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
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Delaware
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63-0860407
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(State or Other Jurisdiction of Incorporation or Organization)
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(I.R.S. Employer Identification No.)
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9001 Liberty Parkway
Birmingham, Alabama
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35242
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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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3660 Grandview Parkway, Suite 200
Birmingham, Alabama 35243
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(Former name or former address, if changed since last report)
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Page
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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, 2017
, as well as uncertainties and factors, if any, discussed elsewhere in this Form 10-Q, including in the “Executive Overview—Key Challenges” section of Part I, Item 2,
Management’s Discussion and Analysis of Financial Condition and Results of Operations
, in our other filings from time to time with the SEC, or in materials incorporated therein by reference;
|
•
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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 re-basing of payment systems, the introduction of site neutral payments or case-mix weightings across post-acute settings, or other payment system reforms), which may decrease revenues and increase the costs of complying with such changes;
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•
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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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•
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restrictive interpretations of the regulations governing the claims that are reimbursable by Medicare;
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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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the use by governmental agencies and contractors of statistical sampling and extrapolation to expand claims of overpayment or noncompliance;
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•
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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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•
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the ongoing evolution of the healthcare delivery system, including alternative payment models and value-based purchasing initiatives, which may decrease our reimbursement rate or increase costs associated with our operations;
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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, including from other providers that may be participating in integrated delivery payment arrangements in which we do not participate, and our response to those pressures;
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•
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changes in our payor mix or the acuity of our patients affecting reimbursement rates;
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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, productivity improvements arising from the related operations and avoidance of unanticipated difficulties, costs or liabilities that could arise from acquisitions or integrations;
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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. Departments of Justice and 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 claims;
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•
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potential incidents affecting the proper operation, availability, or security of our information systems, including the patient information stored there;
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•
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our ongoing rebranding and name change initiative and the impact on our existing operations, including our ability to attract patient referrals to our hospitals as well as the associated costs of rebranding;
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•
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new or changing quality reporting requirements impacting operational costs or our Medicare reimbursement;
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•
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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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•
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our ability and willingness to continue to declare and pay dividends on our common stock;
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•
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our ability to maintain proper local, state and federal licensing, including compliance with the Medicare conditions of participation, which is required to participate in the Medicare program;
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•
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our ability to attract and retain key management personnel; and
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•
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general conditions in the economy and capital markets, including any instability or uncertainty related to armed conflict or an act of terrorism, governmental impasse over approval of the United States federal budget, an increase to the debt ceiling, or an international sovereign debt crisis.
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Item 1.
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Financial Statements (Unaudited)
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||
|
(In Millions, Except Per Share Data)
|
||||||||||||||
Net operating revenues
|
$
|
1,067.6
|
|
|
$
|
981.6
|
|
|
$
|
3,181.3
|
|
|
$
|
2,905.1
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
||||||
Salaries and benefits
|
592.3
|
|
|
542.1
|
|
|
1,740.7
|
|
|
1,600.0
|
|
||||
Other operating expenses
|
142.9
|
|
|
136.2
|
|
|
433.5
|
|
|
393.3
|
|
||||
Occupancy costs
|
19.6
|
|
|
18.6
|
|
|
57.7
|
|
|
54.8
|
|
||||
Supplies
|
38.6
|
|
|
36.5
|
|
|
117.8
|
|
|
110.6
|
|
||||
General and administrative expenses
|
49.9
|
|
|
39.7
|
|
|
165.9
|
|
|
128.6
|
|
||||
Depreciation and amortization
|
51.2
|
|
|
46.2
|
|
|
146.8
|
|
|
137.2
|
|
||||
Total operating expenses
|
894.5
|
|
|
819.3
|
|
|
2,662.4
|
|
|
2,424.5
|
|
||||
Loss on early extinguishment of debt
|
—
|
|
|
0.3
|
|
|
—
|
|
|
10.7
|
|
||||
Interest expense and amortization of debt discounts and fees
|
37.3
|
|
|
36.8
|
|
|
110.6
|
|
|
118.5
|
|
||||
Other income
|
(1.7
|
)
|
|
(1.0
|
)
|
|
(2.9
|
)
|
|
(2.9
|
)
|
||||
Equity in net income of nonconsolidated affiliates
|
(2.1
|
)
|
|
(2.1
|
)
|
|
(6.4
|
)
|
|
(6.2
|
)
|
||||
Income from continuing operations before income tax expense
|
139.6
|
|
|
128.3
|
|
|
417.6
|
|
|
360.5
|
|
||||
Provision for income tax expense
|
30.2
|
|
|
43.1
|
|
|
89.5
|
|
|
111.4
|
|
||||
Income from continuing operations
|
109.4
|
|
|
85.2
|
|
|
328.1
|
|
|
249.1
|
|
||||
Loss from discontinued operations, net of tax
|
(0.1
|
)
|
|
(0.1
|
)
|
|
(0.4
|
)
|
|
(0.2
|
)
|
||||
Net income
|
109.3
|
|
|
85.1
|
|
|
327.7
|
|
|
248.9
|
|
||||
Less: Net income attributable to noncontrolling interests
|
(20.7
|
)
|
|
(19.2
|
)
|
|
(63.5
|
)
|
|
(53.2
|
)
|
||||
Net income attributable to Encompass Health
|
$
|
88.6
|
|
|
$
|
65.9
|
|
|
$
|
264.2
|
|
|
$
|
195.7
|
|
|
|
|
|
|
|
|
|
||||||||
Weighted average common shares outstanding:
|
|
|
|
|
|
|
|
|
|
||||||
Basic
|
98.0
|
|
|
97.8
|
|
|
97.9
|
|
|
92.3
|
|
||||
Diluted
|
100.0
|
|
|
99.0
|
|
|
99.7
|
|
|
99.1
|
|
||||
|
|
|
|
|
|
|
|
||||||||
Earnings per common share:
|
|
|
|
|
|
|
|
||||||||
Basic earnings per share attributable to Encompass Health common shareholders:
|
|
|
|
|
|
|
|
|
|||||||
Continuing operations
|
$
|
0.90
|
|
|
$
|
0.67
|
|
|
$
|
2.69
|
|
|
$
|
2.11
|
|
Discontinued operations
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
Net income
|
$
|
0.90
|
|
|
$
|
0.67
|
|
|
$
|
2.69
|
|
|
$
|
2.11
|
|
Diluted earnings per share attributable to Encompass Health common shareholders:
|
|
|
|
|
|
|
|
||||||||
Continuing operations
|
$
|
0.89
|
|
|
$
|
0.67
|
|
|
$
|
2.65
|
|
|
$
|
2.08
|
|
Discontinued operations
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
Net income
|
$
|
0.89
|
|
|
$
|
0.67
|
|
|
$
|
2.65
|
|
|
$
|
2.08
|
|
|
|
|
|
|
|
|
|
||||||||
Cash dividends per common share
|
$
|
0.27
|
|
|
$
|
0.25
|
|
|
$
|
0.77
|
|
|
$
|
0.73
|
|
|
|
|
|
|
|
|
|
||||||||
Amounts attributable to Encompass Health common shareholders:
|
|
|
|
|
|
|
|
|
|
||||||
Income from continuing operations
|
$
|
88.7
|
|
|
$
|
66.0
|
|
|
$
|
264.6
|
|
|
$
|
195.9
|
|
Loss from discontinued operations, net of tax
|
(0.1
|
)
|
|
(0.1
|
)
|
|
(0.4
|
)
|
|
(0.2
|
)
|
||||
Net income attributable to Encompass Health
|
$
|
88.6
|
|
|
$
|
65.9
|
|
|
$
|
264.2
|
|
|
$
|
195.7
|
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||
|
(In Millions)
|
||||||||||||||
COMPREHENSIVE INCOME
|
|
|
|
|
|
|
|
||||||||
Net income
|
$
|
109.3
|
|
|
$
|
85.1
|
|
|
$
|
327.7
|
|
|
$
|
248.9
|
|
Other comprehensive income, net of tax:
|
|
|
|
|
|
|
|
|
|
||||||
Net change in unrealized gain on available-for-sale securities:
|
|
|
|
|
|
|
|
|
|
||||||
Unrealized net holding gain arising during the period
|
—
|
|
|
0.1
|
|
|
—
|
|
|
0.5
|
|
||||
Other comprehensive income before income taxes
|
—
|
|
|
0.1
|
|
|
—
|
|
|
0.5
|
|
||||
Provision for income tax expense related to other comprehensive income items
|
—
|
|
|
(0.1
|
)
|
|
—
|
|
|
(0.2
|
)
|
||||
Other comprehensive income, net of tax
|
—
|
|
|
—
|
|
|
—
|
|
|
0.3
|
|
||||
Comprehensive income
|
109.3
|
|
|
85.1
|
|
|
327.7
|
|
|
249.2
|
|
||||
Comprehensive income attributable to noncontrolling interests
|
(20.7
|
)
|
|
(19.2
|
)
|
|
(63.5
|
)
|
|
(53.2
|
)
|
||||
Comprehensive income attributable to Encompass Health
|
$
|
88.6
|
|
|
$
|
65.9
|
|
|
$
|
264.2
|
|
|
$
|
196.0
|
|
|
September 30,
2018 |
|
December 31,
2017 |
||||
|
(In Millions)
|
||||||
Assets
|
|
|
|
||||
Current assets:
|
|
|
|
||||
Cash and cash equivalents
|
$
|
56.9
|
|
|
$
|
54.4
|
|
Restricted cash
|
62.1
|
|
|
62.4
|
|
||
Accounts receivable
|
458.0
|
|
|
472.1
|
|
||
Other current assets
|
61.0
|
|
|
113.3
|
|
||
Total current assets
|
638.0
|
|
|
702.2
|
|
||
Property and equipment, net
|
1,591.0
|
|
|
1,517.1
|
|
||
Goodwill
|
2,081.1
|
|
|
1,972.6
|
|
||
Intangible assets, net
|
443.2
|
|
|
403.1
|
|
||
Deferred income tax assets
|
82.6
|
|
|
63.6
|
|
||
Other long-term assets
|
296.0
|
|
|
235.1
|
|
||
Total assets
(1)
|
$
|
5,131.9
|
|
|
$
|
4,893.7
|
|
Liabilities and Shareholders’ Equity
|
|
|
|
||||
Current liabilities:
|
|
|
|
||||
Current portion of long-term debt
|
$
|
37.1
|
|
|
$
|
32.3
|
|
Accounts payable
|
86.0
|
|
|
78.4
|
|
||
Accrued expenses and other current liabilities
|
486.5
|
|
|
406.8
|
|
||
Total current liabilities
|
609.6
|
|
|
517.5
|
|
||
Long-term debt, net of current portion
|
2,503.9
|
|
|
2,545.4
|
|
||
Other long-term liabilities
|
198.2
|
|
|
185.3
|
|
||
|
3,311.7
|
|
|
3,248.2
|
|
||
Commitments and contingencies
|
|
|
|
|
|
||
Redeemable noncontrolling interests
|
236.5
|
|
|
220.9
|
|
||
Shareholders’ equity:
|
|
|
|
|
|
||
Encompass Health shareholders’ equity
|
1,318.5
|
|
|
1,181.7
|
|
||
Noncontrolling interests
|
265.2
|
|
|
242.9
|
|
||
Total shareholders’ equity
|
1,583.7
|
|
|
1,424.6
|
|
||
Total liabilities
(1)
and shareholders’ equity
|
$
|
5,131.9
|
|
|
$
|
4,893.7
|
|
(1)
|
Our consolidated assets as of
September 30, 2018
and
December 31, 2017
include total assets of variable interest entities of
$288.6 million
and
$264.1 million
, respectively, which cannot be used by us to settle the obligations of other entities. Our consolidated liabilities as of
September 30, 2018
and
December 31, 2017
include total liabilities of the variable interest entities of
$81.5 million
and
$52.5 million
, respectively. See Note
3
,
Variable Interest Entities
.
