HEALTHSOUTH CORP, 10-Q filed on 4/28/2017
Quarterly Report
Document and Entity Information
3 Months Ended
Mar. 31, 2017
Apr. 21, 2017
Document and Entity Information [Abstract]
 
 
Entity Registrant Name
HEALTHSOUTH CORP 
 
Entity Central Index Key
0000785161 
 
Current Fiscal Year End Date
--12-31 
 
Entity Filer Category
Large Accelerated Filer 
 
Document Type
10-Q 
 
Document Period End Date
Mar. 31, 2017 
 
Document Fiscal Year Focus
2017 
 
Document Fiscal Period Focus
Q1 
 
Amendment Flag
false 
 
Entity Common Stock, Shares Outstanding
 
89,569,698 
Entity Well-known Seasoned Issuer
Yes 
 
Entity Voluntary Filers
No 
 
Entity Current Reporting Status
Yes 
 
Condensed Consolidated Statements of Operations (Unaudited) (USD $)
In Millions, except Per Share data, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Income Statement [Abstract]
 
 
Net operating revenues
$ 974.8 
$ 909.8 
Less: Provision for doubtful accounts
(16.4)
(16.5)
Net operating revenues less provision for doubtful accounts
958.4 
893.3 
Operating expenses:
 
 
Salaries and benefits
530.1 
486.1 
Other operating expenses
129.1 
119.2 
Occupancy costs
17.9 
18.0 
Supplies
37.0 
35.0 
General and administrative expenses
36.5 
31.9 
Depreciation and amortization
45.2 
42.4 
Professional fees—accounting, tax, and legal
0.2 
Total operating expenses
795.8 
732.8 
Loss on early extinguishment of debt
2.4 
Interest expense and amortization of debt discounts and fees
41.3 
44.6 
Other income
(1.0)
(0.6)
Equity in net income of nonconsolidated affiliates
(2.1)
(2.4)
Income from continuing operations before income tax expense
124.4 
116.5 
Provision for income tax expense
39.7 
39.7 
Income from continuing operations
84.7 
76.8 
Loss from discontinued operations, net of tax
(0.3)
(0.1)
Net income
84.4 
76.7 
Less: Net income attributable to noncontrolling interests
(17.6)
(18.7)
Net income attributable to HealthSouth
66.8 
58.0 
Weighted average common shares outstanding:
 
 
Basic (shares)
88.8 
89.5 
Diluted (shares)
99.0 
99.4 
Basic earnings per share attributable to HealthSouth common shareholders:
 
 
Continuing operations (in dollars per share)
$ 0.75 
$ 0.65 
Discontinued operations (in dollars per share)
$ 0.00 
$ 0.00 
Net Income (in dollars per share)
$ 0.75 
$ 0.65 
Diluted earnings per share attributable to HealthSouth common shareholders:
 
 
Continuing operations (in dollars per share)
$ 0.70 
$ 0.61 
Discontinued operations (in dollars per share)
$ 0.00 
$ 0.00 
Net income (in dollars per share)
$ 0.70 
$ 0.61 
Cash dividends per common share (in dollars per share)
$ 0.24 
$ 0.23 
Amounts attributable to HealthSouth common shareholders:
 
 
Income from continuing operations
67.1 
58.1 
Loss from discontinued operations, net of tax
(0.3)
(0.1)
Net income attributable to HealthSouth
$ 66.8 
$ 58.0 
Condensed Consolidated Statements of Comprehensive Income (Unaudited) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
COMPREHENSIVE INCOME
 
 
Net income
$ 84.4 
$ 76.7 
Net change in unrealized gain on available-for-sale securities:
 
 
Unrealized net holding gain arising during the period
0.4 
0.2 
Other comprehensive income before income taxes
0.4 
0.2 
Provision for income tax expense related to other comprehensive income items
(0.1)
(0.1)
Other comprehensive income, net of tax
0.3 
0.1 
Comprehensive income
84.7 
76.8 
Comprehensive income attributable to noncontrolling interests
(17.6)
(18.7)
Comprehensive income attributable to HealthSouth
$ 67.1 
$ 58.1 
Condensed Consolidated Balance Sheets (Unaudited) (USD $)
In Millions, unless otherwise specified
Mar. 31, 2017
Dec. 31, 2016
Mar. 31, 2016
Dec. 31, 2015
Current assets:
 
 
 
 
Cash and cash equivalents
$ 61.2 
$ 40.5 
$ 73.2 
$ 61.6 
Accounts receivable, net of allowance for doubtful accounts of $55.6 in 2017; $53.9 in 2016
438.0 
443.8 
 
 
Other current assets
183.1 
170.2 
 
 
Total current assets
682.3 
654.5 
 
 
Property and equipment, net
1,406.1 
1,391.8 
 
 
Goodwill
1,931.4 
1,927.2 
 
 
Intangible assets, net
404.4 
411.3 
 
 
Deferred income tax assets
35.3 
75.8 
 
 
Other long-term assets
244.3 
221.3 
 
 
Total assets
4,703.8 1
4,681.9 
 
 
Current liabilities:
 
 
 
 
Current portion of long-term debt
37.9 
37.1 
 
 
Accounts payable
68.9 
68.3 
 
 
Accrued expenses and other current liabilities
380.5 
370.2 
 
 
Total current liabilities
487.3 
475.6 
 
 
Long-term debt, net of current portion
2,915.5 
2,979.3 
 
 
Other long-term liabilities
168.5 
160.0 
 
 
Total Liabilities
3,571.3 
3,614.9 
 
 
Commitments and contingencies
   
   
 
 
Redeemable noncontrolling interests
153.4 
138.3 
 
 
Shareholders’ equity:
 
 
 
 
HealthSouth shareholders’ equity
779.7 
735.9 
 
 
Noncontrolling interests
199.4 
192.8 
 
 
Total shareholders’ equity
979.1 
928.7 
823.9 
779.3 
Total liabilities and shareholders' equity
$ 4,703.8 1
$ 4,681.9 
 
 
Condensed Consolidated Balance Sheets (Unaudited) (Parenthetical) (USD $)
In Millions, unless otherwise specified
Mar. 31, 2017
Dec. 31, 2016
Statement of Financial Position [Abstract]
 
 
Allowance for doubtful accounts
$ 55.6 
$ 53.9 
Total assets of variable interest entities
261.5 
262.3 
Total liabilities of variable interest entities
$ 49.6 
$ 50.3 
Condensed Consolidated Statements of Shareholders' Equity (Unaudited) (USD $)
In Millions, unless otherwise specified
Total
Common Stock
Capital in Excess of Par Value
Accumulated Deficit
Accumulated Other Comprehensive Loss
Treasury Stock
Noncontrolling Interests
Balance at beginning of period at Dec. 31, 2015
$ 779.3 
$ 1.1 
$ 2,834.9 
$ (1,696.0)
$ (1.2)
$ (527.4)
$ 167.9 
Balance at beginning of period (shares) at Dec. 31, 2015
 
90.1 
 
 
 
 
 
Increase (Decrease) in Stockholders' Equity [Roll Forward]
 
 
 
 
 
 
 
Net income
72.8 
 
 
58.0 
 
 
14.8 
Receipt of treasury stock
(9.9)
 
 
 
 
(9.9)
 
Receipt of treasury stock (shares)
 
(0.4)
 
 
 
 
 
Dividends declared on common stock
(20.8)
 
(20.8)
 
 
 
 
Stock-based compensation
5.9 
 
5.9 
 
 
 
 
Stock options exercised
0.4 
 
5.0 
 
 
(4.6)
 
Stock options exercised (shares)
 
0.2 
 
 
 
 
 
Distributions declared
(17.1)
 
 
 
 
 
(17.1)
Capital contributions from consolidated affiliates
7.4 
 
 
 
 
 
7.4 
Fair value adjustments to redeemable noncontrolling interests, net of tax
16.3 
 
16.3 
 
 
 
 
Repurchases of common stock in open market
(12.9)
 
 
 
 
(12.9)
 
Repurchases of common stock in open market (shares)
 
(0.4)
 
 
 
 
 
Other
2.5 
1.2 
0.1 
(0.2)
1.4 
Other (shares)
 
0.5 
 
 
 
 
 
Balance at end of period at Mar. 31, 2016
823.9 
1.1 
2,842.5 
(1,638.0)
(1.1)
(555.0)
174.4 
Balance at end of period (shares) at Mar. 31, 2016
 
90.0 
 
 
 
 
 
Balance at beginning of period at Dec. 31, 2016
928.7 
1.1 
2,799.1 
(1,448.4)
(1.2)
(614.7)
192.8 
Balance at beginning of period (shares) at Dec. 31, 2016
 
88.9 
 
 
 
 
 
Increase (Decrease) in Stockholders' Equity [Roll Forward]
 
 
 
 
 
 
 
Net income
81.3 
 
 
66.8 
 
 
14.5 
Receipt of treasury stock
(6.9)
 
 
 
 
(6.9)
 
Receipt of treasury stock (shares)
 
(0.2)
 
 
 
 
 
Dividends declared on common stock
(21.6)
 
(21.6)
 
 
 
 
Stock-based compensation
3.4 
 
3.4 
 
 
 
 
Stock options exercised
0.2 
 
0.6 
 
 
(0.4)
 
Stock Issued During Period, Value, Warrants Exercised, Shares
 
0.7 
 
 
 
 
 
Stock Issued During Period, Value, Warrants Exercised, Value
26.6 
 
26.6 
 
 
 
 
Stock options exercised (shares)
 
 
 
 
 
 
Distributions declared
(10.5)
 
 
 
 
 
(10.5)
Capital contributions from consolidated affiliates
2.6 
 
 
 
 
 
2.6 
Fair value adjustments to redeemable noncontrolling interests, net of tax
(8.2)
 
(8.2)
 
 
 
 
Repurchases of common stock in open market
(18.1)
 
 
 
 
(18.1)
 
Repurchases of common stock in open market (shares)
 
(0.5)
 
 
 
 
 
Other
1.6 
 
0.2 
1.2 
0.3 
(0.1)
Other (shares)
 
0.6 
 
 
 
 
 
Balance at end of period at Mar. 31, 2017
$ 979.1 
$ 1.1 
$ 2,800.1 
$ (1,380.4)
$ (0.9)
$ (640.2)
$ 199.4 
Balance at end of period (shares) at Mar. 31, 2017
 
89.5 
 
 
 
 
 
Condensed Consolidated Statements of Cash Flows (Unaudited) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Cash flows from operating activities:
 
 
Net income
$ 84.4 
$ 76.7 
Loss from discontinued operations, net of tax
0.3 
0.1 
Adjustments to reconcile net income to net cash provided by operating activities—
 
 
Provision for doubtful accounts
16.4 
16.5 
Depreciation and amortization
45.2 
42.4 
Equity in net income of nonconsolidated affiliates
(2.1)
(2.4)
Distributions from nonconsolidated affiliates
2.1 
1.7 
Stock-based compensation
8.0 
4.5 
Deferred tax expense
49.0 
34.7 
Other, net
2.5 
5.9 
Change in assets and liabilities, net of acquisitions—
 
 
Accounts receivable
(20.0)
(45.7)
Other assets
(16.4)
1.8 
Accounts payable
(1.7)
0.6 
Accrued payroll
(3.0)
30.8 
Other liabilities
16.5 
4.1 
Premium paid on redemption of bonds
(1.9)
Net cash used in operating activities of discontinued operations
(0.4)
(0.2)
Total adjustments
96.1 
92.8 
Net cash provided by operating activities
180.8 
169.6 
Cash flows from investing activities:
 
 
Purchases of property and equipment
(41.2)
(31.4)
Additions to capitalized software costs
(3.6)
(7.7)
Acquisitions of businesses, net of cash acquired
(16.4)
Net change in restricted cash
(4.7)
(3.2)
Other, net
12.1 
2.8 
Net cash used in investing activities
(53.8)
(39.5)
Cash flows from financing activities:
 
 
Principal payments on debt, including pre-payments
(6.4)
(56.3)
Borrowings on revolving credit facility
55.0 
60.0 
Payments on revolving credit facility
(122.0)
(60.0)
Repurchases of common stock, including fees and expenses
(18.1)
(12.9)
Dividends paid on common stock
(22.2)
(21.3)
Proceeds from exercising stock warrants
26.6 
Distributions paid to noncontrolling interests of consolidated affiliates
(11.5)
(15.6)
Taxes paid on behalf of employees for shares withheld
(6.9)
(9.9)
Other, net
(0.8)
(2.5)
Net cash used in financing activities
(106.3)
(118.5)
Increase in cash and cash equivalents
20.7 
11.6 
Cash and cash equivalents at beginning of period
40.5 
61.6 
Cash and cash equivalents at end of period
$ 61.2 
$ 73.2 
Basis of Presentation
Basis of Presentation
Basis of Presentation
HealthSouth Corporation, incorporated in Delaware in 1984, including its subsidiaries, is one of the nation’s largest providers of post-acute healthcare services, offering both facility-based and home-based post-acute services in 35 states and Puerto Rico through its network of inpatient rehabilitation hospitals, home health agencies, and hospice agencies.
The accompanying unaudited condensed consolidated financial statements of HealthSouth Corporation and Subsidiaries should be read in conjunction with the consolidated financial statements and accompanying notes filed with the United States Securities and Exchange Commission in HealthSouth’s Annual Report on Form 10-K filed on February 22, 2017 (the “2016 Form 10-K”). The unaudited condensed consolidated financial statements have been prepared in accordance with the rules and regulations of the SEC applicable to interim financial information. Certain information and note disclosures included in financial statements prepared in accordance with generally accepted accounting principles in the United States of America have been omitted in these interim statements, as allowed by such SEC rules and regulations. The condensed consolidated balance sheet as of December 31, 2016 has been derived from audited financial statements, but it does not include all disclosures required by GAAP. However, we believe the disclosures are adequate to make the information presented not misleading.
The unaudited results of operations for the interim periods shown in these financial statements are not necessarily indicative of operating results for the entire year. In our opinion, the accompanying condensed consolidated financial statements recognize all adjustments of a normal recurring nature considered necessary to fairly state the financial position, results of operations, and cash flows for each interim period presented.
See also Note 12, Segment Reporting.
Net Operating Revenues
We derived consolidated Net operating revenues from the following payor sources:
 
Three Months Ended March 31,
 
2017
 
2016
Medicare
75.2
%
 
75.4
%
Medicare Advantage
8.8
%
 
7.8
%
Managed care
9.9
%
 
9.5
%
Medicaid
2.6
%
 
3.4
%
Other third-party payors
1.2
%
 
1.4
%
Workers’ compensation
0.8
%
 
0.9
%
Patients
0.5
%
 
0.5
%
Other income
1.0
%
 
1.1
%
Total
100.0
%
 
100.0
%


Inpatient Rehabilitation Revenues
Our inpatient rehabilitation segment derived its Net operating revenues from the following payor sources:
 
Three Months Ended March 31,
 
2017
 
2016
Medicare
73.3
%
 
73.8
%
Medicare Advantage
8.5
%
 
7.6
%
Managed care
11.2
%
 
11.0
%
Medicaid
2.8
%
 
3.0
%
Other third-party payors
1.5
%
 
1.6
%
Workers’ compensation
0.9
%
 
1.1
%
Patients
0.6
%
 
0.6
%
Other income
1.2
%
 
1.3
%
Total
100.0
%
 
100.0
%

Home Health and Hospice Revenues
Our home health and hospice segment derived its Net operating revenues from the following payor sources:
 
