Annual Reports

 
Quarterly Reports

  • 10-Q (Oct 31, 2017)
  • 10-Q (Aug 2, 2017)
  • 10-Q (Apr 28, 2017)
  • 10-Q (Oct 28, 2016)
  • 10-Q (Apr 28, 2016)
  • 10-Q (Oct 29, 2015)

 
8-K

 
Other

Encompass Health Corp 10-Q 2015

Documents found in this filing:

  1. 10-Q
  2. Ex-31.1
  3. Ex-31.2
  4. Ex-32.1
  5. Ex-32.2
  6. Ex-32.2
HLS 10Q 6/30/15
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
 ______________________________
FORM 10-Q
ý
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
 
For the quarterly period ended June 30, 2015
OR 
o
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
Commission File Number 001-10315
______________________________ 
HealthSouth Corporation
(Exact name of Registrant as specified in its Charter)

Delaware
63-0860407
(State or Other Jurisdiction of
Incorporation or Organization)
(I.R.S. Employer
Identification No.)
 
 
3660 Grandview Parkway, Suite 200
Birmingham, Alabama
35243
(Address of Principal Executive Offices)
(Zip Code)
 
 
(205) 967-7116
(Registrant’s telephone number)
 
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ý No o
 
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes ý No o
 
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer,” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
 
Large accelerated filer  ý       Accelerated filer  o      Non-Accelerated filer  o       Smaller reporting company  o
 
Indicate by check mark whether the registrant is a shell company (as defined in Exchange Act Rule 12b-2). Yes o No ý
 
The registrant had 91,449,537 shares of common stock outstanding, net of treasury shares, as of July 23, 2015.




TABLE OF CONTENTS

NOTE TO READERS
As used in this report, the terms “HealthSouth,” “we,” “us,” “our,” and the “Company” refer to HealthSouth Corporation and its consolidated subsidiaries, unless otherwise stated or indicated by context. This drafting style is suggested by the Securities and Exchange Commission and is not meant to imply that HealthSouth Corporation, the publicly traded parent company, owns or operates any specific asset, business, or property. The hospitals, operations, and businesses described in this filing are primarily owned and operated by subsidiaries of the parent company. In addition, we use the term “HealthSouth Corporation” to refer to HealthSouth Corporation alone wherever a distinction between HealthSouth Corporation and its subsidiaries is required or aids in the understanding of this filing.
CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS
This quarterly report contains historical information, as well as forward-looking statements that involve known and unknown risks and relate to, among other things, future events, changes to Medicare reimbursement and other healthcare laws and regulations from time to time, our business strategy, our dividend and stock repurchase strategies, our financial plans, our growth plans, our future financial performance, our projected business results, or our projected capital expenditures. In some cases, the reader can identify forward-looking statements by terminology such as “may,” “will,” “could,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “targets,” “potential,” or “continue” or the negative of these terms or other comparable terminology. Such forward-looking statements are necessarily estimates based upon current information and involve a number of risks and uncertainties, many of which are beyond our control. Actual events or results may differ materially from the results anticipated in these forward-looking statements as a result of a variety of factors. While it is impossible to identify all such factors, factors that could cause actual results to differ materially from those estimated by us include, but are not limited to, the following:
each of the factors discussed in Item 1A, Risk Factors, of our Annual Report on Form 10-K for the year ended December 31, 2014, as well as uncertainties and factors discussed elsewhere in this Form 10-Q, in our other filings from time to time with the SEC, or in materials incorporated therein by reference;
changes in the rules and regulations of the healthcare industry at either or both of the federal and state levels, including those contemplated now and in the future as part of national healthcare reform and deficit reduction such as the reinstatement of the “75% Rule” or the introduction of site neutral payments with skilled nursing facilities for certain conditions, and related increases in the costs of complying with such changes;
reductions or delays in, or suspension of, reimbursement for our services by governmental or private payors, including our ability to obtain and retain favorable arrangements with third-party payors and our exposure to the effects of Medicare claims audits for services previously provided;

i



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;
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;
competitive pressures in the healthcare industry and our response to those pressures;
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;
any adverse outcome of various lawsuits, claims, and legal or regulatory proceedings, including the ongoing investigations initiated by the U.S. Department of Health and Human Services, Office of the Inspector General;
increased costs of defending and insuring against alleged professional liability and other claims and the ability to predict the costs related to such claims;
potential incidents affecting the proper operation, availability, or security of our information systems;
the price of our common stock as it affects our willingness and ability to repurchase shares and the financial and accounting effects of any repurchases;
our ability and willingness to continue to declare and pay dividends on our common stock;
our ability to successfully integrate Encompass Home Health and Hospice and to close on the acquisition of and integrate the Reliant inpatient rehabilitation hospitals, including the realization of anticipated benefits from those acquisitions and avoidance of unanticipated difficulties, costs, or liabilities that could arise from the acquisitions or integrations;
our ability to attract and retain key management personnel, including as a part of executive management succession planning; and
general conditions in the economy and capital markets, including any instability or uncertainty related to a governmental impasse over approval of the United States federal budget, an increase to the debt ceiling, or an international sovereign debt crisis.
The cautionary statements referred to in this section also should be considered in connection with any subsequent written or oral forward-looking statements that may be issued by us or persons acting on our behalf. Any forward-looking statement is based on information current as of the date of this report and speaks only as of the date on which such statement is made. We undertake no duty to update these forward-looking statements, even though our situation may change in the future. Furthermore, we cannot guarantee future results, events, levels of activity, performance, or achievements.

ii



PART I. FINANCIAL INFORMATION
Item 1.
Financial Statements (Unaudited)
HealthSouth Corporation and Subsidiaries
Condensed Consolidated Statements of Operations
(Unaudited)
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2015
 
2014
 
2015
 
2014
 
(In Millions)
Net operating revenues
$
764.4

 
$
604.4

 
$
1,505.0

 
$
1,195.6

Less: Provision for doubtful accounts
(10.9
)
 
(9.3
)
 
(22.5
)
 
(16.8
)
Net operating revenues less provision for doubtful accounts
753.5

 
595.1

 
1,482.5

 
1,178.8

Operating expenses:
 

 
 

 
 
 
 
Salaries and benefits
401.8

 
285.3

 
786.9

 
571.4

Other operating expenses
104.2

 
86.3

 
207.4

 
170.8

Occupancy costs
12.5

 
10.3

 
24.6

 
20.8

Supplies
31.7

 
27.8

 
63.1

 
55.4

General and administrative expenses
32.1

 
30.2

 
66.7

 
60.9

Depreciation and amortization
32.7

 
26.4

 
64.6

 
52.8

Government, class action, and related settlements

 
(0.8
)
 
