Exhibit 99.1
(COMMUNITY HEALTH SYSTEMS, INC. LOGO)
Investor Contact: W. Larry Cash
Executive Vice President
and Chief Financial Officer
(615) 465-7000
COMMUNITY HEALTH SYSTEMS, INC. ANNOUNCES
FOURTH QUARTER 2005 RESULTS
WITH NET OPERATING REVENUES UP 16.8%
----------------------------------------------
BRENTWOOD, TN (February 22, 2006) - Community Health Systems, Inc. (NYSE: CYH)
today announced financial and operating results for the quarter and year ended
December 31, 2005.
Net operating revenues for the quarter ended December 31, 2005, totaled
$982.1 million, a 16.8% increase compared with $840.6 million for the same
period last year. Income from continuing operations increased 19.7% to $50.8
million for the quarter ended December 31, 2005, compared with $42.5 million for
the same period last year. Income from continuing operations per share (diluted)
increased 17.4% to $0.54 on 98.4 million weighted average shares outstanding for
the quarter ended December 31, 2005, compared with $0.46 on 97.5 million
weighted average shares outstanding for the same period last year. Net income
increased 19.7% to $48.1 million for the quarter ended December 31, 2005,
compared with $40.2 million for the same period last year. Net income per share
(diluted) increased 18.6% to $0.51 for the quarter ended December 31, 2005,
compared to $0.43 for the same period last year. Loss on discontinued operations
for the quarter ended December 31, 2005, consists of an after-tax loss of
approximately $2.7 million, approximately $0.03 per share (diluted), related to
the operations from one hospital designated during the second quarter of 2005 as
being held-for-sale. Refer to pages 3 and 4 for "Financial Highlights."
Adjusted EBITDA for the fourth quarter of 2005 was $151.8 million,
compared with $130.6 million for the same period last year, representing a 16.2%
increase. Adjusted EBITDA is EBITDA adjusted to exclude discontinued operations
and minority interest in earnings. The Company uses adjusted EBITDA as a measure
of liquidity. Net cash provided by operating activities for the fourth quarter
of 2005 was $75.3 million, compared with $62.6 million for the same period last
year, an increase of 20.3%.
The consolidated financial results for the quarter ended December 31,
2005, reflect a 9.1% increase in total admissions compared with the same period
last year. On a same-store basis, admissions increased 1.5% and adjusted
admissions increased 0.5% compared with the same period last year. On a
same-store basis, net operating revenues increased 9.2% compared with the same
period last year.
Net operating revenues for the year ended December 31, 2005, totaled
$3.738 billion, compared with $3.204 billion for the same period last year, a
16.7% increase, again demonstrating the Company's successful integration of
acquisitions over the last several years. Income from continuing operations
increased 17.1% to $190.1 million for the year ended December 31, 2005, compared
with $162.4 million for the same period last year. Income from continuing
operations per share (diluted) increased 24.7% to $2.02 on 98.6 million weighted
average shares outstanding for the year ended December 31, 2005, compared with
$1.62 on 105.9 million weighted average shares outstanding for the same period
last year.
Loss on discontinued operations for the year ended December 31, 2005,
consists of an after-tax loss of approximately $22.6 million, or $0.23 per share
(diluted), related to the loss on sale and operational losses relating to the
sale of four hospitals during the first quarter of 2005, one of which was
designated as being held-for-sale as of December 31, 2004, the termination of
one hospital's lease during the first quarter of 2005 and an impairment
write-down related to the designation of one additional hospital as being
held-for-sale during the second quarter of 2005. Net income increased 10.6% to
$167.5 million, for the year ended December 31, 2005, compared with $151.4
million, for 2004. Net income per share (diluted) increased 18.5% to $1.79 per
share (diluted) for the year ended December 31, 2005, compared with $1.51 per
share (diluted) for 2004.
