8-K
Encompass Health Corp (EHC)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant To Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of Report (date of earliest event reported): July 27, 2021
Encompass Health Corporation
(Exact name of Registrant as specified in its Charter)
Delaware
(State or Other Jurisdiction of Incorporation)
| 001-10315 | 63-0860407 |
|---|---|
| (Commission File Number) | (IRS Employer Identification No.) |
9001 Liberty Parkway, Birmingham, Alabama 35242
(Address of Principal Executive Offices, Including Zip Code)
(205) 967-7116
(Registrant’s Telephone Number, Including Area Code)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
| ☐ | Written communication pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
|---|---|
| ☐ | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
| ☐ | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
| ☐ | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 or Rule 12b-2 of the Securities Exchange Act of 1934. Emerging growth company ☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Securities registered pursuant to Section 12(b) of the Act:
| Title of each class | Trading Symbol(s) | Name of each exchange on which registered |
|---|---|---|
| Common Stock, par value $0.01 per share | EHC | New York Stock Exchange |
The information contained herein is being furnished pursuant to Item 2.02 of Form 8‑K, “Results of Operations and Financial Condition,” and Item 7.01 of Form 8-K, “Regulation FD Disclosure.” This information shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), or incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing.
ITEM 2.02. Results of Operations and Financial Condition.
On July 27, 2021, Encompass Health Corporation (“Encompass Health” or the “Company”) issued a press release reporting the financial results of the Company for the three and six months ended June 30, 2021. A copy of the press release is attached to this report as Exhibit 99.1 and incorporated herein by reference.
The Company uses “same-store” comparisons to explain the changes in certain performance metrics and line items within its financial statements. Same-store comparisons are calculated based on hospitals open throughout both the full current and prior periods presented. These comparisons include the financial results of market consolidation transactions in existing markets, as it is difficult to determine, with precision, the incremental impact of these transactions on the Company's results of operations.
ITEM 7.01. Regulation FD Disclosure.
See Item 2.02, “Results of Operations and Financial Condition,” above.
In addition, a copy of the supplemental information which will be discussed during the Company’s earnings call at 10:00 a.m. Eastern Time on Wednesday, July 28, 2021 is attached to this report as Exhibit 99.2 and incorporated herein by reference.
Note Regarding Presentation of Non-GAAP Financial Measures
The financial data contained in the press release and supplemental information include non-GAAP financial measures, including the Company’s adjusted earnings per share, leverage ratio, Adjusted EBITDA, and adjusted free cash flow.
The Company is providing adjusted earnings per share from continuing operations attributable to Encompass Health (“adjusted earnings per share”). The Company believes the presentation of adjusted earnings per share provides useful additional information to investors because it provides better comparability of ongoing operating performance to prior periods given that it excludes the impact of government, class action, and related settlements; professional fees—accounting, tax, and legal; mark-to-market adjustments for stock appreciation rights; gains or losses related to hedging and equity instruments; loss on early extinguishment of debt; adjustments to its income tax provision (such as valuation allowance adjustments and settlements of income tax claims); items related to corporate and facility restructurings; and certain other items the Company believes to be non-indicative of its ongoing operating performance. It is reasonable to expect that one or more of these excluded items will occur in future periods, but the amounts recognized can vary significantly from period to period and may not directly relate to the Company’s ongoing operating performance. Accordingly, they can complicate comparisons of the Company’s results of operations across periods and comparisons of the Company’s results to those of other healthcare companies. Adjusted earnings per share should not be considered as a measure of financial performance under generally accepted accounting principles in the United States (“GAAP”) as the items excluded from it are significant components in understanding and assessing financial performance. Because adjusted earnings per share is not a measurement determined in accordance with GAAP and is thus susceptible to varying calculations, it may not be comparable as presented to other similarly titled measures of other companies. The Company reconciles adjusted earnings per share to earnings per share in the press release attached as Exhibit 99.1 and the supplemental information attached as Exhibit 99.2.
The leverage ratio referenced therein is defined as the ratio of consolidated total debt to Adjusted EBITDA for the trailing four quarters. The Company believes its leverage ratio and Adjusted EBITDA are measures of its ability to service its debt and its ability to make capital expenditures. Additionally, the leverage ratio is a standard measurement used by investors to gauge the creditworthiness of an institution. The Company’s credit agreement also includes a maximum leverage ratio financial covenant which allows the Company to deduct up to $300 million of cash on hand from consolidated total debt. The Company reconciles Adjusted EBITDA to net income and to net cash provided by operating activities in the press release attached as Exhibit 99.1 and the supplemental information attached as Exhibit 99.2. Adjusted EBITDA for the Company’s reportable segments is reconciled to net income from continuing operations before income tax expense in the press release attached as Exhibit 99.1 and the supplemental information attached as Exhibit 99.2.
The Company uses Adjusted 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 Item 7, Management’s Discussion and Analysis of Financial Condition and Results of Operations, “Liquidity and Capital Resources,” and Note 10, Long-term Debt, to the consolidated financial statements included in its Annual Report on Form 10‑K for the year ended December 31, 2020 (the “2020 Form 10‑K”). These covenants are material terms of the credit agreement. Noncompliance 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 be on terms less 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, paying common stock dividends, making certain payments, and acquiring and disposing of assets. Consequently, Adjusted EBITDA is critical to the Company’s assessment of its liquidity.
In general terms, the credit agreement definition of Adjusted EBITDA, therein referred to as “Adjusted Consolidated EBITDA,” allows the Company to add back to consolidated net income interest expense, income taxes, and depreciation and amortization and then add back to consolidated net income (1) all unusual or nonrecurring items reducing consolidated net income (of which only up to $10 million in a year may be cash expenditures), (2) any losses from discontinued operations, (3) non-ordinary course fees, costs and expenses incurred with respect to any litigation or settlement, (4) share-based compensation expense, (5) costs and expenses associated with changes in the fair value of marketable securities, (6) costs and expenses associated with the issuance or prepayment debt and acquisitions, and (7) any restructuring charges not in excess of 20% of Adjusted Consolidated EBITDA. The Company also subtracts from consolidated net income all unusual or nonrecurring items to the extent they increase consolidated net income.
The calculation of Adjusted EBITDA under the credit agreement does not require us to deduct net income attributable to noncontrolling interests or gains on fair value adjustments of hedging and equity instruments, disposal of assets, and development activities. It also does not allow us to add back losses on fair value adjustments of hedging instruments or unusual or nonrecurring cash expenditures in excess of $10 million. These items and amounts, in addition to the items falling within the credit agreement’s “unusual or nonrecurring” classification, may occur in future periods, but can vary significantly from period to period and may not directly relate to, or be indicative of, the Company's ongoing liquidity or operating performance. Accordingly, the Adjusted EBITDA calculation presented here includes adjustments for them.
Adjusted EBITDA is not a measure of financial performance under GAAP, and the items excluded from Adjusted EBITDA are significant components in understanding and assessing financial performance. Therefore, Adjusted EBITDA should not be considered a substitute for net income or cash flows from operating, investing, or financing activities. Because Adjusted EBITDA is not a measurement determined in accordance with GAAP and is thus susceptible to varying calculations, Adjusted 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 Note 1, Summary of Significant Accounting Policies, to the consolidated financial statements accompanying the 2020 Form 10-K.
The Company also uses adjusted free cash flow as an analytical indicator to assess its performance. Management believes the presentation of adjusted free cash flow provides investors an efficient means by which they can evaluate the Company’s capacity to reduce debt, pursue development activities, and return capital to its common stockholders. The calculation of adjusted free cash flow and a reconciliation of net cash provided by operating activities to adjusted free cash flow are included in the press release attached as Exhibit 99.1 and the supplemental information attached as Exhibit 99.2. This measure is not a defined measure of financial performance under GAAP and should not be considered as an alternative to net cash provided by operating activities. The Company’s definition of adjusted free cash flow is limited and does not represent residual cash flows available for discretionary spending. Because this measure is not determined in accordance with GAAP and is susceptible to varying calculations, it may not be comparable to other similarly titled measures presented by other companies. See the consolidated statements of cash flows included in the 2020 Form 10-K and the condensed consolidated statements of cash flows included in the Company's quarterly report on Form 10-Q for the quarterly period ended June 30, 2021 (the “June 2021 Form 10-Q”), when filed, and in the press release attached as Exhibit 99.1 for the GAAP measures of cash flows from operating, investing, and financing activities.
Forward-Looking Statements
The information contained in the press release and supplemental information includes certain estimates, projections, and other forward-looking statements that involve known and unknown risks and relate to, among other things, future events, including the ongoing strategic review and its impact on the business model, outlook and guidance, the expected impact of the COVID-19 pandemic on Encompass Health’s business and financial assumptions, the Company’s business strategy, financial plans, dividend strategies or payments, effective income tax rates, plans to repurchase its debt or equity securities, future financial performance, projected business results or model, ability to return value to its shareholders, projected capital expenditures, leverage ratio, acquisition opportunities, and the impact of future legislation or regulation. In some cases, you can identify forward-looking statements by terminology such as “may,” “will,” “should,” “expects,” “plans,” “anticipates,” “believes,” “estimates,” “predicts,” “targets,” “potential,” or “continue” or the negative of these terms or other comparable terminology. These estimates, projections, and other forward-looking statements 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 statements will be realized.
All such estimates, projections, and forward-looking statements speak only as of the date hereof. The Company undertakes no duty to publicly update or revise that information.
You are cautioned not to place undue reliance on the estimates, projections, and other forward-looking statements in this report, the press release, and supplemental information 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 attached press release and in the 2020 Form 10‑K, the June 2021 Form 10-Q when filed, and in 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.
ITEM 9.01. Financial Statements and Exhibits.
(d) Exhibits.
| Exhibit Number | Description |
|---|---|
| 99.1 | Press release of Encompass Health Corporation, dated July 27, 2021. |
| 99.2 | Supplemental information provided in connection with the second quarter 2021 earnings call of Encompass Health Corporation. |
| 104 | Cover Page Interactive Data File - the cover page iXBRL tags are embedded within the Inline XBRL document |
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this Report to be signed on its behalf by the undersigned hereunto duly authorized.
| ENCOMPASS HEALTH CORPORATION | ||
|---|---|---|
| By: | /S/ DOUGLAS E. COLTHARP | |
| Name: | Douglas E. Coltharp | |
| Title: | Executive Vice President and Chief Financial Officer |
Dated: July 27, 2021
Document
Exhibit 99.1
| Media Contact | July 27, 2021 |
|---|---|
| Casey Lassiter, 205 447-6410 | |
| casey.lassiter@encompasshealth.com | |
| Investor Relations Contact | |
| Crissy Carlisle, 205 970-5860 | |
| crissy.carlisle@encompasshealth.com |
Encompass Health reports results for second quarter 2021
Increases full-year guidance for 2021
BIRMINGHAM, Ala. - Encompass Health Corporation (NYSE: EHC), a national leader in integrated healthcare, offering facility-based and home-based patient care through its network of inpatient rehabilitation hospitals and home health and hospice agencies, today reported its results of operations for the second quarter ended June 30, 2021.
“Business momentum accelerated in the second quarter of 2021 and resulted in strong revenue and earnings growth in both segments over the same period of 2020 and 2019,” said President and Chief Executive Officer of Encompass Health Mark Tarr. “As a result of our strong operating trends and year-to-date performance, we are again raising our full-year 2021 guidance.”
Consolidated results
| Growth | ||||||||
|---|---|---|---|---|---|---|---|---|
| Q2 2021 | Q2 2020 | Dollars | Percent | |||||
| (In Millions, Except Per Share Data) | ||||||||
| Net operating revenues | $ | 1,287.7 | $ | 1,074.1 | $ | 213.6 | 19.9 | % |
| Income from continuing operations attributable to Encompass Health per diluted share | 1.13 | 0.34 | 0.79 | 232.4 | % | |||
| Adjusted earnings per share | 1.17 | 0.31 | 0.86 | 277.4 | % | |||
| Cash flows provided by operating activities | 255.9 | 222.3 | 33.6 | 15.1 | % | |||
| Adjusted EBITDA | 278.9 | 162.2 | 116.7 | 71.9 | % | |||
| Adjusted free cash flow | 205.6 | 168.2 | 37.4 | 22.2 | % | |||
| Six Months Ended June 30, | ||||||||
| 2021 | 2020 | |||||||
| Cash flows provided by operating activities | $ | 414.4 | $ | 251.6 | $ | 162.8 | 64.7 | % |
| Adjusted free cash flow | 313.0 | 242.8 | 70.2 | 28.9 | % |
Revenue growth resulted from increased volumes and favorable pricing.
The increase in income from continuing operations attributable to Encompass Health per diluted share and adjusted earnings per share in 2021 primarily resulted from revenue growth.
The increase in year-to-date cash flows provided by operating activities and adjusted free cash flow primarily resulted from revenue growth and the timing of maintenance capital expenditures in 2021.
See attached supplemental information for calculations of non-GAAP measures and reconciliations to their most comparable GAAP measure.
Inpatient rehabilitation segment results
| Growth | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Q2 2021 | Q2 2020 | Dollars | Percent | |||||||
| Net operating revenues: | (In Millions) | |||||||||
| Inpatient | $ | 976.9 | $ | 808.0 | $ | 168.9 | 20.9 | % | ||
| Outpatient and other | 24.7 | 16.5 | 8.2 | 49.7 | % | |||||
| Total segment revenue | $ | 1,001.6 | $ | 824.5 | $ | 177.1 | 21.5 | % | ||
| (Actual Amounts) | ||||||||||
| Discharges | 49,492 | 41,682 | 7,810 | 18.7 | % | |||||
| Same-store discharge growth | 16.9 | % | ||||||||
| Net patient revenue per discharge | $ | 19,739 | $ | 19,385 | $ | 354 | 1.8 | % | ||
| Revenue reserves related to bad debt as a percent of revenue | 1.7 | % | 1.4 | % | 30 basis points | |||||
| (In Millions) | ||||||||||
| Adjusted EBITDA | $ | 254.0 | $ | 180.3 | $ | 73.7 | 40.9 | % |
•Revenue - Inpatient revenue growth resulted from increased volumes and favorable pricing. Total discharge growth for the second quarter of 2021 was 18.7% with same-store growth of 16.9%. Same-store discharge growth in the second quarter of 2021 compared to the second quarter of 2019 was 1.6%.
Growth in net patient revenue per discharge primarily resulted from an increase in reimbursement rates, the suspension of sequestration, improvement in discharge destination and prior period cost report adjustments partially offset by the timing of discharges between quarters.
The increase in outpatient and other revenue included an increase of approximately $7 million in provider tax revenues (offset by $2.5 million of provider tax expenses included in other operating expenses).
•Adjusted EBITDA - The 40.9% increase in Adjusted EBITDA in the second quarter of 2021 primarily resulted from revenue growth and effective productivity management. Adjusted EBITDA in the second quarter of 2020 included approximately $29 million of additional paid-time-off awarded to employees.
Home health and hospice segment results
| Growth | ||||||||
|---|---|---|---|---|---|---|---|---|
| Q2 2021 | Q2 2020 | Dollars | Percent | |||||
| Net operating revenues: | (In Millions) | |||||||
| Home health revenue | $ | 232.3 | $ | 201.8 | $ | 30.5 | 15.1 | % |
| Hospice revenue | 53.8 | 47.8 | 6.0 | 12.6 | % | |||
| Total segment revenue | $ | 286.1 | $ | 249.6 | $ | 36.5 | 14.6 | % |
| Adjusted EBITDA | $ | 61.7 | $ | 15.0 | $ | 46.7 | 311.3 | % |
| Home Health | ||||||||
| Starts of care: | (Actual Amounts) | |||||||
| Episodic admissions | 39,657 | 34,841 | 4,816 | 13.8 | % | |||
| Same-store episodic admissions growth | 12.9 | % | ||||||
| Episodic recertifications | 28,296 | 28,328 | (32) | (0.1) | % | |||
| Total episodic starts of care | 67,953 | 63,169 | 4,784 | 7.6 | % | |||
| Total admissions | 50,598 | 44,124 | 6,474 | 14.7 | % | |||
| Same-store total admissions growth | 13.8 | % | ||||||
| Total recertifications | 33,794 | 31,952 | 1,842 | 5.8 | % | |||
| Total starts of care | 84,392 | 76,076 | 8,316 | 10.9 | % | |||
| Revenue per episode | $ | 2,968 | $ | 2,920 | $ | 48 | 1.6 | % |
| Hospice | ||||||||
| Admissions: | ||||||||
| Same store | 3,130 | 3,190 | (60) | (1.9) | % | |||
| New store | 168 | — | 168 | 5.3 | % | |||
| Total admissions | 3,298 | 3,190 | 108 | 3.4 | % |
•Revenue - Total starts of care were up 10.9%. Total admissions increased 14.7%, including same-store admissions growth of 13.8%. Volume growth was achieved in spite of continued lower occupancy at skilled nursing and senior living facilities, as well as staffing challenges in certain markets. Elective procedures have returned to historic levels.