8.0

 
(0.8
)
Professional fees—accounting, tax, and legal
0.1

 
2.0

 
2.3

 
3.6

Total operating expenses
615.1

 
467.5

 
1,223.6

 
934.9

Loss on early extinguishment of debt
18.8

 

 
20.0

 

Interest expense and amortization of debt discounts and fees
30.9

 
27.8

 
62.7

 
55.7

Other income
(3.0
)
 
(28.2
)
 
(3.5
)
 
(29.9
)
Equity in net income of nonconsolidated affiliates
(2.3
)
 
(2.6
)
 
(3.9
)
 
(6.9
)
Income from continuing operations before income tax expense
94.0

 
130.6

 
183.6

 
225.0

Provision for income tax expense
32.2

 
36.5

 
62.5

 
69.3

Income from continuing operations
61.8

 
94.1

 
121.1

 
155.7

(Loss) income from discontinued operations, net of tax
(1.6
)
 
3.8

 
(1.9
)
 
3.7

Net income
60.2

 
97.9

 
119.2

 
159.4

Less: Net income attributable to noncontrolling interests
(17.3
)
 
(14.8
)
 
(33.8
)
 
(29.6
)
Net income attributable to HealthSouth
42.9

 
83.1

 
85.4

 
129.8

Less: Convertible perpetual preferred stock dividends

 
(1.5
)
 
(1.6
)
 
(3.1
)
Net income attributable to HealthSouth common shareholders
$
42.9

 
$
81.6

 
$
83.8

 
$
126.7


(Continued)
1



HealthSouth Corporation and Subsidiaries
Condensed Consolidated Statements of Operations (Continued)
(Unaudited)

 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2015
 
2014
 
2015
 
2014
 
(In Millions, Except Per Share Data)
Weighted average common shares outstanding:
 

 
 

 
 
 
 
Basic
89.8

 
86.7

 
88.4

 
87.0

Diluted
101.5

 
100.6

 
101.3

 
100.8

 
 
 
 
 
 
 
 
Earnings per common share:
 
 
 
 
 
 
 
Basic earnings per share attributable to HealthSouth common shareholders:
 
 
 

 
 
 
 
Continuing operations
$
0.49

 
$
0.89

 
$
0.96

 
$
1.40

Discontinued operations
(0.02
)
 
0.04

 
(0.02
)
 
0.04

Net income
$
0.47

 
$
0.93

 
$
0.94

 
$
1.44

Diluted earnings per share attributable to HealthSouth common shareholders:
 
 
 
 
 
 
 
Continuing operations
$
0.47

 
$
0.81

 
$
0.91

 
$
1.29

Discontinued operations
(0.02
)
 
0.04

 
(0.02
)
 
0.04

Net income
$
0.45

 
$
0.85

 
$
0.89

 
$
1.33

 
 
 
 
 
 
 
 
Cash dividends per common share
$
0.21

 
$
0.18

 
$
0.42

 
$
0.36

 
 
 
 
 
 
 
 
Amounts attributable to HealthSouth common shareholders:
 
 
 

 
 
 
 
Income from continuing operations
$
44.5

 
$
79.3

 
$
87.3

 
$
126.1

(Loss) income from discontinued operations, net of tax
(1.6
)
 
3.8

 
(1.9
)
 
3.7

Net income attributable to HealthSouth
$
42.9

 
$
83.1

 
$
85.4

 
$
129.8


The accompanying notes to condensed consolidated financial statements are an integral part of these condensed statements.
2



HealthSouth Corporation and Subsidiaries
Condensed Consolidated Statements of Comprehensive Income
(Unaudited)

 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2015
 
2014
 
2015
 
2014
 
(In Millions)
COMPREHENSIVE INCOME
 
 
 
 
 
 
 
Net income
$
60.2

 
$
97.9

 
$
119.2

 
$
159.4

Other comprehensive income, net of tax:
 

 
 

 
 
 
 
Net change in unrealized gain on available-for-sale securities:
 

 
 

 
 
 
 
Unrealized net holding gain arising during the period
0.8

 
0.6

 
0.9

 
0.7

Reclassifications to net income
(0.6
)
 
(0.5
)
 
(0.6
)
 
(0.5
)
Other comprehensive income before income taxes
0.2

 
0.1

 
0.3

 
0.2

Provision for income tax expense related to other comprehensive income items
(0.1
)
 

 
(0.1
)
 

Other comprehensive income, net of tax
0.1

 
0.1

 
0.2

 
0.2

Comprehensive income
60.3

 
98.0

 
119.4

 
159.6

Comprehensive income attributable to noncontrolling interests
(17.3
)
 
(14.8
)
 
(33.8
)
 
(29.6
)
Comprehensive income attributable to HealthSouth
$
43.0

 
$
83.2

 
$
85.6

 
$
130.0


The accompanying notes to condensed consolidated financial statements are an integral part of these condensed statements.
3



HealthSouth Corporation and Subsidiaries
Condensed Consolidated Balance Sheets
(Unaudited)

 
June 30,
2015
 
December 31,
2014
 
(In Millions)
Assets
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
45.5

 
$
66.7

Accounts receivable, net of allowance for doubtful accounts of $26.1 in 2015; $22.2 in 2014
351.8

 
323.2

Deferred income tax assets
188.4

 
188.4

Other current assets
126.7

 
108.3

Total current assets
712.4

 
686.6

Property and equipment, net
1,062.8

 
1,019.7

Goodwill
1,097.5

 
1,084.0

Intangible assets, net
325.5

 
306.1

Deferred income tax assets
79.7

 
129.4

Other long-term assets
191.6

 
183.0

Total assets
$
3,469.5

 
$
3,408.8

Liabilities and Shareholders’ Equity
 
 
 
Current liabilities:
 
 
 
Current portion of long-term debt
$
21.4

 
$
20.8

Accounts payable
60.0

 
53.4

Accrued expenses and other current liabilities
283.2

 
290.1

Total current liabilities
364.6

 
364.3

Long-term debt, net of current portion
2,104.4

 
2,110.8

Other long-term liabilities
137.3

 
136.3

 
2,606.3

 
2,611.4

Commitments and contingencies
 
 
 
Convertible perpetual preferred stock

 
93.2

Redeemable noncontrolling interests
98.5

 
84.7

Shareholders’ equity:
 

 
 

HealthSouth shareholders’ equity
605.9

 
473.2

Noncontrolling interests
158.8

 
146.3

Total shareholders’ equity
764.7

 
619.5

Total liabilities and shareholders’ equity
$
3,469.5

 
$
3,408.8


The accompanying notes to condensed consolidated financial statements are an integral part of these condensed statements.
4