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CYH Announces Fourth quarter and year ended December 31, 2005 Results
Page 2
February 22, 2006
Adjusted EBITDA for the year ended December 31, 2005, was $573.2
million, compared with $494.1 million for the same period last year, a 16.0%
increase. Net cash provided by operating activities for the year ended December
31, 2005, was $411.0 million, compared with $325.8 million for the same period
last year, an increase of 26.2%.
The consolidated financial results for the year ended December 31,
2005, reflect a 9.1% increase in total admissions compared with the same period
last year. On a same-store basis, admissions increased 2.1%, adjusted admissions
increased 1.8%, and net operating revenues increased 9.0%, compared with the
same period last year.
"Our fourth quarter performance capped off another year of dynamic
growth for Community Health Systems," commented Wayne T. Smith, chairman,
president and chief executive officer of Community Health Systems, Inc. "With
over 16 percent annual revenue growth resulting in record revenues of $3.7
billion and income from continuing operations up 17 percent, we again
demonstrated our ability to meet our financial targets in 2005 while selectively
acquiring new hospitals and building the foundation for future success. Our same
store growth metrics are another key indicator that our operating strategy is
working as we continued to drive admissions and revenues in our hospitals
throughout the country."
"We acquired five hospitals in 2005, further extending our market
reach," Smith added. "Our acquisition pace has been strong and steady and we
have established a track record for not only finding hospitals that fit our
criteria, but also for successfully assimilating these facilities into our
system. As we look ahead to 2006, we believe there are additional opportunities
to expand our portfolio as more hospitals seek a proven operator who will enable
them to more effectively provide healthcare services in their respective
communities. We believe that Community Health Systems is well positioned to
continue to execute its growth strategy and we remain focused on delivering
value to both our shareholders and the communities we serve."
Included on pages 10, 11 and 12 of this press release is a table
setting forth selected information concerning the consolidated operating results
of the Company for the year ended December 31, 2005, and updated projected
consolidated operating results of the Company for the year ending December 31,
2006.
Located in the Nashville, Tennessee, suburb of Brentwood, Community
Health Systems, Inc. is a leading operator of general acute care hospitals in
non-urban communities throughout the country. Through its subsidiaries, the
Company currently owns, leases or operates 71 hospitals in 21 states. Its
hospitals offer a broad range of inpatient medical and surgical services,
outpatient treatment and skilled nursing care. Shares in Community Health
Systems, Inc. are traded on the New York Stock Exchange under the symbol "CYH".
Community Health Systems, Inc. will hold a conference call to discuss
this press release on Thursday, February 23, 2006, at 10:30 a.m. Central, 11:30
a.m. Eastern. Investors will have the opportunity to listen to a live Internet
broadcast of the conference call by clicking on the Investor Relations link of
the Company's website at www.chs.net, or at www.earnings.com. To listen to the
live call, please go to the website at least fifteen minutes early to register,
download, and install any necessary audio software. For those who cannot listen
to the live broadcast, a replay will be available shortly after the call and
continue through March 23, 2006. A copy of the Company's Form 8-K (including
this press release) and conference call slide show will also be available on the
Company's website at www.chs.net.
Statements contained in this news release regarding expected operating
results, acquisition transactions and other events are forward-looking
statements that involve risk and uncertainties. Actual future events or results
may differ materially from these statements. Readers are referred to the
documents filed by Community Health Systems, Inc. with the Securities and
Exchange Commission, including the Company's annual reports on Form 10-K,
quarterly reports on Form 10-Q and current reports on Form 8-K. These filings
identify important risk factors and other uncertainties that could cause actual
results to differ from those contained in the forward-looking statements.
The Company undertakes no obligation to revise or update any
forward-looking statements, or to make any other forward-looking statements,
whether as a result of new information, future events or otherwise.
- MORE -
CYH Announces Fourth quarter and year ended December 31, 2005 Results
Page 3
February 22, 2006
COMMUNITY HEALTH SYSTEMS, INC.