|
|
Nine Months Ended September 30, 2018
|
|||||||||||||||||||||||||||||
|
(In Millions)
|
|||||||||||||||||||||||||||||
|
Encompass Health 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
|
98.3
|
|
|
$
|
1.1
|
|
|
$
|
2,791.4
|
|
|
$
|
(1,191.0
|
)
|
|
$
|
(1.3
|
)
|
|
$
|
(418.5
|
)
|
|
$
|
242.9
|
|
|
$
|
1,424.6
|
|
Net income
|
—
|
|
|
—
|
|
|
—
|
|
|
264.2
|
|
|
—
|
|
|
—
|
|
|
53.2
|
|
|
317.4
|
|
|||||||
Receipt of treasury stock
|
(0.2
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(8.3
|
)
|
|
—
|
|
|
(8.3
|
)
|
|||||||
Dividends declared on common stock
|
—
|
|
|
—
|
|
|
(76.7
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(76.7
|
)
|
|||||||
Stock-based compensation
|
—
|
|
|
—
|
|
|
20.6
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
20.6
|
|
|||||||
Stock options exercised
|
0.1
|
|
|
—
|
|
|
3.2
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
3.2
|
|
|||||||
Distributions declared
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(53.7
|
)
|
|
(53.7
|
)
|
|||||||
Capital contributions from consolidated affiliates
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
22.8
|
|
|
22.8
|
|
|||||||
Fair value adjustments to redeemable noncontrolling interests, net of tax
|
—
|
|
|
—
|
|
|
(66.1
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(66.1
|
)
|
|||||||
Other
|
0.7
|
|
|
—
|
|
|
0.8
|
|
|
(1.3
|
)
|
|
1.3
|
|
|
(0.9
|
)
|
|
—
|
|
|
(0.1
|
)
|
|||||||
Balance at end of period
|
98.9
|
|
|
$
|
1.1
|
|
|
$
|
2,673.2
|
|
|
$
|
(928.1
|
)
|
|
$
|
—
|
|
|
$
|
(427.7
|
)
|
|
$
|
265.2
|
|
|
$
|
1,583.7
|
|
|
Nine Months Ended September 30, 2017
|
|||||||||||||||||||||||||||||
|
(In Millions)
|
|||||||||||||||||||||||||||||
|
Encompass Health 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
|
88.9
|
|
|
$
|
1.1
|
|
|
$
|
2,799.1
|
|
|
$
|
(1,448.4
|
)
|
|
$
|
(1.2
|
)
|
|
$
|
(614.7
|
)
|
|
$
|
192.8
|
|
|
$
|
928.7
|
|
Net income
|
—
|
|
|
—
|
|
|
—
|
|
|
195.7
|
|
|
—
|
|
|
—
|
|
|
43.3
|
|
|
239.0
|
|
|||||||
Receipt of treasury stock
|
(0.9
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(19.8
|
)
|
|
—
|
|
|
(19.8
|
)
|
|||||||
Dividends declared on common stock
|
—
|
|
|
—
|
|
|
(70.3
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(70.3
|
)
|
|||||||
Stock-based compensation
|
—
|
|
|
—
|
|
|
15.2
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
15.2
|
|
|||||||
Stock options exercised
|
1.1
|
|
|
—
|
|
|
20.4
|
|
|
—
|
|
|
—
|
|
|
(19.3
|
)
|
|
—
|
|
|
1.1
|
|
|||||||
Stock warrants exercised
|
0.7
|
|
|
—
|
|
|
26.6
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
26.6
|
|
|||||||
Distributions declared
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(37.1
|
)
|
|
(37.1
|
)
|
|||||||
Capital contributions from consolidated affiliates
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
37.8
|
|
|
37.8
|
|
|||||||
Fair value adjustments to redeemable noncontrolling interests, net of tax
|
—
|
|
|
—
|
|
|
(44.4
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(44.4
|
)
|
|||||||
Repurchases of common stock in open market
|
(0.9
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(38.1
|
)
|
|
—
|
|
|
(38.1
|
)
|
|||||||
Conversion of convertible debt, net of tax
|
8.9
|
|
|
—
|
|
|
53.7
|
|
|
—
|
|
|
—
|
|
|
274.5
|
|
|
—
|
|
|
328.2
|
|
|||||||
Other
|
0.5
|
|
|
—
|
|
|
5.7
|
|
|
1.1
|
|
|
0.3
|
|
|
(0.8
|
)
|
|
—
|
|
|
6.3
|
|
|||||||
Balance at end of period
|
98.3
|
|
|
$
|
1.1
|
|
|
$
|
2,806.0
|
|
|
$
|
(1,251.6
|
)
|
|
$
|
(0.9
|
)
|
|
$
|
(418.2
|
)
|
|
$
|
236.8
|
|
|
$
|
1,373.2
|
|
|
Nine Months Ended September 30,
|
||||||
|
2018
|
|
2017
|
||||
|
(In Millions)
|
||||||
Cash flows from operating activities:
|
|
|
|
||||
Net income
|
$
|
327.7
|
|
|
$
|
248.9
|
|
Loss from discontinued operations, net of tax
|
0.4
|
|
|
0.2
|
|
||
Adjustments to reconcile net income to net cash provided by operating activities—
|
|
|
|
|
|
||
Depreciation and amortization
|
146.8
|
|
|
137.2
|
|
||
Loss on early extinguishment of debt
|
—
|
|
|
10.7
|
|
||
Equity in net income of nonconsolidated affiliates
|
(6.4
|
)
|
|
(6.2
|
)
|
||
Stock-based compensation
|
65.6
|
|
|
37.9
|
|
||
Deferred tax (benefit) expense
|
(8.0
|
)
|
|
51.3
|
|
||
Other, net
|
11.5
|
|
|
16.4
|
|
||
Change in assets and liabilities, net of acquisitions—
|
|
|
|
|
|||
Accounts receivable
|
12.3
|
|
|
(11.5
|
)
|
||
Other assets
|
15.3
|
|
|
(7.4
|
)
|
||
Accounts payable
|
—
|
|
|
6.1
|
|
||
Accrued payroll
|
(6.7
|
)
|
|
3.1
|
|
||
Accrued interest payable
|
8.2
|
|
|
7.3
|
|
||
Other liabilities
|
18.0
|
|
|
13.6
|
|
||
Net cash used in operating activities of discontinued operations
|
(0.7
|
)
|
|
(0.7
|
)
|
||
Total adjustments
|
255.9
|
|
|
257.8
|
|
||
Net cash provided by operating activities
|
584.0
|
|
|
506.9
|
|
||
Cash flows from investing activities:
|
|
|
|
||||
Purchases of property and equipment
|
(171.5
|
)
|
|
(155.7
|
)
|
||
Additions to capitalized software costs
|
(13.2
|
)
|
|
(14.6
|
)
|
||
Acquisitions of businesses, net of cash acquired
|
(135.8
|
)
|
|
(36.6
|
)
|
||
Other, net
|
(5.8
|
)
|
|
7.6
|
|
||
Net cash used in investing activities
|
(326.3
|
)
|
|
(199.3
|
)
|
||
|
|
|
|
|
Nine Months Ended September 30,
|
||||||
|
2018
|
|
2017
|
||||
|
(In Millions)
|
||||||
Cash flows from financing activities:
|
|
|
|
||||
Principal payments on debt, including pre-payments
|
(16.1
|
)
|
|
(125.4
|
)
|
||
Borrowings on revolving credit facility
|
285.0
|
|
|
241.3
|
|
||
Payments on revolving credit facility
|
(315.0
|
)
|
|
(255.3
|
)
|
||
Repurchases of common stock, including fees and expenses
|
—
|
|
|
(38.1
|
)
|
||
Dividends paid on common stock
|
(74.4
|
)
|
|
(67.0
|
)
|
||
Purchase of equity interests in consolidated affiliates
|
(65.1
|
)
|
|
—
|
|
||
Proceeds from exercising stock warrants
|
—
|
|
|
26.6
|
|
||
Distributions paid to noncontrolling interests of consolidated affiliates
|
(56.5
|
)
|
|
(38.3
|
)
|
||
Taxes paid on behalf of employees for shares withheld
|
(8.3
|
)
|
|
(19.8
|
)
|
||
Other, net
|
(3.1
|
)
|
|
5.4
|
|
||
Net cash used in financing activities
|
(253.5
|
)
|
|
(270.6
|
)
|
||
Increase in cash, cash equivalents, and restricted cash
|
4.2
|
|
|
37.0
|
|
||
Cash, cash equivalents, and restricted cash at beginning of period
|
116.8
|
|
|
101.4
|
|
||
Cash, cash equivalents, and restricted cash at end of period
|
$
|
121.0
|
|
|
$
|
138.4
|
|
|
|
|
|
||||
Reconciliation of Cash, Cash Equivalents, and Restricted Cash
|
|
|
|
||||
Cash and cash equivalents at beginning of period
|
$
|
54.4
|
|
|
$
|
40.5
|
|
Restricted cash at beginning of period
|
62.4
|
|
|
60.9
|
|
||
Cash, cash equivalents, and restricted cash at beginning of period
|
$
|
116.8
|
|
|
$
|
101.4
|
|
|
|
|
|
||||
Cash and cash equivalents at end of period
|
$
|
56.9
|
|
|
$
|
67.6
|
|
Restricted cash at end of period
|
62.1
|
|
|
70.8
|
|
||
Restricted cash included in other long-term assets at end of period
|
2.0
|
|
|
—
|
|
||
Cash, cash equivalents, and restricted cash at end of period
|
$
|
121.0
|
|
|
$
|
138.4
|
|
|
|
|
|
||||
Supplemental schedule of noncash financing activity:
|
|
|
|
||||
Conversion of convertible debt
|
$
|
—
|
|
|
$
|
319.4
|
|
1.
|
Basis of Presentation
|
|
Inpatient Rehabilitation
|
|
Home Health and Hospice
|
|
Consolidated
|
||||||||||||||||||
|
Three Months Ended September 30,
|
|
Three Months Ended September 30,
|
|
Three Months Ended September 30,
|
||||||||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||||||
Medicare
|
$
|
600.5
|
|
|
$
|
576.3
|
|
|
$
|
205.7
|
|
|
$
|
169.9
|
|
|
$
|
806.2
|
|
|
$
|
746.2
|
|
Medicare Advantage
|
75.0
|
|
|
63.5
|
|
|
22.7
|
|
|
19.1
|
|
|
97.7
|
|
|
82.6
|
|
||||||
Managed care
|
85.1
|
|
|
82.8
|
|
|
8.6
|
|
|
7.8
|
|
|
93.7
|
|
|
90.6
|
|
||||||
Medicaid
|
25.7
|
|
|
25.5
|
|
|
4.1
|
|
|
0.9
|
|
|
29.8
|
|
|
26.4
|
|
||||||
Other third-party payors
|
11.8
|
|
|
12.5
|
|
|
—
|
|
|
—
|
|
|
11.8
|
|
|
12.5
|
|
||||||
Workers’ compensation
|
6.9
|
|
|
7.2
|
|
|
0.5
|
|
|
—
|
|
|
7.4
|
|
|
7.2
|
|
||||||
Patients
|
5.3
|
|
|
4.6
|
|
|
0.1
|
|
|
0.2
|
|
|
5.4
|
|
|
4.8
|
|
||||||
Other income
|
15.3
|
|
|
11.1
|
|
|
0.3
|
|
|
0.2
|
|
|
15.6
|
|
|
11.3
|
|
||||||
Total
|
$
|
825.6
|
|
|
$
|
783.5
|
|
|
$
|
242.0
|
|
|
$
|
198.1
|
|
|
$
|
1,067.6
|
|
|
$
|
981.6
|
|
|
Inpatient Rehabilitation
|
|
Home Health and Hospice
|
|
Consolidated
|
||||||||||||||||||
|
Nine Months Ended September 30,
|
|
Nine Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||||||
Medicare
|
$
|
1,832.1
|
|
|
$
|
1,719.2
|
|
|
$
|
581.8
|
|
|
$
|
483.7
|
|
|
$
|
2,413.9
|
|
|
$
|
2,202.9
|
|
Medicare Advantage
|
226.2
|
|
|
195.4
|
|
|
64.5
|
|
|
56.4
|
|
|
290.7
|
|
|
251.8
|
|
||||||
Managed care
|
256.7
|
|
|
253.0
|
|
|
24.9
|
|
|
21.5
|
|
|
281.6
|
|
|
274.5
|
|
||||||
Medicaid
|
77.2
|
|
|
70.2
|
|
|
7.3
|
|
|
3.3
|
|
|
84.5
|
|
|
73.5
|
|
||||||
Other third-party payors
|
36.5
|
|
|
36.4
|
|
|
—
|
|
|
—
|
|
|
36.5
|
|
|
36.4
|
|
||||||
Workers’ compensation
|
21.1
|
|
|
21.1
|
|
|
0.8
|
|
|
0.1
|
|
|
21.9
|
|
|
21.2
|
|
||||||
Patients
|
14.1
|
|
|
13.0
|
|
|
0.8
|
|
|
0.6
|
|
|
14.9
|
|
|
13.6
|
|
||||||
Other income
|
36.6
|
|
|
30.6
|
|
|
0.7
|
|
|
0.6
|
|
|
37.3
|
|
|
31.2
|
|
||||||
Total
|
$
|
2,500.5
|
|
|
$
|
2,338.9
|
|
|
$
|
680.8
|
|
|
$
|
566.2
|
|
|
$
|
3,181.3
|
|
|
$
|
2,905.1
|
|
|
September 30, 2018
|
|
December 31, 2017
|
||
Medicare
|
74.5
|
%
|
|
75.1
|
%
|
Managed care and other discount plans, including Medicare Advantage
|
17.8
|
%
|
|
17.4
|
%
|
Medicaid
|
2.8
|
%
|
|
2.4
|
%
|
Other third-party payors
|
2.8
|
%
|
|
2.9
|
%
|
Workers' compensation
|
1.2
|
%
|
|
1.3
|
%
|
Patients
|
0.9
|
%
|
|
0.9
|
%
|
Total
|
100.0
|
%
|
|
100.0
|
%
|
|
|
For the Three Months Ended
September 30, 2017
|
|
For the Nine Months Ended
September 30, 2017
|
||||||||||||||||||||
|
|
As Previously Reported
|
|
Adjustment for ASC 606
|
|
Restated
|
|
As Previously Reported
|
|
Adjustment for ASC 606
|
|
Restated
|
||||||||||||
Net operating revenues
|
|
$
|
995.6
|
|
|
$
|
(14.0
|
)
|
|
$
|
981.6
|
|
|
$
|
2,951.7
|
|
|
$
|
(46.6
|
)
|
|
$
|
2,905.1
|
|
Provision for doubtful accounts
|
|
$
|
12.6
|
|
|
$
|
(12.6
|
)
|
|
$
|
—
|
|
|
$
|
42.7
|
|
|
$
|
(42.7
|
)
|
|
$
|
—
|
|
Other operating expenses
|
|
$
|
137.6
|
|
|
$
|
(1.4
|
)
|
|
$
|
136.2
|
|
|
$
|
397.2
|
|
|
$
|
(3.9
|
)
|
|
$
|
393.3
|
|
Net income attributable to Encompass Health
|
|
$
|
65.9
|
|
|
$
|
—
|
|
|
$
|
65.9
|
|
|
$
|
195.7
|
|
|
$
|
—
|
|
|
$
|
195.7
|
|
2.
|
Business Combinations
|
Identifiable intangible assets:
|
|
|
|
Noncompete agreement (useful life of 3 years)
|
$
|
0.6
|
|
Trade name (useful life of 20 years)
|
1.4
|
|
|
Certificate of need (useful life of 20 years)
|
7.7
|
|
|
Goodwill
|
6.4
|
|
|
Total assets acquired
|
$
|
16.1
|
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||
Fair value of assets acquired
|
$
|
9.7
|
|
|
$
|
5.4
|
|
|
$
|
9.7
|
|
|
$
|
11.0
|
|
Goodwill
|
6.4
|
|
|
9.0
|
|
|
6.4
|
|
|
24.0
|
|
||||
Fair value of noncontrolling interest owned by joint venture partner
|
(16.1
|
)
|
|
(14.4
|
)
|
|
(16.1
|
)
|
|
(24.1
|
)
|
||||
Net cash paid for acquisitions
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
10.9
|
|
Cash and cash equivalents
|
$
|
1.3
|
|
Prepaid expenses and other current assets
|
0.3
|
|
|
Property and equipment, net
|
0.6
|
|
|
Identifiable intangible assets:
|
|
|
|
Noncompete agreements (useful lives of 5 years)
|
0.5
|
|
|
Trade name (useful life of 1 year)
|
1.4
|
|
|
Certificates of need (useful lives of 10 years)
|
16.6
|
|
|
Licenses (useful lives of 10 years)
|
21.6
|
|
|
Goodwill
|
97.0
|
|
|
Total assets acquired
|
139.3
|
|
|
Liabilities assumed:
|
|
||
Accounts payable
|
4.3
|
|
|
Accrued payroll
|
4.0
|
|
|
Total liabilities assumed
|
8.3
|
|
|
Net assets acquired
|
$
|
131.0
|
|
Fair value of assets acquired, net of $1.3 million of cash acquired
|
$
|
41.0
|
|
Goodwill
|
97.0
|
|
|
Fair value of liabilities assumed
|
(8.3
|
)
|
|
Net cash paid for acquisition
|
$
|
129.7
|
|
•
|
In January 2018, we acquired the assets of
one
hospice location from Golden Age Hospice, Inc. in Oklahoma City, Oklahoma.