HealthSouth Corporation and Subsidiaries
Condensed Consolidated Statements of Shareholders’ Equity
(Unaudited)


 
Six Months Ended June 30, 2015
 
(In Millions)
 
HealthSouth Common Shareholders
 
 
 
 
 
Number of Common
Shares Outstanding
 
Common Stock
 
Capital in Excess of
Par Value
 
Accumulated
Deficit
 
Accumulated Other
Comprehensive
Loss
 
Treasury Stock
 
Noncontrolling
Interests
 
Total
Balance at beginning of period
87.8

 
$
1.0

 
$
2,810.5

 
$
(1,879.1
)
 
$
(0.5
)
 
$
(458.7
)
 
$
146.3

 
$
619.5

Net income

 

 

 
85.4

 

 

 
27.4

 
112.8

Conversion of preferred stock
3.3

 

 
93.2

 

 

 

 

 
93.2

Receipt of treasury stock
(0.5
)
 

 

 

 

 
(16.6
)
 

 
(16.6
)
Dividends declared on common stock

 

 
(38.0
)
 

 

 

 

 
(38.0
)
Dividends declared on convertible perpetual preferred stock

 

 
(1.6
)
 

 

 

 

 
(1.6
)
Stock-based compensation

 

 
14.9

 

 

 

 

 
14.9

Stock options exercised
0.2

 

 
5.6

 

 

 
(3.6
)
 

 
2.0

Distributions declared

 

 

 

 

 

 
(23.4
)
 
(23.4
)
Capital contributions from consolidated affiliates

 

 

 

 

 

 
8.6

 
8.6

Fair value adjustments to redeemable noncontrolling interests, net of tax

 

 
(6.8
)
 

 

 

 

 
(6.8
)
Other
0.7

 
0.1

 
0.6

 
(0.2
)
 
0.2

 
(0.5
)
 
(0.1
)
 
0.1

Balance at end of period
91.5

 
$
1.1

 
$
2,878.4

 
$
(1,793.9
)
 
$
(0.3
)
 
$
(479.4
)
 
$
158.8

 
$
764.7


 
Six Months Ended June 30, 2014
 
(In Millions)
 
HealthSouth Common Shareholders
 
 
 
 
 
Number of Common Shares Outstanding
 
Common Stock
 
Capital in Excess of Par Value
 
Accumulated Deficit
 
Accumulated Other Comprehensive (Loss) Income
 
Treasury Stock
 
Noncontrolling Interests
 
Total
Balance at beginning of period
88.0

 
$
1.0

 
$
2,849.4

 
$
(2,101.1
)
 
$
(0.1
)
 
$
(404.6
)
 
$
124.1

 
$
468.7

Net income

 

 

 
129.8

 

 

 
26.0

 
155.8

Receipt of treasury stock
(0.3
)
 

 

 

 

 
(9.7
)
 

 
(9.7
)
Dividends declared on common stock

 

 
(32.0
)
 

 

 

 

 
(32.0
)
Dividends declared on convertible perpetual preferred stock

 

 
(3.1
)
 

 

 

 

 
(3.1
)
Stock-based compensation

 

 
14.3

 

 

 

 

 
14.3

Stock options exercised
0.2

 

 
6.3

 

 

 

 

 
6.3

Stock warrants exercised
0.2

 

 
6.3

 

 

 

 

 
6.3

Distributions declared

 

 

 

 

 

 
(22.3
)
 
(22.3
)
Repurchases of common stock in open market
(1.3
)
 

 

 

 

 
(43.1
)
 

 
(43.1
)
Consolidation of Fairlawn Rehabilitation Hospital

 

 

 

 

 

 
14.0

 
14.0

Other
0.9

 

 
0.3

 

 
0.2

 
(0.2
)
 
(0.1
)
 
0.2

Balance at end of period
87.7

 
$
1.0

 
$
2,841.5

 
$
(1,971.3
)
 
$
0.1

 
$
(457.6
)
 
$
141.7

 
$
555.4


The accompanying notes to condensed consolidated financial statements are an integral part of these condensed statements.
5



HealthSouth Corporation and Subsidiaries
Condensed Consolidated Statements of Cash Flows
(Unaudited)


 
Six Months Ended June 30,
 
2015
 
2014
 
(In Millions)
Cash flows from operating activities:
 
 
 
Net income
$
119.2

 
$
159.4

Loss (income) from discontinued operations
1.9

 
(3.7
)
Adjustments to reconcile net income to net cash provided by operating activities—
 

 
 

Provision for doubtful accounts
22.5

 
16.8

Depreciation and amortization
64.6

 
52.8

Loss on early extinguishment of debt
20.0

 

Equity in net income of nonconsolidated affiliates
(3.9
)
 
(6.9
)
Distributions from nonconsolidated affiliates
3.7

 
6.5

Stock-based compensation
15.6

 
14.3

Deferred tax expense
55.6

 
62.7

Gain on consolidation of Fairlawn Rehabilitation Hospital

 
(27.2
)
Other
11.0

 
6.1

Change in assets and liabilities—
 
 
 

Accounts receivable
(62.1
)
 
(35.6
)
Other assets
(6.5
)
 
8.4

Accounts payable
1.7

 
2.7

Accrued payroll
(23.6
)
 
(15.1
)
Other liabilities
(10.7
)
 
(4.9
)
Premium received on bond issuance
8.0

 

Premium paid on redemption of bonds
(11.8
)
 

Net cash used in operating activities of discontinued operations
(0.3
)
 
(1.2
)
Total adjustments
83.8

 
79.4

Net cash provided by operating activities
204.9

 
235.1

 
 
 
 

(Continued)
6



HealthSouth Corporation and Subsidiaries
Condensed Consolidated Statements of Cash Flows (Continued)
(Unaudited)


 
Six Months Ended June 30,
 
2015
 
2014
 
(In Millions)
Cash flows from investing activities:
 
 
 
Purchases of property and equipment
(46.3
)
 
(89.5
)
Capitalized software costs
(15.2
)
 
(11.0
)
Acquisitions of businesses, net of cash acquired
(77.7
)
 
(15.9
)
Net change in restricted cash
13.1

 
6.5

Other
(0.6
)
 
2.9

Net cash used in investing activities
(126.7
)
 
(107.0
)
Cash flows from financing activities:
 
 
 
Proceeds from bond issuance
700.0

 

Principal payments on debt, including pre-payments
(546.1
)
 

Borrowings on revolving credit facility
270.0


65.0

Payments on revolving credit facility
(442.0
)

(95.0
)
Debt amendment and issuance costs
(13.9
)
 

Repurchases of common stock, including fees and expenses

 
(43.1
)
Dividends paid on common stock
(37.1
)
 
