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x
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QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
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o
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
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Delaware
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63-0860407
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(State or Other Jurisdiction of
Incorporation or Organization)
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(I.R.S. Employer
Identification No.)
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3660 Grandview Parkway, Suite 200
Birmingham, Alabama
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35243
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(Address of Principal Executive Offices)
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(Zip Code)
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Page
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||
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•
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each of the factors discussed in Item 1A,
Risk Factors
, of our Annual Report on Form 10-K for the year ended December 31, 2010, as well as uncertainties and factors discussed elsewhere in this report, in our other filings from time to time with the United States Securities and Exchange Commission, or in materials incorporated therein by reference;
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•
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changes in the regulations of the healthcare industry at either or both of the federal and state levels, including those contemplated now and in the future as part of national healthcare reform and deficit reduction, and related increases in the costs of complying with such changes;
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•
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changes or delays in, or suspension of, reimbursement for our services by governmental or private payors, including our ability to obtain and retain favorable arrangements with third-party payors;
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•
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increased costs of regulatory compliance and compliance monitoring in the healthcare industry, including the costs of investigating and defending asserted claims, whether meritorious or not;
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•
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our ability to attract and retain nurses, therapists, and other healthcare professionals in a highly competitive environment with often severe staffing shortages and the impact on our labor expenses from potential union activity and staffing recruitment and retention;
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•
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competitive pressures in the healthcare industry and our response to those pressures;
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•
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our ability to successfully complete and integrate de novo developments, acquisitions, investments, and joint ventures consistent with our growth strategy, including realization of anticipated revenues, cost savings, and productivity improvements arising from the related operations;
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•
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any adverse outcome of various lawsuits, claims, and legal or regulatory proceedings involving us;
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•
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increased costs of defending and insuring against alleged professional liability and other claims and the ability to predict the costs related to such claims;
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•
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the price of our common stock as it affects our willingness and ability to repurchase shares under the program discussed further in Part I, Item 2,
Management’s Discussion and Analysis of Financial Condition and Results of Operations
, “Executive Overview,” of this report;
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•
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our ability to attract and retain key management personnel; and
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•
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general conditions in the economy and capital markets.
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Item 1.
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Financial Statements (Unaudited)
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Three Months Ended
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Nine Months Ended
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|||||||||||||||
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September 30,
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September 30,
|
|||||||||||||||
|
2011
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2010
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2011
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2010
|
|||||||||||||
|
(In Millions, Except Per Share Data)
|
||||||||||||||||
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Net operating revenues
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$ | 497.7 | $ | 460.8 | $ | 1,508.8 | $ | 1,386.7 | ||||||||
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Operating expenses:
|
||||||||||||||||
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Salaries and benefits
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245.0 | 231.7 | 730.6 | 684.2 | ||||||||||||
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Other operating expenses
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70.3 | 65.4 | 216.6 | 197.4 | ||||||||||||
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General and administrative expenses
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26.4 | 24.9 | 80.7 | 77.9 | ||||||||||||
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Supplies
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24.7 | 24.1 | 76.7 | 73.3 | ||||||||||||
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Depreciation and amortization
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19.5 | 18.4 | 58.6 | 53.7 | ||||||||||||
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Occupancy costs
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12.5 | 11.4 | 36.2 | 33.0 | ||||||||||||
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Provision for doubtful accounts
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5.1 | 3.7 | 14.9 | 14.8 | ||||||||||||
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Loss on disposal of assets
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2.8 | 0.1 | 3.9 | 0.5 | ||||||||||||
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Government, class action, and related settlements
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- | 0.8 | (10.6 | ) | 0.8 | |||||||||||
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Professional fees—accounting, tax, and legal
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4.0 | 5.2 | 16.2 | 13.8 | ||||||||||||
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Total operating expenses
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410.3 | 385.7 | 1,223.8 | 1,149.4 | ||||||||||||
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Loss on early extinguishment of debt
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12.7 | - | 38.8 | 0.4 | ||||||||||||
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Interest expense and amortization of debt discounts and fees
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26.3 | 30.8 | 96.3 | 91.4 | ||||||||||||
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Other income
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(0.2 | ) | (0.7 | ) | (1.5 | ) | (2.8 | ) | ||||||||
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Loss on interest rate swaps
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- | 9.0 | - | 13.0 | ||||||||||||
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Equity in net income of nonconsolidated affiliates
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(3.1 | ) | (2.3 | ) | (8.8 | ) | (7.5 | ) | ||||||||
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Income from continuing operations before income tax
|
||||||||||||||||
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expense (benefit)
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51.7 | 38.3 | 160.2 | 142.8 | ||||||||||||
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Provision for income tax expense (benefit)
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18.1 | (0.4 | ) | 21.9 | 0.7 | |||||||||||
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Income from continuing operations
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33.6 | 38.7 | 138.3 | 142.1 | ||||||||||||
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Income from discontinued operations, net of tax
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34.7 | 3.2 | 53.8 | 7.8 | ||||||||||||
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Net income
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68.3 | 41.9 | 192.1 | 149.9 | ||||||||||||
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Less: Net income attributable to noncontrolling interests
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(11.3 | ) | (10.1 | ) | (33.4 | ) | (30.1 | ) | ||||||||
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Net income attributable to HealthSouth
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57.0 | 31.8 | 158.7 | 119.8 | ||||||||||||
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Less: Convertible perpetual preferred stock dividends
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(6.5 | ) | (6.5 | ) | (19.5 | ) | (19.5 | ) | ||||||||
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Net income attributable to HealthSouth
|
||||||||||||||||
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common shareholders
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$ | 50.5 | $ | 25.3 | $ | 139.2 | $ | 100.3 | ||||||||
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Weighted average common shares outstanding:
|
||||||||||||||||
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Basic
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93.3 | 92.8 | 93.2 | 92.7 | ||||||||||||
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Diluted
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109.2 | 108.3 | 109.1 | 108.3 | ||||||||||||
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Basic and diluted earnings per common share:
|
||||||||||||||||
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Income from continuing operations attributable
|
||||||||||||||||
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to HealthSouth common shareholders
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$ | 0.17 | $ | 0.24 | $ | 0.90 | $ | 0.99 | ||||||||
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Income from discontinued operations, net of tax,
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||||||||||||||||
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attributable to HealthSouth common shareholders
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0.37 | 0.03 | 0.59 | 0.09 | ||||||||||||
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Net income attributable to HealthSouth
|
||||||||||||||||
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common shareholders
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$ | 0.54 | $ | 0.27 | $ | 1.49 | $ | 1.08 | ||||||||
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Amounts attributable to HealthSouth common shareholders:
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||||||||||||||||
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Income from continuing operations
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$ | 22.2 | $ | 28.4 | $ | 103.8 | $ | 111.8 | ||||||||
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Income from discontinued operations, net of tax
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34.8 | 3.4 | 54.9 | 8.0 | ||||||||||||
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Net income attributable to HealthSouth
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$ | 57.0 | $ | 31.8 | $ | 158.7 | $ | 119.8 | ||||||||
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Three Months Ended
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Nine Months Ended
|
|||||||||||||||
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September 30,
|
September 30,
|
|||||||||||||||
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2011
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2010
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2011
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2010
|
|||||||||||||
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(In Millions)
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||||||||||||||||
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COMPREHENSIVE INCOME
|
||||||||||||||||
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Net income
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$ | 68.3 | $ | 41.9 | $ | 192.1 | $ | 149.9 | ||||||||
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Other comprehensive (loss) income, net of tax:
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||||||||||||||||
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Net change in unrealized (loss) gain on available-for-sale securities:
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||||||||||||||||
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Unrealized net holding (loss) gain arising during the period
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(0.7 | ) | 0.7 | 0.2 | 1.3 | |||||||||||
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Reclassifications to net income
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- | - | (0.5 | ) | (1.3 | ) | ||||||||||
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Net change in unrealized loss on forward-starting interest
|
||||||||||||||||
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rate swaps:
|
||||||||||||||||
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Unrealized net holding loss arising during the period
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- | - | - | (4.7 | ) | |||||||||||
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Reclassifications to net income
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- | 4.6 | - | 4.6 | ||||||||||||
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Other comprehensive (loss) income before income taxes
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(0.7 | ) | 5.3 | (0.3 | ) | (0.1 | ) | |||||||||
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Provision for income tax benefit related to other comprehensive
|
