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CYH Announces First Quarter 2014 Results

Key Takeaway: COMMUNITY HEALTH SYSTEMS, INC. ANNOUNCES FIRST QUARTER 2014 RESULTS WITH NET OPERATING REVENUES OF $4.2 BILLION FRANKLIN, Tenn. (May 6, 2014) - Community Health Systems, Inc. (NYSE: CYH) (the Company ) today announced financial and operating results for the three months ended

Full Press Release Details

COMMUNITY HEALTH SYSTEMS, INC. ANNOUNCES
FIRST QUARTER 2014 RESULTS WITH NET OPERATING REVENUES OF $4.2 BILLION
FRANKLIN, Tenn. (May 6, 2014) - Community Health Systems, Inc. (NYSE: CYH) (the Company ) today announced financial and operating
results for the three months ended March 31, 2014.
As previously announced, on January 27, 2014, the Company completed its
acquisition of Health Management Associates, Inc. ( HMA ). Financial and statistical data reported in this earnings release includes HMA s operating results from January 27, 2014, the date of completion of the HMA acquisition.
Prior period consolidated results and statistical data reflect only Community Health Systems, Inc. and its subsidiaries for the period prior to the HMA acquisition. Same-store operating results and statistical data includes comparable information
for hospitals acquired as a result of the HMA acquisition for the months of February and March 2014 and 2013.
Net operating revenues for
the three months ended March 31, 2014, totaled $4.195 billion, a 28.1 percent increase compared with $3.274 billion for the same period in 2013. Income from continuing operations decreased to a loss of $78 million, or $(0.86) per share
(diluted), for the three months ended March 31, 2014, compared with income of $98 million, or $0.88 per share (diluted), for the same period in 2013. The results for the three months ended March 31, 2014, include $0.30 per share (diluted)
of expenses related to acquisition and integration expenses from the acquisition of HMA; $0.02 per share (diluted) of legal expenses related to HMA legal proceedings underlying the contingent value rights ( CVR ) agreement; $0.42 per share
(diluted) of expenses related to the loss from early extinguishment of debt; $0.14 per share (diluted) of expenses related to the impairment of software costs taken out of service; and $0.24 per share (diluted) of expenses related to accelerating
amortization on software to be abandoned. Excluding these expenses, income from continuing operations was $0.27 per share (diluted). Net loss attributable to Community Health Systems, Inc. common stockholders was $(1.04) per share (diluted) for the
three months ended March 31, 2014, compared with net income of $0.86 per share (diluted) for the same period in 2013. Discontinued operations consisted of $0.02 per share (diluted) of losses from operations of entities held for sale and $0.17
per share (diluted) of expenses related to the impairment of long-lived assets held for sale for a total after-tax loss of approximately $20 million, or $(0.19) per share (diluted). Weighted-average shares outstanding (diluted) were 107 million
for the three months ended March 31, 2014, and 92 million for the three months ended March 31, 2013.
for the three months ended March 31, 2014, was $485 million compared with $495 million for the same period in 2013, representing a 2 percent decrease. Excluding the acquisition, integration and legal expenses related to the HMA acquisition,
Adjusted EBITDA was $541 million for the three months ended March 31, 2014. Adjusted EBITDA is EBITDA adjusted to exclude discontinued operations, loss from early extinguishment of debt, impairment of long-lived assets and net income
attributable to noncontrolling interests. The Company uses Adjusted EBITDA as a measure of liquidity. A reconciliation of Adjusted EBITDA to net cash provided by operating activities is included in the attached footnotes.
The consolidated operating results for the three months ended March 31, 2014, reflect a 24.7 percent increase in total admissions and a
28.4 percent increase in total adjusted admissions compared with the same period in 2013. On a same-store basis, admissions decreased 8.1 percent while adjusted admissions decreased 5.3 percent compared with the same period in 2013. On a same-store
basis, net operating revenues decreased 4.0 percent compared with the same period in 2013.
CYH Announces First Quarter 2014 Results
Commenting on the results, Wayne T. Smith, chairman and chief executive officer of Community Health Systems, Inc. said, We are pleased
with our accomplishments for the first quarter of 2014 during what has been a challenging, yet significant period for Community Health Systems. This is the first quarter that we have reported our combined operations with HMA, and we have been fully
engaged in the integration of these additional hospitals. Overall, our results for the quarter were affected by the severe winter weather in several key markets and lower flu volumes compared with the previous year. However, we have started to see
some positive trends in our operations related to the implementation of The Affordable Care Act. We continue to focus on our volume trends and expense management in this evolving healthcare environment.
