfeitable, but the shares are only released to the directors after departure from our board.
|
(2)
|
On October 28, 2013, we announced our board of directors authorized the repurchase of up to $200 million of our common stock. On February 14, 2014, our board of directors approved an increase in this common stock repurchase authorization from $200 million to $250 million. The repurchase authorization does not require the repurchase of a specific number of shares, has an indefinite term, and is subject to termination at any time by our board of directors. Subject to certain terms and conditions, including a maximum price per share and compliance with federal and state securities and other laws, the repurchases may be made from time to time in open market transactions, privately negotiated transactions, or other transactions, including trades under a plan established in accordance with Rule 10b5-1 under the Securities Exchange Act of 1934, as amended.
|
Item 6.
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Exhibits
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HEALTHSOUTH CORPORATION
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By:
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/s/ Douglas E. Coltharp
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Douglas E. Coltharp
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Executive Vice President and Chief Financial Officer
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Date:
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July 29, 2016
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+
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Management contract or compensatory plan or arrangement.
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This document is part of a prospectus covering securities that have been registered under the Securities Act of 1933, as amended. This document may be used only in connection with our offer and sale of the securities hereunder. You cannot use this document to offer or sell the securities that you acquire hereunder to anyone else. A paper version of this document and the other documents constituting the complete prospectus are available upon request by contacting a representative in the compensation group in the Human Resources department.
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Reason for
Termination
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Continuing
Exercise Period
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Disability
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1 year following termination
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Death (Including death during the applicable continuing exercise period following termination for another reason)
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1 year following death
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Retirement
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Lesser of the Original Term of Option or SAR or 3 Years
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Reason Other Than Death, Disability, Retirement or Cause
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90 days following termination
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This document is part of a prospectus covering securities that have been registered under the Securities Act of 1933, as amended. This document may be used only in connection with our offer and sale of the securities hereunder. You cannot use this document to offer or sell the securities that you acquire hereunder to anyone else. A paper version of this document and the other documents constituting the complete prospectus are available upon request by contacting ___________ in the Human Resources department.
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This document is part of a prospectus covering securities that have been registered under the Securities Act of 1933, as amended. This document may be used only in connection with our offer and sale of the securities hereunder. You cannot use this document to offer or sell the securities that you acquire hereunder to anyone else. A paper version of this document and the other documents constituting the complete prospectus are available upon request by contacting ___________ in the Human Resources department.
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This document is part of a prospectus covering securities that have been registered under the Securities Act of 1933, as amended. This document may be used only in connection with our offer and sale of the securities hereunder. You cannot use this document to offer or sell the securities that you acquire hereunder to anyone else. A paper version of this document and the other documents constituting the complete prospectus are available upon request by contacting ___________ in the Human Resources department.
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This document is part of a prospectus covering securities that have been registered under the Securities Act of 1933, as amended. This document may be used only in connection with our offer and sale of the securities hereunder. You cannot use this document to offer or sell the securities that you acquire hereunder to anyone else. A paper version of this document and the other documents constituting the complete prospectus are available upon request by contacting __________ in the Human Resources department.
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1.
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Grant of Award
. The Corporation hereby grants to Grantee, as of the Grant Date and subject to the terms and conditions of the Plan and subject further to the terms and conditions set forth herein,
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Restricted Stock Units (the “
RSUs
”).
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2.
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Vesting
. The RSUs granted to Grantee shall be fully vested as of the Grant Date and shall be settled on the second business day (the “
Settlement Date
”) following the earlier of (i) the date on which Grantee ceases to serve on the Board of Directors for any reason or (ii) the date of Grantee’s death or Disability.
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3.
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Form of Payment
. Each RSU granted hereunder shall represent the right to receive one share of common stock, par value $.01 per share (the “
Common Stock
”), of the Corporation upon the settlement of each RSU, subject to adjustment pursuant to Section 17.1 of the Plan.
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4.
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Dividend Equivalents
. Additional RSUs shall be credited to Grantee’s account as of each date (a “
Dividend Date
”) on which cash dividends or special dividends and distributions are paid with respect to the Common Stock, provided that the record date with respect to such dividend or distribution occurs prior to the Settlement Date. The number of RSUs to be credited to Grantee’s account under the Plan as of any Dividend Date shall equal the quotient obtained by dividing (a) the product of (i) the number of the RSUs credited to such account on the record date for such dividend or distribution and (ii) the per share dividend
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5.