(31.6
)
Dividends paid on convertible perpetual preferred stock
(3.1
)
 
(3.1
)
Distributions paid to noncontrolling interests of consolidated affiliates
(26.2
)
 
(25.4
)
Other
(1.0
)
 
6.4

Net cash used in financing activities
(99.4
)
 
(126.8
)
(Decrease) increase in cash and cash equivalents
(21.2
)
 
1.3

Cash and cash equivalents at beginning of period
66.7

 
64.5

Cash and cash equivalents at end of period
$
45.5

 
$
65.8

 
 
 
 
Supplemental schedule of noncash financing activity:
 
 
 
Conversion of preferred stock to common stock
$
93.2

 
$


The accompanying notes to condensed consolidated financial statements are an integral part of these condensed statements.
7


HealthSouth Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements


1.
Basis of Presentation
HealthSouth Corporation, incorporated in Delaware in 1984, including its subsidiaries, is one of the nation’s largest providers of post-acute healthcare services, offering both facility-based and home-based post-acute services in 33 states and Puerto Rico through its network of inpatient rehabilitation hospitals, home health agencies, and hospice agencies.
The accompanying unaudited condensed consolidated financial statements of HealthSouth Corporation and Subsidiaries should be read in conjunction with the consolidated financial statements and accompanying notes filed with the United States Securities and Exchange Commission in HealthSouth’s Annual Report on Form 10-K filed on March 2, 2015 (the “2014 Form 10-K”). The unaudited condensed consolidated financial statements have been prepared in accordance with the rules and regulations of the SEC applicable to interim financial information. Certain information and note disclosures included in financial statements prepared in accordance with generally accepted accounting principles in the United States of America have been omitted in these interim statements, as allowed by such SEC rules and regulations. The condensed consolidated balance sheet as of December 31, 2014 has been derived from audited financial statements, but it does not include all disclosures required by GAAP. However, we believe the disclosures are adequate to make the information presented not misleading.
The unaudited results of operations for the interim periods shown in these financial statements are not necessarily indicative of operating results for the entire year. In our opinion, the accompanying condensed consolidated financial statements recognize all adjustments of a normal recurring nature considered necessary to fairly state the financial position, results of operations, and cash flows for each interim period presented.
See also Note 11, Segment Reporting.
Net Operating Revenues
We derived consolidated Net operating revenues from the following payor sources:
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2015
 
2014
 
2015
 
2014
Medicare
74.5
%
 
74.1
%
 
74.7
%
 
74.7
%
Medicaid
3.1
%
 
1.8
%
 
2.9
%
 
1.5
%
Workers’ compensation
0.9
%
 
1.2
%
 
0.9
%
 
1.2
%
Managed care and other discount plans, including Medicare Advantage
17.8
%
 
18.7
%
 
18.0
%
 
18.4
%
Other third-party payors
1.8
%
 
1.7
%
 
1.6
%
 
1.6
%
Patients
0.6
%
 
0.9
%
 
0.6
%
 
1.0
%
Other income
1.3
%
 
1.6
%
 
1.3
%
 
1.6
%
Total
100.0
%
 
100.0
%
 
100.0
%
 
100.0
%
We record gross service charges in our accounting records on an accrual basis using our established rates for the type of service provided to the patient. We recognize an estimated contractual allowance and an estimate of potential subsequent adjustments that may arise from post-payment and other reviews to reduce gross patient charges to the amount we estimate we will actually realize for the service rendered based upon previously agreed to rates with a payor. Our patient accounting system calculates contractual allowances on a patient-by-patient basis based on the rates in effect for each primary third-party payor.
Management continually reviews the contractual estimation process to consider and incorporate updates to laws and regulations and the frequent changes in managed care contractual terms that result from contract renegotiations and renewals. Due to complexities involved in determining amounts ultimately due under reimbursement arrangements with third-party payors, which are often subject to interpretation, we may receive reimbursement for healthcare services authorized and provided that is different from our estimates, and such differences could be material. In addition, laws and regulations governing the Medicare and Medicaid programs are complex, subject to interpretation, and are routinely modified for provider


8

HealthSouth Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements

reimbursement. All healthcare providers participating in the Medicare and Medicaid programs are required to meet certain financial reporting requirements. Federal regulations require submission of annual cost reports covering medical costs and expenses associated with the services provided under each hospital, home health, and hospice provider number to program beneficiaries. Annual cost reports required under the Medicare and Medicaid programs are subject to routine audits, which may result in adjustments to the amounts ultimately determined to be due to HealthSouth under these reimbursement programs. These audits often require several years to reach the final determination of amounts earned under the programs. If actual results are not consistent with our assumptions and judgments, we may be exposed to gains or losses that could be material.
The United States Centers for Medicare and Medicaid Services (“CMS”) has been granted authority to suspend payments, in whole or in part, to Medicare providers if CMS possesses reliable information an overpayment, fraud, or willful misrepresentation exists. If CMS suspects payments are being made as the result of fraud or misrepresentation, CMS may suspend payment at any time without providing prior notice to us. The initial suspension period is limited to 180 days. However, the payment suspension period can be extended almost indefinitely if the matter is under investigation by the United States Department of Health and Human Services Office of Inspector General (the “HHS-OIG”) or the United States Department of Justice. Therefore, we are unable to predict if or when we may be subject to a suspension of payments by the Medicare and/or Medicaid programs, the possible length of the suspension period, or the potential cash flow impact of a payment suspension. Any such suspension would adversely impact our financial position, results of operations, and cash flows.
Pursuant to legislative directives and authorizations from Congress, CMS has developed and instituted various Medicare audit programs under which CMS contracts with private companies to conduct claims and medical record audits. As a matter of course, we undertake significant efforts through training and education to ensure compliance with Medicare requirements. However, audits may lead to assertions we have been underpaid or overpaid by Medicare or submitted improper claims in some instances, require us to incur additional costs to respond to requests for records and defend the validity of payments and claims, and ultimately require us to refund any amounts determined to have been overpaid. We cannot predict when or how these audit programs will affect us.
Inpatient Rehabilitation Revenues
During the three and six months ended June 30, 2015 and 2014, our inpatient rehabilitation segment derived its Net operating revenues from the following payor sources:
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2015
 
2014
 
2015
 
2014
Medicare
72.7
%
 
73.9
%
 
73.1
%
 
74.4
%
Medicaid
2.6
%
 
1.8
%
 
2.3
%
 
1.6
%
Workers’ compensation
1.1
%
 
1.2
%
 
1.1
%
 
1.2
%
Managed care and other discount plans, including Medicare Advantage
19.2
%
 
18.9
%
 
19.4
%
 
18.6
%
Other third-party payors
2.1
%
 
1.7
%
 
1.9
%
 
1.6
%
Patients
0.7
%
 
0.9
%
 
0.7
%
 
1.0
%
Other income
1.6
%
 
1.6
%
 
1.5
%
 
1.6
%
Total
100.0
%
 
100.0
%
 
100.0
%
 
100.0
%
Revenues recognized by our inpatient rehabilitation segment are subject to a number of elements which impact both the overall amount of revenue realized as well as the timing of the collection of the related accounts receivable. Factors that are considered and could influence the level of our reserves include the patient’s total length of stay for in-house patients, each patient’s discharge destination, the proportion of patients with secondary insurance coverage and the level of reimbursement under that secondary coverage, and the amount of charges that will be disallowed by payors. Such additional factors are assumed to remain consistent with the experience for patients discharged in similar time periods for the same payor classes, and additional reserves are provided to account for these factors.