FINANCIAL HIGHLIGHTS
(Unaudited)
(In thousands, except per share amounts)
THREE MONTHS ENDED YEAR ENDED
DECEMBER 31, DECEMBER 31,
---------------------- --------------------------
2005 2004(a) 2005 2004(a)
-------- -------- ---------- ----------
Net operating revenues $982,070 $840,625 $3,738,320 $3,203,507
Adjusted EBITDA(b) $151,769 $130,570 $ 573,200 $ 494,121
Income from continuing operations $ 50,843 $ 42,481 $ 190,138 $ 162,357
Net income $ 48,142 $ 40,229 $ 167,544 $ 151,433
Income from continuing operations
per share-basic $ 0.57 $ 0.49 $ 2.15 $ 1.70
Income from continuing operations
per share-diluted $ 0.54 $ 0.46 $ 2.02 $ 1.62
Net income per share - basic $ 0.54 $ 0.46 $ 1.89 $ 1.58
Net income per share - diluted $ 0.51 $ 0.43 $ 1.79 $ 1.51
Weighted average number of shares
outstanding - basic 89,011 87,369 88,601 95,644
Weighted average number of shares
outstanding - diluted 98,389(c) 97,516(c) 98,580(c) 105,864(c)
Net cash provided by operating activities $ 75,286 $ 62,576 $ 411,049 $ 325,750
(a) Pursuant to Statement of Financial Accounting Standards ("SFAS") No. 144,
the Company has restated its quarter and year ended December 31, 2004,
financial statements and statistical results to reflect the
reclassification as discontinued operations, the sale of four hospitals
during the first quarter of 2005, one of which was designated as being
held-for-sale as of December 31, 2004, the termination of one hospital's
lease during the first quarter of 2005, and the addition of one hospital as
being held-for-sale during the second quarter of 2005. Two hospitals were
previously classified as discontinued operations in 2004.
(b) EBITDA consists of income before interest, income taxes, and depreciation
and amortization. Adjusted EBITDA is EBITDA adjusted to exclude
discontinued operations and minority interest in earnings. The Company has
from time to time sold minority interests in certain of its subsidiaries or
acquired subsidiaries with existing minority interest ownership positions.
The Company believes that it is useful to present adjusted EBITDA because
it excludes the portion of EBITDA attributable to these third party
interests and clarifies for investors the Company's portion of EBITDA
generated by continuing operations. The Company uses adjusted EBITDA as a
measure of liquidity. The Company has included this measure because the
Company believes it provides investors with additional information about
its ability to incur and service debt and make capital expenditures.
Adjusted EBITDA is the basis for a key component in the determination of
the Company's compliance with some of the covenants under its senior
secured credit facility, as well as to determine the interest rate and
commitment fee payable under the senior secured credit facility.
Adjusted EBITDA is not a measurement of financial performance or liquidity
under generally accepted accounting principles. It should not be considered
in isolation or as a substitute for net income, operating income, cash
flows from operating, investing or financing activities, or any other
measure calculated in accordance with generally accepted accounting
principles. The items excluded from adjusted EBITDA are significant
components in understanding and evaluating financial performance and
liquidity. The Company's calculation of adjusted EBITDA may not be
comparable to similarly titled measures reported by other companies.
- MORE -
CYH Announces Fourth quarter and year ended December 31, 2005 Results
Page 4
February 22, 2006
The following table reconciles adjusted EBITDA, as defined, to net cash
provided by operating activities as derived directly from the Company's
consolidated financial statements for the three months and year ended
December 31, 2005, and 2004 (in thousands):
THREE MONTHS ENDED YEAR ENDED
DECEMBER 31, DECEMBER 31,
------------------------- -------------------------
2005 2004 2005 2004
--------- --------- --------- ---------
Adjusted EBITDA $ 151,769 $ 130,570 $ 573,200 $ 494,121
Interest expense, net (24,650) (20,937) (94,613) (75,256)
Provision for income taxes (32,098) (26,617) (120,782) (104,071)
(Loss) Income from operations of hospitals
sold or held for sale (2,701) (2,252) (10,505) (7,279)
Depreciation and amortization of
discontinued operations -- 1,868 1,599 9,225
Other non-cash expenses, net 13,224 41,639 16,510 43,653
Net changes in operating assets and
liabilities, net of effects of
acquisitions (30,258) (61,695) 45,640 (34,643)
--------- --------- --------- ---------
Net cash provided by operating activities $ 75,286 $ 62,576 $ 411,049 $ 325,750
========= ========= ========= =========
(c) Adjusted to include assumed exercise of employee stock options and assumed
conversion of convertible notes. A portion of the convertible notes were
called for redemption during the quarter ended December 31, 2005, and the
remaining convertible notes were redeemed during the quarter ending March
31, 2006. As a result, 8,569,593 shares of common stock of the Company were
issued upon conversion of the outstanding notes and $0.4 million of the
notes were redeemed in exchange for cash.