Smith added, With the completion of the HMA acquisition, we are excited about the long-term benefits for Community Health Systems and
our shareholders. We have a significant opportunity to leverage our assets and apply our disciplined approach to providing quality healthcare in more local communities across the United States. We have already identified areas for operating
improvements and believe we are making measurable progress toward achieving the synergies we have previously estimated. We remain focused on the key strategic areas for success in our business a proven centralized operating model, effective
cost management, quality initiatives, integrated networks in certain markets and a successful physician recruitment program as we continue to move Community Health Systems forward in 2014.
On January 27, 2014, the Company completed its acquisition of HMA (formerly NYSE: HMA). Under the terms of the transaction, the Company
acquired each issued and outstanding share of common stock of HMA for $10.50 in cash, 0.06942 of a share of the Company s common stock, and a CVR, which could yield additional cash consideration of up to $1.00 per CVR, depending on the outcome
of certain litigation matters. Pursuant to an agreement with the Federal Trade Commission related to the acquisition, the Company is required to divest two acute care facilities and related outpatient businesses that were acquired upon the
acquisition of HMA: Riverview Regional Medical Center, a 281-bed hospital in Gadsden, Alabama, and Carolina Pines Regional Medical Center, a 116-bed hospital in Hartsville, South Carolina.
Included on pages 12, 13, 14, and 15 of this press release are tables setting forth the Company s 2014 annual earnings guidance. The 2014
guidance is based on the Company s historical operating performance, current trends and other assumptions that the Company believes are reasonable at this time.
Located in the Nashville, Tennessee suburb of Franklin, Community Health Systems, Inc. is one of the largest publicly-traded hospital
companies in the United States and a leading operator of general acute-care hospitals in non-urban and mid-size markets throughout the country. Through its subsidiaries, the Company currently owns, leases or operates 208 hospitals in 29 states with
an aggregate of approximately 31,300 licensed beds. Its hospitals offer a broad range of inpatient and surgical services, outpatient treatment and skilled nursing care.
Community Health Systems, Inc. will hold a conference call on Wednesday, May 7, 2014, at 10:00 a.m. Central, 11:00 a.m. Eastern, to
review financial and operating results for the first quarter ended March 31, 2014. Investors will have the opportunity to listen to a live internet broadcast of the conference call by clicking on the Investor Relations link of the
Company s website at www.chs.net. To listen to the live call, please go to the website at least fifteen minutes early to register, download and install any necessary audio software. For those who cannot listen to the live broadcast,
a replay will be available shortly after the call and will continue to be available through June 7, 2014. Copies of the Company s current report on Form 8-K (including this press release) and conference call slide show will be
available on the Company s website at www.chs.net
CYH Announces First Quarter 2014 Results
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
Financial Highlights (a)(b)(c)(e)
(In millions, except per share amounts)
Three Months Ended March 31,
2014 2013
Net operating revenues $ 4,195 $ 3,274
Adjusted EBITDA (f) 485 495
(Loss) income from continuing operations (g), (h), (k) (78 ) 98
Net (loss) income attributable to Community Health Systems, Inc. stockholders (112 ) 79
Basic (loss) earnings per share attributable to Community Health Systems, Inc. common stockholders:
Continuing operations (g), (h), (k) $ (0.86 ) $ 0.89
Discontinued operations (0.19 ) (0.02 )
Net (loss) income $ (1.05 ) $ 0.87
Diluted (loss) earnings per share attributable to Community Health Systems, Inc. common stockholders (m):
Continuing operations (g), (h), (k), (l) $ (0.86 ) $ 0.88
Discontinued operations (0.19 ) (0.02 )
Net (loss) income $ (1.04 ) $ 0.86
Weighted-average number of shares outstanding (i):
Basic 107 91
Diluted 107 92
Net cash provided by operating activities $ 65 $ 57
footnotes, see pages 9, 10 and 11.
