31 st Annual J.P. Mor gan He althc ar e Confe r e nc e San F r - - PowerPoint PPT Presentation
31 st Annual J.P. Mor gan He althc ar e Confe r e nc e San F r - - PowerPoint PPT Presentation
31 st Annual J.P. Mor gan He althc ar e Confe r e nc e San F r anc isc o|Januar y 9, 2013 Ja y Grinne y, Pre side nt a nd Chie f E xe c utive Offic e r F or war d- L ooking State me nts T he info rmatio n c o ntaine d in this pre
T he info rmatio n c o ntaine d in this pre se ntatio n inc lude s c e rtain e stimate s, pro je c tio ns and o the r fo rward- lo o king info rmatio n that re fle c t o ur c urre nt o utlo o k, vie ws and plans with re spe c t to future e ve nts, inc luding le g islative and re g ulato ry de ve lo pme nts, strate g y, c apital e xpe nditure s, de ve lo pme nt ac tivitie s, divide nd strate g ie s, re purc hase o f se c uritie s, e ffe c tive tax rate s, financ ial pe rfo rmanc e , and b usine ss mo de l. T he se e stimate s, pro je c tio ns and o the r fo rward-lo o king info rmatio n are b ase d o n assumptio ns that He althSo uth b e lie ve s, as o f the date he re o f, are re aso nab le . I ne vitab ly, the re will b e diffe re nc e s b e twe e n suc h e stimate s and ac tual e ve nts o r re sults, and tho se diffe re nc e s may b e mate rial. T he re c an b e no assuranc e that any e stimate s, pro je c tio ns o r fo rward-lo o king info rmatio n will b e re alize d.
All suc h e stimate s, pr
- je c tio ns and fo r
war d-lo o king info r matio n spe ak o nly as o f the date he r e o f. He althSo uth unde r take s no duty to public ly update o r r e vise the info r matio n c o ntaine d he r e in.
Yo u are c autio ne d no t to plac e undue re lianc e o n the e stimate s, pro je c tio ns and o the r fo rward-lo o king info rmatio n in this pre se ntatio n as the y are b ase d o n c urre nt e xpe c tatio ns and g e ne ral assumptio ns and are sub je c t to vario us risks, unc e rtaintie s and o the r fac to rs, inc luding tho se se t fo rth in the F
- rm 10-K fo r the
ye ar e nde d De c e mb e r 31, 2011, o ur F
- rm 10-Q fo r the q uarte rs e nde d Marc h 31, 2012, June 30, 2012, and
Se pte mb e r 30, 2012, and in o the r do c ume nts we pre vio usly file d with the SE C, many o f whic h are b e yo nd
- ur c o ntro l, that may c ause ac tual re sults to diffe r mate rially fro m the vie ws, b e lie fs and e stimate s
e xpre sse d he re in.
No te Re gar ding Pr e se ntatio n o f No n-GAAP F inanc ial Me asur e s
T he fo llo wing pre se ntatio n inc lude s c e rtain “no n-GAAP financ ial me asure s” as de fine d in Re g ulatio n G unde r the Se c uritie s E xc hang e Ac t o f 1934. Sc he dule s are attac he d that re c o nc ile the no n-GAAP financ ial me asure s inc lude d in the fo llo wing pre se ntatio n to the mo st dire c tly c o mparab le financ ial me asure s c alc ulate d and pre se nte d in ac c o rdanc e with Ge ne rally Ac c e pte d Ac c o unting Princ iple s in the Unite d State s. Our F
- rm 8-K, date d January 7, 2013, to whic h the fo llo wing supple me ntal slide s are attac he d as
E xhib it 99.1, pro vide s furthe r e xplanatio n and disc lo sure re g arding o ur use o f no n-GAAP financ ial me asure s and sho uld b e re ad in c o njunc tio n with the se supple me ntal slide s.
F
- r
war d- L
- oking State me nts
2
Ke y Me tr ic s
2008 2011 All I RF s 1,202 1,165
- Ho spita l-b a se d
981 931
- F
re e sta nding 221 234 Me dic a re F e e -fo r-Se rvic e (F F S) Spe nding $5.93B $6.46B No . o f Me dic a re F F S Ca se s 356,000 371,288
IRF Cr ite r ia
- Pa tie nts must:
−
Re q uire a t le a st two type s o f the ra py
−
T
- le ra te a minimum o f 3 ho urs o f
the ra py/ d a y
−
Be a d mitte d b y a physic ia n
- IRF
s must:
−
Ha ve a me d ic a l d ire c to r o f re ha b ilita tio n
−
Sc re e n pa tie nts within 48 ho urs prio r to a d missio n
−
Ha ve a n inte rd isc iplina ry a ppro a c h
−
Me e t the 60% c o mplia nc e thre sho ld
3
Inpa tie nt Re ha bilita tion F a c ility (IRF ) Se c tor Ove rvie w
So urc e s: Me dPAC Re po rt to Co ng re ss, Me dic a re Pa yme nt Po lic y, Ma rc h 2012 – pa g e s 235; Me dPAC Re po rt: Asse ssing pa yme nt a de q ua c y: I npa tie nt re ha b ilita tio n fa c ility se rvic e s, De c e mb e r 7, 2012
Ge og ra phic Distribution of IRF s, 2010
Por tfolio – As of De c e mbe r 31, 2012
100 I npa tie nt Re ha b ilita tio n Ho spita ls
- 29 o pe ra te a s JV’ s with Ac ute Ca re
Ho spita ls 24 Outpa tie nt Re ha b ilita tio n Sa te llite Clinic s 25 Ho spita l-Ba se d Ho me He a lth Ag e nc ie s 27 + Pue rto Ric o Numb e r o f Sta te s ~ 22,700 E mplo ye e s
Ke y Statistic s – (T T M as of Se pt. 30, 2012)
~ $2.1 Billio n Re ve nue 122,225 I npa tie nt Disc ha rg e s 907,105 Outpa tie nt Visits
Patie nts Se r ve d
Most Common Conditions (Q3 2012):
- 1. Ne uro lo g ic a l
21.2%
- 2. Stro ke
16.1%
- 3. Othe r o rtho pe dic c o nditio ns
9.4%
- 4. F
ra c ture o f the lo we r e xtre mity 9.3%
- 5. De b ility
8.9%
4 Ne w Ho spita ls Wa lto n a c q uisitio n in Aug usta , GA; e xpe c t to c lo se Q1 2013 Oc a la , F L b e g a n a c c e pting pa tie nts in De c e mb e r 2012 Unde r c o nstruc tio n, Stua rt, F L ; e xpe c t to b e
- pe ra tio na l Q2 2013
Unde r c o nstruc tio n, L ittle to n, CO; e xpe c t to b e o pe ra tio na l Q2 2013 CON a ppro ve d fo r 50-b e d ho spita l in Orla ndo , F L ; e xpe c t to b e o pe ra tio na l 2nd ha lf o f 2014 CON a ppro ve d fo r 50-b e d ho spita l in Ne wna n, GA CON a ppro ve d fo r Middle to wn, DE ; b e ing c o nte ste d CON a ppro ve d fo r Willia mso n Co , T N; b e ing c o nte ste d
Ma rke tsha re
~ 9% o f IRF
s (T
- ta l in U.S. = 1,139)
~ 19% o f L ic e nse d Be d s ~ 21% o f Pa tie nts Se rve d
He a lthSouth is the Na tion’s L e a ding IRF Provide r
Most IRF patie nts have me dic al c onditions assoc iate d with aging; the de mand/ ne e d for inpatie nt r e habilitative se r vic e s is e xpe c te d to gr
- w as the Me dic ar
e - e ligible population inc r e ase s.