|
•
|
In June 2018, we acquired the assets of
one
hospice location from Medical Services of America in Las Vegas, Nevada.
|
Identifiable intangible assets:
|
|
|
|
Noncompete agreements (useful lives of 5 years)
|
$
|
0.2
|
|
Licenses (useful lives of 10 years)
|
0.8
|
|
|
Goodwill
|
5.1
|
|
|
Total assets acquired
|
$
|
6.1
|
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||
Fair value of assets acquired
|
$
|
—
|
|
|
$
|
2.7
|
|
|
$
|
1.0
|
|
|
$
|
5.4
|
|
Goodwill
|
—
|
|
|
13.1
|
|
|
5.1
|
|
|
20.5
|
|
||||
Fair value of liabilities assumed
|
—
|
|
|
(0.1
|
)
|
|
—
|
|
|
(0.2
|
)
|
||||
Net cash paid for acquisitions
|
$
|
—
|
|
|
$
|
15.7
|
|
|
$
|
6.1
|
|
|
$
|
25.7
|
|
|
Net Operating Revenues
|
|
Net Income Attributable to Encompass Health
|
||||
Acquired entities only: Actual from acquisition date to September 30, 2018
|
|
|
|
||||
Inpatient Rehabilitation
|
$
|
—
|
|
|
$
|
(0.9
|
)
|
Camellia
|
31.5
|
|
|
(0.5
|
)
|
||
All Other Home Health and Hospice
|
1.8
|
|
|
(0.1
|
)
|
||
Combined entity: Supplemental pro forma from 06/01/2018-09/30/2018
|
1,070.9
|
|
|
89.2
|
|
||
Combined entity: Supplemental pro forma from 06/01/2017-09/30/2017
|
1,007.5
|
|
|
70.1
|
|
||
Combined entity: Supplemental pro forma from 01/01/2018-09/30/2018
|
3,221.9
|
|
|
270.7
|
|
||
Combined entity: Supplemental pro forma from 01/01/2017-09/30/2017
|
2,979.7
|
|
|
207.6
|
|
3.
|
Variable Interest Entities
|
|
September 30, 2018
|
|
December 31, 2017
|
||||
Assets
|
|
|
|
||||
Current assets:
|
|
|
|
||||
Cash and cash equivalents
|
$
|
0.4
|
|
|
$
|
1.2
|
|
Accounts receivable
|
33.5
|
|
|
32.6
|
|
||
Other current assets
|
5.7
|
|
|
5.6
|
|
||
Total current assets
|
39.6
|
|
|
39.4
|
|
||
Property and equipment, net
|
139.3
|
|
|
142.8
|
|
||
Goodwill
|
73.5
|
|
|
73.5
|
|
||
Intangible assets, net
|
6.6
|
|
|
7.7
|
|
||
Other long-term assets
|
29.6
|
|
|
0.7
|
|
||
Total assets
|
$
|
288.6
|
|
|
$
|
264.1
|
|
Liabilities
|
|
|
|
||||
Current liabilities:
|
|
|
|
||||
Current portion of long-term debt
|
$
|
1.6
|
|
|
$
|
1.8
|
|
Accounts payable
|
5.8
|
|
|
6.5
|
|
||
Accrued expenses and other current liabilities
|
47.0
|
|
|
15.9
|
|
||
Total current liabilities
|
54.4
|
|
|
24.2
|
|
||
Long-term debt, net of current portion
|
27.1
|
|
|
28.3
|
|
||
Total liabilities
|
$
|
81.5
|
|
|
$
|
52.5
|
|
4.
|
Investments in and Advances to Nonconsolidated Affiliates
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||
Net operating revenues
|
$
|
10.1
|
|
|
$
|
9.9
|
|
|
$
|
31.6
|
|
|
$
|
31.0
|
|
Operating expenses
|
(5.9
|
)
|
|
(5.6
|
)
|
|
(19.1
|
)
|
|
(18.1
|
)
|
||||
Income from continuing operations, net of tax
|
4.1
|
|
|
4.3
|
|
|
12.4
|
|
|
12.9
|
|
||||
Net income
|
4.1
|
|
|
4.3
|
|
|
12.4
|
|
|
12.9
|
|
5.
|
Redeemable Noncontrolling Interests
|
|
Nine Months Ended September 30,
|
||||||
|
2018
|
|
2017
|
||||
Balance at beginning of period
|
$
|
220.9
|
|
|
$
|
138.3
|
|
Net income attributable to noncontrolling interests
|
10.3
|
|
|
9.9
|
|
||
Distributions declared
|
(6.6
|
)
|
|
(3.3
|
)
|
||
Contribution to joint venture
|
—
|
|
|
2.3
|
|
||
Purchase of redeemable noncontrolling interests
|
(65.1
|
)
|
|
—
|
|
||
Change in fair value
|
77.0
|
|
|
74.1
|
|
||
Balance at end of period
|
$
|
236.5
|
|
|
$
|
221.3
|
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||
Net income attributable to nonredeemable noncontrolling interests
|
$
|
16.9
|
|
|
$
|
15.0
|
|
|
$
|
53.2
|
|
|
$
|
43.3
|
|
Net income attributable to redeemable noncontrolling interests
|
3.8
|
|
|
4.2
|
|
|
10.3
|
|
|
9.9
|
|
||||
Net income attributable to noncontrolling interests
|
$
|
20.7
|
|
|
$
|
19.2
|
|
|
$
|
63.5
|
|
|
$
|
53.2
|
|
6.
|
Fair Value Measurements
|
|
|
|
Fair Value Measurements at Reporting Date Using
|
||||||||||||||
As of September 30, 2018
|
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 long-term assets:
|
|
|
|
|
|
|
|
|
|
||||||||
Restricted marketable securities
|
$
|
61.4
|
|
|
$
|
—
|
|
|
$
|
61.4
|
|
|
$
|
—
|
|
|
M
|
Redeemable noncontrolling interests
|
236.5
|
|
|
—
|
|
|
—
|
|
|
236.5
|
|
|
I
|
||||
As of December 31, 2017
|
|
|
|
|
|
|
|
|
|
||||||||
Other current assets:
|
|
|
|
|
|
|
|
|
|
||||||||
Current portion of restricted marketable securities
|
$
|
17.8
|
|
|
$
|
—
|
|
|
$
|
17.8
|
|
|
$
|
—
|
|
|
M
|
Other long-term assets:
|
|
|
|
|
|
|
|
|
|
||||||||
Restricted marketable securities
|
44.2
|
|
|
—
|
|
|
44.2
|
|
|
—
|
|
|
M
|
||||
Redeemable noncontrolling interests
|
220.9
|
|
|
—
|
|
|
—
|
|
|
220.9
|
|
|
I
|
•
|
Restricted marketable securities
- The fair values of our 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 interests
related to our home health segment is determined using the product of a twelve-month adjusted EBITDA measure and a specified median market price multiple based on a basket of public home health companies and transactions, after adding cash and deducting indebtedness that includes the outstanding principal balance under any intercompany notes. To determine the fair value of the
Redeemable noncontrolling interests
in our joint venture hospitals, we use the applicable hospitals’ projected operating results and cash flows discounted using a rate that reflects market participant assumptions for the applicable facilities. The projected operating results use management’s best estimates of economic and market conditions over the forecasted periods including assumptions for pricing and volume, operating expenses, and capital expenditures. See also Note
5
,
Redeemable Noncontrolling Interests
.
|
|
As of September 30, 2018
|
|
As of December 31, 2017
|
||||||||||||
|
Carrying Amount
|
|
Estimated Fair Value
|
|
Carrying Amount
|
|
Estimated Fair Value
|
||||||||
Long-term debt:
|
|
|
|
|
|
|
|
|
|
|
|
||||
Advances under revolving credit facility
|
$
|
65.0
|
|
|
$
|
65.0
|
|
|
$
|
95.0
|
|
|
$
|
95.0
|
|
Term loan facilities
|
283.7
|
|
|
285.0
|
|
|
294.7
|
|
|
296.3
|
|
||||
5.125% Senior Notes due 2023
|
296.4
|
|
|
302.6
|
|
|
295.9
|
|
|
306.8
|
|
||||
5.75% Senior Notes due 2024
|
1,194.5
|
|
|
1,216.4
|
|
|
1,193.9
|
|
|
1,228.5
|
|
||||
5.75% Senior Notes due 2025
|
344.9
|
|
|
354.9
|
|
|
344.4
|
|
|
364.9
|
|
||||
Other notes payable
|
92.0
|
|
|
92.0
|
|
|
82.3
|
|
|
82.3
|
|
||||
Financial commitments:
|
|
|
|
|
|
|
|
||||||||
Letters of credit
|
—
|
|
|
39.7
|
|
|
—
|
|
|
35.4
|
|
7.
|
Share-Based Payments
|
8.
|
Income Taxes
|
|
Gross Unrecognized Income Tax Benefits
|
|
Accrued Interest and Penalties
|
|||||
Balance at December 31, 2017
|
$
|
0.3
|
|
|
$
|
—
|
|
|
Gross amount of increases in unrecognized tax benefits related to prior periods
|
0.8
|
|
|
0.1
|
|
|||
Reductions to unrecognized tax benefits as a result of a lapse of the applicable statute of limitations
|
(0.2
|
)
|
—
|
|
—
|
|
||
Balance at September 30, 2018
|
$
|
0.9
|
|
|
$
|
0.1
|
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||
Basic:
|
|
|
|
|
|
|
|
||||||||
Numerator:
|
|
|
|
|
|
|
|
||||||||
Income from continuing operations
|
$
|
109.4
|
|
|
$
|
85.2
|
|
|
$
|
328.1
|
|
|
$
|
249.1
|
|
Less: Net income attributable to noncontrolling interests included in continuing operations
|
(20.7
|
)
|
|
(19.2
|
)
|
|
(63.5
|
)
|
|
(53.2
|
)
|
||||
Less: Income allocated to participating securities
|
(0.3
|
)
|
|
(0.2
|
)
|
|
(0.9
|
)
|
|
(0.6
|
)
|
||||
Income from continuing operations attributable to Encompass Health common shareholders
|
88.4
|
|
|
65.8
|
|
|
263.7
|
|
|
195.3
|
|
||||
Loss from discontinued operations, net of tax, attributable to Encompass Health common shareholders
|
(0.1
|
)
|
|
(0.1
|
)
|
|
(0.4
|
)
|
|
(0.2
|
)
|
||||
Net income attributable to Encompass Health common shareholders
|
$
|
88.3
|
|
|
$
|
65.7
|
|
|
$
|
263.3
|
|
|
$
|
195.1
|
|
Denominator:
|
|
|
|
|
|
|
|
||||||||
Basic weighted average common shares outstanding
|
98.0
|
|
|
97.8
|
|
|
97.9
|
|
|
92.3
|
|
||||
Basic earnings per share attributable to Encompass Health common shareholders:
|
|
|
|
|
|
|
|
||||||||
Continuing operations
|
$
|
0.90
|
|
|
$
|
0.67
|
|
|
$
|
2.69
|
|
|
$
|
2.11
|
|
Discontinued operations
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
Net income
|
$
|
0.90
|
|
|
$
|
0.67
|
|
|
$
|
2.69
|
|
|
$
|
2.11
|
|
|
|
|
|
|
|
|
|
||||||||
Diluted:
|
|
|
|
|
|
|
|
||||||||
Numerator:
|
|
|
|
|
|
|
|
||||||||
Income from continuing operations
|
$
|
109.4
|
|
|
$
|
85.2
|
|
|
$
|
328.1
|
|
|
$
|
249.1
|
|
Less: Net income attributable to noncontrolling interests included in continuing operations
|
(20.7
|
)
|
|
(19.2
|
)
|
|
(63.5
|
)
|
|
(53.2
|
)
|
||||
Add: Interest on convertible debt, net of tax
|
—
|
|
|
—
|
|
|
—
|
|
|
4.6
|
|
||||
Add: Loss on extinguishment of convertible debt, net of tax
|
—
|
|
|
—
|
|
|
—
|
|
|
6.2
|
|
||||
Income from continuing operations attributable to Encompass Health common shareholders
|
88.7
|
|
|
66.0
|
|
|
264.6
|
|
|
206.7
|
|
||||
Loss from discontinued operations, net of tax, attributable to Encompass Health common shareholders
|
(0.1
|
)
|
|
(0.1
|
)
|
|
(0.4
|
)
|
|
(0.2
|
)
|
||||
Net income attributable to Encompass Health common shareholders
|
$
|
88.6
|
|
|
$
|
65.9
|
|
|
$
|
264.2
|
|
|
$
|
206.5
|
|
Denominator:
|
|
|
|
|
|
|
|
||||||||
Diluted weighted average common shares outstanding
|
100.0
|
|
|
99.0
|
|
|
99.7
|
|
|
99.1
|
|
||||
Diluted earnings per share attributable to Encompass Health common shareholders:
|
|
|
|
|
|
|
|
||||||||
Continuing operations
|
$
|
0.89
|
|
|
$
|
0.67
|
|
|
$
|
2.65
|
|
|
$
|
2.08
|
|
Discontinued operations
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
Net income
|
$
|
0.89
|
|
|
$
|
0.67
|
|
|
$
|
2.65
|
|
|
$
|
2.08
|
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||
Basic weighted average common shares outstanding
|
98.0
|
|
|
97.8
|
|
|
97.9
|
|
|
92.3
|
|
Convertible senior subordinated notes
|
—
|
|
|
—
|
|
|
—
|
|
|
5.4
|
|
Restricted stock awards, dilutive stock options, and restricted stock units
|
2.0
|
|
|
1.2
|
|
|
1.8
|
|
|
1.4
|
|
Diluted weighted average common shares outstanding
|
100.0
|
|
|
99.0
|
|
|
99.7
|
|
|
99.1
|
|
|
Number of Warrants
|
|
Weighted-Average Exercise Price
|
|||
Common stock warrants outstanding as of December 31, 2016
|
8.2
|
|
|
$
|
41.40
|
|
Cashless exercise
|
(6.5
|
)
|
|
41.40
|
|
|
Cash exercise
|
(0.6
|
)
|
|
41.40
|
|
|
Expired
|
(1.1
|
)
|
|
41.40
|
|
|
Common stock warrants outstanding as of January 17, 2017
|
—
|
|
|
|
10.
|
Contingencies and Other Commitments
|
11.