CYH Announces First Quarter 2014 Results
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
Condensed Consolidated Statements of (Loss) Income (a)(b)(c)(e)
(In millions, except per share amounts)
Three Months Ended March 31,
2014 2013
Amount % of Net Operating Revenues Amount % of Net Operating Revenues
Operating revenues (net of contractual allowances and discounts) $ 4,900 $ 3,752
Provision for bad debts 705 478
Net operating revenues 4,195 100.0 % 3,274 100.0 %
Operating costs and expenses:
Salaries and benefits 2,004 47.8 % 1,555 47.5 %
Supplies 635 15.1 % 494 15.1 %
Other operating expenses 1,023 24.4 % 696 21.3 %
Electronic health records incentive reimbursement (g) (40 ) (1.0 )% (19 ) (0.6 )%
Rent 99 2.4 % 70 2.1 %
Depreciation and amortization 257 6.1 % 190 5.8 %
Amortization of software to be abandoned (k) 42 1.0 %
Total operating costs and expenses 4,020 95.8 % 2,986 91.2 %
Income from operations (g), (h), (k) 175 4.2 % 288 8.8 %
Interest expense, net 224 5.4 % 156 4.8 %
Loss from early extinguishment of debt 73 1.7 % 1 0.0 %
Equity in earnings of unconsolidated affiliates (11 ) (0.3 )% (16 ) (0.5 )%
Impairment of long-lived assets (k) 24 0.6 %
(Loss) income from continuing operations before income taxes (135 ) (3.2 )% 147 4.5 %
(Benefit) provision for income taxes (57 ) (1.4 )% 49 1.5 %
(Loss) income from continuing operations (g), (h), (k) (78 ) (1.8 )% 98 3.0 %
Discontinued operations, net of taxes:
Loss from operations of entities held for sale (2 ) (0.0 )% (2 ) (0.1 )%
Impairment of hospitals held for sale (18 ) (0.5 )%
Loss from discontinued operations, net of taxes (20 ) (0.5 )% (2 ) (0.1 )%
Net (loss) income (98 ) (2.3 )% 96 2.9 %
Less: Net income attributable to noncontrolling interests 14 0.4 % 17 0.5 %
Net (loss) income attributable to Community Health Systems, Inc. stockholders $ (112 ) (2.7 )% $ 79 2.4 %
Basic (loss) earnings per share attributable to Community Health Systems, Inc. common stockholders:
Continuing operations (g), (h), (k) $ (0.86 ) $ 0.89
Discontinued operations (0.19 ) (0.02 )
Net (loss) income $ (1.05 ) $ 0.87
Diluted (loss) earnings per share attributable to Community Health Systems, Inc. common stockholders (m):
Continuing operations (g), (h), (k), (l) $ (0.86 ) $ 0.88
Discontinued operations (0.19 ) (0.02 )
Net (loss) income $ (1.04 ) $ 0.86
Weighted-average number of shares outstanding (i):
Basic 107 91
Diluted 107 92
footnotes, see pages 9, 10 and 11.
CYH Announces First Quarter 2014 Results
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Comprehensive (Loss) Income (c)(e)
Three Months Ended March 31,
2014 2013
Net (loss) income $ (98 ) $ 96
Other comprehensive income, net of income taxes:
Net change in fair value of interest rate swaps, net of tax 9 16
Net change in fair value of available-for-sale securities, net of tax 2
Amortization and recognition of unrecognized pension cost components,net of tax 1
Other comprehensive income 9 19
Comprehensive (loss) income (89 ) 115
Less: Comprehensive income attributable to noncontrolling interests 14 17
Comprehensive (loss) income attributable to Community Health Systems, Inc. stockholders $ (103 ) $ 98
footnotes, see pages 9, 10 and 11.
CYH Announces First Quarter 2014 Results
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
Selected Operating Data (a)(d)(j)
(Dollars in millions)
For the Three Months Ended March 31,
Consolidated Same-Store (1)
2014 2013 % Change 2014 2013 % Change
Number of hospitals (at end of period) 197 130 196 195
Licensed beds (at end of period) 29,672 19,840 29,192 29,470
Beds in service (at end of period) 25,899 16,746 25,419 26,376
Admissions 213,720 171,392 24.7 % 206,228 224,289 -8.1 %
Adjusted admissions 437,664 340,842 28.4 % 424,125 448,094 -5.3 %
Patient days 973,486 778,002 940,281 1,015,252
Average length of stay (days) 4.6 4.5 4.6 4.5
Occupancy rate (average beds in service) 47.9 % 51.6 % 46.9 % 48.7 %
Net operating revenues $ 4,195 $ 3,274 28.1 % $ 4,054 $ 4,222 -4.0 %
Net inpatient revenues as a % of operating revenues before provision for bad debts 44.9 % 45.5 % 44.8 % 46.5 %
Net outpatient revenues as a % of operating revenues before provision for bad debts 55.1 % 54.5 % 55.2 % 53.5 %
Income from operations (g), (h), (k) $ 175 $ 288 -39.2 %
Income from operations as a % of net operating revenues 4.2 % 8.8 %
Depreciation and amortization $ 299 $ 190
Equity in earnings of unconsolidated affiliates $ (11 ) $ (16 )
Liquidity Data:
Adjusted EBITDA (f) $ 485 $ 495 -2.0 %
Adjusted EBITDA as a % of net operating revenues 11.6 % 15.1 %
Net cash provided by operating activities $ 65 $ 57
Net cash provided by operating activities a % of net operating revenues 1.5 % 1.7 %
For footnotes, see pages 9, 10 and 11.