- MORE -
CYH Announces Fourth quarter and year ended December 31, 2005 Results
Page 5
February 22, 2006
COMMUNITY HEALTH SYSTEMS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(Unaudited)
(In thousands, except per share amounts)
THREE MONTHS ENDED YEAR ENDED
DECEMBER 31, DECEMBER 31,
------------------------ ----------------------------
2005 2004 2005 2004
--------- --------- ----------- -----------
Net operating revenues $ 982,070 $ 840,625 $ 3,738,320 $ 3,203,507
--------- --------- ----------- -----------
Operating expenses:
Salaries and benefits 389,196 333,764 1,486,407 1,279,136
Provision for bad debts 99,983 84,906 377,596 324,643
Supplies 114,644 102,808 448,210 389,584
Other operating expenses 226,478 188,577 852,907 716,023
Depreciation and amortization 43,793 39,736 164,563 149,155
Minority interests in earnings 385 799 3,104 2,494
--------- --------- ----------- -----------
Total expenses 874,479 750,590 3,332,787 2,861,035
--------- --------- ----------- -----------
Income from operations 107,591 90,035 405,533 342,472
Interest expense, net 24,650 20,937 94,613 75,256
Loss from early extinguishment of debt -- -- -- 788
--------- --------- ----------- -----------
Income from continuing operations
before income taxes 82,941 69,098 310,920 266,428
Provision for income taxes 32,098 26,617 120,782 104,071
--------- --------- ----------- -----------
Income from continuing operations 50,843 42,481 190,138 162,357
--------- --------- ----------- -----------
Discontinued operations, net of taxes;
Loss from operations of hospitals
sold or held for sale (2,701) (2,252) (10,505) (7,279)
Net loss on sale of hospitals -- -- (7,618) (2,020)
Impairment of long-lived assets of hospital
held for sale -- -- (4,471) (1,625)
--------- --------- ----------- -----------
Loss on discontinued operations (2,701) (2,252) (22,594) (10,924)
--------- --------- ----------- -----------
Net income $ 48,142 $ 40,229 $ 167,544 $ 151,433
========= ========= =========== ===========
Income from continuing operations per share-basic $ 0.57 $ 0.49 $ 2.15 $ 1.70
========= ========= =========== ===========
Income from continuing operations per share-diluted $ 0.54 $ 0.46 $ 2.02 $ 1.62
========= ========= =========== ===========
Net income per share - basic $ 0.54 $ 0.46 $ 1.89 $ 1.58
========= ========= =========== ===========
Net income per share - diluted $ 0.51 $ 0.43 $ 1.79 $ 1.51
========= ========= =========== ===========
Weighted average number of shares outstanding:
Basic 89,011 87,369 88,601 95,644
--------- --------- ----------- -----------
Diluted 98,389 97,516 98,580 105,864
--------- --------- ----------- -----------
Net income per share calculation:
Net income $ 48,142 $ 40,229 $ 167,544 $ 151,433
Add - Convertible notes interest, net of taxes 1,998 2,190 8,565 8,757
--------- --------- ----------- -----------
Adjusted net income $ 50,140 $ 42,419 $ 176,109 $ 160,190
========= ========= =========== ===========
Weighted average number of shares
outstanding - basic 89,011 87,369 88,601 95,644
Add effect of dilutive securities:
Unvested common shares -- -- -- 23
Employee stock options 1,578 1,565 1,594 1,615
Convertible notes 7,800 8,582 8,385 8,582
--------- --------- ----------- -----------
Weighted average number of shares
outstanding - diluted 98,389 97,516 98,580 105,864
========= ========= =========== ===========
- MORE -
CYH Announces Fourth quarter and year ended December 31, 2005 Results
Page 6
February 22, 2006
COMMUNITY HEALTH SYSTEMS, INC.