Three Months Ended March 31,
 
2017
 
2016
Medicare
84.1
%
 
83.5
%
Medicare Advantage
10.3
%
 
8.7
%
Managed care
4.0
%
 
2.7
%
Medicaid
1.4
%
 
4.9
%
Patients
0.1
%
 
0.1
%
Other income
0.1
%
 
0.1
%
Total
100.0
%
 
100.0
%

See Note 1, Summary of Significant Accounting Policies, to the consolidated financial statements accompanying the 2016 Form 10-K for our policies related to Net operating revenues, Accounts receivable, and our Allowance for doubtful accounts.
Recent Accounting Pronouncements
In May 2014, the FASB issued ASU 2014-09, “Revenue from Contracts with Customers” and has subsequently issued supplemental and/or clarifying ASUs (collectively “ASC 606”). ASC 606 outlines a five-step framework that intends to clarify the principles for recognizing revenue and eliminate industry-specific guidance. In addition, ASC 606 revises current disclosure requirements in an effort to help financial statement users better understand the nature, amount, timing, and uncertainty of revenue that is recognized. ASC 606 will be effective for our annual reporting period beginning on January 1, 2018, including interim periods within that year. Early adoption beginning on January 1, 2017 is permitted. ASC 606 may be applied retrospectively to each period presented or on a modified retrospective basis with the cumulative effect recognized as of the date of adoption. We are currently assessing the impact this guidance may have on our consolidated financial statements by analyzing our current portfolio of third-party payor contracts, including a review of historical accounting policies and practices to identify potential differences in applying the new guidance. We are also evaluating the nature and amount of data available to us in assessing implementation of ASC 606. Under ASC 606, substantially all amounts that were previously presented as Provision for doubtful accounts will be considered an implicit price concession in determining Net operating revenues. Amounts considered to be doubtful accounts under ASC 606 will be presented as a component of Total operating expenses within the consolidated statements of operations. We expect to adopt ASC 606 retrospectively effective January 1, 2018.
In January 2016, the FASB issued ASU No. 2016-01, “Financial Instruments - Overall (Topic 825): Recognition and Measurement of Financial Assets and Financial Liabilities.” This standard revises the classification and measurement of investments in certain equity investments and the presentation of certain fair value changes for certain financial liabilities measured at fair value. This revised standard requires the change in fair value of many equity investments to be recognized in net income. This revised standard is effective for our interim and annual periods beginning January 1, 2018. While we are currently assessing the impact this guidance may have on our consolidated financial statements, we expect to recognize mark-to-market gains and losses associated with our available-for-sale equity securities through Net income instead of Accumulated other comprehensive income. We continue to review the requirements of this revised standard and any potential impact it may have on our consolidated financial statements.
In February 2016, the FASB issued ASU 2016-02, “Leases (Topic 842),” in order to increase transparency and comparability by recognizing lease assets and liabilities on the balance sheet and disclosing key information about leasing arrangements. Under the new standard, lessees will recognize a right-of-use asset and a corresponding lease liability for all leases other than leases that meet the definition of a short-term lease. The liability will be equal to the present value of future minimum lease payments. The asset will be based on the liability, subject to adjustment, such as for initial direct costs. For income statement purposes, the FASB retained a dual model, requiring leases to be classified as either operating or finance. Operating leases will result in straight-line expense while finance leases will result in an expense pattern similar to current capital leases. Classification will be based on criteria that are similar to those applied in current lease accounting. This standard will be effective for our annual reporting period beginning on January 1, 2019. Early adoption is permitted. In transition, we will be required to recognize and measure leases beginning in the earliest period presented using a modified retrospective approach; therefore, we anticipate restating our consolidated financial statements for the two fiscal years prior to the year of adoption. While we are currently assessing the impact this guidance may have on our consolidated financial statements, we expect that virtually all of our existing operating leases will be reflected as right-of-use assets and liabilities on our consolidated balance sheets under the new standard. We do not expect to early adopt this standard. See Note 6, Property and Equipment, to the consolidated financial statements accompanying the 2016 Form 10-K for disclosure related to our operating leases.
In March 2016, the FASB issued ASU 2016-09, “Improvements to Employee Share-Based Payment Accounting (Topic 718),” to simplify various aspects of share-based payment accounting and presentation. The new standard requires entities to record all of the tax effects related to share-based payments at settlement (or expiration) through the income statement. This change is required to be applied prospectively to all excess tax benefits and tax deficiencies resulting from settlements after the date of adoption of the ASU. The standard eliminates the requirement to delay recognition of a windfall tax benefit until it reduces current taxes payable. This change is required to be applied on a modified retrospective basis. In addition, all income tax-related cash flows resulting from share-based windfall tax benefits are required to be reported as operating activities on the statement of cash flows as opposed to the current presentation as an inflow from financing activities and an outflow from operating activities. Either prospective or retrospective transition of this provision is permitted. The standard also clarifies that all cash payments made to taxing authorities on the employees’ behalf for withheld shares should be presented as financing activities on the statement of cash flows. This change will be applied retrospectively. Finally, the standard allows entities to make an accounting policy election to either estimate forfeitures for each period or account for forfeitures as they occur. For HealthSouth, this guidance is effective for its annual reporting period beginning January 1, 2017, including interim periods within that reporting period. As a result of our adoption of this guidance effective January 1, 2017, we recorded $1.2 million of tax benefits in excess of compensation cost (“windfalls”) to Provision for income tax expense in our condensed consolidating statement of operations for the three months ended March 31, 2017. We elected to retrospectively apply the change to our condensed consolidating statements of cash flows, which will result in a reclassification of windfalls of $17.3 million from Cash flows from financing activities to Cash flows from operating activities for the year ended December 31, 2016. We also elected to retrospectively apply the change to the presentation of cash payments made to taxing authorities on the employees’ behalf for withheld shares on our condensed consolidating statements of cash flows for the three months ended March 31, 2016, which resulted in a reclassification of $9.9 million from Cash flows from operating activities to Cash flows from financing activities. We did not elect an accounting policy change to record forfeitures as they occur and thus will continue to estimate forfeitures at each period. The adoption of this guidance did not have a material impact on our consolidated financial statements.
In June 2016, the FASB issued ASU 2016-13, “Financial Instruments – Credit Losses (Topic 326),” which provides guidance for accounting for credit losses on financial instruments. The new guidance introduces an approach based on expected losses to estimate credit losses on certain types of financial instruments and modifies the impairment model for available-for-sale debt securities. The new guidance is effective for HealthSouth for the annual period beginning January 1, 2020, including interim periods within that reporting period. Early adoption is permitted for HealthSouth beginning January 1, 2019. We continue to review the requirements of this standard and any potential impact it may have on our consolidated financial statements.
In August 2016, the FASB issued ASU 2016-15, “Statement of Cash Flows (Topic 230), Classification of Certain Cash Receipts and Cash Payments,” to reduce diversity in practice in how certain transactions are classified in the statement of cash flows. In addition, the standard clarifies when cash receipts and cash payments have aspects of more than one class of cash flows and cannot be separated, classification will depend on the predominant source or use. The new guidance requires retrospective application and is effective for HealthSouth for the annual reporting period beginning January, 1 2018, including interim periods within that reporting period. Early adoption is permitted. We continue to review the requirements of this standard and any potential impact it may have on our consolidated financial statements.
In November 2016, the FASB issued ASU 2016-18, “Statement of Cash Flows (Topic 230), Restricted Cash,” to clarify how entities should present restricted cash and restricted cash equivalents in the statement of cash flows. The new guidance requires amounts generally described as restricted cash and restricted cash equivalents be included with cash and cash equivalents when reconciling the total beginning and ending amounts for the periods shown on the statement of cash flows. The new guidance requires retrospective application and is effective for our annual reporting period beginning January 1, 2018, including interim periods within that reporting period. Early adoption is permitted. We continue to review the requirements of this revised standard and any potential impact it may have on our consolidated financial statements.
We do not believe any other recently issued, but not yet effective, accounting standards will have a material effect on our consolidated financial position, results of operations, or cash flows.
Business Combinations
Business Combinations
Business Combinations
Inpatient Rehabilitation
On April 1, 2017, we acquired approximately 80% of the Memorial Hospital at Gulfport, a 33-bed inpatient rehabilitation hospital in Gulfport, Mississippi through a joint venture with Memorial Hospital at Gulfport. Approximately $11 million was paid on March 31, 2017 and is included in Other long-term assets in our condensed consolidated balance sheet as of March 31, 2017 and Acquisitions of businesses, net of cash acquired within investing activities of our condensed consolidated statement of cash flows for the three months ended March 31, 2017. This transaction was not material to our financial position, results of operations, or cash flows.
Home Health and Hospice
During the three months ended March 31, 2017, we completed the following home health acquisitions, none of which were individually material to our financial position, results of operations, or cash flows. Each acquisition was made to enhance our position and ability to provide post-acute healthcare services to patients in the applicable geographic areas. Each acquisition was funded using cash on hand.
In February 2017, we acquired the assets of Celtic Healthcare of Maryland, Inc. (“Celtic”), a home health provider with locations in Owings Mill, Maryland and Rockville, Maryland.
In February 2017, we also acquired the assets of two home health locations from Community Health Services, Inc. (“Community”), located in Owensboro, Kentucky and Elizabethtown, Kentucky.
We accounted for both of these transactions under the acquisition method of accounting and reported the results of operations of the acquired locations from their respective dates of acquisition. Assets acquired were recorded at their estimated fair values as of the respective acquisition dates. The fair values of identifiable intangible assets were based on valuations using the cost and income approaches. The cost approach is based on amounts that would be required to replace the asset (i.e., replacement cost). The income approach is based on management’s estimates of future operating results and cash flows discounted using a weighted-average cost of capital that reflects market participant assumptions. The excess of the fair value of the consideration conveyed over the fair value of the net assets acquired was recorded as goodwill. The goodwill reflects our expectations of our ability to utilize the acquired locations’ mobile workforce and established relationships within each community and the benefits of being able to leverage operational efficiencies with favorable growth opportunities based on positive demographic trends in these markets. All goodwill recorded as a result of these transactions is deductible for federal income tax purposes.
The fair value of the assets acquired at the acquisition date were as follows (in millions):
Identifiable intangible asset:
 

Noncompete agreements (useful lives of 5 years)
$
0.1

Trade name (useful life of 1 year)
0.1

Certificates of need (useful lives of 10 years)
0.7

Licenses (useful lives of 10 years)
0.4

Goodwill
4.2

Total assets acquired
$
5.5


Information regarding the net cash paid for the home health acquisitions is as follows (in millions):
 
Three Months Ended March 31,
 
2017
Fair value of assets acquired
$
1.3

Goodwill
4.2

Net cash paid for acquisitions
$
5.5


Pro Forma Results of Operations
The following table summarizes the results of operations of the above mentioned home health acquisitions from their respective dates of acquisition included in our consolidated results of operations and the unaudited pro forma results of operations of the combined entity had the date of the acquisitions been January 1, 2016 (in millions):
 
Net Operating Revenues
 
Net Income Attributable to HealthSouth
Acquired entities only: Actual from acquisition date to March 31, 2017
$
0.4

 
$
0.1

Combined entity: Supplemental pro forma from 01/01/2017-03/31/2017
975.2

 
66.8

Combined entity: Supplemental pro forma from 01/01/2016-03/31/2016
910.8

 
57.9

See Note 2, Business Combinations, to the consolidated financial statements accompanying the 2016 Form 10-K for information regarding acquisitions completed in 2016.
Variable Interest Entities
Variable Interest Entities
Variable Interest Entities
As of March 31, 2017 and December 31, 2016, we consolidated ten limited partnership-like entities that are variable interest entities (“VIEs”) and of which we are the primary beneficiary. All ten of these entities were also consolidated as of December 31, 2016. Our ownership percentages in these entities range from 6.8% to 99.5%. Through partnership and management agreements with or governing each of these entities, we manage all of these entities and handle all day-to-day operating decisions. Accordingly, we have the decision making power over the activities that most significantly impact the economic performance of our VIEs and an obligation to absorb losses or receive benefits from the VIE that could potentially be significant to the VIE. These decisions and significant activities include, but are not limited to, marketing efforts, oversight of patient admissions, medical training, nurse and therapist scheduling, provision of healthcare services, billing, collections and creation and maintenance of medical records. The terms of the agreements governing each of our VIEs prohibit us from using the assets of each VIE to satisfy the obligations of other entities.
The carrying amounts and classifications of the consolidated VIEs’ assets and liabilities, which are included in our consolidated balance sheet, are as follows (in millions):
 
March 31, 2017
 
December 31, 2016
Assets
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
1.6

 
$
1.6

Accounts receivable, net of allowance for doubtful accounts
31.1

 
30.8

Other current assets
4.2

 
5.8

Total current assets
36.9

 
38.2

Property and equipment, net
141.2

 
140.0

Goodwill
73.5

 
73.5

Intangible assets, net
9.0

 
9.6

Other long-term assets
0.9

 
1.0

Total assets
$
261.5

 
$
262.3

Liabilities
 
 
 
Current liabilities:
 
 
 
Current portion of long-term debt
$
1.6

 
$
1.5

Accounts payable
5.9

 
6.8

Accrued expenses and other current liabilities
12.5

 
12.2

Total current liabilities
20.0

 
20.5

Long-term debt, net of current portion
29.6

 
29.8

Total liabilities
$
49.6

 
$
50.3

Investments in and Advances to Nonconsolidated Affiliates
Investments in and Advances to Nonconsolidated Affiliates
Investments in and Advances to Nonconsolidated Affiliates
As of March 31, 2017 and December 31, 2016, we had $12.9 million and $13.0 million, respectively, of investments in and advances to nonconsolidated affiliates included in Other long-term assets in our condensed consolidated balance sheets. Investments in and advances to nonconsolidated affiliates represent our investments in seven partially owned subsidiaries, of which six are general or limited partnerships, limited liability companies, or joint ventures in which HealthSouth or one of its subsidiaries is a general or limited partner, managing member, member, or venturer, as applicable. We do not control these affiliates but have the ability to exercise significant influence over the operating and financial policies of certain of these affiliates. Our ownership percentages in these affiliates range from approximately 1% to 60%. We account for these investments using the cost and equity methods of accounting.
The following summarizes the combined results of operations of our equity method affiliates (on a 100% basis, in millions):
 
Three Months Ended March 31,
 
2017
 
2016
Net operating revenues
$
10.8

 
$
11.2

Operating expenses
(6.3
)
 
(6.2
)
Income from continuing operations, net of tax
4.4

 
5.0

Net income
4.4

 
5.0

Long-term Debt
Long-term Debt
Long-term Debt
Our long-term debt outstanding consists of the following (in millions):
 
March 31, 2017
 
December 31, 2016
Credit Agreement—
 
 
 
Advances under revolving credit facility
$
85.0

 
$
152.0

Term loan facilities
415.7

 
421.2

Bonds payable—
 
 
 
5.125% Senior Notes due 2023
295.4

 
295.3

5.75% Senior Notes due 2024
1,193.4

 
1,193.2

5.75% Senior Notes due 2025
344.0

 
343.9

2.00% Convertible Senior Subordinated Notes due 2043
278.2

 
275.7

Other notes payable
63.1

 
55.8

Capital lease obligations
278.6

 
279.3

 
2,953.4

 
3,016.4

Less: Current portion
(37.9
)
 
(37.1
)
Long-term debt, net of current portion
$
2,915.5

 
$
2,979.3


The following chart shows scheduled principal payments due on long-term debt for the next five years and thereafter (in millions):
 
Face Amount
 
Net Amount
April 1 through December 31, 2017
$
28.4

 
$
28.4

2018
38.6

 
38.6

2019
39.7

 
39.7

2020
769.3

 
726.3

2021
10.8

 
10.8

2022
24.9

 
24.9

Thereafter
2,101.9

 
2,084.7

Total
$
3,013.6

 
$
2,953.4


In February 2016, we entered into a development/lease agreement with CR HQ, LLC (the “Developer”) to construct our new corporate headquarters in Birmingham, Alabama. Under the terms of this agreement, the Developer is responsible for all costs of constructing the new facility ‘shell’ which will then be leased to us for an initial term of 15 years with four, five-year renewal options. The lease is expected to commence in the first half of 2018. We are responsible for the costs associated with improvements to the interior of the building. Due to the nature and extent of the tenant improvements we will be making to the new corporate headquarters and certain provisions of the development/lease agreement, we are deemed to be the accounting owner of the new corporate headquarters during the construction period. Construction commenced in the second quarter of 2016. As of March 31, 2017 and December 31, 2016, Property and equipment, net includes $28.3 million and $20.3 million, respectively, for the construction costs incurred to date by the Developer, and Long-term debt, net of current portion includes a corresponding noncurrent financing obligation liability of $28.3 million and $20.3 million within our condensed consolidated balance sheets as of March 31, 2017 and December 31, 2016, respectively. It is estimated that the total financing obligation associated with the Developer’s costs to construct the new corporate headquarters will be $56 million. The amounts recorded for construction costs and the corresponding liability are noncash activities for purposes of our condensed consolidated statement of cash flows.
For additional information regarding our indebtedness, see Note 9, Long-term Debt, to the consolidated financial statements accompanying the 2016 Form 10-K.
Redeemable Noncontrolling Interests
Redeemable Noncontolling Interests
Redeemable Noncontrolling Interests
The following is a summary of the activity related to our Redeemable noncontrolling interests during the three months ended March 31, 2017 and 2016 (in millions):
 
Three Months Ended March 31,
 
2017
 
2016
Balance at beginning of period
$
138.3

 
$
121.1

Net income attributable to noncontrolling interests
3.1

 
3.9

Distributions declared
(1.9
)
 
(2.1
)
Change in fair value
13.9

 
(26.7
)
Balance at end of period
$
153.4

 
$
96.2


The following table reconciles the net income attributable to nonredeemable Noncontrolling interests, as recorded in the shareholders’ equity section of the condensed consolidated balance sheets, and the net income attributable to Redeemable noncontrolling interests, as recorded in the mezzanine section of the condensed consolidated balance sheets, to the Net income attributable to noncontrolling interests presented in the condensed consolidated statements of operations for the three months ended March 31, 2017 and 2016 (in millions):
 
Three Months Ended March 31,
 
 
2017
 
2016
Net income attributable to nonredeemable noncontrolling interests
$
14.5

 
$
14.8

Net income attributable to redeemable noncontrolling interests
3.1

 
3.9

Net income attributable to noncontrolling interests
$
17.6

 
$
18.7

Fair Value Measurements
Fair Value Measurements
Fair Value Measurements
Our financial assets and liabilities that are measured at fair value on a recurring basis are as follows (in millions):
 
 
 
Fair Value Measurements at Reporting Date Using
As of March 31, 2017
Fair Value
 
Quoted Prices in Active Markets for Identical Assets
(Level 1)
 
Significant Other Observable Inputs
(Level 2)
 
Significant Unobservable Inputs
(Level 3)
 
Valuation Technique (1)
Other current assets:
 
 
 
 
 
 
 
 
 
Current portion of restricted marketable securities
$
17.5

 
$

 
$
17.5

 
$

 
M
Other long-term assets:
 
 
 
 
 
 
 
 
 
Restricted marketable securities
36.8

 

 
36.8

 

 
M
Redeemable noncontrolling interests
153.4

 

 

 
153.4

 
I
As of December 31, 2016
 
 
 
 
 
 
 
 
 
Other current assets:
 
 
 
 
 
 
 
 
 
Current portion of restricted marketable securities
$
24.2

 
$

 
$
24.2

 
$

 
M
Other long-term assets:
 
 
 
 
 
 
 
 
 
Restricted marketable securities
33.5

 

 
33.5

 

 
M
Redeemable noncontrolling interests
138.3

 

 

 
138.3

 
I
(1) The three valuation techniques are: market approach (M), cost approach (C), and income approach (I).
The fair values of our financial assets and liabilities are determined as follows:
Restricted marketable securities - The fair values of our available-for-sale restricted marketable securities are determined based on quoted market prices in active markets or quoted prices, dealer quotations, or alternative pricing sources supported by observable inputs in markets that are not considered to be active.
Redeemable noncontrolling interests - The fair value of the Redeemable noncontrolling interest related to our home health segment is determined using the product of a twelve-month specified performance measure and a specified median market price multiple based on a basket of public health companies. To determine the fair value of the Redeemable noncontrolling interests in our joint venture hospitals, we use the applicable hospitals’ projected operating results and cash flows discounted using a rate that reflects market participant assumptions for the applicable facilities. The projected operating results use management’s best estimates of economic and market conditions over the forecasted periods including assumptions for pricing and volume, operating expenses, and capital expenditures. See also Note 6, Redeemable Noncontrolling Interests.
In addition to assets and liabilities recorded at fair value on a recurring basis, we are also required to record assets and liabilities at fair value on a nonrecurring basis. Generally, assets are recorded at fair value on a nonrecurring basis as a result of impairment charges or similar adjustments made to the carrying value of the applicable assets. During the three months ended March 31, 2017 and March 31, 2016, we did not record any gains or losses related to our nonfinancial assets and liabilities that are recognized or disclosed at fair value in the financial statements on a nonrecurring basis as part of our continuing operations.
As discussed in Note 1, Summary of Significant Accounting Policies, “Fair Value Measurements,” to the consolidated financial statements accompanying the 2016 Form 10-K, the carrying value equals fair value for our financial instruments that are not included in the table below and are classified as current in our condensed consolidated balance sheets. The carrying amounts and estimated fair values for all of our other financial instruments are presented in the following table (in millions):
 
As of March 31, 2017
 
As of December 31, 2016
 
Carrying Amount
 
Estimated Fair Value
 
Carrying Amount
 
Estimated Fair Value
Long-term debt:
 

 
 

 
 

 
 

Advances under revolving credit facility
$
85.0

 
$
85.0

 
$
152.0

 
$
152.0

Term loan facilities
415.7

 
416.9

 
421.2

 
422.5

5.125% Senior Notes due 2023
295.4

 
301.5

 
295.3

 
297.8

5.75% Senior Notes due 2024
1,193.4

 
1,206.0

 
1,193.2

 
1,216.6

5.75% Senior Notes due 2025
344.0

 
349.6

 
343.9

 
349.6

2.00% Convertible Senior Subordinated Notes due 2043
278.2

 
390.8

 
275.7

 
382.6

Other notes payable
63.1

 
63.1

 
55.8

 
55.8

Financial commitments:
 
 
 
 
 
 
 
Letters of credit

 
36.4

 