5
IRF Conditions 2011 (1)
1. Stro ke 19.8% 2. F ra c ture o f the lo we r e xtre mity 13.9% 3. K ne e / Hip re pla c e me nt 10.5% 4. De b ility 10.4% 5. Ne uro lo g ic a l diso rde rs 10.3% 6. Bra in injury 7.5% 7. Othe r o rtho pe dic c o nditio ns 7.0% 8. Ca rdia c c o nditio ns 5.1% 9. Spina l c o rd injury 4.3%
- 10. All o the r
11.1%
IRF Se rvic e s (1)
I npa tie nt re ha b ilita tio n fa c ilitie s (I RF s) pro vide inte nsive re ha b ilita tio n se rvic e s to pa tie nts a fte r a n injury, illne ss, o r surg e ry. Re ha b ilita tio n pro g ra ms a t I RF s a re supe rvise d b y re ha b ilita tio n physic ia ns a nd inc lude se rvic e s suc h a s physic a l a nd o c c upa tio na l the ra py, re ha b ilita tio n nursing , pro sthe tic a nd
- rtho tic se rvic e s, a nd spe e c h-la ng ua g e pa tho lo g y.
Me dia n Ag e of a He a lthSouth Pa tie nt:
- All pa tie nts = 72
- Me dic a r
e F F S = 76
(1) Me dic a re Re po rt to Co ng re ss, Me dic a re Pa yme nt Po lic y, Ma rc h 2012 – pa g e 233 a nd 241 (2) 2012 Annua l Re po rt o f the Bo a rds o f T ruste e s o f the F e de ra l Ho spita l I nsura nc e a nd F e de ra l Supple me nta ry Me dic a l I nsura nc e T rust F unds - pa g e s 10 a nd 22
As the 1946- 1965 ba by boom g e ne ra tion re a c he s 65, the g rowth in the numbe r of be ne fic ia rie s inc re a se s from 2% to a bout 3% . (2)
24 26 28 30 32 34 36 1Q09 2Q09 3Q09 4Q09 1Q10 2Q10 3Q10 4Q10 1Q11 2Q11 3Q11 4Q11 1Q12 2Q12 3Q12
He althSouth diffe r e ntiate s itse lf on its supe r ior
- utc ome s…
F IM Ga in
Cha ng e in F unc tio na l I nde pe nde nc e Me a sure me nt (b a se d o n a n 18 po int a sse ssme nt) fro m a dmissio n to disc ha rg e
He a lthSo uth UDS Ave ra g e (1)
6
- Inpa tie nt re ha bilita tion hospita ls e va lua te a ll pa tie nts a t a dmission a nd upon
disc ha rg e to de te rmine the ir func tiona l sta tus.
− T
he F unc tio na l I nde pe nde nc e Me a sure me nt (“F I M”) pa tie nt a sse ssme nt instrume nt is use d fo r the se e va lua tio ns.
- T
he diffe re nc e be twe e n the F IM sc ore s a t a dmission a nd upon disc ha rg e is c a lle d the “F IM Ga in.”
− T
he g re a te r the F I M Ga in, the g re a te r the pa tie nt’ s le ve l o f inde pe nde nc e , the b e tte r the pa tie nt o utc o me .
(1) T he UDS a ve ra g e is the risk a djuste d a ve ra g e o f a pa tie nt mix pulle d fro m the UDS na tio n (inc luding He a lthSo uth) tha t is simila r to the He a lthSo uth a c tua l pa tie nt mix. Ca se s a re pla c e d into CMGs b y a dmitting impa irme nt c o de , func tio na l sta tus a t a dmissio n, a nd so me time s a g e .
Avg . Be ds pe r I R F Avg . Me dic a r e Disc ha r g e s pe r I R F (2) Avg . E st. T
- ta l Cost
pe r Disc ha r g e for F Y 2013 Avg . E st. T
- ta l
Pa ym e nt pe r Disc ha r g e for F Y 2013 HL S (1) = 97 67 896 $12,371 $17,301 F r e e - sta nding (Non- HL S) = 135 52 597 $16,251 $18,603 Hospita l Units = 907 23 231 $18,857 $18,249 T
- ta l
1,139 30 331 $16,805 $18,106
T
- tal Inpatie nt Re habilitation F
ac ilitie s (IRF s): 1,139
… and its c ost e ffe c tive ne ss.
- Me dic a re pa ys
He althSouth le ss pe r
disc ha rg e , o n a ve ra g e , a nd
He althSouth tre a ts a
hig he r a c uity pa tie nt.
7
(1) T he 97 fo r HL S do e s no t inc lude He a lthSo uth Re ha b ilita tio n Ho spita l o f Cypre ss, T X, whic h o pe ne d in Oc to b e r 2011, He a lthSo uth Re ha b ilita tio n Ho spita l a t Dra ke , whic h o pe ne d in De c e mb e r 2011, a nd He a lthSo uth Re ha b ilita tio n Ho spita l o f Oc a la , F L , whic h o pe ne d De c e mb e r 2012. (2) I n 2011, He a lthSo uth a ve ra g e d 1,233 to ta l Me dic a re a nd no n-Me dic a re disc ha rg e s pe r ho spita l in its 96 c o nso lida te d ho spita ls. So urc e : F Y 2013 CMS Ra te Se tting F ile a nd Me dic a re Re po rt to Co ng re ss, Me dic a re Pa yme nt Po lic y, Ma rc h 2012 – pa g e s 239 a nd 240
- He althSouth
diffe r e ntiate s itse lf by:
“Be st Pra c tic e s”
c linic a l pro to c o ls
Supply c ha in
e ffic ie nc ie s
So phistic a te d
ma na g e me nt info rma tio n syste ms
E
c o no mie s o f sc a le
$1,701 $1,785 $1,878 $2,027 2008 2009 2010 2011
Re ve nue
He althSouth has a tr ac k r e c or d of de live r ing str
- ng ope r
ational and financ ial r e sults (e ve n dur ing pe r iods of r e duc e d Me dic ar e pr ic ing)…
($ in millio ns)
(1) Re c o nc ilia tio n to GAAP pro vide d o n slide s 24-29. $323 $364 $410 $466 2008 2009 2010 2011
Adjuste d E BIT DA (1)
103,356 109,106 112,514 118,354 2008 2009 2010 2011
Disc har ge Volume
8
$9 $155 $181 $243 2008 2009 2010 2011
Adjuste d F r e e Cash F low (1)
Me dic ar e pr ic ing “r
- lle d- bac k” fr
- m
Apr . 2008 – Se pt. 2009
… and e xpe c ts anothe r solid ye ar .