|
Segment Reporting
|
•
|
Inpatient Rehabilitation
- Our national network of inpatient rehabilitation hospitals stretches across
31
states and Puerto Rico, with a concentration of hospitals in the eastern half of the United States and Texas. As of
September 30, 2018
, we operate
129
inpatient rehabilitation hospitals, including
one
hospital that operates as a joint venture that we account for using the equity method of accounting. In addition, we manage
five
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
September 30, 2018
, we provide home health and hospice services across
273
locations and
30
states with concentrations in the Southeast and Texas. In addition,
two
of these agencies operate as joint ventures that 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, home health aide, and private duty services. Our hospice services primarily include in-home services to terminally ill patients and their families to address patients’ physical needs, including pain control and symptom management, and to provide emotional and spiritual support.
|
|
Inpatient Rehabilitation
|
|
Home Health and Hospice
|
||||||||||||||||||||||||||||
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||||||||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||||||||||
Net operating revenues
|
$
|
825.6
|
|
|
$
|
783.5
|
|
|
$
|
2,500.5
|
|
|
$
|
2,338.9
|
|
|
$
|
242.0
|
|
|
$
|
198.1
|
|
|
$
|
680.8
|
|
|
$
|
566.2
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
Inpatient rehabilitation:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
Salaries and benefits
|
423.6
|
|
|
403.2
|
|
|
1,264.3
|
|
|
1,195.7
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Other operating expenses
|
124.3
|
|
|
117.4
|
|
|
374.1
|
|
|
342.1
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Supplies
|
33.6
|
|
|
33.1
|
|
|
104.2
|
|
|
100.6
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Occupancy costs
|
15.9
|
|
|
15.7
|
|
|
47.4
|
|
|
46.3
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Home health and hospice:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
Cost of services sold (excluding depreciation and amortization)
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
114.6
|
|
|
92.1
|
|
|
322.3
|
|
|
267.3
|
|
||||||||
Support and overhead costs
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
82.4
|
|
|
68.9
|
|
|
235.2
|
|
|
203.4
|
|
||||||||
|
597.4
|
|
|
569.4
|
|
|
1,790.0
|
|
|
1,684.7
|
|
|
197.0
|
|
|
161.0
|
|
|
557.5
|
|
|
470.7
|
|
||||||||
Other income
|
(1.8
|
)
|
|
(1.0
|
)
|
|
(3.5
|
)
|
|
(2.9
|
)
|
|
—
|
|
|
—
|
|
|
(0.5
|
)
|
|
—
|
|
||||||||
Equity in net income of nonconsolidated affiliates
|
(1.9
|
)
|
|
(1.9
|
)
|
|
(5.5
|
)
|
|
(5.6
|
)
|
|
(0.2
|
)
|
|
(0.2
|
)
|
|
(0.9
|
)
|
|
(0.6
|
)
|
||||||||
Noncontrolling interests
|
19.0
|
|
|
16.7
|
|
|
59.3
|
|
|
48.6
|
|
|
2.0
|
|
|
2.5
|
|
|
6.4
|
|
|
4.6
|
|
||||||||
Segment Adjusted EBITDA
|
$
|
212.9
|
|
|
$
|
200.3
|
|
|
$
|
660.2
|
|
|
$
|
614.1
|
|
|
$
|
43.2
|
|
|
$
|
34.8
|
|
|
$
|
118.3
|
|
|
$
|
91.5
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||
Capital expenditures
|
$
|
64.5
|
|
|
$
|
59.1
|
|
|
$
|
181.1
|
|
|
$
|
164.7
|
|
|
$
|
1.7
|
|
|
$
|
1.7
|
|
|
$
|
7.7
|
|
|
$
|
5.6
|
|
|
Inpatient Rehabilitation
|
|
Home Health and Hospice
|
|
Encompass Health Consolidated
|
||||||
As of September 30, 2018
|
|
|
|
|
|
||||||
Total assets
|
$
|
3,875.1
|
|
|
$
|
1,297.3
|
|
|
$
|
5,131.9
|
|
Investments in and advances to nonconsolidated affiliates
|
9.8
|
|
|
2.9
|
|
|
12.7
|
|
|||
As of December 31, 2017
|
|
|
|
|
|
||||||
Total assets
|
$
|
3,789.1
|
|
|
$
|
1,150.5
|
|
|
$
|
4,893.7
|
|
Investments in and advances to nonconsolidated affiliates
|
9.3
|
|
|
2.6
|
|
|
11.9
|
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||
Total segment Adjusted EBITDA
|
$
|
256.1
|
|
|
$
|
235.1
|
|
|
$
|
778.5
|
|
|
$
|
705.6
|
|
General and administrative expenses
|
(49.9
|
)
|
|
(39.7
|
)
|
|
(165.9
|
)
|
|
(128.6
|
)
|
||||
Depreciation and amortization
|
(51.2
|
)
|
|
(46.2
|
)
|
|
(146.8
|
)
|
|
(137.2
|
)
|
||||
Gain (loss) on disposal of assets
|
1.0
|
|
|
(3.0
|
)
|
|
(2.2
|
)
|
|
(3.3
|
)
|
||||
Loss on early extinguishment of debt
|
—
|
|
|
(0.3
|
)
|
|
—
|
|
|
(10.7
|
)
|
||||
Interest expense and amortization of debt discounts and fees
|
(37.3
|
)
|
|
(36.8
|
)
|
|
(110.6
|
)
|
|
(118.5
|
)
|
||||
Net income attributable to noncontrolling interests
|
20.7
|
|
|
19.2
|
|
|
63.5
|
|
|
53.2
|
|
||||
SARs mark-to-market impact on noncontrolling interests
|
0.3
|
|
|
—
|
|
|
2.2
|
|
|
—
|
|
||||
Change in fair market value of equity securities
|
(0.1
|
)
|
|
—
|
|
|
(1.1
|
)
|
|
—
|
|
||||
Income from continuing operations before income tax expense
|
$
|
139.6
|
|
|
$
|
128.3
|
|
|
$
|
417.6
|
|
|
$
|
360.5
|
|
|
September 30, 2018
|
|
December 31, 2017
|
||||
Total assets for reportable segments
|
$
|
5,172.4
|
|
|
$
|
4,939.6
|
|
Reclassification of deferred income tax liabilities to net deferred income tax assets
|
(40.5
|
)
|
|
(45.9
|
)
|
||
Total consolidated assets
|
$
|
5,131.9
|
|
|
$
|
4,893.7
|
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||
Inpatient rehabilitation:
|
|
|
|
|
|
|
|
||||||||
Inpatient
|
$
|
798.4
|
|
|
$
|
758.2
|
|
|
$
|
2,425.1
|
|
|
$
|
2,262.4
|
|
Outpatient and other
|
27.2
|
|
|
25.3
|
|
|
75.4
|
|
|
76.5
|
|
||||
Total inpatient rehabilitation
|
825.6
|
|
|
783.5
|
|
|
2,500.5
|
|
|
2,338.9
|
|
||||
Home health and hospice:
|
|
|
|
|
|
|
|
||||||||
Home health
|
209.2
|
|
|
180.3
|
|
|
599.3
|
|
|
516.1
|
|
||||
Hospice
|
32.8
|
|
|
17.8
|
|
|
81.5
|
|
|
50.1
|
|
||||
Total home health and hospice
|
242.0
|
|
|
198.1
|
|
|
680.8
|
|
|
566.2
|
|
||||
Total net operating revenues
|
$
|
1,067.6
|
|
|
$
|
981.6
|
|
|
$
|
3,181.3
|
|
|
$
|
2,905.1
|
|
12.
|
Condensed Consolidating Financial Information
|
|
Three Months Ended September 30, 2018
|
||||||||||||||||||
|
Encompass Health Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
Encompass Health Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Net operating revenues
|
$
|
4.8
|
|
|
$
|
574.5
|
|
|
$
|
520.6
|
|
|
$
|
(32.3
|
)
|
|
$
|
1,067.6
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
Salaries and benefits
|
11.3
|
|
|
278.2
|
|
|
308.2
|
|
|
(5.4
|
)
|
|
592.3
|
|
|||||
Other operating expenses
|
9.9
|
|
|
80.3
|
|
|
64.7
|
|
|
(12.0
|
)
|
|
142.9
|
|
|||||
Occupancy costs
|
0.5
|
|
|
23.9
|
|
|
10.1
|
|
|
(14.9
|
)
|
|
19.6
|
|
|||||
Supplies
|
—
|
|
|
22.7
|
|
|
15.9
|
|
|
—
|
|
|
38.6
|
|
|||||
General and administrative expenses
|
38.8
|
|
|
—
|
|
|
11.1
|
|
|
—
|
|
|
49.9
|
|
|||||
Depreciation and amortization
|
4.4
|
|
|
26.6
|
|
|
20.2
|
|
|
—
|
|
|
51.2
|
|
|||||
Total operating expenses
|
64.9
|
|
|
431.7
|
|
|
430.2
|
|
|
(32.3
|
)
|
|
894.5
|
|
|||||
Interest expense and amortization of debt discounts and fees
|
31.6
|
|
|
5.1
|
|
|
7.4
|
|
|
(6.8
|
)
|
|
37.3
|
|
|||||
Other income
|
(6.9
|
)
|
|
(0.3
|
)
|
|
(1.3
|
)
|
|
6.8
|
|
|
(1.7
|
)
|
|||||
Equity in net income of nonconsolidated affiliates
|
—
|
|
|
(1.9
|
)
|
|
(0.2
|
)
|
|
—
|
|
|
(2.1
|
)
|
|||||
Equity in net income of consolidated affiliates
|
(117.7
|
)
|
|
(15.0
|
)
|
|
—
|
|
|
132.7
|
|
|
—
|
|
|||||
Management fees
|
(37.9
|
)
|
|
28.0
|
|
|
9.9
|
|
|
—
|
|
|
—
|
|
|||||
Income from continuing operations before income tax (benefit) expense
|
70.8
|
|
|
126.9
|
|
|
74.6
|
|
|
(132.7
|
)
|
|
139.6
|
|
|||||
Provision for income tax (benefit) expense
|
(17.9
|
)
|
|
34.2
|
|
|
13.9
|
|
|
—
|
|
|
30.2
|
|
|||||
Income from continuing operations
|
88.7
|
|
|
92.7
|
|
|
60.7
|
|
|
(132.7
|
)
|
|
109.4
|
|
|||||
Loss from discontinued operations, net of tax
|
(0.1
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(0.1
|
)
|
|||||
Net income
|
88.6
|
|
|
92.7
|
|
|
60.7
|
|
|
(132.7
|
)
|
|
109.3
|
|
|||||
Less: Net income attributable to noncontrolling interests
|
—
|
|
|
—
|
|
|
(20.7
|
)
|
|
—
|
|
|
(20.7
|
)
|
|||||
Net income attributable to Encompass Health
|
$
|
88.6
|
|
|
$
|
92.7
|
|
|
$
|
40.0
|
|
|
$
|
(132.7
|
)
|
|
$
|
88.6
|
|
Comprehensive income
|
$
|
88.6
|
|
|
$
|
92.7
|
|
|
$
|
60.7
|
|
|
$
|
(132.7
|
)
|
|
$
|
109.3
|
|
Comprehensive income attributable to Encompass Health
|
$
|
88.6
|
|
|
$
|
92.7
|
|
|
$
|
40.0
|
|
|
$
|
(132.7
|
)
|
|
$
|
88.6
|
|
|
Three Months Ended September 30, 2017
|
||||||||||||||||||
|
Encompass Health Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
Encompass Health Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Net operating revenues
|
$
|
5.3
|
|
|
$
|
547.5
|
|
|
$
|
460.2
|
|
|
$
|
(31.4
|
)
|
|
$
|
981.6
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
Salaries and benefits
|
9.1
|
|
|
266.4
|
|
|
271.9
|
|
|
(5.3
|
)
|
|
542.1
|
|
|||||
Other operating expenses
|
8.0
|
|
|
83.6
|
|
|
56.8
|
|
|
(12.2
|
)
|
|
136.2
|
|
|||||
Occupancy costs
|
0.4
|
|
|
23.4
|
|
|
8.7
|
|
|
(13.9
|
)
|
|
18.6
|
|
|||||
Supplies
|
—
|
|
|
22.4
|
|
|
14.1
|
|
|
—
|
|
|
36.5
|
|
|||||
General and administrative expenses
|
35.6
|
|
|
—
|
|
|
4.1
|
|
|
—
|
|
|
39.7
|
|
|||||
Depreciation and amortization
|
2.0
|
|
|
25.8
|
|
|
18.4
|
|
|
—
|
|
|
46.2
|
|
|||||
Total operating expenses
|
55.1
|
|
|
421.6
|
|
|
374.0
|
|
|
(31.4
|
)
|
|
819.3
|
|
|||||
Loss on early extinguishment of debt
|
0.3
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
0.3
|
|
|||||
Interest expense and amortization of debt discounts and fees
|
30.8
|
|
|
5.3
|
|
|
6.3
|
|
|
(5.6
|
)
|
|
36.8
|
|
|||||
Other income
|
(5.7
|
)
|
|
(0.1
|
)
|
|
(0.8
|
)
|
|
5.6
|
|
|
(1.0
|
)
|
|||||
Equity in net income of nonconsolidated affiliates
|
—
|
|
|
(1.9
|
)
|
|
(0.2
|
)
|
|
—
|
|
|
(2.1
|
)
|
|||||
Equity in net income of consolidated affiliates
|
(85.0
|
)
|
|
(11.8
|
)
|
|
—
|
|
|
96.8
|
|
|
—
|
|
|||||
Management fees
|
(35.8
|
)
|
|
26.4
|
|
|
9.4
|
|
|
—
|
|
|
—
|
|
|||||
Income from continuing operations before income tax (benefit) expense
|
45.6
|
|
|
108.0
|
|
|
71.5
|
|
|
(96.8
|
)
|
|
128.3
|
|
|||||
Provision for income tax (benefit) expense
|
(20.4
|
)
|
|
43.1
|
|
|
20.4
|
|
|
—
|
|
|
43.1
|
|
|||||
Income from continuing operations
|
66.0
|
|
|
64.9
|
|
|
51.1
|
|
|
(96.8
|
)
|
|
85.2
|
|
|||||
Loss from discontinued operations, net of tax
|
(0.1
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(0.1
|
)
|
|||||
Net income
|
65.9
|
|
|
64.9
|
|
|
51.1
|
|
|
(96.8
|
)
|
|
85.1
|
|
|||||
Less: Net income attributable to noncontrolling interests
|
—
|
|
|
—
|
|
|
(19.2
|
)
|
|