The increase in revenue per episode resulted from an increase in reimbursement rates, as the timing of completed episodes offset the benefit of the suspension of sequestration.
Growth in hospice admissions resulted from the acquisition of assets from Frontier Home Health and Hospice in June 2021.
•Adjusted EBITDA - The 311.3% increase in Adjusted EBITDA in the second quarter of 2021 primarily resulted from lower cost per visit supported by the clinician compensation model changes implemented in May 2020, as well as effective management of overall productivity of full-time staff. Adjusted EBITDA in the second quarter of 2020 included approximately $14 million of additional paid-time-off awarded to employees.
General and administrative expenses
| Q2 2021 | % of Consolidated Revenue | Q2 2020 | % of Consolidated Revenue | |||
|---|---|---|---|---|---|---|
| (In Millions) | ||||||
| General and administrative expenses, excluding stock-based compensation | $ | 36.8 | 2.9% | $ | 33.1 | 3.1% |
General and administrative expenses decreased as a percent of consolidated revenue due to the increased revenue base year over year.
General and administrative expenses in the above table exclude $4.1 million in costs associated with the strategic alternatives review of the Company's home health and hospice business and $1.3 million of transaction costs associated with the Frontier acquisition for the second quarter of 2021.
2021 guidance
The Company increased its full-year guidance to reflect its second quarter results and strong operating trends.
| Full-Year 2021 Guidance Ranges | ||
|---|---|---|
| Previous Guidance | Updated Guidance | |
| (In Millions, Except Per Share Data) | ||
| Net operating revenues | $5,060 to $5,230 | $5,100 to $5,250 |
| Adjusted EBITDA | $1,000 to $1,030 | $1,050 to $1,070 |
| Adjusted earnings per share from continuing operations attributable to Encompass Health | $3.94 to $4.16 | $4.32 to $4.47 |
On December 9, 2020, the Company announced it is exploring strategic alternatives for its home health and hospice business. The review is ongoing. Accordingly, the Company's 2021 guidance assumes the continuation of the current structure of the business for 2021. The guidance may change if a transaction occurs before the end of the year.
For additional considerations regarding the Company's 2021 guidance ranges, see the supplemental information posted on the Company's website at http://investor.encompasshealth.com. See also the “Other Information” section below for an explanation of why the Company does not provide guidance for comparable GAAP measures for Adjusted EBITDA and adjusted earnings per share.
Update on Strategic Alternatives Review for Home Health and Hospice Business
Encompass Health continues to explore strategic alternatives for its home health and hospice business. Based on the analysis to date, the Company’s Board of Directors believes a full or partial separation of the home health and hospice business will enhance the long-term success and value of the business. The Company is pursuing a separation transaction by either public or private means.
Many of the key preparatory actions for a separation have been completed, including but not limited to, audited carve-out financial statements for the home health and hospice business, a confidential submission of a draft registration statement on Form S-1 with the United States Securities and Exchange Commission and certain required regulatory filings. While no assurance can be provided, the Company expects to announce a transaction in the second half of 2021.
This press release does not constitute an offer to sell or the solicitation of an offer to buy securities, and shall not constitute an offer, solicitation, or sale in any jurisdiction in which such offer, solicitation or sale would be unlawful prior to registration or qualification under the securities law of that jurisdiction.
Earnings conference call and webcast
The Company will host an investor conference call at 10:00 a.m. Eastern Time on Wednesday, July 28, 2021 to discuss its results for the second quarter of 2021. For reference during the call, the Company will post certain supplemental information at http://investor.encompasshealth.com.
The conference call may be accessed by dialing 877 587-6761 and giving the pass code 7294490. International callers should dial 706 679-1635 and give the same pass code. Please call approximately ten minutes before the start of the call to ensure you are connected. The conference call will also be webcast live and will be available for on-line replay at http://investor.encompasshealth.com by clicking on an available link.
About Encompass Health
As a national leader in integrated healthcare services, Encompass Health (NYSE: EHC) offers both facility-based and home-based patient care through its network of inpatient rehabilitation hospitals, home health agencies and hospice agencies. With a national footprint that includes 140 hospitals and 249 home health locations and 94 hospice locations in 42 states and Puerto Rico, the Company provides high-quality, cost-effective integrated healthcare. Encompass Health is ranked as one of Fortune's 100 Best Companies to Work For. For more information, visit encompasshealth.com, or follow us on our newsroom, Twitter, Instagram and Facebook.
Other information
The information in this press release is summarized and should be read in conjunction with the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 2021 (the “June 2021 Form 10-Q”), when filed, as well as the Company's Current Report on Form 8-K filed on July 27, 2021 (the “Q2 Earnings Form 8-K”), to which this press release is attached as Exhibit 99.1. In addition, the Company will post supplemental information today on its website at http://investor.encompasshealth.com for reference during its July 28, 2021 earnings call.
The financial data contained in the press release and supplemental information include non-GAAP financial measures, including the Company’s adjusted earnings per share, leverage ratio, Adjusted EBITDA, and adjusted free cash flow. Reconciliations to their most comparable GAAP measure, except with regard to non-GAAP guidance, are included below or in the Q2 Earnings Form 8-K. Readers are encouraged to review the “Note Regarding Presentation of Non-GAAP Financial Measures” included in the Q2 Earnings Form 8-K which provides further explanation and disclosure regarding the Company’s use of these non-GAAP financial measures.
Excluding net operating revenues, the Company does not provide guidance on a GAAP basis because it is unable to predict, with reasonable certainty, the future impact of items that are deemed to be outside the control of the Company or otherwise non-indicative of its ongoing operating performance. Such items include government, class action, and related settlements; professional fees—accounting, tax, and legal; mark-to-market adjustments for stock appreciation rights; gains or losses related to hedging instruments; loss on early extinguishment of debt; adjustments to its income tax provision (such as valuation allowance adjustments and settlements of income tax claims); items related to corporate and facility restructurings; and certain other items the Company believes to be non-indicative of its ongoing operations. These items cannot be reasonably predicted and will depend on several factors, including industry and market conditions, and could be material to the Company's results computed in accordance with GAAP.
However, the following reasonably estimable GAAP measures for 2021 would be included in a reconciliation for Adjusted EBITDA if the other reconciling GAAP measures could be reasonably predicted:
•Interest expense and amortization of debt discounts and fees - estimate of $164 million to $174 million
•Amortization of debt-related items - approximately $9 million
The Q2 Earnings Form 8-K and, when filed, the June 2021 Form 10-Q can be found on the Company's website at http://investor.encompasshealth.com and the SEC's website at www.sec.gov.
Encompass Health Corporation and Subsidiaries
Condensed Consolidated Statements of Comprehensive Income
(Unaudited)
| Three Months Ended June 30, | Six Months Ended June 30, | |||||||
|---|---|---|---|---|---|---|---|---|
| 2021 | 2020 | 2021 | 2020 | |||||
| (In Millions, Except Per Share Data) | ||||||||
| Net operating revenues | $ | 1,287.7 | $ | 1,074.1 | $ | 2,518.1 | $ | 2,256.1 |
| Operating expenses: | ||||||||
| Salaries and benefits | 708.2 | 651.9 | 1,395.4 | 1,331.0 | ||||
| Other operating expenses | 172.7 | 148.3 | 335.0 | 307.9 | ||||
| Occupancy costs | 20.2 | 20.3 | 40.4 | 40.5 | ||||
| Supplies | 50.0 | 50.6 | 101.9 | 96.3 | ||||
| General and administrative expenses | 54.2 | 43.0 | 92.8 | 78.6 | ||||
| Depreciation and amortization | 63.4 | 60.7 | 125.9 | 119.5 | ||||
| Government, class action, and related settlements | — | — | — | 2.8 | ||||
| Total operating expenses | 1,068.7 | 974.8 | 2,091.4 | 1,976.6 | ||||
| Loss on early extinguishment of debt | 1.0 | — | 1.0 | — | ||||
| Interest expense and amortization of debt discounts and fees | 41.8 | 45.8 | 84.6 | 89.0 | ||||
| Other income | (4.6) | (5.8) | (6.0) | (3.9) | ||||
| Equity in net income of nonconsolidated affiliates | (1.0) | (0.7) | (2.0) | (1.5) | ||||
| Income from continuing operations before income tax expense | 181.8 | 60.0 | 349.1 | 195.9 | ||||
| Provision for income tax expense | 39.5 | 11.8 | 74.0 | 38.9 | ||||
| Income from continuing operations | 142.3 | 48.2 | 275.1 | 157.0 | ||||
| (Loss) income from discontinued operations, net of tax | (0.3) | 0.1 | (0.3) | — | ||||
| Net and comprehensive income | 142.0 | 48.3 | 274.8 | 157.0 | ||||
| Less: Net and comprehensive income attributable to<br><br>noncontrolling interests | (28.7) | (14.8) | (54.2) | (36.5) | ||||
| Net and comprehensive income attributable to<br><br>Encompass Health | $ | 113.3 | $ | 33.5 | $ | 220.6 | $ | 120.5 |
| Weighted average common shares outstanding: | ||||||||
| Basic | 99.0 | 98.7 | 99.0 | 98.5 | ||||
| Diluted | 100.2 | 99.9 | 100.2 | 99.6 | ||||
| Earnings per common share: | ||||||||
| Basic earnings per share attributable to Encompass Health common shareholders: | ||||||||
| Continuing operations | $ | 1.14 | $ | 0.34 | $ | 2.22 | $ | 1.22 |
| Discontinued operations | — | — | — | — | ||||
| Net income | $ | 1.14 | $ | 0.34 | $ | 2.22 | $ | 1.22 |
| Diluted earnings per share attributable to Encompass Health common shareholders: | ||||||||
| Continuing operations | $ | 1.13 | $ | 0.34 | $ | 2.20 | $ | 1.21 |
| Discontinued operations | — | — | — | — | ||||
| Net income | $ | 1.13 | $ | 0.34 | $ | 2.20 | $ | 1.21 |
| Amounts attributable to Encompass Health common shareholders: | ||||||||
| Income from continuing operations | $ | 113.6 | $ | 33.4 | $ | 220.9 | $ | 120.5 |
| (Loss) income from discontinued operations, net of tax | (0.3) | 0.1 | (0.3) | — | ||||
| Net income attributable to Encompass Health | $ | 113.3 | $ | 33.5 | $ | 220.6 | $ | 120.5 |
Encompass Health Corporation and Subsidiaries
Condensed Consolidated Balance Sheets
(Unaudited)
| June 30, 2021 | December 31, 2020 | |||
|---|---|---|---|---|
| (In Millions) | ||||
| Assets | ||||
| Current assets: | ||||
| Cash and cash equivalents | $ | 73.2 | $ | 224.0 |
| Restricted cash | 65.0 | 65.4 | ||
| Accounts receivable | 627.5 | 572.8 | ||
| Other current assets | 93.6 | 86.4 | ||
| Total current assets | 859.3 | 948.6 | ||
| Property and equipment, net | 2,391.2 | 2,206.6 | ||
| Operating lease right-of-use assets | 244.9 | 245.7 | ||
| Goodwill | 2,412.3 | 2,318.7 | ||
| Intangible assets, net | 435.5 | 431.3 | ||
| Other long-term assets | 269.7 | 295.0 | ||
| Total assets | $ | 6,612.9 | $ | 6,445.9 |
| Liabilities and Shareholders’ Equity | ||||
| Current liabilities: | ||||
| Current portion of long-term debt | $ | 66.8 | $ | 38.3 |
| Current operating lease liabilities | 42.0 | 44.8 | ||
| Accounts payable | 145.1 | 115.0 | ||
| Accrued expenses and other current liabilities | 550.6 | 519.2 | ||
| Total current liabilities | 804.5 | 717.3 | ||
| Long-term debt, net of current portion | 3,105.7 | 3,250.6 | ||
| Long-term operating lease liabilities | 212.9 | 209.6 | ||
| Deferred income tax liabilities | 61.7 | 51.8 | ||
| Other long-term liabilities | 219.1 | 215.0 | ||
| 4,403.9 | 4,444.3 | |||
| Commitments and contingencies | ||||
| Redeemable noncontrolling interests | 32.9 | 31.6 | ||
| Shareholders’ equity: | ||||
| Encompass Health shareholders’ equity | 1,762.0 | 1,588.0 | ||
| Noncontrolling interests | 414.1 | 382.0 | ||
| Total shareholders’ equity | 2,176.1 | 1,970.0 | ||
| Total liabilities and shareholders’ equity | $ | 6,612.9 | $ | 6,445.9 |
Encompass Health Corporation and Subsidiaries
Condensed Consolidated Statements of Cash Flows
(Unaudited)
| Six Months Ended June 30, | |||||||
|---|---|---|---|---|---|---|---|
| 2021 | 2020 | ||||||
| (In Millions) | |||||||
| Cash flows from operating activities: | |||||||
| Net income | $ | 274.8 | $ | 157.0 | |||
| Loss from discontinued operations, net of tax | 0.3 | — | |||||
| Adjustments to reconcile net income to net cash provided by operating activities— | |||||||
| Depreciation and amortization | 125.9 | 119.5 | |||||
| Stock-based compensation | 14.8 | 17.0 | |||||
| Deferred tax expense (benefit) | 6.2 | (9.1) | |||||
| Other, net | 4.0 | 7.8 | |||||
| Changes in assets and liabilities, net of acquisitions— | |||||||
| Accounts receivable | (38.1) | (38.5) | |||||
| Other assets | (17.2) | 20.0 | |||||
| Accounts payable | 6.6 | (0.4) | |||||
| Accrued payroll | 27.4 | 58.4 | |||||
| Other liabilities | 10.3 | (80.0) | |||||
| Net cash used in operating activities of discontinued operations | (0.6) | (0.1) | |||||
| Total adjustments | 139.3 | 94.6 | |||||
| Net cash provided by operating activities | 414.4 | 251.6 | |||||
| Cash flows from investing activities: | |||||||
| Acquisition of businesses, net of cash acquired | (97.7) | (1.1) | |||||
| Purchases of property and equipment | (212.7) | (166.6) | |||||
| Additions to capitalized software costs | (10.0) | (4.4) | |||||
| Other, net | (1.2) | (3.0) | |||||
| Net cash used in investing activities | (321.6) | (175.1) | (Continued) | 9 | |||
| --- | --- |
Encompass Health Corporation and Subsidiaries
Condensed Consolidated Statements of Cash Flows (Continued)
(Unaudited)
| Six Months Ended June 30, | ||||
|---|---|---|---|---|
| 2021 | 2020 | |||
| (In Millions) | ||||
| Cash flows from financing activities: | ||||
| Proceeds from bond issuance | — | 592.5 | ||
| Principal payments on debt, including pre-payments | (207.3) | (11.0) | ||
| Borrowings on revolving credit facility | 45.0 | 330.0 | ||
| Payments on revolving credit facility | — | (375.0) | ||
| Principal payments under finance lease obligations | (11.8) | (10.9) | ||
| Repurchases of common stock, including fees and expenses | — | (4.9) | ||
| Dividends paid on common stock | (56.9) | (56.7) | ||
| Purchase of equity interests in consolidated affiliates | — | (162.3) | ||
| Distributions paid to noncontrolling interests of consolidated affiliates | (52.7) | (37.4) | ||
| Taxes paid on behalf of employees for shares withheld | (16.4) | (15.7) | ||
| Contributions from consolidated affiliates | 36.1 | 16.8 | ||
| Other, net | 0.1 | (11.5) | ||
| Net cash (used in) provided by financing activities | (263.9) | 253.9 | ||
| (Decrease) increase in cash, cash equivalents, and restricted cash | (171.1) | 330.4 | ||
| Cash, cash equivalents, and restricted cash at beginning of year | 310.9 | 159.6 | ||
| Cash, cash equivalents, and restricted cash at end of year | $ | 139.8 | $ | 490.0 |
| Reconciliation of Cash, Cash Equivalents, and Restricted Cash | ||||
| Cash and cash equivalents at beginning of period | $ | 224.0 | $ | 94.8 |
| Restricted cash at beginning of period | 65.4 | 57.4 | ||
| Restricted cash included in other long-term assets at beginning of period | 21.5 | 7.4 | ||
| Cash, cash equivalents, and restricted cash at beginning of period | $ | 310.9 | $ | 159.6 |
| Cash and cash equivalents at end of period | $ | 73.2 | $ | 419.0 |
| Restricted cash at end of period | 65.0 | 56.4 | ||
| Restricted cash included in other long-term assets at end of period | 1.6 | 14.6 | ||
| Cash, cash equivalents, and restricted cash at end of period | $ | 139.8 | $ | 490.0 |
Encompass Health Corporation and Subsidiaries
Supplemental Information
Earnings Per Share
| Three Months Ended June 30, | Six Months Ended June 30, | |||||||
|---|---|---|---|---|---|---|---|---|
| 2021 | 2020 | 2021 | 2020 | |||||
| (In Millions, Except Per Share Data) | ||||||||
| Adjusted EBITDA | $ | 278.9 | $ | 162.2 | $ | 529.7 | $ | 390.2 |
| Depreciation and amortization | (63.4) | (60.7) | (125.9) | (119.5) | ||||
| Interest expense and amortization of debt discounts and fees | (41.8) | (45.8) | (84.6) | (89.0) | ||||
| Stock-based compensation expense | (12.0) | (9.9) | (14.8) | (17.0) | ||||
| Loss on disposal or impairment of assets | (2.9) | (3.0) | (2.8) | (3.1) | ||||
| 158.8 | 42.8 | 301.6 | 161.6 | |||||
| Certain items non-indicative of ongoing operating performance: | ||||||||
| Loss on early extinguishment of debt | (1.0) | — | (1.0) | — | ||||
| Costs associated with the strategic alternatives review | (4.1) | — | (5.0) | — | ||||
| Costs associated with the Frontier acquisition | (1.3) | — | (1.3) | — | ||||
| Gain on consolidation of former equity method location | — | — | — | 2.2 | ||||
| Change in fair market value of equity securities | 0.7 | 2.4 | 0.6 | (0.1) | ||||
| Government, class action, and related settlements | — | — | — | (2.8) | ||||
| Payroll taxes on SARs exercise | — | — | — | (1.5) | ||||
| Pre-tax income | 153.1 | 45.2 | 294.9 | 159.4 | ||||
| Income tax expense | (39.5) | (11.8) | (74.0) | (38.9) | ||||
| Income from continuing operations (1) | $ | 113.6 | $ | 33.4 | $ | 220.9 | $ | 120.5 |
| Basic shares | 99.0 | 98.7 | 99.0 | 98.5 | ||||
| Diluted shares | 100.2 | 99.9 | 100.2 | 99.6 | ||||
| Basic earnings per share (1) | $ | 1.14 | $ | 0.34 | $ | 2.22 | $ | 1.22 |
| Diluted earnings per share (1) | $ | 1.13 | $ | 0.34 | $ | 2.20 | $ | 1.21 |
(1)Income from continuing operations attributable to Encompass Health
Encompass Health Corporation and Subsidiaries
Supplemental Information
Adjusted Earnings Per Share
| Q2 | 6 Months | |||||||
|---|---|---|---|---|---|---|---|---|
| 2021 | 2020 | 2021 | 2020 | |||||
| Earnings per share, as reported | $ | 1.13 | $ | 0.34 | $ | 2.20 | $ | 1.21 |
| Adjustments, net of tax: | ||||||||
| Government, class action, and related settlements | — | — | — | 0.02 | ||||
| Costs associated with the strategic alternatives review | 0.03 | — | 0.04 | — | ||||
| Costs associated with the Frontier acquisition | 0.01 | — | 0.01 | — | ||||
| Income tax adjustments | — | — | (0.03) | (0.05) | ||||
| Loss on early extinguishment of debt | 0.01 | — | 0.01 | — | ||||
| Change in fair market value of equity securities | — | (0.02) | — | — | ||||
| Gain on consolidation of former equity method location | — | — | — | (0.02) | ||||
| Payroll taxes on SARs exercise | — | — | — | 0.01 | ||||
| Adjusted earnings per share* | $ | 1.17 | $ | 0.31 | $ | 2.22 | $ | 1.18 |
* Adjusted EPS may not sum due to rounding.