||||||||||||||||
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(loss) income items
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- | - | - | 1.4 | ||||||||||||
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Other comprehensive (loss) income, net of tax
|
(0.7 | ) | 5.3 | (0.3 | ) | 1.3 | ||||||||||
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Comprehensive income
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67.6 | 47.2 | 191.8 | 151.2 | ||||||||||||
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Less: Comprehensive income attributable to noncontrolling interests
|
(11.3 | ) | (10.1 | ) | (33.4 | ) | (30.1 | ) | ||||||||
|
Comprehensive income attributable to
|
||||||||||||||||
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HealthSouth
|
$ | 56.3 | $ | 37.1 | $ | 158.4 | $ | 121.1 | ||||||||
|
September 30,
|
December 31,
|
||||||||
|
2011
|
2010
|
||||||||
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(In Millions)
|
|||||||||
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Assets
|
|||||||||
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Current assets:
|
|||||||||
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Cash and cash equivalents
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$ | 47.7 | $ | 48.3 | |||||
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Accounts receivable, net of allowance for doubtful accounts of
|
|||||||||
| $ 21.4 in 2011; $22.7 in 2010 | 219.2 | 206.7 | |||||||
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Other current assets
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143.5 | 151.2 | |||||||
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Total current assets
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410.4 | 406.2 | |||||||
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Property and equipment, net
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648.8 | 642.6 | |||||||
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Goodwill
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420.3 | 420.3 | |||||||
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Intangible assets, net
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42.8 | 48.8 | |||||||
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Deferred income tax assets
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622.5 | 679.3 | |||||||
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Other long-term assets
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126.2 | 174.9 | |||||||
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Total assets
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$ | 2,271.0 | $ | 2,372.1 | |||||
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Liabilities and Shareholders’ Equity (Deficit)
|
|||||||||
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Current liabilities:
|
|||||||||
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Accounts payable
|
$ | 45.4 | $ | 44.6 | |||||
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Accrued expenses and other current liabilities
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242.7 | 314.7 | |||||||
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Total current liabilities
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288.1 | 359.3 | |||||||
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Long-term debt, net of current portion
|
1,308.7 | 1,496.8 | |||||||
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Other long-term liabilities
|
135.0 | 130.8 | |||||||
| 1,731.8 | 1,986.9 | ||||||||
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Commitments and contingencies
|
|||||||||
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Convertible perpetual preferred stock
|
387.4 | 387.4 | |||||||
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Shareholders’ equity (deficit):
|
|||||||||
|
HealthSouth shareholders’ equity (deficit)
|
67.9 | (85.2 | ) | ||||||
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Noncontrolling interests
|
83.9 | 83.0 | |||||||
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Total shareholders’ equity (deficit)
|
151.8 | (2.2 | ) | ||||||
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Total liabilities and shareholders’ equity (deficit)
|
$ | 2,271.0 | $ | 2,372.1 | |||||
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Nine Months Ended September 30, 2011
|
||||||||||||||||||||||||||||||||||||
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(In Millions)
|
||||||||||||||||||||||||||||||||||||
|
HealthSouth Common Shareholders
|
||||||||||||||||||||||||||||||||||||
|
Number of Common Shares Outstanding
|
Common Stock
|
Capital in Excess of Par Value
|
Accumulated Deficit
|
Accumulated Other Comprehensive Income
|
Treasury Stock
|
Noncontrolling Interests
|
Total
|
Comprehensive Income
|
||||||||||||||||||||||||||||
|
Balance at beginning of period
|
93.4 | $ | 1.0 | $ | 2,873.5 | $ | (2,818.4 | ) | $ | 0.5 | $ | (141.8 | ) | $ | 83.0 | $ | (2.2 | ) | ||||||||||||||||||
|
Comprehensive income:
|
||||||||||||||||||||||||||||||||||||
|
Net income
|
- | - | - | 158.7 | - | - | 33.4 | 192.1 | $ | 192.1 | ||||||||||||||||||||||||||
|
Other comprehensive loss, net of tax
|
- | - | - | - | (0.3 | ) | - | - | (0.3 | ) | (0.3 | ) | ||||||||||||||||||||||||
|
Comprehensive income
|
$ | 191.8 | ||||||||||||||||||||||||||||||||||
|
Issuance of restricted stock
|
1.9 | - | - | - | - | - | - | - | ||||||||||||||||||||||||||||
|
Forfeiture of restricted stock
|
(0.1 | ) | - | 2.5 | - | - | (2.5 | ) | - | - | ||||||||||||||||||||||||||
|
Receipt of treasury stock
|
(0.2 | ) | - | - | - | - | (4.3 | ) | - | (4.3 | ) | |||||||||||||||||||||||||
|
Dividends declared on convertible
|
||||||||||||||||||||||||||||||||||||
|
perpetual preferred stock
|
- | - | (19.5 | ) | - | - | - | - | (19.5 | ) | ||||||||||||||||||||||||||
|
Stock-based compensation
|
- | - | 14.4 | - | - | - | - | 14.4 | ||||||||||||||||||||||||||||
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Stock options exercised
|
0.2 | - | 4.4 | - | - | - | - | 4.4 | ||||||||||||||||||||||||||||
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Distributions declared
|
- | - | - | - | - | - | (29.5 | ) | (29.5 | ) | ||||||||||||||||||||||||||
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Other
|
0.1 | - | (0.3 | ) | - | - | - | (3.0 | ) | (3.3 | ) | |||||||||||||||||||||||||
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Balance at end of period
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95.3 | $ | 1.0 | $ | 2,875.0 | $ | (2,659.7 | ) | $ | 0.2 | $ | (148.6 | ) | $ | 83.9 | $ | 151.8 | |||||||||||||||||||
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Nine Months Ended September 30, 2010
|
||||||||||||||||||||||||||||||||||||
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(In Millions)
|
||||||||||||||||||||||||||||||||||||
|
HealthSouth Common Shareholders
|
||||||||||||||||||||||||||||||||||||
|
Number of Common Shares Outstanding
|
Common Stock
|
Capital in Excess of Par Value
|
Accumulated Deficit
|
Accumulated Other Comprehensive Income
|
Treasury Stock
|
Noncontrolling Interests
|
Total
|
Comprehensive Income
|
||||||||||||||||||||||||||||
|
Balance at beginning of period
|
93.3 | $ | 1.0 | $ | 2,879.9 | $ | (3,717.4 | ) | $ | - | $ | (137.5 | ) | $ | 76.4 | $ | (897.6 | ) | ||||||||||||||||||
|
Comprehensive income:
|
||||||||||||||||||||||||||||||||||||
|
Net income
|
- | - | - | 119.8 | - | - | 30.1 | 149.9 | $ | 149.9 | ||||||||||||||||||||||||||
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Other comprehensive income, net of tax
|
- | - | - | - | 1.3 | - | - | 1.3 | 1.3 | |||||||||||||||||||||||||||
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Comprehensive income
|
$ | 151.2 | ||||||||||||||||||||||||||||||||||
|
Forfeiture of restricted stock
|
(0.1 | ) | - | 2.7 | - | - | (2.7 | ) | - | - | ||||||||||||||||||||||||||
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Receipt of treasury stock
|
(0.1 | ) | - | - | - | - | (1.5 | ) | - | (1.5 | ) | |||||||||||||||||||||||||
|
Dividends declared on convertible
|
||||||||||||||||||||||||||||||||||||
|
perpetual preferred stock
|
- | - | (19.5 | ) | - | - | - | - | (19.5 | ) | ||||||||||||||||||||||||||
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Stock-based compensation
|
- | - | 11.2 | - | - | - | - | 11.2 | ||||||||||||||||||||||||||||
|
Distributions declared
|
- | - | - | - | - | - | (25.7 | ) | (25.7 | ) | ||||||||||||||||||||||||||
|
Other
|
0.3 | - | 0.3 | - | - | - | (0.7 | ) | (0.4 | ) | ||||||||||||||||||||||||||
|
Balance at end of period
|
93.4 | $ | 1.0 | $ | 2,874.6 | $ | (3,597.6 | ) | $ | 1.3 | $ | (141.7 | ) | $ | 80.1 | $ | (782.3 | ) | ||||||||||||||||||
|
Nine Months Ended September 30,
|
||||||||
|
2011
|
2010
|
|||||||
|
(In Millions)
|
||||||||
|
Cash flows from operating activities:
|
||||||||
|
Net income
|
$ | 192.1 | $ | 149.9 | ||||
|
Income from discontinued operations, net of tax
|
(53.8 | ) | (7.8 | ) | ||||
|
Adjustments to reconcile net income to net cash provided by
|
||||||||
|
operating activities—
|
||||||||
|
Provision for doubtful accounts
|
14.9 | 14.8 | ||||||
|
Provision for government, class action, and related settlements
|
(10.6 | ) | 0.8 | |||||
|
Depreciation and amortization
|
58.6 | 53.7 | ||||||
|
Loss on interest rate swaps
|
- | 13.0 | ||||||
|
Loss on early extinguishment of debt
|
38.8 | 0.4 | ||||||
|
Amortization of debt discounts
|
3.3 | 5.1 | ||||||
|
Equity in net income of nonconsolidated affiliates
|
(8.8 | ) | (7.5 | ) | ||||
|
Distributions from nonconsolidated affiliates
|
9.7 | 4.7 | ||||||
|
Stock-based compensation
|
14.4 | 11.2 | ||||||
|
Deferred tax expense
|
23.4 | 2.4 | ||||||
|
Other
|
3.8 | (0.5 | ) | |||||
|
(Increase) decrease in assets—
|
||||||||
|
Accounts receivable
|
(27.4 | ) | (11.6 | ) | ||||
|
Other assets
|
(12.8 | ) | (8.3 | ) | ||||
|
Income tax refund receivable
|
(0.3 | ) | 3.0 | |||||
|
Increase (decrease) in liabilities—
|
||||||||
|
Accounts payable
|
0.8 | (0.4 | ) | |||||
|
Accrued interest
|
(16.6 | ) | 14.1 | |||||
|
Other liabilities
|
4.0 | 20.0 | ||||||
|
Premium received on bond issuance
|
4.1 | - | ||||||
|
Premium paid on redemption of bonds
|
(26.9 | ) | - | |||||
|
Refunds due patients and other third-party payors
|
(15.8 | ) | (2.7 | ) | ||||
|
Government, class action, and related settlements
|
6.5 | (0.8 | ) | |||||
|
Net cash provided by operating activities of discontinued operations
|
9.4 | 10.4 | ||||||
|
Total adjustments
|
72.5 | 121.8 | ||||||
|
Net cash provided by operating activities
|
210.8 | 263.9 | ||||||
|
Nine Months Ended September 30,
|
||||||||
|
2011
|
2010
|
|||||||
|
(In Millions)
|
||||||||
|
Cash flows from investing activities:
|
||||||||
|
Capital expenditures
|
(61.9 | ) | (48.8 | ) | ||||
|
Acquisition of businesses, net of cash acquired
|
- | (34.1 | ) | |||||
|
Purchase of restricted investments
|
(8.0 | ) | (25.5 | ) | ||||
|
Proceeds from sale of restricted investments
|
0.7 | 10.4 | ||||||
|
Net change in restricted cash
|
6.3 | 34.1 | ||||||
|
Net settlements on interest rate swaps
|
(10.9 | ) | (33.7 | ) | ||||
|
Other
|
(0.7 | ) | (0.3 | ) | ||||
|
Net cash provided by (used in) investing activities of discontinued
|
||||||||
|
operations—
|
||||||||
|
Proceeds from sale of LTCHs
|
107.9 | - | ||||||
|
Other investing activities of discontinued operations
|
(0.7 | ) | 7.1 | |||||
|
Net cash provided by (used in) investing activities
|
32.7 | (90.8 | ) | |||||
|
Cash flows from financing activities:
|
||||||||
|
Principal borrowings on term loan
|
100.0 | - | ||||||
|
Proceeds from bond issuance
|
120.0 | - | ||||||
|
Principal payments on debt, including pre-payments
|
(503.0 | ) | (8.2 | ) | ||||
|
Borrowings on revolving credit facility
|
338.0 | - | ||||||
|
Payments on revolving credit facility
|
(238.0 | ) | - | |||||
|
Principal payments under capital lease obligations
|
(10.1 | ) | (10.6 | ) | ||||
|
Debt issue costs
|
(4.3 | ) | - | |||||
|
Dividends paid on convertible perpetual preferred stock
|
(19.5 | ) | (19.5 | ) | ||||
|
Distributions paid to noncontrolling interests of
|
||||||||
|
consolidated affiliates
|
(31.6 | ) | (26.3 | ) | ||||
|
Other
|
4.3 | 1.1 | ||||||
|
Net cash used in financing activities of discontinued operations
|
- | (0.1 | ) | |||||
|
Net cash used in financing activities
|
(244.2 | ) | (63.6 | ) | ||||
|
(Decrease) increase in cash and cash equivalents
|
(0.7 | ) | 109.5 | |||||
|
Cash and cash equivalents at beginning of period
|
48.3 | 80.7 | ||||||
|
Cash and cash equivalents of facilities in discontinued operations
|
||||||||
|
at beginning of period
|
0.1 | 0.2 | ||||||
|
Less: Cash and cash equivalents of facilities in discontinued
|
||||||||
|
operations at end of period
|
- | - | ||||||
|
Cash and cash equivalents at end of period
|
$ | 47.7 | $ | 190.4 | ||||
|
1.
|
Basis of Presentation
|
|
2.
|
Investments in and Advances to Nonconsolidated Affiliates
|
|
Three Months Ended
|
Nine Months Ended
|
|||||||||||||||
|
September 30,
|
September 30,
|
|||||||||||||||
|
2011
|
2010
|
2011
|
2010
|
|||||||||||||
|
Net operating revenues
|
$ | 22.4 | $ | 19.4 | $ | 64.0 | $ | 59.7 | ||||||||
|
Operating expenses
|
(13.3 | ) | (12.7 | ) | (39.1 | ) | (38.7 | ) | ||||||||
|
Income from continuing operations, net of tax
|
7.0 | 5.3 | 19.6 | 17.1 | ||||||||||||
|
Net income
|
7.0 | 5.3 | 19.6 | 17.1 | ||||||||||||
|
3.
|
|
|
September 30,
|
December 31,
|
|||||||
|
2011
|
2010
|
|||||||
|
Credit Agreement—
|
||||||||
|
Advances under $500 million revolving credit facility
|
$ | 178.0 | $ | 78.0 | ||||
|
Term loan facility
|
98.8 | - | ||||||
|
Bonds payable—
|
||||||||
|
10.75% Senior Notes due 2016
|
- | 495.5 | ||||||
|
7.25% Senior Notes due 2018
|
336.8 | 275.0 | ||||||
|
8.125% Senior Notes due 2020
|
285.7 | 285.5 | ||||||
|
7.75% Senior Notes due 2022
|
312.0 | 250.0 | ||||||
|
Other bonds payable
|
1.5 | 1.8 | ||||||
|
Other notes payable
|
35.9 | 36.4 | ||||||
|
Capital lease obligations
|
79.0 | 89.1 | ||||||
| 1,327.7 | 1,511.3 | |||||||
|
Less: Current portion
|
(19.0 | ) | (14.5 | ) | ||||
|
Long-term debt, net of current portion
|
$ | 1,308.7 | $ | 1,496.8 | ||||
|
Face Amount
|
Net Amount
|
|||||||
|
October 1 through December 31, 2011
|
$ | 4.5 | $ | 4.5 | ||||
|
2012
|
19.4 | 19.4 | ||||||
|
2013
|
18.1 | 18.1 | ||||||
|
2014
|
16.7 | 16.7 | ||||||
|
2015
|
16.9 | 16.9 | ||||||
|
2016
|
252.3 | 252.3 | ||||||
|
Thereafter
|
1,000.2 | 999.8 | ||||||
|
Total
|
$ | 1,328.1 | $ | 1,327.7 | ||||
|
·
|
It created, under the pre-existing accordion feature, a $100 million term loan with an initial interest rate of LIBOR plus 2.5% (see below), maturing in May 2016. The 2011 Credit Agreement continues to permit future increases in revolving borrowing capacity or new term loans, or both, in an aggregate amount not to exceed $200 million. In June 2011, the net proceeds from the term loan were used to redeem a portion of our 10.75% Senior Notes due 2016, as discussed below.
|
|
·
|
It reduced by 100 basis points each of the various applicable interest rates for any outstanding balance on the revolving credit facility, depending on the leverage ratio (as defined in the 2011 Credit Agreement) during a given interest rate period.