—
|
|
|
(19.2
|
)
|
|||||
Net income attributable to Encompass Health
|
$
|
65.9
|
|
|
$
|
64.9
|
|
|
$
|
31.9
|
|
|
$
|
(96.8
|
)
|
|
$
|
65.9
|
|
Comprehensive income
|
$
|
65.9
|
|
|
$
|
64.9
|
|
|
$
|
51.1
|
|
|
$
|
(96.8
|
)
|
|
$
|
85.1
|
|
Comprehensive income attributable to Encompass Health
|
$
|
65.9
|
|
|
$
|
64.9
|
|
|
$
|
31.9
|
|
|
$
|
(96.8
|
)
|
|
$
|
65.9
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Nine Months Ended September 30, 2018
|
||||||||||||||||||
|
Encompass Health Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
Encompass Health Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Net operating revenues
|
$
|
15.9
|
|
|
$
|
1,743.0
|
|
|
$
|
1,520.5
|
|
|
$
|
(98.1
|
)
|
|
$
|
3,181.3
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
Salaries and benefits
|
33.9
|
|
|
835.1
|
|
|
887.9
|
|
|
(16.2
|
)
|
|
1,740.7
|
|
|||||
Other operating expenses
|
27.6
|
|
|
253.8
|
|
|
189.5
|
|
|
(37.4
|
)
|
|
433.5
|
|
|||||
Occupancy costs
|
1.5
|
|
|
71.5
|
|
|
29.2
|
|
|
(44.5
|
)
|
|
57.7
|
|
|||||
Supplies
|
—
|
|
|
70.6
|
|
|
47.2
|
|
|
—
|
|
|
117.8
|
|
|||||
General and administrative expenses
|
119.4
|
|
|
—
|
|
|
46.5
|
|
|
—
|
|
|
165.9
|
|
|||||
Depreciation and amortization
|
9.9
|
|
|
79.4
|
|
|
57.5
|
|
|
—
|
|
|
146.8
|
|
|||||
Total operating expenses
|
192.3
|
|
|
1,310.4
|
|
|
1,257.8
|
|
|
(98.1
|
)
|
|
2,662.4
|
|
|||||
Interest expense and amortization of debt discounts and fees
|
93.3
|
|
|
15.5
|
|
|
20.3
|
|
|
(18.5
|
)
|
|
110.6
|
|
|||||
Other income
|
(17.8
|
)
|
|
(0.8
|
)
|
|
(2.8
|
)
|
|
18.5
|
|
|
(2.9
|
)
|
|||||
Equity in net income of nonconsolidated affiliates
|
—
|
|
|
(5.5
|
)
|
|
(0.9
|
)
|
|
—
|
|
|
(6.4
|
)
|
|||||
Equity in net income of consolidated affiliates
|
(347.1
|
)
|
|
(50.4
|
)
|
|
—
|
|
|
397.5
|
|
|
—
|
|
|||||
Management fees
|
(114.8
|
)
|
|
84.5
|
|
|
30.3
|
|
|
—
|
|
|
—
|
|
|||||
Income from continuing operations before income tax (benefit) expense
|
210.0
|
|
|
389.3
|
|
|
215.8
|
|
|
(397.5
|
)
|
|
417.6
|
|
|||||
Provision for income tax (benefit) expense
|
(54.6
|
)
|
|
104.9
|
|
|
39.2
|
|
|
—
|
|
|
89.5
|
|
|||||
Income from continuing operations
|
264.6
|
|
|
284.4
|
|
|
176.6
|
|
|
(397.5
|
)
|
|
328.1
|
|
|||||
Loss from discontinued operations, net of tax
|
(0.4
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(0.4
|
)
|
|||||
Net income
|
264.2
|
|
|
284.4
|
|
|
176.6
|
|
|
(397.5
|
)
|
|
327.7
|
|
|||||
Less: Net income attributable to noncontrolling interests
|
—
|
|
|
—
|
|
|
(63.5
|
)
|
|
—
|
|
|
(63.5
|
)
|
|||||
Net income attributable to Encompass Health
|
$
|
264.2
|
|
|
$
|
284.4
|
|
|
$
|
113.1
|
|
|
$
|
(397.5
|
)
|
|
$
|
264.2
|
|
Comprehensive income
|
$
|
264.2
|
|
|
$
|
284.4
|
|
|
$
|
176.6
|
|
|
$
|
(397.5
|
)
|
|
$
|
327.7
|
|
Comprehensive income attributable to Encompass Health
|
$
|
264.2
|
|
|
$
|
284.4
|
|
|
$
|
113.1
|
|
|
$
|
(397.5
|
)
|
|
$
|
264.2
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
Nine Months Ended September 30, 2017
|
||||||||||||||||||
|
Encompass Health Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
Encompass Health Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Net operating revenues
|
$
|
15.9
|
|
|
$
|
1,666.6
|
|
|
$
|
1,316.9
|
|
|
$
|
(94.3
|
)
|
|
$
|
2,905.1
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
||||||||||
Salaries and benefits
|
29.1
|
|
|
803.7
|
|
|
783.0
|
|
|
(15.8
|
)
|
|
1,600.0
|
|
|||||
Other operating expenses
|
23.8
|
|
|
239.5
|
|
|
166.3
|
|
|
(36.3
|
)
|
|
393.3
|
|
|||||
Occupancy costs
|
1.4
|
|
|
70.0
|
|
|
25.6
|
|
|
(42.2
|
)
|
|
54.8
|
|
|||||
Supplies
|
—
|
|
|
69.4
|
|
|
41.2
|
|
|
—
|
|
|
110.6
|
|
|||||
General and administrative expenses
|
104.7
|
|
|
—
|
|
|
23.9
|
|
|
—
|
|
|
128.6
|
|
|||||
Depreciation and amortization
|
6.7
|
|
|
77.3
|
|
|
53.2
|
|
|
—
|
|
|
137.2
|
|
|||||
Total operating expenses
|
165.7
|
|
|
1,259.9
|
|
|
1,093.2
|
|
|
(94.3
|
)
|
|
2,424.5
|
|
|||||
Loss on early extinguishment of debt
|
10.7
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
10.7
|
|
|||||
Interest expense and amortization of debt discounts and fees
|
100.5
|
|
|
15.9
|
|
|
18.1
|
|
|
(16.0
|
)
|
|
118.5
|
|
|||||
Other income
|
(16.5
|
)
|
|
(0.2
|
)
|
|
(2.2
|
)
|
|
16.0
|
|
|
(2.9
|
)
|
|||||
Equity in net income of nonconsolidated affiliates
|
—
|
|
|
(5.6
|
)
|
|
(0.6
|
)
|
|
—
|
|
|
(6.2
|
)
|
|||||
Equity in net income of consolidated affiliates
|
(256.4
|
)
|
|
(29.3
|
)
|
|
—
|
|
|
285.7
|
|
|
—
|
|
|||||
Management fees
|
(107.8
|
)
|
|
80.7
|
|
|
27.1
|
|
|
—
|
|
|
—
|
|
|||||
Income from continuing operations before income tax (benefit) expense
|
119.7
|
|
|
345.2
|
|
|
181.3
|
|
|
(285.7
|
)
|
|
360.5
|
|
|||||
Provision for income tax (benefit) expense
|
(76.2
|
)
|
|
137.7
|
|
|
49.9
|
|
|
—
|
|
|
111.4
|
|
|||||
Income from continuing operations
|
195.9
|
|
|
207.5
|
|
|
131.4
|
|
|
(285.7
|
)
|
|
249.1
|
|
|||||
Loss from discontinued operations, net of tax
|
(0.2
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(0.2
|
)
|
|||||
Net income
|
195.7
|
|
|
207.5
|
|
|
131.4
|
|
|
(285.7
|
)
|
|
248.9
|
|
|||||
Less: Net income attributable to noncontrolling interests
|
—
|
|
|
—
|
|
|
(53.2
|
)
|
|
—
|
|
|
(53.2
|
)
|
|||||
Net income attributable to Encompass Health
|
$
|
195.7
|
|
|
$
|
207.5
|
|
|
$
|
78.2
|
|
|
$
|
(285.7
|
)
|
|
$
|
195.7
|
|
Comprehensive income
|
$
|
196.0
|
|
|
$
|
207.5
|
|
|
$
|
131.4
|
|
|
$
|
(285.7
|
)
|
|
$
|
249.2
|
|
Comprehensive income attributable to Encompass Health
|
$
|
196.0
|
|
|
$
|
207.5
|
|
|
$
|
78.2
|
|
|
$
|
(285.7
|
)
|
|
$
|
196.0
|
|
|
As of September 30, 2018
|
||||||||||||||||||
|
Encompass Health Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
Encompass Health Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Assets
|
|
|
|
|
|
|
|
|
|
||||||||||
Current assets:
|
|
|
|
|
|
|
|
|
|
||||||||||
Cash and cash equivalents
|
$
|
42.0
|
|
|
$
|
4.4
|
|
|
$
|
10.5
|
|
|
$
|
—
|
|
|
$
|
56.9
|
|
Restricted cash
|
—
|
|
|
—
|
|
|
62.1
|
|
|
—
|
|
|
62.1
|
|
|||||
Accounts receivable
|
0.5
|
|
|
266.0
|
|
|
191.5
|
|
|
—
|
|
|
458.0
|
|
|||||
Other current assets
|
43.3
|
|
|
17.9
|
|
|
40.9
|
|
|
(41.1
|
)
|
|
61.0
|
|
|||||
Total current assets
|
85.8
|
|
|
288.3
|
|
|
305.0
|
|
|
(41.1
|
)
|
|
638.0
|
|
|||||
Property and equipment, net
|
116.8
|
|
|
1,023.9
|
|
|
450.3
|
|
|
—
|
|
|
1,591.0
|
|
|||||
Goodwill
|
—
|
|
|
854.6
|
|
|
1,226.5
|
|
|
—
|
|
|
2,081.1
|
|
|||||
Intangible assets, net
|
22.4
|
|
|
98.1
|
|
|
322.7
|
|
|
—
|
|
|
443.2
|
|
|||||
Deferred income tax assets
|
113.9
|
|
|
8.5
|
|
|
—
|
|
|
(39.8
|
)
|
|
82.6
|
|
|||||
Other long-term assets
|
51.9
|
|
|
102.8
|
|
|
141.3
|
|
|
—
|
|
|
296.0
|
|
|||||
Intercompany notes receivable
|
551.3
|
|
|
—
|
|
|
—
|
|
|
(551.3
|
)
|
|
—
|
|
|||||
Intercompany receivable and investments in consolidated affiliates
|
2,856.8
|
|
|
411.0
|
|
|
—
|
|
|
(3,267.8
|
)
|
|
—
|
|
|||||
Total assets
|
$
|
3,798.9
|
|
|
$
|
2,787.2
|
|
|
$
|
2,445.8
|
|
|
$
|
(3,900.0
|
)
|
|
$
|
5,131.9
|
|
Liabilities and Shareholders’ Equity
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Current liabilities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Current portion of long-term debt
|
$
|
34.9
|
|
|
$
|
7.3
|
|
|
$
|
12.4
|
|
|
$
|
(17.5
|
)
|
|
$
|
37.1
|
|
Accounts payable
|
6.5
|
|
|
49.1
|
|
|
30.4
|
|
|
—
|
|
|
86.0
|
|
|||||
Accrued expenses and other current liabilities
|
176.8
|
|
|
75.6
|
|
|
257.7
|
|
|
(23.6
|
)
|
|
486.5
|
|
|||||
Total current liabilities
|
218.2
|
|
|
132.0
|
|
|
300.5
|
|
|
(41.1
|
)
|
|
609.6
|
|
|||||
Long-term debt, net of current portion
|
2,226.9
|
|
|
236.7
|
|
|
40.3
|
|
|
—
|
|
|
2,503.9
|
|
|||||
Intercompany notes payable
|
—
|
|
|
—
|
|
|
551.3
|
|
|
(551.3
|
)
|
|
—
|
|
|||||
Other long-term liabilities
|
35.3
|
|
|
17.2
|
|
|
185.5
|
|
|
(39.8
|
)
|
|
198.2
|
|
|||||
Intercompany payable
|
—
|
|
|
—
|
|
|
59.7
|
|
|
(59.7
|
)
|
|
—
|
|
|||||
|
2,480.4
|
|
|
385.9
|
|
|
1,137.3
|
|
|
(691.9
|
)
|
|
3,311.7
|
|
|||||
Commitments and contingencies
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Redeemable noncontrolling interests
|
—
|
|
|
—
|
|
|
236.5
|
|
|
—
|
|
|
236.5
|
|
|||||
Shareholders’ equity:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Encompass Health shareholders’ equity
|
1,318.5
|
|
|
2,401.3
|
|
|
806.8
|
|
|
(3,208.1
|
)
|
|
1,318.5
|
|
|||||
Noncontrolling interests
|
—
|
|
|
—
|
|
|
265.2
|
|
|
—
|
|
|
265.2
|
|
|||||
Total shareholders’ equity
|
1,318.5
|
|
|
2,401.3
|
|
|
1,072.0
|
|
|
(3,208.1
|
)
|
|
1,583.7
|
|
|||||
Total liabilities and shareholders’ equity
|
$
|
3,798.9
|
|
|
$
|
2,787.2
|
|
|
$
|
2,445.8
|
|
|
$
|
(3,900.0
|
)
|
|
$
|
5,131.9
|
|
|
As of December 31, 2017
|
||||||||||||||||||
|
Encompass Health Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
Encompass Health Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Assets
|
|
|
|
|
|
|
|
|
|
||||||||||
Current assets:
|
|
|
|
|
|
|
|
|
|
||||||||||
Cash and cash equivalents
|
$
|
34.3
|
|
|
$
|
2.9
|
|
|
$
|
17.2
|
|
|
$
|
—
|
|
|
$
|
54.4
|
|
Restricted cash
|
—
|
|
|
—
|
|
|
62.4
|
|
|
—
|
|
|
62.4
|
|
|||||
Accounts receivable
|
—
|
|
|
285.2
|
|
|
186.9
|
|
|
—
|
|
|
472.1
|
|
|||||
Other current assets
|
61.4
|
|
|
21.7
|
|
|
48.7
|
|
|
(18.5
|
)
|
|
113.3
|
|
|||||
Total current assets
|
95.7
|
|
|
309.8
|
|
|
315.2
|
|
|
(18.5
|
)
|
|
702.2
|
|
|||||
Property and equipment, net
|
101.8
|
|
|
991.5
|
|
|
423.8
|
|
|
—
|
|
|
1,517.1
|
|
|||||
Goodwill
|
—
|
|
|
854.6
|
|
|
1,118.0
|
|
|
—
|
|
|
1,972.6
|
|
|||||
Intangible assets, net
|
11.8
|
|
|
105.1
|
|
|
286.2
|
|
|
—
|
|
|
403.1
|
|
|||||
Deferred income tax assets
|
97.4
|
|
|
8.4
|
|
|
—
|
|
|
(42.2
|
)
|
|
63.6
|
|
|||||
Other long-term assets
|
49.2
|
|
|
100.5
|
|
|
85.4
|
|
|
—
|
|
|
235.1
|
|
|||||
Intercompany notes receivable
|
486.2
|
|
|
—
|
|
|
—
|
|
|
(486.2
|
)
|
|
—
|
|
|||||
Intercompany receivable and investments in consolidated affiliates
|
2,839.1
|
|
|
311.3
|
|
|
—
|
|
|
(3,150.4
|
)
|
|
—
|
|
|||||
Total assets
|
$
|
3,681.2
|
|
|
$
|
2,681.2
|
|
|
$
|
2,228.6
|
|
|
$
|
(3,697.3
|
)
|
|
$
|
4,893.7
|
|
Liabilities and Shareholders’ Equity
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Current liabilities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Current portion of long-term debt
|
$
|
32.8
|
|
|
$
|
7.4
|
|
|
$
|
9.6
|
|
|
$
|
(17.5
|
)
|
|
$
|
32.3
|
|
Accounts payable
|
10.4
|
|
|
43.5
|
|
|
24.5
|
|
|
—
|
|