Or iginal 2012 Adjuste d E BIT DA Guidanc e F e b. 23, 2012 $475 million to $485 million
(1) Re c o nc ilia tio n to GAAP pro vide d o n slide s 25, 26, 28, a nd 29. (2) T he Co mpa ny ha s no t ye t c lo se d its b o o ks fo r Q4 a nd YE 2012
Q4 2012 Pr e liminar y Obse r vations and Conside r ations (2) :
Disc ha rg e g ro wth o f a ppro xima te ly 5.4%; Ne w-sto re disc ha rg e g ro wth o f 2.4% (120 b ps fro m
the c o nso lida tio n o f St. Vinc e nt in She rwo o d, AR)
Re ve nue -pe r-disc ha rg e inc re a se o f a ppro xima te ly 2.4% Q4 2012 inc lude s o ne -time b o nus o f a ppro x. $10 millio n in lie u o f Oc to b e r 1, 2012 me rit
inc re a se s fo r a ll no n-ma na g e me nt e mplo ye e s (a 2.25% me rit inc re a se wo uld a mo unt to a ppro x. $5.5 millio n in SWB in Q4 2012).
- SWB a s a pe rc e nt o f ne t re ve nue s <50.0%.
Q4 2011 Adjuste d E
BI T DA b e ne fite d b y $2.4 millio n fro m a no nre c urring fra nc hise ta x re c o ve ry
9
Januar y 7, 2013 (2) $495 million to $498 million Re fle c ts 6.2% to 6.8% gr
- wth ove r
2011 e ve n with the appr
- x. $10 million one - time , non- manage me nt
bonus in lie u of Oc t. 1, 2012 me r it inc r e ase Oc t. 25, 2012 $490 million to $495 million Raise d 2012 Adjuste d E BIT DA Guidanc e (1)
… and e xpe c ts anothe r solid ye ar . (c ont.)
Re vise d 2012 E ar nings pe r Shar e fr
- m Continuing Ope r
ations Attr ibutable to He althSouth (1) $1.53 to $1.55
Conside r ations:
Assume s pro visio n fo r inc o me ta x o f
a ppro x. 39% in 2012 vs. a ppro x. 19% in 2011 (2)
Ca sh ta xe s e xpe c te d to b e $8 to $12
millio n
(1) Inc o me fro m c o ntinuing o pe ra tio ns a ttrib uta b le to He a lthSo uth; T he Co mpa ny ha s no t ye t c lo se d its b o o ks fo r Q4 a nd YE 2012 (2) E stima te d e ffe c tive ta x ra te using pre -ta x inc o me fro m c o ntinuing o pe ra tio ns a ttrib uta b le to He a lthSo uth (3) Inc lude s a n a ppro x. $46 millio n, o r $0.49 pe r sha re , b e ne fit prima rily re la te d to the Co mpa ny’ s se ttle me nt with the IRS fo r ta x ye a rs 2007 a nd 2008, a de c re a se in the va lua tio n a llo wa nc e , a nd a re duc tio n in unre c o g nize d ta x b e ne fits due to the la pse o f the sta tute o f limita tio ns fo r c e rta in fe de ra l a nd sta te c la ims (4) T he divide nds re la te d to o ur c o nve rtib le pe rpe tua l pre fe rre d sto c k must b e sub tra c te d fro m inc o me fro m c o ntinuing o pe ra tio ns whe n c a lc ula ting b a sic e a rning s pe r sha re . 10
Ac tua l L
- w
Hig h
(I n Millio ns, E xc e p t Pe r S ha re Da ta )
2011 Adjusted EBIT DA 466.2 $ 495 $ 498 $
I nterest exp ense a nd a m o rtiza tio n
- f d eb t d isc o unts a nd fees
(119.4) Dep rec ia tio n a nd a m o rtiza tio n (78.8) Sto c k-b a sed c o m p ensa tio n exp ense (20.3) Other, inc lud ing no n-c a sh lo ss o n d isp o sa l o f a ssets (4.3) 243.4 288 291
Certa in Nonrec urring Expenses:
Go vernm ent, c la ss a c tio n a nd rela ted settlem ents 12.3 Pro fessio na l fees - a c c o unting , ta x a nd leg a l (21.0) L
- ss o n ea rly exting uishm ent o f d eb t
(38.8) Ga in o n c o nso lid a tio n o f St. Vinc ent Reha b ilita tio n Ho sp ita l
- Pre-ta x inc ome
195.9 276 279
I nc o m e ta x (a ssum es 39% in 2012) (37.1)
(3)
(107) (108)
Inc ome from c ontinuing opera tions (1) 158.8 $ 169 $ 171 $
B a sic sha res 93.3 94.6 94.6
Ea rning s per sha re (1) (4) 1.42 $ 1.53 $ 1.55 $
5 4 (17) (7)
E PS Guida nc e
2012
(95) (82) (23) (4)
Busine ss Outlook: 2013 to 2015 (1)
Busine ss Mode l
- Adjuste d E
BIT DA CAGR: 4-8% (2)(3)
- Adjuste d F
r e e Ca sh F low CAGR: 10-14% (2)(3)(4)
Stra te g y
2012 2013 2014 2015
De le ve r ing
Ma inta ine d < 3.0x De b t to Adjuste d E BIT DA
< 3.0x De b t to Adjuste d E
BIT DA (sub je c t to sha re ho lde r va lue -c re a ting o ppo rtunitie s)
Cor e Gr
- wth
Sa me - stor e Gr
- wth (Inc lude s b e d e xpa nsio ns a nd unit c o nso lida tio ns)
De novos (ta rg e t o f 4/ ye a r) IR F Ac quisitions (ta rg e t o f 2/ ye a r)
Conside r opportunistic , disc ipline d a c quisitions
- f c o mple me nta ry po st-a c ute se rvic e s
(1) I f le g isla tio n a ffe c ting Me dic a re is pa sse d, He a lthSo uth will e va lua te its e ffe c t o n the Co mpa ny’ s Busine ss Mo de l. (2) Re c o nc ilia tio n to GAAP pro vide d o n slide s 24-26, 28, a nd 29. (3) T he se a re multi-ye a r CAGRs; a nnua l re sults ma y fa ll o utside the ra ng e . (3) Assume s NOL va lue is e xha uste d a fte r 2015
11 De novos
1 - Oc a la , F L
- Clinic a l Informa tion
Syste m (CIS) Insta lle d in 13 ho spita ls
Ke y Ope r ational Initiative s
- T
e amWor ks = Ca re Ma na g e me nt
- Be ac on (Ma na g e me nt Re po rting So ftware ) = L
a b o r / o utc o me s / q ua lity o ptimiza tio n
- CIS: Co mpa ny-wide Imple me nta tio n (ta rg e t 20 ho spita ls/ ye a r)
Ke y Conside ra tions:
- Re g ula to ry c la rity
- Ma rke t c o nditio ns
- Purc ha se pric e a nd te rms a nd c o nditio ns
IRF Ac quisitions
L OI Aug usta , GA
De novos - 2
L ittle to n, CO; Stua rt, F L
Oppor tunistic Gr
- wth
Re vise d CAGRs r e fle c t:
- Comple tion of de le ve r
ing and r e financ ing
- Se que str
ation be ginning Mar c h 2013
Be d e xpa nsio n = 95 Unit c o nso lida tio ns = 2
- CPR (Co mfo rt,
Pro fe ssio na lism, Re spe c t) Initiative
- IR
F Qua lity R e por ting : urina ry tra c t infe c tio n, wo und c a re
($ Billio ns)
Ye ar
- E
nd 2010 Goal: 3.75x to 4.00x
(1) Ba se d o n 2008 a nd Se pt. 30, 2012 tra iling 4 q ua rte rs Adjuste d E BI T DA o f $322.6 millio n a nd $500.2 millio n, re spe c tive ly; re c o nc ilia tio n to GAAP pro vide d o n slide s 25-29. (2) Re c o nc ilia tio n to GAAP pro vide d o n slide 24 (3) Ba se d o n the pro fo rma de b t le ve l re fle c ting the re de mptio n o f 10% o f the 2018 a nd 2022 Se nio r No te s in Oc to b e r 2012.