|
|
·
|
It reset the maturity date for the existing revolving credit facility from October 2015 to May 2016.
|
|
Fair Value Measurements at Reporting Date Using
|
||||||||||||||||||||
|
As of September 30, 2011
|
Fair Value
|
Quoted Prices in Active Markets for Identical Assets
(Level 1)
|
Significant Other Observable Inputs
(Level 2)
|
Significant Unobservable Inputs
(Level 3)
|
Valuation Technique
(1)
|
|||||||||||||||
|
Other current assets:
|
||||||||||||||||||||
|
Current portion of restricted
|
||||||||||||||||||||
|
marketable securities
|
$ | 20.2 | $ | - | $ | 20.2 | $ | - | M | |||||||||||
|
Other long-term assets:
|
||||||||||||||||||||
|
Restricted marketable securities
|
24.9 | - | 24.9 | - | M | |||||||||||||||
|
As of December 31, 2010
|
||||||||||||||||||||
|
Other current assets:
|
||||||||||||||||||||
|
Current portion of restricted
|
||||||||||||||||||||
|
marketable securities
|
$ | 18.2 | $ | - | $ | 18.2 | $ | - | M | |||||||||||
|
June 2009 trading swap
|
1.2 | - | 1.2 | - | I | |||||||||||||||
|
Other long-term assets:
|
||||||||||||||||||||
|
Restricted marketable securities
|
19.3 | - | 19.3 | - | M | |||||||||||||||
|
Accrued expenses and other
|
||||||||||||||||||||
|
current liabilities:
|
||||||||||||||||||||
|
March 2006 trading swap
|
(12.1 | ) | - | (12.1 | ) | - | I | |||||||||||||
|
|
(1)
|
The three valuation techniques are: market approach (M), cost approach (C), and income approach (I).
|
|
As of September 30, 2011
|
As of December 31, 2010
|
|||||||||||||||
|
Carrying Amount
|
Estimated Fair Value
|
Carrying Amount
|
Estimated Fair Value
|
|||||||||||||
|
Interest rate swap agreements:
|
||||||||||||||||
|
March 2006 trading swap
|
$ | - | $ | - | $ | (12.1 | ) | $ | (12.1 | ) | ||||||
|
June 2009 trading swap
|
- | - | 1.2 | 1.2 | ||||||||||||
|
Long-term debt:
|
||||||||||||||||
|
Advances under $500 million revolving credit facility
|
178.0 | 178.0 | 78.0 | 78.0 | ||||||||||||
|
Term Loan Facility
|
98.8 | 98.8 | - | - | ||||||||||||
|
10.75% Senior Notes due 2016
|
- | - | 495.5 | 543.2 | ||||||||||||
|
7.25% Senior Notes due 2018
|
336.8 | 321.2 | 275.0 | 280.5 | ||||||||||||
|
8.125% Senior Notes due 2020
|
285.7 | 276.2 | 285.5 | 311.8 | ||||||||||||
|
7.75% Senior Notes due 2022
|
312.0 | 280.6 | 250.0 | 258.1 | ||||||||||||
|
Other bonds payable
|
1.5 | 1.5 | 1.8 | 1.8 | ||||||||||||
|
Other notes payable
|
35.9 | 35.9 | 36.4 | 36.4 | ||||||||||||
|
Financial commitments:
|
||||||||||||||||
|
Letters of credit
|
- | 46.0 | - | 45.6 | ||||||||||||
|
Three Months Ended
September 30,
|
Nine Months Ended
September 30,
|
|||||||||||||||
|
2011
|
2010
|
2011
|
2010
|
|||||||||||||
|
Net operating revenues
|
$ | 9.8 | $ | 30.4 | $ | 96.3 | $ | 93.8 | ||||||||
|
Costs and expenses
|
13.5 | 27.5 | 68.0 | 85.5 | ||||||||||||
|
Impairments
|
4.6 | - | 5.9 | 0.6 | ||||||||||||
|
(Loss) income from discontinued operations
|
(8.3 | ) | 2.9 | 22.4 | 7.7 | |||||||||||
|
Loss on disposal of assets of
|
||||||||||||||||
|
discontinued operations
|
- | - | - | (1.2 | ) | |||||||||||
|
Gain on sale of LTCHs
|
65.8 | - | 65.8 | - | ||||||||||||
|
Income tax (expense) benefit
|
(22.8 | ) | 0.3 | (34.4 | ) | 1.3 | ||||||||||
|
Income from discontinued operations,
|
||||||||||||||||
|
net of tax
|
$ | 34.7 | $ | 3.2 | $ | 53.8 | $ | 7.8 | ||||||||
|
As of
September 30,
2011
|
As of
December 31,
2010
|
|||||||
|
Assets:
|
||||||||
|
Accounts receivable, net
|
$ | 7.4 | $ | 18.2 | ||||
|
Other current assets
|
0.4 | 1.6 | ||||||
|
Total current assets
|
7.8 | 19.8 | ||||||
|
Property and equipment, net
|
7.8 | 46.4 | ||||||
|
Goodwill
|
- | 11.0 | ||||||
|
Long-term assets
|
0.4 | 0.4 | ||||||
|
Total long-term assets
|
8.2 | 57.8 | ||||||
|
Total assets
|
$ | 16.0 | $ | 77.6 | ||||
|
Liabilities:
|
||||||||
|
Accounts payable
|
$ | 1.7 | $ | 4.5 | ||||
|
Accrued expenses and other current liabilities
|
3.9 | 7.0 | ||||||
|
Total current liabilities
|
5.6 | 11.5 | ||||||
|
Long-term liabilities
|
0.7 | 1.2 | ||||||
|
Total liabilities
|
$ | 6.3 | $ | 12.7 | ||||
|
Gross Unrecognized Income Tax Benefits
|
Accrued Interest and Penalties
|
|||||||
|
Balance at December 31, 2010
|
$ | 12.6 | $ | 1.1 | ||||
|
Gross amount of increases in unrecognized tax
|
||||||||
|
benefits related to prior periods
|
23.5 | - | ||||||
|
Gross amount of decreases in unrecognized tax
|
||||||||
|
benefits related to prior periods
|
(0.1 | ) | - | |||||
|
Decreases in unrecognized tax benefits relating
|
||||||||
|
to settlements with taxing authorities
|
(24.8 | ) | - | |||||
|
Reductions to unrecognized tax benefits as a
|
||||||||
|
result of a lapse of the applicable statute of
|
||||||||
|
limitations
|
(3.2 | ) | (1.0 | ) | ||||
|
Balance at September 30, 2011
|
$ | 8.0 | $ | 0.1 | ||||
|
9.
|
Earnings per Common Share
|
|
Three Months Ended September 30,
|
Nine Months Ended September 30,
|
|||||||||||||||
|
2011
|
2010
|
2011
|
2010
|
|||||||||||||
|
Numerator:
|
||||||||||||||||
|
Income from continuing operations
|
$ | 33.6 | $ | 38.7 | $ | 138.3 | $ | 142.1 | ||||||||
|
Less: Net income attributable to noncontrolling
|
||||||||||||||||
|
interests included in continuing operations
|
(11.4 | ) | (10.3 | ) | (34.5 | ) | (30.3 | ) | ||||||||
|
Less: Convertible perpetual preferred stock
|
||||||||||||||||
|
dividends
|
(6.5 | ) | (6.5 | ) | (19.5 | ) | (19.5 | ) | ||||||||
|
Income from continuing operations attributable
|
||||||||||||||||
|
to HealthSouth common shareholders
|
15.7 | 21.9 | 84.3 | 92.3 | ||||||||||||
|
Income from discontinued operations, net of tax,
|
||||||||||||||||
|
attributable to HealthSouth common shareholders
|
34.8 | 3.4 | 54.9 | 8.0 | ||||||||||||
|
Net income attributable to HealthSouth
|
||||||||||||||||
|
common shareholders
|
$ | 50.5 | $ | 25.3 | $ | 139.2 | $ | 100.3 | ||||||||
|
Denominator:
|
||||||||||||||||
|
Basic weighted average common shares outstanding
|
93.3 | 92.8 | 93.2 | 92.7 | ||||||||||||
|
Diluted weighted average common shares outstanding
|
109.2 | 108.3 | 109.1 | 108.3 | ||||||||||||
|
Basic and diluted earnings per common share:
|
||||||||||||||||
|
Income from continuing operations attributable to
|
||||||||||||||||
|
HealthSouth common shareholders
|
$ | 0.17 | $ | 0.24 | $ | 0.90 | $ | 0.99 | ||||||||
|
Income from discontinued operations, net of tax,
|
||||||||||||||||
|
attributable to HealthSouth common shareholders
|
0.37 | 0.03 | 0.59 | 0.09 | ||||||||||||
|
Net income attributable to HealthSouth
|
||||||||||||||||
|
common shareholders
|
$ | 0.54 | $ | 0.27 | $ | 1.49 | $ | 1.08 | ||||||||
|
10.
|
Settlements
|
|
11.
|
Contingencies
|
|
12.