|
78.4
|
|
|||||
Accrued expenses and other current liabilities
|
166.8
|
|
|
82.0
|
|
|
159.0
|
|
|
(1.0
|
)
|
|
406.8
|
|
|||||
Total current liabilities
|
210.0
|
|
|
132.9
|
|
|
193.1
|
|
|
(18.5
|
)
|
|
517.5
|
|
|||||
Long-term debt, net of current portion
|
2,258.5
|
|
|
242.2
|
|
|
44.7
|
|
|
—
|
|
|
2,545.4
|
|
|||||
Intercompany notes payable
|
—
|
|
|
—
|
|
|
486.2
|
|
|
(486.2
|
)
|
|
—
|
|
|||||
Other long-term liabilities
|
31.0
|
|
|
17.8
|
|
|
178.6
|
|
|
(42.1
|
)
|
|
185.3
|
|
|||||
Intercompany payable
|
—
|
|
|
—
|
|
|
144.8
|
|
|
(144.8
|
)
|
|
—
|
|
|||||
|
2,499.5
|
|
|
392.9
|
|
|
1,047.4
|
|
|
(691.6
|
)
|
|
3,248.2
|
|
|||||
Commitments and contingencies
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Redeemable noncontrolling interests
|
—
|
|
|
—
|
|
|
220.9
|
|
|
—
|
|
|
220.9
|
|
|||||
Shareholders’ equity:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Encompass Health shareholders’ equity
|
1,181.7
|
|
|
2,288.3
|
|
|
717.4
|
|
|
(3,005.7
|
)
|
|
1,181.7
|
|
|||||
Noncontrolling interests
|
—
|
|
|
—
|
|
|
242.9
|
|
|
—
|
|
|
242.9
|
|
|||||
Total shareholders’ equity
|
1,181.7
|
|
|
2,288.3
|
|
|
960.3
|
|
|
(3,005.7
|
)
|
|
1,424.6
|
|
|||||
Total liabilities and shareholders’ equity
|
$
|
3,681.2
|
|
|
$
|
2,681.2
|
|
|
$
|
2,228.6
|
|
|
$
|
(3,697.3
|
)
|
|
$
|
4,893.7
|
|
|
Nine Months Ended September 30, 2018
|
||||||||||||||||||
|
Encompass Health Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
Encompass Health Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Net cash (used in) provided by operating activities
|
$
|
(16.4
|
)
|
|
$
|
334.8
|
|
|
$
|
265.6
|
|
|
$
|
—
|
|
|
$
|
584.0
|
|
Cash flows from investing activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Purchases of property and equipment
|
(23.3
|
)
|
|
(97.7
|
)
|
|
(50.5
|
)
|
|
—
|
|
|
(171.5
|
)
|
|||||
Additions to capitalized software costs
|
(12.1
|
)
|
|
—
|
|
|
(1.1
|
)
|
|
—
|
|
|
(13.2
|
)
|
|||||
Acquisitions of businesses, net of cash acquired
|
(129.7
|
)
|
|
—
|
|
|
(6.1
|
)
|
|
—
|
|
|
(135.8
|
)
|
|||||
Proceeds from repayment of intercompany note receivable
|
70.0
|
|
|
—
|
|
|
—
|
|
|
(70.0
|
)
|
|
—
|
|
|||||
Other, net
|
(6.8
|
)
|
|
2.9
|
|
|
(1.9
|
)
|
|
—
|
|
|
(5.8
|
)
|
|||||
Net cash used in investing activities
|
(101.9
|
)
|
|
(94.8
|
)
|
|
(59.6
|
)
|
|
(70.0
|
)
|
|
(326.3
|
)
|
|||||
Cash flows from financing activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Principal payments on debt, including pre-payments
|
(13.8
|
)
|
|
—
|
|
|
(2.3
|
)
|
|
—
|
|
|
(16.1
|
)
|
|||||
Principal payments on intercompany note payable
|
—
|
|
|
—
|
|
|
(70.0
|
)
|
|
70.0
|
|
|
—
|
|
|||||
Borrowings on revolving credit facility
|
285.0
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
285.0
|
|
|||||
Payments on revolving credit facility
|
(315.0
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(315.0
|
)
|
|||||
Dividends paid on common stock
|
(74.3
|
)
|
|
—
|
|
|
(0.1
|
)
|
|
—
|
|
|
(74.4
|
)
|
|||||
Purchase of equity interests in consolidated affiliates
|
(65.1
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(65.1
|
)
|
|||||
Distributions paid to noncontrolling interests of consolidated affiliates
|
—
|
|
|
—
|
|
|
(56.5
|
)
|
|
—
|
|
|
(56.5
|
)
|
|||||
Taxes paid on behalf of employees for shares withheld
|
(7.4
|
)
|
|
—
|
|
|
(0.9
|
)
|
|
—
|
|
|
(8.3
|
)
|
|||||
Other, net
|
3.1
|
|
|
(5.6
|
)
|
|
(0.6
|
)
|
|
—
|
|
|
(3.1
|
)
|
|||||
Change in intercompany advances
|
313.5
|
|
|
(232.9
|
)
|
|
(80.6
|
)
|
|
—
|
|
|
—
|
|
|||||
Net cash provided by (used in) financing activities
|
126.0
|
|
|
(238.5
|
)
|
|
(211.0
|
)
|
|
70.0
|
|
|
(253.5
|
)
|
|||||
Increase (decrease) in cash, cash equivalents, and restricted cash
|
7.7
|
|
|
1.5
|
|
|
(5.0
|
)
|
|
—
|
|
|
4.2
|
|
|||||
Cash, cash equivalents, and restricted cash at beginning of period
|
34.3
|
|
|
2.9
|
|
|
79.6
|
|
|
—
|
|
|
116.8
|
|
|||||
Cash, cash equivalents, and restricted cash at end of period
|
$
|
42.0
|
|
|
$
|
4.4
|
|
|
$
|
74.6
|
|
|
$
|
—
|
|
|
$
|
121.0
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Reconciliation of Cash, Cash Equivalents, and Restricted Cash
|
|
|
|
|
|
|
|
|
|
||||||||||
Cash and cash equivalents at beginning of period
|
$
|
34.3
|
|
|
$
|
2.9
|
|
|
$
|
17.2
|
|
|
$
|
—
|
|
|
$
|
54.4
|
|
Restricted cash at beginning of period
|
—
|
|
|
—
|
|
|
62.4
|
|
|
—
|
|
|
62.4
|
|
|||||
Cash, cash equivalents, and restricted cash at beginning of period
|
$
|
34.3
|
|
|
$
|
2.9
|
|
|
$
|
79.6
|
|
|
$
|
—
|
|
|
$
|
116.8
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Cash and cash equivalents at end of period
|
$
|
42.0
|
|
|
$
|
4.4
|
|
|
$
|
10.5
|
|
|
$
|
—
|
|
|
$
|
56.9
|
|
Restricted cash at end of period
|
—
|
|
|
—
|
|
|
62.1
|
|
|
—
|
|
|
62.1
|
|
|||||
Restricted cash included in other long-term assets at end of period
|
—
|
|
|
—
|
|
|
2.0
|
|
|
—
|
|
|
2.0
|
|
|||||
Cash, cash equivalents, and restricted cash at end of period
|
$
|
42.0
|
|
|
$
|
4.4
|
|
|
$
|
74.6
|
|
|
$
|
—
|
|
|
$
|
121.0
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Supplemental schedule of noncash financing activity:
|
|
|
|
|
|
|
|
|
|
||||||||||
Intercompany note activity
|
$
|
(135.8
|
)
|
|
$
|
—
|
|
|
$
|
135.8
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
Nine Months Ended September 30, 2017
|
||||||||||||||||||
|
Encompass Health Corporation
|
|
Guarantor Subsidiaries
|
|
Nonguarantor Subsidiaries
|
|
Eliminating Entries
|
|
Encompass Health Consolidated
|
||||||||||
|
(In Millions)
|
||||||||||||||||||
Net cash provided by operating activities
|
$
|
42.3
|
|
|
$
|
261.5
|
|
|
$
|
203.1
|
|
|
$
|
—
|
|
|
$
|
506.9
|
|
Cash flows from investing activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Purchases of property and equipment
|
(23.5
|
)
|
|
(67.7
|
)
|
|
(64.5
|
)
|
|
—
|
|
|
(155.7
|
)
|
|||||
Additions to capitalized software costs
|
(12.1
|
)
|
|
(0.2
|
)
|
|
(2.3
|
)
|
|
—
|
|
|
(14.6
|
)
|
|||||
Acquisitions of businesses, net of cash acquired
|
(10.9
|
)
|
|
—
|
|
|
(25.7
|
)
|
|
—
|
|
|
(36.6
|
)
|
|||||
Proceeds from repayment of intercompany note receivable
|
33.0
|
|
|
—
|
|
|
—
|
|
|
(33.0
|
)
|
|
—
|
|
|||||
Other, net
|
(2.7
|
)
|
|
11.7
|
|
|
(1.4
|
)
|
|
—
|
|
|
7.6
|
|
|||||
Net cash used in investing activities
|
(16.2
|
)
|
|
(56.2
|
)
|
|
(93.9
|
)
|
|
(33.0
|
)
|
|
(199.3
|
)
|
|||||
Cash flows from financing activities:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Principal payments on debt, including pre-payments
|
(123.1
|
)
|
|
—
|
|
|
(2.3
|
)
|
|
—
|
|
|
(125.4
|
)
|
|||||
Principal payments on intercompany note payable
|
—
|
|
|
—
|
|
|
(33.0
|
)
|
|
33.0
|
|
|
—
|
|
|||||
Borrowings on revolving credit facility
|
241.3
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
241.3
|
|
|||||
Payments on revolving credit facility
|
(255.3
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(255.3
|
)
|
|||||
Repurchases of common stock, including fees and expenses
|
(38.1
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(38.1
|
)
|
|||||
Dividends paid on common stock
|
(67.0
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(67.0
|
)
|
|||||
Proceeds from exercising stock warrants
|
26.6
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
26.6
|
|
|||||
Distributions paid to noncontrolling interests of consolidated affiliates
|
—
|
|
|
—
|
|
|
(38.3
|
)
|
|
—
|
|
|
(38.3
|
)
|
|||||
Taxes paid on behalf of employees for shares withheld
|
(19.5
|
)
|
|
—
|
|
|
(0.3
|
)
|
|
—
|
|
|
(19.8
|
)
|
|||||
Other, net
|
(2.6
|
)
|
|
(5.0
|
)
|
|
13.0
|
|
|
—
|
|
|
5.4
|
|
|||||
Change in intercompany advances
|
237.4
|
|
|
(198.6
|
)
|
|
(38.8
|
)
|
|
—
|
|
|
—
|
|
|||||
Net cash used in financing activities
|
(0.3
|
)
|
|
(203.6
|
)
|
|
(99.7
|
)
|
|
33.0
|
|
|
(270.6
|
)
|
|||||
Increase in cash, cash equivalents, and restricted cash
|
25.8
|
|
|
1.7
|
|
|
9.5
|
|
|
—
|
|
|
37.0
|
|
|||||
Cash, cash equivalents, and restricted cash at beginning of period
|
20.6
|
|
|
1.6
|
|
|
79.2
|
|
|
—
|
|
|
101.4
|
|
|||||
Cash, cash equivalents, and restricted cash at end of period
|
$
|
46.4
|
|
|
$
|
3.3
|
|
|
$
|
88.7
|
|
|
$
|
—
|
|
|
$
|
138.4
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Reconciliation of Cash, Cash Equivalents, and Restricted Cash
|
|
|
|
|
|
|
|
|
|
||||||||||
Cash and cash equivalents at beginning of period
|
$
|
20.6
|
|
|
$
|
1.6
|
|
|
$
|
18.3
|
|
|
$
|
—
|
|
|
$
|
40.5
|
|
Restricted cash at beginning of period
|
—
|
|
|
—
|
|
|
60.9
|
|
|
—
|
|
|
60.9
|
|
|||||
Cash, cash equivalents, and restricted cash at beginning of period
|
$
|
20.6
|
|
|
$
|
1.6
|
|
|
$
|
79.2
|
|
|
$
|
—
|
|
|
$
|
101.4
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Cash and cash equivalents at end of period
|
$
|
46.4
|
|
|
$
|
3.3
|
|
|
$
|
17.9
|
|
|
$
|
—
|
|
|
$
|
67.6
|
|
Restricted cash at end of period
|
—
|
|
|
—
|
|
|
70.8
|
|
|
—
|
|
|
70.8
|
|
|||||
Cash, cash equivalents, and restricted cash at end of period
|
$
|
46.4
|
|
|
$
|
3.3
|
|
|
$
|
88.7
|
|
|
$
|
—
|
|
|
$
|
138.4
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Supplemental schedule of noncash financing activity:
|
|
|
|
|
|
|
|
|
|
||||||||||
Conversion of convertible debt
|
$
|
319.4
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
319.4
|
|
Item 2.
|
Management’s Discussion and Analysis of Financial Condition and Results of Operations
|
•
|
providing high-quality, cost-effective care to patients in our existing markets;
|
•
|
achieving organic growth at our existing inpatient rehabilitation hospitals, home health agencies, and hospice agencies;
|
•
|
expanding our services to more patients who require post-acute healthcare services by constructing and acquiring hospitals in new markets and acquiring and opening home health and hospice agencies in new markets;
|
•
|
making shareholder distributions via common stock dividends and repurchases of our common stock; and
|
•
|
positioning the Company for success in the evolving healthcare delivery system through key operational initiatives that include implementing the rebranding and name change, developing and implementing post-acute patient navigation tools (Post-Acute Innovation Center), enhancing clinical collaboration between our inpatient rehabilitation hospitals and home health locations, refining and expanding use of clinical data analytics to further improve patient outcomes, and increasing participation in alternative payment models.