 
33.3


Fair values for our long-term debt and financial commitments are determined using inputs, including quoted prices in nonactive markets, that are observable either directly or indirectly, or Level 2 inputs within the fair value hierarchy. See Note 1, Summary of Significant Accounting Policies, “Fair Value Measurements,” to the consolidated financial statements accompanying the 2016 Form 10-K.
Share-Based Payments
Share-Based Payments
Share-Based Payments
In February 2017, we issued a total of 0.6 million restricted stock awards to members of our management team. Approximately 0.2 million of these awards contain only a service condition, while the remainder contain both a service and a performance condition. For the awards that include a performance condition, the number of shares that will ultimately be granted to employees may vary based on the Company’s performance during the applicable two-year performance measurement period. Additionally, in February 2017, we granted 0.1 million stock options to members of our management team. The fair value of these awards and options was determined using the policies described in Note 1, Summary of Significant Accounting Policies, and Note 13, Share-Based Payments, to the consolidated financial statements accompanying the 2016 Form 10-K.
Income Taxes
Income Taxes
Income Taxes
Our Provision for income tax expense of $39.7 million and $39.7 million for the three months ended March 31, 2017 and 2016, respectively, primarily resulted from the application of our estimated effective blended federal and state income tax rate.
We have state net operating losses (“NOLs”) of $64.8 million that expire in various amounts at varying times through 2031. The $35.3 million of net deferred tax assets included in the accompanying condensed consolidated balance sheet as of March 31, 2017 reflects management’s assessment it is more likely than not we will be able to generate sufficient future taxable income to utilize those deferred tax assets based on our current estimates and assumptions. As of March 31, 2017, we maintained a valuation allowance of $28.9 million due to uncertainties regarding our ability to utilize a portion of our state NOLs and other credits before they expire. The amount of the valuation allowance has been determined for each tax jurisdiction based on the weight of all available evidence including management’s estimates of taxable income for each jurisdiction in which we operate over the periods in which the related deferred tax assets will be recoverable. It is possible we may be required to increase or decrease our valuation allowance at some future time if our forecast of future earnings varies from actual results on a consolidated basis or in the applicable state tax jurisdictions, or if the timing of future tax deductions differs from our expectations.
During the third quarter of 2016, we filed a non-automatic tax accounting method change related to billings denied under pre-payment claims reviews conducted by certain of our Medicare Administrative Contractors. In March 2017, the IRS approved our request resulting in additional tax benefits of approximately $54 million through March 31, 2017. Approximately $39 million of this amount represents pre-payment claims denials received in years prior to and including the year ended December 31, 2015. These benefits are expected to reverse as pre-payment claims denials are settled and collected. This change did not have a material impact on our effective tax rate.
Total remaining gross unrecognized tax benefits were $0.3 million and $2.8 million as of March 31, 2017 and December 31, 2016, respectively, all of which would affect our effective tax rate if recognized. A reconciliation of the beginning and ending liability for unrecognized tax benefits is as follows (in millions):
 
Gross Unrecognized Income Tax Benefits
Balance at December 31, 2016
$
2.8

Gross amount of decreases in unrecognized tax benefits related to prior periods
(0.4
)
Decreases in unrecognized tax benefits relating to settlements with taxing authorities
(2.1
)
Balance at March 31, 2017
$
0.3

Our continuing practice is to recognize interest and penalties related to income tax matters in income tax expense. Interest recorded as part of our income tax provision during the three months ended March 31, 2017 and 2016 was not material. Accrued interest income related to income taxes as of March 31, 2017 and December 31, 2016 was not material.
In December 2014, we signed an agreement with the IRS to begin participating in their Compliance Assurance Process, a program in which we and the IRS endeavor to agree on the treatment of significant tax positions prior to the filing of our federal income tax return. We renewed this agreement in December 2015 for the 2016 tax year and in December 2016 for the 2017 tax year. As a result of these agreements, the IRS surveyed our 2013, 2012, and 2011 federal income tax returns and is currently examining 2016 and 2017. Our 2014 federal income tax return has been filed, and the IRS has not indicated its intent to examine or survey this return. In February 2017, the IRS issued a no-change Revenue Agent’s Report effectively closing our 2015 tax audit. We have settled federal income tax examinations with the IRS for all tax years through 2013 as well as 2015. Our state income tax returns are also periodically examined by various regulatory taxing authorities. We are currently under audit by three states for tax years ranging from 2012 through 2015.
For the tax years that remain open under the applicable statutes of limitation, amounts related to unrecognized tax benefits have been considered by management in its estimate of our potential net recovery of prior years’ income taxes. Based on discussions with taxing authorities, we do not anticipate that any of our unrecognized tax benefits will be released within the next 12 months.
Earnings per Common Share
Earnings per Common Share
Earnings per Common Share
The following table sets forth the computation of basic and diluted earnings per common share (in millions, except per share amounts):
 
Three Months Ended March 31,
 
2017
 
2016
Basic:
 
 
 
Numerator:
 
 
 
Income from continuing operations
$
84.7

 
$
76.8

Less: Net income attributable to noncontrolling interests included in continuing operations
(17.6
)
 
(18.7
)
Less: Income allocated to participating securities
(0.2
)
 
(0.2
)
Income from continuing operations attributable to HealthSouth common shareholders
66.9

 
57.9

Loss from discontinued operations, net of tax, attributable to HealthSouth common shareholders
(0.3
)
 
(0.1
)
Net income attributable to HealthSouth common shareholders
$
66.6

 
$
57.8

Denominator:
 
 
 
Basic weighted average common shares outstanding
88.8

 
89.5

Basic earnings per share attributable to HealthSouth common shareholders:
 
 
 
Continuing operations
$
0.75

 
$
0.65

Discontinued operations

 

Net income
$
0.75

 
$
0.65

 
 
 
 
Diluted:
 
 
 
Numerator:
 
 
 
Income from continuing operations
$
84.7

 
$
76.8

Less: Net income attributable to noncontrolling interests included in continuing operations
(17.6
)
 
(18.7
)
Add: Interest on convertible debt, net of tax
2.5

 
2.4

Income from continuing operations attributable to HealthSouth common shareholders
69.6

 
60.5

Loss from discontinued operations, net of tax, attributable to HealthSouth common shareholders
(0.3
)
 
(0.1
)
Net income attributable to HealthSouth common shareholders
$
69.3

 
$
60.4

Denominator:
 
 
 
Diluted weighted average common shares outstanding
99.0

 
99.4

Diluted earnings per share attributable to HealthSouth common shareholders:
 
 
 
Continuing operations
$
0.70

 
$
0.61

Discontinued operations

 

Net income
$
0.70

 
$
0.61


The following table sets forth the reconciliation between basic weighted average common shares outstanding and diluted weighted average common shares outstanding (in millions):
 
Three Months Ended March 31,
 
2017
 
2016
Basic weighted average common shares outstanding
88.8

 
89.5

Convertible senior subordinated notes
8.6

 
8.4

Restricted stock awards, dilutive stock options, and restricted stock units
1.6

 
1.5

Diluted weighted average common shares outstanding
99.0

 
99.4


In October 2016 and February 2017, our board of directors declared cash dividends of $0.24 per share that were paid in January and April 2017, respectively. As of March 31, 2017 and December 31, 2016, accrued common stock dividends of $22.0 million and $22.2 million, respectively, were included in Accrued expenses and other current liabilities in our condensed consolidated balance sheets. Future dividend payments are subject to declaration by our board of directors.
The indenture underlying our convertible notes includes antidilutive protection that requires adjustments to the number of shares of common stock issuable upon conversion and the exercise price for common stock upon the occurrence of certain events, including payment of cash dividends on our common stock after a de minimis threshold. At issuance, the convertible notes had a conversion price of $39.65 per share, which was equal to an initial conversion rate of 25.2194 shares per $1,000 principal amount of the convertible notes. The payment of dividends on our common stock has triggered and will continue to trigger, from time to time, the antidilutive adjustment provisions of the convertible notes. The current conversion price of the convertible notes is $36.74 per share, and the conversion rate is 27.2221 for each $1,000 principal amount of the convertible notes.
On September 30, 2009, we issued 5.0 million shares of common stock and 8.2 million common stock warrants in full satisfaction of our obligation to do so under the January 2007 comprehensive settlement of the consolidated securities action brought against us by our stockholders and bondholders. Under the terms of the related warrant agreement, the warrants were exercisable at a price of $41.40 per share by means of a cash or a cashless exercise at the option of the holder. The warrants were not assumed exercised for dilutive shares outstanding because they were antidilutive in the periods presented. The warrants expired on January 17, 2017.
The following table summarizes information relating to these warrants and their activity through their expiration date (number of warrants in millions):
 
Number of Warrants
 
Weighted-Average Exercise Price
Common stock warrants outstanding as of December 31, 2016
8.2

 
$
41.40

Cashless exercise
(6.5
)
 
41.40

Cash exercise
(0.6
)
 
41.40

Expired
(1.1
)
 
41.40

Common stock warrants outstanding as of January 17, 2017

 
 

The above exercises resulted in the issuance of 0.7 million shares of common stock. Cash exercises resulted in gross proceeds of approximately $27 million.
See Note 9, Long-term Debt and Note 16, Earnings per Common Share, to the consolidated financial statements accompanying the 2016 Form 10-K for additional information related to our convertible notes, common stock, common stock warrants, and convertible perpetual preferred stock.
Contingencies and Other Commitments
Contingencies and Other Commitments
Contingencies and Other Commitments
We operate in a highly regulated and litigious industry. As a result, various lawsuits, claims, and legal and regulatory proceedings have been and can be expected to be instituted or asserted against us. The resolution of any such lawsuits, claims, or legal and regulatory proceedings could materially and adversely affect our financial position, results of operations, and cash flows in a given period.
Nichols Litigation—
We have been named as a defendant in a lawsuit filed March 28, 2003 by several individual stockholders in the Circuit Court of Jefferson County, Alabama, captioned Nichols v. HealthSouth Corp. The plaintiffs allege that we, some of our former officers, and our former investment bank engaged in a scheme to overstate and misrepresent our earnings and financial position. The plaintiffs are seeking compensatory and punitive damages. This case was stayed in the Circuit Court on August 8, 2005. The plaintiffs filed an amended complaint on November 9, 2010 to which we responded with a motion to dismiss filed on December 22, 2010. During a hearing on February 24, 2012, plaintiffs’ counsel indicated his intent to dismiss certain claims against us. Instead, on March 9, 2012, the plaintiffs amended their complaint to include additional securities fraud claims against HealthSouth and add several former officers to the lawsuit. On September 12, 2012, the plaintiffs further amended their complaint to request certification as a class action. One of the former officers named as a defendant has repeatedly attempted to remove the case to federal district court, most recently on December 11, 2012. We filed our latest motion to remand the case back to state court on January 10, 2013. On September 27, 2013, the federal court remanded the case back to state court. On November 25, 2014, the plaintiffs filed another amended complaint to assert new allegations relating to the time period of 1997 to 2002. On December 10, 2014, we filed a motion to dismiss on the grounds the plaintiffs lack standing because their claims are derivative in nature, and the claims are time-barred by the statute of limitations. On May 26, 2016, the court granted our motion to dismiss. The plaintiffs appealed the dismissal of the case to the Supreme Court of Alabama on June 28, 2016. The Supreme Court has not yet scheduled a hearing on the appeal.
We intend to vigorously defend ourselves in this case. Based on the stage of litigation, review of the current facts and circumstances as we understand them, the nature of the underlying claim, the results of the proceedings to date, and the nature and scope of the defense we continue to mount, we do not believe an adverse judgment or settlement is probable in this matter, and it is also not possible to estimate an amount of loss, if any, or range of possible loss that might result from an adverse judgment or settlement of this case.
Other Litigation—
One of our hospital subsidiaries was named as a defendant in a lawsuit filed August 12, 2013 by an individual in the Circuit Court of Etowah County, Alabama, captioned Honts v. HealthSouth Rehabilitation Hospital of Gadsden, LLC. The plaintiff alleged that her mother, who died more than three months after being discharged from our hospital, received an unprescribed opiate medication at the hospital. We deny the patient received any such medication, accounted for all the opiates at the hospital and argued the plaintiff established no causal liability between the actions of our staff and her mother’s death. The plaintiff sought recovery for punitive damages. On May 18, 2016, the jury in this case returned a verdict in favor of the plaintiff for $20.0 million. On June 17, 2016, we filed a renewed motion for judgment as a matter of law or, in the alternative, a motion for new trial or, in the further alternative, a motion seeking reduction of the damages awarded (collectively, the “post-judgment motions”). The trial court denied the post-judgment motions. We appealed the verdict as well as the rulings on the post-judgment motions to the Supreme Court of Alabama on October 12, 2016. The Supreme Court has not yet scheduled a hearing on the appeal. We posted a bond in the amount of the judgment pending resolution of our appeal. We intend to vigorously defend ourselves in this case. Although we continue to believe in the merit of our defenses and counterarguments, we recorded a net charge of $5.7 million to Other operating expenses in our consolidated statements of operations for the year ended December 31, 2016. As of March 31, 2017, we maintained a liability of $20.0 million in Accrued expenses and other liabilities in our condensed consolidated balance sheet with a corresponding receivable of $15.0 million in Other current assets for the portion of the liability we would expect to be covered through our excess insurance coverages. The portion of this liability that would be a covered claim through our captive insurance subsidiary, HCS, Ltd. is $6.0 million.

Governmental Inquiries and Investigations—
On June 24, 2011, we received a document subpoena addressed to HealthSouth Hospital of Houston, a long-term acute care hospital (“LTCH”) we closed in August 2011, and issued from the Dallas, Texas office of the United States Department of Health and Human Services Office of Inspector General (“HHS-OIG”). The subpoena stated it was in connection with an investigation of possible false or otherwise improper claims submitted to Medicare and Medicaid and requested documents and materials relating to patient admissions, length of stay, and discharge matters at this closed LTCH. We furnished the documents requested and have heard nothing from the HHS-OIG since December 2012.
On March 4, 2013, we received document subpoenas from an office of the HHS-OIG addressed to four of our hospitals. Those subpoenas also requested complete copies of medical records for 100 patients treated at each of those hospitals between September 2008 and June 2012. The investigation is being conducted by the United States Department of Justice (the “DOJ”). On April 24, 2014, we received document subpoenas relating to an additional seven of our hospitals. The new subpoenas reference substantially similar investigation subject matter as the original subpoenas and request materials from the period January 2008 through December 2013. Two of the four hospitals addressed in the original set of subpoenas have received supplemental subpoenas to cover this new time period. The most recent subpoenas do not include requests for specific patient files. However, in February 2015, the DOJ requested the voluntary production of the medical records of an additional 70 patients, some of whom were treated in hospitals not subject to the subpoenas, and we provided these records. We have not received any subsequent requests for medical records from the DOJ.
All of the subpoenas are in connection with an investigation of alleged improper or fraudulent claims submitted to Medicare and Medicaid and request documents and materials relating to practices, procedures, protocols and policies, of certain pre- and post-admissions activities at these hospitals including, among other things, marketing functions, pre-admission screening, post-admission physician evaluations, patient assessment instruments, individualized patient plans of care, and compliance with the Medicare 60% rule. Under the Medicare rule commonly referred to as the “60% rule,” an inpatient rehabilitation hospital must treat 60% or more of its patients from at least one of a specified list of medical conditions in order to be reimbursed at the inpatient rehabilitation hospital payment rates, rather than at the lower acute care hospital payment rates.
We are cooperating fully with the DOJ in connection with this investigation and are currently unable to predict the timing or outcome of it. We intend to vigorously defend ourselves in this matter. Based on discussions with the DOJ, review of the current facts and circumstances as we understand them, and the nature of the investigation, it is not possible to estimate an amount of loss, if any, or range of possible loss that might result from it.
Other Matters—
The False Claims Act allows private citizens, called “relators,” to institute civil proceedings alleging violations of the False Claims Act. These qui tam cases are sealed by the court at the time of filing. Prior to the release of the seal by the presiding court, the only parties typically privy to the information contained in the complaint are the relator, the federal government, and the court. It is possible that qui tam lawsuits have been filed against us and that those suits remain under seal or that we are unaware of such filings or prevented by existing law, or court order from discussing or disclosing the filing of such suits. We may be subject to liability under one or more undisclosed qui tam cases brought pursuant to the False Claims Act.
It is our obligation as a participant in Medicare and other federal healthcare programs to routinely conduct audits and reviews of the accuracy of our billing systems and other regulatory compliance matters. As a result of these reviews, we have made, and will continue to make, disclosures to the HHS-OIG and the United States Centers for Medicare and Medicaid Services relating to amounts we suspect represent over-payments from these programs, whether due to inaccurate billing or otherwise. Some of these disclosures have resulted in, or may result in, HealthSouth refunding amounts to Medicare or other federal healthcare programs.
Segment Reporting
Segment Reporting
Segment Reporting
Our internal financial reporting and management structure is focused on the major types of services provided by HealthSouth. We manage our operations using two operating segments which are also our reportable segments: (1) inpatient rehabilitation and (2) home health and hospice. These reportable operating segments are consistent with information used by our chief executive officer, who is our chief operating decision maker, to assess performance and allocate resources. The following is a brief description of our reportable segments:
Inpatient Rehabilitation - Our national network of inpatient rehabilitation hospitals stretches across 30 states and Puerto Rico, with a concentration of hospitals in the eastern half of the United States and Texas. As of March 31, 2017, we operate 123 inpatient rehabilitation hospitals, including one hospital that operates as a joint venture which we account for using the equity method of accounting. In addition, we manage five inpatient rehabilitation units through management contracts. We provide specialized rehabilitative treatment on both an inpatient and outpatient basis. Our inpatient rehabilitation hospitals provide a higher level of rehabilitative care to patients who are recovering from conditions such as stroke and other neurological disorders, cardiac and pulmonary conditions, brain and spinal cord injuries, complex orthopedic conditions, and amputations.
Home Health and Hospice - As of March 31, 2017, we provide home health and hospice services in 228 locations across 25 states. Two of these home health locations operate as joint ventures which we account for using the equity method of accounting. Our home health services include a comprehensive range of Medicare-certified home nursing services to adult patients in need of care. These services include, among others, skilled nursing, physical, occupational, and speech therapy, medical social work, and home health aide services. Our hospice services primarily include in-home services to terminally ill patients and their families to address patients’ physical needs, including pain control and symptom management, and to provide emotional and spiritual support.
The accounting policies of our reportable segments are the same as those described in Note 1, Summary of Significant Accounting Policies, to the consolidated financial statements accompanying the 2016 Form 10-K. All revenues for our services are generated through external customers. See Note 1, Basis of Presentation, “Net Operating Revenues,” for the payor composition of our revenues. No corporate overhead is allocated to either of our reportable segments. Our chief operating decision maker evaluates the performance of our segments and allocates resources to them based on adjusted earnings before interest, taxes, depreciation, and amortization (“Segment Adjusted EBITDA”).
Selected financial information for our reportable segments is as follows (in millions):
 
Inpatient Rehabilitation
 
Home Health and Hospice
 
Three Months Ended March 31,
 
Three Months Ended March 31,
 
2017
 
2016
 
2017
 
2016
Net operating revenues
$
792.5

 
$
749.2

 
$
182.3

 
$
160.6

Less: Provision for doubtful accounts
(14.7
)
 
(15.6
)
 
(1.7
)
 
(0.9
)
Net operating revenues less provision for doubtful accounts
777.8

 
733.6

 
180.6

 
159.7

Operating expenses:
 
 
 
 
 
 
 
Inpatient rehabilitation:
 
 
 
 
 
 
 
Salaries and benefits
398.2

 
369.9

 

 

Other operating expenses
111.8

 
104.8

 

 

Supplies
33.7

 
32.4

 

 

Occupancy costs
15.1

 
15.6

 

 

Home health and hospice:
 
 
 
 
 
 
 
Cost of services sold (excluding depreciation and amortization)

 

 
89.0

 
78.4

Support and overhead costs

 

 
66.8

 
57.0

 
558.8

 
522.7

 
155.8

 
135.4

Other income
(1.0
)
 
(0.6
)
 

 

Equity in net income of nonconsolidated affiliates
(1.9
)
 