Encompass Health Corporation and Subsidiaries
Supplemental Information
Adjusted Earnings Per Share
| For the Three Months Ended June 30, 2021 | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Adjustments | ||||||||||||||
| As Reported | Loss on Early Exting. of Debt | Income Tax Adjustments | Costs Associated with the Strategic Alternatives Review | Costs Associated with the Frontier Acquisition | Change in Fair Market Value of Equity Securities | As Adjusted | ||||||||
| (In Millions, Except Per Share Amounts) | ||||||||||||||
| Adjusted EBITDA* | $ | 278.9 | $ | — | $ | — | $ | — | $ | — | $ | — | $ | 278.9 |
| Depreciation and amortization | (63.4) | — | — | — | — | — | (63.4) | |||||||
| Interest expense and amortization of debt discounts and fees | (41.8) | — | — | — | — | — | (41.8) | |||||||
| Stock-based compensation | (12.0) | — | — | — | — | — | (12.0) | |||||||
| Loss on disposal or impairments of assets | (2.9) | — | — | — | — | — | (2.9) | |||||||
| Loss on early extinguishment of debt | (1.0) | 1.0 | — | — | — | — | — | |||||||
| Costs associated with the strategic alternatives review | (4.1) | — | — | 4.1 | — | — | — | |||||||
| Costs associated with the Frontier acquisition | (1.3) | — | — | — | 1.3 | — | — | |||||||
| Change in fair market value of equity securities | 0.7 | — | — | — | — | (0.7) | — | |||||||
| Income from continuing operations before income tax expense | 153.1 | 1.0 | — | 4.1 | 1.3 | (0.7) | 158.8 | |||||||
| Provision for income tax expense | (39.5) | (0.3) | (0.1) | (1.1) | (0.3) | 0.2 | (41.1) | |||||||
| Income from continuing operations attributable to Encompass Health | $ | 113.6 | $ | 0.7 | $ | (0.1) | $ | 3.0 | $ | 1.0 | $ | (0.5) | $ | 117.7 |
| Diluted earnings per share from continuing operations** | $ | 1.13 | $ | 0.01 | $ | — | $ | 0.03 | $ | 0.01 | $ | — | $ | 1.17 |
| Diluted shares used in calculation | 100.2 |
* Reconciliation to GAAP provided on page 17
** Adjusted EPS may not sum across due to rounding.
Encompass Health Corporation and Subsidiaries
Supplemental Information
Adjusted Earnings Per Share
| For the Three Months Ended June 30, 2020 | ||||||||
|---|---|---|---|---|---|---|---|---|
| Adjustments | ||||||||
| As Reported | Income Tax Adjustments | Change in Fair Market Value of Equity Securities | As Adjusted | |||||
| (In Millions, Except Per Share Amounts) | ||||||||
| Adjusted EBITDA* | $ | 162.2 | $ | — | $ | — | $ | 162.2 |
| Depreciation and amortization | (60.7) | — | — | (60.7) | ||||
| Interest expense and amortization of debt discounts and fees | (45.8) | — | — | (45.8) | ||||
| Stock-based compensation | (9.9) | — | — | (9.9) | ||||
| Loss on disposal or impairments of assets | (3.0) | — | — | (3.0) | ||||
| Change in fair market value of equity securities | 2.4 | — | (2.4) | — | ||||
| Income from continuing operations before income tax expense | 45.2 | — | (2.4) | 42.8 | ||||
| Provision for income tax expense | (11.8) | (0.4) | 0.6 | (11.6) | ||||
| Income from continuing operations attributable to Encompass Health | $ | 33.4 | $ | (0.4) | $ | (1.8) | $ | 31.2 |
| Diluted earnings per share from continuing operations** | $ | 0.34 | $ | — | $ | (0.02) | $ | 0.31 |
| Diluted shares used in calculation | 99.9 |
* Reconciliation to GAAP provided on page 17
** Adjusted EPS may not sum across due to rounding.
Encompass Health Corporation and Subsidiaries
Supplemental Information
Adjusted Earnings Per Share
| For the Six Months Ended June 30, 2021 | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Adjustments | ||||||||||||||
| As Reported | Loss on Early Exting. of Debt | Income Tax Adjustments | Costs Associated with the Strategic Alternatives Review | Costs Associated with the Frontier Acquisition | Change in Fair Market Value of Equity Securities | As Adjusted | ||||||||
| (In Millions, Except Per Share Amounts) | ||||||||||||||
| Adjusted EBITDA* | $ | 529.7 | $ | — | $ | — | $ | — | $ | — | $ | — | $ | 529.7 |
| Depreciation and amortization | (125.9) | — | — | — | — | — | (125.9) | |||||||
| Loss on early extinguishment of debt | (1.0) | 1.0 | — | — | — | — | — | |||||||
| Interest expense and amortization of debt discounts and fees | (84.6) | — | — | — | — | — | (84.6) | |||||||
| Stock-based compensation | (14.8) | — | — | — | — | — | (14.8) | |||||||
| Loss on disposal or impairment of assets | (2.8) | — | — | — | — | — | (2.8) | |||||||
| Costs associated with the strategic alternatives review | (5.0) | — | — | 5.0 | — | — | — | |||||||
| Costs associated with the Frontier acquisition | (1.3) | — | — | — | 1.3 | — | — | |||||||
| Change in fair market value of equity securities | 0.6 | — | — | — | — | (0.6) | — | |||||||
| Income from continuing operations before income tax expense | 294.9 | 1.0 | — | 5.0 | 1.3 | (0.6) | 301.6 | |||||||
| Provision for income tax expense | (74.0) | (0.3) | (3.4) | (1.3) | (0.3) | 0.2 | (79.1) | |||||||
| Income from continuing operations attributable to Encompass Health | $ | 220.9 | $ | 0.7 | $ | (3.4) | $ | 3.7 | $ | 1.0 | $ | (0.4) | $ | 222.5 |
| Diluted earnings per share from continuing operations** | $ | 2.20 | $ | 0.01 | $ | (0.03) | $ | 0.04 | $ | 0.01 | $ | — | $ | 2.22 |
| Diluted shares used in calculation | 100.2 |
* Reconciliation to GAAP provided on page 17
** Adjusted EPS may not sum across due to rounding.
Encompass Health Corporation and Subsidiaries
Supplemental Information
Adjusted Earnings Per Share
| For the Six Months Ended June 30, 2020 | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Adjustments | ||||||||||||||
| As Reported | Gov't, Class Action, & Related Settlements | Income Tax Adjustments | Change in Fair Market Value of Equity Securities | Gain on Consolidation of Former Equity Method Location | Payroll Taxes on SARs Exercise | As Adjusted | ||||||||
| (In Millions, Except Per Share Amounts) | ||||||||||||||
| Adjusted EBITDA* | $ | 390.2 | $ | — | $ | — | $ | — | $ | — | $ | — | $ | 390.2 |
| Depreciation and amortization | (119.5) | — | — | — | — | — | (119.5) | |||||||
| Government, class action, and related settlements | (2.8) | 2.8 | — | — | — | — | — | |||||||
| Interest expense and amortization of debt discounts and fees | (89.0) | — | — | — | — | — | (89.0) | |||||||
| Stock-based compensation | (17.0) | — | — | — | — | — | (17.0) | |||||||
| Loss on disposal or impairment of assets | (3.1) | — | — | — | — | — | (3.1) | |||||||
| Change in fair market value of equity securities | (0.1) | — | — | 0.1 | — | — | — | |||||||
| Gain on consolidation of Treasure Coast | 2.2 | — | — | — | (2.2) | — | — | |||||||
| Payroll taxes on SARs exercise | (1.5) | — | — | — | — | 1.5 | — | |||||||
| Income from continuing operations before income tax expense | 159.4 | 2.8 | — | 0.1 | (2.2) | 1.5 | 161.6 | |||||||
| Provision for income tax expense | (38.9) | (0.7) | (4.7) | — | 0.6 | (0.4) | (44.1) | |||||||
| Income from continuing operations attributable to Encompass Health | $ | 120.5 | $ | 2.1 | $ | (4.7) | $ | 0.1 | $ | (1.6) | $ | 1.1 | $ | 117.5 |
| Diluted earnings per share from continuing operations** | $ | 1.21 | $ | 0.02 | $ | (0.05) | $ | — | $ | (0.02) | $ | 0.01 | $ | 1.18 |
| Diluted shares used in calculation | 99.6 |
* Reconciliation to GAAP provided on page 17
** Adjusted EPS may not sum across due to rounding.
Encompass Health Corporation and Subsidiaries
Supplemental Information
Reconciliation of Net Income to Adjusted EBITDA
| Three Months Ended June 30, | Six Months Ended June 30, | |||||||
|---|---|---|---|---|---|---|---|---|
| 2021 | 2020 | 2021 | 2020 | |||||
| (In Millions) | ||||||||
| Net income | $ | 142.0 | $ | 48.3 | $ | 274.8 | $ | 157.0 |
| Loss (income) from discontinued operations, net of tax, attributable to Encompass Health | 0.3 | (0.1) | 0.3 | — | ||||
| Net income attributable to noncontrolling interests | (28.7) | (14.8) | (54.2) | (36.5) | ||||
| Government, class action, and related settlements | — | — | — | 2.8 | ||||
| Provision for income tax expense | 39.5 | 11.8 | 74.0 | 38.9 | ||||
| Interest expense and amortization of debt discounts and fees | 41.8 | 45.8 | 84.6 | 89.0 | ||||
| Depreciation and amortization | 63.4 | 60.7 | 125.9 | 119.5 | ||||
| Loss on early extinguishment of debt | 1.0 | — | 1.0 | — | ||||
| Loss on disposal or impairment of assets | 2.9 | 3.0 | 2.8 | 3.1 | ||||
| Stock-based compensation expense | 12.0 | 9.9 | 14.8 | 17.0 | ||||
| Costs associated with the strategic alternatives review | 4.1 | — | 5.0 | — | ||||
| Costs associated with the Frontier acquisition | 1.3 | — | 1.3 | — | ||||
| Gain on consolidation of former equity method location | — | — | — | (2.2) | ||||
| Change in fair market value of equity securities | (0.7) | (2.4) | (0.6) | 0.1 | ||||
| Payroll taxes on SARs exercise | — | — | — | 1.5 | ||||
| Adjusted EBITDA | $ | 278.9 | $ | 162.2 | $ | 529.7 | $ | 390.2 |
Reconciliation of Segment Adjusted EBITDA to Income from Continuing Operations
Before Income Tax Expense
| Three Months Ended June 30, | Six Months Ended June 30, | Year Ended December 31, | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 2020 | 2021 | 2020 | 2020 | ||||||
| (In Millions) | ||||||||||
| Total segment Adjusted EBITDA | $ | 315.7 | $ | 195.3 | $ | 601.4 | $ | 451.8 | $ | 986.3 |
| General and administrative expenses | (54.2) | (43.0) | (92.8) | (78.6) | (155.5) | |||||
| Depreciation and amortization | (63.4) | (60.7) | (125.9) | (119.5) | (243.0) | |||||
| Loss on disposal or impairment of assets | (2.9) | (3.0) | (2.8) | (3.1) | (11.6) | |||||
| Government, class action, and related settlements | — | — | — | (2.8) | (2.8) | |||||
| Loss on early extinguishment of debt | (1.0) | — | (1.0) | — | (2.3) | |||||
| Interest expense and amortization of debt discounts and fees | (41.8) | (45.8) | (84.6) | (89.0) | (184.2) | |||||
| Net income attributable to noncontrolling interests | 28.7 | 14.8 | 54.2 | 36.5 | 84.6 | |||||
| Change in fair market value of equity securities | 0.7 | 2.4 | 0.6 | (0.1) | 0.4 | |||||
| Gain on consolidation of former equity method location | — | — | — | 2.2 | 2.2 | |||||
| Payroll taxes on SARs exercise | — | — | — | (1.5) | (1.5) | |||||
| Income from continuing operations before income tax expense | $ | 181.8 | $ | 60.0 | $ | 349.1 | $ | 195.9 | $ | 472.6 |
Encompass Health Corporation and Subsidiaries
Supplemental Information
Reconciliation of Net Cash Provided by Operating Activities to Adjusted EBITDA
| Three Months Ended June 30, | Six Months Ended June 30, | Year Ended December 31, | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2021 | 2020 | 2021 | 2020 | 2020 | ||||||
| (In Millions) | ||||||||||
| Net cash provided by operating activities | $ | 255.9 | $ | 222.3 | $ | 414.4 | $ | 251.6 | $ | 704.7 |
| Interest expense and amortization of debt discounts and fees | 41.8 | 45.8 | 84.6 | 89.0 | 184.2 | |||||
| Equity in net income of nonconsolidated affiliates | 1.0 | 0.7 | 2.0 | 1.5 | 3.5 | |||||
| Net income attributable to noncontrolling interests in continuing operations | (28.7) | (14.8) | (54.2) | (36.5) | (84.6) | |||||
| Amortization of debt-related items | (2.0) | (1.7) | (4.0) | (3.1) | (7.2) | |||||
| Distributions from nonconsolidated affiliates | (0.8) | (1.0) | (1.8) | (2.0) | (3.8) | |||||
| Current portion of income tax expense | 42.0 | 22.3 | 67.8 | 48.0 | 51.4 | |||||
| Change in assets and liabilities | (39.3) | (113.9) | 11.0 | 40.5 | 7.3 | |||||
| Cash used in operating activities of discontinued operations | 0.6 | — | 0.6 | 0.1 | 0.2 | |||||
| Costs associated with the strategic alternatives review | 4.1 | — | 5.0 | — | — | |||||
| Costs associated with the Frontier acquisition | 1.3 | — | 1.3 | — | — | |||||
| Payroll taxes on SARs exercise | — | — | — | 1.5 | 1.5 | |||||
| Change in fair market value of equity securities | (0.7) | (2.4) | (0.6) | 0.1 | (0.4) | |||||
| Other | 3.7 | 4.9 | 3.6 | (0.5) | 3.5 | |||||
| Adjusted EBITDA | $ | 278.9 | $ | 162.2 | $ | 529.7 | $ | 390.2 | $ | 860.3 |
Encompass Health Corporation and Subsidiaries
Supplemental Information
Reconciliation of Net Cash Provided by Operating Activities to Adjusted Free Cash Flow
| Three Months Ended June 30, | Six Months Ended June 30, | |||||||
|---|---|---|---|---|---|---|---|---|
| 2021 | 2020 | 2021 | 2020 | |||||
| (In Millions) | ||||||||
| Net cash provided by operating activities | $ | 255.9 | $ | 222.3 | $ | 414.4 | $ | 251.6 |
| Impact of discontinued operations | 0.6 | — | 0.6 | 0.1 | ||||
| Net cash provided by operating activities of continuing operations | 256.5 | 222.3 | 415.0 | 251.7 | ||||
| Capital expenditures for maintenance | (30.5) | (35.7) | (53.8) | (73.5) | ||||
| Distributions paid to noncontrolling interests of consolidated affiliates | (24.9) | (18.4) | (52.7) | (37.5) | ||||
| Items non-indicative of ongoing operations: | ||||||||
| Cash paid for SARs exercise (inclusive of payroll taxes) | — | — | — | 102.1 | ||||
| Transaction costs and related assumed liabilities | 4.5 | — | 4.5 | — | ||||
| Adjusted free cash flow | $ | 205.6 | $ | 168.2 | $ | 313.0 | $ | 242.8 |
For the three months ended June 30, 2021, net cash used in investing activities was $226.0 million and primarily resulted from capital expenditures and the acquisition of assets from Frontier Home Health and Hospice. Net cash used in financing activities during the three months ended June 30, 2021 was $186.4 million and primarily resulted from net debt payments, cash dividends paid on common stock, and distributions to noncontrolling interests of consolidated affiliates.