|
•
|
entered into an agreement with Saint Alphonsus Regional Medical Center in February 2018 to own and operate a new 40-bed inpatient rehabilitation hospital in Boise, Idaho. The joint venture hospital is expected to begin operating in the third quarter of 2019 subject to customary closing conditions, including regulatory approvals;
|
•
|
began operating our new 34-bed inpatient rehabilitation hospital in Shelby County, Alabama in April 2018 and our new 38-bed inpatient rehabilitation hospital in Bluffton, South Carolina (formerly referred to as Hilton Head, South Carolina) in June 2018;
|
•
|
began operating a 29-bed inpatient rehabilitation hospital in Murrells Inlet, South Carolina with our joint venture partner, Tidelands Health, in September 2018;
|
•
|
began operating our new 68-bed inpatient rehabilitation hospital in Winston-Salem, North Carolina with our joint venture partner, Novant Health Inc., in October 2018;
|
•
|
continued the construction of our new 40-bed joint venture hospital with University Medical Center Health System in Lubbock, Texas. The hospital is expected to begin operating in the second quarter of 2019;
|
•
|
continued our capacity expansions by adding 16 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
|
Murrieta, California
|
50
|
Q2 2018
|
Q4 2019
|
Katy, Texas
|
40
|
Q3 2018
|
Q4 2019
|
•
|
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
|
2.9%
|
Healthcare reform reduction
|
75 basis points
|
Productivity adjustment
|
80 basis points
|
•
|
Changes to Our Operating Environment Resulting from Healthcare Reform
. Many provisions within the 2010 Healthcare Reform Laws have impacted, or could in the future impact, our business. Most notable for us are Medicare reimbursement reductions, such as reductions to annual market basket updates to providers and reimbursement rate rebasing adjustments, and promotion of alternative payment models, such as accountable care organizations (“ACOs”) and bundled payment initiatives such as the Bundled Payment for Care Improvement
|
•
|
Maintaining Strong Volume Growth
. Various factors, including competition and increasing regulatory and administrative burdens, 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 regulatory approval to expand our services and locations in states with certificate of need laws. This approval may be withheld or take longer than expected. In the case of new-store volume growth, the addition of hospitals, home health agencies, and hospice agencies to our portfolio also may be difficult and take longer than expected.
|
•
|
Recruiting and Retaining High-Quality Personnel
. See Item 1A,
Risk Factors
, to the
2017 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 September 30,
|
|
Percentage Change
|
|
Nine Months Ended September 30,
|
|
Percentage Change
|
||||||||||||||
|
2018
|
|
2017
|
|
2018 vs. 2017
|
|
2018
|
|
2017
|
|
2018 vs. 2017
|
||||||||||
|
(In Millions, Except Percentage Change)
|
||||||||||||||||||||
Net operating revenues
|
$
|
1,067.6
|
|
|
$
|
981.6
|
|
|
8.8
|
%
|
|
$
|
3,181.3
|
|
|
$
|
2,905.1
|
|
|
9.5
|
%
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
Salaries and benefits
|
592.3
|
|
|
542.1
|
|
|
9.3
|
%
|
|
1,740.7
|
|
|
1,600.0
|
|
|
8.8
|
%
|
||||
Other operating expenses
|
142.9
|
|
|
136.2
|
|
|
4.9
|
%
|
|
433.5
|
|
|
393.3
|
|
|
10.2
|
%
|
||||
Occupancy costs
|
19.6
|
|
|
18.6
|
|
|
5.4
|
%
|
|
57.7
|
|
|
54.8
|
|
|
5.3
|
%
|
||||
Supplies
|
38.6
|
|
|
36.5
|
|
|
5.8
|
%
|
|
117.8
|
|
|
110.6
|
|
|
6.5
|
%
|
||||
General and administrative expenses
|
49.9
|
|
|
39.7
|
|
|
25.7
|
%
|
|
165.9
|
|
|
128.6
|
|
|
29.0
|
%
|
||||
Depreciation and amortization
|
51.2
|
|
|
46.2
|
|
|
10.8
|
%
|
|
146.8
|
|
|
137.2
|
|
|
7.0
|
%
|
||||
Total operating expenses
|
894.5
|
|
|
819.3
|
|
|
9.2
|
%
|
|
2,662.4
|
|
|
2,424.5
|
|
|
9.8
|
%
|
||||
Loss on early extinguishment of debt
|
—
|
|
|
0.3
|
|
|
(100.0
|
)%
|
|
—
|
|
|
10.7
|
|
|
(100.0
|
)%
|
||||
Interest expense and amortization of debt discounts and fees
|
37.3
|
|
|
36.8
|
|
|
1.4
|
%
|
|
110.6
|
|
|
118.5
|
|
|
(6.7
|
)%
|
||||
Other income
|
(1.7
|
)
|
|
(1.0
|
)
|
|
70.0
|
%
|
|
(2.9
|
)
|
|
(2.9
|
)
|
|
—
|
%
|
||||
Equity in net income of nonconsolidated affiliates
|
(2.1
|
)
|
|
(2.1
|
)
|
|
—
|
%
|
|
(6.4
|
)
|
|
(6.2
|
)
|
|
3.2
|
%
|
||||
Income from continuing operations before income tax expense
|
139.6
|
|
|
128.3
|
|
|
8.8
|
%
|
|
417.6
|
|
|
360.5
|
|
|
15.8
|
%
|
||||
Provision for income tax expense
|
30.2
|
|
|
43.1
|
|
|
(29.9
|
)%
|
|
89.5
|
|
|
111.4
|
|
|
(19.7
|
)%
|
||||
Income from continuing operations
|
109.4
|
|
|
85.2
|
|
|
28.4
|
%
|
|
328.1
|
|
|
249.1
|
|
|
31.7
|
%
|
||||
Loss from discontinued operations, net of tax
|
(0.1
|
)
|
|
(0.1
|
)
|
|
—
|
%
|
|
(0.4
|
)
|
|
(0.2
|
)
|
|
100.0
|
%
|
||||
Net income
|
109.3
|
|
|
85.1
|
|
|
28.4
|
%
|
|
327.7
|
|
|
248.9
|
|
|
31.7
|
%
|
||||
Less: Net income attributable to noncontrolling interests
|
(20.7
|
)
|
|
(19.2
|
)
|
|
7.8
|
%
|
|
(63.5
|
)
|
|
(53.2
|
)
|
|
19.4
|
%
|
||||
Net income attributable to Encompass Health
|
$
|
88.6
|
|
|
$
|
65.9
|
|
|
34.4
|
%
|
|
$
|
264.2
|
|
|
$
|
195.7
|
|
|
35.0
|
%
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||
Operating expenses:
|
|
|
|
|
|
|
|
||||
Salaries and benefits
|
55.5
|
%
|
|
55.2
|
%
|
|
54.7
|
%
|
|
55.1
|
%
|
Other operating expenses
|
13.4
|
%
|
|
13.9
|
%
|
|
13.6
|
%
|
|
13.5
|
%
|
Occupancy costs
|
1.8
|
%
|
|
1.9
|
%
|
|
1.8
|
%
|
|
1.9
|
%
|
Supplies
|
3.6
|
%
|
|
3.7
|
%
|
|
3.7
|
%
|
|
3.8
|
%
|
General and administrative expenses
|
4.7
|
%
|
|
4.0
|
%
|
|
5.2
|
%
|
|
4.4
|
%
|
Depreciation and amortization
|
4.8
|
%
|
|
4.7
|
%
|
|
4.6
|
%
|
|
4.7
|
%
|
Total operating expenses
|
83.8
|
%
|
|
83.5
|
%
|
|
83.7
|
%
|
|
83.5
|
%
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||
Medicare
|
72.8
|
%
|
|
73.5
|
%
|
|
73.2
|
%
|
|
73.4
|
%
|
Medicare Advantage
|
9.1
|
%
|
|
8.1
|
%
|
|
9.0
|
%
|
|
8.4
|
%
|
Managed care
|
10.3
|
%
|
|
10.6
|
%
|
|
10.3
|
%
|
|
10.8
|
%
|
Medicaid
|
3.1
|
%
|
|
3.3
|
%
|
|
3.1
|
%
|
|
3.0
|
%
|
Other third-party payors
|
1.4
|
%
|
|
1.6
|
%
|
|
1.5
|
%
|
|
1.6
|
%
|
Workers’ compensation
|
0.8
|
%
|
|
0.9
|
%
|
|
0.8
|
%
|
|
0.9
|
%
|
Patients
|
0.6
|
%
|
|
0.6
|
%
|
|
0.6
|
%
|
|
0.6
|
%
|
Other income
|
1.9
|
%
|
|
1.4
|
%
|
|
1.5
|
%
|
|
1.3
|
%
|
Total
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
Three Months Ended September 30,
|
|
Percentage Change
|
|
Nine Months Ended September 30,
|
|
Percentage Change
|
||||||||||||||
|
2018
|
|
2017
|
|
2018 vs. 2017
|
|
2018
|
|
2017
|
|
2018 vs. 2017
|
||||||||||
|
(In Millions, Except Percentage Change)
|
||||||||||||||||||||
Net operating revenues:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Inpatient
|
$
|
798.4
|
|
|
$
|
758.2
|
|
|
5.3
|
%
|
|
$
|
2,425.1
|
|
|
$
|
2,262.4
|
|
|
7.2
|
%
|
Outpatient and other
|
27.2
|
|
|
25.3
|
|
|
7.5
|
%
|
|
75.4
|
|
|
76.5
|
|
|
(1.4
|
)%
|
||||
Inpatient rehabilitation segment revenues
|
825.6
|
|
|
783.5
|
|
|
5.4
|
%
|
|
2,500.5
|
|
|
2,338.9
|
|
|
6.9
|
%
|
||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Salaries and benefits
|
423.6
|
|
|
403.2
|
|
|
5.1
|
%
|
|
1,264.3
|
|
|
1,195.7
|
|
|
5.7
|
%
|
||||
Other operating expenses
|
124.3
|
|
|
117.4
|
|
|
5.9
|
%
|
|
374.1
|
|
|
342.1
|
|
|
9.4
|
%
|
||||
Supplies
|
33.6
|
|
|
33.1
|
|
|
1.5
|
%
|
|
104.2
|
|
|
100.6
|
|
|
3.6
|
%
|
||||
Occupancy costs
|
15.9
|
|
|
15.7
|
|
|
1.3
|
%
|
|
47.4
|
|
|
46.3
|
|
|
2.4
|
%
|
||||
Other income
|
(1.8
|
)
|
|
(1.0
|
)
|
|
80.0
|
%
|
|
(3.5
|
)
|
|
(2.9
|
)
|
|
20.7
|
%
|
||||
Equity in net income of nonconsolidated affiliates
|
(1.9
|
)
|
|
(1.9
|
)
|
|
—
|
%
|
|
(5.5
|
)
|
|
(5.6
|
)
|
|
(1.8
|
)%
|
||||
Noncontrolling interests
|
19.0
|
|
|
16.7
|
|
|
13.8
|
%
|
|
59.3
|
|
|
48.6
|
|
|
22.0
|
%
|
||||
Segment Adjusted EBITDA
|
$
|
212.9
|
|
|
$
|
200.3
|
|
|
6.3
|
%
|
|
$
|
660.2
|
|
|
$
|
614.1
|
|
|
7.5
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
(Actual Amounts)
|
||||||||||||||||||||
Discharges
|
44,230
|
|
|
42,948
|
|
|
3.0
|
%
|
|
134,348
|
|
|
128,012
|
|
|
4.9
|
%
|
||||
Net patient revenue per discharge
|
$
|
18,051
|
|
|
$
|
17,654
|
|
|
2.2
|
%
|
|
$
|
18,051
|
|
|
$
|
17,673
|
|
|
2.1
|
%
|
Outpatient visits
|
119,006
|
|
|
138,689
|
|
|
(14.2
|
)%
|
|
377,355
|
|
|
444,558
|
|
|
(15.1
|
)%
|
||||
Average length of stay (days)
|
12.7
|
|
|
12.8
|
|
|
(0.8
|
)%
|
|
12.6
|
|
|
12.8
|
|
|
(1.6
|
)%
|
||||
Occupancy %
|
68.9
|
%
|
|
68.2
|
%
|
|
1.0
|
%
|
|
70.0
|
%
|
|
68.6
|
%
|
|
2.0
|
%
|
||||
# of licensed beds
|
8,888
|
|
|
8,748
|
|
|
1.6
|
%
|
|
8,888
|
|
|
8,748
|
|
|
1.6
|
%
|
||||
Full-time equivalents*
|
21,119
|
|
|
20,740
|
|
|
1.8
|
%
|
|
21,035
|
|
|
20,489
|
|
|
2.7
|
%
|
||||
Employees per occupied bed
|
3.49
|
|
|
3.52
|
|
|
(0.9
|
)%
|
|
3.42
|
|
|
3.46
|
|
|
(1.2
|
)%
|
*
|
Full-time equivalents included in the above table represent our 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 September 30,
|
|
Nine Months Ended September 30,
|
||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||
Operating expenses:
|
|
|
|
|
|
|
|
||||
Salaries and benefits
|
51.3
|
%
|
|
51.5
|
%
|
|
50.6
|
%
|
|
51.1
|
%
|
Other operating expenses
|
15.1
|
%
|
|
15.0
|
%
|
|
15.0
|
%
|
|
14.6
|
%
|
Supplies
|
4.1
|
%
|
|
4.2
|
%
|
|
4.2
|
%
|
|
4.3
|
%
|
Occupancy costs
|
1.9
|
%
|
|
2.0
|
%
|
|
1.9
|
%
|
|
2.0
|
%
|
Total operating expenses
|
72.4
|
%
|
|
72.7
|
%
|
|
71.6
|
%
|
|
72.0
|
%
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||
Medicare
|
85.0
|
%
|
|
85.8
|
%
|
|
85.4
|
%
|
|
85.4
|
%
|
Medicare Advantage
|
9.4
|
%
|
|
9.6
|
%
|
|
9.5
|
%
|
|
10.0
|
%
|
Managed care
|
3.6
|
%
|
|
3.9
|
%
|
|
3.7
|
%
|
|
3.8
|
%
|
Medicaid
|
1.7
|
%
|
|
0.5
|
%
|
|
1.1
|
%
|
|
0.6
|
%
|
Workers’ compensation
|
0.2
|
%
|
|
—
|
%
|
|
0.1
|
%
|
|
—
|
%
|
Patients
|
—
|
%
|
|
0.1
|
%
|
|
0.1
|
%
|
|
0.1
|
%
|
Other income
|
0.1
|
%
|
|
0.1
|
%
|
|
0.1
|
%
|
|
0.1
|
%
|
Total
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
100.0
|
%
|
|
Three Months Ended September 30,
|
|
Percentage Change
|
|
Nine Months Ended September 30,
|
|
Percentage Change
|
||||||||||||||
|
2018
|
|
2017
|
|
2018 vs. 2017
|
|
2018
|
|
2017
|
|
2018 vs. 2017
|
||||||||||
|
(In Millions, Except Percentage Change)
|
||||||||||||||||||||
Net operating revenues:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Home health
|
$
|
209.2
|
|
|
$
|
180.3
|
|
|
16.0
|
%
|
|
$
|
599.3
|
|
|
$
|
516.1
|
|
|
16.1
|
%
|
Hospice
|
32.8
|
|
|
17.8
|
|
|
84.3
|
%
|
|
81.5
|
|
|
50.1
|
|
|
62.7
|
%
|
||||
Home health and hospice segment revenues
|
242.0
|
|
|
198.1
|
|
|
22.2
|
%
|
|
680.8
|
|
|
566.2
|
|
|
20.2
|
%
|
||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Cost of services sold (excluding depreciation and amortization)
|
114.6
|
|
|
92.1
|
|
|
24.4
|
%
|
|
322.3
|
|
|
267.3
|
|
|
20.6
|
%
|
||||
Support and overhead costs
|
82.4
|
|
|
68.9
|
|
|
19.6
|
%
|
|
235.2
|
|
|
203.4
|
|
|
15.6
|
%
|
||||
Other income
|
—
|
|
|
—
|
|
|
N/A
|
|
|
(0.5
|
)
|
|
—
|
|
|
N/A
|
|
||||
Equity in net income of nonconsolidated affiliates
|
(0.2
|
)
|
|
(0.2
|
)
|
|
—
|
%
|
|
(0.9
|
)
|
|
(0.6
|
)
|
|
50.0
|
%
|
||||
Noncontrolling interests
|
2.0
|
|
|
2.5
|
|
|
(20.0
|
)%
|
|
6.4
|
|
|
4.6
|
|
|
39.1
|
%
|
||||
Segment Adjusted EBITDA
|
$
|
43.2
|
|
|
$
|
34.8
|
|
|
24.1
|
%
|
|
$
|
118.3
|
|
|
$
|
91.5
|
|
|
29.3
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
(Actual Amounts)
|
||||||||||||||||||||
Home health:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Admissions