SELECTED OPERATING DATA
(Unaudited)
($ in thousands)
FOR THE THREE MONTHS ENDED DECEMBER 31,
--------------------------------------------------------------------------
CONSOLIDATED SAME-STORE
------------------------------------ ------------------------------------
2005 2004 % CHANGE 2005 2004 % CHANGE
-------- -------- -------- -------- -------- --------
Number of hospitals 70 66 66 66
Licensed beds 7,974 7,358 7,315 7,358
Beds in service 6,476 5,960 5,991 5,960
Admissions 73,962 67,767 9.1% 68,765 67,767 1.5%
Adjusted admissions 136,195 125,513 8.5% 126,187 125,513 0.5%
Patient days 304,842 275,707 10.6% 280,365 275,707 1.7%
Average length of stay (days) 4.1 4.1 4.1 4.1
Occupancy rate (average beds in service) 51.2% 50.2% 50.9% 50.2%
Net operating revenues $982,070 $840,625 16.8% $918,303 $840,675 9.2%
Net inpatient revenue as a % of
total net operating revenues 51.2% 50.8% 51.5% 50.8%
Net outpatient revenue as a % of
total net operating revenues 47.4% 47.7% 47.3% 47.7%
Income from operations $107,591 $ 90,035 19.5% $106,138 $ 90,364 17.5%
Income from operations as a
% of net operating revenues 11.0% 10.7% 11.6% 10.7%
Depreciation and amortization $ 43,793 $ 39,736 $ 41,054 $ 39,649
Minority interest in earnings $ 385 $ 799 $ 931 $ 799
Liquidity Data:
Adjusted EBITDA $151,769 $130,570 16.2%
Adjusted EBITDA as a % of net
operating revenues 15.5% 15.5%
Net cash provided by operating activities $ 75,286 $ 62,576
Net cash provided by operating activities as
a % of net operating revenue 7.7% 7.4%
- ---------
Continuing operating results and statistical data exclude discontinued
operations for all periods presented.
- MORE -
CYH Announces Fourth quarter and year ended December 31, 2005 Results
Page 7
February 22, 2006
COMMUNITY HEALTH SYSTEMS, INC.
SELECTED OPERATING DATA
(Unaudited)
($ in thousands)
FOR THE YEAR ENDED DECEMBER 31,
------------------------------------------------------------------------------------
CONSOLIDATED SAME-STORE
--------------------------------------- ----------------------------------------
2005 2004 % CHANGE 2005 2004 % CHANGE
---------- ---------- -------- ---------- ---------- --------
Number of hospitals 70 66 66 66
Licensed beds 7,974 7,358 7,315 7,358
Beds in service 6,476 5,960 5,991 5,960
Admissions 291,633 267,390 9.1% 272,887 267,390 2.1%
Adjusted admissions 538,445 493,776 9.0% 502,449 493,776 1.8%
Patient days 1,204,001 1,091,889 10.3% 1,118,614 1,091,889 2.4%
Average length of stay (days) 4.1 4.1 4.1 4.1
Occupancy rate (average beds in service) 52.9% 51.2% 52.6% 51.2%
Net operating revenues $3,738,320 $3,203,507 16.7% $3,486,508 $3,199,284 9.0%
Net inpatient revenue as a % of
total net operating revenues 50.9% 50.5% 51.1% 50.6%
Net outpatient revenue as a % of
total net operating revenues 47.8% 48.1% 47.8% 48.2%
Income from operations $ 405,533 $ 342,472 18.4% $ 394,360 $ 341,688 15.4%
Income from operations as a
% of net operating revenues 10.8% 10.7% 11.3% 10.7%
Depreciation and amortization $ 164,563 $ 149,155 $ 155,499 $ 148,826
Minority interest in earnings $ 3,104 $ 2,494 $ 3,300 $ 2,494
Liquidity Data:
Adjusted EBITDA $ 573,200 $ 494,121 16.0%
Adjusted EBITDA as a % of net
operating revenues 15.3% 15.4%
Net cash provided by operating activities $ 411,049 $ 325,750
Net cash provided by operating activities as
a % of net operating revenue 11.0% 10.2%
- ---------
Continuing operating results and statistical data exclude discontinued
operations for all periods presented.