Busine ss Mode l T e ne ts: F le xibility and Str
- ng F
r e e Cash F low
Pr
- for
m a
(2)
Se pt. 30 De c . 31, Se pt. 30, 2012 2012 2011
Ca sh Ava ila b le 96.8 $ 163.2 $ 30.1 $ Re vo lve r To ta l L ine 600.0 $ 600.0 $ 500.0 $ L e ss: – Dra ws
- (110.0)
– L e tte rs o f c re d it (41.4) (41.4) (44.6) 558.6 $ 558.6 $ 345.4 $ To ta l L iq uid ity 655.4 $ 721.8 $ 375.5 $ Ava ila b le
L iquidity
12
$1.81 $1.66 $1.51 $1.25 $1.26
YE 2008 YE 2009 YE 2010 YE 2011 T ra iling 4 Qtrs
5.6x(1) 2.5x (1)
De bt Outsta nding
(3)
Adjuste d F re e Ca sh F low (2)
(b illio ns)
$9 $155 $181 $243 $286
2008 2009 2010 2011 T ra iling 4 Qtrs
(millio ns)
He althSouth has followe d a pr ude nt str ate gy of str e ngthe ning its balanc e she e t while building a fle xible busine ss mode l that ge ne r ate s signific ant fr e e c ash flow.
(9/ 30/ 12) (9/ 30/ 12)
He a lthSouth ha s multiple , fle xible opportunitie s for de ploying its F re e Ca sh F lows to inc re a se Sha re holde r va lue .
13
Growth De bt Re duc tion Sha re holde r Distribution
(1) 2012 inc lude s the purc ha se o f the re a l e sta te (pre vio usly sub je c t to a n o pe ra ting le a se ) a sso c ia te d with o ur jo int ve nture ho spita l in F a ye tte ville , AR fo r a ppro x. $15 millio n, ha lf o f whic h wa s re imb urse d to us b y o ur jo int ve nture pa rtne r thro ug h a c a pita l c o ntrib utio n; a lso inc lude s a n initia l inve stme nt fo r a re pla c e me nt ho spita l fo r o ur c urre ntly le a se d ho spita l in L udlo w, MA.
(millio ns)
G ro wth in c o re busine ss 2013 Assumptio ns 2012 Estima te s 2011 Ac tua ls Be d e xpa nsio ns (ta rg e t a ppro x. 80 be ds/ yr)
$25 to $35 $20 $12.5
De no vo ho spita ls (ta rg e t 4/ yr)
$55 to $75 48 15.6
Ac quisitio ns (ta rg e t 2/ yr)
- F
re e sta nding IRF S T BD
- Ho spita l units
T BD 3 6.5 $80 to $110, e xc luding a c q uisitio ns $71 $34.6
2013 Assumptio ns 2012 Estima te s 2011 Ac tua ls De bt pa y do wn, ne t
T BD
- $256.6
Purc ha se le a se d pro pe rtie s (1)
$20 to $125 $23 28.6
Co nve rtible pre fe rre d sto c k re purc ha se ($125
T BD 47
- millio n ma rke t re purc ha se s a utho riza tio n)
Ca sh divide nds (o ne time o r re g ula r)
T BD
- Co mmo n sha re re purc ha se ($125 millio n
a utho riza tio n)
T BD
- T
BD $70 $285.2
Pr ior itie s may shift base d on pr e vailing mar ke t c onditions
He althSouth is a c ompany with str
- ng and sustainable busine ss fundame ntals.