|
Condensed Consolidating Financial Information
|
|
Three Months Ended September 30, 2011
|
||||||||||||||||||||
|
HealthSouth Corporation
|
Guarantor Subsidiaries
|
Non Guarantor Subsidiaries
|
Eliminating Entries
|
HealthSouth Consolidated
|
||||||||||||||||
|
(In Millions)
|
||||||||||||||||||||
|
Net operating revenues
|
$ | 5.6 | $ | 352.3 | $ | 151.1 | $ | (11.3 | ) | $ | 497.7 | |||||||||
|
Operating expenses:
|
||||||||||||||||||||
|
Salaries and benefits
|
7.4 | 169.3 | 71.7 | (3.4 | ) | 245.0 | ||||||||||||||
|
Other operating expenses
|
3.4 | 49.5 | 22.8 | (5.4 | ) | 70.3 | ||||||||||||||
|
General and administrative expenses
|
26.4 | - | - | - | 26.4 | |||||||||||||||
|
Supplies
|
0.2 | 17.4 | 7.1 | - | 24.7 | |||||||||||||||
|
Depreciation and amortization
|
2.3 | 13.0 | 4.2 | - | 19.5 | |||||||||||||||
|
Occupancy costs
|
1.4 | 9.2 | 4.4 | (2.5 | ) | 12.5 | ||||||||||||||
|
Provision for doubtful accounts
|
0.1 | 3.5 | 1.5 | - | 5.1 | |||||||||||||||
|
Loss on disposal of assets
|
- | 2.8 | - | - | 2.8 | |||||||||||||||
|
Professional fees—accounting,
|
||||||||||||||||||||
|
tax, and legal
|
4.0 | - | - | - | 4.0 | |||||||||||||||
|
Total operating expenses
|
45.2 | 264.7 | 111.7 | (11.3 | ) | 410.3 | ||||||||||||||
|
Loss on early extinguishment of debt
|
12.7 | - | - | - | 12.7 | |||||||||||||||
|
Interest expense and amortization of
|
||||||||||||||||||||
|
debt discounts and fees
|
23.8 | 2.1 | 0.7 | (0.3 | ) | 26.3 | ||||||||||||||
|
Other expense (income)
|
0.2 | - | (0.7 | ) | 0.3 | (0.2 | ) | |||||||||||||
|
Equity in net income of nonconsolidated
|
||||||||||||||||||||
|
affiliates
|
(0.7 | ) | (2.3 | ) | (0.1 | ) | - | (3.1 | ) | |||||||||||
|
Equity in net income of consolidated
|
||||||||||||||||||||
|
affiliates
|
(80.1 | ) | (3.4 | ) | - | 83.5 | - | |||||||||||||
|
Management fees
|
(22.8 | ) | 17.4 | 5.4 | - | - | ||||||||||||||
|
Income from continuing
|
||||||||||||||||||||
|
operations before income tax
|
||||||||||||||||||||
|
(benefit) expense
|
27.3 | 73.8 | 34.1 | (83.5 | ) | 51.7 | ||||||||||||||
|
Provision for income tax (benefit)
|
||||||||||||||||||||
|
expense
|
(26.6 | ) | 36.0 | 8.7 | - | 18.1 | ||||||||||||||
|
Income from continuing operations
|
53.9 | 37.8 | 25.4 | (83.5 | ) | 33.6 | ||||||||||||||
|
Income (loss) from discontinued operations,
|
||||||||||||||||||||
|
net of tax
|
3.1 | 33.7 | (2.1 | ) | - | 34.7 | ||||||||||||||
|
Net Income
|
57.0 | 71.5 | 23.3 | (83.5 | ) | 68.3 | ||||||||||||||
|
Less: Net income attributable to
|
||||||||||||||||||||
|
noncontrolling interests
|
- | - | (11.3 | ) | - | (11.3 | ) | |||||||||||||
|
Net income attributable
|
||||||||||||||||||||
|
to HealthSouth
|
$ | 57.0 | $ | 71.5 | $ | 12.0 | $ | (83.5 | ) | $ | 57.0 | |||||||||
|
Three Months Ended September 30, 2010
|
||||||||||||||||||||
|
HealthSouth Corporation
|
Guarantor Subsidiaries
|
Non Guarantor Subsidiaries
|
Eliminating Entries
|
HealthSouth Consolidated
|
||||||||||||||||
|
(In Millions)
|
||||||||||||||||||||
|
Net operating revenues
|
$ | 5.2 | $ | 326.3 | $ | 139.0 | $ | (9.7 | ) | $ | 460.8 | |||||||||
|
Operating expenses:
|
||||||||||||||||||||
|
Salaries and benefits
|
6.1 | 160.9 | 67.8 | (3.1 | ) | 231.7 | ||||||||||||||
|
Other operating expenses
|
4.6 | 45.0 | 20.3 | (4.5 | ) | 65.4 | ||||||||||||||
|
General and administrative expenses
|
24.9 | - | - | - | 24.9 | |||||||||||||||
|
Supplies
|
0.2 | 17.0 | 6.9 | - | 24.1 | |||||||||||||||
|
Depreciation and amortization
|
2.5 | 12.1 | 3.8 | - | 18.4 | |||||||||||||||
|
Occupancy costs
|
0.8 | 8.5 | 4.2 | (2.1 | ) | 11.4 | ||||||||||||||
|
Provision for doubtful accounts
|
0.1 | 3.0 | 0.6 | - | 3.7 | |||||||||||||||
|
Loss on disposal of assets
|
- | - | 0.1 | - | 0.1 | |||||||||||||||
|
Government, class action, and related
|
||||||||||||||||||||
|
settlements
|
0.8 | - | - | - | 0.8 | |||||||||||||||
|
Professional fees—accounting,
|
||||||||||||||||||||
|
tax, and legal
|
5.2 | - | - | - | 5.2 | |||||||||||||||
|
Total operating expenses
|
45.2 | 246.5 | 103.7 | (9.7 | ) | 385.7 | ||||||||||||||
|
Interest expense and amortization of
|
||||||||||||||||||||
|
debt discounts and fees
|
28.5 | 2.1 | 0.7 | (0.5 | ) | 30.8 | ||||||||||||||
|
Other income
|
(0.3 | ) | (0.1 | ) | (0.8 | ) | 0.5 | (0.7 | ) | |||||||||||
|
Loss on interest rate swaps
|
9.0 | - | - | - | 9.0 | |||||||||||||||
|
Equity in net income of nonconsolidated
|
||||||||||||||||||||
|
affiliates
|
(0.4 | ) | (1.8 | ) | (0.1 | ) | - | (2.3 | ) | |||||||||||
|
Equity in net income of consolidated
|
||||||||||||||||||||
|
affiliates
|
(43.2 | ) | (10.0 | ) | - | 53.2 | - | |||||||||||||
|
Management fees
|
(22.3 | ) | 17.2 | 5.1 | - | - | ||||||||||||||
|
(Loss) income from continuing
|
||||||||||||||||||||
|
operations before income tax
|
||||||||||||||||||||
|
(benefit) expense
|
(11.3 | ) | 72.4 | 30.4 | (53.2 | ) | 38.3 | |||||||||||||
|
Provision for income tax (benefit)
|
||||||||||||||||||||
|
expense
|
(41.3 | ) | 33.0 | 7.9 | - | (0.4 | ) | |||||||||||||
|
Income from continuing operations
|
30.0 | 39.4 | 22.5 | (53.2 | ) | 38.7 | ||||||||||||||
|
Income (loss) from discontinued operations,
|
||||||||||||||||||||
|
net of tax
|
1.8 | 1.7 | (0.3 | ) | - | 3.2 | ||||||||||||||
|
Net Income
|
31.8 | 41.1 | 22.2 | (53.2 | ) | 41.9 | ||||||||||||||
|
Less: Net income attributable to
|
||||||||||||||||||||
|
noncontrolling interests
|
- | - | (10.1 | ) | - | (10.1 | ) | |||||||||||||
|
Net income attributable
|
||||||||||||||||||||
|
to HealthSouth
|
$ | 31.8 | $ | 41.1 | $ | 12.1 | $ | (53.2 | ) | $ | 31.8 | |||||||||
|
Nine Months Ended September 30, 2011
|
||||||||||||||||||||
|
HealthSouth Corporation
|
Guarantor Subsidiaries
|
Non Guarantor Subsidiaries
|
Eliminating Entries
|
HealthSouth Consolidated
|
||||||||||||||||
|
(In Millions)
|
||||||||||||||||||||
|
Net operating revenues
|
$ | 16.0 | $ | 1,079.6 | $ | 446.7 | $ | (33.5 | ) | $ | 1,508.8 | |||||||||
|
Operating expenses:
|
||||||||||||||||||||
|
Salaries and benefits
|
17.9 | 510.7 | 212.1 | (10.1 | ) | 730.6 | ||||||||||||||
|
Other operating expenses
|
17.5 | 149.0 | 66.1 | (16.0 | ) | 216.6 | ||||||||||||||
|
General and administrative expenses
|
80.7 | - | - | - | 80.7 | |||||||||||||||
|
Supplies
|
0.5 | 54.7 | 21.5 | - | 76.7 | |||||||||||||||
|
Depreciation and amortization
|
7.3 | 38.8 | 12.5 | - | 58.6 | |||||||||||||||
|
Occupancy costs
|
3.5 | 27.0 | 13.1 | (7.4 | ) | 36.2 | ||||||||||||||
|
Provision for doubtful accounts
|
0.3 | 10.5 | 4.1 | - | 14.9 | |||||||||||||||
|
Loss on disposal of assets
|
- | 2.9 | 1.0 | - | 3.9 | |||||||||||||||
|
Government, class action, and related
|
||||||||||||||||||||
|
settlements
|
(10.6 | ) | - | - | - | (10.6 | ) | |||||||||||||
|
Professional fees—accounting,
|
||||||||||||||||||||
|
tax, and legal
|
16.2 | - | - | - | 16.2 | |||||||||||||||
|
Total operating expenses
|
133.3 | 793.6 | 330.4 | (33.5 | ) | 1,223.8 | ||||||||||||||
|
Loss on early extinguishment of debt
|
38.8 | - | - | - | 38.8 | |||||||||||||||
|
Interest expense and amortization of
|
||||||||||||||||||||
|
debt discounts and fees
|
88.8 | 6.4 | 2.0 | (0.9 | ) | 96.3 | ||||||||||||||
|
Other income
|
(0.1 | ) | (0.1 | ) | (2.2 | ) | 0.9 | (1.5 | ) | |||||||||||
|
Equity in net income of nonconsolidated
|
||||||||||||||||||||
|
affiliates
|
(2.3 | ) | (6.3 | ) | (0.2 | ) | - | (8.8 | ) | |||||||||||
|
Equity in net income of consolidated
|
||||||||||||||||||||
|
affiliates
|
(195.1 | ) | (9.3 | ) | - | 204.4 | - | |||||||||||||
|
Management fees
|
(70.9 | ) | 55.0 | 15.9 | - | - | ||||||||||||||
|
Income from continuing
|
||||||||||||||||||||
|
operations before income tax
|
||||||||||||||||||||
|
(benefit) expense
|
23.5 | 240.3 | 100.8 | (204.4 | ) | 160.2 | ||||||||||||||
|
Provision for income tax (benefit)
|
||||||||||||||||||||
|
expense
|
(114.6 | ) | 110.8 | 25.7 | - | 21.9 | ||||||||||||||
|
Income from continuing operations
|
138.1 | 129.5 | 75.1 | (204.4 | ) | 138.3 | ||||||||||||||
|
Income (loss) from discontinued operations,
|
||||||||||||||||||||
|
net of tax
|
20.6 | 36.2 | (3.0 | ) | - | 53.8 | ||||||||||||||
|
Net Income
|
158.7 | 165.7 | 72.1 | (204.4 | ) | 192.1 | ||||||||||||||
|
Less: Net income attributable to
|
||||||||||||||||||||
|
noncontrolling interests
|
- | - | (33.4 | ) | - | (33.4 | ) | |||||||||||||
|
Net income attributable
|
||||||||||||||||||||
|
to HealthSouth
|
$ | 158.7 | $ | 165.7 | $ | 38.7 | $ | (204.4 | ) | $ | 158.7 | |||||||||
|
Nine Months Ended September 30, 2010
|
||||||||||||||||||||
|
HealthSouth Corporation
|
Guarantor Subsidiaries
|
Non Guarantor Subsidiaries
|
Eliminating Entries
|
HealthSouth Consolidated
|
||||||||||||||||
|
(In Millions)
|
||||||||||||||||||||
|
Net operating revenues
|
$ | 15.3 | $ | 991.9 | $ | 408.4 | $ | (28.9 | ) | $ | 1,386.7 | |||||||||
|
Operating expenses:
|
||||||||||||||||||||
|
Salaries and benefits
|
17.1 | 478.1 | 198.3 | (9.3 | ) | 684.2 | ||||||||||||||
|
Other operating expenses
|
9.1 | 135.9 | 65.7 | (13.3 | ) | 197.4 | ||||||||||||||
|
General and administrative expenses
|
77.9 | - | - | - | 77.9 | |||||||||||||||
|
Supplies
|
0.4 | 52.2 | 20.7 | - | 73.3 | |||||||||||||||
|
Depreciation and amortization
|
7.1 | 35.5 | 11.1 | - | 53.7 | |||||||||||||||
|
Occupancy costs
|
2.3 | 24.4 | 12.5 | (6.2 | ) | 33.0 | ||||||||||||||
|
Provision for doubtful accounts
|
0.4 | 11.1 | 3.3 | - | 14.8 | |||||||||||||||
|
Loss on disposal of assets
|
- | 0.5 | - | - | 0.5 | |||||||||||||||
|
Government, class action, and related
|
||||||||||||||||||||
|
settlements
|
0.8 | - | - | - | 0.8 | |||||||||||||||
|
Professional fees—accounting,
|
||||||||||||||||||||
|
tax, and legal
|
13.8 | - | - | - | 13.8 | |||||||||||||||
|
Total operating expenses
|