9

HealthSouth Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements

In connection with CMS approved and announced Recovery Audit Contractors (“RACs”) audits related to inpatient rehabilitation facilities (“IRFs”), we received requests in 2014 and 2013 to review certain patient files for discharges occurring from 2010 to 2014. These post-payment RAC audits are focused on medical necessity requirements for admission to IRFs rather than targeting a specific diagnosis code as in previous pre-payment audits. Medical necessity is a subjective assessment by an independent physician of a patient’s ability to tolerate and benefit from intensive multi-disciplinary therapy provided in an IRF setting.
To date, the Medicare payments that are subject to these audit requests represent less than 1% of our Medicare patient discharges from 2010 to 2014, and not all of these patient file requests have resulted in payment denial determinations by the RACs. Because we have confidence in the medical judgment of both the referring and the admitting physicians who assess the treatment needs of their patients, we have appealed substantially all RAC denials arising from these audits using the same process we follow for appealing denials of certain diagnosis codes by Medicare Administrative Contractors (“MACs”) (see “Accounts Receivable and Allowance for Doubtful Accounts” below). Due to the delays announced by CMS in the related adjudication process, we believe the resolution of any claims that are subsequently denied as a result of these RAC audits could take in excess of three years. In addition, because we have limited experience with RACs in the context of post-payment reviews of this nature, we cannot provide assurance as to the future success of these disputes. As such, we make provisions for these claims based on our historical experience and success rates in the claims adjudication process, which is the same process we follow for appealing denials of certain diagnosis codes by MACs. Because these reviews involve post-payment claims, there are no corresponding patient receivables in our consolidated balance sheet. As the ultimate results of these audits impact our estimates of amounts determined to be due to HealthSouth under these reimbursement programs, our provision for claims that are part of this post-payment review process are recorded to Net operating revenues. See Note 1, Summary of Significant Accounting Policies, “Net Operating Revenues,” to the consolidated financial statements accompanying the 2014 Form 10-K.
Home Health and Hospice Revenues
The results of operations for our home health and hospice segment in 2014 included only the results of HealthSouth’s legacy hospital-based home health agencies. During the three and six months ended June 30, 2015 and 2014, our home health and hospice segment derived its Net operating revenues from the following payor sources:
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2015
 
2014
 
2015
 
2014
Medicare
83.9
%
 
96.8
%
 
83.8
%
 
96.6
%
Medicaid
5.8
%
 
%
 
5.7
%
 
%
Workers’ compensation
%
 
%
 
%
 
0.1
%
Managed care and other discount plans, including Medicare Advantage
10.1
%
 
2.2
%
 
10.3
%
 
2.1
%
Other third-party payors
0.1
%
 
1.0
%
 
0.1
%
 
1.2
%
Patients
0.1
%
 
%
 
0.1
%
 
%
Total
100.0
%
 
100.0
%
 
100.0
%
 
100.0
%
Home health and hospice revenues are earned as services are performed either on an episode of care basis, on a per visit basis, or on a daily basis, depending upon the payment terms and conditions established with each payor for services provided.
Home Health
Under the Medicare home health prospective payment system, we are paid by Medicare based on episodes of care. An episode of care is defined as a length of stay up to 60 days, with multiple continuous episodes allowed. A base episode payment is established by the Medicare program through federal legislation. The base episode payment can be adjusted based on each patient’s health including clinical condition, functional abilities, and service needs, as well as for the applicable geographic wage index, low utilization, patient transfers, and other factors. The services covered by the episode payment include all disciplines of care in addition to medical supplies.


10

HealthSouth Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements

A portion of reimbursement from each Medicare episode is billed near the start of each episode, and cash is typically received before all services are rendered. Revenue for the episode of care is recorded over an average length of treatment period using a calendar day prorating method. The amount of revenue recognized for episodes of care which are incomplete at period end is based on the pro rata number of days in the episode which have been completed as of the period end date. As of June 30, 2015 and December 31, 2014, the difference between the cash received from Medicare for a request for anticipated payment on episodes in progress and the associated estimated revenue was not material and was recorded in Other current liabilities in our condensed consolidated balance sheets.
We are subject to certain Medicare regulations affecting outlier revenue if our patient’s care was unusually costly. Regulations require a cap on all outlier revenue at 10% of total Medicare revenue received by each provider during a cost reporting year. Management has reviewed the potential cap. Reserves recorded for the outlier cap were not material as of June 30, 2015 and December 31, 2014.
For episodic-based rates that are paid by other insurance carriers, including Medicare Advantage, we recognize revenue in a similar manner as discussed above for Medicare revenues. However, these rates can vary based upon the negotiated terms. For non-episodic-based revenue, gross revenue is recorded on an accrual basis based upon the date of service at amounts equal to our established or estimated per-visit rates. Contractual allowances are recorded for the differences between our standard rates and the applicable contracted rates.
Hospice
Medicare revenues for hospice are recorded on an accrual basis based on the number of days a patient has been on service at amounts equal to an estimated daily or hourly payment rate. The payment rate is dependent on whether a patient is receiving routine home care, general inpatient care, continuous home care or respite care. Adjustments to Medicare revenues are recorded based on an inability to obtain appropriate billing documentation or authorizations acceptable to the payor or other reasons unrelated to credit risk. Hospice companies are subject to two specific payment limit caps under the Medicare program. One limit relates to inpatient care days that exceed 20% of the total days of hospice care provided for the year. The second limit relates to an aggregate Medicare reimbursement cap calculated by the Medicare fiscal intermediary. Currently, we do not believe we are at risk for exceeding these caps and have not recorded a reserve for these caps as of June 30, 2015 or December 31, 2014.
For non-Medicare hospice revenues, we record gross revenue on an accrual basis based upon the date of service at amounts equal to our established rates or estimated per day rates, as applicable. Contractual adjustments are recorded for the difference between our established rates and the amounts estimated to be realizable from patients and third parties for services provided and are deducted from gross revenue to determine our net service revenue.
We are subject to changes in government legislation that could impact Medicare payment levels and changes in payor patterns that may impact the level and timing of payments for services rendered.