CYH Announces First Quarter 2014 Results
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
Condensed Consolidated Balance Sheets (b)
(In millions, except share data)
March 31, 2014 December 31, 2013
ASSETS
Current assets
Cash and cash equivalents $ 613 $ 373
Patient accounts receivable, net of allowance for doubtful accounts of $3,437 and $2,439 at March 31, 2014 and December 31, 2013, respectively 3,129 2,328
Supplies 529 373
Prepaid income taxes 220 107
Deferred income taxes 294 101
Prepaid expenses and taxes 204 127
Other current assets (including assets of hospitals held for sale of $72 and $32 at March 31, 2014 and December 31, 2013, respectively) 638 339
Total current assets 5,627 3,748
Property and equipment 14,174 10,493
Less accumulated depreciation and amortization (3,602 ) (3,425 )
Property and equipment, net 10,572 7,068
Goodwill 8,373 4,430
Other assets, net (including assets of hospitals held for sale of $148 and $69 at March 31, 2014 and December 31, 2013, respectively) 2,390 1,871
Total assets $ 26,962 $ 17,117
LIABILITIES AND EQUITY
Current liabilities
Current maturities of long-term debt $ 199 $ 167
Accounts payable 1,016 951
Deferred income taxes 3
Accrued interest 165 112
Accrued liabilities (including liabilities of hospitals held for sale of $31 and $19 at March 31, 2014 and December 31, 2013, respectively) 1,746 1,225
Total current liabilities 3,126 2,458
Long-term debt 16,799 9,286
Deferred income taxes 1,134 906
Other long-term liabilities 1,425 977
Total liabilities 22,484 13,627
Redeemable noncontrolling interests in equity of consolidated subsidiaries 692 358
EQUITY
Community Health Systems, Inc. stockholders equity
Preferred stock, $.01 par value per share, 100,000,000 shares authorized; none issued
Common stock, $.01 par value per share, 300,000,000 shares authorized; 116,236,453 shares issued and 115,260,904 shares outstanding at March 31, 2014, and 95,987,032 shares issued and 95,011,483 shares outstanding at December 31, 2013 1 1
Additional paid-in capital 1,995 1,256
Treasury stock, at cost, 975,549 shares at March 31, 2014 and December 31, 2013 (7 ) (7 )
Accumulated other comprehensive loss (58 ) (67 )
Retained earnings 1,774 1,885
Total Community Health Systems, Inc. stockholders equity 3,705 3,068
Noncontrolling interests in equity of consolidated subsidiaries 81 64
Total equity 3,786 3,132
Total liabilities and equity $ 26,962 $ 17,117
footnotes, see pages 9, 10 and 11.
CYH Announces First Quarter 2014 Results
COMMUNITY HEALTH SYSTEMS, INC. AND SUBSIDIARIES
Condensed Consolidated Statements of Cash Flows (b)
Three Months Ended March 31,
2014 2013
Cash flows from operating activities
Net (loss) income $ (98 ) $ 96
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Depreciation and amortization 302 192
Stock-based compensation expense 11 10
Impairment of long-lived assets and hospitals held for sale 42
Loss from early extinguishment of debt 73 1
Excess tax benefit relating to stock-based compensation (3 ) (5 )
Other non-cash expenses, net 6 6
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures:
Patient accounts receivable (171 ) (148 )
Supplies, prepaid expenses and other current assets 14 (2 )
Accounts payable, accrued liabilities and income taxes (83 ) (98 )
Other (28 ) 5
Net cash provided by operating activities 65 57
Cash flows from investing activities
Acquisitions of facilities and other related equipment (2,774 ) (5 )
Purchases of property and equipment (181 ) (113 )
Proceeds from sale of property and equipment 1
Purchases of available-for-sale securities (78 )
Proceeds from sales of available-for-sale securities 76
Increase in other investments (99 ) (69 )
Net cash used in investing activities (3,056 ) (186 )
Cash flows from financing activities
Proceeds from exercise of stock options 6 72
Repurchase of restricted stock shares for payroll tax withholding requirements (11 ) (14 )
Stock buy-back (19 )
Deferred financing costs and other debt-related costs (269 ) (1 )
Excess tax benefit relating to stock-based compensation 3 5
Redemption of noncontrolling investments in joint ventures (5 )
Distributions to noncontrolling investors in joint ventures (19 ) (15 )
Borrowings under credit agreements 7,079 101
Issuance of long-term debt 4,000
Proceeds from receivables facility 133 300
Repayments of long-term indebtedness (7,686 ) (403 )
Net cash provided by financing activities 3,231 26
Net change in cash and cash equivalents 240 (103 )
Cash and cash equivalents at beginning of period 373 388
Cash and cash equivalents at end of period $ 613 $ 285
footnotes, see pages 9, 10 and 11.