For the three months ended June 30, 2020, net cash used in investing activities was $92.1 million and primarily resulted from capital expenditures. Net cash provided by financing activities during the three months ended June 30, 2020 was $182.8 million and primarily resulted from the issuance of additional senior notes in May 2020 offset by cash dividends paid on common stock and distributions paid to noncontrolling interests of consolidated affiliates.
For the six months ended June 30, 2021, net cash used in investing activities was $321.6 million and primarily resulted from capital expenditures and the acquisition of assets from Frontier Home Health and Hospice. Net cash used in financing activities during the six months ended June 30, 2021 was $263.9 million and primarily resulted from net debt payments, cash dividends paid on common stock and distributions to noncontrolling interests of consolidated affiliates.
For the six months ended June 30, 2020, net cash used in investing activities was $175.1 million and primarily resulted from capital expenditures. Net cash provided by financing activities during the six months ended June 30, 2020 was $253.9 million and primarily resulted from the issuance of additional senior notes in May 2020 offset by the settlement of the final put and exercise of the Home Health Holdings rollover shares and SARs, cash dividends paid on common stock, and distributions paid to noncontrolling interests of consolidated affiliates.
Encompass Health Corporation and Subsidiaries
Forward-Looking Statements
Statements contained in this press release and the supplemental information which are not historical facts, such as those relating to the strategic alternatives review, the nature of the COVID-19 pandemic and its impact on Encompass Health's business and financial assumptions, financial guidance, balance sheet and cash flow plans, are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. In addition, Encompass Health, through its senior management, may from time to time make forward-looking public statements concerning the matters described herein. All such estimates, projections, and forward-looking information speak only as of the date hereof, and Encompass Health undertakes no duty to publicly update or revise such forward-looking information, whether as a result of new information, future events, or otherwise. Such forward-looking statements are necessarily estimates based upon current information, involve a number of risks and uncertainties, and relate to, among other things, future events, Encompass Health's plan to repurchase its debt or equity securities, dividend strategies, effective income tax rates, its business strategy, its financial plans, its future financial performance, its projected business results or model, its ability to return value to shareholders, its projected capital expenditures, its leverage ratio, its acquisition opportunities, and the impact of future legislation or regulation. Actual events or results may differ materially from those anticipated in these forward-looking statements as a result of a variety of factors. While it is impossible to identify all such factors, factors which could cause actual events or results to differ materially from those estimated by Encompass Health include, but are not limited to, the possibility that the Company may not be able to realize higher values for its home health and hospice business through strategic transactions; the possibility that the Company may decide not to undertake a transaction following the review of strategic alternatives or that it is not able to consummate any proposed transactions resulting from the review due to, among other things, market, regulatory and other factors; the potential for disruption to the Company's business resulting from the review of strategic alternatives or the undertaking of any transactions following the review; any potential adverse effects of the Company's stock price resulting from the announcement of the results of the strategic review; the continued spread of COVID-19, including the speed, depth, geographic reach and duration of the spread, which could decrease our patient volumes and revenues and lead to staffing and supply shortages and associated cost increases; actions to be taken by the Company in response to the pandemic; the legal, regulatory and administrative developments that occur at the federal, state and local levels; the Company's infectious disease prevention and control efforts; the demand for the Company's services, including based on any downturns in the economy, consumer confidence, or the capital markets and unemployment among family members; the price of Encompass Health's common stock as it affects the Company's willingness and ability to repurchase shares and the financial and accounting effects of any repurchases; any adverse outcome of various lawsuits, claims, and legal or regulatory proceedings involving Encompass Health, including any matters related to yet undiscovered issues, if any, in acquired operations; Encompass Health's ability to attract and retain key management personnel; any adverse effects on Encompass Health's stock price resulting from the integration of acquired operations; potential disruptions, breaches, or other incidents affecting the proper operation, availability, or security of Encompass Health's or its vendors' information systems, including unauthorized access to or theft of patient, business associate, or other sensitive information or inability to provide patient care because of system unavailability as well as unforeseen issues, if any, related to integration of acquired systems; the ability to successfully integrate acquired operations, including realization of anticipated tax benefits, revenues, and cost savings, minimizing the negative impact on margins arising from the changes in staffing and other operating practices, and avoidance of unforeseen exposure to liabilities; Encompass Health's ability to successfully complete and integrate de novo developments, acquisitions, investments, and joint ventures consistent with its growth strategy; increases in Medicare audit activity, including increased use of sampling and extrapolation, resulting in additional unpaid reimbursement claims and an increase in the backlog of appealed claims denials; changes, delays in (including in connection with resolution of Medicare payment reviews or appeals), or suspension of reimbursement for Encompass Health's services by governmental or private payors; changes in the regulation of the healthcare industry at either or both of the federal and state levels, including as part of national healthcare reform and deficit reduction (such as the Patient-Driven Groupings Model for home health) and Encompass Health's ability to adapt operations to those changes; competitive pressures in the healthcare industry and Encompass Health's response thereto; Encompass Health's ability to obtain and retain favorable arrangements with third-party payors; Encompass Health's ability to control costs,
Encompass Health Corporation and Subsidiaries
Forward-Looking Statements
particularly labor and employee benefit costs, including group medical expenses; adverse effects resulting from coverage determinations made by Medicare Administrative Contractors regarding its Medicare reimbursement claims and lengthening delays in Encompass Health's ability to recover improperly denied claims through the administrative appeals process on a timely basis; Encompass Health's ability to adapt to changes in the healthcare delivery system, including value-based purchasing and involvement in coordinated care initiatives or programs that may arise with its referral sources; Encompass Health's ability to attract and retain nurses, therapists, and other healthcare professionals in a highly competitive environment with often severe staffing shortages, which may be worsened by the pandemic, and the impact on Encompass Health's labor expenses from potential union activity and staffing shortages; general conditions in the economy and capital markets, including any instability or uncertainty related to armed conflict or an act of terrorism, governmental impasse over approval of the United States federal budget, an increase in the debt ceiling, or an international sovereign debt crisis; the increase in the costs of defending and insuring against alleged professional liability claims, including claims associated with patient and employee exposures to COVID-19, and Encompass Health's ability to predict the estimated costs related to such claims; and other factors which may be identified from time to time in Encompass Health's SEC filings and other public announcements, including Encompass Health's Form 10‑K for the year ended December 31, 2020 and Form 10-Q for the quarters ended March 31, 2021 and June 30, 2021, when filed.
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ehcq22021earningsslides_
July 28, 2021 Supplemental information Second Quarter Earnings Call
Encompass Health 2 The information contained in this presentation includes certain estimates, projections and other forward-looking information that reflect Encompass Health’s current outlook, views and plans with respect to future events, including the ongoing strategic review and its impact on the business model, outlook and guidance, the COVID-19 pandemic and its effects, legislative and regulatory developments, strategy, capital expenditures, acquisition and other development activities, cyber security, dividend strategies, repurchases of securities, effective tax rates, financial performance, financial assumptions, business model, balance sheet and cash flow plans, market share, development of new information tools and models, and shareholder value-enhancing transactions. 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 events or results, and those differences may be material. There can be no assurance 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. Encompass Health undertakes no duty to publicly update or revise the information contained herein. You are cautioned not to place undue reliance on the estimates, projections and other forward-looking information in this presentation 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 earnings release attached as Exhibit 99.1 to the Company’s Form 8-K dated July 27, 2021 (the “Q2 Earnings Release Form 8-K”), the Form 10-K for the year ended December 31, 2020, the Form 10-Q for the quarters ended March 31, 2021 and June 30, 2021, when filed, and in other documents Encompass Health previously filed with the SEC, many of which are beyond Encompass Health’s control, that may cause actual events or results to differ materially from the views, beliefs and estimates expressed herein. Note regarding presentation of non-GAAP financial measures The following presentation includes certain “non-GAAP financial measures” as defined in Regulation G under the Securities Exchange Act of 1934, including Adjusted EBITDA, leverage ratios, adjusted earnings per share, and adjusted free cash flow. Schedules are attached that reconcile the non-GAAP financial measures included in the following presentation to the most directly comparable financial measures calculated and presented in accordance with Generally Accepted Accounting Principles in the United States. The Q2 Earnings Release Form 8-K, to which the following presentation is attached as Exhibit 99.2, provides further explanation and disclosure regarding Encompass Health’s use of non-GAAP financial measures and should be read in conjunction with this supplemental information. Forward-looking statements
Encompass Health 3 Key takeaways........................................................................................................................................................ 4 Q2 2021 summary................................................................................................................................................... 5-6 Inpatient rehabilitation segment........................................................................................................................ 7-9 Home health & hospice segment........................................................................................................................ 10-12 Consolidated Adjusted EBITDA............................................................................................................................ 13 Earnings per share................................................................................................................................................. 14-15 Adjusted free cash flow........................................................................................................................................ 16 Guidance and considerations for 2021............................................................................................................... 17-18 Adjusted free cash flow assumptions................................................................................................................. 19 Uses of free cash flow........................................................................................................................................... 20 Appendix Map of locations..................................................................................................................................................... 22 2021 to 2019 comparison...................................................................................................................................... 23 Expansion activity.................................................................................................................................................. 24 Clinical collaboration............................................................................................................................................ 25 Pre-payment claims denials - inpatient rehabilitation segment................................................................... 26 Debt maturity profile and schedule................................................................................................................... 27-28 New-store/same-store growth............................................................................................................................. 29-31 Payment sources (percent of revenues)............................................................................................................ 32 Inpatient rehabilitation operational metrics.................................................................................................... 33 Home health & hospice operational metrics.................................................................................................... 34 Share information.................................................................................................................................................. 35 Segment operating results.................................................................................................................................... 36-38 Reconciliations to GAAP........................................................................................................................................ 39-47 End notes................................................................................................................................................................. 48-49 Table of contents
Encompass Health 4 Key takeaways u Business momentum accelerated in Q2 Ÿ Strong revenue and Adjusted EBITDA growth in both segments over Q2 2020 and Q2 2019 Ÿ Inpatient rehabilitation business ü Discharge growth of 18.7% ü Pricing continues to benefit from higher acuity Ÿ Home health and hospice business ü Admissions growth of 14.7% ü Continued effective productivity management — Home health cost per visit decreased $1 per visit compared to Q1 2021. — Visits per episode decreased from 15.8 in Q1 2021 to 15.6 in Q2 2021. u Attractive business development pipelines in both segments Ÿ 4 new inpatient rehabilitation hospitals planned to open in Q3 2021 Inpatient Rehabilitation Hospitals Opened or Under Development 2021 2022 2023 8 12 9 Ÿ Acquired assets from Frontier Home Health and Hospice in June 2021 ü 9 home health and 11 hospice locations across five states (Alaska, Colorado, Montana, Washington and Wyoming) ü ~$99 million cash purchase price (inclusive of additional equity interests purchased from a joint venture entity) ü Income tax benefit with an estimated present value of ~$10 million u Increased full-year 2021 guidance to reflect Q2 performance and strong operating trends Ÿ Adjusted EBITDA range raised from $1,000 million to $1,030 million to a range of $1,050 million to $1,070 million u Strategic alternatives review for home health and hospice business continues. Ÿ The Company is pursuing a separation transaction by either public or private means and expects to announce a transaction in the second half of 2021. Ÿ Many key preparatory actions have been completed, including but not limited to, audited carve-out financial statements for the home health and hospice business, a confidential submission of a draft registration statement on Form S-1 with the SEC and certain required regulatory filings.
Encompass Health 5 Q2 2021 summary Q2 6 Months ($millions) 2021 2020 Growth 2021 2020 Growth Encompass Health Consolidated Net operating revenues $ 1,287.7 $ 1,074.1 19.9 % $ 2,518.1 $ 2,256.1 11.6 % Adjusted EBITDA $ 278.9 $ 162.2 71.9 % $ 529.7 $ 390.2 35.8 % Adjusted EPS $ 1.17 $ 0.31 277.4 % $ 2.22 $ 1.18 88.1 % Adjusted free cash flow $ 205.6 $ 168.2 22.2 % $ 313.0 $ 242.8 28.9 % Inpatient Rehabilitation Segment Net operating revenues $ 1,001.6 $ 824.5 21.5 % $ 1,961.5 $ 1,733.7 13.1 % Adjusted EBITDA $ 254.0 $ 180.3 40.9 % $ 488.9 $ 395.8 23.5 % Home Health and Hospice Segment Net operating revenues $ 286.1 $ 249.6 14.6 % $ 556.6 $ 522.4 6.5 % Adjusted EBITDA $ 61.7 $ 15.0 311.3 % $ 112.5 $ 56.0 100.9 % Reconciliations to GAAP provided on pages 39-47
Encompass Health 6 Q2 2021 summary (continued) u IRF expansion activity (see page 24) Ÿ Opened a new 50-bed inpatient rehabilitation hospital in North Tampa, FL Ÿ Opened a new 50-bed inpatient rehabilitation hospital in Cumming, GA Ÿ Announced plans to build four inpatient rehabilitation hospitals in: ü Grand Forks, ND - 40 beds (in joint venture with Altru Health System) ü Eau Claire, WI - 36 beds (in joint venture with Hospital Sisters Health System) ü Columbus, GA - 40 beds (in joint venture with Piedmont Healthcare) ü Atlanta, GA - 40 beds (in joint venture with Piedmont Healthcare) Ÿ Added 41 beds to existing hospitals (56 beds added year to date) u Balance sheet - See debt schedule and maturity profile on pages 27-28. Ÿ Funded capital expenditures and development activities of ~$220 million in Q2 2021 predominantly using cash from operations Ÿ Redeemed a total of $200 million of 5.125% Senior Notes due 2023 ($100 million in April 2021 and $100 million in June 2021)(1) ü Redemptions completed at 100% of par using cash on hand and drawings under revolving credit facility Ÿ Net leverage ratio of 3.1x at quarter end Ÿ Approximately $917 million available under $1 billion revolving credit facility and $73 million of cash on hand at quarter end u Shareholder and other distributions Ÿ Paid quarterly cash dividend of $0.28 per share in April 2021 Ÿ Declared a $0.28 per share quarterly cash dividend in May 2021 (paid in July 2021) Ÿ Declared a $0.28 per share quarterly cash dividend in July 2021 (to be paid in October 2021) Refer to pages 48-49 for end notes.