11

HealthSouth Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements

Accounts Receivable and Allowance for Doubtful Accounts—
We report accounts receivable at estimated net realizable amounts from services rendered from federal and state agencies (under the Medicare and Medicaid programs), managed care health plans, commercial insurance companies, workers’ compensation programs, employers, and patients. Our accounts receivable are geographically dispersed, but a significant portion of our revenues are concentrated by type of payors. The concentration of net patient service accounts receivable by payor class, as a percentage of total net patient service accounts receivable, is as follows:
 
June 30, 2015
 
December 31, 2014
Medicare
69.8
%
 
72.2
%
Medicaid
2.5
%
 
1.8
%
Workers' compensation
1.9
%
 
1.9
%
Managed care and other discount plans, including Medicare Advantage
20.3
%
 
18.5
%
Other third-party payors
4.2
%
 
3.8
%
Patients
1.3
%
 
1.8
%
Total
100.0
%
 
100.0
%
While revenues and accounts receivable from the Medicare program are significant to our operations, we do not believe there are significant credit risks associated with this government agency. We do not believe there are any other significant concentrations of revenues from any particular payor that would subject us to any significant credit risks in the collection of our accounts receivable.
We provide for accounts receivable that could become uncollectible by establishing an allowance to reduce the carrying value of such receivables to their estimated net realizable value. Additions to the allowance for doubtful accounts are made by means of the Provision for doubtful accounts. We write off uncollectible accounts (after exhausting collection efforts) against the allowance for doubtful accounts. Subsequent recoveries are recorded via the Provision for doubtful accounts.
We estimate our allowance for doubtful accounts based on the aging of our accounts receivable, our historical collection experience for each type of payor, and other relevant factors so that the remaining receivables, net of allowances, are reflected at their estimated net realizable values. Accounts requiring collection efforts are reviewed via system-generated work queues that automatically stage (based on age and size of outstanding balance) accounts requiring collection efforts for patient account representatives. Collection efforts include contacting the applicable party (both in writing and by telephone), providing information (both financial and clinical) to allow for payment or to overturn payor decisions to deny payment, and arranging payment plans with self-pay patients, among other techniques. When we determine all in-house efforts have been exhausted or it is a more prudent use of resources, accounts may be turned over to a collection agency. Accounts are written off after all collection efforts (internal and external) have been exhausted.
The collection of outstanding receivables from Medicare, managed care payors, other third-party payors, and patients is our primary source of cash and is critical to our operating performance. While it is our policy to verify insurance prior to a patient being admitted, there are various exceptions that can occur. Such exceptions include instances where we are (1) unable to obtain verification because the patient’s insurance company was unable to be reached or contacted, (2) a determination is made that a patient may be eligible for benefits under various government programs, such as Medicaid, and it takes several days, weeks, or months before qualification for such benefits is confirmed or denied, and (3) the patient is transferred to our hospital from an acute care hospital without having access to a credit card, cash, or check to pay the applicable patient responsibility amounts (i.e., deductibles and co-payments).
Our primary collection risks relate to patient responsibility amounts and pre-payment claim reviews conducted by MACs. Patient responsibility amounts include accounts for which the patient was the primary payor or the primary insurance carrier has paid the amounts covered by the applicable agreement, but patient co-payment amounts remain outstanding. Changes in the economy, such as increased unemployment rates or periods of recession, can further exacerbate our ability to collect patient responsibility amounts.


12

HealthSouth Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements

For several years, under programs designated as “widespread probes,” certain of our MACs have conducted pre-payment claim reviews of our billings and denied payment for certain diagnosis codes based on medical necessity. We dispute, or “appeal,” most of these denials, and we have historically collected approximately 63% of all amounts denied. For claims we choose to take through all levels of appeal, up to and including administrative law judge hearings, we have historically experienced an approximate 72% success rate. The resolution of these disputes can take in excess of three years, and we cannot provide assurance as to our ongoing and future success of these disputes. As such, we make provisions against these receivables in accordance with our accounting policy that necessarily considers historical collection trends of the receivables in this review process as part of our Provision for doubtful accounts. Because we do not write off receivables until all collection efforts have been exhausted, we do not write off receivables related to denied claims while they are in this review process. When the amount collected related to denied claims differs from the net amount previously recorded, these collection differences are recorded in the Provision for doubtful accounts. As a result, the timing of these denials by MACs and their subsequent collection can create volatility in our Provision for doubtful accounts.
If actual results are not consistent with our assumptions and judgments, we may be exposed to gains or losses that could be material. Changes in general economic conditions, business office operations, payor mix, or trends in federal or state governmental and private employer healthcare coverage could affect our collection of accounts receivable, financial position, results of operations, and cash flows.
2.
Business Combinations
Inpatient Rehabilitation
In April 2015, we acquired 83% of the inpatient rehabilitation hospital at Memorial University Medical Center (“Memorial”), a 50-bed inpatient rehabilitation hospital in Savannah, Georgia, through a joint venture with Memorial Health. The joint venture, which was funded using cash on hand, was not material to our financial position, results of operations, or cash flows. The Memorial transaction was made to enhance our position and ability to provide inpatient rehabilitative services to patients in Savannah and its surrounding areas. As a result of this transaction, Goodwill increased by $0.7 million, none of which is deductible for federal income tax purposes. The goodwill reflects our expectations of our ability to gain access to and penetrate the acquired hospital’s historical patient base and the benefits of being able to leverage operational efficiencies with favorable growth opportunities based on positive demographic trends in this market.
In May 2015, we acquired Cardinal Hill Rehabilitation Hospital (“Cardinal Hill”), comprised of 158 licensed inpatient rehabilitation beds, 74 licensed skilled nursing beds, and one home health location, in Lexington, Kentucky. This acquisition was made to enhance our position and ability to provide inpatient rehabilitative and home health services to patients in Lexington, Kentucky and its surrounding areas. The acquisition, which was funded using availability under our revolving credit facility, was not material to our financial position, results of operations, or cash flows. Goodwill did not increase as a result of this transaction.
We accounted for these transactions under the acquisition method of accounting and reported the results of operations of the acquired hospitals from their respective dates of acquisition. Assets acquired, liabilities assumed, and noncontrolling interests, if any, were recorded at their estimated fair values as of the respective acquisition dates. The fair values of identifiable intangible assets were based on valuations using the cost and income approaches. The cost approach is based on amounts that would be required to replace the asset (i.e., replacement cost). The income approach, which was also used to estimate the fair value of any noncontrolling interest, is based on management’s estimates of future operating results and cash flows discounted using a weighted-average cost of capital that reflects market participant assumptions. The excess of the fair value of the consideration conveyed over the fair value of the net assets acquired, if any, was recorded as goodwill.
The fair values recorded for the Cardinal Hill transaction were based upon a preliminary valuation. Estimates and assumptions used in such valuation are subject to change within the measurement period (up to one year from the acquisition date). The primary area of the preliminary valuation that is not yet finalized relates to the valuation of the associated real estate. We expect to continue to obtain information to assist us in determining the fair values of the net assets acquired at the acquisition date during the measurement period.


