Note Regarding Presentation of Non-GAAP Financial Measures
The handout references the Company’s Adjusted Consolidated EBITDA, a non-GAAP financial measure. The Company continues to believe Adjusted Consolidated EBITDA as defined in its credit agreement is a measure of its ability to service its debt and its ability to make capital expenditures.
The Company uses Adjusted Consolidated EBITDA on a consolidated basis as a liquidity measure. The Company believes this financial measure on a consolidated basis is important in analyzing its liquidity because it is the key component of certain material covenants contained within the Company’s credit agreement, which is discussed in more detail in Note 8,
Long-term Debt,
to the consolidated financial statements included in its Annual Report on Form 10-K for the year ended December 31, 2009 (the “2009 Form 10-K”). These covenants are material terms of the credit agreement, and the credit agreement represents a substantial portion of the Company’s capitalization. Non-compliance with these financial covenants under the credit agreement – its interest coverage ratio and its leverage ratio – could result in the Company’s lenders requiring the Company to immediately repay all amounts borrowed. If the Company anticipated a potential covenant violation, it would seek relief from its lenders, which would have some cost to the Company, and such relief might not be on terms favorable to those in the Company’s existing credit agreement. In addition, if the Company cannot satisfy these financial covenants, it would be prohibited under the credit agreement from engaging in certain activities, such as incurring additional indebtedness, making certain payments, and acquiring and disposing of assets. Consequently, Adjusted Consolidated EBITDA is critical to the Company’s assessment of its liquidity.
In general terms, the definition of Adjusted Consolidated EBITDA, per the credit agreement, allows the Company to add back to or subtract from consolidated net income unusual non-cash or non-recurring items. These items include, but may not be limited to, (1) amounts associated with government, class action, and related settlements, (2) amounts related to discontinued operations and closed locations, (3) charges in respect of
professional fees for reconstruction and restatement of financial statements, including fees paid to outside professional firms for matters related to internal controls and legal fees for continued litigation and support matters discussed in Note 22,
Settlements
, and Note 23,
Contingencies and Other Commitments
, to the consolidated financial statements accompanying the 2009 Form 10-K and Note 8,
Contingencies
,
to the condensed consolidated financial statements included in Company’s Quarterly Report on Form 10-Q for the quarterly period ended March 31, 2010 (the “March 2010 Form 10-Q”), (4) stock-based compensation expense, (5) net investment and other income (including interest income), and (6) fees associated with the Company’s divestiture activities.
In accordance with the credit agreement, the Company is allowed to add certain other items to the calculation of Adjusted Consolidated EBITDA, and there may also be certain other deductions required. This includes the interest income associated with income tax recoveries, as discussed in Note 19,
Income Taxes
, to the consolidated financial statements included in the 2009 Form 10-K. In addition, the Company is allowed to add non-recurring cash gains, such as the cash proceeds from the UBS Settlement (see Note 22,
Settlements
, to the consolidated financial statements included in the 2009 Form 10-K) to the calculation of Adjusted Consolidated EBITDA. As these adjustments may not be indicative of the Company’s ongoing performance, they have been excluded from Adjusted Consolidated EBITDA presented herein and included in the handout attached as Exhibit 99.1.
However, Adjusted Consolidated EBITDA is not a measure of financial performance under generally accepted accounting principles in the United States of America (“GAAP”), and the items excluded from Adjusted Consolidated EBITDA are significant components in understanding and assessing financial performance. Therefore, Adjusted Consolidated EBITDA should not be considered a substitute for net income
or cash flows from operating, investing, or financing activities. The Company reconciles Adjusted Consolidated EBITDA to net income, which reconciliation is set forth in the handout attached as Exhibit 99.1, and to net cash provided by operating activities, which reconciliation is set forth below. Because Adjusted Consolidated EBITDA is not a measurement determined in accordance with GAAP and is thus susceptible to varying calculations, Adjusted Consolidated EBITDA, as presented, may not be comparable to other similarly titled measures of other companies. Revenues and expenses are measured in accordance with the policies and procedures described in the 2009 Form 10-K.