- MORE -
CYH Announces Fourth quarter and year ended December 31, 2005 Results
Page 8
February 22, 2006
COMMUNITY HEALTH SYSTEMS, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited)
($ in thousands)
DECEMBER 31,
----------------------------
2005 2004
----------- -----------
ASSETS
Current assets:
Cash and cash equivalents $ 104,108 $ 82,498
Patient accounts receivable, net 656,029 597,261
Other current assets 154,072 135,690
----------- -----------
TOTAL CURRENT ASSETS 914,209 815,449
----------- -----------
Property and equipment 2,128,639 1,924,843
Less accumulated depreciation and amortization (517,648) (440,295)
----------- -----------
Property and equipment, net 1,610,991 1,484,548
----------- -----------
Goodwill, net 1,259,816 1,213,783
----------- -----------
Other assets, net 149,202 118,828
----------- -----------
TOTAL ASSETS $ 3,934,218 $ 3,632,608
=========== ===========
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
Current maturities of long-term debt $ 19,124 $ 26,867
Accounts payable and accrued liabilities 418,279 335,492
----------- -----------
TOTAL CURRENT LIABILITIES 437,403 362,359
----------- -----------
Long-term debt 1,648,500 1,804,868
----------- -----------
Other long-term liabilities 283,738 225,390
----------- -----------
Stockholders' equity 1,564,577 1,239,991
----------- -----------
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $ 3,934,218 $ 3,632,608
=========== ===========
- MORE -
CYH Announces Fourth quarter and year ended December 31, 2005 Results
Page 9
February 22, 2006
COMMUNITY HEALTH SYSTEMS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
($ in thousands)
YEAR ENDED
DECEMBER 31,
--------------------------
2005 2004
--------- -----------
CASH FLOWS FROM OPERATING ACTIVITIES
Net Income $ 167,544 $ 151,433
Adjustments to reconcile net income to net cash
provided by operating activities:
Depreciation and amortization 166,162 158,380
Minority interest in earnings 3,104 1,578
Other non-cash expenses, net 28,599 48,086
Net changes in operating assets and liabilities, net of
effects of acquisitions 45,640 (33,727)
--------- -----------
NET CASH PROVIDED BY OPERATING ACTIVITIES 411,049 325,750
--------- -----------
CASH FLOWS FROM INVESTING ACTIVITIES
Acquisitions of facilities and other related equipment (158,379) (133,033)
Proceeds from sale of facilities and equipment 54,323 8,640
Purchases of property and equipment (188,365) (164,286)
Increase in other assets (34,851) (29,800)
--------- -----------
NET CASH USED IN INVESTING ACTIVITIES (327,272) (318,479)
--------- -----------
CASH FLOWS FROM FINANCING ACTIVITIES
Proceeds from exercise of stock options 49,580 9,900
Proceeds from issuance of senior subordinated notes -- 300,000
Stock repurchase (79,853) (290,520)
Deferred financing costs (1,259) (12,783)
Redemption of convertible notes (298) --
Redemption of minority investments in joint ventures (3,242) (3,522)
Distribution to minority investors in joint ventures (1,939) (1,238)
Proceeds from minority investors in joint ventures 1,383 --
Borrowing under credit agreement -- 1,725,768
Repayments of long-term indebtedness (26,539) (1,668,709)
--------- -----------
NET CASH PROVIDED BY FINANCING ACTIVITIES (62,167) 58,896
--------- -----------
NET CHANGE IN CASH AND CASH EQUIVALENTS 21,610 66,167
CASH AND CASH EQUIVALENTS AT BEGINNING OF PERIOD 82,498 16,331
--------- -----------
CASH AND CASH EQUIVALENTS AT END OF PERIOD $ 104,108 $ 82,498
========= ===========
- MORE -
CYH Announces Fourth quarter and year ended December 31, 2005 Results
Page 10
February 22, 2006
REGULATION FD DISCLOSURE
The following table sets forth selected information concerning the
consolidated operating results of the Company for the year ended December 31,
2005, and the Company's updated projected consolidated operating results of the
Company for the year ending December 31, 2006. These projections are based on
the Company's historical operating performance, current trends and other
assumptions that the Company believes are reasonable at this time. The revision
to the Company's previous guidance provided on October 26, 2005, reflects an
adjustment to include equity-based compensation expense related to the adoption,
on January 1, 2006, of SFAS No. 123R.