|
34,364
|
|
|
31,471
|
|
|
9.2
|
%
|
|
102,245
|
|
|
93,104
|
|
|
9.8
|
%
|
||||
Recertifications
|
28,733
|
|
|
24,396
|
|
|
17.8
|
%
|
|
82,051
|
|
|
67,510
|
|
|
21.5
|
%
|
||||
Episodes
|
61,765
|
|
|
53,757
|
|
|
14.9
|
%
|
|
179,661
|
|
|
155,118
|
|
|
15.8
|
%
|
||||
Revenue per episode
|
$
|
2,995
|
|
|
$
|
3,008
|
|
|
(0.4
|
)%
|
|
$
|
2,966
|
|
|
$
|
2,987
|
|
|
(0.7
|
)%
|
Episodic visits per episode
|
17.6
|
|
|
17.7
|
|
|
(0.6
|
)%
|
|
17.7
|
|
|
18.1
|
|
|
(2.2
|
)%
|
||||
Total visits
|
1,259,055
|
|
|
1,101,109
|
|
|
14.3
|
%
|
|
3,674,495
|
|
|
3,266,690
|
|
|
12.5
|
%
|
||||
Cost per visit
|
$
|
77
|
|
|
$
|
76
|
|
|
1.3
|
%
|
|
$
|
76
|
|
|
$
|
74
|
|
|
2.7
|
%
|
Hospice:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Admissions
|
2,054
|
|
|
1,273
|
|
|
61.4
|
%
|
|
5,444
|
|
|
3,515
|
|
|
54.9
|
%
|
||||
Patient days
|
223,834
|
|
|
123,491
|
|
|
81.3
|
%
|
|
559,469
|
|
|
345,237
|
|
|
62.1
|
%
|
||||
Revenue per day
|
$
|
147
|
|
|
$
|
145
|
|
|
1.4
|
%
|
|
$
|
146
|
|
|
$
|
145
|
|
|
0.7
|
%
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||
Operating expenses:
|
|
|
|
|
|
|
|
||||
Cost of services sold (excluding depreciation and amortization)
|
47.4
|
%
|
|
46.5
|
%
|
|
47.3
|
%
|
|
47.2
|
%
|
Support and overhead costs
|
34.0
|
%
|
|
34.8
|
%
|
|
34.5
|
%
|
|
35.9
|
%
|
Total operating expenses
|
81.4
|
%
|
|
81.3
|
%
|
|
81.9
|
%
|
|
83.1
|
%
|
|
Nine Months Ended September 30,
|
||||||
|
2018
|
|
2017
|
||||
Net cash provided by operating activities
|
$
|
584.0
|
|
|
$
|
506.9
|
|
Net cash used in investing activities
|
(326.3
|
)
|
|
(199.3
|
)
|
||
Net cash used in financing activities
|
(253.5
|
)
|
|
(270.6
|
)
|
||
Increase in cash, cash equivalents, and restricted cash
|
$
|
4.2
|
|
|
$
|
37.0
|
|
|
Total
|
|
October 1 through December 31, 2018
|
|
2019 - 2020
|
|
2021 - 2022
|
|
2023 and thereafter
|
||||||||||
Long-term debt obligations:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
Long-term debt, excluding revolving credit facility and capital lease obligations
(a)
|
$
|
2,211.5
|
|
|
$
|
4.0
|
|
|
$
|
39.4
|
|
|
$
|
263.4
|
|
|
$
|
1,904.7
|
|
Revolving credit facility
|
65.0
|
|
|
—
|
|
|
—
|
|
|
65.0
|
|
|
—
|
|
|||||
Interest on long-term debt
(b)
|
762.2
|
|
|
31.3
|
|
|
249.2
|
|
|
243.1
|
|
|
238.6
|
|
|||||
Capital lease obligations
(c)
|
460.8
|
|
|
9.2
|
|
|
66.1
|
|
|
57.8
|
|
|
327.7
|
|
|||||
Operating lease obligations
(d)(e)
|
387.8
|
|
|
17.8
|
|
|
124.2
|
|
|
77.6
|
|
|
168.2
|
|
|||||
Purchase obligations
(e)(f)
|
84.1
|
|
|
11.5
|
|
|
43.5
|
|
|
17.0
|
|
|
12.1
|
|
|||||
Other long-term liabilities
(g)(h)
|
3.4
|
|
|
0.1
|
|
|
0.4
|
|
|
0.4
|
|
|
2.5
|
|
|||||
Total
|
$
|
3,974.8
|
|
|
$
|
73.9
|
|
|
$
|
522.8
|
|
|
$
|
724.3
|
|
|
$
|
2,653.8
|
|
(a)
|
Included in long-term debt are amounts owed on our bonds payable and other notes payable. These borrowings are further explained in Note 9,
Long-term Debt,
to the consolidated financial statements accompanying the
2017 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
September 30, 2018
. 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 6,
Property and Equipment
, and Note 9,
Long-term Debt
, to the consolidated financial statements accompanying the
2017 Form 10-K
). Amounts exclude
|
(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 6,
Property and Equipment,
to the consolidated financial statements accompanying the
2017 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 Encompass Health 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, stock appreciation rights, and deferred income taxes. Also, as of
September 30, 2018
, we had
$0.9 million
of total gross unrecognized tax benefits. For more information, see Note 10,
Self-Insured Risks,
Note 13,
Share-Based Payments
, Note 15,
Income Taxes,
and Note 17,
Contingencies and Other Commitments,
to the consolidated financial statements accompanying the
2017 Form 10-K
and Note
8
,
Income Taxes
, to the condensed consolidated financial statements included in Part I, Item 1,
Financial Statements (Unaudited)
, of this report.
|
(h)
|
The table above does not include
Redeemable noncontrolling interests
of
$236.5 million
because of the uncertainty surrounding the timing and amounts of any related cash outflows.
|
|
Three Months Ended September 30,
|
|
Nine Months Ended September 30,
|
||||||||||||
|
2018
|
|
2017
|
|
2018
|
|
2017
|
||||||||
Net income
|
$
|
109.3
|
|
|
$
|
85.1
|
|
|
$
|
327.7
|
|
|
$
|
248.9
|
|
Loss from discontinued operations, net of tax, attributable to Encompass Health
|
0.1
|
|
|
0.1
|
|
|
0.4
|
|
|
0.2
|
|
||||
Net income attributable to noncontrolling interests
|
(20.7
|
)
|
|
(19.2
|
)
|
|
(63.5
|
)
|
|
(53.2
|
)
|
||||
Provision for income tax expense
|
30.2
|
|
|
43.1
|
|
|
89.5
|
|
|
111.4
|
|
||||
Interest expense and amortization of debt discounts and fees
|
37.3
|
|
|
36.8
|
|
|
110.6
|
|
|
118.5
|
|
||||
Net noncash loss on disposal of assets
|
(1.0
|
)
|
|
3.0
|
|
|
2.2
|
|
|
3.3
|
|
||||
Depreciation and amortization
|
51.2
|
|
|
46.2
|
|
|
146.8
|
|
|
137.2
|
|
||||
Loss on early extinguishment of debt
|
—
|
|
|
0.3
|
|
|
—
|
|
|
10.7
|
|
||||
Stock-based compensation expense
|
18.1
|
|
|
9.2
|
|
|
65.6
|
|
|
37.9
|
|
||||
Transaction costs
|
—
|
|
|
—
|
|
|
1.0
|
|
|
—
|
|
||||
SARs mark-to-market impact on noncontrolling interests
|
(0.3
|
)
|
|
—
|
|
|
(2.2
|
)
|
|
—
|
|
||||
Change in fair market value of equity securities
|
0.1
|
|
|
—
|
|
|
1.1
|
|
|
—
|
|
||||
Adjusted EBITDA
|
$
|
224.3
|
|
|
$
|
204.6
|
|
|
$
|
679.2
|
|
|
$
|
614.9
|
|
|
Nine Months Ended September 30,
|
||||||
|
2018
|
|
2017
|
||||
Net cash provided by operating activities
|
$
|
584.0
|
|
|
$
|
506.9
|
|
Interest expense and amortization of debt discounts and fees
|
110.6
|
|
|
118.5
|
|
||
Equity in net income of nonconsolidated affiliates
|
6.4
|
|
|
6.2
|
|
||
Net income attributable to noncontrolling interests in continuing operations
|
(63.5
|
)
|
|
(53.2
|
)
|
||
Amortization of debt-related items
|
(3.0
|
)
|
|
(7.7
|
)
|
||
Distributions from nonconsolidated affiliates
|
(5.5
|
)
|
|
(6.6
|
)
|
||
Current portion of income tax expense
|
97.5
|
|
|
60.1
|
|
||
Change in assets and liabilities
|
(47.1
|
)
|
|
(11.2
|
)
|
||
Cash used in operating activities of discontinued operations
|
0.7
|
|
|
0.7
|
|
||
Transaction costs
|
1.0
|
|
|
—
|
|
||
SARs mark-to-market impact on noncontrolling interests
|
(2.2
|
)
|
|
—
|
|
||
Change in fair market value of equity securities
|
1.1
|
|
|
—
|
|
||
Other
|
(0.8
|
)
|
|
1.2
|
|
||
Adjusted EBITDA
|
$
|
679.2
|
|
|
$
|
614.9
|
|
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)
|
||||||
July 1 through
July 31, 2018
|
|
662
|
|
|
$
|
68.74
|
|
|
—
|
|
|
$
|
250,000,000
|
|
August 1 through
August 31, 2018
|
|
—
|
|
|
—
|
|
|
—
|
|
|
250,000,000
|
|
||
September 1 through
September 30, 2018
|
|
—
|
|
|
—
|
|
|
—
|
|
|
250,000,000
|
|
||
Total
|
|
662
|
|
|
68.74
|
|
|
—
|
|
|
|
|
(1)
|
In July, 662 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 also 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 approved an increase in this common stock repurchase authorization from $200 million to $250 million. On July 24, 2018, our board approved resetting the aggregate common stock repurchase authorization 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.
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Item 6.
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Exhibits
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ENCOMPASS HEALTH 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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October 31, 2018
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No.
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Description
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101
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Sections of the Encompass Health Corporation Quarterly Report on Form 10-Q for the quarter ended September 30, 2018, formatted in XBRL (eXtensible Business Reporting Language), submitted in the following files:
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101.INS
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XBRL Instance Document
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101.SCH
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XBRL Taxonomy Extension Schema Document
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101.CAL
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XBRL Taxonomy Extension Calculation Linkbase Document
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101.DEF
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XBRL Taxonomy Extension Definition Linkbase Document
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101.LAB
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XBRL Taxonomy Extension Label Linkbase Document
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101.PRE
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XBRL Taxonomy Extension Presentation Linkbase Document
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1.
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I have reviewed this quarterly report on Form 10-Q of Encompass Health 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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October 31, 2018
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By:
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/s/ M
ARK
J. T
ARR
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Mark J. Tarr
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President and Chief Executive Officer
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1.
|
I have reviewed this quarterly report on Form 10-Q of Encompass Health Corporation;
|
2.
|
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;
|
3.
|
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;
|
4.
|
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:
|
(a)
|
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;
|
(b)
|
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;
|
(c)
|
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)
|
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.
|
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):
|
(a)
|
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
|
(b)
|
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:
|
October 31, 2018
|
|
|
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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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|
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Executive Vice President and
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|
|
|
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Chief Financial Officer
|
|
1.
|
The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
|
2.
|
The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of Encompass Health Corporation.
|
Date:
|
October 31, 2018
|
|
|
|
|
|
By:
|
/s/ M
ARK
J. T
ARR
|
|
|
|
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Mark J. Tarr
|
|
|
|
|
President and Chief Executive Officer
|
|
|
|
|
|
|
1.
|
The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
|
2.
|
The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of Encompass Health Corporation.
|
Date:
|
October 31, 2018
|
|
|
|
|
|
By:
|
/s/ D
OUGLAS
E. C
OLTHARP
|
|
|
|
|
Douglas E. Coltharp
|
|
|
|
|
Executive Vice President and
|
|
|
|
|
Chief Financial Officer
|
|