- Be d e xpa nsio ns a t e xisting ho spita ls
- F
le xib le de no vo stra te g y
- F
le xib le I RF a c q uisitio n a nd unit c o nso lida tio n stra te g y
- Ab ility to pursue o the r po st-a c ute se c to rs o ppo rtunistic a lly
Gr
- wth Oppor
tunitie s
- Stro ng b a la nc e she e t; a mple liq uidity, no ne a r-te rm ma turitie s
- Minima l c a sh inc o me ta x e xpe nse ($8 - $12 millio n / ye a r)
a ttrib uta b le to NOL s
- Sub sta ntia l fre e c a sh flo w g e ne ra tio n
F inanc ial Str e ngth
- # 1 ma rke t sha re : a b o ve industry sa me -sto re g ro wth a nd ma rg ins
- Co nsiste nt a c hie ve me nt o f hig h-q ua lity, c o st-e ffe c tive c a re
- Ro ll-o ut o f sta te -o f-the -a rt c linic a l info rma tio n syste m
Industr y L e ading Position
- F
a vo ra b le de mo g ra phic tre nds
- No ndisc re tio na ry na ture o f ma ny c o nditio ns tre a te d in I
RF s
- Hig hly fra g me nte d industry
Attr ac tive He althc ar e Se c tor
14
- F
- c use d la b o r ma na g e me nt
- Co ntinue d impro ve me nts in supply c ha in
- Sig nific a nt o pe ra ting le ve ra g e o f G&A e xpe nse
Cost- E ffe c tive ne ss
- Po rtfo lio o f stra te g ic a lly lo c a te d, we ll-de sig ne d physic a l a sse ts
- 100 I
RF s (1); 66 o wne d a nd 34 lo ng -te rm, re a l e sta te le a se s
- Ab ility to purc ha se a numb e r o f le a se d a sse ts
Re al E state Por tfolio
(1) I nc lusive o f no nc o nso lida te d e ntitie s
Appe ndix
15
2012 Mile stone s
Volume
− 2012 full-ye a r d isc ha rg e g ro wth o f a ppro xima te ly 4.6%; Ne w-sto re d isc ha rg e g ro wth o f
1.7% (110 b ps fro m the c o nso lid a tio n o f St. Vinc e nt in She rwo o d , AR)
Gr
- wth – De novos
− Ope ne d He a lthSo uth Re ha b ilita tio n Ho spita l o f Oc a la , F
L (40 b e d s)
− Sta rte d c o nstruc tio n o n 34-b e d inpa tie nt re ha b ilita tio n ho spita l in Stua rt, F
L a nd 40-b e d inpa tie nt re ha b ilita tio n ho spita l in L ittle to n, CO
− Re c e ive d CON a ppro va l to b uild a 50-b e d inpa tie nt re ha b ilita tio n ho spita l in the
g re a te r Orla nd o , F L , a re a
− Re c e ive d CON a ppro va l to b uild a 50-b e d inpa tie nt re ha b ilita tio n ho spita l in
Ne wna n,GA
Gr
- wth – Ac quisition/ unit c onsolida tion
− E
nte re d into a le tte r o f inte nt to a c q uire Wa lto n Re ha b ilita tio n Ho spita l (58 b e d s) in Aug usta , GA (e xpe c te d to c lo se Q1 2013)
− Ac q uire d a 34-b e d inpa tie nt re ha b ilita tio n unit (c o nso lid a te d into o ur e xisting ho spita l
in Sa n Anto nio , T X)
− Purc ha se d 12 inpa tie nt re ha b ilita tio n b e d s in And a lusia , AL
(to b e a d d e d to o ur e xisting ho spita l in Do tha n, AL in 2013)
Gr
- wth – Be d e xpa nsion
− Ad d e d 95 b e d s to e xisting ho spita ls
16
2012 Mile stone s
L e a se buy-out/ te r mina tion
− Purc ha se d re a l e sta te (pre vio usly sub je c t to a n o pe ra ting le a se ) a sso c ia te d with o ur
jo int ve nture ho spita l in F a ye tte ville , AR
− Bro ke g ro und o n re pla c e me nt ho spita l fo r o ur c urre ntly le a se d ho spita l in L
ud lo w, MA
Ope r a tions e nha nc e me nts
− Insta lle d c linic a l info rma tio n syste m (CIS) in 13 a d d itio na l ho spita ls
Str e ng the ne d ba la nc e she e t
− Upg ra d e d to Ba 3 a nd BB- b y Mo o d y’ s a nd S&P, re spe c tive ly − Ame nd e d a nd e xte nd e d se nio r se c ure d c re d it fa c ility − Issue d $275 millio n o f 5.75% Se nio r No te s ma turing 2024 − Purc ha se d 46,645 sha re s o f o ur c o nve rtib le pe rpe tua l pre fe rre d sto c k fo r $46.5 millio n − Re d e e me d 10% o f the 2018 a nd 2022 Se nio r No te s (~$65 millio n)
17
9 Months 2012 Highlights
18
$377.3 $343.3
$100 $225 $350 $475
+9.9% 9M 2012 9M 2011
Adjuste d E BIT DA (1)
$1,609.0 $1,508.8
$300 $600 $900 $1,200 $1,500 $1,800
+6.6% 9M 2012 9M 2011
Ne t Ope r ating Re ve nue s
92,159
30,000 60,000 90,000
9M 2012 9M 2011 +4.4%
Disc har ge Volume
$1.23
$0.00 $0.50 $1.00 $1.50
9M 2012 9M 2011
E ar nings Pe r Shar e (2)
(1) Re c o nc ilia tio n to GAAP pro vide d o n slide s 25, 26, 28, a nd 29. (2) Inc o me fro m c o ntinuing o pe ra tio ns a ttrib uta b le to He a lthSo uth pe r dilute d sha re fo r the first nine mo nths o f 2012 wa s $1.23 pe r sha re c o mpa re d to $0.90 pe r sha re fo r the sa me pe rio d o f 2011. E a rning s pe r sha re fo r the first nine mo nths o f 2012 re fle c te d stro ng o pe ra ting re sults a nd a n e ffe c tive inc o me ta x ra te o f a ppro xima te ly 38%. E a rning s pe r sha re in the first nine mo nths o f 2011 re fle c te d a $0.30 pe r sha re inc o me ta x b e ne fit tha t re sulte d fro m a se ttle me nt o f fe de ra l inc o me ta x c la ims with the Inte rna l Re ve nue Se rvic e fo r ta x ye a rs 2007 a nd 2008 a nd a re duc tio n in unre c o g nize d ta x b e ne fits due to the la pse o f the sta tute o f limita tio ns fo r c e rta in fe de ra l a nd sta te c la ims.
(millio ns) (millio ns)
88,288 $0.90
Adjuste d F r e e Cash F low (1) Conside r ations
(1) Re c o nc ilia tio n to GAAP pro vide d o n slide 24 (2) De finitio n o f a djuste d fre e c a sh flo w is ne t c a sh pro vide d b y o pe ra ting a c tivitie s o f c o ntinuing o pe ra tio ns minus c a pita l e xp e nditure s fo r ma inte na nc e , ne t se ttle me nts o n inte re st ra te swa ps, divide nds pa id o n pre fe rre d sto c k, distrib utio ns to no nc o ntro lling inte re sts, a nd no nre c urring ite ms. (3) Ne t o f a mo rtiza tio n o f de b t a nd disc o unts a nd fe e s 19
Ce r tain Cash F low Ite ms (2)
(millions)
2013 Assumptions 2012 E stimate s 2011 Ac tuals
Cash inte r e st e xpe nse (3)
$90 to $95 $90 $115.2
Cash payme nts for taxe s
$8 to $12 $8 to $12 $9.1
Wor king c apital and othe r
$10 to $20 $25 to $35 $10.6
Mainte nanc e CAPE X
$85 to $90 $85 $50.8
Ne t c ash swap- r e late d se ttle me nts
- $10.9
Divide nds paid on pr e fe r r e d stoc k
$23 $25 $26
2013 ma inte na nc e CAPE X is drive n b y the c linic a l info rma tio n syste m ro ll-o ut, ho spita l re no va tio ns, a nd ho spita l re fre sh pro je c ts.
We e xpe c t 2012 Adjuste d F re e Ca sh F low to re fle c t Adjuste d E BIT DA g rowth offse t by the working c a pita l c ha ng e .