Encompass Health 7 Inpatient rehabilitation segment Revenue growth of 21.5% u Inpatient revenue growth resulted from increased volumes and favorable pricing. Ÿ New-store discharge growth of 1.8% (see pages 24 and 29) Ÿ Same-store discharge growth of 16.9% ü Same-store discharge growth in Q2 2021 compared to Q2 2019 was 1.6%. ü Recovery of elective procedures continues — treated approximately 1,400 more orthopedic and lower extremity joint replacement patients in Q2 2021 than in Q2 2020; treated 650 fewer of these patients in Q2 2021 compared to Q2 2019 Ÿ Growth in net patient revenue per discharge primarily resulted from an increase in reimbursement rates, the suspension of sequestration (began May 1, 2020), improvement in discharge destination and prior period cost report adjustments partially offset by the timing of discharges between quarters. u The increase in outpatient and other revenue included an increase of approximately $7 million in provider tax revenues (offset by $2.5 million of provider tax expenses included in other operating expenses). Adjusted EBITDA increased 40.9%. u Adjusted EBITDA growth primarily resulted from revenue growth and effective productivity management. u Adjusted EBITDA in Q2 2020 included approximately $29 million of additional paid-time-off awarded to employees. u Salaries and wages per full-time equivalent increased year over year due to employee furloughs during Q2 2020 and the ramp up of new stores. u Supply costs improved as a percent of revenue year over year as we anniversaried the impact of COVID-19. u Includes $5.6 million of pre-opening and new store ramp up costs in Q2 2021 ($3.3 million in Q2 2020)
Encompass Health 8 Inpatient rehabilitation segment - revenue Q2 Q2 Favorable/ ($millions) 2021 2020 (Unfavorable) Net operating revenues: Inpatient $ 976.9 $ 808.0 20.9% Outpatient and other 24.7 16.5 49.7% Total segment revenue $ 1,001.6 $ 824.5 21.5% (Actual Amounts) Discharges 49,492 41,682 18.7% Same-store discharge growth 16.9% Net patient revenue per discharge $ 19,739 $ 19,385 1.8% Revenue reserves related to bad debt as a percent of revenue 1.7 % 1.4 % 30 basis points
Encompass Health 9 Inpatient rehabilitation segment - Adjusted EBITDA Q2 % of Revenue Q2 % of Revenue($millions) 2021 2020 Net operating revenues $ 1,001.6 $ 824.5 Operating expenses: Salaries and benefits (515.9) 51.5 % (451.4) 54.7 % Other operating expenses(a) (147.5) 14.7 % (124.3) 15.1 % Supplies (44.1) 4.4 % (42.0) 5.1 % Occupancy costs (15.0) 1.5 % (15.4) 1.9 % Hospital operating expenses (206.6) 20.6 % (181.7) 22.0 % Other income(b) 2.3 3.4 Equity in nonconsolidated affiliates 0.8 0.6 Noncontrolling interests (28.2) (15.1) Segment Adjusted EBITDA $ 254.0 $ 180.3 Percent change 40.9 % In arriving at Adjusted EBITDA, the following were excluded: (a) Loss on disposal or impairment of assets $ 3.3 $ 1.8 (b) Change in fair market value of equity securities $ (0.7) $ (2.4) Reconciliations to GAAP provided on pages 39-47
Encompass Health 10 Home health and hospice segment Revenue increased 14.6%. u Home health volume recovery continues Ÿ Total starts of care were up 10.9%. Ÿ Volume growth achieved in spite of continued lower occupancy at skilled nursing and senior living facilities, as well as staffing challenges in certain markets. ü Episodic admissions from patients residing in senior living facilities and patients discharging from skilled nursing facilities represented a loss of ~3,200 admissions compared to Q2 2019. Ÿ Elective procedures have returned to historic levels. ü Episodic admissions from patient receiving electives in acute care hospitals up 65% compared to Q2 2020 and up 2% compared to Q2 2019. u The increase in revenue per episode resulted from an increase in reimbursement rates, as the timing of completed episodes offset the benefit of the suspension of sequestration (began May 1, 2020). u Growth in hospice admissions resulted from the acquisition of assets from Frontier Home Health and Hospice in June 2021. Adjusted EBITDA increased 311.3%. u Adjusted EBITDA in Q2 2020 included approximately $14 million of additional paid-time-off awarded to employees. u Costs of services decreased as a percent of revenue primarily due to lower cost per visit supported by the clinician compensation model changes implemented in May 2020, as well as effective management of overall productivity of full-time staff. Ÿ Home health cost per visit improved. Ÿ Visits per episode decreased. Ÿ See operating metrics on page 34.
Encompass Health 11 Home health and hospice segment - revenue Q2 Q2 Favorable/ ($millions) 2021 2020 (Unfavorable) Net operating revenues: Home health revenue $ 219.9 $ 224.8 (2.2) % Hospice revenue 50.6 48.0 5.4 % Total segment revenue $ 270.5 $ 272.8 (0.8) % Home Health Metrics (Actual Amounts) Episodic admissions 40,215 42,476 (5.3) % Same-store episodic admissions growth (5.4) % Episodes 66,435 68,652 (3.2) % Same-store episode growth (3.4) % Revenue per episode $ 2,923 $ 2,909 0.5 % Q2 Q2 Favorable/ ($millions) 2021 2020 (Unfavorable) Net operating revenues: Home health revenue $ 232.3 $ 201.8 15.1 % Hospice revenue 53.8 47.8 12.6 % Total segment revenue $ 286.1 $ 249.6 14.6 % Home Health Starts of care: Episodic admissions 39,657 34,841 13.8 % Same-store episodic admissions growth 12.9 % Episodic recertifications 28,296 28,328 (0.1) % Total episodic starts of care 67,953 63,169 7.6 % Total admissions 50,598 44,124 14.7 % Same-store total admissions growth 13.8 % Total recertifications 33,794 31,952 5.8 % Total starts of care 84,392 76,076 10.9 % Revenue per episode $ 2,968 $ 2,920 1.6 % Hospice Admissions: Same store 3,130 3,190 (1.9) % New store 168 — 5.3 % Total admissions 3,298 3,190 3.4 %
Encompass Health 12 Q2 % of Revenue Q2 % of Revenue($millions) 2021 2020 Net operating revenues $ 286.1 $ 249.6 Cost of services sold (122.6) 42.9 % (136.7) 54.8 % Support and overhead costs (103.1) 36.0 % (98.3) 39.4 % Operating expenses(a) (225.7) 78.9 % (235.0) 94.2 % Other income 1.6 — Equity in net income of nonconsolidated affiliates 0.2 0.1 Noncontrolling interests (0.5) 0.3 Segment Adjusted EBITDA $ 61.7 $ 15.0 Percent change 311.3 % In arriving at Adjusted EBITDA, the following were excluded: (a) (Gain) loss on disposal of assets $ (0.4) $ 1.2 Home health and hospice segment - Adjusted EBITDA Reconciliations to GAAP provided on pages 39-47
Encompass Health 13 Consolidated Adjusted EBITDA ($millions) Q2 2021 % of Consolidated Revenue Q2 2020 % of Consolidated Revenue Inpatient rehabilitation segment Adjusted EBITDA $ 254.0 $ 180.3 Home health and hospice segment Adjusted EBITDA 61.7 15.0 General and administrative expenses* (36.8) 2.9% (33.1) 3.1% Consolidated Adjusted EBITDA $ 278.9 $ 162.2 Percentage change 71.9 % Reconciliations to GAAP provided on pages 39-47 Consolidated Adjusted EBITDA for the quarter of $278.9 u General and administrative expenses decreased as a percent of consolidated revenue due to the increased revenue base year over year. * General and administrative expenses in the above table exclude stock compensation of $12.0 million and $9.9 million for Q2 2021 and Q2 2020, respectively, as well as $4.1 million in costs associated with the strategic alternatives review of our home health and hospice business and $1.3 million of transaction costs associated with the Frontier acquisition for Q2 2021.
Encompass Health 14 Earnings per share - as reported Q2 6 Months (In Millions, Except Per Share Data) 2021 2020 2021 2020 Adjusted EBITDA $ 278.9 $ 162.2 $ 529.7 $ 390.2 Depreciation and amortization (63.4) (60.7) (125.9) (119.5) Interest expense and amortization of debt discounts and fees (41.8) (45.8) (84.6) (89.0) Stock-based compensation expense (12.0) (9.9) (14.8) (17.0) Loss on disposal or impairment of assets (2.9) (3.0) (2.8) (3.1) 158.8 42.8 301.6 161.6 Certain items not indicative of ongoing operating performance: Loss on early extinguishment of debt(1) (1.0) — (1.0) — Costs associated with the strategic alternatives review (4.1) — (5.0) — Costs associated with the Frontier acquisition (1.3) — (1.3) — Gain on consolidation of former equity method location(2) — — — 2.2 Change in fair market value of equity securities 0.7 2.4 0.6 (0.1) Government, class action, and related settlements(3) — — — (2.8) Payroll taxes on SARs exercise(4) — — — (1.5) Pre-tax income 153.1 45.2 294.9 159.4 Income tax expense (39.5) (11.8) (74.0) (38.9) Income from continuing operations* $ 113.6 $ 33.4 $ 220.9 $ 120.5 Diluted shares (see page 35) 100.2 99.9 100.2 99.6 Diluted earnings per share* $ 1.13 $ 0.34 $ 2.20 $ 1.21 u The increase in EPS in the second quarter of 2021 and the year-to-date period primarily resulted from increased Adjusted EBITDA. * Earnings per share are determined using income from continuing operations attributable to Encompass Health. Refer to pages 48-49 for end notes.
Encompass Health 15 Adjusted earnings per share(5) * Adjusted EPS may not sum due to rounding. See complete calculations of adjusted earnings per share on pages 44-47. Refer to pages 48-49 for end notes. Adjusted earnings per share removes from the GAAP earnings per share calculation the impact of items the Company believes are non-indicative of its ongoing operating performance. Q2 6 Months 2021 2020 2021 2020 Earnings per share, as reported $ 1.13 $ 0.34 $ 2.20 $ 1.21 Adjustments, net of tax: Government, class action, and related settlements(3) — — — 0.02 Costs associated with the strategic alternatives review 0.03 — 0.04 — Costs associated with the Frontier acquisition 0.01 — 0.01 — Income tax adjustments — — (0.03) (0.05) Loss on early extinguishment of debt(1) 0.01 — 0.01 — Change in fair market value of equity securities — (0.02) — — Gain on consolidation of former equity method location(2) — — — (0.02) Payroll taxes on SARs exercise(4) — — — 0.01 Adjusted earnings per share* $ 1.17 $ 0.31 $ 2.22 $ 1.18
Encompass Health 16 $242.8 $139.5 $(53.1) $5.3 $(41.2) $19.7 $313.0 Adjusted Free Cash Flow 6 Mos. 2020 Adjusted EBITDA Working capital and other Cash interest payments Cash tax payments, net of refunds Maintenance capital expenditures Adjusted Free Cash Flow 6 Mos. 2021 2021 Adjusted free cash flow(6) Reconciliations to GAAP provided on pages 39-47 Refer to pages 48-49 for end notes. u Adjusted free cash flow was higher in the first six months of 2021 than 2020 primarily due to an increase in Adjusted EBITDA and the timing of maintenance capital expenditures in 2021. u Increased working capital primarily resulted from the timing of payroll accruals related to the award of additional PTO to employees in Q2 2020 and the deferral of payroll taxes resulting from government relief efforts. u Increased cash tax payments in 2021 due to higher year over year book income and tax relief in 2020 associated with the CARES Act ($ in millions)
Encompass Health 17 2021 Guidance - Updated as of July 27, 2021 Adjusted EBITDA(7) Adjusted earnings per share from continuing operations attributable to Encompass Health(5) Net operating revenues Previous 2021 Full-Year Guidance Updated 2021 Full-Year Guidance Net operating revenues Adjusted EBITDA(7) $1,050 million to $1,070 million Adjusted earnings per share from continuing operations attributable to Encompass Health(5) $4.32 to $4.47 $5,060 million to $5,230 million $1,000 million to $1,030 million $3.94 to $4.16 $5,100 million to $5,250 million On December 9, 2020, the Company announced it is exploring strategic alternatives for its home health and hospice segment. The review is ongoing. Accordingly, the Company’s 2021 guidance assumes the continuation of the current structure of the business for 2021. Guidance may change if a transaction occurs before the end of the year. Refer to pages 48-49 for end notes.
Encompass Health 18 2021 Guidance considerations Inpatient Rehabilitation u Estimated 2.3% increase in Medicare pricing for Q1 through Q3; 2.1% for Q4 u Revenue reserve related to bad debt of 1.6% to 1.8% of net operating revenues u Pre-opening and new store ramp up costs of $15 million to $20 million Home Health and Hospice u Estimated 1.9% increase in Medicare pricing for home health; estimated 2.4% pricing increase for hospice u Inclusive of approximately $99 million purchase of assets from Frontier Home Health and Hospice Both Segments u Salary increase of approximately 3% to 4%; benefits increase of approximately 8% to 10% (weighted towards Q2 through Q4) u Includes the suspension of sequestration through December 31, 2021 u Continued higher utilization and costs of personal protective equipment Changes from previous guidance considerations are underlined.
