UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 8-K
CURRENT REPORT
Pursuant To Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of Report (date of earliest event reported): March 8, 2011
HealthSouth Corporation
(Exact Name of Registrant as Specified in its Charter)
Delaware
(State or Other Jurisdiction of Incorporation)
| 001-10315 | 63-0860407 |
| (Commission File Number) | (IRS Employer Identification No.) |
3660 Grandview Parkway, Suite 200, Birmingham, Alabama 35243
(Address of Principal Executive Offices, Including Zip Code)
(205) 967-7116
(Registrant’s Telephone Number, Including Area Code)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
o Written communication pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
| o | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
| o | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
ITEM 7.01. Regulation FD Disclosure.
HealthSouth Corporation (the “Company”) will participate in the Raymond James 32nd Annual Institutional Investors Conference in Orlando, Florida on March 6-9, 2011. HealthSouth President and Chief Executive Officer, Jay Grinney, will make a presentation on Tuesday, March 8th, at 1:05 p.m. ET using the slides attached to this Current Report on Form 8-K as Exhibit 99.1.
The Company will also participate in the Goldman Sachs Leveraged Finance Healthcare Conference in New York City on March 8, 2011. HealthSouth Senior Vice President and Treasurer, Ed Fay, will make a presentation at 3:05 p.m. ET using the slides attached to this Current Report on Form 8-K as Exhibit 99.1.
Both presentations will address, among other things, the Company’s strategy and financial performance and discuss industry trends and dynamics. The presentations will be webcast live and will be available at http://investor.healthsouth.com by clicking on an available link.
While the format of certain slides may have changed, the slide presentation attached to this Current Report on Form 8-K as Exhibit 99.1 contains substantially the same information as previously provided in a Current Report on Form 8-K dated February 17, 2011.
In the slide presentation attached to this Current Report on Form 8-K as Exhibit 99.1, the Company will provide its observations for the first quarter of 2011. These observations are:
| · | Volume: January and February 2011 exhibited strong discharge growth against easy comparatives from the first quarter of 2010. Discharge growth for the year ended December 31, 2011 is on track to be between 2.5% and 3.5%, as period-over-period comparatives become tougher as the year progresses. |
| · | Pricing: Pricing for the first quarter of 2011includes a net Medicare price increase of approximately 2% that became effective October 1, 2010. Comparisons with the first quarter of 2010 will be impacted by the April 1, 2010 reduction of 25 basis points to Medicare pricing resulting from the implementation of the Patient Protection and Affordable Care Act. |
The Company uses “same store” comparisons to explain the changes in certain performance metrics and line items within its financial statements. Same store comparisons are calculated based on hospitals open throughout both the full current periods and throughout the full prior periods presented. These comparisons include the financial results of market consolidation transactions in existing markets, as it is difficult to determine, with precision, the incremental impact of these transactions on the Company’s results of operations.
The information in this Current Report on Form 8-K, including the information set forth in Exhibit 99.1, shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), nor shall it be incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing.
Note Regarding Presentation of Non-GAAP Financial Measures
The financial data contained in the slide presentation attached as Exhibit 99.1 includes non-GAAP financial measures, including the Company’s leverage ratio and Adjusted EBITDA. The leverage ratio referenced therein is defined as the ratio of consolidated total debt to Adjusted EBITDA for the trailing four quarters. The Company believes its leverage ratio and Adjusted EBITDA are measures of its ability to service its debt and its ability to make capital expenditures. Additionally, the leverage ratio is a standard measurement used by investors to gauge the creditworthiness of an institution. The Company’s credit agreement also includes a maximum leverage ratio financial covenant that allows the Company to deduct up to $75 million of cash on hand from consolidated total debt.