(2.2
)
 
(0.2
)
 
(0.2
)
Noncontrolling interests
16.5

 
16.8

 
1.1

 
1.9

Segment Adjusted EBITDA
$
205.4

 
$
196.9

 
$
23.9

 
$
22.6

 
 
 
 
 
 
 
 
Capital expenditures
$
43.1

 
$
38.7

 
$
1.7

 
$
0.4


 
Inpatient Rehabilitation
 
Home Health and Hospice
 
HealthSouth Consolidated
As of March 31, 2017
 
 
 
 
 
Total assets
$
3,651.7

 
$
1,122.5

 
$
4,703.8

Investments in and advances to nonconsolidated affiliates
10.3

 
2.6

 
12.9

As of December 31, 2016
 
 
 
 
 
Total assets
$
3,629.6

 
$
1,123.7

 
$
4,681.9

Investments in and advances to nonconsolidated affiliates
10.6

 
2.4

 
13.0


Segment reconciliations (in millions):
 
Three Months Ended March 31,
 
2017
 
2016
Total segment Adjusted EBITDA
$
229.3

 
$
219.5

General and administrative expenses
(36.5
)
 
(31.9
)
Depreciation and amortization
(45.2
)
 
(42.4
)
Gain (loss) on disposal or impairment of assets
0.5

 
(0.2
)
Professional fees - accounting, tax, and legal

 
(0.2
)
Loss on early extinguishment of debt

 
(2.4
)
Interest expense and amortization of debt discounts and fees
(41.3
)
 
(44.6
)
Net income attributable to noncontrolling interests
17.6

 
18.7

Income from continuing operations before income tax expense
$
124.4

 
$
116.5


 
March 31, 2017
 
December 31, 2016
Total assets for reportable segments
$
4,774.2

 
$
4,753.3

Reclassification of deferred income tax liabilities to net deferred income tax assets
(70.4
)
 
(71.4
)
Total consolidated assets
$
4,703.8

 
$
4,681.9


Additional detail regarding the revenues of our operating segments by service line follows (in millions):
 
Three Months Ended March 31,
 
2017
 
2016
Inpatient rehabilitation:
 
 
 
Inpatient
$
766.2

 
$
719.4

Outpatient and other
26.3

 
29.8

Total inpatient rehabilitation
792.5

 
749.2

Home health and hospice:
 
 
 
Home health
165.3

 
150.9

Hospice
17.0

 
9.7

Total home health and hospice
182.3

 
160.6

Total net operating revenues
$
974.8

 
$
909.8

Condensed Consolidating Financial Information
Condensed Consolidating Financial Information
Condensed Consolidating Financial Information
The accompanying condensed consolidating financial information has been prepared and presented pursuant to SEC Regulation S-X, Rule 3-10, “Financial Statements of Guarantors and Issuers of Guaranteed Securities Registered or Being Registered.” Each of the subsidiary guarantors is 100% owned by HealthSouth, and all guarantees are full and unconditional and joint and several, subject to certain customary conditions for release. HealthSouth’s investments in its consolidated subsidiaries, as well as guarantor subsidiaries’ investments in nonguarantor subsidiaries and nonguarantor subsidiaries’ investments in guarantor subsidiaries, are presented under the equity method of accounting with the related investment presented within the line items Intercompany receivable and investments in consolidated affiliates and Intercompany payable in the accompanying condensed consolidating balance sheets.
The terms of our credit agreement allow us to declare and pay cash dividends on our common stock so long as: (1) we are not in default under our credit agreement and (2) our senior secured leverage ratio (as defined in our credit agreement) remains less than or equal to 1.75x. The terms of our senior note indenture allow us to declare and pay cash dividends on our common stock so long as (1) we are not in default, (2) the consolidated coverage ratio (as defined in the indenture) exceeds 2x or we are otherwise allowed under the indenture to incur debt, and (3) we have capacity under the indenture’s restricted payments covenant to declare and pay dividends. See Note 9, Long-term Debt, to the consolidated financial statements accompanying the 2016 Form 10-K.
Periodically, certain wholly owned subsidiaries of HealthSouth make dividends or distributions of available cash and/or intercompany receivable balances to their parents. In addition, HealthSouth makes contributions to certain wholly owned subsidiaries. When made, these dividends, distributions, and contributions impact the Intercompany receivable, Intercompany payable, and HealthSouth shareholders’ equity line items in the accompanying condensed consolidating balance sheet but have no impact on the consolidated financial statements of HealthSouth Corporation.
 
Three Months Ended March 31, 2017
 
HealthSouth Corporation
 
Guarantor Subsidiaries
 
Nonguarantor Subsidiaries
 
Eliminating Entries
 
HealthSouth Consolidated
 
(In Millions)
Net operating revenues
$
5.3

 
$
576.2

 
$
424.5

 
$
(31.2
)
 
$
974.8

Less: Provision for doubtful accounts

 
(10.8
)
 
(5.6
)
 

 
(16.4
)
Net operating revenues less provision for doubtful accounts
5.3

 
565.4

 
418.9

 
(31.2
)
 
958.4

Operating expenses:
 

 
 

 
 

 
 

 
 
Salaries and benefits
11.2

 
272.3

 
251.9

 
(5.3
)
 
530.1

Other operating expenses
8.2

 
77.7

 
55.1

 
(11.9
)
 
129.1

Occupancy costs
0.5

 
23.3

 
8.1

 
(14.0
)
 
17.9

Supplies

 
23.7

 
13.3

 

 
37.0

General and administrative expenses
31.6

 

 
4.9

 

 
36.5

Depreciation and amortization
2.4

 
26.6

 
16.2

 

 
45.2

Total operating expenses
53.9

 
423.6

 
349.5

 
(31.2
)
 
795.8

Interest expense and amortization of debt discounts and fees
35.2

 
5.4

 
5.8

 
(5.1
)
 
41.3

Other income
(5.4
)
 
(0.1
)
 
(0.6
)
 
5.1

 
(1.0
)
Equity in net income of nonconsolidated affiliates

 
(1.9
)
 
(0.2
)
 

 
(2.1
)
Equity in net income of consolidated affiliates
(86.3
)
 
(9.5
)
 

 
95.8

 

Management fees
(35.9
)
 
27.4

 
8.5

 

 

Income from continuing operations before income tax (benefit) expense
43.8

 
120.5

 
55.9

 
(95.8
)
 
124.4

Provision for income tax (benefit) expense
(23.3
)
 
48.1

 
14.9

 

 
39.7

Income from continuing operations
67.1

 
72.4

 
41.0

 
(95.8
)
 
84.7

Loss from discontinued operations, net of tax
(0.3
)
 

 

 

 
(0.3
)
Net income
66.8

 
72.4

 
41.0

 
(95.8
)
 
84.4

Less: Net income attributable to noncontrolling interests

 

 
(17.6
)
 

 
(17.6
)
Net income attributable to HealthSouth
$
66.8

 
$
72.4

 
$
23.4

 
$
(95.8
)
 
$
66.8

Comprehensive income
$
67.1

 
$
72.4

 
$
41.0

 
$
(95.8
)
 
$
84.7

Comprehensive income attributable to HealthSouth
$
67.1

 
$
72.4

 
$
23.4

 
$
(95.8
)
 
$
67.1

 
Three Months Ended March 31, 2016
 
HealthSouth Corporation
 
Guarantor Subsidiaries
 
Nonguarantor Subsidiaries
 
Eliminating Entries
 
HealthSouth Consolidated
 
(In Millions)
Net operating revenues
$
4.9

 
$
550.7

 
$
383.2

 
$
(29.0
)
 
$
909.8

Less: Provision for doubtful accounts

 
(11.9
)
 
(4.6
)
 

 
(16.5
)
Net operating revenues less provision for doubtful accounts
4.9

 
538.8

 
378.6

 
(29.0
)
 
893.3

Operating expenses:
 

 
 

 
 

 
 

 
 
Salaries and benefits
11.3

 
255.0

 
224.4

 
(4.6
)
 
486.1

Other operating expenses
5.4

 
77.1

 
47.8

 
(11.1
)
 
119.2

Occupancy costs
0.9

 
23.0

 
7.4

 
(13.3
)
 
18.0

Supplies

 
23.2

 
11.8

 

 
35.0

General and administrative expenses
33.2

 

 
(1.3
)
 

 
31.9

Depreciation and amortization
2.4

 
25.7

 
14.3

 

 
42.4

Professional fees—accounting, tax, and legal
0.2

 

 

 

 
0.2

Total operating expenses
53.4

 
404.0

 
304.4

 
(29.0
)
 
732.8

Loss on early extinguishment of debt
2.4

 

 

 

 
2.4

Interest expense and amortization of debt discounts and fees
38.9

 
5.2

 
5.3

 
(4.8
)
 
44.6

Other income
(4.7
)
 
(0.1
)
 
(0.6
)
 
4.8

 
(0.6
)
Equity in net income of nonconsolidated affiliates

 
(2.1
)
 
(0.3
)
 

 
(2.4
)
Equity in net income of consolidated affiliates
(86.2
)
 
(8.2
)
 

 
94.4

 

Management fees
(34.2
)
 
26.2

 
8.0

 

 

Income from continuing operations before income tax (benefit) expense
35.3

 
113.8

 
61.8

 
(94.4
)
 
116.5

Provision for income tax (benefit) expense
(22.8
)
 
45.4

 
17.1

 

 
39.7

Income from continuing operations
58.1

 
68.4

 
44.7

 
(94.4
)
 
76.8

Loss from discontinued operations, net of
tax
(0.1
)
 

 

 

 
(0.1
)
Net income
58.0

 
68.4

 
44.7

 
(94.4
)
 
76.7

Less: Net income attributable to noncontrolling interests

 

 
(18.7
)
 

 
(18.7
)
Net income attributable to HealthSouth
$
58.0

 
$
68.4

 
$
26.0

 
$
(94.4
)
 
$
58.0

Comprehensive income
$
58.1

 
$
68.4

 
$
44.7

 
$
(94.4
)
 
$
76.8

Comprehensive income attributable to HealthSouth
$
58.1

 
$
68.4

 
$
26.0

 
$
(94.4
)
 
$
58.1

 
As of March 31, 2017
 
HealthSouth Corporation
 
Guarantor Subsidiaries
 
Nonguarantor Subsidiaries
 
Eliminating Entries
 
HealthSouth Consolidated
 
(In Millions)
Assets
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
42.4

 
$
2.6

 
$
16.2

 
$

 
$
61.2

Accounts receivable, net

 
277.7

 
160.3

 

 
438.0

Other current assets
97.2

 
24.0

 
146.5

 
(84.6
)
 
183.1

Total current assets
139.6

 
304.3

 
323.0

 
(84.6
)
 
682.3

Property and equipment, net
49.8

 
974.7

 
381.6

 

 
1,406.1

Goodwill

 
860.6

 
1,070.8

 

 
1,931.4

Intangible assets, net
10.9

 
114.3

 
279.2

 

 
404.4

Deferred income tax assets
50.3

 
57.7

 

 
(72.7
)
 
35.3

Other long-term assets
47.5

 
115.1

 
81.7

 

 
244.3

Intercompany notes receivable
521.8

 

 

 
(521.8
)
 

Intercompany receivable and investments in consolidated affiliates
2,859.9

 
208.8

 

 
(3,068.7
)
 

Total assets
$
3,679.8

 
$
2,635.5

 
$
2,136.3

 
$
(3,747.8
)
 
$
4,703.8

Liabilities and Shareholders’ Equity
 

 
 

 
 

 
 

 


Current liabilities:
 

 
 

 
 

 
 

 


Current portion of long-term debt
$
40.0

 
$
6.8

 
$
8.6

 
$
(17.5
)
 
$
37.9

Accounts payable
7.1

 
37.2

 
24.6

 

 
68.9

Accrued expenses and other current liabilities
198.8

 
79.0

 
169.8

 
(67.1
)
 
380.5

Total current liabilities
245.9

 
123.0

 
203.0

 
(84.6
)
 
487.3

Long-term debt, net of current portion
2,617.7

 
248.0

 
49.8

 

 
2,915.5

Intercompany notes payable

 

 
521.8

 
(521.8
)
 

Other long-term liabilities
36.5

 
15.8

 
188.6

 
(72.4
)
 
168.5

Intercompany payable

 

 
148.2

 
(148.2
)
 

 
2,900.1

 
386.8

 
1,111.4

 
(827.0
)
 
3,571.3

Commitments and contingencies


 


 


 


 


Redeemable noncontrolling interests

 

 
153.4

 

 
153.4

Shareholders’ equity:
 

 
 

 
 

 
 

 


HealthSouth shareholders’ equity
779.7

 
2,248.7

 
672.1

 
(2,920.8
)
 
779.7

Noncontrolling interests

 

 
199.4

 

 
199.4

Total shareholders’ equity
779.7

 
2,248.7

 
871.5

 
(2,920.8
)
 
979.1

Total liabilities and shareholders’ equity
$
3,679.8

 
$
2,635.5

 
$
2,136.3

 
$
(3,747.8
)
 
$
4,703.8


 
As of December 31, 2016
 
HealthSouth Corporation
 
Guarantor Subsidiaries
 
Nonguarantor Subsidiaries
 
Eliminating Entries
 
HealthSouth Consolidated
 
(In Millions)
Assets
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
20.6

 
$
1.6

 
$
18.3

 
$

 
$
40.5

Accounts receivable, net

 
276.5

 
167.3

 

 
443.8

Other current assets
49.9

 
24.2

 
114.7

 
(18.6
)
 
170.2

Total current assets
70.5

 
302.3

 
300.3

 
(18.6
)
 
654.5

Property and equipment, net
41.6

 
987.3

 
362.9

 

 
1,391.8

Goodwill

 
860.6

 
1,066.6

 

 
1,927.2

Intangible assets, net
12.0

 
115.6

 
283.7

 

 
411.3

Deferred income tax assets
90.9

 
57.6

 

 
(72.7
)
 
75.8

Other long-term assets
49.0

 
95.1

 
77.2

 

 
221.3

Intercompany notes receivable
528.8

 

 

 
(528.8
)
 

Intercompany receivable and investments in consolidated affiliates
2,855.5

 
96.3

 

 
(2,951.8
)
 

Total assets
$
3,648.3

 
$
2,514.8

 
$
2,090.7

 
$
(3,571.9
)
 
$
4,681.9

Liabilities and Shareholders’ Equity
 

 
 

 
 

 
 

 


Current liabilities:
 

 
 

 
 

 
 

 


Current portion of long-term debt
$
40.0

 
$
6.4

 
$
8.2

 
$
(17.5
)
 
$
37.1

Accounts payable
7.0

 
37.4

 
23.9

 

 
68.3

Accrued expenses and other current liabilities
150.7

 
82.3

 
138.3

 
(1.1
)
 
370.2

Total current liabilities
197.7

 
126.1


170.4


(18.6
)
 
475.6

Long-term debt, net of current portion
2,679.2

 
248.9

 
51.2

 

 
2,979.3

Intercompany notes payable

 

 
528.8

 
(528.8
)
 

Other long-term liabilities
35.5

 
15.2

 
181.6

 
(72.3
)
 
160.0

Intercompany payable

 

 
168.2

 
(168.2
)
 

 
2,912.4

 
390.2


1,100.2


(787.9
)
 
3,614.9

Commitments and contingencies


 


 


 


 


Redeemable noncontrolling interests

 

 
138.3

 

 
138.3

Shareholders’ equity:
 

 
 

 
 

 
 

 


HealthSouth shareholders’ equity
735.9

 
2,124.6

 
659.4

 
(2,784.0
)
 
735.9

Noncontrolling interests

 

 
192.8

 

 
192.8

Total shareholders’ equity
735.9

 
2,124.6


852.2


(2,784.0
)
 
928.7

Total liabilities and shareholders’ equity
$
3,648.3

 
$
2,514.8


$
2,090.7


$
(3,571.9
)
 
$
4,681.9

 
Three Months Ended March 31, 2017
 
HealthSouth Corporation
 
Guarantor Subsidiaries
 
Nonguarantor Subsidiaries
 
Eliminating Entries
 
HealthSouth Consolidated
 
(In Millions)
Net cash provided by operating activities
$
45.1

 
$
74.0

 
$
61.7

 
$

 
$
180.8

Cash flows from investing activities:
 

 
 

 
 

 
 

 
 

Purchases of property and equipment
(5.2
)
 
(13.1
)
 
(22.9
)
 

 
(41.2
)
Additions to capitalized software costs
(3.0
)
 
(0.2
)
 
(0.4
)
 

 
(3.6
)
Acquisitions of businesses, net of cash acquired
(10.9
)
 

 
(5.5
)
 

 
(16.4
)
Net change in restricted cash

 

 
(4.7
)
 

 
(4.7
)
Proceeds from repayment of intercompany note receivable
7.0

 

 

 
(7.0
)
 

Other, net
(0.8
)
 
9.0

 
3.9

 

 
12.1

Net cash used in investing activities
(12.9
)
 
(4.3
)

(29.6
)

(7.0
)
 
(53.8
)
Cash flows from financing activities:
 

 
 

 
 

 
 

 


Principal payments on debt, including pre-payments
(5.6
)
 

 
(0.8
)
 

 
(6.4
)
Principal payments on intercompany note payable

 

 
(7.0
)
 
7.0

 

Borrowings on revolving credit facility
55.0

 

 

 

 
55.0

Payments on revolving credit facility
(122.0
)
 

 

 

 
(122.0
)
Repurchases of common stock, including fees and expenses
(18.1
)
 

 

 

 
(18.1
)
Dividends paid on common stock
(22.2
)
 

 

 

 
(22.2
)
Proceeds from exercising stock warrants
26.6

 

 

 

 
26.6

Distributions paid to noncontrolling interests of consolidated affiliates

 

 
(11.5
)
 

 
(11.5
)
Taxes paid on behalf of employees for shares withheld
(6.6
)
 

 
(0.3
)
 

 
(6.9
)
Other, net
0.2

 
(1.6
)
 
0.6

 

 
(0.8
)
Change in intercompany advances
82.3

 
(67.1
)
 
(15.2
)
 

 

Net cash used in financing activities
(10.4
)
 
(68.7
)

(34.2
)

7.0

 
(106.3
)
Increase (decrease) in cash and cash equivalents
21.8

 
1.0


(2.1
)


 
20.7

Cash and cash equivalents at beginning of period
20.6

 
1.6

 
18.3

 

 
40.5

Cash and cash equivalents at end of period
$
42.4

 
$
2.6


$
16.2


$

 
$
61.2


 
Three Months Ended March 31, 2016
 
HealthSouth Corporation
 
Guarantor Subsidiaries
 
Nonguarantor Subsidiaries
 
Eliminating Entries
 
HealthSouth Consolidated
 
(In Millions)
Net cash provided by operating activities
$
18.8

 
$
90.9

 
$
59.9

 
$

 
$
169.6

Cash flows from investing activities:
 

 
 

 
 

 
 

 
 

Purchases of property and equipment
(3.2
)
 
(14.3
)
 
(13.9
)
 

 
(31.4
)
Additions to capitalized software costs
(7.7
)
 

 

 

 
(7.7
)
Net change in restricted cash

 

 
(3.2
)
 

 
(3.2
)
Proceeds from repayment of intercompany notes receivable
5.0

 

 

 
(5.0
)
 

Other, net

 
(0.3
)
 
3.1

 