128.9 | 737.7 | 311.6 | (28.8 | ) | 1,149.4 | ||||||||||||||
|
Loss on early extinguishment of debt
|
0.4 | - | - | - | 0.4 | |||||||||||||||
|
Interest expense and amortization of
|
||||||||||||||||||||
|
debt discounts and fees
|
84.3 | 6.5 | 2.3 | (1.7 | ) | 91.4 | ||||||||||||||
|
Other income
|
(0.8 | ) | (0.1 | ) | (3.6 | ) | 1.7 | (2.8 | ) | |||||||||||
|
Loss on interest rate swaps
|
13.0 | - | - | - | 13.0 | |||||||||||||||
|
Equity in net income of nonconsolidated
|
||||||||||||||||||||
|
affiliates
|
(1.6 | ) | (5.8 | ) | (0.1 | ) | - | (7.5 | ) | |||||||||||
|
Equity in net income of consolidated
|
||||||||||||||||||||
|
affiliates
|
(139.9 | ) | (9.5 | ) | - | 149.4 | - | |||||||||||||
|
Management fees
|
(67.1 | ) | 52.1 | 15.0 | - | - | ||||||||||||||
|
(Loss) income from continuing
|
||||||||||||||||||||
|
operations before income tax
|
||||||||||||||||||||
|
(benefit) expense
|
(1.9 | ) | 211.0 | 83.2 | (149.5 | ) | 142.8 | |||||||||||||
|
Provision for income tax (benefit)
|
||||||||||||||||||||
|
expense
|
(117.2 | ) | 96.6 | 21.3 | - | 0.7 | ||||||||||||||
|
Income from continuing operations
|
115.3 | 114.4 | 61.9 | (149.5 | ) | 142.1 | ||||||||||||||
|
Income (loss) from discontinued operations,
|
||||||||||||||||||||
|
net of tax
|
4.5 | 3.8 | (0.6 | ) | 0.1 | 7.8 | ||||||||||||||
|
Net Income
|
119.8 | 118.2 | 61.3 | (149.4 | ) | 149.9 | ||||||||||||||
|
Less: Net income attributable to
|
||||||||||||||||||||
|
noncontrolling interests
|
- | - | (30.1 | ) | - | (30.1 | ) | |||||||||||||
|
Net income attributable
|
||||||||||||||||||||
|
to HealthSouth
|
$ | 119.8 | $ | 118.2 | $ | 31.2 | $ | (149.4 | ) | $ | 119.8 | |||||||||
|
As of September 30, 2011
|
||||||||||||||||||||
|
HealthSouth Corporation
|
Guarantor Subsidiaries
|
Non Guarantor Subsidiaries
|
Eliminating Entries
|
HealthSouth Consolidated
|
||||||||||||||||
|
(In Millions)
|
||||||||||||||||||||
|
Assets
|
||||||||||||||||||||
|
Current assets:
|
||||||||||||||||||||
|
Cash and cash equivalents
|
$ | 44.9 | $ | 0.5 | $ | 2.3 | $ | - | $ | 47.7 | ||||||||||
|
Accounts receivable, net
|
3.2 | 152.5 | 63.5 | - | 219.2 | |||||||||||||||
|
Other current assets
|
64.5 | 23.1 | 75.3 | (19.4 | ) | 143.5 | ||||||||||||||
|
Total current assets
|
112.6 | 176.1 | 141.1 | (19.4 | ) | 410.4 | ||||||||||||||
|
Property and equipment, net
|
22.4 | 474.4 | 152.0 | - | 648.8 | |||||||||||||||
|
Goodwill
|
- | 264.7 | 155.6 | - | 420.3 | |||||||||||||||
|
Intangible assets, net
|
0.4 | 33.5 | 8.9 | - | 42.8 | |||||||||||||||
|
Deferred income tax assets
|
558.1 | - | 64.5 | (0.1 | ) | 622.5 | ||||||||||||||
|
Other long-term assets
|
64.7 | 31.0 | 37.7 | (7.2 | ) | 126.2 | ||||||||||||||
|
Intercompany receivable
|
1,093.6 | 651.8 | - | (1,745.4 | ) | - | ||||||||||||||
|
Total assets
|
$ | 1,851.8 | $ | 1,631.5 | $ | 559.8 | $ | (1,772.1 | ) | $ | 2,271.0 | |||||||||
|
Liabilities and Shareholders’ Equity (Deficit)
|
||||||||||||||||||||
|
Current liabilities:
|
||||||||||||||||||||
|
Accounts payable
|
$ | 9.9 | $ | 25.8 | $ | 9.7 | $ | - | $ | 45.4 | ||||||||||
|
Accrued expenses and other current liabilities
|
126.3 | 60.3 | 75.5 | (19.4 | ) | 242.7 | ||||||||||||||
|
Total current liabilities
|
136.2 | 86.1 | 85.2 | (19.4 | ) | 288.1 | ||||||||||||||
|
Long-term debt, net of current portion
|
1,214.9 | 76.1 | 24.9 | (7.2 | ) | 1,308.7 | ||||||||||||||
|
Other long-term liabilities
|
45.4 | 10.8 | 78.8 | - | 135.0 | |||||||||||||||
|
Intercompany payable
|
- | - | 1,391.9 | (1,391.9 | ) | - | ||||||||||||||
| 1,396.5 | 173.0 | 1,580.8 | (1,418.5 | ) | 1,731.8 | |||||||||||||||
|
Commitments and contingencies
|
||||||||||||||||||||
|
Convertible perpetual preferred stock
|
387.4 | - | - | - | 387.4 | |||||||||||||||
|
Shareholders' equity (deficit):
|
||||||||||||||||||||
|
HealthSouth shareholders' equity (deficit)
|
67.9 | 1,458.5 | (1,104.9 | ) | (353.6 | ) | 67.9 | |||||||||||||
|
Noncontrolling interests
|
- | - | 83.9 | - | 83.9 | |||||||||||||||
|
Total shareholders' equity (deficit)
|
67.9 | 1,458.5 | (1,021.0 | ) | (353.6 | ) | 151.8 | |||||||||||||
|
Total liabilities and
|
||||||||||||||||||||
|
shareholders' equity (deficit)
|
$ | 1,851.8 | $ | 1,631.5 | $ | 559.8 | $ | (1,772.1 | ) | $ | 2,271.0 | |||||||||
|
As of December 31, 2010
|
||||||||||||||||||||
|
HealthSouth Corporation
|
Guarantor Subsidiaries
|
Non Guarantor Subsidiaries
|
Eliminating Entries
|
HealthSouth Consolidated
|
||||||||||||||||
|
(In Millions)
|
||||||||||||||||||||
|
Assets
|
||||||||||||||||||||
|
Current assets:
|
||||||||||||||||||||
|
Cash and cash equivalents
|
$ | 45.8 | $ | 0.1 | $ | 2.4 | $ | - | $ | 48.3 | ||||||||||
|
Accounts receivable, net
|
0.9 | 148.2 | 57.6 | - | 206.7 | |||||||||||||||
|
Other current assets
|
48.6 | 33.2 | 73.4 | (4.0 | ) | 151.2 | ||||||||||||||
|
Total current assets
|
95.3 | 181.5 | 133.4 | (4.0 | ) | 406.2 | ||||||||||||||
|
Property and equipment, net
|
23.2 | 465.2 | 154.2 | - | 642.6 | |||||||||||||||
|
Goodwill
|
- | 264.7 | 155.6 | - | 420.3 | |||||||||||||||
|
Intangible assets, net
|
0.4 | 37.3 | 11.1 | - | 48.8 | |||||||||||||||
|
Deferred income tax assets
|
604.2 | 9.1 | 66.0 | - | 679.3 | |||||||||||||||
|
Other long-term assets
|
70.5 | 79.2 | 35.4 | (10.2 | ) | 174.9 | ||||||||||||||
|
Intercompany receivable
|
1,142.9 | 490.1 | - | (1,633.0 | ) | - | ||||||||||||||
|
Total assets
|
$ | 1,936.5 | $ | 1,527.1 | $ | 555.7 | $ | (1,647.2 | ) | $ | 2,372.1 | |||||||||
|
Liabilities and Shareholders’ (Deficit) Equity
|
||||||||||||||||||||
|
Current liabilities:
|
||||||||||||||||||||
|
Accounts payable
|
$ | 6.8 | $ | 24.9 | $ | 12.9 | $ | - | $ | 44.6 | ||||||||||
|
Accrued expenses and other current liabilities
|
186.6 | 68.9 | 63.2 | (4.0 | ) | 314.7 | ||||||||||||||
|
Total current liabilities
|
193.4 | 93.8 | 76.1 | (4.0 | ) | 359.3 | ||||||||||||||
|
Long-term debt, net of current portion
|
1,397.0 | 83.3 | 26.7 | (10.2 | ) | 1,496.8 | ||||||||||||||
|
Other long-term liabilities
|
43.9 | 11.3 | 75.6 | - | 130.8 | |||||||||||||||
|
Intercompany payable
|
- | - | 1,400.8 | (1,400.8 | ) | - | ||||||||||||||
| 1,634.3 | 188.4 | 1,579.2 | (1,415.0 | ) | 1,986.9 | |||||||||||||||
|
Commitments and contingencies
|
||||||||||||||||||||
|
Convertible perpetual preferred stock
|
387.4 | - | - | - | 387.4 | |||||||||||||||
|
Shareholders' (deficit) equity:
|
||||||||||||||||||||
|
HealthSouth shareholders' (deficit) equity
|
(85.2 | ) | 1,338.7 | (1,106.5 | ) | (232.2 | ) | (85.2 | ) | |||||||||||
|
Noncontrolling interests
|
- | - | 83.0 | - | 83.0 | |||||||||||||||
|
Total shareholders' (deficit) equity
|
(85.2 | ) | 1,338.7 | (1,023.5 | ) | (232.2 | ) | (2.2 | ) | |||||||||||
|
Total liabilities and
|
||||||||||||||||||||
|
shareholders' (deficit) equity
|
$ | 1,936.5 | $ | 1,527.1 | $ | 555.7 | $ | (1,647.2 | ) | $ | 2,372.1 | |||||||||
|
Nine Months Ended September 30, 2011
|
||||||||||||||||||||
|
HealthSouth Corporation
|
Guarantor Subsidiaries
|
Non Guarantor Subsidiaries
|
Eliminating Entries
|
HealthSouth Consolidated
|
||||||||||||||||
|
(In Millions)
|
||||||||||||||||||||
|
Net cash provided by operating
|
||||||||||||||||||||
|
activities
|
$ | 65.0 | $ | 263.9 | $ | 89.2 | $ | (207.3 | ) | $ | 210.8 | |||||||||
|
Cash flows from investing activities:
|
||||||||||||||||||||
|
Capital expenditures
|
(6.6 | ) | (46.2 | ) | (9.1 | ) | - | (61.9 | ) | |||||||||||
|
Purchase of restricted investments
|
- | - | (8.0 | ) | - | (8.0 | ) | |||||||||||||
|
Proceeds from sale of restricted
|
||||||||||||||||||||
|
investments
|
- | - | 0.7 | - | 0.7 | |||||||||||||||
|
Net change in restricted cash
|
(0.1 | ) | - | 6.4 | - | 6.3 | ||||||||||||||
|
Net settlements on interest rate swaps
|
(10.9 | ) | - | - | - | (10.9 | ) | |||||||||||||
|
Other
|
- | (0.7 | ) | - | - | (0.7 | ) | |||||||||||||
|
Net cash provided by (used in) investing
|
||||||||||||||||||||
|
activities of discontinued operations—
|
||||||||||||||||||||
|
Proceeds from sale of LTCHs
|
107.9 | - | - | - | 107.9 | |||||||||||||||
|
Other investing activities of
|
||||||||||||||||||||
|
discontinued operations
|
- | (0.3 | ) | (0.4 | ) | - | (0.7 | ) | ||||||||||||
|
Net cash provided by (used in)
|
||||||||||||||||||||
|
investing activities
|
90.3 | (47.2 | ) | (10.4 | ) | - | 32.7 | |||||||||||||
|
Cash flows from financing activities:
|
||||||||||||||||||||
|
Principal borrowings on term loan
|
100.0 | - | - | - | 100.0 | |||||||||||||||
|
Proceeds from bond issuance
|
120.0 | - | - | - | 120.0 | |||||||||||||||
|
Principal payments on debt, including
|
||||||||||||||||||||
|
pre-payments
|
(505.2 | ) | (0.8 | ) | - | 3.0 | (503.0 | ) | ||||||||||||
|
Borrowings on revolving credit facility
|
338.0 | - | - | - | 338.0 | |||||||||||||||
|
Payments on revolving credit facility
|
(238.0 | ) | - | - | - | (238.0 | ) | |||||||||||||
|
Principal payments under capital lease
|
||||||||||||||||||||
|
obligations
|
(0.7 | ) | (7.7 | ) | (1.7 | ) | - | (10.1 | ) | |||||||||||
|
Debt issue costs
|
(4.3 | ) | - | - | - | (4.3 | ) | |||||||||||||
|
Dividends paid on convertible perpetual
|
||||||||||||||||||||
|
preferred stock
|
(19.5 | ) | - | - | - | (19.5 | ) | |||||||||||||
|
Distributions paid to noncontrolling
|
||||||||||||||||||||
|
interests of consolidated affiliates
|
- | - | (31.6 | ) | - | (31.6 | ) | |||||||||||||
|
Other
|
4.3 | - | - | - | 4.3 | |||||||||||||||
|
Change in intercompany advances
|
49.1 | (207.8 | ) | (45.6 | ) | 204.3 | - | |||||||||||||
|
Net cash used in financing
|
||||||||||||||||||||
|
activities
|
(156.3 | ) | (216.3 | ) | (78.9 | ) | 207.3 | (244.2 | ) | |||||||||||
|
(Decrease) increase in cash and cash
|
||||||||||||||||||||
|
equivalents
|
(1.0 | ) | 0.4 | (0.1 | ) | - | (0.7 | ) | ||||||||||||