13

HealthSouth Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements

The fair value of the assets acquired and liabilities assumed at the acquisition dates for the inpatient rehabilitation transactions completed in 2015 were as follows (in millions):
Total current assets
$
10.1

Property and equipment, net
42.2

Identifiable intangible assets:
 

Noncompete agreements (useful lives of 2 to 3 years)
0.1

Trade names (useful life of 20 years)
0.8

Certificates of need (useful lives of 20 years)
9.3

Licenses (useful life of 20 years)
0.2

Goodwill
0.7

Total assets acquired
63.4

Total liabilities assumed
(2.7
)
Net assets acquired
$
60.7

Information regarding the net cash paid for all inpatient rehabilitation acquisitions during each period presented is as follows (in millions):
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2015
 
2014
 
2015
 
2014
Fair value of assets acquired
$
62.8

 
$
52.0

 
$
62.8

 
$
52.0

Goodwill
0.7

 
34.8

 
0.7

 
34.8

Fair value of liabilities assumed
(2.7
)
 
(21.9
)
 
(2.7
)
 
(21.9
)
Fair value of noncontrolling interest owned by joint venture partner
(4.2
)
 
(14.0
)
 
(4.2
)
 
(14.0
)
Fair value of equity interest prior to acquisition

 
(35.0
)
 

 
(35.0
)
Net cash paid for acquisitions
$
56.6

 
$
15.9

 
$
56.6

 
$
15.9

Home Health and Hospice
During the six months ended June 30, 2015, we completed the following home health and hospice acquisitions, none of which were individually material to our financial position, results of operations, or cash flows. Each acquisition was made to enhance our position and ability to provide post-acute healthcare services to patients in the applicable geographic areas. Each acquisition was funded with cash on hand.
In March 2015, we acquired Integrity Home Health Care, Inc. (“Integrity”), a home health company with two locations in the Las Vegas, Nevada area.
In April 2015, we acquired Harvey Home Health Services, Inc. (“Harvey”), a home health company in Houston, Texas.
In May 2015, we acquired Heritage Home Health Care, LLC (“Heritage”), a home health company in Texarkana, Arkansas.
In June 2015, we acquired Washington County Home Health Care, Inc. and Benton County Home Health, Inc., doing business as Alliance Home Health (“Alliance”), a home health company with two locations in the Fayetteville, Arkansas area.


14

HealthSouth Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements

We accounted for all of these transactions under the acquisition method of accounting and reported the results of operations of the acquired locations from their respective dates of acquisition. Assets acquired and liabilities assumed were recorded at their estimated fair values as of the respective acquisition dates. The fair values of identifiable intangible assets were based on valuations using the cost and income approaches. The cost approach is based on amounts that would be required to replace the asset (i.e., replacement cost). The income approach is based on management’s estimates of future operating results and cash flows discounted using a weighted-average cost of capital that reflects market participant assumptions. The excess of the fair value of the consideration conveyed over the fair value of the net assets acquired was recorded as goodwill. The goodwill reflects our expectations of our ability to utilize the acquired locations’ mobile workforce and established relationships within each community and the benefits of being able to leverage operational efficiencies with favorable growth opportunities based on positive demographic trends in these markets. All goodwill recorded as a result of these transactions is deductible for federal income tax purposes.
The fair value of the assets acquired at the acquisition date for the home health and hospice transactions completed in 2015 were as follows (in millions):
Identifiable intangible assets:
 

Noncompete agreements (useful lives of 2 to 5 years)
$
0.9

Trade names (useful lives of 1 year)
0.3

Certificates of need (useful lives of 10 years)
4.9

Licenses (useful lives of 10 years)
2.3

Goodwill
12.8

Total assets acquired
21.2

Total liabilities assumed
(0.1
)
Net assets acquired
$
21.1

Information regarding the net cash paid for all home health and hospice acquisitions during each period presented is as follows (in millions):
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2015
 
2014
 
2015
 
2014
Fair value of assets acquired
$
7.1

 
$

 
$
8.4

 
$

Goodwill
6.8

 

 
12.8

 

Fair value of liabilities assumed
(0.1
)
 

 
(0.1
)
 

Net cash paid for acquisitions
$
13.8

 
$

 
$
21.1

 
$



15

HealthSouth Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements

Pro Forma Results of Operations
The following table summarizes the results of operations of the above mentioned transactions from their respective dates of acquisition included in our consolidated results of operations and the unaudited pro forma results of operations of the combined entity had the date of the acquisitions been January 1, 2014 (in millions):
 
Net Operating Revenues
 
Net Income Attributable to HealthSouth
Acquired entities only: Actual from acquisition date to June 30, 2015*
$
15.7

 
$
(1.1
)
Combined entity: Supplemental pro forma from 04/01/2015-06/30/2015
770.4

 
42.7

Combined entity: Supplemental pro forma from 04/01/2014-06/30/2014
625.6

 
83.6

Combined entity: Supplemental pro forma from 01/01/2015-06/30/2015
1,531.9

 
85.2

Combined entity: Supplemental pro forma from 01/01/2014-06/30/2014
1,237.0

 
129.6

*
Savannah - includes operating results from April 1, 2015 through June 30, 2015
Cardinal Hill - includes operating results from May 1, 2015 through June 30, 2015
Integrity - includes operating results from March 3, 2015 through June 30, 2015
Harvey - includes operating results from April 15, 2015 through June 30, 2015
Heritage - includes operating results from May 1, 2015 through June 30, 2015
Alliance - includes operating results from June 4, 2015 through June 30, 2015
See Note 2, Business Combinations, to the consolidated financial statements accompanying the 2014 Form 10-K for information regarding acquisitions completed in 2014.
3.
Investments in and Advances to Nonconsolidated Affiliates
As of June 30, 2015 and December 31, 2014, we had $9.5 million and $9.4 million, respectively, of investments in and advances to nonconsolidated affiliates included in Other long-term assets in our condensed consolidated balance sheets. Investments in and advances to nonconsolidated affiliates represent our investments in nine partially owned subsidiaries, of which eight are general or limited partnerships, limited liability companies, or joint ventures in which HealthSouth or one of its subsidiaries is a general or limited partner, managing member, member, or venturer, as applicable. We do not control these affiliates but have the ability to exercise significant influence over the operating and financial policies of certain of these affiliates. Our ownership percentages in these affiliates range from approximately 1% to 51%. We account for these investments using the cost and equity methods of accounting.
The following summarizes the combined results of operations of our equity method affiliates (on a 100% basis, in millions):
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
2015
 