Reconciliation of Net Cash Provided by Operating Activities to Adjusted Consolidated EBITDA
|
|
|
Three Months Ended
|
|
|
Year Ended
|
|
|
Year Ended
|
|
|
|
|
March 31,
|
|
|
December 31,
|
|
|
December 31,
|
|
|
|
|
2010
|
|
|
2009
|
|
|
2009
|
|
|
2008
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
$
|
84.8
|
|
|
$
|
183.1
|
|
|
$
|
406.1
|
|
|
$
|
227.2
|
|
|
Provision for doubtful accounts
|
|
|
(6.9
|
)
|
|
|
(7.8
|
)
|
|
|
(33.1
|
)
|
|
|
(27.0
|
)
|
|
Professional fees-accounting, tax, and legal
|
|
|
2.9
|
|
|
|
4.8
|
|
|
|
8.8
|
|
|
|
44.4
|
|
|
Interest expense and amortization of debt
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
discounts and fees
|
|
|
30.5
|
|
|
|
34.4
|
|
|
|
125.8
|
|
|
|
159.5
|
|
|
UBS Settlement proceeds, gross
|
|
|
-
|
|
|
|
(100.0
|
)
|
|
|
(100.0
|
)
|
|
|
-
|
|
|
Equity in net income of nonconsolidated affiliates
|
|
|
2.6
|
|
|
|
2.5
|
|
|
|
4.6
|
|
|
|
10.6
|
|
|
Net income attributable to noncontrolling
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
interests in continuing operations
|
|
|
(9.8
|
)
|
|
|
(8.3
|
)
|
|
|
(33.4
|
)
|
|
|
(29.8
|
)
|
|
Amortization of debt discounts and fees
|
|
|
(1.7
|
)
|
|
|
(1.6
|
)
|
|
|
(6.6
|
)
|
|
|
(6.5
|
)
|
|
Distributions from nonconsolidated affiliates
|
|
|
(2.1
|
)
|
|
|
(1.5
|
)
|
|
|
(8.6
|
)
|
|
|
(10.9
|
)
|
|
Current portion of income tax expense (benefit)
|
|
|
2.1
|
|
|
|
(0.3
|
)
|
|
|
(7.3
|
)
|
|
|
(73.8
|
)
|
|
Change in assets and liabilities
|
|
|
0.7
|
|
|
|
(9.0
|
)
|
|
|
0.8
|
|
|
|
53.1
|
|
|
Change in government, class action, and
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
related settlements liability
|
|
|
0.8
|
|
|
|
1.7
|
|
|
|
11.2
|
|
|
|
7.4
|
|
|
Other operating cash used in (provided by)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
discontinued operations
|
|
|
2.2
|
|
|
|
0.5
|
|
|
|
13.5
|
|
|
|
(11.4
|
)
|
|
Other
|
|
|
0.3
|
|
|
|
(0.1
|
)
|
|
|
1.2
|
|
|
|
(1.6
|
)
|
|
Adjusted Consolidated EBITDA
|
|
$
|
106.4
|
|
|
$
|
98.4
|
|
|
$
|
383.0
|
|
|
$
|
341.2
|
|
For the three months ended March 31, 2010, net cash used in investing activities was $26.2 million and resulted primarily from capital expenditures, net settlement payments related to interest rate swaps, and an increase in restricted cash offset by proceeds from the sale of a hospital in Baton Rouge, Louisiana. Net cash used in financing activities during the three months ended March 31, 2010 was $22.7 million and resulted primarily from distributions paid to noncontrolling interests of consolidated affiliates, dividends paid on the Company’s convertible perpetual preferred stock, and net debt payments.
For the three months ended March 31, 2009, net cash used in investing activities was $30.2 million and resulted primarily from capital expenditures and net settlement payments related to an interest rate swap. Net cash used in financing activities during the three months ended March 31, 2009 was $94.4 million and resulted primarily from net debt payments made during the period, as well as distributions paid to noncontrolling interests of consolidated affiliates and dividends paid on the Company’s convertible perpetual preferred stock.
For the year ended December 31, 2009, net cash used in investing activities was $133.0 million and resulted primarily from capital expenditures and net settlement payments related to interest rate swaps. Net cash used in financing activities during the year ended December 31, 2009 was $224.3 million and resulted primarily from net debt payments made during the period, as well as distributions paid to noncontrolling interests of consolidated affiliates, dividends paid on the Company’s convertible perpetual preferred stock, and debt amendment and issuance costs.
For the year ended December 31, 2008, net cash used in investing activities was $40.0 million and resulted primarily from capital expenditures, including expenditures associated with development activities, and net settlement payments related to an interest rate swap offset by proceeds from asset disposals, including the Company’s corporate campus. Net cash used in financing activities during the year ended December 31, 2008 was $176.0 million and resulted primarily from net debt payments made during the period, as well as distributions paid to noncontrolling interests of consolidated affiliates and dividends paid on the Company’s perpetual preferred stock, offset by proceeds from the issuance of common stock.
Forward-Looking Statements
The information contained in this Current Report on Form 8-K and the handout attached as Exhibit 99.1 includes certain estimates, projections, and other forward-looking information that reflect the Company’s current views with respect to future events and financial performance. These estimates, projections, and other forward-looking information are based on assumptions the Company believes, as of the date hereof, are reasonable. Inevitably, there will be differences between such estimates and actual results, and those differences may be material.
There can be no assurance that any estimates, projections, or forward-looking information will be realized. All such estimates, projections, and forward-looking information speak only as of the date hereof. The Company undertakes no duty to publicly update or revise the information contained herein or in the handout.
You are cautioned not to place undue reliance on the estimates, projections, and other forward-looking information in this Current Report on Form 8-K or the handout as they are based on current expectations and general assumptions and are subject to various risks, uncertainties, and other factors, including those set forth in the 2009 Form 10-K, the March 2010 Form 10-Q, and other documents the Company previously filed with the SEC, many of which are beyond the Company’s control. These factors may cause actual results to differ materially from the views, beliefs and estimates expressed herein.