The Company uses Adjusted EBITDA on a consolidated basis as a liquidity measure. The Company believes this financial measure on a consolidated basis is important in analyzing its liquidity because it is the key component of certain material covenants contained within the Company’s credit agreement, which is discussed in
more detail in Note 8, Long-term Debt, to the consolidated financial statements included in its Annual Report on Form 10-K for the year ended December 31, 2010 (the “2010 Form 10-K”). These covenants are material terms of the credit agreement, and the credit agreement represents a substantial portion of the Company’s liquidity. Non-compliance with these financial covenants under the credit agreement – its interest coverage ratio and its leverage ratio – could result in the Company’s lenders requiring the Company to immediately repay all amounts borrowed. If the Company anticipated a potential covenant violation, it would seek relief from its lenders, which would have some cost to the Company, and such relief might not be on terms favorable to those in the Company’s existing credit agreement. In addition, if the Company cannot satisfy these financial covenants, it would be prohibited under the credit agreement from engaging in certain activities, such as incurring additional indebtedness, making certain payments, and acquiring and disposing of assets. Consequently, Adjusted EBITDA is critical to the Company’s assessment of its liquidity.
In general terms, the credit agreement definition of Adjusted EBITDA, referred to as “Adjusted Consolidated EBITDA” there, allows (or in the case of 2009 and prior, has allowed) the Company to add back to or subtract from consolidated net income unusual non-cash or non-recurring items. These items include, but may not be limited to, (1) amounts associated with government, class action, and related settlements, (2) amounts related to discontinued operations and closed locations, (3) charges in respect of professional fees for reconstruction and restatement of financial statements, including fees paid to outside professional firms for matters related to internal controls and legal fees for continued litigation and support matters discussed in Note 21, Settlements, and Note 22, Contingencies and Other Commitments, to the consolidated financial statements included in the 2010 Form 10-K, (4) stock-based compensation expense, (5) net investment and other income (including interest income), and (6) fees associated with the Company’s divestiture activities.
In accordance with the credit agreement, the Company is allowed to add certain other items to the calculation of Adjusted EBITDA, and there may also be certain other deductions required. This includes the interest income associated with income tax recoveries, as discussed in Note 19, Income Taxes, to the consolidated financial statements included in the 2010 Form 10-K. In addition, the Company is allowed to add non-recurring cash gains, such as the cash proceeds from the UBS Settlement (see Note 21, Settlements, to the consolidated financial statements included in the 2010 Form 10-K) to the calculation of Adjusted EBITDA. As these adjustments may not be indicative of the Company’s ongoing performance, they have been excluded from Adjusted EBITDA presented herein and in the slide presentation attached as Exhibit 99.1.
However, Adjusted EBITDA is not a measure of financial performance under generally accepted accounting principles in the United States of America (“GAAP”), and the items excluded from Adjusted EBITDA are significant components in understanding and assessing financial performance. Therefore, Adjusted EBITDA should not be considered a substitute for net income or cash flows from operating, investing, or financing activities. The Company reconciles Adjusted EBITDA to net income, which reconciliation is set forth in the slide presentation attached as Exhibit 99.1, and to net cash provided by operating activities, which reconciliation is set forth below. Because Adjusted EBITDA is not a measurement determined in accordance with GAAP and is thus susceptible to varying calculations, Adjusted EBITDA, as presented, may not be comparable to other similarly titled measures of other companies. Revenues and expenses are measured in accordance with the policies and procedures described in the 2010 Form 10-K.
The Company also uses adjusted income from continuing operations and the related per share amounts, which amounts are also referred to as “adjusted earnings per share,” as analytical indicators to assess its performance. Management believes the presentation of adjusted income from continuing operations and the related per share amounts provides useful information to management and investors about the Company’s operating business before taking into account certain items that are non-operational or infrequent in nature. These measures are not defined measures of financial performance under GAAP and should not be considered as alternatives to net income and net income per share attributable to HealthSouth common shareholders. Because these measures are not measures determined in accordance with GAAP and are susceptible to varying calculations, they may not be comparable to other similarly titled measures presented by other companies. See the consolidated statements of operations included in the 2010 Form 10-K for the GAAP measures of net income, income from continuing operations, and basic and diluted earnings per common share. A reconciliation of net income to adjusted income from continuing operations, and the related per share amounts, is included in the slide presentation attached as Exhibit 99.1.
The Company also uses adjusted free cash flow as an analytical indicator to assess its performance. Management believes the presentation of adjusted free cash flow provides investors an efficient means by which they can evaluate the Company’s capacity to reduce debt and pursue development activities. The calculation of adjusted free cash flow is included in the slide presentation attached as Exhibit 99.1. This measure is not a defined measure of financial performance under GAAP and should not be considered as an alternative to net cash provided by operating activities. Our definition of adjusted free cash flow is limited and does not represent residual cash flows available for discretionary spending. Because this measure is not determined in accordance with GAAP and is susceptible to varying calculations, it may not be comparable to other similarly titled measures presented by other companies. See the consolidated statements of cash flows included in the 2010 Form 10-K for the GAAP measures of cash flows from operating, investing, and financing activities. A reconciliation of net cash provided by operating activities to adjusted free cash flow is presented below.