Encompass Health 19 Adjusted free cash flow(6) assumptions Reconciliations to GAAP provided on pages 39-47; Refer to pages 48-49 for end notes. Certain cash flow items (millions) 6 Months 2021 Actuals 2021 Assumptions 2020 Actuals Cash interest payments (net of amortization of debt discounts and fees) $80.6 $155 to $165 $177.0 Cash payments for income taxes, net of refunds $49.0 $100 to $130 $32.9 Working capital and other $33.3 $120 to $140 ($84.4) Maintenance CAPEX $53.8 $165 to $195 $154.9 Adjusted free cash flow $313.0 $420 to $530 $579.9 u Lower average interest rate expected in 2021 due to the redemption of the 5.75% Senior Notes due 2024 in Q4 2020 and the redemption of $200 million of 5.125% Senior Notes due 2023 in Q2 2021 u Higher cash payments for taxes expected in 2021 due to: Ÿ higher expected book income Ÿ tax relief in 2020 under the CARES Act Ÿ lower stock-based compensation due to the final payout of the Home Health Holdings SARs in Q1 2020(4) u Increased working capital expected in 2021 primarily due to the timing of payroll accruals related to the award of additional PTO to employees in 2020 and the deferral of payroll taxes resulting from government relief efforts u Increased maintenance CAPEX due to expanding hospital portfolio
Encompass Health 20 Uses of free cash flow ($millions) 6 Months 2021 Actuals 2021 Assumptions 2020 Actuals Growth in core business IRF bed expansions $22.3 $50 to $70 $44.8 New IRFs - De novos 126.2 325 to 350 173.0 - Acquisitions — opportunistic — - Replacement IRFs and other 20.9 40 to 50 35.5 Home health and hospice acquisitions 97.7 ~100 1.1 $267.1 $515 to $570 $254.4 Debt reduction Debt redemptions (borrowings), net $116.4 opportunistic ($226.3) Shareholder and other distributions Cash dividends on common stock 56.9 ~$112 111.9 Purchase of Home Health Holdings rollover shares and exercise of SARs(4) — N/A 262.9 Common stock repurchases — opportunistic 6.1 ~$198 million authorization remaining as of June 30, 2021(8) See the debt schedule on page 28. Refer to pages 48-49 for end notes. Quarterly cash dividend currently set at $0.28 per common share
Appendix
Encompass Health 22 Inpatient rehabilitation - 6/30/21 140 IRFs (53 are joint ventures) 35 States and Puerto Rico ~32,500 Employees 23 % of licensed beds† 31 % of Medicare patients served† Key statistics - trailing 4 quarters ~189,100 Inpatient discharges ~$3.8 Billion in revenue * Excluding markets that have home health licensure barriers ** Future IRFs - Previously announced under development as of July 27, 2021 † Based on 2017 and 2018 data Note: One of the 249 home health locations is nonconsolidated. This location is accounted for using the equity method of accounting. Portfolio as of June 30, 2021 Inpatient rehabilitation hospitals (“IRFs”) Home health locations Hospice locations 27 Future IRFs** 42 States and Puerto Rico ~43,700 employees Encompass Health a leading provider of inpatient rehabilitation and home-based care Market overlap 92 of EHC’s IRFs have an EHC home health location within the service area.* Home health and hospice - 6/30/21 249 Home health locations 94 Hospice locations 34 States ~11,200 Employees Key statistics - trailing 4 quarters ~161,500 Home health episodic admissions ~13,300 Hospice admissions ~$1.1 Billion in revenue Largest owner and operator of IRFs 4th Largest provider of Medicare-certified skilled home health services One of the 2021 FORTUNE® “World’s Most Admired Companies”
Encompass Health 23 2021 to 2019 comparison Q2 6 Months ($millions) 2021 2019 Growth 2021 2019 Growth Encompass Health Consolidated Net operating revenues $ 1,287.7 $ 1,135.0 13.5 % $ 2,518.1 $ 2,259.0 11.5 % Adjusted EBITDA $ 278.9 $ 252.2 10.6 % $ 529.7 $ 495.1 7.0 % Inpatient Rehabilitation Segment Net operating revenues $ 1,001.6 $ 873.9 14.6 % $ 1,961.5 $ 1,744.0 12.5 % Adjusted EBITDA $ 254.0 $ 233.9 8.6 % $ 488.9 $ 463.9 5.4 % Home Health and Hospice Segment Net operating revenues $ 286.1 $ 261.1 9.6 % $ 556.6 $ 515.0 8.1 % Adjusted EBITDA $ 61.7 $ 49.1 25.7 % $ 112.5 $ 95.4 17.9 % Reconciliations to GAAP provided on pages 39-47
Encompass Health 24 Inpatient Rehabilitation Facilities Opened or Under Development* Operations date Joint venture? # of New Beds 2021 2022 2023 De novo IRFs: San Angelo, TX Q1 2021 Yes 40 — — North Tampa, FL Q2 2021 50 — — Cumming, GA Q2 2021 50 — — Greenville, SC Q3 2021 40 — — Shreveport, LA Q3 2021 40 — — Waco, TX Q3 2021 40 — — Pensacola, FL Q3 2021 40 — — Stockbridge, GA Q4 2021 50 — — Libertyville, IL Q1 2022 — 60 — St. Augustine, FL Q1 2022 — 40 — Shiloh, IL Q1 2022 Yes — 40 — Lakeland, FL Q2 2022 — 50 — Cape Coral, FL Q2 2022 — 40 — Jacksonville, FL Q2 2022 — 50 — Moline, IL Q3 2022 Yes — 40 — Clermont, FL TBD — 50 — Naples, FL TBD — 50 — Owasso, OK TBD Yes — 40 — Grand Forks, ND TBD Yes — 40 — Eau Claire, WI TBD Yes — 36 — Bowie, MD TBD — — 60 Knoxville, TN TBD Yes — — 73 Kissimmee, FL TBD — — 50 Prosper, TX TBD — — 40 Fort Mill, SC TBD — — 39 Columbus, GA TBD Yes — — 40 Atlanta, GA TBD Yes — — 40 Fitchburg, WI TBD — — 40 Palm Beach Gardens, FL TBD — — 50 Bed expansions, net** ~100 ~100 ~100 ~450 ~640 ~530 Expansion activity * The table on this page does not include a 50-bed IRF in Lake Worth, FL scheduled to open in 2024. ** Net bed expansions in each year may change due to the timing of certain regulatory approvals and/or construction delays. For 2021 and 2022, the currently expected range for bed expansions is 100 to 150. Q2 2021 expansion activity highlights u Opened two inpatient rehabilitation hospitals Ÿ 50-bed IRF in North Tampa, FL Ÿ 50-bed IRF in Cumming, GA u Added 41 beds to existing hospitals u Announced plans to build four inpatient rehabilitation hospitals: Ÿ 40-bed IRF in Grand Forks, ND with Altru Health System Ÿ 36-bed IRF in Eau Claire, WI with Hospital Sisters Health System Ÿ Two 40-bed IRFs with Piedmont Healthcare in Columbus, GA and Atlanta, GA In July 2021, announced a 40-bed IRF in Fitchburg, WI, a 50-bed IRF in Palm Beach Gardens, FL and a 50-bed IRF in Lake Worth, FL u Closed the Frontier acquisition Ÿ 9 home health and 11 hospice locations Ÿ 3 new states: Alaska, Washington and Montana IRF development projects announced and underway* 2 1 3 4 5 6 7 8 9 10 11 27 12 14 13 16 17 15 18 19 20 21 24 22 23 25 Home Health and Hospice Locations # of Locations December 31, 2020 323 Acquisitions 20 Opening of new locations 1 Merging of locations (1) June 30, 2021 343 26
Encompass Health 25 * Overlap markets have an Encompass Health IRF and an Encompass Health home health location within an approximate 30-mile radius, excluding markets that have home health licensure barriers. Overlap markets are open for 12 months before inclusion in the clinical collaboration rate. The Company continues to improve the patient experience and outcomes through integrated care delivery. Inpatient rehabilitation–home health clinical collaboration (all payors) overlap markets* EHC Home Health Non-EHC Home Health Encompass Health IRF discharges to: Overlap Markets* Clinical Collaboration Rate 17.260 u Clinical collaboration objectives: Ÿ Improve patient experience and outcomes Ÿ Reduce total cost of care across a post-acute episode u Coordination between our IRFs and home health teams is resulting in lower discharges to SNFs and higher discharges home. 72 76 81 89 89 92 25.4% 29.5% 34.0% 35.6% 33.2% 32.2% 2016 2017 2018 2019 2020 YTD 2021 40,637 42,950 41,858 44,479 51,287 13,800 17,947 21,547 24,560 25,444 28,563 13,580 uAdmissions from EHC’s IRFs to EHC’s HH locations have increased sequentially over the past four quarters. uThe clinical collaboration rate has decreased primarily due to Medicare Advantage increasing as a percent of the total patient mix.
Encompass Health 26 Pre-payment claims denials - inpatient rehabilitation segment Impact to Income Statement Period New Denials Collections of Previously Denied Claims Revenue Reserve for New Denials Update of Reserve for Prior Denials (In Millions) Q2 2021 $0.1 $(6.3) $— $— Q1 2021 (0.2) (5.2) — — Q4 2020 (0.4) (7.2) — 4.5 Q3 2020 (0.6) (6.3) — — Q2 2020 (1.5) (3.5) — — Q1 2020 4.2 (5.0) 1.3 — Q4 2019 3.8 (4.6) 1.1 — Q3 2019 11.3 (6.1) 3.4 — Q2 2019 3.5 (1.7) 1.1 — Q1 2019 1.6 (2.5) 0.5 — Q4 2018 4.6 (3.2) 1.4 — Q3 2018 0.7 (1.3) 0.2 — Impact to Balance Sheet June 30, 2021 Dec. 31, 2020 Dec. 31, 2019 (In Millions) Pre-payment claims denials $ 104.0 $ 122.8 $ 155.3 Recorded reserves (37.3) (41.3) (46.6) Net accounts receivable from pre-payment claims denials $ 66.7 $ 81.5 $ 108.7 Background • For several years prior to 2018, under programs designated as “widespread probes,” certain Medicare Administrative Contractors (“MACs”) conducted pre-payment claim reviews and denied payment for certain diagnosis codes. • Encompass Health appeals most denials. – MACs identify medical documentation issues as a leading basis for denials. – Encompass Health’s investment in clinical information systems and its medical services department has further improved its documentation and reduced technical denials. • By statute, ALJ decisions are due within 90 days of a request for hearing, but appeals are taking years. HHS has implemented rule changes to address the backlog of appeals, but their effect is uncertain. • In November 2018, a federal court ordered HHS to reduce the backlog in the following increments: a 19% reduction by the end of FY 2019; a 49% reduction by the end of FY 2020; a 75% reduction by the end of FY 2021; and elimination of the backlog by the end of FY 2022. • After years of delay in processing appeals, ALJs recently increased the frequency of hearings and the number of claims set at each hearing. Notwithstanding the recent acceleration, Encompass Health still has over 6,400 claims in the backlog, including claims from up to 10 years ago. • Since 2018, CMS has replaced the “widespread probes” with the Targeted Probe and Educate (“TPE”) initiative.* • Effective March 2020, CMS suspended most Medicare fee-for-service medical reviews during the public health emergency, including TPE and current post-payment reviews, allowing reviews for potential fraud. CMS authorized its contractors to resume reviews as of August 2020. Encompass Health reserves pre-payment claim denials as a reduction of net operating revenues upon notice from a MAC a claim is under review. * For more information regarding TPE, see https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/ Medicare-FFS-Compliance-Programs/Medical-Review/Targeted-Probe-and-EducateTPE.html
Encompass Health 27 * This chart does not include ~$423 of finance lease obligations or ~$50 of other notes payable. See the debt schedule on page 28. Debt maturity profile - face value 2021 2022 2023 2024 2024 2025 2026 2027 2028 2029 2030 2031 $350 Senior Notes 5.75% $100 Senior Notes 5.125% ($ in millions) Revolver capacity $245 Term Loans No significant debt maturities prior to 2023 Callable $800 Senior Notes 4.75% $800 Senior Notes 4.5% Revolver As of June 30, 2021*) $917 Available $45 Drawn + $38 reserved for LCs Callable Callable beginning February 2025 Callable beginning February 2023 $400 Senior Notes 4.625% Callable beginning April 2026
Encompass Health 28 Debt schedule Change in June 30, December 31, Debt vs. ($millions) 2021 2020 YE 2020 Advances under $1 billion revolving credit facility, November 2024 - LIBOR +150bps $ 45.0 $ — $ 45.0 Term loan facility, November 2024 - LIBOR +150bps 245.1 251.6 (6.5) Bonds Payable: 5.125% Senior Notes due 2023(1) 99.5 298.1 (198.6) 5.75% Senior Notes due 2025 346.6 346.3 0.3 4.50% Senior Notes due 2028 785.9 785.0 0.9 4.75% Senior Notes due 2030 783.9 783.2 0.7 4.625% Senior Notes due 2031 393.4 393.2 0.2 Other notes payable 50.2 39.8 10.4 Finance lease obligations 422.9 391.7 31.2 Long-term debt $ 3,172.5 $ 3,288.9 $ (116.4) Debt to Adjusted EBITDA 3.2 x 3.8 x Leverage net of cash on balance sheet 3.1 x 3.6 x Reconciliations to GAAP provided on pages 39-47; Refer to pages 48-49 for end notes.
Encompass Health 29 * Includes consolidated inpatient rehabilitation hospitals classified as same store during each period Refer to pages 48-49 for end notes. Q3 2018 Q4 2018 Q1 2019 Q2 2019 Q3 2019 Q4 2019 Q1 2020 Q2 2020 Q3 2020 Q4 2020 Q1 2021 Q2 2021 -10.0 0.0 10.0 20.0 New-store/same-store growth Inpatient Rehabilitation Yuma, AZ (51 beds)(9) Boise, ID (40 beds) Katy, TX (40 beds) North Tampa, FL (50 beds) Cumming, GA (50 beds) Murrells Inlet, SC (29 beds) Winston-Salem, NC (68 beds) Lubbock, TX (40 beds) Discharges Q3 2018 Q4 2018 Q1 2019 Q2 2019 Q3 2019 Q4 2019 Q1 2020 Q2 2020 Q3 2020 Q4 2020 Q1 2021 Q2 2021 New store 1.0% 1.7% 1.3% 1.5% 2.4% 2.0% 2.3% 2.1% 1.3% 0.9% 1.0% 1.8% Same store* 2.0% 1.9% (0.2)% 2.2% 3.1% 3.2% 2.4% (12.8)% (2.8)% (3.8)% (2.2)% 16.9% Total by quarter 3.0% 3.6% 1.1% 3.7% 5.5% 5.2% 4.7% (10.7)% (1.5)% (2.9)% (1.2)% 18.7% Total by year 4.6% 3.9% (2.6)% Same-store year* 2.8% 1.8% (4.4)% Same-store year UDS(10) 1.1% 1.3% (3.2)% Murrieta, CA (50 beds) Sioux Falls, SD (40 beds) Coralville, IA (40 beds) Beginning in mid-March 2020, volume growth was impacted by COVID-19. Toledo, OH (40 beds) San Angelo, TX (40 beds)
Encompass Health 30 Q3 2018 Q4 2018 Q1 2019 Q2 2019 Q3 2019 Q4 2019 Q1 2020 Q2 2020 Q3 2020 Q4 2020 Q1 2021 Q2 2021 -20.0 -10.0 0.0 10.0 20.0 30.0 New-store/same-store growth Home Health Episodic admissions Q3 2018 Q4 2018 Q1 2019 Q2 2019 Q3 2019 Q4 2019 Q1 2020 Q2 2020 Q3 2020 Q4 2020 Q1 2021 Q2 2021 New store 5.4% 5.3% 5.7% 2.9% 13.0% 12.3% 11.7% 9.4% 1.3% 1.5% 0.1% 0.9% Same store* 3.8% 5.4% 6.4% 8.3% 9.7% 6.6% 0.2% (17.3)% (4.6)% (3.8)% (5.4)% 12.9% Total by quarter 9.2% 10.7% 12.1% 11.2% 22.7% 18.9% 11.9% (7.9)% (3.3)% (2.3)% (5.3)% 13.8% Total by year 10.0% 16.3% (0.5)% Same-store year* 5.6% 7.7% (6.1)% u In 2018, the Company acquired or opened 23 home health locations. u In 2019, the Company acquired or opened 27 home health locations. u In 2020, the Company acquired or opened two home health locations and consolidated one former equity method location(2). u In 2021, the Company acquired nine home health locations and merged one location. Acquired Frontier Home Health & Hospice (9 home health locations in 5 states) in June 2021 Acquired Alacare Home Health & Hospice (23 home health locations in Alabama) in July 2019 * Includes consolidated home health agencies classified as same store during each period Refer to pages 48-49 for end notes. Beginning in mid-March 2020, volume growth was impacted by COVID-19.