CYH Announces First Quarter 2014 Results
Footnotes to Financial Highlights, Financial Statements and Selected Operating Data
Three Months Ended March 31,
2014 2013
Income from continuing operations attributable to Community Health Systems, Inc. common stockholders:
(Loss) income from continuing operations, net of taxes $ (78 ) $ 98
Less: Income from continuing operations attributable to noncontrolling interests 14 17
(Loss) income from continuing operations attributable to Community Health Systems, Inc. common stockholders basic and diluted $ (92 ) $ 81
Loss from discontinued operations attributable to Community Health Systems, Inc. common stockholders:
Loss from discontinued operations, net of taxes $ (20 ) $ (2 )
Less: Loss from discontinued operations attributable to noncontrolling interests
Loss from discontinued operations attributable to Community Health Systems, Inc. common stockholders basic and diluted $ (20 ) $ (2 )
Adjusted EBITDA is not a measurement of financial performance or liquidity under U.S. GAAP. It should not be considered in isolation or as a
substitute for net income, operating income, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with U.S. GAAP. The items excluded from Adjusted EBITDA are significant components in
understanding and evaluating financial performance and liquidity. This calculation of Adjusted EBITDA may not be comparable to similarly titled measures reported by other companies.
CYH Announces First Quarter 2014 Results
Footnotes to Financial Highlights, Financial Statements and Selected Operating Data (Continued)
The following table reconciles Adjusted EBITDA, as defined, to net cash
provided by operating activities as derived directly from the condensed consolidated financial statements (in millions):
Three Months Ended
March 31,
2014 2013
Adjusted EBITDA $ 485 $ 495
Interest expense, net (224 ) (156 )
(Benefit) provision for income taxes 57 (49 )
Loss from operations of entities held for sale, net of taxes (2 ) (2 )
Other non-cash expenses, net 17 11
Changes in operating assets and liabilities, net of effects of acquisitions and divestitures (268 ) (242 )
Net cash provided by operating activities $ 65 $ 57
Three Months Ended March 31,
2014 2013
Weighted-average number of shares outstanding - basic 107 91
Add effect of dilutive securities:
Stock awards and options 0 1
Weighted-average number of shares outstanding - diluted 107 92
CYH Announces First Quarter 2014 Results
Footnotes to Financial Highlights, Financial Statements and Selected Operating Data (Continued)
Three Months Ended March 31,
2014 2013
(per share - diluted)
Income from continuing operations, as reported $ (0.86 ) $ 0.88
Adjustments:
Loss from early extinguishment of debt 0.42 0.01
Amortization of software to be abandoned 0.24
Impairment of long-lived assets 0.14
Expenses related to the acquisition and integration of HMA 0.30
Legal expenses related to cases covered by the CVR 0.02
Income from continuing operations, excluding adjustments $ 0.27 $ 0.89
Three Months Ended March 31,
2014 2013
(per share - diluted)
Net income, as reported $ (1.04 ) $ 0.86
Adjustments:
Loss from early extinguishment of debt 0.42 0.01
Amortization of software to be abandoned 0.24
Impairment of long-lived assets 0.14
Expenses related to the acquisition and integration of HMA 0.30
Legal expenses related to cases covered by the CVR 0.02
Net income, excluding adjustments $ 0.08 $ 0.87
CYH Announces First Quarter 2014 Results
Regulation FD Disclosure
The following tables set forth selected information concerning the Company s projected consolidated operating results for the year ending
December 31, 2014. These projections update selected preliminary guidance provided on February 18, 2014, and are based on the Company s historical operating performance, current trends and other assumptions that the Company believes
Last updated: May 6, 2014