Hig he r ma inte na nc e c a pita l e xpe nditure s we re offse t by
lowe r c a sh inte re st e xpe nse a nd swa p–re la te d se ttle me nts
Busine ss Outlook: Re ve nue Assumptions
Re ve nue
Volume
- 2.5% to 3.5% a nnua l g ro wth
(e xc lude s a c q uisitio ns)
- I
nc lude s b e d e xpa nsio ns, de no vo s a nd unit c o nso lida tio ns
Pric ing
72% 8% 20%
F Y 2013
(3)
F Y 2014 F Y 2015 Q4 12 - Q3 13 Q4 13 - Q3 14 Q4 14 - Q3 15
Ma rke t b a ske t upda te (1) 2.7% 2.9% 2.9% He a lthc a re re fo rm re duc tio n 10 b ps 30 b ps 20 b ps Pro duc tiv ity a djustme nt (1) 70 b ps ~ 100 b ps ~ 100 b ps Medic a re Pric ing 2013 2014 2015
2-4% 2-4% 2-4%
E xpec ted Pr ic e I nc r ea ses Ma na g ed Ca r e
Me dic ar e Manage d Car e Othe r
(1) Me dic a re I RF
- PPS No tic e fo r F
Y 2013 a nd ma na g e me nt’ s e stima te s fo r F Y 2014 a nd F Y 2015. (2) T he Budg e t Co ntro l Ac t o f 2011 inc lude s a re duc tio n o f up to 2% to Me dic a re pa yme nts fo r a ll pro vide rs upo n e xe c utive o rde r o f the Pre side nt in Ma rc h 2013 (a s mo difie d b y H.R. 8). T he re duc tio n wo uld b e ma de fro m wha te ve r le ve l o f pa yme nt wo uld o the rwise b e pro vide d unde r Me dic a re la w a nd re g ula tio n. We c urre ntly e stima te this a uto ma tic re duc tio n, kno wn a s “se q ue stra tio n,” will re sult in a ne t de c re a se to o ur ne t o pe ra ting re ve nue s o f a ppro x. $29 millio n a nnua lly in 2013. (3) We b e lie ve b a se d o n the Me dic a re I RF
- PPS No tic e fo r F
Y 2013, He a lthSo uth sho uld re a lize a ne t inc re a se o f a ppro x. 2.1% in F Y 2013 b e fo re a pplying the e ffe c t o f se q ue stra tio n.
20
2% Se que stra tion (2)
Busine ss Outlook: E xpe nse Assumptions
E xpe nse
Sa la rie s & Be ne fits (1) Hospita l E xpe nse s
- Othe r o pe ra ting e xpe nse s
a nd supply c o sts tra c king with infla tio n
- Oc c upa nc y c o sts de c lining a s
a pe rc e nt o f re ve nue
- Ba d de b t e xpe nse o f a ppro x.
1.1% to 1.3%
2013 2014 2015
Me rit inc re a se s (2) 0.5-0.6% 2.0-2.5% 2.0-2.5% Be ne fit c o sts inc re a se s 8-10% (2) 5-8% 5-8%
Ge ne ra l a nd Administra tive
~4.2% o f re ve nue (e xc lud e s sto c k-b a se d c o mpe nsa tio n)
Sa la rie s & Be ne fits Hospita l E xpe nse s
(1) Sa la rie s, Wa g e s a nd Be ne fits: ~ 90% Sa la rie s a nd Wa g e s; ~10% Be ne fits. (2) I n Q4 2012, the Co mpa ny pa id a n a ppro x. $10 millio n e mplo ye e b o nus in lie u o f a n Oc to b e r 1, 2012 me rit inc re a se fo r no n-ma na g e me nt e mplo ye e s. T he 0.5-0.6% re pre se nts a 2.0-2.5% inc re a se e ffe c tive Oc to b e r 1, 2013. Be c a use the Oc to b e r 1, 2012 me rit inc re a se s we re fo re g o ne , the Co mpa ny will a b so rb a ll o f the me dic a l b e ne fit c o st inc re a se s in 2013.
21
$0 $10 $20 $30 $40
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
T
- ta l Me d ic a re Spe nd ing o n Po st-Ac ute Se rvic e s $63.5 billion in 2011
No te : T he se numb e rs a re pro g ra m spe nding o nly a nd do no t inc lude b e ne fic ia ry c o pa yme nts. So urc e s: Ce nte r fo r Me dic a re & Me dic a id Se rvic e s, Me dic a re T ruste e s Re po rt Ma y 2012 – Pa g e 6, Me dPAC De c e mb e r 2012 Pub lic Me e ting s tra nsc ript (I RF se c tio n) pa g e s 321 a nd 322; (SNF se c tio n) pa g e 232; (Ho me He a lth se c tio n) pa g e s 254 a nd 256; (L T CH se c tio n) pa g e s 376 a nd 378
Me dic ar e spe nding on Inpatie nt Re habilitation has r e maine d fair ly c onstant as a pe r c e nt of total Me dic ar e spe nding.
Skille d nursing fa c ilitie s 22 - 24% Ho me he a lth a g e nc ie s 14.8% Inpa tie nt re ha b ilita tio n ho spita ls 9.6% L
- ng -te rm a c ute
c a re ho spita ls 6.9%
22
2011 Me dic a r e Ma r g in Post- Ac ute Se tting s
Inpa tie nt re ha b ilita tio n spe nding (% o f to ta l Me dic a re spe nding )
1.8% 2.1% 2.2% 2.1% 1.9% 1.5% 1.4% 1.3% 1.2% 1.2% 1.2% 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Pr
- je c te d
2013 Me dic ar e Ma r g ins
11 to 14% 11.8% 8.3% 5.9%
Me dPAC IRF Asse ssme nt Summar y (De c e mbe r 2012)
23
- Ca pa c ity
―
IRF c a pa c ity a nd supply we re re la tive ly sta b le in 2011
- Volume
―
Vo lume inc re a se d in 2011(vo lume d e c line d in 2010)
- Mix
―
Inc re a se in sha re o f IRF c a se s tha t me e t the c o mplia nc e thre sho ld (stro ke , b ra in injury, ne uro lo g ic a l d iso rd e rs)
―
Inc re a sing a ve ra g e pa tie nt se ve rity
- Ma r
g ins
―
Me d ic a re ma rg ins we re 9.6% in 2011, up fro m 8.7% in 2010; pro je c te d to b e 8.3% in 2013.
- Qua lity
―
Risk-a d juste d q ua lity re ma ins sta b le .
- Ac c e ss to c a pita l
― Ac c e ss to c a pita l a ppe a rs to b e a d e q ua te .