 
2.8

Net cash used in investing activities
(5.9
)
 
(14.6
)
 
(14.0
)
 
(5.0
)
 
(39.5
)
Cash flows from financing activities:
 

 
 

 
 

 
 

 


Principal payments on debt, including pre-payments
(55.6
)
 
(0.4
)
 
(0.3
)
 

 
(56.3
)
Principal payments on intercompany note payable

 

 
(5.0
)
 
5.0

 

Borrowings on revolving credit facility
60.0

 

 

 

 
60.0

Payments on revolving credit facility
(60.0
)
 

 

 

 
(60.0
)
Repurchases of common stock, including fees and expenses
(12.9
)
 

 

 

 
(12.9
)
Dividends paid on common stock
(21.3
)
 

 

 

 
(21.3
)
Distributions paid to noncontrolling interests of consolidated affiliates

 

 
(15.6
)
 

 
(15.6
)
Taxes paid on behalf of employees for shares withheld
(9.9
)
 

 

 

 
(9.9
)
Other, net
1.9

 
(1.4
)
 
(3.0
)
 

 
(2.5
)
Change in intercompany advances
91.5

 
(72.9
)
 
(18.6
)
 

 

Net cash used in financing activities
(6.3
)
 
(74.7
)
 
(42.5
)
 
5.0

 
(118.5
)
Increase in cash and cash equivalents
6.6

 
1.6

 
3.4

 

 
11.6

Cash and cash equivalents at beginning of period
41.2

 
1.2

 
19.2

 

 
61.6

Cash and cash equivalents at end of period
$
47.8

 
$
2.8

 
$
22.6

 
$

 
$
73.2

Basis of Presentation (Policies)
Recent Accounting Pronouncements
Recent Accounting Pronouncements
In May 2014, the FASB issued ASU 2014-09, “Revenue from Contracts with Customers” and has subsequently issued supplemental and/or clarifying ASUs (collectively “ASC 606”). ASC 606 outlines a five-step framework that intends to clarify the principles for recognizing revenue and eliminate industry-specific guidance. In addition, ASC 606 revises current disclosure requirements in an effort to help financial statement users better understand the nature, amount, timing, and uncertainty of revenue that is recognized. ASC 606 will be effective for our annual reporting period beginning on January 1, 2018, including interim periods within that year. Early adoption beginning on January 1, 2017 is permitted. ASC 606 may be applied retrospectively to each period presented or on a modified retrospective basis with the cumulative effect recognized as of the date of adoption. We are currently assessing the impact this guidance may have on our consolidated financial statements by analyzing our current portfolio of third-party payor contracts, including a review of historical accounting policies and practices to identify potential differences in applying the new guidance. We are also evaluating the nature and amount of data available to us in assessing implementation of ASC 606. Under ASC 606, substantially all amounts that were previously presented as Provision for doubtful accounts will be considered an implicit price concession in determining Net operating revenues. Amounts considered to be doubtful accounts under ASC 606 will be presented as a component of Total operating expenses within the consolidated statements of operations. We expect to adopt ASC 606 retrospectively effective January 1, 2018.
In January 2016, the FASB issued ASU No. 2016-01, “Financial Instruments - Overall (Topic 825): Recognition and Measurement of Financial Assets and Financial Liabilities.” This standard revises the classification and measurement of investments in certain equity investments and the presentation of certain fair value changes for certain financial liabilities measured at fair value. This revised standard requires the change in fair value of many equity investments to be recognized in net income. This revised standard is effective for our interim and annual periods beginning January 1, 2018. While we are currently assessing the impact this guidance may have on our consolidated financial statements, we expect to recognize mark-to-market gains and losses associated with our available-for-sale equity securities through Net income instead of Accumulated other comprehensive income. We continue to review the requirements of this revised standard and any potential impact it may have on our consolidated financial statements.
In February 2016, the FASB issued ASU 2016-02, “Leases (Topic 842),” in order to increase transparency and comparability by recognizing lease assets and liabilities on the balance sheet and disclosing key information about leasing arrangements. Under the new standard, lessees will recognize a right-of-use asset and a corresponding lease liability for all leases other than leases that meet the definition of a short-term lease. The liability will be equal to the present value of future minimum lease payments. The asset will be based on the liability, subject to adjustment, such as for initial direct costs. For income statement purposes, the FASB retained a dual model, requiring leases to be classified as either operating or finance. Operating leases will result in straight-line expense while finance leases will result in an expense pattern similar to current capital leases. Classification will be based on criteria that are similar to those applied in current lease accounting. This standard will be effective for our annual reporting period beginning on January 1, 2019. Early adoption is permitted. In transition, we will be required to recognize and measure leases beginning in the earliest period presented using a modified retrospective approach; therefore, we anticipate restating our consolidated financial statements for the two fiscal years prior to the year of adoption. While we are currently assessing the impact this guidance may have on our consolidated financial statements, we expect that virtually all of our existing operating leases will be reflected as right-of-use assets and liabilities on our consolidated balance sheets under the new standard. We do not expect to early adopt this standard. See Note 6, Property and Equipment, to the consolidated financial statements accompanying the 2016 Form 10-K for disclosure related to our operating leases.
In March 2016, the FASB issued ASU 2016-09, “Improvements to Employee Share-Based Payment Accounting (Topic 718),” to simplify various aspects of share-based payment accounting and presentation. The new standard requires entities to record all of the tax effects related to share-based payments at settlement (or expiration) through the income statement. This change is required to be applied prospectively to all excess tax benefits and tax deficiencies resulting from settlements after the date of adoption of the ASU. The standard eliminates the requirement to delay recognition of a windfall tax benefit until it reduces current taxes payable. This change is required to be applied on a modified retrospective basis. In addition, all income tax-related cash flows resulting from share-based windfall tax benefits are required to be reported as operating activities on the statement of cash flows as opposed to the current presentation as an inflow from financing activities and an outflow from operating activities. Either prospective or retrospective transition of this provision is permitted. The standard also clarifies that all cash payments made to taxing authorities on the employees’ behalf for withheld shares should be presented as financing activities on the statement of cash flows. This change will be applied retrospectively. Finally, the standard allows entities to make an accounting policy election to either estimate forfeitures for each period or account for forfeitures as they occur. For HealthSouth, this guidance is effective for its annual reporting period beginning January 1, 2017, including interim periods within that reporting period. As a result of our adoption of this guidance effective January 1, 2017, we recorded $1.2 million of tax benefits in excess of compensation cost (“windfalls”) to Provision for income tax expense in our condensed consolidating statement of operations for the three months ended March 31, 2017. We elected to retrospectively apply the change to our condensed consolidating statements of cash flows, which will result in a reclassification of windfalls of $17.3 million from Cash flows from financing activities to Cash flows from operating activities for the year ended December 31, 2016. We also elected to retrospectively apply the change to the presentation of cash payments made to taxing authorities on the employees’ behalf for withheld shares on our condensed consolidating statements of cash flows for the three months ended March 31, 2016, which resulted in a reclassification of $9.9 million from Cash flows from operating activities to Cash flows from financing activities. We did not elect an accounting policy change to record forfeitures as they occur and thus will continue to estimate forfeitures at each period. The adoption of this guidance did not have a material impact on our consolidated financial statements.
In June 2016, the FASB issued ASU 2016-13, “Financial Instruments – Credit Losses (Topic 326),” which provides guidance for accounting for credit losses on financial instruments. The new guidance introduces an approach based on expected losses to estimate credit losses on certain types of financial instruments and modifies the impairment model for available-for-sale debt securities. The new guidance is effective for HealthSouth for the annual period beginning January 1, 2020, including interim periods within that reporting period. Early adoption is permitted for HealthSouth beginning January 1, 2019. We continue to review the requirements of this standard and any potential impact it may have on our consolidated financial statements.
In August 2016, the FASB issued ASU 2016-15, “Statement of Cash Flows (Topic 230), Classification of Certain Cash Receipts and Cash Payments,” to reduce diversity in practice in how certain transactions are classified in the statement of cash flows. In addition, the standard clarifies when cash receipts and cash payments have aspects of more than one class of cash flows and cannot be separated, classification will depend on the predominant source or use. The new guidance requires retrospective application and is effective for HealthSouth for the annual reporting period beginning January, 1 2018, including interim periods within that reporting period. Early adoption is permitted. We continue to review the requirements of this standard and any potential impact it may have on our consolidated financial statements.
In November 2016, the FASB issued ASU 2016-18, “Statement of Cash Flows (Topic 230), Restricted Cash,” to clarify how entities should present restricted cash and restricted cash equivalents in the statement of cash flows. The new guidance requires amounts generally described as restricted cash and restricted cash equivalents be included with cash and cash equivalents when reconciling the total beginning and ending amounts for the periods shown on the statement of cash flows. The new guidance requires retrospective application and is effective for our annual reporting period beginning January 1, 2018, including interim periods within that reporting period. Early adoption is permitted. We continue to review the requirements of this revised standard and any potential impact it may have on our consolidated financial statements.
We do not believe any other recently issued, but not yet effective, accounting standards will have a material effect on our consolidated financial position, results of operations, or cash flows.
Basis of Presentation (Tables)
Concentration of Net Operating Revenues by Payor
We derived consolidated Net operating revenues from the following payor sources:
 
Three Months Ended March 31,
 
2017
 
2016
Medicare
75.2
%
 
75.4
%
Medicare Advantage
8.8
%
 
7.8
%
Managed care
9.9
%
 
9.5
%
Medicaid
2.6
%
 
3.4
%
Other third-party payors
1.2
%
 
1.4
%
Workers’ compensation
0.8
%
 
0.9
%
Patients
0.5
%
 
0.5
%
Other income
1.0
%
 
1.1
%
Total
100.0
%
 
100.0
%


Inpatient Rehabilitation Revenues
Our inpatient rehabilitation segment derived its Net operating revenues from the following payor sources:
 
Three Months Ended March 31,
 
2017
 
2016
Medicare
73.3
%
 
73.8
%
Medicare Advantage
8.5
%
 
7.6
%
Managed care
11.2
%
 
11.0
%
Medicaid
2.8
%
 
3.0
%
Other third-party payors
1.5
%
 
1.6
%
Workers’ compensation
0.9
%
 
1.1
%
Patients
0.6
%
 
0.6
%
Other income
1.2
%
 
1.3
%
Total
100.0
%
 
100.0
%

Home Health and Hospice Revenues
Our home health and hospice segment derived its Net operating revenues from the following payor sources:
 
Three Months Ended March 31,
 
2017
 
2016
Medicare
84.1
%
 
83.5
%
Medicare Advantage
10.3
%
 
8.7
%
Managed care
4.0
%
 
2.7
%
Medicaid
1.4
%
 
4.9
%
Patients
0.1
%
 
0.1
%
Other income
0.1
%
 
0.1
%
Total
100.0
%
 
100.0
%
Business Combinations (Tables)
The fair value of the assets acquired at the acquisition date were as follows (in millions):
Identifiable intangible asset:
 

Noncompete agreements (useful lives of 5 years)
$
0.1

Trade name (useful life of 1 year)
0.1

Certificates of need (useful lives of 10 years)
0.7

Licenses (useful lives of 10 years)
0.4

Goodwill
4.2

Total assets acquired
$
5.5

Information regarding the net cash paid for the home health acquisitions is as follows (in millions):
 
Three Months Ended March 31,
 
2017
Fair value of assets acquired
$
1.3

Goodwill
4.2

Net cash paid for acquisitions
$
5.5

The following table summarizes the results of operations of the above mentioned home health acquisitions from their respective dates of acquisition included in our consolidated results of operations and the unaudited pro forma results of operations of the combined entity had the date of the acquisitions been January 1, 2016 (in millions):
 
Net Operating Revenues
 
Net Income Attributable to HealthSouth
Acquired entities only: Actual from acquisition date to March 31, 2017
$
0.4

 
$
0.1

Combined entity: Supplemental pro forma from 01/01/2017-03/31/2017
975.2

 
66.8

Combined entity: Supplemental pro forma from 01/01/2016-03/31/2016
910.8

 
57.9

Variable Interest Entities (Tables)
Schedule of carrying amounts and classifications of VIE's assets and liabilities
The carrying amounts and classifications of the consolidated VIEs’ assets and liabilities, which are included in our consolidated balance sheet, are as follows (in millions):
 
March 31, 2017
 
December 31, 2016
Assets
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
1.6

 
$
1.6

Accounts receivable, net of allowance for doubtful accounts
31.1

 
30.8

Other current assets
4.2

 
5.8

Total current assets
36.9

 
38.2

Property and equipment, net
141.2

 
140.0

Goodwill
73.5

 
73.5

Intangible assets, net
9.0

 
9.6

Other long-term assets
0.9

 
1.0

Total assets
$
261.5

 
$
262.3

Liabilities
 
 
 
Current liabilities:
 
 
 
Current portion of long-term debt
$
1.6

 
$
1.5

Accounts payable
5.9

 
6.8

Accrued expenses and other current liabilities
12.5

 
12.2

Total current liabilities
20.0

 
20.5

Long-term debt, net of current portion
29.6

 
29.8

Total liabilities
$
49.6

 
$
50.3

Investments in and Advances to Nonconsolidated Affiliates (Tables)
Schedule of Combined Results of Operations of Equity Method Affiliates
The following summarizes the combined results of operations of our equity method affiliates (on a 100% basis, in millions):
 
Three Months Ended March 31,
 
2017
 
2016
Net operating revenues
$
10.8

 
$
11.2

Operating expenses
(6.3
)
 
(6.2
)
Income from continuing operations, net of tax
4.4

 
5.0

Net income
4.4

 
5.0

Long-term Debt (Tables)
Our long-term debt outstanding consists of the following (in millions):
 
March 31, 2017
 
December 31, 2016
Credit Agreement—
 
 
 
Advances under revolving credit facility
$
85.0

 
$
152.0

Term loan facilities
415.7

 
421.2

Bonds payable—
 
 
 
5.125% Senior Notes due 2023
295.4

 
295.3

5.75% Senior Notes due 2024
1,193.4

 
1,193.2

5.75% Senior Notes due 2025
344.0

 
343.9

2.00% Convertible Senior Subordinated Notes due 2043
278.2

 
275.7

Other notes payable
63.1

 
55.8

Capital lease obligations
278.6

 
279.3

 
2,953.4

 
3,016.4

Less: Current portion
(37.9
)
 
(37.1
)
Long-term debt, net of current portion
$
2,915.5

 
$
2,979.3

The following chart shows scheduled principal payments due on long-term debt for the next five years and thereafter (in millions):
 
Face Amount
 
Net Amount
April 1 through December 31, 2017
$
28.4

 
$
28.4

2018
38.6

 
38.6

2019
39.7

 
39.7

2020
769.3

 
726.3

2021
10.8

 
10.8

2022
24.9

 
24.9

Thereafter
2,101.9

 
2,084.7

Total
$
3,013.6

 
$
2,953.4

Redeemable Noncontrolling Interests (Tables)
The following is a summary of the activity related to our Redeemable noncontrolling interests during the three months ended March 31, 2017 and 2016 (in millions):
 
Three Months Ended March 31,
 
2017
 
2016
Balance at beginning of period
$
138.3

 
$
121.1

Net income attributable to noncontrolling interests
3.1

 
3.9

Distributions declared
(1.9
)
 
(2.1
)
Change in fair value
13.9

 
(26.7
)
Balance at end of period
$
153.4

 
$
96.2

The following table reconciles the net income attributable to nonredeemable Noncontrolling interests, as recorded in the shareholders’ equity section of the condensed consolidated balance sheets, and the net income attributable to Redeemable noncontrolling interests, as recorded in the mezzanine section of the condensed consolidated balance sheets, to the Net income attributable to noncontrolling interests presented in the condensed consolidated statements of operations for the three months ended March 31, 2017 and 2016 (in millions):
 
Three Months Ended March 31,
 
 
2017
 
2016
Net income attributable to nonredeemable noncontrolling interests
$
14.5

 
$
14.8

Net income attributable to redeemable noncontrolling interests
3.1

 
3.9

Net income attributable to noncontrolling interests
$
17.6

 
$
18.7

Fair Value Measurements (Tables)
Our financial assets and liabilities that are measured at fair value on a recurring basis are as follows (in millions):
 
 
 
Fair Value Measurements at Reporting Date Using
As of March 31, 2017
Fair Value
 
Quoted Prices in Active Markets for Identical Assets
(Level 1)
 
Significant Other Observable Inputs
(Level 2)
 
Significant Unobservable Inputs
(Level 3)
 
Valuation Technique (1)
Other current assets:
 
 
 
 
 
 
 
 
 
Current portion of restricted marketable securities
$
17.5

 
$

 
$
17.5

 
$

 
M
Other long-term assets:
 
 
 
 
 
 
 
 
 
Restricted marketable securities
36.8

 

 
36.8

 

 
M
Redeemable noncontrolling interests
153.4

 

 

 
153.4

 
I
As of December 31, 2016
 
 
 
 
 
 
 
 
 
Other current assets:
 
 
 
 
 
 
 
 
 
Current portion of restricted marketable securities
$
24.2

 
$

 
$
24.2

 
$

 
M
Other long-term assets:
 
 
 
 
 
 
 
 
 
Restricted marketable securities
33.5

 

 
33.5

 

 
M
Redeemable noncontrolling interests
138.3

 

 

 
138.3

 
I
(1) The three valuation techniques are: market approach (M), cost approach (C), and income approach (I).
The carrying amounts and estimated fair values for all of our other financial instruments are presented in the following table (in millions):
 
As of March 31, 2017
 
As of December 31, 2016
 
Carrying Amount
 
Estimated Fair Value
 
Carrying Amount
 
Estimated Fair Value
Long-term debt:
 

 
 

 
 

 
 

Advances under revolving credit facility
$
85.0

 
$
85.0

 
$
152.0

 
$
152.0

Term loan facilities
415.7

 
416.9

 
421.2

 
422.5

5.125% Senior Notes due 2023
295.4

 
301.5

 
295.3

 
297.8

5.75% Senior Notes due 2024
1,193.4

 
1,206.0

 
1,193.2

 
1,216.6

5.75% Senior Notes due 2025
344.0

 
349.6

 
343.9

 
349.6

2.00% Convertible Senior Subordinated Notes due 2043
278.2

 
390.8

 
275.7

 
382.6

Other notes payable
63.1

 
63.1

 
55.8

 
55.8

Financial commitments:
 
 
 
 
 
 
 
Letters of credit

 
36.4

 

 
33.3

Income Taxes (Tables)
Reconciliation of Unrecognized Tax Benefits
A reconciliation of the beginning and ending liability for unrecognized tax benefits is as follows (in millions):
 
Gross Unrecognized Income Tax Benefits
Balance at December 31, 2016
$
2.8

Gross amount of decreases in unrecognized tax benefits related to prior periods
(0.4
)
Decreases in unrecognized tax benefits relating to settlements with taxing authorities
(2.1
)
Balance at March 31, 2017
$
0.3

Earnings per Common Share (Tables)
The following table sets forth the computation of basic and diluted earnings per common share (in millions, except per share amounts):
 
Three Months Ended March 31,
 
2017
 
2016
Basic:
 
 
 
Numerator:
 
 
 
Income from continuing operations
$
84.7

 
$
76.8

Less: Net income attributable to noncontrolling interests included in continuing operations
(17.6
)
 
(18.7
)
Less: Income allocated to participating securities
(0.2
)
 