Encompass Health 31 Q3 2018 Q4 2018 Q1 2019 Q2 2019 Q3 2019 Q4 2019 Q1 2020 Q2 2020 Q3 2020 Q4 2020 Q1 2021 Q2 2021 -10.0 0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 * Includes consolidated hospice agencies classified as same store during each period New-store/same-store growth Hospice Admissions Q3 2018 Q4 2018 Q1 2019 Q2 2019 Q3 2019 Q4 2019 Q1 2020 Q2 2020 Q3 2020 Q4 2020 Q1 2021 Q2 2021 New store 40.3% 41.2% 35.5% 15.7% 34.6% 31.1% 30.9% 30.6% 0.5% 0.7% 0.1% 5.3% Same store* 21.1% 8.6% 13.7% 13.6% 5.8% 10.1% (5.3)% 6.7% 15.8% 16.1% 11.4% (1.9)% Total by quarter 61.4% 49.8% 49.2% 29.3% 40.4% 41.2% 25.6% 37.3% 16.3% 16.8% 11.5% 3.4% Total by year 53.5% 39.8% 23.2% Same-store year* 24.6% 12.2% 8.1% u In 2018, the Company acquired or opened 22 hospice locations. u In 2019, the Company acquired or opened 25 hospice locations. u In 2020, the Company opened one hospice location. u In 2021, the Company acquired or opened 12 hospice locations. Acquired Frontier Home Health & Hospice (11 hospice locations in 5 states) in June 2021 Acquired Alacare Home Health & Hospice (23 hospice locations in Alabama) in July 2019
Encompass Health 32 Payment sources (percent of revenues) Inpatient Rehabilitation Segment Home Health and Hospice Segment Consolidated Q2 Q2 Q2 6 Months Full Year 2021 2020 2021 2020 2021 2020 2021 2020 2020 Medicare 65.0 % 61.1 % 82.0 % 81.8 % 68.6 % 65.8 % 68.6 % 69.8 % 70.5 % Medicare Advantage 15.3 % 20.1 % 10.5 % 11.7 % 14.3 % 18.2 % 14.7 % 14.9 % 14.2 % Managed care 11.5 % 10.7 % 5.8 % 4.6 % 10.2 % 9.3 % 10.2 % 8.9 % 9.0 % Medicaid 4.2 % 4.2 % 1.5 % 1.6 % 3.6 % 3.6 % 3.5 % 3.3 % 3.4 % Other third-party payors 1.1 % 1.1 % — % — % 0.9 % 0.9 % 0.9 % 0.9 % 0.9 % Workers’ compensation 0.5 % 0.5 % — % 0.1 % 0.4 % 0.4 % 0.4 % 0.5 % 0.5 % Patients 0.4 % 0.5 % 0.1 % 0.1 % 0.4 % 0.4 % 0.4 % 0.5 % 0.4 % Other income 2.0 % 1.8 % 0.1 % 0.1 % 1.6 % 1.4 % 1.3 % 1.2 % 1.1 % Total 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 % 100.0 %
Encompass Health 33 Inpatient rehabilitation operational metrics Q2 Q1 Q4 Q3 Q2 Q1 Full Year 2021 2021 2020 2020 2020 2020 2020 (In Millions) Net patient revenue-inpatient $ 976.9 $ 942.3 $ 914.9 $ 883.2 $ 808.0 $ 890.0 $ 3,496.1 Net patient revenue-outpatient and other revenues 24.7 17.6 18.2 16.2 16.5 19.2 70.1 Net operating revenues $ 1,001.6 $ 959.9 $ 933.1 $ 899.4 $ 824.5 $ 909.2 $ 3,566.2 (Actual Amounts) Discharges(11) 49,492 47,187 46,503 45,962 41,682 47,750 181,897 Net patient revenue per discharge $ 19,739 $ 19,969 $ 19,674 $ 19,216 $ 19,385 $ 18,639 $ 19,220 Outpatient visits 44,020 40,194 48,786 51,968 15,760 69,743 186,257 Average length of stay 12.7 13.0 12.9 13.0 13.2 12.7 12.9 Occupancy % 71.1 % 71.4 % 68.7 % 68.8 % 64.5 % 71.3 % 67.7 % # of licensed beds 9,701 9,560 9,505 9,437 9,401 9,322 9,505 Occupied beds 6,897 6,826 6,530 6,493 6,064 6,647 6,435 Full-time equivalents (FTEs)(12) 22,535 22,383 22,383 22,147 20,809 22,318 21,915 Contract labor 318 221 192 176 116 161 161 Total FTE and contract labor 22,853 22,604 22,575 22,323 20,925 22,479 22,076 EPOB(13) 3.31 3.31 3.46 3.44 3.45 3.38 3.43 Refer to pages 48-49 for end notes.
Encompass Health 34 Home health and hospice operational metrics Q2 Q1 Q4 Q3 Q2 Q1 Full Year 2021 2021 2020 2020 2020 2020 2020 (In Millions) Net home health revenue $ 232.3 $ 219.9 $ 227.7 $ 223.3 $ 201.8 $ 224.8 $ 877.6 Net hospice revenue 53.8 50.6 53.6 51.2 47.8 48.0 200.6 Net operating revenues $ 286.1 $ 270.5 $ 281.3 $ 274.5 $ 249.6 $ 272.8 $ 1,078.2 Home Health: (Actual Amounts) Total admissions(14) 50,598 50,799 48,533 48,838 44,124 52,754 194,249 Episodic admissions(14) 39,657 40,215 40,830 40,765 34,841 42,476 158,912 Total recertifications 33,794 31,902 33,497 33,786 31,952 29,463 128,698 Episodic recertifications 28,296 28,083 30,064 29,830 28,328 26,553 114,775 Episodes 67,839 66,435 71,441 68,261 60,154 68,652 268,508 Average revenue per episode $ 2,968 $ 2,923 $ 2,883 $ 2,910 $ 2,920 $ 2,909 $ 2,905 Episodic visits per episode 15.6 15.8 15.7 16.4 17.4 16.3 16.4 Total visits 1,297,350 1,239,073 1,281,830 1,300,866 1,250,546 1,306,230 5,139,472 Cost per visit $ 76 $ 77 $ 76 $ 75 $ 89 $ 81 $ 80 Hospice: Admissions(15) 3,298 3,330 3,348 3,354 3,190 2,986 12,878 Patient days 351,878 334,400 349,989 346,019 336,507 334,545 1,367,060 Average daily census 3,867 3,716 3,804 3,761 3,698 3,676 3,735 Revenue per day $ 153 $ 151 $ 153 $ 148 $ 142 $ 144 $ 147 Refer to pages 48-49 for end notes.
Encompass Health 35 Share information Weighted Average for the Period Q2 6 Months Full Year (In Millions) 2021 2020 2021 2020 2020 2019 2018 Basic shares outstanding 99.0 98.7 99.0 98.5 98.6 98.0 97.9 Restricted stock awards, dilutive stock options, restricted stock units, and common stock warrants 1.2 1.2 1.2 1.1 1.2 1.4 1.9 Diluted shares outstanding 100.2 99.9 100.2 99.6 99.8 99.4 99.8 End of Period Q2 6 Months Full Year (In Millions) 2021 2020 2021 2020 2020 2019 2018 Basic shares outstanding 99.5 99.4 99.5 99.4 99.4 98.6 98.9
Encompass Health 36 Segment operating results Q2 2021 Q2 2020 (In Millions) IRF Home Health and Hospice Reclasses Consolidated IRF Home Health and Hospice Reclasses Consolidated Net operating revenues $ 1,001.6 $ 286.1 $ — $ 1,287.7 $ 824.5 $ 249.6 $ — $ 1,074.1 Operating Expenses: Inpatient Rehabilitation: Salaries and benefits (515.9) — (192.3) (708.2) (451.4) — (200.5) (651.9) Other operating expenses(a) (147.5) — (22.3) (169.8) (124.3) — (21.0) (145.3) Supplies (44.1) — (5.9) (50.0) (42.0) — (8.6) (50.6) Occupancy costs (15.0) — (5.2) (20.2) (15.4) — (4.9) (20.3) Home Health and Hospice: Cost of services (excluding depreciation and amortization) — (122.6) 122.6 — — (136.7) 136.7 — Support and overhead costs — (103.1) 103.1 — — (98.3) 98.3 — (722.5) (225.7) — (948.2) (633.1) (235.0) — (868.1) Other income(b) 2.3 1.6 — 3.9 3.4 — — 3.4 Equity in net income of nonconsolidated affiliates 0.8 0.2 — 1.0 0.6 0.1 — 0.7 Noncontrolling interests (28.2) (0.5) — (28.7) (15.1) 0.3 — (14.8) Segment Adjusted EBITDA $ 254.0 $ 61.7 $ — 315.7 $ 180.3 $ 15.0 $ — 195.3 General and administrative expenses(c)(d)(e) (36.8) (33.1) Adjusted EBITDA $ 278.9 $ 162.2 In arriving at Adjusted EBITDA, the following were excluded: (a) Loss (gain) on disposal or impairment of assets $ 3.3 $ (0.4) $ — $ 2.9 $ 1.8 $ 1.2 $ — $ 3.0 (b) Change in fair market value of equity securities $ (0.7) $ — $ — $ (0.7) $ (2.4) $ — $ — $ (2.4) (c) Stock-based compensation $ — $ — $ — $ 12.0 $ — $ — $ — $ 9.9 (d) Costs associated with the strategic alternatives review $ — $ — $ — $ 4.1 $ — $ — $ — $ — (e) Costs associated with the Frontier acquisition $ — $ — $ — $ 1.3 $ — $ — $ — $ — Reconciliations to GAAP provided on pages 39-47.
Encompass Health 37 Segment operating results Six Months Ended June 30, 2021 Six Months Ended June 30, 2020 (In Millions) IRF Home Health and Hospice Reclasses Consolidated IRF Home Health and Hospice Reclasses Consolidated Net operating revenues $ 1,961.5 $ 556.6 $ — $ 2,518.1 $ 1,733.7 $ 522.4 $ — $ 2,256.1 Operating Expenses: Inpatient Rehabilitation: Salaries and benefits (1,017.8) — (377.6) (1,395.4) (933.7) — (395.8) (1,329.5) Other operating expenses(a) (287.5) — (44.7) (332.2) (259.0) — (45.8) (304.8) Supplies (89.3) — (12.6) (101.9) (81.6) — (14.7) (96.3) Occupancy costs (30.1) — (10.3) (40.4) (30.7) — (9.8) (40.5) Home Health and Hospice: Cost of services (excluding depreciation and amortization) — (240.7) 240.7 — — (267.6) 267.6 — Support and overhead costs(b) — (204.5) 204.5 — — (198.5) 198.5 — (1,424.7) (445.2) — (1,869.9) (1,305.0) (466.1) — (1,771.1) Other income(c)(d) 3.8 1.6 — 5.4 1.8 — — 1.8 Equity in net income of nonconsolidated affiliates 1.6 0.4 — 2.0 1.2 0.3 — 1.5 Noncontrolling interests (53.3) (0.9) — (54.2) (35.9) (0.6) — (36.5) Segment Adjusted EBITDA $ 488.9 $ 112.5 $ — 601.4 $ 395.8 $ 56.0 $ — 451.8 General and administrative expenses(e)(f)(g) (71.7) (61.6) Adjusted EBITDA $ 529.7 $ 390.2 In arriving at Adjusted EBITDA, the following were excluded: (a) Loss (gain) on disposal or impairment of assets $ 3.3 $ (0.5) $ — $ 2.8 $ 1.9 $ 1.2 $ — $ 3.1 (b) Payroll taxes on SARs exercise(4) $ — $ — $ — $ — $ — $ 1.5 $ — $ 1.5 (c) Change in fair market value of equity securities $ (0.6) $ — $ — $ (0.6) $ 0.1 $ — $ — $ 0.1 (d) Gain on consolidation of former equity method location(2) $ — $ — $ — $ — $ — $ (2.2) $ — $ (2.2) (e) Stock-based compensation $ — $ — $ — $ 14.8 $ — $ — $ — $ 17.0 (f) Costs associated with the strategic alternatives review $ — $ — $ — $ 5.0 $ — $ — $ — $ — (g) Costs associated with the Frontier acquisition $ — $ — $ — $ 1.3 $ — $ — $ — $ — Reconciliations to GAAP provided on pages 39-47; Refer to pages 48-49 for end notes.
Encompass Health 38 Segment operating results Year Ended December 31, 2020 (In Millions) IRF Home Health and Hospice Reclasses Consolidated Net operating revenues $ 3,566.2 $ 1,078.2 $ — $ 4,644.4 Operating Expenses: Inpatient Rehabilitation: Salaries and benefits (1,903.8) — (776.7) (2,680.5) Other operating expenses(a) (534.7) — (88.1) (622.8) Supplies (171.0) — (29.5) (200.5) Occupancy costs (61.4) — (19.8) (81.2) Home Health and Hospice: Cost of services (excluding depreciation and amortization) — (511.3) 511.3 — Support and overhead costs(b) — (402.8) 402.8 — (2,670.9) (914.1) — (3,585.0) Other income(c)(d) 8.0 — — 8.0 Equity in net income of nonconsolidated affiliates 3.0 0.5 — 3.5 Noncontrolling interests (83.3) (1.3) — (84.6) Segment Adjusted EBITDA $ 823.0 $ 163.3 $ — 986.3 General and administrative expenses(e) (126.0) Adjusted EBITDA $ 860.3 In arriving at Adjusted EBITDA, the following were excluded: (a) Loss on disposal or impairment of assets $ 10.4 $ 1.2 $ — $ 11.6 (b) Payroll taxes on SARs exercise(4) $ — $ 1.5 $ — $ 1.5 (c) Change in fair market value of equity securities $ (0.4) $ — $ — $ (0.4) (d) Gain on consolidation of former equity method location(2) $ — $ (2.2) $ — $ (2.2) (e) Stock-based compensation $ — $ — $ — $ 29.5 Reconciliations to GAAP provided on pages 39-47; Refer to pages 48-49 for end notes.
Encompass Health 39 Reconciliation of net income to Adjusted EBITDA(7) 2021 Q1 Q2 6 Months (in millions, except per share data) Total Per Share Total Per Share Total Per Share Net Income $ 132.8 $ 142.0 $ 274.8 Loss from disc ops, net of tax, attributable to Encompass Health — 0.3 0.3 Net income attributable to noncontrolling interests (25.5) (28.7) (54.2) Income from continuing operations attributable to Encompass Health* 107.3 $ 1.07 113.6 $ 1.13 220.9 $ 2.20 Provision for income tax expense 34.5 39.5 74.0 Interest expense and amortization of debt discounts and fees 42.8 41.8 84.6 Depreciation and amortization 62.5 63.4 125.9 Loss on early extinguishment of debt(1) — 1.0 1.0 (Gain) loss on disposal or impairment of assets (0.1) 2.9 2.8 Stock-based compensation expense 2.8 12.0 14.8 Costs associated with the strategic alternatives review 0.9 4.1 5.0 Costs associated with the Frontier acquisition — 1.3 1.3 Change in fair market value of equity securities 0.1 (0.7) (0.6) Adjusted EBITDA $ 250.8 $ 278.9 $ 529.7 Weighted average common shares outstanding: Basic 99.0 99.0 99.0 Diluted 100.2 100.2 100.2 * Per share amounts for each period presented are based on diluted weighted-average shares outstanding. Refer to pages 48-49 for end notes.
Encompass Health 40 Reconciliation of net income to Adjusted EBITDA(7) 2020 Q1 Q2 Q3 Q4 Full Year (in millions, except per share data) Total Per Share Total Per Share Total Per Share Total Per Share Total Per Share Net Income $ 108.7 $ 48.3 $ 100.1 $ 111.7 $ 368.8 Loss (income) from disc ops, net of tax, attributable to Encompass Health 0.1 (0.1) — — — Net income attributable to noncontrolling interests (21.7) (14.8) (22.4) (25.7) (84.6) Income from continuing operations attributable to Encompass Health* 87.1 $ 0.87 33.4 $ 0.34 77.7 $ 0.78 86.0 $ 0.86 284.2 $ 2.85 Government, class action, and related settlements 2.8 — — — 2.8 Provision for income tax expense 27.1 11.8 26.9 38.0 103.8 Interest expense and amortization of debt discounts and fees 43.2 45.8 49.0 46.2 184.2 Depreciation and amortization 58.8 60.7 61.2 62.3 243.0 Loss on early extinguishment of debt(16) — — — 2.3 2.3 Loss on disposal or impairment of assets 0.1 3.0 7.5 1.0 11.6 Stock-based compensation expense 7.1 9.9 8.3 4.2 29.5 Gain on consolidation of former equity method location(2) (2.2) — — — (2.2) Change in fair market value of equity securities 2.5 (2.4) (0.4) (0.1) (0.4) Payroll taxes on SARs exercise(4) 1.5 — — — 1.5 Adjusted EBITDA $ 228.0 $ 162.2 $ 230.2 $ 239.9 $ 860.3 Weighted average common shares outstanding: Basic 98.2 98.7 98.7 98.7 98.6 Diluted 99.6 99.9 99.9 100.1 99.8 * Per share amounts for each period presented are based on diluted weighted-average shares outstanding. Refer to pages 48-49 for end notes.