The following is provided as guidance to analysts and investors:
2005
Actual Results Adjusted
for Pro-forma Effect 2006
of Equity Based Projection
Compensation Expense Range
----------------------- ------------------
Net operating revenues (in millions) $3,738 $4,175 to $4,225
Adjusted EBITDA (in millions) $556 $615 to $640 (a)
Income from continuing operations per share - diluted $1.91 $2.14 to $2.19
Same hospitals annual admissions growth 2.1% 1.5% to 3.0%
Weighted average diluted shares (in millions) 98.6 99 to 100
Acquisitions of new hospitals 5 3 to 5
Income from Continuing Operations Per Share - Diluted Estimated by Quarter:
- ---------------------------------------------------------------------------
1st quarter ending March 31, 2006 $0.50 $0.55 to $0.57
2nd quarter ending June 30, 2006 $0.46 $0.51 to $0.53
3rd quarter ending September 30, 2006 $0.44 $0.50 to $0.51
4th quarter ending December 31, 2006 $0.51 $0.56 to $0.58
- -----
For note (a) see page 11.
The following assumptions were used in developing the guidance provided
above:
o For comparative purposes, the 2005 actual results have been restated to
include pro-forma equity-based stock option compensation expense of $17.6
million, or $0.11 per share (diluted) as if SFAS No. 123R was adopted on
January 1, 2005 and reflected in the Company's reported earnings for 2005.
Adjusted EBITDA and income from continuing operations per share -- diluted,
as reported in 2005 were $573.2 million and $2.02 per share, respectively.
o The 2006 projected results include equity-based compensation expense of $15
to $18 million, or $0.10 to 0.12 per share (diluted) related to the
adoption, on January 1, 2006, of SFAS No. 123R. The 2006 projection range
also includes an estimate for anticipated 2006 equity-based awards of new
restricted shares and stock options. Compensation expense for equity-based
awards will vary depending on many factors, including the number of awards
and the variables used to determine the fair value of those awards at the
date of the grant.
o Expressed as a percentage of net operating revenue, provision for bad debts
is projected to be approximately 10.2% to 10.5% for 2006.
o Capital expenditures are as follows (in millions):
Actual Guidance
2005 2006
------- ------------
Total $200 $240 to $260
o Expressed as a percent of net operating revenues, total depreciation and
amortization is projected to be approximately 4.2% to 4.6% for 2006;
however, this is a fixed cost and the percentages may vary as revenue
varies.