(0.2
)
Income from continuing operations attributable to HealthSouth common shareholders
66.9

 
57.9

Loss from discontinued operations, net of tax, attributable to HealthSouth common shareholders
(0.3
)
 
(0.1
)
Net income attributable to HealthSouth common shareholders
$
66.6

 
$
57.8

Denominator:
 
 
 
Basic weighted average common shares outstanding
88.8

 
89.5

Basic earnings per share attributable to HealthSouth common shareholders:
 
 
 
Continuing operations
$
0.75

 
$
0.65

Discontinued operations

 

Net income
$
0.75

 
$
0.65

 
 
 
 
Diluted:
 
 
 
Numerator:
 
 
 
Income from continuing operations
$
84.7

 
$
76.8

Less: Net income attributable to noncontrolling interests included in continuing operations
(17.6
)
 
(18.7
)
Add: Interest on convertible debt, net of tax
2.5

 
2.4

Income from continuing operations attributable to HealthSouth common shareholders
69.6

 
60.5

Loss from discontinued operations, net of tax, attributable to HealthSouth common shareholders
(0.3
)
 
(0.1
)
Net income attributable to HealthSouth common shareholders
$
69.3

 
$
60.4

Denominator:
 
 
 
Diluted weighted average common shares outstanding
99.0

 
99.4

Diluted earnings per share attributable to HealthSouth common shareholders:
 
 
 
Continuing operations
$
0.70

 
$
0.61

Discontinued operations

 

Net income
$
0.70

 
$
0.61

The following table sets forth the reconciliation between basic weighted average common shares outstanding and diluted weighted average common shares outstanding (in millions):
 
Three Months Ended March 31,
 
2017
 
2016
Basic weighted average common shares outstanding
88.8

 
89.5

Convertible senior subordinated notes
8.6

 
8.4

Restricted stock awards, dilutive stock options, and restricted stock units
1.6

 
1.5

Diluted weighted average common shares outstanding
99.0

 
99.4

The following table summarizes information relating to these warrants and their activity through their expiration date (number of warrants in millions):
 
Number of Warrants
 
Weighted-Average Exercise Price
Common stock warrants outstanding as of December 31, 2016
8.2

 
$
41.40

Cashless exercise
(6.5
)
 
41.40

Cash exercise
(0.6
)
 
41.40

Expired
(1.1
)
 
41.40

Common stock warrants outstanding as of January 17, 2017

 
 
Segment Reporting (Tables)
Selected financial information for our reportable segments is as follows (in millions):
 
Inpatient Rehabilitation
 
Home Health and Hospice
 
Three Months Ended March 31,
 
Three Months Ended March 31,
 
2017
 
2016
 
2017
 
2016
Net operating revenues
$
792.5

 
$
749.2

 
$
182.3

 
$
160.6

Less: Provision for doubtful accounts
(14.7
)
 
(15.6
)
 
(1.7
)
 
(0.9
)
Net operating revenues less provision for doubtful accounts
777.8

 
733.6

 
180.6

 
159.7

Operating expenses:
 
 
 
 
 
 
 
Inpatient rehabilitation:
 
 
 
 
 
 
 
Salaries and benefits
398.2

 
369.9

 

 

Other operating expenses
111.8

 
104.8

 

 

Supplies
33.7

 
32.4

 

 

Occupancy costs
15.1

 
15.6

 

 

Home health and hospice:
 
 
 
 
 
 
 
Cost of services sold (excluding depreciation and amortization)

 

 
89.0

 
78.4

Support and overhead costs

 

 
66.8

 
57.0

 
558.8

 
522.7

 
155.8

 
135.4

Other income
(1.0
)
 
(0.6
)
 

 

Equity in net income of nonconsolidated affiliates
(1.9
)
 
(2.2
)
 
(0.2
)
 
(0.2
)
Noncontrolling interests
16.5

 
16.8

 
1.1

 
1.9

Segment Adjusted EBITDA
$
205.4

 
$
196.9

 
$
23.9

 
$
22.6

 
 
 
 
 
 
 
 
Capital expenditures
$
43.1

 
$
38.7

 
$
1.7

 
$
0.4

 
March 31, 2017
 
December 31, 2016
Total assets for reportable segments
$
4,774.2

 
$
4,753.3

Reclassification of deferred income tax liabilities to net deferred income tax assets
(70.4
)
 
(71.4
)
Total consolidated assets
$
4,703.8

 
$
4,681.9

 
Inpatient Rehabilitation
 
Home Health and Hospice
 
HealthSouth Consolidated
As of March 31, 2017
 
 
 
 
 
Total assets
$
3,651.7

 
$
1,122.5

 
$
4,703.8

Investments in and advances to nonconsolidated affiliates
10.3

 
2.6

 
12.9

As of December 31, 2016
 
 
 
 
 
Total assets
$
3,629.6

 
$
1,123.7

 
$
4,681.9

Investments in and advances to nonconsolidated affiliates
10.6

 
2.4

 
13.0

Segment reconciliations (in millions):
 
Three Months Ended March 31,
 
2017
 
2016
Total segment Adjusted EBITDA
$
229.3

 
$
219.5

General and administrative expenses
(36.5
)
 
(31.9
)
Depreciation and amortization
(45.2
)
 
(42.4
)
Gain (loss) on disposal or impairment of assets
0.5

 
(0.2
)
Professional fees - accounting, tax, and legal

 
(0.2
)
Loss on early extinguishment of debt

 
(2.4
)
Interest expense and amortization of debt discounts and fees
(41.3
)
 
(44.6
)
Net income attributable to noncontrolling interests
17.6

 
18.7

Income from continuing operations before income tax expense
$
124.4

 
$
116.5

Additional detail regarding the revenues of our operating segments by service line follows (in millions):
 
Three Months Ended March 31,
 
2017
 
2016
Inpatient rehabilitation:
 
 
 
Inpatient
$
766.2

 
$
719.4

Outpatient and other
26.3

 
29.8

Total inpatient rehabilitation
792.5

 
749.2

Home health and hospice:
 
 
 
Home health
165.3

 
150.9

Hospice
17.0

 
9.7

Total home health and hospice
182.3

 
160.6

Total net operating revenues
$
974.8

 
$
909.8

Condensed Consolidating Financial Information (Tables)
 
Three Months Ended March 31, 2017
 
HealthSouth Corporation
 
Guarantor Subsidiaries
 
Nonguarantor Subsidiaries
 
Eliminating Entries
 
HealthSouth Consolidated
 
(In Millions)
Net operating revenues
$
5.3

 
$
576.2

 
$
424.5

 
$
(31.2
)
 
$
974.8

Less: Provision for doubtful accounts

 
(10.8
)
 
(5.6
)
 

 
(16.4
)
Net operating revenues less provision for doubtful accounts
5.3

 
565.4

 
418.9

 
(31.2
)
 
958.4

Operating expenses:
 

 
 

 
 

 
 

 
 
Salaries and benefits
11.2

 
272.3

 
251.9

 
(5.3
)
 
530.1

Other operating expenses
8.2

 
77.7

 
55.1

 
(11.9
)
 
129.1

Occupancy costs
0.5

 
23.3

 
8.1

 
(14.0
)
 
17.9

Supplies

 
23.7

 
13.3

 

 
37.0

General and administrative expenses
31.6

 

 
4.9

 

 
36.5

Depreciation and amortization
2.4

 
26.6

 
16.2

 

 
45.2

Total operating expenses
53.9

 
423.6

 
349.5

 
(31.2
)
 
795.8

Interest expense and amortization of debt discounts and fees
35.2

 
5.4

 
5.8

 
(5.1
)
 
41.3

Other income
(5.4
)
 
(0.1
)
 
(0.6
)
 
5.1

 
(1.0
)
Equity in net income of nonconsolidated affiliates

 
(1.9
)
 
(0.2
)
 

 
(2.1
)
Equity in net income of consolidated affiliates
(86.3
)
 
(9.5
)
 

 
95.8

 

Management fees
(35.9
)
 
27.4

 
8.5

 

 

Income from continuing operations before income tax (benefit) expense
43.8

 
120.5

 
55.9

 
(95.8
)
 
124.4

Provision for income tax (benefit) expense
(23.3
)
 
48.1

 
14.9

 

 
39.7

Income from continuing operations
67.1

 
72.4

 
41.0

 
(95.8
)
 
84.7

Loss from discontinued operations, net of tax
(0.3
)
 

 

 

 
(0.3
)
Net income
66.8

 
72.4

 
41.0

 
(95.8
)
 
84.4

Less: Net income attributable to noncontrolling interests

 

 
(17.6
)
 

 
(17.6
)
Net income attributable to HealthSouth
$
66.8

 
$
72.4

 
$
23.4

 
$
(95.8
)
 
$
66.8

Comprehensive income
$
67.1

 
$
72.4

 
$
41.0

 
$
(95.8
)
 
$
84.7

Comprehensive income attributable to HealthSouth
$
67.1

 
$
72.4

 
$
23.4

 
$
(95.8
)
 
$
67.1

 
Three Months Ended March 31, 2016
 
HealthSouth Corporation
 
Guarantor Subsidiaries
 
Nonguarantor Subsidiaries
 
Eliminating Entries
 
HealthSouth Consolidated
 
(In Millions)
Net operating revenues
$
4.9

 
$
550.7

 
$
383.2

 
$
(29.0
)
 
$
909.8

Less: Provision for doubtful accounts

 
(11.9
)
 
(4.6
)
 

 
(16.5
)
Net operating revenues less provision for doubtful accounts
4.9

 
538.8

 
378.6

 
(29.0
)
 
893.3

Operating expenses:
 

 
 

 
 

 
 

 
 
Salaries and benefits
11.3

 
255.0

 
224.4

 
(4.6
)
 
486.1

Other operating expenses
5.4

 
77.1

 
47.8

 
(11.1
)
 
119.2

Occupancy costs
0.9

 
23.0

 
7.4

 
(13.3
)
 
18.0

Supplies

 
23.2

 
11.8

 

 
35.0

General and administrative expenses
33.2

 

 
(1.3
)
 

 
31.9

Depreciation and amortization
2.4

 
25.7

 
14.3

 

 
42.4

Professional fees—accounting, tax, and legal
0.2

 

 

 

 
0.2

Total operating expenses
53.4

 
404.0

 
304.4

 
(29.0
)
 
732.8

Loss on early extinguishment of debt
2.4

 

 

 

 
2.4

Interest expense and amortization of debt discounts and fees
38.9

 
5.2

 
5.3

 
(4.8
)
 
44.6

Other income
(4.7
)
 
(0.1
)
 
(0.6
)
 
4.8

 
(0.6
)
Equity in net income of nonconsolidated affiliates

 
(2.1
)
 
(0.3
)
 

 
(2.4
)
Equity in net income of consolidated affiliates
(86.2
)
 
(8.2
)
 

 
94.4

 

Management fees
(34.2
)
 
26.2

 
8.0

 

 

Income from continuing operations before income tax (benefit) expense
35.3

 
113.8

 
61.8

 
(94.4
)
 
116.5

Provision for income tax (benefit) expense
(22.8
)
 
45.4

 
17.1

 

 
39.7

Income from continuing operations
58.1

 
68.4

 
44.7

 
(94.4
)
 
76.8

Loss from discontinued operations, net of
tax
(0.1
)
 

 

 

 
(0.1
)
Net income
58.0

 
68.4

 
44.7

 
(94.4
)
 
76.7

Less: Net income attributable to noncontrolling interests

 

 
(18.7
)
 

 
(18.7
)
Net income attributable to HealthSouth
$
58.0

 
$
68.4

 
$
26.0

 
$
(94.4
)
 
$
58.0

Comprehensive income
$
58.1

 
$
68.4

 
$
44.7

 
$
(94.4
)
 
$
76.8

Comprehensive income attributable to HealthSouth
$
58.1

 
$
68.4

 
$
26.0

 
$
(94.4
)
 
$
58.1

 
As of March 31, 2017
 
HealthSouth Corporation
 
Guarantor Subsidiaries
 
Nonguarantor Subsidiaries
 
Eliminating Entries
 
HealthSouth Consolidated
 
(In Millions)
Assets
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
42.4

 
$
2.6

 
$
16.2

 
$

 
$
61.2

Accounts receivable, net

 
277.7

 
160.3

 

 
438.0

Other current assets
97.2

 
24.0

 
146.5

 
(84.6
)
 
183.1

Total current assets
139.6

 
304.3

 
323.0

 
(84.6
)
 
682.3

Property and equipment, net
49.8

 
974.7

 
381.6

 

 
1,406.1

Goodwill

 
860.6

 
1,070.8

 

 
1,931.4

Intangible assets, net
10.9

 
114.3

 
279.2

 

 
404.4

Deferred income tax assets
50.3

 
57.7

 

 
(72.7
)
 
35.3

Other long-term assets
47.5

 
115.1

 
81.7

 

 
244.3

Intercompany notes receivable
521.8

 

 

 
(521.8
)
 

Intercompany receivable and investments in consolidated affiliates
2,859.9

 
208.8

 

 
(3,068.7
)
 

Total assets
$
3,679.8

 
$
2,635.5

 
$
2,136.3

 
$
(3,747.8
)
 
$
4,703.8

Liabilities and Shareholders’ Equity
 

 
 

 
 

 
 

 


Current liabilities:
 

 
 

 
 

 
 

 


Current portion of long-term debt
$
40.0

 
$
6.8

 
$
8.6

 
$
(17.5
)
 
$
37.9

Accounts payable
7.1

 
37.2

 
24.6

 

 
68.9

Accrued expenses and other current liabilities
198.8

 
79.0

 
169.8

 
(67.1
)
 
380.5

Total current liabilities
245.9

 
123.0

 
203.0

 
(84.6
)
 
487.3

Long-term debt, net of current portion
2,617.7

 
248.0

 
49.8

 

 
2,915.5

Intercompany notes payable

 

 
521.8

 
(521.8
)
 

Other long-term liabilities
36.5

 
15.8

 
188.6

 
(72.4
)
 
168.5

Intercompany payable

 

 
148.2

 
(148.2
)
 

 
2,900.1

 
386.8

 
1,111.4

 
(827.0
)
 
3,571.3

Commitments and contingencies


 


 


 


 


Redeemable noncontrolling interests

 

 
153.4

 

 
153.4

Shareholders’ equity:
 

 
 

 
 

 
 

 


HealthSouth shareholders’ equity
779.7

 
2,248.7

 
672.1

 
(2,920.8
)
 
779.7

Noncontrolling interests

 

 
199.4

 

 
199.4

Total shareholders’ equity
779.7

 
2,248.7

 
871.5

 
(2,920.8
)
 
979.1

Total liabilities and shareholders’ equity
$
3,679.8

 
$
2,635.5

 
$
2,136.3

 
$
(3,747.8
)
 
$
4,703.8


 
As of December 31, 2016
 
HealthSouth Corporation
 
Guarantor Subsidiaries
 
Nonguarantor Subsidiaries
 
Eliminating Entries
 
HealthSouth Consolidated
 
(In Millions)
Assets
 
 
 
 
 
 
 
 
 
Current assets:
 
 
 
 
 
 
 
 
 
Cash and cash equivalents
$
20.6

 
$
1.6

 
$
18.3

 
$

 
$
40.5

Accounts receivable, net

 
276.5

 
167.3

 

 
443.8

Other current assets
49.9

 
24.2

 
114.7

 
(18.6
)
 
170.2

Total current assets
70.5

 
302.3

 
300.3

 
(18.6
)
 
654.5

Property and equipment, net
41.6

 
987.3

 
362.9

 

 
1,391.8

Goodwill

 
860.6

 
1,066.6

 

 
1,927.2

Intangible assets, net
12.0

 
115.6

 
283.7

 

 
411.3

Deferred income tax assets
90.9

 
57.6

 

 
(72.7
)
 
75.8

Other long-term assets
49.0

 
95.1

 
77.2

 

 
221.3

Intercompany notes receivable
528.8

 

 

 
(528.8
)
 

Intercompany receivable and investments in consolidated affiliates
2,855.5

 
96.3

 

 
(2,951.8
)
 

Total assets
$
3,648.3

 
$
2,514.8

 
$
2,090.7

 
$
(3,571.9
)
 
$
4,681.9

Liabilities and Shareholders’ Equity
 

 
 

 
 

 
 

 


Current liabilities:
 

 
 

 
 

 
 

 


Current portion of long-term debt
$
40.0

 
$
6.4

 
$
8.2

 
$
(17.5
)
 
$
37.1

Accounts payable
7.0

 
37.4

 
23.9

 

 
68.3

Accrued expenses and other current liabilities
150.7

 
82.3

 
138.3

 
(1.1
)
 
370.2

Total current liabilities
197.7

 
126.1


170.4


(18.6
)
 
475.6

Long-term debt, net of current portion
2,679.2

 
248.9

 
51.2

 

 
2,979.3

Intercompany notes payable

 

 
528.8

 
(528.8
)
 

Other long-term liabilities
35.5

 
15.2

 
181.6

 
(72.3
)
 
160.0

Intercompany payable

 

 
168.2

 
(168.2
)
 

 
2,912.4

 
390.2


1,100.2


(787.9
)
 
3,614.9

Commitments and contingencies


 


 


 


 


Redeemable noncontrolling interests

 

 
138.3

 

 
138.3

Shareholders’ equity:
 

 
 

 
 

 
 

 


HealthSouth shareholders’ equity
735.9

 
2,124.6

 
659.4

 
(2,784.0
)
 
735.9

Noncontrolling interests

 

 
192.8

 

 
192.8

Total shareholders’ equity
735.9

 
2,124.6


852.2


(2,784.0
)
 
928.7

Total liabilities and shareholders’ equity
$
3,648.3

 
$
2,514.8


$
2,090.7


$
(3,571.9
)
 
$
4,681.9

 
Three Months Ended March 31, 2017
 
HealthSouth Corporation
 
Guarantor Subsidiaries
 
Nonguarantor Subsidiaries
 
Eliminating Entries
 
HealthSouth Consolidated
 
(In Millions)
Net cash provided by operating activities
$
45.1

 
$
74.0

 
$
61.7

 
$

 
$
180.8

Cash flows from investing activities:
 

 
 

 
 

 
 

 
 

Purchases of property and equipment
(5.2
)
 
(13.1
)
 
(22.9
)
 

 
(41.2
)
Additions to capitalized software costs
(3.0
)
 
(0.2
)
 
(0.4
)
 

 
(3.6
)
Acquisitions of businesses, net of cash acquired
(10.9
)
 

 
(5.5
)
 

 
(16.4
)
Net change in restricted cash

 

 
(4.7
)
 

 
(4.7
)
Proceeds from repayment of intercompany note receivable
7.0

 

 

 
(7.0
)
 

Other, net
(0.8
)
 
9.0

 
3.9

 

 
12.1

Net cash used in investing activities
(12.9
)
 
(4.3
)

(29.6
)

(7.0
)
 
(53.8
)
Cash flows from financing activities:
 

 
 

 
 

 
 

 


Principal payments on debt, including pre-payments
(5.6
)
 

 
(0.8
)
 

 
(6.4
)
Principal payments on intercompany note payable

 

 
(7.0
)
 
7.0

 

Borrowings on revolving credit facility
55.0

 

 

 

 
55.0

Payments on revolving credit facility
(122.0
)
 

 

 

 
(122.0
)
Repurchases of common stock, including fees and expenses
(18.1
)
 

 

 