2014
 
2015
 
2014
Net operating revenues
$
8.9

 
$
15.0

 
$
17.1

 
$
36.3

Operating expenses
(3.8
)
 
(8.2
)
 
(7.7
)
 
(19.4
)
Income from continuing operations, net of tax
4.8

 
5.5

 
8.7

 
24.0

Net income
4.8

 
5.5

 
8.7

 
24.0



16

HealthSouth Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements

4.
Long-term Debt
Our long-term debt outstanding consists of the following (in millions):
 
June 30, 2015
 
December 31, 2014
Credit Agreement—
 
 
 
Advances under revolving credit facility
$
153.0

 
$
325.0

Term loan facilities
195.0

 
450.0

Bonds payable—
 
 
 
8.125% Senior Notes due 2020

 
287.0

7.75% Senior Notes due 2022
227.1

 
227.1

5.125% Senior Notes due 2023
300.0

 

5.75% Senior Notes due 2024
863.7

 
456.2

2.0% Convertible Senior Subordinated Notes due 2043
262.4

 
258.0

Other notes payable
40.4

 
41.6

Capital lease obligations
84.2

 
86.7

 
2,125.8

 
2,131.6

Less: Current portion
(21.4
)
 
(20.8
)
Long-term debt, net of current portion
$
2,104.4

 
$
2,110.8

The following chart shows scheduled principal payments due on long-term debt for the next five years and thereafter (in millions):
 
Face Amount
 
Net Amount
July 1 through December 31, 2015
$
10.6

 
$
10.6

2016
21.0

 
21.0

2017
19.3

 
19.3

2018
18.7

 
18.7

2019
325.0

 
325.0

2020
322.5

 
264.9

Thereafter
1,451.5

 
1,466.3

Total
$
2,168.6

 
$
2,125.8

In December 2014, we drew $375 million under our term loan facilities and $325 million under our revolving credit facility to fund the acquisition of Encompass Home Health and Hospice (“Encompass”). See Note 2, Business Combinations, to the consolidated financial statements accompanying the 2014 Form 10‑K. In January 2015, we issued an additional $400 million of our 5.75% Senior Notes due 2024 at a price of 102% of the principal amount and used $250 million of the net proceeds to repay borrowings under our term loan facilities, with the remaining net proceeds used to repay borrowings under our revolving credit facility. As a result of this transaction, we recorded a $1.2 million Loss on early extinguishment of debt in the first quarter of 2015.


17

HealthSouth Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements

In March 2015, we issued $300 million of 5.125% Senior Notes due 2023 (the “2023 Notes”) at a price of 100.0% of the principal amount, which resulted in approximately $295 million in net proceeds from the public offering. The 2023 Notes are governed by the Base Indenture, as defined in Note 8, Long-term debt, to the consolidated financial statements accompanying the 2014 Form 10-K, and the Fifth Supplemental Indenture dated March 12, 2015. The 2023 Notes mature on March 15, 2023 and bear interest at a per annum rate of 5.125%. Interest on the 2023 Notes is payable semiannually in arrears on March 15 and September 15, beginning on September 15, 2015. We may redeem the 2023 Notes, in whole or in part, at any time on or after March 15, 2018 at the redemption prices set forth below:
Period
 
Redemption
Price*
2018
 
103.844
%
2019
 
102.563
%
2020
 
101.281
%
2021 and thereafter
 
100.000
%
* Expressed in percentage of principal amount
On March 11, 2015, we gave notice of, and made an irrevocable commitment for, the redemption of all the outstanding principal amount of our 8.125% Senior Notes due 2020 (the “2020 Notes”). On April 10, 2015, we used the net proceeds from the 2023 Notes offering, along with cash on hand, to execute the redemption. Pursuant to the terms of the 2020 Notes, this redemption was made at a price of 104.063%, which resulted in a total cash outlay of approximately $302 million to retire the $290 million in principal. As a result of this redemption, we recorded an $18.8 million Loss on early extinguishment of debt in the second quarter of 2015.
On June 24, 2015, we amended our existing credit agreement to (1) provide that the leverage ratio financial covenant be calculated on a pro forma basis to include the effects of investments, acquisitions, mergers, and other operational changes and (2) increase the amount of specifically permitted capital lease obligations from $200 million to $350 million. On July 29, 2015, we further amended our credit agreement to (1) add $500 million of new term loan facilities to our existing $600 million revolving credit facility and $195.0 million of outstanding term loans, (2) change the maximum leverage ratio in the financial covenants applicable for the period July 2015 through June 2017 from 4.25x to 4.50x and to 4.25x from then until maturity, and (3) extend the maturity date for all borrowings to July 2020.
For additional information regarding our indebtedness, see Note 8, Long-term Debt, to the consolidated financial statements accompanying the 2014 Form 10-K.
5.
Redeemable Noncontrolling Interests
The following is a summary of the activity related to our Redeemable noncontrolling interests during the six months ended June 30, 2015 and 2014 (in millions):
 
Six Months Ended June 30,
 
2015
 
2014
Balance at beginning of period
$
84.7

 
$
13.5

Net income attributable to noncontrolling interests
6.4

 
3.6

Distributions declared
(4.0
)
 
(4.7
)
Change in fair value
11.4

 

Balance at end of period
$
98.5

 
$
12.4

The following table reconciles the net income attributable to nonredeemable Noncontrolling interests, as recorded in the shareholders’ equity section of the condensed consolidated balance sheets, and the net income attributable to Redeemable noncontrolling interests, as recorded in the mezzanine section of the condensed consolidated balance sheets, to the Net income


18

HealthSouth Corporation and Subsidiaries
Notes to Condensed Consolidated Financial Statements

attributable to noncontrolling interests presented in the condensed consolidated statements of operations for the three and six months ended June 30, 2015 and 2014 (in millions):
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
 
2015
 
2014
 
2015
 
2014
Net income attributable to nonredeemable noncontrolling interests
$
13.8

 
$
13.2

 
$
27.4

 
$
26.0

Net income attributable to redeemable noncontrolling interests
3.5

 
1.6

 
6.4

 
3.6

Net income attributable to noncontrolling interests
$
17.3

 
$