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CYH Announces Fourth quarter and year ended December 31, 2005 Results
Page 11
February 22, 2006
o Expressed as a percentage of income before income taxes, provision for
income tax is projected to be approximately 38.5% to 39.0% for 2006.
o The Company is exposed to London Inter-Bank Offer Rate ("LIBOR") based
interest rates, which have been increasing over the past two years. The
following is a summary of the three-month LIBOR rates at various dates:
December 31, 2003 1.15188%
December 31, 2004 2.56438%
December 31, 2005 4.53625%
To partially offset the rise in LIBOR rates, the Company is currently a
party to ten separate interest swap agreements to limit the effect of
changes in interest rates on a portion of the Company's long-term
borrowings. On each of the swaps, the Company receives a variable rate of
interest based on the three-month LIBOR, in exchange for the payment by the
Company of a fixed rate of interest. Currently, the Company pays on a
quarterly basis a margin above LIBOR of 175 basis points for revolver loans
and term loans under the senior secured credit facility. For the purpose of
providing 2006 projection range guidance, the Company has assumed that
future LIBOR rates for borrowings under the Company's $1.625 billion Senior
Secured Credit Facility will increase based on market quotations of the
forward yield curve and other economic forecasts.
- ---------
Footnote from page 10
(a) The following table reconciles adjusted EBITDA, as defined, to the
Company's estimated net cash provided by operating activities as presented
in the above guidance:
2005
Actual Results
Adjusted for
Pro-forma Equity
Based
Compensation 2006 Projection Range
Expense (in millions)
---------------- ---------------------
Adjusted EBITDA $ 556 $ 615 $ 640
Taxes and interest expense (209) (230) (246)
Other non-cash expenses and net changes in
operating assets and liabilities 64 45 56
----- ----- -----
Net cash provided by operating activities $ 411 $ 430 $ 450
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The projections set forth in this report constitute forward-looking
statements within the meaning of Section 27A of the Securities Act, Section 21E
of the Exchange Act and the Private Securities Litigation Reform Act of 1995.
Although the Company believes that these forward-looking statements are based on
reasonable assumptions, these assumptions are inherently subject to significant
economic and competitive uncertainties and contingencies, which are difficult or
impossible to predict accurately and are beyond the control of the Company.
Accordingly, the Company cannot give any assurance that its expectations will in
fact occur and cautions that actual results may differ materially from those in
the forward-looking statements. A number of factors could affect the future
results of the Company or the healthcare industry generally and could cause the
Company's expected results to differ materially from those expressed in this
filing.
These factors include, among other things:
o general economic and business conditions, both nationally and in the
regions in which we operate;
o demographic changes;
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CYH Announces Fourth quarter and year ended December 31, 2005 Results
Page 12
February 22, 2006
o existing governmental regulations and changes in, or the failure to comply
with, governmental regulations;
o legislative proposals for healthcare reform;
o the impact of the Medicare Prescription Drug, Improvement and Modernization
Act of 2003, which includes specific reimbursement changes for small urban
and non-urban hospitals;
o our ability, where appropriate, to enter into managed care provider
arrangements and the terms of these arrangements;
o changes in inpatient or outpatient Medicare and Medicaid payment levels;
o uncertainty regarding the application of the Health Insurance Portability
and Accountability Act of 1996 regulations;
o increases in wages as a result of inflation or competition for highly
technical positions and rising supply cost due to market pressure from
pharmaceutical companies and new product releases;
o liability and other claims asserted against us, including self-insured
malpractice claims;
o competition;
o our ability to attract and retain qualified personnel, key management,
physicians, nurses and other health care workers;
o trends toward treatment of patients in less acute or specialty healthcare
settings, including ambulatory surgery centers or specialty hospitals;
o changes in medical or other technology;
o changes in generally accepted accounting principles;
o the availability and terms of capital to fund additional acquisitions or
replacement facilities;
o our ability to successfully acquire and integrate additional hospitals;
o our ability to obtain adequate levels of general and professional liability
insurance;
o potential adverse impact of known and unknown government investigations;
o timeliness of reimbursement payments received under government programs;
and
o the other risk factors set forth in our public filings with the Securities
and Exchange Commission.
The consolidated operating results for the quarter and the year ended
December 31, 2005, are not necessarily indicative of the results that may be
experienced for any future quarter or for any future fiscal year, including this
fiscal year.
The Company cautions that the projections for calendar year 2006 set forth
herein are given as of the date hereof based on currently available information.
The Company is not undertaking any obligation to update these projections as
conditions change or other information becomes available.
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