 
(18.1
)
Dividends paid on common stock
(22.2
)
 

 

 

 
(22.2
)
Proceeds from exercising stock warrants
26.6

 

 

 

 
26.6

Distributions paid to noncontrolling interests of consolidated affiliates

 

 
(11.5
)
 

 
(11.5
)
Taxes paid on behalf of employees for shares withheld
(6.6
)
 

 
(0.3
)
 

 
(6.9
)
Other, net
0.2

 
(1.6
)
 
0.6

 

 
(0.8
)
Change in intercompany advances
82.3

 
(67.1
)
 
(15.2
)
 

 

Net cash used in financing activities
(10.4
)
 
(68.7
)

(34.2
)

7.0

 
(106.3
)
Increase (decrease) in cash and cash equivalents
21.8

 
1.0


(2.1
)


 
20.7

Cash and cash equivalents at beginning of period
20.6

 
1.6

 
18.3

 

 
40.5

Cash and cash equivalents at end of period
$
42.4

 
$
2.6


$
16.2


$

 
$
61.2


 
Three Months Ended March 31, 2016
 
HealthSouth Corporation
 
Guarantor Subsidiaries
 
Nonguarantor Subsidiaries
 
Eliminating Entries
 
HealthSouth Consolidated
 
(In Millions)
Net cash provided by operating activities
$
18.8

 
$
90.9

 
$
59.9

 
$

 
$
169.6

Cash flows from investing activities:
 

 
 

 
 

 
 

 
 

Purchases of property and equipment
(3.2
)
 
(14.3
)
 
(13.9
)
 

 
(31.4
)
Additions to capitalized software costs
(7.7
)
 

 

 

 
(7.7
)
Net change in restricted cash

 

 
(3.2
)
 

 
(3.2
)
Proceeds from repayment of intercompany notes receivable
5.0

 

 

 
(5.0
)
 

Other, net

 
(0.3
)
 
3.1

 

 
2.8

Net cash used in investing activities
(5.9
)
 
(14.6
)
 
(14.0
)
 
(5.0
)
 
(39.5
)
Cash flows from financing activities:
 

 
 

 
 

 
 

 


Principal payments on debt, including pre-payments
(55.6
)
 
(0.4
)
 
(0.3
)
 

 
(56.3
)
Principal payments on intercompany note payable

 

 
(5.0
)
 
5.0

 

Borrowings on revolving credit facility
60.0

 

 

 

 
60.0

Payments on revolving credit facility
(60.0
)
 

 

 

 
(60.0
)
Repurchases of common stock, including fees and expenses
(12.9
)
 

 

 

 
(12.9
)
Dividends paid on common stock
(21.3
)
 

 

 

 
(21.3
)
Distributions paid to noncontrolling interests of consolidated affiliates

 

 
(15.6
)
 

 
(15.6
)
Taxes paid on behalf of employees for shares withheld
(9.9
)
 

 

 

 
(9.9
)
Other, net
1.9

 
(1.4
)
 
(3.0
)
 

 
(2.5
)
Change in intercompany advances
91.5

 
(72.9
)
 
(18.6
)
 

 

Net cash used in financing activities
(6.3
)
 
(74.7
)
 
(42.5
)
 
5.0

 
(118.5
)
Increase in cash and cash equivalents
6.6

 
1.6

 
3.4

 

 
11.6

Cash and cash equivalents at beginning of period
41.2

 
1.2

 
19.2

 

 
61.6

Cash and cash equivalents at end of period
$
47.8

 
$
2.8

 
$
22.6

 
$

 
$
73.2

Basis of Presentation - Table 1 (Details) (Net operating revenues [Member], Payor Source [Member])
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
100.00% 
100.00% 
Inpatient Rehabilitation Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
100.00% 
100.00% 
Home Health and Hospice Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
100.00% 
100.00% 
Other Income Source [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
1.00% 
1.10% 
Other Income Source [Member] |
Inpatient Rehabilitation Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
1.20% 
1.30% 
Other Income Source [Member] |
Home Health and Hospice Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
0.10% 
0.10% 
Third-Party Payor [Member] |
Medicare [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
75.20% 
75.40% 
Third-Party Payor [Member] |
Medicare [Member] |
Inpatient Rehabilitation Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
73.30% 
73.80% 
Third-Party Payor [Member] |
Medicare [Member] |
Home Health and Hospice Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
84.10% 
83.50% 
Third-Party Payor [Member] |
Medicare Advantage [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
8.80% 
7.80% 
Third-Party Payor [Member] |
Medicare Advantage [Member] |
Inpatient Rehabilitation Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
8.50% 
7.60% 
Third-Party Payor [Member] |
Medicare Advantage [Member] |
Home Health and Hospice Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
10.30% 
8.70% 
Third-Party Payor [Member] |
Managed Care [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
9.90% 
9.50% 
Third-Party Payor [Member] |
Managed Care [Member] |
Inpatient Rehabilitation Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
11.20% 
11.00% 
Third-Party Payor [Member] |
Managed Care [Member] |
Home Health and Hospice Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
4.00% 
2.70% 
Third-Party Payor [Member] |
Medicaid [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
2.60% 
3.40% 
Third-Party Payor [Member] |
Medicaid [Member] |
Inpatient Rehabilitation Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
2.80% 
3.00% 
Third-Party Payor [Member] |
Medicaid [Member] |
Home Health and Hospice Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
1.40% 
4.90% 
Third-Party Payor [Member] |
Other Third-party Payors [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
1.20% 
1.40% 
Third-Party Payor [Member] |
Other Third-party Payors [Member] |
Inpatient Rehabilitation Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
1.50% 
1.60% 
Third-Party Payor [Member] |
Workers' Compensation [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
0.80% 
0.90% 
Third-Party Payor [Member] |
Workers' Compensation [Member] |
Inpatient Rehabilitation Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
0.90% 
1.10% 
Self-Pay [Member] |
Patients [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
0.50% 
0.50% 
Self-Pay [Member] |
Patients [Member] |
Inpatient Rehabilitation Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
0.60% 
0.60% 
Self-Pay [Member] |
Patients [Member] |
Home Health and Hospice Segment [Member]
 
 
Concentration Risk [Line Items]
 
 
Net operating revenues by payor source (percent)
0.10% 
0.10% 
Basis of Presentation Summary of Significant Accounting Policies - Textual (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended 12 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Dec. 31, 2016
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
 
 
 
Taxes paid on behalf of employees for shares withheld
$ 6.9 
$ 9.9 
 
Accounting Standards Update 2016-09 [Member]
 
 
 
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
 
 
 
Employee Service Share-based Compensation, Tax Benefit from Compensation Expense
1.2 
 
 
Excess Tax Benefit from Share-based Compensation, Operating Activities
 
 
17.3 
Taxes paid on behalf of employees for shares withheld
 
$ 9.9 
 
Business Combinations - Textual (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended 0 Months Ended 3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Mar. 31, 2017
Inpatient Rehabilitation Segment [Member]
Memorial Hospital at Gulfport [Member]
Mar. 31, 2017
Home Health and Hospice Segment [Member]
Celtic and Community [Member] [Member]
Mar. 31, 2017
Home Health and Hospice Segment [Member]
Celtic and Community [Member] [Member]
Noncompete Agreements [Member]
Mar. 31, 2017
Home Health and Hospice Segment [Member]
Celtic and Community [Member] [Member]
Trade Names [Member]
Mar. 31, 2017
Home Health and Hospice Segment [Member]
Celtic and Community [Member] [Member]
Certificate of Need [Member]
Mar. 31, 2017
Home Health and Hospice Segment [Member]
Celtic and Community [Member] [Member]
License [Member]
Feb. 1, 2017
Home Health and Hospice Segment [Member]
Celtic Healthcare of Maryland, Inc. (Celtic) [Member]
location
Feb. 1, 2017
Home health [Member]
Home Health and Hospice Segment [Member]
Community Health Services, Inc. (Community) [Member]
location
Apr. 1, 2017
Subsequent Event [Member]
Inpatient Rehabilitation Segment [Member]
Memorial Hospital at Gulfport [Member]
bed
Business Acquisition [Line Items]
 
 
 
 
 
 
 
 
 
 
 
Interest acquired in business acquisition (percent)
 
 
 
 
 
 
 
 
 
 
80.00% 
Number of beds in facility acquired
 
 
 
 
 
 
 
 
 
 
33 
Net cash paid for acquisition
$ 16.4 
$ 0 
$ 11.0 
$ 5.5 
 
 
 
 
 
 
 
Number of Locations of an Acquired Entity
 
 
 
 
 
 
 
 
 
Acquired intangible asset useful lives
 
 
 
 
5 years 
1 year 
10 years 
10 years 
 
 
 
Goodwill deductible for federal income tax purposes
 
 
 
$ 4.2 
 
 
 
 
 
 
 
Business Combinations - Table 1 (Details) (USD $)
In Millions, unless otherwise specified
Mar. 31, 2017
Dec. 31, 2016
Business Acquisition [Line Items]
 
 
Goodwill
$ 1,931.4 
$ 1,927.2 
Home Health and Hospice Segment [Member] |
Celtic and Community [Member] [Member]
 
 
Business Acquisition [Line Items]
 
 
Goodwill
4.2 
 
Total assets acquired
5.5 
 
Home Health and Hospice Segment [Member] |
Celtic and Community [Member] [Member] |
Noncompete Agreements [Member]
 
 
Business Acquisition [Line Items]
 
 
Identifiable intangible assets
0.1 
 
Home Health and Hospice Segment [Member] |
Celtic and Community [Member] [Member] |
Trade Names [Member]
 
 
Business Acquisition [Line Items]
 
 
Identifiable intangible assets
0.1 
 
Home Health and Hospice Segment [Member] |
Celtic and Community [Member] [Member] |
Certificate of Need [Member]
 
 
Business Acquisition [Line Items]
 
 
Identifiable intangible assets
0.7 
 
Home Health and Hospice Segment [Member] |
Celtic and Community [Member] [Member] |
License [Member]
 
 
Business Acquisition [Line Items]
 
 
Identifiable intangible assets
$ 0.4 
 
Business Combinations - Table 2 (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Business Acquisition [Line Items]
 
 
Net cash paid for acquisition
$ 16.4 
$ 0 
Home Health and Hospice Segment [Member] |
Celtic and Community [Member] [Member]
 
 
Business Acquisition [Line Items]
 
 
Fair value of assets acquired
1.3 
 
Goodwill
4.2 
 
Net cash paid for acquisition
$ 5.5 
 
Business Combinations - Table 3 (Details) (USD $)
In Millions, unless otherwise specified
2 Months Ended 3 Months Ended
Mar. 31, 2017
Mar. 31, 2017
Mar. 31, 2016
Business Combinations [Abstract]
 
 
 
Acquired entity only: Actual from acquisition date to March 31, 2017, Net Operating Revenues
$ 0.4 
 
 
Acquired entities only: Actual from acquisition date to March 31, 2017, Net Income Attributable to HealthSouth
0.1 
 
 
Combined entity: Supplemental pro forma, Net Operating Revenues
 
975.2 
910.8 
Combined entity: Supplemental pro forma, Net Income Attributable to HealthSouth
 
$ 66.8 
$ 57.9 
Variable Interest Entities - Textual (Details) (Consolidated Limited Partnership-like Entities [Member])
3 Months Ended 12 Months Ended
Mar. 31, 2017
entity
Dec. 31, 2016
entity
Variable Interest Entity [Line Items]
 
 
Number of consolidated limited partnership-like entities
10 
10 
Minimum [Member]
 
 
Variable Interest Entity [Line Items]
 
 
Ownership interest in consolidated entities (percent)
6.80% 
 
Maximum [Member]
 
 
Variable Interest Entity [Line Items]
 
 
Ownership interest in consolidated entities (percent)
99.50% 
 
Variable Interest Entities - Table 1 (Details) (USD $)
In Millions, unless otherwise specified
Mar. 31, 2017
Dec. 31, 2016
Mar. 31, 2016
Dec. 31, 2015
Variable Interest Entity [Line Items]
 
 
 
 
Cash and cash equivalents
$ 61.2 
$ 40.5 
$ 73.2 
$ 61.6 
Accounts receivable, net of allowance for doubtful accounts
438.0 
443.8 
 
 
Other current assets
183.1 
170.2 
 
 
Total current assets
682.3 
654.5 
 
 
Property and equipment, net
1,406.1 
1,391.8 
 
 
Goodwill
1,931.4 
1,927.2 
 
 
Intangible assets, net
404.4 
411.3 
 
 
Other long-term assets
244.3 
221.3 
 
 
Total assets
4,703.8 1
4,681.9 
 
 
Current portion of long-term debt
37.9 
37.1 
 
 
Accounts payable
68.9 
68.3 
 
 
Total current liabilities
487.3 
475.6 
 
 
Long-term debt, net of current portion
2,915.5 
2,979.3 
 
 
Total Liabilities
3,571.3 
3,614.9 
 
 
Consolidated VIEs [Member]
 
 
 
 
Variable Interest Entity [Line Items]
 
 
 
 
Cash and cash equivalents
1.6 
1.6 
 
 
Accounts receivable, net of allowance for doubtful accounts
31.1 
30.8 
 
 
Other current assets
4.2 
5.8 
 
 
Total current assets
36.9 
38.2 
 
 
Property and equipment, net
141.2 
140.0 
 
 
Goodwill
73.5 
73.5 
 
 
Intangible assets, net
9.0 
9.6 
 
 
Other long-term assets
0.9 
1.0 
 
 
Total assets
261.5 
262.3 
 
 
Current portion of long-term debt
1.6 
1.5 
 
 
Accounts payable
5.9 
6.8 
 
 
Accrued expenses and other current liabilities
12.5 
12.2 
 
 
Total current liabilities
20.0 
20.5 
 
 
Long-term debt, net of current portion
29.6 
29.8 
 
 
Total Liabilities
$ 49.6 
$ 50.3 
 
 
Investments in and Advances to Nonconsolidated Affiliates - Textual (Details) (USD $)
In Millions, unless otherwise specified
Mar. 31, 2017
entity
Dec. 31, 2016
Investments In and Advances to Nonconsolidated Affiliates (Textual) [Abstract]
 
 
Investments in and advances to nonconsolidated affiliates
$ 12.9 
$ 13.0 
Number of partially owned subsidiaries
 
Number of partially owned general or limited partnerships, limited liability companies of joint ventures
 
Minimum [Member]
 
 
Investments In and Advances to Nonconsolidated Affiliates (Textual) [Abstract]
 
 
Ownership interest in affiliates (percent)
1.00% 
 
Maximum [Member]
 
 
Investments In and Advances to Nonconsolidated Affiliates (Textual) [Abstract]
 
 
Ownership interest in affiliates (percent)
60.00% 
 
Investments In and Advances to Nonconsolidated Affiliates - Table 1 (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Investments in and Advances to Affiliates, Schedule of Investments [Abstract]
 
 
Net operating revenues
$ 10.8 
$ 11.2 
Operating expenses
(6.3)
(6.2)
Income from continuing operations, net of tax
4.4 
5.0 
Net income
$ 4.4 
$ 5.0 
Long-term Debt - Table 1 (Details) (USD $)
In Millions, unless otherwise specified
Mar. 31, 2017
Dec. 31, 2016
Schedule of Outstanding Long-term Debt
 
 
Capital lease obligations
$ 278.6 
$ 279.3 
Total debt and capital lease obligations
2,953.4 
3,016.4 
Less: Current portion
(37.9)
(37.1)
Long-term debt, net of current portion
2,915.5 
2,979.3 
Term Loan Facilities [Member] |
Term Loan Facilities [Member]
 
 
Schedule of Outstanding Long-term Debt
 
 
Total debt
415.7 
421.2 
Senior Notes [Member] |
5.125% Senior Notes Due 2023 [Member]
 
 
Schedule of Outstanding Long-term Debt
 
 
Debt instrument interest rate (percent)
5.125% 
 
Total debt
295.4 
295.3 
Senior Notes [Member] |
5.75% Senior Notes Due 2024 [Member]
 
 
Schedule of Outstanding Long-term Debt
 
 
Debt instrument interest rate (percent)
5.75% 
 
Total debt
1,193.4 
1,193.2 
Senior Notes [Member] |
5.75% Senior Notes Due 2025 [Member]
 
 
Schedule of Outstanding Long-term Debt
 
 
Debt instrument interest rate (percent)
5.75% 
 
Total debt
344.0 
343.9 
Senior Subordinated Notes [Member] |
2.00% Convertible Senior Subordinated Notes due 2043 [Member]
 
 
Schedule of Outstanding Long-term Debt
 
 
Debt instrument interest rate (percent)
2.00% 
 
Total debt
278.2 
275.7 
Other Notes Payable [Member]
 
 
Schedule of Outstanding Long-term Debt
 
 
Total debt
63.1 
55.8 
Revolving Credit Facility [Member]
 
 
Schedule of Outstanding Long-term Debt
 
 
Total debt
$ 85.0 
$ 152.0 
Long-term Debt - Table 2 (Details) (USD $)
In Millions, unless otherwise specified
Mar. 31, 2017
Face Amount [Member]
 
Long-term Debt by Maturity
 
April 1 through December 31, 2017
$ 28.4 
2018
38.6 
2019
39.7 
2020
769.3 
2021
10.8 
2022
24.9 
Thereafter
2,101.9 
Total debt and capital lease obligations
3,013.6 
Net Amount [Member]
 
Long-term Debt by Maturity
 
April 1 through December 31, 2017
28.4 
2018
38.6 
2019
39.7 
2020
726.3 
2021
10.8 
2022
24.9 
Thereafter
2,084.7 
Total debt and capital lease obligations
$ 2,953.4 
Long-term Debt - Textual (Details) (USD $)
In Millions, unless otherwise specified
1 Months Ended 3 Months Ended 12 Months Ended
Feb. 29, 2016
Mar. 31, 2017
Dec. 31, 2016
Feb. 25, 2016
renewal_option
Debt Instrument [Line Items]
 
 
 
 
Noncurrent financing obligation liability
 
$ 278.6 
$ 279.3 
 
Development / Lease Agreement [Member]
 
 
 
 
Debt Instrument [Line Items]
 
 
 
 
Initial lease term
15 years 
 
 
 
Number of renewal options
 
 
 
Renewal term
5 years 
 
 
 
Increase in property plant and equipment, net
 
28.3 
20.3 
 
Development / Lease Agreement [Member] |
Financing Obligation [Member]
 
 
 
 
Debt Instrument [Line Items]
 
 
 
 
Total estimated financing obligation
 
56 
 
 
Other Notes Payable [Member] |
Development / Lease Agreement [Member]
 
 
 
 
Debt Instrument [Line Items]
 
 
 
 
Noncurrent financing obligation liability
 
$ 28.3 
$ 20.3 
 
Redeemable Noncontrolling Interests - Table 1 (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Redeemable Noncontrolling Interest [Line Items]
 
 
Balance at beginning of period
$ 138.3 
 
Net income attributable to noncontrolling interests
3.1 
3.9 
Distributions declared
(10.5)
(17.1)
Change in fair value
(8.2)
16.3 
Balance at end of period
153.4 
 
Redeemable Noncontrolling Interest [Member]
 
 
Redeemable Noncontrolling Interest [Line Items]
 
 
Balance at beginning of period
138.3 
121.1 
Net income attributable to noncontrolling interests
3.1 
3.9 
Distributions declared
(1.9)
(2.1)
Change in fair value
13.9 
(26.7)
Balance at end of period
$ 153.4 
$ 96.2 
Redeemable Noncontrolling Interests - Table 2 (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Noncontrolling Interest [Abstract]
 