- Me dPAC pr
ic e r e c omme nda tion
―
0% upd a te fo r F Y 2014 o n the b a se ra te (1)
(1) Me dPAC ma ke s re c o mme nda tio ns in te rms o f pe rc e nta g e c ha ng e up a nd do wn o f the b a se ra te . T he y do no t use fo rmula s like ma rke t b a ske t minus pro duc tivity a nd do no t ta ke into a c c o unt the po te ntia l e ffe c t o f se q ue stra tio n. So urc e s: Me dPAC De c e mb e r 2012 Pub lic Me e ting , Asse ssing Pa yme nt Ade q ua c y
Adjuste d F r e e Cash F low
(Millio ns)
2012 2011 2012 2011 2011 2010 2009 2008 2007
107.2 $ 55.1 $ 302.2 $ 213.2 $ 342.7 $ 331.0 $ 406.1 $ 227.2 $ 230.6 $ 0.2 (2.2) (1.5) (9.4) (9.1) (13.2) (5.7) (32.5) (3.3) Ca pita l e xpe nditure s fo r ma inte na nc e (1) (17.9) (12.8) (68.0) (35.1) (50.8) (37.9) (33.2) (41.5) (22.4) Ne t se ttle me nts o n inte re st ra te swa ps (2)
- (10.9)
(10.9) (44.7) (42.2) (20.7) 0.1 Divide nds pa id o n c o nve rtib le pe rpe tua l pre fe rre d sto c k Distrib utio ns pa id to no nc o ntro lling inte re sts
- f c o nso lida te d a ffilia te s
Non- r ec ur r ing item s:
UBS Se ttle me nt pro c e e ds, le ss fe e s to de riva tive pla intiffs' a tto rne ys Ne t pre mium (re c e ive d) pa id o n b o nd issua nc e / re de mptio n
- 8.9
- 22.8
22.8
- Ca sh pa id fo r pro fe ssio na l fe e s - a c c o unting ,
ta x a nd le g a l Ca sh pa id fo r g o ve rnme nt, c la ss a c tio n a nd re la te d se ttle me nts
- (3.5)
- (6.9)
(7.9) (13.5) (63.7) (89.4) (457.7)
Adjusted fr ee c a sh flow 71.6 $ 32.3 $ 186.8 $ 144.1 $ 243.3 $ 181.4 $ 155.4 $ 9.3 $ (79.1) $
(2.6)
- 194.7
(26.0) (33.4)
- 18.2
7.4 15.3 (32.6)
Q3
107.4 52.9
- 4.1
4.0 171.4 21.0
a c tivities of c ontinuing oper a tions Net c a sh pr
- vided by oper
a ting
Impa c t o f disc o ntinue d o pe ra tio ns
- (73.8)
Net c a sh pr
- vided by oper
a ting a c tivities
- Inc o me ta x re funds re la te d to prio r pe rio ds
(5.8) (6.5) (13.6) (10.7) 51.6 5.7 2.9 11.2 17.2 333.6 (26.0) 400.4 (34.4) 317.8 (26.0) (26.0)
R ec onc ilia tion of Net Ca sh Provided by O pera ting Ac tivities to Adjusted F ree Ca sh F low
- 13.2
16.2
Full Yea r
227.3 (26.0) (23.4) (18.9) (2.6) 7.7
9 Months
300.7 203.8
- (44.2)
(19.5) (37.6) (34.0)
(1) Ma inte na nc e c a pita l e xpe nditure s a re e xpe c te d to b e a ppro x. $85 millio n in 2012 a nd $85 to $90 millio n in 2013. (2) F ina l swa p pa yme nt o f $10.9 millio n wa s ma de in Ma rc h 2011.
24
Re c onc iliation of Ne t Inc ome to Adjuste d E BIT DA
(1) (1) (2) – No te s o n pa g e 28. (in m illio ns, exc ept per sha re da ta ) T
- ta l
Per Sha re T
- ta l
Per Sha re T
- ta l
Per Sha re T
- ta l
Per Sha re
Net income
56.8 $ 59.9 $ 59.9 $ 176.6 $ L
- ss (inc o m e) fro m disc o ps, net o f ta x,
a ttrib uta b le to Hea lthSo uth 0.4 (3.5) 0.5 (2.6) Net inc o m e a ttrib uta b le to no nc o ntro lling interests (12.6) (13.2) (12.8) (38.6)
Income from continuing opera tions a ttributa ble to Hea lthSouth
(2)
44.6 0.40 $ 43.2 0.39 $ 47.6 0.44 $ 135.4 1.23 $ Go v't, c la ss a c tio n, a nd rela ted settlem ents
- (3.5)
(3.5) Pro fees - a c c t, ta x, a nd leg a l 3.6 5.5 4.1 13.2 Pro visio n fo r inc o m e ta x expense 29.1 26.9 28.1 84.1 I nterest expense a nd a m o rtiza tio n o f deb t disc o unts a nd fees 23.3 23.0 23.5 69.8 Deprec ia tio n a nd a m o rtiza tio n 19.5 20.0 21.3 60.8 L
- ss o n ea rly exting uishm ent o f deb t
- 1.3
1.3 Ga in o n c o nso lida tio n o f St. Vinc ent Reha b ilita tio n Ho spita l
- (4.9)
(4.9) Net no nc a sh lo ss o n dispo sa l o f a ssets 0.8 0.6 1.6 3.0 Sto c k-b a sed c o m pensa tio n expense 6.1 5.9 6.1 18.1
Adjusted EBIT DA
(1)
127.0 $ 125.1 $ 125.2 $ 377.3 $
Weig hted a vera g e common sha res outsta nding :
Ba sic 94.5 94.6 94.7 94.6 Diluted 108.7 108.0 108.1 108.2
2012 Q 1 Q 2 9 Months Q 3
25
Re c onc iliation of Ne t Inc ome to Adjuste d E BIT DA
(1) (1) (2) – No te s o n pa g e 28.
26
(in m illio ns, exc ept per sha re da ta ) T
- ta l
Per Sha re T
- ta l
Per Sha re T
- ta l
Per Sha re T
- ta l
Per Sha re T
- ta l
Per Sha re
Net income
91.5 $ 32.3 $ 68.3 $ 62.5 $ 254.6 $ (I nc o m e) lo ss fro m disc o ps, net o f ta x, a ttrib uta b le to Hea lthSo uth (17.6) (2.5) (34.8) 5.0 (49.9) Net inc o m e a ttrib uta b le to no nc o ntro lling interests (11.7) (10.4) (11.3) (12.5) (45.9)
Income from continuing opera tions a ttributa ble to Hea lthSouth
(2)
62.2 0.57 $ 19.4 0.14 $ 22.2 0.17 $ 55.0 0.50 $ 158.8 1.42 $ Go v't, c la ss a c tio n, a nd rela ted settlem ents
- (10.6)
- (1.7)
(12.3) Pro fees - a c c t, ta x, a nd leg a l 3.8 8.4 4.0 4.8 21.0 Pro visio n fo r inc o m e ta x (b enefit) expense (7.4) 11.2 18.1 15.2 37.1 I nterest expense a nd a m o rtiza tio n o f deb t disc o unts a nd fees 35.1 34.9 26.3 23.1 119.4 Deprec ia tio n a nd a m o rtiza tio n 19.5 19.6 19.5 20.2 78.8 L
- ss o n ea rly exting uishm ent o f deb t
- 26.1
12.7
- 38.8
Net no nc a sh lo ss o n dispo sa l o f a ssets 0.1 1.0 2.8 0.4 4.3 Sto c k-b a sed c o m pensa tio n expense 4.2 5.3 4.9 5.9 20.3
Adjusted EBIT DA
(1)