|
Cash and cash equivalents at
|
||||||||||||||||||||
|
beginning of period
|
45.8 | 0.1 | 2.4 | - | 48.3 | |||||||||||||||
|
Cash and cash equivalents of
|
||||||||||||||||||||
|
facilities in discontinued operations
|
||||||||||||||||||||
|
at beginning of period
|
0.1 | - | - | - | 0.1 | |||||||||||||||
|
Less: Cash and cash equivalents of
|
||||||||||||||||||||
|
facilities in discontinued operations
|
||||||||||||||||||||
|
at end of period
|
- | - | - | - | - | |||||||||||||||
|
Cash and cash equivalents at end of
|
||||||||||||||||||||
|
period
|
$ | 44.9 | $ | 0.5 | $ | 2.3 | $ | - | $ | 47.7 | ||||||||||
|
Nine Months Ended September 30, 2010
|
||||||||||||||||||||
|
HealthSouth Corporation
|
Guarantor Subsidiaries
|
Non Guarantor Subsidiaries
|
Eliminating Entries
|
HealthSouth Consolidated
|
||||||||||||||||
|
(In Millions)
|
||||||||||||||||||||
|
Net cash provided by operating
|
||||||||||||||||||||
|
activities
|
$ | 166.3 | $ | 164.9 | $ | 84.8 | $ | (152.1 | ) | $ | 263.9 | |||||||||
|
Cash flows from investing activities:
|
||||||||||||||||||||
|
Capital expenditures
|
(5.2 | ) | (28.2 | ) | (15.4 | ) | - | (48.8 | ) | |||||||||||
|
Acquisition of businesses, net of cash required
|
- | (34.1 | ) | - | - | (34.1 | ) | |||||||||||||
|
Purchase of restricted investments
|
- | - | (25.5 | ) | - | (25.5 | ) | |||||||||||||
|
Proceeds from sale of restricted
|
||||||||||||||||||||
|
investments
|
- | - | 10.4 | - | 10.4 | |||||||||||||||
|
Net change in restricted cash
|
1.7 | - | 32.4 | - | 34.1 | |||||||||||||||
|
Net settlements on interest rate swaps
|
(33.7 | ) | - | - | - | (33.7 | ) | |||||||||||||
|
Other
|
- | (0.3 | ) | - | - | (0.3 | ) | |||||||||||||
|
Net cash provided by (used in) investing
|
||||||||||||||||||||
|
activities of discontinued operations
|
0.3 | (0.7 | ) | 7.5 | - | 7.1 | ||||||||||||||
|
Net cash (used in) provided by
|
||||||||||||||||||||
|
investing activities
|
(36.9 | ) | (63.3 | ) | 9.4 | - | (90.8 | ) | ||||||||||||
|
Cash flows from financing activities:
|
||||||||||||||||||||
|
Principal payments on debt, including
|
||||||||||||||||||||
|
pre-payments
|
(11.2 | ) | - | - | 3.0 | (8.2 | ) | |||||||||||||
|
Principal payments under capital lease
|
||||||||||||||||||||
|
obligations
|
(1.6 | ) | (7.5 | ) | (1.5 | ) | - | (10.6 | ) | |||||||||||
|
Dividends paid on convertible perpetual
|
||||||||||||||||||||
|
preferred stock
|
(19.5 | ) | - | - | - | (19.5 | ) | |||||||||||||
|
Distributions paid to noncontrolling
|
||||||||||||||||||||
|
interests of consolidated affiliates
|
- | - | (26.3 | ) | - | (26.3 | ) | |||||||||||||
|
Other
|
0.3 | - | 0.8 | - | 1.1 | |||||||||||||||
|
Change in intercompany advances
|
13.6 | (95.3 | ) | (67.4 | ) | 149.1 | - | |||||||||||||
|
Net cash used in financing activities of
|
||||||||||||||||||||
|
discontinued operations
|
- | - | (0.1 | ) | - | (0.1 | ) | |||||||||||||
|
Net cash used in financing
|
||||||||||||||||||||
|
activities
|
(18.4 | ) | (102.8 | ) | (94.5 | ) | 152.1 | (63.6 | ) | |||||||||||
|
Increase (decrease) in cash and cash
|
||||||||||||||||||||
|
equivalents
|
111.0 | (1.2 | ) | (0.3 | ) | - | 109.5 | |||||||||||||
|
Cash and cash equivalents at
|
||||||||||||||||||||
|
beginning of period
|
76.2 | 1.7 | 2.8 | - | 80.7 | |||||||||||||||
|
Cash and cash equivalents of
|
||||||||||||||||||||
|
facilities in discontinued operations
|
||||||||||||||||||||
|
at beginning of period
|
0.1 | - | 0.1 | - | 0.2 | |||||||||||||||
|
Less: Cash and cash equivalents of
|
||||||||||||||||||||
|
facilities in discontinued operations
|
||||||||||||||||||||
|
at end of period
|
- | - | - | - | - | |||||||||||||||
|
Cash and cash equivalents at end of
|
||||||||||||||||||||
|
period
|
$ | 187.3 | $ | 0.5 | $ | 2.6 | $ | - | $ | 190.4 | ||||||||||
|
Management’s Discussion and Analysis of Financial Condition and Results of Operations
|
|
·
|
In March 2011, we received final certificate of need approval from the state of Florida to proceed with building a comprehensive inpatient rehabilitation hospital in Marion County, Florida. Construction on this 40-bed hospital is scheduled to begin in the fourth quarter of 2011.
|
|
·
|
On May 3, 2011, we entered into a definitive agreement to purchase substantially all of the assets of Drake Center’s inpatient rehabilitation services located in Cincinnati, Ohio and sublease space for the operation of a 38-bed inpatient rehabilitation hospital that will be fully owned and operated by HealthSouth. HealthSouth Rehabilitation Hospital at Drake will remain on Drake’s campus and is expected to begin accepting patients in December 2011.
|
|
·
|
In October 2011, we received final certificate of need approval from the state of Florida to proceed with building a comprehensive inpatient rehabilitation hospital in Martin County, Florida. The 34-bed hospital will be a partnership with Martin Memorial Health Systems. Construction on this hospital is expected to begin in the third quarter of 2012.
|
|
•
|
Deficit Reduction
. On August 2, 2011, President Obama signed into law the Budget Control Act of 2011. The Act establishes the Joint Select Committee on Deficit Reduction which is charged with proposing legislation that would reduce the federal deficit by at least $1.5 trillion or reduce federal spending against annual baselines by at least $1.2 trillion or more over the next ten years. To the extent this committee develops specific recommendations, it is likely these recommendations will include changes to Medicare, and some of these changes could impact us. The Act also includes provisions for the automatic reduction of Medicare program payments by up to 2% for all
healthcare providers if this committee is unable to reach an agreement on spending cuts of at least $1.2 trillion in the federal budget by November 23, 2011 or such cuts are not enacted into law by January 15, 2012.
|
|
•
|
Healthcare Reform
. On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (the “PPACA”) into law. On March 30, 2010, President Obama signed into law the Health Care and Education Reconciliation Act of 2010, which amended the PPACA (together, the “2010 Healthcare Reform Laws”). The 2010 Healthcare Reform Laws remain subject to continuing regulatory and legal scrutiny, and many aspects of their implementation are still uncertain or subject to judicial challenge. We cannot predict the outcome of any legislation or litigation related to the 2010 Healthcare Reform Laws, but we have been, and will continue to
be, actively engaged in the legislative process to attempt to ensure any healthcare laws adopted or amended promote our goal of high-quality, cost-effective care. It should also be noted that in September 2011, the United States Department of Justice on behalf of the United States Department of Health and Human Services (“HHS”) formally requested, through a petition for writ of
certiorari
, a review as to whether the 2010 Healthcare Reform Laws are constitutional. This action by HHS significantly increases the likelihood the Supreme Court of the United States will hear this issue. However, we cannot predict the timing or outcome of such a hearing.
|
|
•
|
Volume Growth
. As discussed above, the majority of patients we serve experience significant physical and cognitive disabilities due to medical conditions, such as strokes, hip fractures, head injuries, spinal cord injuries, and neurological disorders, that are generally non-discretionary in nature and which require rehabilitative healthcare services in an inpatient setting. In addition, because most of our patients are persons 65 and older, our patients generally have insurance coverage through Medicare. However, we do treat some patients with medical conditions that are discretionary in nature. During periods of economic uncertainty, patients may choose to forgo
discretionary procedures. We believe this is one of the factors creating weakness in the number of patients admitted to and discharged from acute care hospitals. If these patients continue to forgo procedures and acute care providers report soft volumes, it may be more challenging for us to maintain our recent volume growth rates.
|
|
•
|
Staffing
. Our operations are dependent on the efforts, abilities, and experience of our medical personnel, such as physical therapists, occupational therapists, speech pathologists, nurses, other healthcare professionals, and our management. In some markets, the lack of availability of medical personnel is an operating issue facing all healthcare providers, although the weak economy has mitigated this issue to some degree. We have refined our comprehensive compensation and benefits package to remain competitive in this challenging staffing environment while also being consistent with our goal of being a high-quality, cost-effective provider of inpatient
rehabilitative services. Recruiting and retaining qualified personnel for our hospitals will remain a high priority for us.
|
|
•
|
Highly Regulated Industry
. We are required to comply with extensive and complex laws and regulations at the federal, state, and local government levels. These rules and regulations have affected, or could in the future affect, our business activities by having an impact on the reimbursement we receive for services provided or the costs of compliance, mandating new documentation standards, requiring licensure or certification of our hospitals, regulating our relationships with physicians and other referral sources, regulating the use of our properties, and limiting our ability to enter new markets or add new beds to existing hospitals. Ensuring continuous compliance
with these laws and regulations is an operating requirement for all healthcare providers.