Reconciliation of Net Cash Provided by Operating Activities to Adjusted EBITDA
| For the Year Ended December 31, | ||||||||||||||||
| 2010 | 2009 | 2008 | 2007 | |||||||||||||
| (In Millions) | ||||||||||||||||
| Net cash provided by operating activities | $ | 331.0 | $ | 406.1 | $ | 227.2 | $ | 230.6 | ||||||||
| Provision for doubtful accounts | (18.5 | ) | (33.1 | ) | (27.0 | ) | (33.2 | ) | ||||||||
| Professional fees—accounting, tax, and legal | 17.2 | 8.8 | 44.4 | 51.6 | ||||||||||||
| Interest expense and amortization | ||||||||||||||||
| of debt discounts and fees | 125.9 | 125.8 | 159.5 | 229.4 | ||||||||||||
| UBS Settlement proceeds, gross | - | (100.0 | ) | - | - | |||||||||||
| Equity in net income of nonconsolidated | ||||||||||||||||
| affiliates | 10.1 | 4.6 | 10.6 | 10.3 | ||||||||||||
| Net income in noncontrolling interests | ||||||||||||||||
| in continuing operations | (40.8 | ) | (33.4 | ) | (29.8 | ) | (31.4 | ) | ||||||||
| Amortization of debt discounts and fees | (6.3 | ) | (6.6 | ) | (6.5 | ) | (7.8 | ) | ||||||||
| Distributions from nonconsolidated affiliates | (8.1 | ) | (8.6 | ) | (10.9 | ) | (5.3 | ) | ||||||||
| Current portion of income tax expense (benefit) | 1.9 | (7.3 | ) | (73.8 | ) | (330.4 | ) | |||||||||
| Change in assets and liabilities | 5.4 | 0.8 | 53.1 | 8.0 | ||||||||||||
| Change in government, class action, | ||||||||||||||||
| and related settlements liability | 2.9 | 11.2 | 7.4 | 171.4 | ||||||||||||
| Other operating cash used in (provided by) | ||||||||||||||||
| discontinued operations | 4.7 | 13.5 | (11.4 | ) | 10.5 | |||||||||||
| Other | 2.0 | 1.2 | (1.6 | ) | 14.6 | |||||||||||
| Adjusted EBITDA | $ | 427.4 | $ | 383.0 | $ | 341.2 | $ | 318.3 | ||||||||
Reconciliation of Net Cash Provided by Operating Activities to Adjusted Free Cash Flow
| For the Year Ended December 31, | ||||||||||||||||
| 2010 | 2009 | 2008 | 2007 | |||||||||||||
| (In Millions) | ||||||||||||||||
| Net cash provided by operating activities | $ | 331.0 | $ | 406.1 | $ | 227.2 | $ | 230.6 | ||||||||
| Impact of discontinued operations | 4.7 | 13.5 | (11.4 | ) | 10.5 | |||||||||||
| Net cash provided by operating activities | ||||||||||||||||
| of continuing operations | 335.7 | 419.6 | 215.8 | 241.1 | ||||||||||||
| Capital expenditures for maintenance | (39.5 | ) | (34.1 | ) | (42.6 | ) | (24.6 | ) | ||||||||
| Net settlements on interest rate swaps | (44.7 | ) | (42.2 | ) | (20.7 | ) | 0.1 | |||||||||
| Dividends paid on convertible perpetual | ||||||||||||||||
| preferred stock | (26.0 | ) | (26.0 | ) | (26.0 | ) | (26.0 | ) | ||||||||
| Distributions paid to noncontrolling interest | ||||||||||||||||
| of consolidated affiliates | (34.4 | ) | (32.7 | ) | (33.4 | ) | (23.1 | ) | ||||||||
| Non-recurring items: | ||||||||||||||||
| UBS Settlement proceeds, less fees to | ||||||||||||||||
| derivative plaintiffs' attorneys | - | (73.8 | ) | - | - | |||||||||||
| Income tax refunds related to prior periods | (13.5 | ) | (63.7 | ) | (90.4 | ) | (457.8 | ) | ||||||||
| Cash paid for professional fees - accounting, | ||||||||||||||||
| tax, and legal | 17.2 | 15.3 | 18.2 | 51.6 | ||||||||||||
| Cash paid for government, class action, and | ||||||||||||||||
| related settlements | 2.9 | 11.2 | 7.4 | 171.4 | ||||||||||||
| Adjusted free cash flow | $ | 197.7 | $ | 173.6 | $ | 28.3 | $ | (67.3 | ) | |||||||
For the year ended December 31, 2010, net cash used in investing activities was $125.9 million and resulted primarily from capital expenditures, net settlement payments related to interest rate swaps, acquisitions of businesses, and net purchases of restricted investments offset by a decrease in restricted cash and proceeds from the sale of our hospital in Baton Rouge. Net cash used in financing activities during the year ended December 31, 2010 was $237.7 million and resulted primarily from net debt payments, distributions paid to noncontrolling interests of consolidated affiliates, dividends paid on the Company’s convertible perpetual preferred stock, and debt amendment and issuance costs.