117.5 $ 115.3 $ 110.5 $ 122.9 $ 466.2 $
Weig hted a vera g e common sha res outsta nding :
Ba sic 93.1 93.3 93.3 93.3 93.3 Diluted 109.0 109.5 109.2 109.1 109.2
2011 Q 1 Q 2 F ull Ye ar Q 3 Q 4
Re c onc iliation of Ne t Inc ome to Adjuste d E BIT DA
(1)
(in m illio ns, e xc e p t p e r sha re d a ta ) T
- ta l
Pe r Sha re T
- ta l
Pe r Sha re T
- ta l
Pe r Sha re
Net inc ome
281.8 $ 128.8 $ 939.8 $ I nc o m e fro m d isc o p s, ne t o f ta x, a ttrib uta b le to He a lthSo uth (32.5) (17.7) (9.2) Ne t inc o m e a ttrib uta b le to no nc o ntro lling inte re sts (29.4) (34.0) (40.8)
Inc ome from c ontinuing opera tions a ttrib uta b le to Hea lthSouth (2)
219.9 2.28 $ 77.1 0.58 $ 889.8 8.20 $ Ga in o n U B S Se ttle m e nt (121.3)
- Go v't, c la ss a c tio n, a nd re la te d se ttle m e nts
(67.2) 36.7 1.1 Pro fe e s - a c c t, ta x, a nd le g a l 44.4 8.8 17.2 L
- ss o n inte re st ra te sw a p s
55.7 19.6 13.3 Pro visio n fo r inc o m e ta x b e ne fit (69.1) (2.9) (740.8) I nte re st e xp e nse a nd a m o rtiza tio n o f d e b t d isc o unts a nd fe e s 159.3 125.7 125.6 De p re c ia tio n a nd a m o rtiza tio n 78.9 67.6 73.1 I m p a irm e nt c ha rg e s, inc lud ing inve stm e nts 2.4 1.4
- Ne t no nc a sh lo ss o n d isp o sa l o f a sse ts
2.0 3.4 1.4 L
- ss o n e a rly e xting uishm e nt o f d e b t
5.9 12.5 12.3 S to c k-b a se d c o m p e nsa tio n e xp e nse 11.7 13.4 16.4 Othe r
- 0.4
0.2
Adjusted EBIT DA (1)
322.6 $ 363.7 $ 409.6 $
Weig hted a vera g e c ommon sha res outsta nding :
B a sic 83.0 88.8 92.8 Dilute d 96.4 103.3 108.5
F ull Ye a r
2008 2009 2010
(1) (2) – No te s o n pa g e 28.
27
Re c onc iliation Note s for Slide s 25- 27
- 1. Ad juste d E
BIT DA is a no n-GAAP fina nc ia l me a sure . T he Co mpa ny’ s le ve ra g e ra tio (to ta l c o nso lid a te d d e b t to Ad juste d E BIT DA fo r the tra iling fo ur q ua rte rs) is, like wise , a no n- GAAP fina nc ia l me a sure . Ma na g e me nt a nd so me me mb e rs o f the inve stme nt c o mmunity utilize Ad juste d E BIT DA a s a fina nc ia l me a sure a nd the le ve ra g e ra tio a s a liq uid ity me a sure o n a n o ng o ing b a sis. T he se me a sure s a re no t re c o g nize d in a c c o rd a nc e with GAAP a nd sho uld no t b e vie we d a s a n a lte rna tive to GAAP me a sure s o f pe rfo rma nc e o r liq uid ity. In e va lua ting Ad juste d E BIT DA, the re a d e r sho uld b e a wa re tha t in the future He a lthSo uth ma y inc ur e xpe nse s simila r to the a d justme nts se t fo rth.
- 2. Pe r sha re a mo unts fo r e a c h pe rio d pre se nte d a re b a se d o n d ilute d we ig hte d a ve ra g e
sha re s o utsta nd ing unle ss the a mo unts a re a ntid ilutive , in whic h c a se the pe r sha re a mo unt is c a lc ula te d using the b a sic sha re c o unt a fte r sub tra c ting the q ua rte rly d ivid e nd o n the c o nve rtib le pe rpe tua l pre fe rre d sto c k. T he d iffe re nc e in sha re s b e twe e n the b a sic a nd d ilute d sha re s o utsta nd ing is prima rily re la te d to o ur c o nve rtib le pe rpe tua l pre fe rre d sto c k.
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(Millio ns)
2012 2011 2012 2011 2011 2010 2009 2008 2007 Ne t c a sh pro vide d by o pe ra ting a c tivitie s
107.2 $ 55.1 $ 302.2 $ 213.2 $ 342.7 $ 331.0 $ 406.1 $ 227.2 $ 230.6 $ Pro v isio n fo r do ubtful ac c o unts (7.0) (5.1) (19.8) (14.9) (21.0) (16.4) (30.7) (23.0) (28.5) Pro fe ssio nal fe e s—ac c o unting , tax, and le g al 4.1 4.0 13.2 16.2 21.0 17.2 8.8 44.4 51.6 Inte re st e xpe nse and amo rtizatio n o f 23.5 26.3 69.8 96.3 119.4 125.6 125.7 159.3 229.2 de bt disc o unts and fe e s UBS Se ttle me nt pro c e e ds, g ro ss
- (100.0)
- E
quity in ne t inc o me o f no nc o nso lidate d affiliate s 3.3 3.1 9.7 8.8 12.0 10.1 4.6 10.6 10.3 Ne t inc o me attributable to no nc o ntro lling inte re sts in c o ntinuing o pe ratio ns (12.8) (11.4) (38.6) (34.5) (47.0) (40.9) (33.3) (29.8) (31.1) Amo rtizatio n o f de bt disc o unts and fe e s (0.9) (0.9) (2.7) (3.3) (4.2) (6.3) (6.6) (6.5) (7.8) Distributio ns fro m no nc o nso lidate d affiliate s (2.4) (4.2) (7.9) (9.7) (13.0) (8.1) (8.6) (10.9) (5.3) Curre nt po rtio n o f inc o me tax (be ne fit) e xpe nse (0.6) (0.1) 3.7 (1.5) 0.6 2.9 (7.0) (72.8) (330.4) Chang e in asse ts and liabilitie s 13.0 37.4 51.4 65.7 49.9 2.8 (2.1) 50.6 5.5 Ne t pre mium paid o n bo nd issuanc e / re de mptio n
- 8.9
- 22.8
22.8
- Chang e in g o v e rnme nt, c lass ac tio n and re late d
se ttle me nts liability (2.6)
- (2.6)
(6.5) (8.5) 2.9 11.2 7.4 171.4 Cash use d in (pro v ide d by) o pe rating ac tiv itie s
- f disc o ntinue d o pe ratio ns
0.2 (2.2) (1.5) (9.4) (9.1) (13.2) (5.7) (32.5) (3.3) Othe r 0.2 (0.4) 0.4 0.1 0.6 2.0 1.3 (1.4) 14.5
Adjuste d E BITDA
125.2 $ 110.5 $ 377.3 $ 343.3 $ 466.2 $ 409.6 $ 363.7 $ 322.6 $ 306.7 $
Q3 Full Ye a r 9 Mo nths
Ne t Cash Pr
- vide d by Ope r
ating Ac tivitie s Re c onc ile d to Adjuste d E BIT DA
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