|
|
Three Months Ended
|
Nine Months Ended
|
|||||||||||||||
|
September 30,
|
September 30,
|
|||||||||||||||
|
2011
|
2010
|
2011
|
2010
|
|||||||||||||
|
Medicare
|
72.0 | % | 70.2 | % | 71.8 | % | 70.2 | % | ||||||||
|
Medicaid
|
1.6 | % | 1.8 | % | 1.7 | % | 1.8 | % | ||||||||
|
Workers’ compensation
|
1.6 | % | 1.6 | % | 1.7 | % | 1.6 | % | ||||||||
|
Managed care and other discount plans
|
20.0 | % | 21.5 | % | 19.8 | % | 21.5 | % | ||||||||
|
Other third-party payors
|
1.9 | % | 2.3 | % | 2.0 | % | 2.3 | % | ||||||||
|
Patients
|
1.3 | % | 1.4 | % | 1.2 | % | 1.3 | % | ||||||||
|
Other income
|
1.6 | % | 1.2 | % | 1.8 | % | 1.3 | % | ||||||||
|
Total
|
100.0 | % | 100.0 | % | 100.0 | % | 100.0 | % | ||||||||
|
Three Months Ended
September 30,
|
Percentage Change
|
Nine Months Ended
September 30,
|
Percentage Change
|
|||||||||||||||||||||
|
2011
|
2010
|
2011 vs. 2010
|
2011
|
2010
|
2011 vs. 2010
|
|||||||||||||||||||
|
(In Millions)
|
(In Millions)
|
|||||||||||||||||||||||
|
Net operating revenues
|
$ | 497.7 | $ | 460.8 | 8.0 | % | $ | 1,508.8 | $ | 1,386.7 | 8.8 | % | ||||||||||||
|
Operating expenses:
|
||||||||||||||||||||||||
|
Salaries and benefits
|
245.0 | 231.7 | 5.7 | % | 730.6 | 684.2 | 6.8 | % | ||||||||||||||||
|
Other operating expenses
|
70.3 | 65.4 | 7.5 | % | 216.6 | 197.4 | 9.7 | % | ||||||||||||||||
|
General and administrative expenses
|
26.4 | 24.9 | 6.0 | % | 80.7 | 77.9 | 3.6 | % | ||||||||||||||||
|
Supplies
|
24.7 | 24.1 | 2.5 | % | 76.7 | 73.3 | 4.6 | % | ||||||||||||||||
|
Depreciation and amortization
|
19.5 | 18.4 | 6.0 | % | 58.6 | 53.7 | 9.1 | % | ||||||||||||||||
|
Occupancy costs
|
12.5 | 11.4 | 9.6 | % | 36.2 | 33.0 | 9.7 | % | ||||||||||||||||
|
Provision for doubtful accounts
|
5.1 | 3.7 | 37.8 | % | 14.9 | 14.8 | 0.7 | % | ||||||||||||||||
|
Loss on disposal of assets
|
2.8 | 0.1 | 2,700.0 | % | 3.9 | 0.5 | 680.0 | % | ||||||||||||||||
|
Government, class action, and
|
||||||||||||||||||||||||
|
related settlements
|
- | 0.8 | (100.0 | %) | (10.6 | ) | 0.8 | (1,425.0 | %) | |||||||||||||||
|
Professional fees—accounting,
|
||||||||||||||||||||||||
|
tax, and legal
|
4.0 | 5.2 | (23.1 | %) | 16.2 | 13.8 | 17.4 | % | ||||||||||||||||
|
Total operating expenses
|
410.3 | 385.7 | 6.4 | % | 1,223.8 | 1,149.4 | 6.5 | % | ||||||||||||||||
|
Loss on early extinguishment of debt
|
12.7 | - | N/A | 38.8 | 0.4 | 9,600.0 | % | |||||||||||||||||
|
Interest expense and amortization of
|
||||||||||||||||||||||||
|
debt discounts and fees
|
26.3 | 30.8 | (14.6 | %) | 96.3 | 91.4 | 5.4 | % | ||||||||||||||||
|
Other income
|
(0.2 | ) | (0.7 | ) | (71.4 | %) | (1.5 | ) | (2.8 | ) | (46.4 | %) | ||||||||||||
|
Loss on interest rate swaps
|
- | 9.0 | (100.0 | %) | - | 13.0 | (100.0 | %) | ||||||||||||||||
|
Equity in net income of nonconsolidated
|
||||||||||||||||||||||||
|
affiliates
|
(3.1 | ) | (2.3 | ) | 34.8 | % | (8.8 | ) | (7.5 | ) | 17.3 | % | ||||||||||||
|
Income from continuing operations
|
||||||||||||||||||||||||
|
before income tax expense (benefit)
|
51.7 | 38.3 | 35.0 | % | 160.2 | 142.8 | 12.2 | % | ||||||||||||||||
|
Provision for income tax expense
|
||||||||||||||||||||||||
|
(benefit)
|
18.1 | (0.4 | ) | (4,625.0 | %) | 21.9 | 0.7 | 3,028.6 | % | |||||||||||||||
|
Income from continuing operations
|
33.6 | 38.7 | (13.2 | %) | 138.3 | 142.1 | (2.7 | %) | ||||||||||||||||
|
Income from discontinued operations,
|
||||||||||||||||||||||||
|
net of tax
|
34.7 | 3.2 | 984.4 | % | 53.8 | 7.8 | 589.7 | % | ||||||||||||||||
|
Net income
|
68.3 | 41.9 | 63.0 | % | 192.1 | 149.9 | 28.2 | % | ||||||||||||||||
|
Less: Net income attributable to
|
||||||||||||||||||||||||
|
noncontrolling interests
|
(11.3 | ) | (10.1 | ) | 11.9 | % | (33.4 | ) | (30.1 | ) | 11.0 | % | ||||||||||||
|
Net income attributable
|
||||||||||||||||||||||||
|
to HealthSouth
|
$ | 57.0 | $ | 31.8 | 79.2 | % | $ | 158.7 | $ | 119.8 | 32.5 | % | ||||||||||||
|
Three Months Ended September 30,
|
Nine Months Ended September 30,
|
|||||||||||||||
|
2011
|
2010
|
2011
|
2010
|
|||||||||||||
|
Salaries and benefits
|
49.2 | % | 50.3 | % | 48.4 | % | 49.3 | % | ||||||||
|
Other operating expenses
|
14.1 | % | 14.2 | % | 14.4 | % | 14.2 | % | ||||||||
|
General and administrative expenses
|
5.3 | % | 5.4 | % | 5.3 | % | 5.6 | % | ||||||||
|
Supplies
|
5.0 | % | 5.2 | % | 5.1 | % | 5.3 | % | ||||||||
|
Depreciation and amortization
|
3.9 | % | 4.0 | % | 3.9 | % | 3.9 | % | ||||||||
|
Occupancy costs
|
2.5 | % | 2.5 | % | 2.4 | % | 2.4 | % | ||||||||
|
Provision for doubtful accounts
|
1.0 | % | 0.8 | % | 1.0 | % | 1.1 | % | ||||||||
|
Loss on disposal of assets
|
0.6 | % | 0.0 | % | 0.3 | % | 0.0 | % | ||||||||
|
Government, class action, and
|
||||||||||||||||
|
related settlements
|
0.0 | % | 0.2 | % | (0.7 | %) | 0.1 | % | ||||||||
|
Professional fees—accounting, tax,
|
||||||||||||||||
|
and legal
|
0.8 | % | 1.1 | % | 1.1 | % | 1.0 | % | ||||||||
|
Total
|
82.4 | % | 83.7 | % | 81.1 | % | 82.9 | % | ||||||||
|
Three Months Ended September 30,
|
Nine Months Ended September 30,
|
|||||||||||||||
|
2011
|
2010
|
2011
|
2010
|
|||||||||||||
|
(In Millions)
|
||||||||||||||||
|
Net patient revenue—inpatient
|
$ | 458.8 | $ | 422.6 | $ | 1,386.3 | $ | 1,270.4 | ||||||||
|
Net patient revenue—outpatient
|
||||||||||||||||
|
and other revenues
|
38.9 | 38.2 | 122.5 | 116.3 | ||||||||||||
|
Net operating revenues
|
$ | 497.7 | $ | 460.8 | $ | 1,508.8 | $ | 1,386.7 | ||||||||
|
(Actual Amounts)
|
||||||||||||||||
|
Discharges
|
29,350 | 27,931 | 88,288 | 83,052 | ||||||||||||
|
Outpatient visits
|
236,969 | 253,837 | 718,377 | 764,678 | ||||||||||||
|
Average length of stay
|
13.4 days
|
13.8 days
|
13.5 days
|
13.9 days
|
||||||||||||
|
Occupancy %
|
67.2 | % | 66.0 | % | 68.6 | % | 66.7 | % | ||||||||
|
# of licensed beds
|
6,376 | 6,331 | 6,376 | 6,331 | ||||||||||||
|
Full-time equivalents*
|
15,081 | 14,785 | 15,092 | 14,621 | ||||||||||||
|
|
*
|
Excludes 395 and 401 full-time equivalents for the three months ended September 30, 2011 and 2010, respectively, and 396 full-time equivalents for the nine months ended September 30, 2011 and 2010 who are considered part of corporate overhead with their salaries and benefits included in
General and administrative expenses
in our condensed consolidated statements of operations. Full-time equivalents included in the above table represent those who participate in or support the operations of our hospitals and exclude an estimate of full-time equivalents related to contract labor.
|
|
·
|
Pricing adjustments – On October 1, 2010, we received a 2.5% market basket update that was reduced to 2.25% under the requirements of the 2010 Healthcare Reform Laws discussed above. In addition to pricing adjustments from Medicare, we have also received positive pricing adjustments from managed care payors.
|
|
·
|
New hospitals – We opened four new hospitals in June, August, and September of 2010. We generally do not receive full reimbursement for the first 30 Medicare patients discharged from a new hospital (i.e., the initial Medicare enrollment period), which reduced our net patient revenue per discharge in 2010.
|
|
·
|
Patient outcomes – As part of our focus on providing high-quality, cost-effective care, we strive to discharge patients to the most appropriate setting and reduce the number of transfers back to acute care hospitals. This goal is not only in our patients’ best interests, it also has a financial implication to us. Under IRF-PPS, transfers back to an acute care hospital result in payment penalties that reduce our reimbursement per discharge. In the third quarter of 2011, we reduced our transfers back to acute care hospitals over the same period of 2010. Thus, our average revenue per discharge increased.
|
|
Three Months Ended
September 30,
|
Nine Months Ended
September 30,
|
|||||||||||||||
|
2011
|
2010
|
2011
|
2010
|
|||||||||||||
|
Net operating revenues
|
$ | 9.8 | $ | 30.4 | $ | 96.3 | $ | 93.8 | ||||||||
|
Costs and expenses
|
13.5 | 27.5 | 68.0 | 85.5 | ||||||||||||
|
Impairments
|
4.6 | - | 5.9 | 0.6 | ||||||||||||
|
(Loss) income from discontinued operations
|
(8.3 | ) | 2.9 | 22.4 | 7.7 | |||||||||||
|
Loss on disposal of assets of discontinued operations
|
- | - | - | (1.2 | ) | |||||||||||
|
Gain on sale of LTCHs
|
65.8 | - | 65.8 | - | ||||||||||||
|
Income tax (expense) benefit
|
(22.8 | ) | 0.3 | (34.4 | ) | 1.3 | ||||||||||
|
Income from discontinued operations, net of tax
|
$ | 34.7 | $ | 3.2 | $ | 53.8 | $ | 7.8 | ||||||||
|
·
|
It created, under the pre-existing accordion feature, a $100 million term loan with an initial interest rate of LIBOR plus 2.5% (see below), maturing in May 2016. The 2011 Credit Agreement continues to permit future increases in revolving borrowing capacity or new term loans, or both, in an aggregate amount not to exceed $200 million. The net proceeds from the term loan were used to redeem a portion of our 10.75% Senior Notes due 2016 in June 2011, as discussed below.
|
|
·
|
It reduced by 100 basis points each of the various applicable interest rates for any outstanding balance on the revolving credit facility, depending on the leverage ratio (as defined in the 2011 Credit Agreement) during a given interest rate period.
|
|
·
|
It reset the maturity date for the existing revolving credit facility from October 2015 to May 2016.