For the year ended December 31, 2009, net cash used in investing activities was $133.0 million and resulted primarily from capital expenditures and net settlement payments related to interest rate swaps. Net cash used in financing activities during the year ended December 31, 2009 was $224.3 million and resulted primarily from net debt payments, distributions paid to noncontrolling interests of consolidated affiliates, dividends paid on the Company’s convertible perpetual preferred stock, and debt amendment and issuance costs.
For the year ended December 31, 2008, net cash used in investing activities was $40.0 million and resulted primarily from capital expenditures, including expenditures associated with development activities, and net settlement payments related to an interest rate swap offset by proceeds from asset disposals, including our corporate campus. Net cash used in financing activities during the year ended December 31, 2008 was $176.0 million and resulted primarily from net debt payments made during the period, as well as distributions paid to noncontrolling interests of consolidated affiliates and dividends paid on the Company’s perpetual preferred stock, offset by proceeds from the issuance of common stock.
For the year ended December 31, 2007, net cash provided by investing activities was $1,184.5 million and resulted primarily from the proceeds from the divestitures of the Company’s surgery centers, outpatient, and diagnostic divisions. Net cash used in financing activities during the year ended December 31, 2007 was $1,436.6 million and resulted primarily from net debt payments primarily using the net proceeds from the divestitures discussed above.
Forward-Looking Statements
The information contained in this Current Report on Form 8-K and the slide presentation attached as Exhibit 99.1 includes certain estimates, projections, and other forward-looking information that reflect the Company’s current views with respect to future events and financial performance. These estimates, projections, and other forward-looking information are based on assumptions the Company believes, as of the date hereof, are reasonable. Inevitably, there will be differences between such estimates and actual results, and those differences may be material.
There can be no assurance that any estimates, projections, or forward-looking information will be realized.
All such estimates, projections, and forward-looking information speak only as of the date hereof. The Company undertakes no duty to publicly update or revise the information contained herein.
You are cautioned not to place undue reliance on the estimates, projections, and other forward-looking information in the earnings release and supplemental slides as they are based on current expectations and general assumptions and are subject to various risks, uncertainties, and other factors, including those set forth in the 2010 Form 10-K, and in other documents the Company previously filed with the SEC, many of which are beyond the Company’s control. These factors may cause actual results to differ materially from the views, beliefs, and estimates expressed herein.
ITEM 9.01. Financial Statements and Exhibits
(d) Exhibits
| 99.1 | Slide presentation of HealthSouth Corporation used in connection with its March 8, 2011 presentation at the Raymond James 32nd Annual Institutional Investors Conference in Orlando, Florida and its March 8, 2011 presentation at the Goldman Sachs Leveraged Finance Healthcare Conference in New York City. |
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned hereunto duly authorized.
| HEALTHSOUTH Corporation | |||
| By: | /s/ JOHN P. WHITTINGTON | ||
| Name: John P. Whittington | |||
| Title: Executive Vice President, General | |||
| Counsel, and Corporate Secretary | |||
Dated: March 8, 2011