Encompass Health 41 Net cash provided by operating activities reconciled to Adjusted EBITDA(7) Q2 6 Months Full Year (In Millions) 2021 2020 2021 2020 2020 Net cash provided by operating activities $ 255.9 $ 222.3 $ 414.4 $ 251.6 $ 704.7 Interest expense and amortization of debt discounts and fees 41.8 45.8 84.6 89.0 184.2 Equity in net income of nonconsolidated affiliates 1.0 0.7 2.0 1.5 3.5 Net income attributable to noncontrolling interests in continuing operations (28.7) (14.8) (54.2) (36.5) (84.6) Amortization of debt-related items (2.0) (1.7) (4.0) (3.1) (7.2) Distributions from nonconsolidated affiliates (0.8) (1.0) (1.8) (2.0) (3.8) Current portion of income tax expense 42.0 22.3 67.8 48.0 51.4 Change in assets and liabilities (39.3) (113.9) 11.0 40.5 7.3 Cash used in operating activities of discontinued operations 0.6 — 0.6 0.1 0.2 Costs associated with the strategic alternatives review 4.1 — 5.0 — — Costs associated with the Frontier acquisition 1.3 — 1.3 — — Payroll taxes on SARs exercise(4) — — — 1.5 1.5 Change in fair market value of equity securities (0.7) (2.4) (0.6) 0.1 (0.4) Other 3.7 4.9 3.6 (0.5) 3.5 Adjusted EBITDA $ 278.9 $ 162.2 $ 529.7 $ 390.2 $ 860.3 Refer to pages 48-49 for end notes.
Encompass Health 42 Reconciliation of segment Adjusted EBITDA to income from continuing operations before income tax expense Three Months Ended Six Months Ended Year Ended June 30, June 30, December 31, 2021 2020 2021 2020 2020 (In Millions) Total segment Adjusted EBITDA $ 315.7 $ 195.3 $ 601.4 $ 451.8 $ 986.3 General and administrative expenses (54.2) (43.0) (92.8) (78.6) (155.5) Depreciation and amortization (63.4) (60.7) (125.9) (119.5) (243.0) Loss on disposal or impairment of assets (2.9) (3.0) (2.8) (3.1) (11.6) Government, class action, and related settlements(3) — — — (2.8) (2.8) Loss on early extinguishment of debt(1)(16) (1.0) — (1.0) — (2.3) Interest expense and amortization of debt discounts and fees (41.8) (45.8) (84.6) (89.0) (184.2) Net income attributable to noncontrolling interests 28.7 14.8 54.2 36.5 84.6 Change in fair market value of equity securities 0.7 2.4 0.6 (0.1) 0.4 Gain on consolidation of former equity method location(2) — — — 2.2 2.2 Payroll taxes on SARs exercise(4) — — — (1.5) (1.5) Income from continuing operations before income tax expense $ 181.8 $ 60.0 $ 349.1 $ 195.9 $ 472.6 Refer to pages 48-49 for end notes.
Encompass Health 43 Reconciliation of net cash provided by operating activities to adjusted free cash flow(6) Q2 6 Months Full Year (In Millions) 2021 2020 2021 2020 2020 Net cash provided by operating activities $ 255.9 $ 222.3 $ 414.4 $ 251.6 $ 704.7 Impact of discontinued operations 0.6 — 0.6 0.1 0.2 Net cash provided by operating activities of continuing operations 256.5 222.3 415.0 251.7 704.9 Capital expenditures for maintenance (30.5) (35.7) (53.8) (73.5) (154.9) Distributions paid to noncontrolling interests of consolidated affiliates (24.9) (18.4) (52.7) (37.5) (72.2) Items non-indicative of ongoing operating performance: Cash paid for SARs exercise (inclusive of payroll taxes)(4) — — — 102.1 102.1 Transaction costs and related assumed liabilities 4.5 — 4.5 — — Adjusted free cash flow $ 205.6 $ 168.2 $ 313.0 $ 242.8 $ 579.9 Cash dividends on common stock $ 27.8 $ 27.7 $ 56.9 $ 56.7 $ 111.9 Refer to pages 48-49 for end notes.
Encompass Health 44 Adjusted EPS(5) - Q2 2021 For the Three Months Ended June 30, 2021 Adjustments As Reported Loss on Early Exting. of Debt Income Tax Adjustments Costs Associated with the Strategic Alternatives Review Costs Associated with the Frontier Acquisition Change in Fair Market Value of Equity Securities As Adjusted (In Millions, Except Per Share Amounts) Adjusted EBITDA $ 278.9 $ — $ — $ — $ — $ — $ 278.9 Depreciation and amortization (63.4) — — — — — (63.4) Loss on early extinguishment of debt(1) (1.0) 1.0 — — — — — Interest expense and amortization of debt discounts and fees (41.8) — — — — — (41.8) Stock-based compensation (12.0) — — — — — (12.0) Loss on disposal or impairment of assets (2.9) — — — — — (2.9) Costs associated with the strategic alternatives review (4.1) — — 4.1 — — — Costs associated with the Frontier acquisition (1.3) — — — 1.3 — — Change in fair market value of equity securities 0.7 — — — — (0.7) — Income from continuing operations before income tax expense 153.1 1.0 — 4.1 1.3 (0.7) 158.8 Provision for income tax expense (39.5) (0.3) (0.1) (1.1) (0.3) 0.2 (41.1) Income from continuing operations attributable to Encompass Health $ 113.6 $ 0.7 $ (0.1) $ 3.0 $ 1.0 $ (0.5) $ 117.7 Diluted earnings per share from continuing operations* $ 1.13 $ 0.01 $ — $ 0.03 $ 0.01 $ — $ 1.17 Diluted shares used in calculation 100.2 * Adjusted EPS may not sum across due to rounding. Refer to pages 48-49 for end notes.
Encompass Health 45 For the Three Months Ended June 30, 2020 Adjustments As Reported Income Tax Adjustments Change in Fair Market Value of Equity Securities As Adjusted (In Millions, Except Per Share Amounts) Adjusted EBITDA $ 162.2 $ — $ — $ 162.2 Depreciation and amortization (60.7) — — (60.7) Interest expense and amortization of debt discounts and fees (45.8) — — (45.8) Stock-based compensation (9.9) — — (9.9) Loss on disposal or impairment of assets (3.0) — — (3.0) Change in fair market value of equity securities 2.4 — (2.4) — Income from continuing operations before income tax expense 45.2 — (2.4) 42.8 Provision for income tax expense (11.8) (0.4) 0.6 (11.6) Income from continuing operations attributable to Encompass Health $ 33.4 $ (0.4) $ (1.8) $ 31.2 Diluted earnings per share from continuing operations* $ 0.34 $ — $ (0.02) $ 0.31 Diluted shares used in calculation 99.9 Adjusted EPS(5) - Q2 2020 * Adjusted EPS may not sum across due to rounding. Refer to pages 48-49 for end notes.
Encompass Health 46 For the Six Months Ended June 30, 2021 Adjustments As Reported Loss on Early Exting. of Debt Income Tax Adjustments Costs Associated with the Strategic Alternatives Review Costs Associated with the Frontier Acquisition Change in Fair Market Value of Equity Securities As Adjusted (In Millions, Except Per Share Amounts) Adjusted EBITDA $ 529.7 $ — $ — $ — $ — $ — $ 529.7 Depreciation and amortization (125.9) — — — — — (125.9) Loss on early extinguishment of debt(1) (1.0) 1.0 — — — — — Interest expense and amortization of debt discounts and fees (84.6) — — — — — (84.6) Stock-based compensation (14.8) — — — — — (14.8) Loss on disposal or impairment of assets (2.8) — — — — — (2.8) Costs associated with the strategic alternatives review (5.0) — — 5.0 — — — Costs associated with the Frontier acquisition (1.3) — — — 1.3 — — Change in fair market value of equity securities 0.6 — — — — (0.6) — Income from continuing operations before income tax expense 294.9 1.0 — 5.0 1.3 (0.6) 301.6 Provision for income tax expense (74.0) (0.3) (3.4) (1.3) (0.3) 0.2 (79.1) Income from continuing operations attributable to Encompass Health $ 220.9 $ 0.7 $ (3.4) $ 3.7 $ 1.0 $ (0.4) $ 222.5 Diluted earnings per share from continuing operations* $ 2.20 $ 0.01 $ (0.03) $ 0.04 $ 0.01 $ — $ 2.22 Diluted shares used in calculation 100.2 Adjusted EPS(5) - YTD 2021 * Adjusted EPS may not sum across due to rounding. Refer to pages 48-49 for end notes.
Encompass Health 47 For the Six Months Ended June 30, 2020 Adjustments As Reported Gov't, Class Action, & Related Settlements Income Tax Adjustments Change in Fair Market Value of Equity Securities Gain on Consolidation of Former Equity Method Location Payroll Taxes on SARs Exercise As Adjusted (In Millions, Except Per Share Amounts) Adjusted EBITDA $ 390.2 $ — $ — $ — $ — $ — $ 390.2 Depreciation and amortization (119.5) — — — — — (119.5) Government, class action, and related settlements(3) (2.8) 2.8 — — — — — Interest expense and amortization of debt discounts and fees (89.0) — — — — — (89.0) Stock-based compensation (17.0) — — — — — (17.0) Loss on disposal or impairments of assets (3.1) — — — — — (3.1) Change in fair market value of equity securities (0.1) — — 0.1 — — — Gain on consolidation of Treasure Coast(2) 2.2 — — — (2.2) — — Payroll taxes on SARs exercise(4) (1.5) — — — — 1.5 — Income from continuing operations before income tax expense 159.4 2.8 — 0.1 (2.2) 1.5 161.6 Provision for income tax expense (38.9) (0.7) (4.7) — 0.6 (0.4) (44.1) Income from continuing operations attributable to Encompass Health $ 120.5 $ 2.1 $ (4.7) $ 0.1 $ (1.6) $ 1.1 $ 117.5 Diluted earnings per share from continuing operations* $ 1.21 $ 0.02 $ (0.05) $ — $ (0.02) $ 0.01 $ 1.18 Diluted shares used in calculation 99.6 Adjusted EPS(5) - YTD 2020 * Adjusted EPS may not sum across due to rounding. Refer to pages 48-49 for end notes.
Encompass Health 48 End notes (1) In the second quarter of 2021, the Company redeemed a total of $200 million of 5.125% Senior Notes due 2023 ($100 million in April and $100 million in June). The redemptions were completed at 100% of par using cash on hand and drawings under the Company’s revolving credit facility. As a result of the redemptions, the Company recorded a $1.0 million loss on early extinguishment of debt in the second quarter of 2021. (2) As a result of an amendment to the joint venture agreement related to our home health location in Treasure Coast, Florida, the accounting for this agency changed from the equity method of accounting to a consolidated entity effective January 1, 2020. We accounted for this change in control as a business combination and consolidated this entity using the acquisition method. As a result of our consolidation of this agency and the remeasurement of our previously held equity interest at fair value, we recorded a $2.2 million gain as part of other income in the first quarter of 2020. (3) As previously disclosed, from 2013 to 2019, the Company cooperated with an investigation of alleged improper or fraudulent Medicare and Medicaid claims. The investigation, under the direction of DOJ, produced no evidence of fraud, falsity or wrongdoing. However, based on discussions with DOJ, and having considered the burdens and distractions associated with continuing the investigation and the likely costs of future litigation, the Company estimated a settlement value of $48 million and accrued a loss contingency in that amount in the fourth quarter of 2018. Following further discussions, the Company entered into an agreement effective as of June 21, 2019 to settle all claims related to the DOJ investigation, together with related qui tam or “whistleblower” lawsuits, for cash payments totaling $48 million. (4) In connection with the 2014 acquisition of Encompass Home Health and Hospice, the Company granted stock appreciation rights (“SARs”) based on the fair value of the common stock of Home Health Holdings to certain members of that management team. Half of the SARs vested on Jan. 1, 2019, and the other half vested on Jan. 1, 2020. The fair value of the SARs was determined using the product of Home Health Holdings’ EBITDA for the trailing 12-month period and a median market price multiple based on a basket of public home health companies and recent transactions, less the current balance of any intracompany note to the parent. In Q1 2019 and Q3 2019, holders exercised vested SARs for cash proceeds of approximately $13 million and approximately $55 million, respectively. In Q1 2020, holders exercised the remaining SARs for cash proceeds of approximately $101 million. (5) The Company is providing adjusted earnings per share from continuing operations attributable to Encompass Health (“adjusted earnings per share”), which is a non- GAAP measure. The Company believes the presentation of adjusted earnings per share provides useful additional information to investors because it provides better comparability of ongoing operating performance to prior periods given that it excludes the impact of government, class action, and related settlements, professional fees - accounting, tax, and legal, mark-to-market adjustments for stock appreciation rights, gains or losses related to hedging and equity instruments, loss on early extinguishment of debt, adjustments to its income tax provision (such as valuation allowance adjustments, settlements of income tax claims and windfall tax benefits), items related to corporate and facility restructurings, and certain other items deemed to be non-indicative of ongoing operating performance. It is reasonable to expect that one or more of these excluded items will occur in future periods, but the amounts recognized can vary significantly from period to period and may not directly relate to the Company's ongoing operating performance. Accordingly, they can complicate comparisons of the Company's results of operations across periods and comparisons of the Company's results to those of other healthcare companies. Adjusted earnings per share should not be considered as a measure of financial performance under generally accepted accounting principles in the United States as the items excluded from it are significant components in understanding and assessing financial performance. Because adjusted earnings per share is not a measurement determined in accordance with GAAP and is thus susceptible to varying calculations, it may not be comparable as presented to other similarly titled measures of other companies.* (6) Definition of adjusted free cash flow, which is a non-GAAP measure, is net cash provided by operating activities of continuing operations minus capital expenditures for maintenance, dividends paid on preferred stock, distributions to noncontrolling interests, and certain other items deemed to be non-indicative of ongoing operating performance. Common stock dividends are not included in the calculation of adjusted free cash flow. Because this measure is not determined in accordance with GAAP and is susceptible to varying calculations, it may not be comparable to other similarly titled measures presented by other companies. (7) Adjusted EBITDA is a non-GAAP financial measure. The Company’s leverage ratio (total consolidated debt to Adjusted EBITDA for the trailing four quarters) is, likewise, a non-GAAP measure. Management and some members of the investment community utilize Adjusted EBITDA as a financial measure and the leverage ratio as a liquidity measure on an ongoing basis. These measures are not recognized in accordance with GAAP and should not be viewed as an alternative to GAAP measures of performance or liquidity. In evaluating Adjusted EBITDA, the reader should be aware that in the future the Company may incur expenses similar to the adjustments set forth. (8) On Oct. 28, 2013, the Company announced its board of directors authorized the repurchase of up to $200 million of its common stock. On Feb. 14, 2014, the Company's board approved an increase in this common stock repurchase authorization from $200 million to $250 million. As of June 30, 2018, the remaining repurchase authorization was approximately $58 million. On July 24, 2018, the Company's board approved resetting the aggregate common stock repurchase authorization to $250 million. As of June 30, 2021, the remaining repurchase authorization was approximately $198 million. * Reconciliations to GAAP provided on pages 39-47.
Encompass Health 49 End notes, continued (9) As a result of negotiations with our partner to amend the joint venture agreement related to Yuma Rehabilitation Hospital, the accounting for this hospital changed from the equity method of accounting to a consolidated entity effective July 1, 2019. We accounted for this change in control as a business combination and consolidated this entity using the acquisition method. As a result of our consolidation of this hospital and the remeasurement of our previously held equity interest at fair value, we recorded a $19.2 million gain as part of other income in the third quarter of 2019. (10) Data provided by Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc., a data gathering and analysis organization for the rehabilitation industry; represents ~80% of industry, including Encompass Health inpatient rehabilitation sites (11) Represents discharges from 140 consolidated hospitals in Q2 2021; 138 consolidated hospitals in Q1 2021; 137 consolidated hospitals in Q4 2020; 136 consolidated hospitals in Q3 and Q2 2020; and 134 consolidated hospitals in Q1 2020. (12) Full-time equivalents included in the table represent Encompass Health employees who participate in or support the operations of our hospitals and include an estimate of full-time equivalents related to contract labor. (13) Employees per occupied bed, or “EPOB,” is calculated by dividing the number of full-time equivalents, including an estimate of full-time equivalents from the utilization of contract labor, by the number of occupied beds during each period. The number of occupied beds is determined by multiplying the number of licensed beds by the Company’s occupancy percentage. (14) Represents home health admissions from 248 consolidated locations in Q2 2021; 240 consolidated locations in Q1 2021 and Q4 2020; 241 consolidated locations in Q3 2020; 244 consolidated locations in Q2 and Q1 2020. (15) Represents hospice admissions from 94 locations in Q2 2021; 82 locations in Q1 2021 and Q4 2020; 83 locations in Q3, Q2 and Q1 2020. (16) In October 2020, the Company issued $400 million of 4.625% Senior Notes due 2031. The proceeds plus approximately $300 million of cash on hand were used to fully redeem $700 million of 5.75% Senior Notes due 2024 at par on November 1, 2020. As a result of this redemption, the Company recorded an approximate $2 million loss on early extinguishment of debt in the fourth quarter of 2020.