|
|
Nine Months Ended September 30,
|
||||||||
|
2011
|
2010
|
|||||||
|
Net cash provided by operating activities
|
$ | 210.8 | $ | 263.9 | ||||
|
Net cash provided by (used in) investing activities
|
32.7 | (90.8 | ) | |||||
|
Net cash used in financing activities
|
(244.2 | ) | (63.6 | ) | ||||
|
(Decrease) increase in cash and cash equivalents
|
$ | (0.7 | ) | $ | 109.5 | |||
|
Three Months Ended
|
Nine Months Ended
|
|||||||||||||||
|
September 30,
|
September 30,
|
|||||||||||||||
|
2011
|
2010
|
2011
|
2010
|
|||||||||||||
|
Net income
|
$ | 68.3 | $ | 41.9 | $ | 192.1 | $ | 149.9 | ||||||||
|
Income from discontinued operations, net of tax,
|
||||||||||||||||
|
attributable to HealthSouth
|
(34.8 | ) | (3.4 | ) | (54.9 | ) | (8.0 | ) | ||||||||
|
Provision for income tax expense (benefit)
|
18.1 | (0.4 | ) | 21.9 | 0.7 | |||||||||||
|
Loss on interest rate swaps
|
- | 9.0 | - | 13.0 | ||||||||||||
|
Interest expense and amortization of debt discounts
|
||||||||||||||||
|
and fees
|
26.3 | 30.8 | 96.3 | 91.4 | ||||||||||||
|
Loss on early extinguishment of debt
|
12.7 | - | 38.8 | 0.4 | ||||||||||||
|
Professional fees—accounting, tax, and legal
|
4.0 | 5.2 | 16.2 | 13.8 | ||||||||||||
|
Government, class action, and related settlements
|
- | 0.8 | (10.6 | ) | 0.8 | |||||||||||
|
Net noncash loss on disposal of assets
|
2.8 | 0.1 | 3.9 | 0.5 | ||||||||||||
|
Depreciation and amortization
|
19.5 | 18.4 | 58.6 | 53.7 | ||||||||||||
|
Stock-based compensation expense
|
4.9 | 3.4 | 14.4 | 11.2 | ||||||||||||
|
Net income attributable to noncontrolling interests
|
(11.3 | ) | (10.1 | ) | (33.4 | ) | (30.1 | ) | ||||||||
|
Other
|
- | 0.2 | - | 0.2 | ||||||||||||
|
Adjusted EBITDA
|
$ | 110.5 | $ | 95.9 | $ | 343.3 | $ | 297.5 | ||||||||
|
Nine Months Ended September 30,
|
||||||||
|
2011
|
2010
|
|||||||
|
Net cash provided by operating activities
|
$ | 210.8 | $ | 263.9 | ||||
|
Provision for doubtful accounts
|
(14.9 | ) | (14.8 | ) | ||||
|
Professional fees—accounting, tax, and legal
|
16.2 | 13.8 | ||||||
|
Interest expense and amortization of debt discounts and fees
|
96.3 | 91.4 | ||||||
|
Equity in net income of nonconsolidated affiliates
|
8.8 | 7.5 | ||||||
|
Net income attributable to noncontrolling interests in
|
||||||||
|
continuing operations
|
(34.5 | ) | (30.3 | ) | ||||
|
Amortization of debt discounts and fees
|
(3.3 | ) | (5.1 | ) | ||||
|
Distributions from nonconsolidated affiliates
|
(9.7 | ) | (4.7 | ) | ||||
|
Current portion of income tax benefit
|
(1.5 | ) | (1.7 | ) | ||||
|
Change in assets and liabilities
|
68.1 | (14.1 | ) | |||||
|
Premium received on bond issuance
|
(4.1 | ) | - | |||||
|
Premium paid on bond redemption
|
26.9 | - | ||||||
|
Change in government, class action, and related settlements
|
(6.5 | ) | 0.8 | |||||
|
Operating cash provided by discontinued operations
|
(9.4 | ) | (10.4 | ) | ||||
|
Other
|
0.1 | 1.2 | ||||||
|
Adjusted EBITDA
|
$ | 343.3 | $ | 297.5 | ||||
|
Total
|
October 1 through December 31, 2011
|
2012-2013 | 2014-2015 |
2016 and Thereafter
|
||||||||||||||||
|
Long-term debt obligations:
|
||||||||||||||||||||
|
Long-term debt, excluding
|
||||||||||||||||||||
|
revolving credit facility and
|
||||||||||||||||||||
|
capital lease obligations
(a)
|
$ | 1,070.7 | $ | 1.8 | $ | 15.5 | $ | 21.9 | $ | 1,031.5 | ||||||||||
|
Revolving credit facility
|
178.0 | - | - | - | 178.0 | |||||||||||||||
|
Interest on long-term debt
(b)
|
697.6 | 20.8 | 164.3 | 163.1 | 349.4 | |||||||||||||||
|
Capital lease obligations
(c)
|
123.5 | 3.9 | 32.0 | 19.3 | 68.3 | |||||||||||||||
|
Operating lease obligations
(d)(e)
|
251.2 | 9.9 | 76.0 | 56.7 | 108.6 | |||||||||||||||
|
Purchase obligations
(e)(f)
|
145.2 | 2.1 | 43.4 | 39.8 | 59.9 | |||||||||||||||
|
Other long-term liabilities
(g)
|
3.5 | 0.1 | 0.4 | 0.4 | 2.6 | |||||||||||||||
|
Total
|
$ | 2,469.7 | $ | 38.6 | $ | 331.6 | $ | 301.2 | $ | 1,798.3 | ||||||||||
|
|
(a)
|
Included in long-term debt are amounts owed on our bonds payable and other notes payable. These borrowings are further explained in Note 3,
Long-term Debt
, to the condensed consolidated financial statements included in Part I, Item 1,
Financial Statements (Unaudited)
, of this report and Note 8,
Long-term Debt,
to the consolidated financial statements accompanying the 2010 Form 10-K.
|
|
|
(b)
|
Interest on our fixed rate debt is presented using the stated interest rate. Interest expense on our variable rate debt is estimated using the rate in effect as of September 30, 2011. Interest related to capital lease obligations is excluded from this line. Future minimum payments, which are accounted for as interest, related to sale/leaseback transactions involving real estate accounted for as financings are included in this line (see Note 5,
Property and Equipment
, and Note 8,
Long-term Debt
, to the consolidated financial statements accompanying the 2010 Form 10-K). Amounts exclude amortization of debt discounts, amortization of loan fees, or fees for lines of credit that would
be included in interest expense in our condensed consolidated statements of operations.
|
|
|
(c)
|
Amounts include interest portion of future minimum capital lease payments.
|
|
|
(d)
|
We lease many of our hospitals as well as other property and equipment under operating leases in the normal course of business. Some of our hospital leases require percentage rentals on patient revenues above specified minimums and contain escalation clauses. The minimum lease payments do not include contingent rental expense. Some lease agreements provide us with the option to renew the lease or purchase the leased property. Our future operating lease obligations would change if we exercised these renewal options and if we entered into additional operating lease agreements. For more information, see Note 5,
Property and Equipment,
to the consolidated financial statements accompanying the 2010 Form 10-K.
|
|
|
(e)
|
Future operating lease obligations and purchase obligations are not recognized in our condensed consolidated balance sheet.
|
|
|
(f)
|
Purchase obligations include agreements to purchase goods or services that are enforceable and legally binding on HealthSouth and that specify all significant terms, including: fixed or minimum quantities to be purchased; fixed, minimum, or variable price provisions; and the approximate timing of the transaction. Purchase obligations exclude agreements that are cancelable without penalty. Our purchase obligations primarily relate to software licensing and support, medical supplies, certain equipment, and telecommunications. As discussed in the “Executive Overview” section of this Item, we have entered into an agreement with Cerner to begin a company-wide implementation of an electronic clinical information system beginning in 2012.
|
|
|
(g)
|
Because their future cash outflows are uncertain, the following noncurrent liabilities are excluded from the table above: medical malpractice and workers’ compensation risks, deferred income taxes, and our estimated liability for unsettled litigation. For more information, see Note 10,
Self-Insured Risks,
Note 19,
Income Taxes,
and Note 22,
Contingencies and Other Commitments,
to the consolidated financial statements accompanying the 2010 Form 10-K. Also, at September 30, 2011, we had $8.0 million of total gross unrecognized tax benefits. In addition, we had an accrual for related interest income of $0.1
million as of September 30, 2011. We continue to actively pursue the maximization of our remaining state income tax refund claims and other tax benefits. At this time, we cannot estimate a range of the reasonably possible change that may occur.
|
|
As of September 30, 2011
|
||||||||||||||||
|
Carrying Amount
|
% of Total
|
Estimated Fair Value
|
% of Total
|
|||||||||||||
|
Fixed rate debt
|
$ | 936.0 | 77.2 | % | $ | 879.5 | 76.1 | % | ||||||||
|
Variable rate debt
|
276.8 | 22.8 | % | 276.8 | 23.9 | % | ||||||||||
|
Total long-term debt
|
$ | 1,212.8 | 100.0 | % | $ | 1,156.3 | 100.0 | % | ||||||||
|
Controls and Procedures
|
|
Unregistered Sales of Equity Securities and Use of Proceeds
|
|
Period
|
Total Number of Shares (or Units) Purchased
(1)
|
Average Price Paid per Share (or Unit) ($)
|
Total Number of Shares (or Units) Purchased as part of Publicly Announced Plans or Programs
|
Maximum Number of Shares (or Units) That May Yet Be Purchased Under the Plans or Programs
|
||||||||||||
|
July 1 through
July 31, 2011
|
118 | $ | 26.88 | - | - | |||||||||||
|
August 1 through
August 31, 2011
|
759 | 22.75 | - | - | ||||||||||||
|
September 1 through
September 30, 2011
|
- | - | - | - | ||||||||||||
|
Total
|
877 | 23.31 | - | - | ||||||||||||
|
(1)
|
Shares in this column were tendered by employees as payment of tax liability incident to the vesting of previously awarded shares of restricted stock.
|
| No. | Description | |
| 3.1 |
Restated Certificate of Incorporation of HealthSouth Corporation, as filed in the Office of the Secretary of State of the State of Delaware on May 21, 1998 (incorporated by reference to HealthSouth’s Annual Report on Form 10-K filed with the SEC on June 27, 2005).
|
| 3.2 |
Certificate of Amendment to the Restated Certificate of Incorporation of HealthSouth Corporation, as filed in the Office of the Secretary of State of the State of Delaware on October 25, 2006 (incorporated by reference to Exhibit 3.1 to HealthSouth’s Current Report on Form 8-K filed on October 31, 2006).
|
|||
| 3.3 |
Amended and Restated Bylaws of HealthSouth Corporation, effective as of October 30, 2009, (incorporated by reference to Exhibit 3.3 to HealthSouth’s Quarterly Report on Form 10-Q filed on November 4, 2009).
|
|||
|
3.4
|
Certificate of Designations of 6.50% Series A Convertible Perpetual Preferred Stock, as filed with the Secretary of State of the State of Delaware on March 7, 2006 (incorporated by reference to Exhibit 3.1 to HealthSouth’s Current Report on Form 8-K filed on March 9, 2006).
|
|||
| 31.1 |
Certification of Chief Executive Officer required by Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
|
|||
| 31.2 |
Certification of Chief Financial Officer required by Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
|
|||
| 32.1 |
Certification of Chief Executive Officer pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
|
|||
| 32.2 |
Certification of Chief Financial Officer pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
|
|||
| 101 |
Sections of the HealthSouth Corporation Quarterly Report on Form 10-Q for the quarter ended September 30, 2011, formatted in XBRL (eXtensible Business Reporting Language), submitted in the following files:
|
|||
| 101.INS |
XBRL Instance Document
|
|||
| 101.SCH |
XBRL Taxonomy Extension Schema Document
|
|||
| 101.CAL |
XBRL Taxonomy Extension Calculation Linkbase Document
|
|||
| 101.DEF |
XBRL Taxonomy Extension Definition Linkbase Document
|
|||
| 101.LAB |
XBRL Taxonomy Extension Label Linkbase Document
|
|||
| 101.PRE |
XBRL Taxonomy Extension Presentation Linkbase Document
|
|||
|
H
EALTH
S
OUTH
C
ORPORATION
|
||
|
By:
|
/s/ Douglas E. Coltharp
|
|
|
Douglas E. Coltharp
|
||
|
Executive Vice President and Chief Financial Officer
|
||
|
Date:
|
November 4, 2011
|
| No. | Description | |
| 3.1 |
Restated Certificate of Incorporation of HealthSouth Corporation, as filed in the Office of the Secretary of State of the State of Delaware on May 21, 1998 (incorporated by reference to HealthSouth’s Annual Report on Form 10-K filed with the SEC on June 27, 2005).
|
| 3.2 |
Certificate of Amendment to the Restated Certificate of Incorporation of HealthSouth Corporation, as filed in the Office of the Secretary of State of the State of Delaware on October 25, 2006 (incorporated by reference to Exhibit 3.1 to HealthSouth’s Current Report on Form 8-K filed on October 31, 2006).
|
|||
| 3.3 |
Amended and Restated Bylaws of HealthSouth Corporation, effective as of October 30, 2009, (incorporated by reference to Exhibit 3.3 to HealthSouth’s Quarterly Report on Form 10-Q filed on November 4, 2009).
|
|||
|
3.4
|
Certificate of Designations of 6.50% Series A Convertible Perpetual Preferred Stock, as filed with the Secretary of State of the State of Delaware on March 7, 2006 (incorporated by reference to Exhibit 3.1 to HealthSouth’s Current Report on Form 8-K filed on March 9, 2006).
|
|||
| 31.1 |
Certification of Chief Executive Officer required by Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
|
|||
| 31.2 |
Certification of Chief Financial Officer required by Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act of 1934, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
|
|||
| 32.1 |
Certification of Chief Executive Officer pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
|
|||
| 32.2 |
Certification of Chief Financial Officer pursuant to 18 U.S.C. 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
|
|||
| 101 |
Sections of the HealthSouth Corporation Quarterly Report on Form 10-Q for the quarter ended September 30, 2011, formatted in XBRL (eXtensible Business Reporting Language), submitted in the following files:
|
|||
| 101.INS |
XBRL Instance Document
|
|||
| 101.SCH |
XBRL Taxonomy Extension Schema Document
|
|||
| 101.CAL |
XBRL Taxonomy Extension Calculation Linkbase Document
|
|||
| 101.DEF |
XBRL Taxonomy Extension Definition Linkbase Document
|
|||
| 101.LAB |
XBRL Taxonomy Extension Label Linkbase Document
|
|||
| 101.PRE |
XBRL Taxonomy Extension Presentation Linkbase Document
|
|||
No information found
* THE VALUE IS THE MARKET VALUE AS OF THE LAST DAY OF THE QUARTER FOR WHICH THE 13F WAS FILED.
| FUND | NUMBER OF SHARES | VALUE ($) | PUT OR CALL |
|---|
| DIRECTORS | AGE | BIO | OTHER DIRECTOR MEMBERSHIPS |
|---|
No information found
No Customers Found
No Suppliers Found
Price
Yield
| Owner | Position | Direct Shares | Indirect Shares |
|---|