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Restrictions on Transfer
. RSUs may not be transferred or otherwise disposed of by Grantee, including by way of
sale, assignment, transfer, pledge, hypothecation or otherwise, except as permitted by the Committee, or by will or the laws of descent and distribution. No purported sale, assignment, mortgage, hypothecation, transfer, pledge, encumbrance, gift, transfer in trust (voting or other) or other disposition of, or creation of a security interest in or lien on, any of the RSUs by any holder thereof in violation of the provisions of this Agreement shall be valid, and the Corporation will not transfer any of such RSUs on its books, nor will any dividends be paid thereon, unless and until there has been full compliance with such provisions to the satisfaction of the Corporation. The foregoing restrictions are in addition to and not in lieu of any other remedies, legal or equitable, available to enforce said provisions.
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6.
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Approvals
. No shares of the Common Stock shall be issued under this Agreement unless and until all legal requirements applicable to the issuance of such shares have been complied with to the satisfaction of the Committee. The Committee shall have the right to condition any issuance of shares to Grantee on Grantee’s undertaking in writing to comply with such restrictions on the subsequent disposition of such shares as the Committee shall deem necessary or advisable as a result of any applicable law or regulation.
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7.
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Taxes
. Grantee understands that Grantee (and not the Corporation) shall be responsible for any tax liability that may arise as a result of the transactions contemplated by this Agreement. At the time Grantee recognizes taxable income in respect to the RSUs, Grantee shall owe to the Corporation an amount equal to the federal, state or local taxes, if any, the Corporation determines it is required to withhold under applicable tax laws with respect to the payment of the RSUs. At the Corporation’s discretion, Grantee may satisfy the foregoing requirement by one or a combination of the following methods: (a) making a payment to the Corporation in cash or cash equivalents; (b) with the consent of the Corporation, by authorizing the Corporation to withhold cash otherwise due to Grantee; (c) authorizing the Corporation to withhold a portion of the shares of the Common Stock to be received hereunder having a value equal to or less than the minimum amount required to be withheld or (d) a combination of the foregoing.
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8.
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No Voting Rights
. The RSUs shall not provide for or confer on Grantee any rights to vote on matters submitted to the stockholders of the Corporation.
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9.
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Compliance with Law and Regulations
. This Agreement, the RSUs granted hereby and any obligation of the Corporation hereunder shall be subject to all applicable federal, state and local laws, rules and regulations and to such approvals by any government or regulatory agency as may be required.
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10.
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Incorporation of Plan
. This Agreement is made under the provisions of the Plan (which is incorporated herein by reference) and shall be interpreted in a manner consistent with it. To the extent that this Agreement is silent with respect to, or in any way inconsistent with, the
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11.
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Binding Agreement; Successors
. This Agreement shall bind and inure to the benefit of the Corporation, its successors and assigns, and Grantee and Grantee’s personal representatives and beneficiaries.
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12.
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Governing Law; Administration and Interpretation
. This Agreement shall be governed by and construed in accordance with the laws of the State of Delaware
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The Plan shall be administered by the Committee, pursuant to Section 4 of the Plan. Furthermore, the interpretation and construction of any provision of the Plan or of the Award by the Committee shall be final, conclusive and binding. In the event there is any inconsistency or discrepancy between the provisions of this Award and the provisions of the Plan, the provisions of the Plan shall prevail
.
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13.
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Amendment
. This Agreement may be amended or modified by the Corporation at any time. Notwithstanding the foregoing, no amendment or modification that is adverse to the rights of Grantee as provided by this Agreement shall be effective unless set forth in a writing signed by the parties hereto.
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1.
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I have reviewed this quarterly report on Form 10-Q of HealthSouth Corporation;
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2.
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Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
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3.
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Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
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4.
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The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
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(a)
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Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
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(b)
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Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
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(c)
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Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
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(d)
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Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
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5.
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The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
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(a)
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All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
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(b)
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Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
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Date:
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July 29, 2016
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By:
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/s/ J
AY
G
RINNEY
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Jay Grinney
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President and Chief Executive Officer
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1.
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I have reviewed this quarterly report on Form 10-Q of HealthSouth Corporation;
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2.
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Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
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3.
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Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
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4.
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The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:
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(a)
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Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
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(b)
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Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;
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(c)
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Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
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(d)
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Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and
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5.
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The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
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(a)
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All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and
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(b)
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Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.
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Date:
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July 29, 2016
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By:
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/s/ D
OUGLAS
E. C
OLTHARP
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Douglas E. Coltharp
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Executive Vice President and
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Chief Financial Officer
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1.
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The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
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2.
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The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of HealthSouth Corporation.
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Date:
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July 29, 2016
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By:
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/s/ J
AY
G
RINNEY
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Jay Grinney
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President and Chief Executive Officer
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1.
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The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
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2.
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The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of HealthSouth Corporation.
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Date:
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July 29, 2016
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By:
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/s/ D
OUGLAS
E. C
OLTHARP
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Douglas E. Coltharp
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Executive Vice President and
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Chief Financial Officer
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