 
Net income attributable to nonredeemable noncontrolling interests
$ 14.5 
$ 14.8 
Net income attributable to redeemable noncontrolling interests
3.1 
3.9 
Net income attributable to noncontrolling interests
$ 17.6 
$ 18.7 
Fair Value Measurements - Table 1 (Details) (Fair Value, Measurements, Recurring [Member], USD $)
In Millions, unless otherwise specified
Mar. 31, 2017
Dec. 31, 2016
Market Approach Valuation Technique [Member]
 
 
Fair Value, Assets and Liabilities Measured on Recurring Basis [Abstract]
 
 
Current portion of restricted marketable securities
$ 17.5 
$ 24.2 
Noncurrent portion of restricted marketable securities
36.8 
33.5 
Market Approach Valuation Technique [Member] |
Quoted Prices in Active Markets for Identical Assets (Level 1) [Member]
 
 
Fair Value, Assets and Liabilities Measured on Recurring Basis [Abstract]
 
 
Current portion of restricted marketable securities
Noncurrent portion of restricted marketable securities
Market Approach Valuation Technique [Member] |
Significant Other Observable Inputs (Level 2) [Member]
 
 
Fair Value, Assets and Liabilities Measured on Recurring Basis [Abstract]
 
 
Current portion of restricted marketable securities
17.5 
24.2 
Noncurrent portion of restricted marketable securities
36.8 
33.5 
Market Approach Valuation Technique [Member] |
Significant Unobservable Inputs (Level 3) [Member]
 
 
Fair Value, Assets and Liabilities Measured on Recurring Basis [Abstract]
 
 
Current portion of restricted marketable securities
Noncurrent portion of restricted marketable securities
Income Approach Valuation Technique [Member]
 
 
Fair Value, Assets and Liabilities Measured on Recurring Basis [Abstract]
 
 
Redeemable noncontrolling interests
153.4 
138.3 
Income Approach Valuation Technique [Member] |
Quoted Prices in Active Markets for Identical Assets (Level 1) [Member]
 
 
Fair Value, Assets and Liabilities Measured on Recurring Basis [Abstract]
 
 
Redeemable noncontrolling interests
Income Approach Valuation Technique [Member] |
Significant Other Observable Inputs (Level 2) [Member]
 
 
Fair Value, Assets and Liabilities Measured on Recurring Basis [Abstract]
 
 
Redeemable noncontrolling interests
Income Approach Valuation Technique [Member] |
Significant Unobservable Inputs (Level 3) [Member]
 
 
Fair Value, Assets and Liabilities Measured on Recurring Basis [Abstract]
 
 
Redeemable noncontrolling interests
$ 153.4 
$ 138.3 
Fair Value Measurements - Textuals (Details) (Fair Value, Measurements, Nonrecurring [Member], USD $)
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Fair Value, Measurements, Nonrecurring [Member]
 
 
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
 
 
Gains or losses related to non-financial assets and liabilities
$ 0 
$ 0 
Fair Value Measurements - Table 2 (Details) (USD $)
In Millions, unless otherwise specified
Mar. 31, 2017
Dec. 31, 2016
Revolving Credit Facility [Member] |
Carrying Amount [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
$ 85.0 
$ 152.0 
Revolving Credit Facility [Member] |
Estimated Fair Value [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
85.0 
152.0 
Letters of Credit [Member] |
Carrying Amount [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
Letters of Credit [Member] |
Estimated Fair Value [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
36.4 
33.3 
Term Loan Facilities [Member] |
Term Loan Facilities [Member] |
Carrying Amount [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
415.7 
421.2 
Term Loan Facilities [Member] |
Term Loan Facilities [Member] |
Estimated Fair Value [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
416.9 
422.5 
Senior Notes [Member] |
5.125% Senior Notes Due 2023 [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Debt instrument interest rate (percent)
5.125% 
 
Senior Notes [Member] |
5.125% Senior Notes Due 2023 [Member] |
Carrying Amount [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
295.4 
295.3 
Senior Notes [Member] |
5.125% Senior Notes Due 2023 [Member] |
Estimated Fair Value [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
301.5 
297.8 
Senior Notes [Member] |
5.75% Senior Notes Due 2024 [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Debt instrument interest rate (percent)
5.75% 
 
Senior Notes [Member] |
5.75% Senior Notes Due 2024 [Member] |
Carrying Amount [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
1,193.4 
1,193.2 
Senior Notes [Member] |
5.75% Senior Notes Due 2024 [Member] |
Estimated Fair Value [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
1,206.0 
1,216.6 
Senior Notes [Member] |
5.75% Senior Notes Due 2025 [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Debt instrument interest rate (percent)
5.75% 
 
Senior Notes [Member] |
5.75% Senior Notes Due 2025 [Member] |
Carrying Amount [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
344.0 
343.9 
Senior Notes [Member] |
5.75% Senior Notes Due 2025 [Member] |
Estimated Fair Value [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
349.6 
349.6 
Senior Subordinated Notes [Member] |
2.00% Convertible Senior Subordinated Notes due 2043 [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Debt instrument interest rate (percent)
2.00% 
 
Senior Subordinated Notes [Member] |
2.00% Convertible Senior Subordinated Notes due 2043 [Member] |
Carrying Amount [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
278.2 
275.7 
Senior Subordinated Notes [Member] |
2.00% Convertible Senior Subordinated Notes due 2043 [Member] |
Estimated Fair Value [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
390.8 
382.6 
Other Notes Payable [Member] |
Carrying Amount [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
63.1 
55.8 
Other Notes Payable [Member] |
Estimated Fair Value [Member]
 
 
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
 
 
Carrying amounts and estimated fair values of financial instruments
$ 63.1 
$ 55.8 
Share-Based Payments Textual (Details)
In Millions, unless otherwise specified
1 Months Ended
Feb. 28, 2017
Restricted Stock [Member]
 
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
 
Restricted stock awards issued (shares)
0.6 
Restricted Stock [Member] |
Service Condition [Member]
 
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
 
Restricted stock awards issued (shares)
0.2 
Restricted Stock [Member] |
Service and Performance Condition [Member]
 
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
 
Performance measurement period
2 years 
Stock Options [Member]
 
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
 
Stock options granted (shares)
0.1 
Income Taxes - Textual (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended 12 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Dec. 31, 2015
Dec. 31, 2016
Income Tax Contingency [Line Items]
 
 
 
 
Provision for income tax expense
$ 39.7 
$ 39.7 
 
 
Net deferred tax assets
35.3 
 
 
 
Valuation allowance
28.9 
 
 
 
Additional tax benefits due to approval of accounting method change
54 
 
39 
 
Gross unrecognized tax benefits
0.3 
 
 
2.8 
Gross unrecognized tax benefits that would impact effective tax rate if recognized
0.3 
 
 
2.8 
State and Local Jurisdiction [Member]
 
 
 
 
Income Tax Contingency [Line Items]
 
 
 
 
Operating Loss Carryforwards
$ 64.8 
 
 
 
Income Taxes - Table (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]
 
Balance at December 31, 2016
$ 2.8 
Gross amount of decreases in unrecognized tax benefits related to prior periods
(0.4)
Decreases in unrecognized tax benefits relating to settlements with taxing authorities
(2.1)
Balance at March 31, 2017
$ 0.3 
Earnings per Common Share - Table 1 (Details) (USD $)
In Millions, except Per Share data, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Basic Numerator:
 
 
Income from continuing operations
$ 84.7 
$ 76.8 
Less: Net income attributable to noncontrolling interests included in continuing operations
(17.6)
(18.7)
Less: Income allocated to participating securities
(0.2)
(0.2)
Income from continuing operations attributable to HealthSouth common shareholders
66.9 
57.9 
Loss from discontinued operations, net of tax
(0.3)
(0.1)
Net income attributable to HealthSouth common shareholders
66.6 
57.8 
Basic Denominator:
 
 
Basic weighted average common shares outstanding (shares)
88.8 
89.5 
Basic earnings per share attributable to HealthSouth common shareholders:
 
 
Continuing operations (in dollars per share)
$ 0.75 
$ 0.65 
Discontinued operations (in dollars per share)
$ 0.00 
$ 0.00 
Net Income (in dollars per share)
$ 0.75 
$ 0.65 
Diluted Numerator
 
 
Income from continuing operations
84.7 
76.8 
Less: Net income attributable to noncontrolling interests included in continuing operations
(17.6)
(18.7)
Add: Interest on convertible debt, net of tax
2.5 
2.4 
Income from continuing operations attributable to HealthSouth common shareholders
69.6 
60.5 
Loss from discontinued operations, net of tax
(0.3)
(0.1)
Net income attributable to HealthSouth common shareholders
$ 69.3 
$ 60.4 
Diluted Denominator
 
 
Diluted weighted average common shares outstanding (shares)
99.0 
99.4 
Diluted earnings per share attributable to HealthSouth common shareholders:
 
 
Continuing operations (in dollars per share)
$ 0.70 
$ 0.61 
Discontinued operations (in dollars per share)
$ 0.00 
$ 0.00 
Net income (in dollars per share)
$ 0.70 
$ 0.61 
Earnings per Common Share - Table 2 (Details)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Earnings Per Share [Abstract]
 
 
Basic weighted average common shares outstanding (shares)
88.8 
89.5 
Convertible senior subordinated notes (shares)
8.6 
8.4 
Restricted stock awards, dilutive stock options, restricted stock units, and common stock warrants (shares)
1.6 
1.5 
Diluted weighted average common shares outstanding (shares)
99.0 
99.4 
Earnings per Common Share - Textual (Details) (USD $)
In Millions, except Per Share data, unless otherwise specified
0 Months Ended 1 Months Ended 3 Months Ended 0 Months Ended 3 Months Ended 1 Months Ended 1 Months Ended
Oct. 20, 2016
Sep. 30, 2009
Jan. 17, 2017
Mar. 31, 2017
Mar. 31, 2016
Dec. 31, 2016
Sep. 30, 2009
Apr. 22, 2015
Senior Subordinated Notes [Member]
2.00% Convertible Senior Subordinated Notes due 2043 [Member]
Mar. 31, 2017
Senior Subordinated Notes [Member]
2.00% Convertible Senior Subordinated Notes due 2043 [Member]
Apr. 22, 2015
Senior Subordinated Notes [Member]
2.00% Convertible Senior Subordinated Notes due 2043 [Member]
Feb. 28, 2017
Common Stock
Jan. 31, 2017
Common Stock
Mar. 31, 2017
Common Stock
Dec. 31, 2016
Common Stock
Apr. 30, 2017
Subsequent Event [Member]
Common Stock
Earnings Per Share, Diluted, by Common Class, Including Two Class Method [Line Items]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cash dividends per common share, Declared (in dollars per share)
$ 0.24 
 
 
$ 0.24 
$ 0.23 
 
 
 
 
 
$ 0.24 
 
 
 
 
Cash dividends per common share, Paid (in dollars per share)
 
 
 
 
 
 
 
 
 
 
 
$ 0.24 
 
 
$ 0.24 
Common stock dividends accrued
 
 
 
 
 
 
 
 
 
 
 
 
$ 22.0 
$ 22.2 
 
Convertible debt conversion price (in dollars per share)
 
 
 
 
 
 
 
 
$ 36.74 
$ 39.65 
 
 
 
 
 
Convertible debt conversion terms
 
 
 
 
 
 
 
25.2194 shares per $1,000 principal amount 
 
 
 
 
 
 
 
Convertible debt conversion ratio (in shares per $1000)
 
 
 
 
 
 
 
25.2194 
27.2221 
 
 
 
 
 
 
Stock Issued During Period, Value, Warrants Exercised, Shares
 
5.0 
0.7 
 
 
 
 
 
 
 
 
 
 
 
 
Class of Warrant or Right, Outstanding
 
 
 
 
8.2 
8.2 
 
 
 
 
 
 
 
 
Exercise price of warrants (in dollars per share)
 
 
$ 41.40 
 
 
$ 41.40 
$ 41.40 
 
 
 
 
 
 
 
 
Proceeds from exercising stock warrants
 
 
$ 27.0 
$ 26.6 
$ 0 
 
 
 
 
 
 
 
 
 
 
Earnings per Common Share Earnings per Common Share - Schedule of Warrant Activity (Details) (USD $)
In Millions, except Per Share data, unless otherwise specified
1 Months Ended
Jan. 17, 2017
Dec. 31, 2016
Sep. 30, 2009
Class of Warrant or Right [Line Items]
 
 
 
Common stock warrants outstanding as of December 31, 2016
8.2 
 
8.2 
Expired
(1.1)
 
 
Common stock warrants outstanding as of January 17, 2017
 
8.2 
Weighted average exercise price (in dollars per share)
$ 41.40 
$ 41.40 
$ 41.40 
Cashless exercise [Member]
 
 
 
Class of Warrant or Right [Line Items]
 
 
 
Exercised
(6.5)
 
 
Weighted average exercise price (in dollars per share)
$ 41.40 
 
 
Cash exercise [Member]
 
 
 
Class of Warrant or Right [Line Items]
 
 
 
Exercised
(0.6)
 
 
Weighted average exercise price (in dollars per share)
$ 41.40 
 
 
Contingencies and Other Commitments (Details) (Pending Litigation [Member], USD $)
In Millions, unless otherwise specified
0 Months Ended 3 Months Ended 12 Months Ended
May 18, 2016
Honts lawsuit [Member]
Mar. 31, 2017
Honts lawsuit [Member]
Dec. 31, 2016
Honts lawsuit [Member]
Aug. 12, 2013
Honts lawsuit [Member]
facilities
Mar. 31, 2017
HHS-OIG Investigation [Member]
Feb. 28, 2015
HHS-OIG Investigation [Member]
patient
Apr. 24, 2014
HHS-OIG Investigation [Member]
facilities
Mar. 4, 2013
HHS-OIG Investigation [Member]
facilities
patient
Loss Contingencies [Line Items]
 
 
 
 
 
 
 
 
Number of hospitals involved in lawsuit
 
 
 
 
 
 
 
Punitive damages awarded in favor of plaintiff
$ 20.0 
 
 
 
 
 
 
 
Other operating expenses
 
 
5.7 
 
 
 
 
 
Loss contingency accrual
 
20.0 
 
 
 
 
 
 
Loss contingency receivable accrued
 
15.0 
 
 
 
 
 
 
Portion of liability that would be covered through captive insurance subsidiary
 
$ 6.0 
 
 
 
 
 
 
Number of hospitals that received subpoenas
 
 
 
 
 
 
Number of patient medical records requested for each hospital in subpoenas
 
 
 
 
 
 
 
100 
Number of hospitals that received supplemental subpoenas
 
 
 
 
 
 
 
Number of additional patient medical records requested
 
 
 
 
 
70 
 
 
Compliance threshold under Health Care Act (percent)
 
 
 
 
60.00% 
 
 
 
Segment Reporting - Textuals (Details)
3 Months Ended
Mar. 31, 2017
segment
Segment Reporting Information [Line Items]
 
Number of operating segments
Inpatient Rehabilitation Segment [Member]
 
Segment Reporting Information [Line Items]
 
Number of states in which entity operates
30 
Number of inpatient rehabilitation hospitals operated
123 
Number of hospitals or agencies operated as a joint venture
Number of inpatient rehabilitation units under management contracts
Home Health and Hospice Segment [Member]
 
Segment Reporting Information [Line Items]
 
Number of states in which entity operates
25 
Number of hospitals or agencies operated as a joint venture
Number of locations across the states
228 
Segment Reporting - Table 1 (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Segment Reporting Information [Line Items]
 
 
Net operating revenues
$ 974.8 
$ 909.8 
Less: Provision for doubtful accounts
(16.4)
(16.5)
Net operating revenues less provision for doubtful accounts
958.4 
893.3 
Costs and Expenses [Abstract]
 
 
Salaries and benefits
530.1 
486.1 
Other operating expenses
129.1 
119.2 
Supplies
37.0 
35.0 
Occupancy costs
17.9 
18.0 
Total operating expenses
795.8 
732.8 
Other income
(1.0)
(0.6)
Equity in net income of nonconsolidated affiliates
(2.1)
(2.4)
Net income attributable to noncontrolling interests
17.6 
18.7 
Inpatient Rehabilitation Segment [Member]
 
 
Segment Reporting Information [Line Items]
 
 
Net operating revenues
792.5 
749.2 
Less: Provision for doubtful accounts
(14.7)
(15.6)
Net operating revenues less provision for doubtful accounts
777.8 
733.6 
Costs and Expenses [Abstract]
 
 
Salaries and benefits
398.2 
369.9 
Other operating expenses
111.8 
104.8 
Supplies
33.7 
32.4 
Occupancy costs
15.1 
15.6 
Total operating expenses
558.8 
522.7 
Other income
(1.0)
(0.6)
Equity in net income of nonconsolidated affiliates
(1.9)
(2.2)
Net income attributable to noncontrolling interests
16.5 
16.8 
Segment Adjusted EBITDA
205.4 
196.9 
Capital Expenditures
43.1 
38.7 
Home Health and Hospice Segment [Member]
 
 
Segment Reporting Information [Line Items]
 
 
Net operating revenues
182.3 
160.6 
Less: Provision for doubtful accounts
(1.7)
(0.9)
Net operating revenues less provision for doubtful accounts
180.6 
159.7 
Costs and Expenses [Abstract]
 
 
Cost of services sold (excluding depreciation and amortization)
89.0 
78.4 
Support and overhead costs
66.8 
57.0 
Total operating expenses
155.8 
135.4 
Other income
Equity in net income of nonconsolidated affiliates
(0.2)
(0.2)
Net income attributable to noncontrolling interests
1.1 
1.9 
Segment Adjusted EBITDA
23.9 
22.6 
Capital Expenditures
$ 1.7 
$ 0.4 
Segment Reporting - Table 2 (Details) (USD $)
In Millions, unless otherwise specified
Mar. 31, 2017
Dec. 31, 2016
Segment Reporting, Asset Reconciling Item [Line Items]
 
 
Total assets
$ 4,703.8 1
$ 4,681.9 
Investments in and advances to nonconsolidated affiliates
12.9 
13.0 
Inpatient Rehabilitation Segment [Member]
 
 
Segment Reporting, Asset Reconciling Item [Line Items]
 
 
Total assets
3,651.7 
3,629.6 
Investments in and advances to nonconsolidated affiliates
10.3 
10.6 
Home Health and Hospice Segment [Member]
 
 
Segment Reporting, Asset Reconciling Item [Line Items]
 
 
Total assets
1,122.5 
1,123.7 
Investments in and advances to nonconsolidated affiliates
$ 2.6 
$ 2.4 
Segment Reporting - Table 3 (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
 
 
General and administrative expenses
$ (36.5)
$ (31.9)
Depreciation and amortization
(45.2)
(42.4)
Professional fees - accounting, tax, and legal
(0.2)
Loss on early extinguishment of debt
(2.4)
Net income attributable to noncontrolling interests
17.6 
18.7 
Income from continuing operations before income tax expense
124.4 
116.5 
Operating Segments [Member]
 
 
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
 
 
Total segment Adjusted EBITDA
229.3 
219.5 
Segment Reconciling Items [Member]
 
 
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]
 
 
General and administrative expenses
36.5 
31.9 
Depreciation and amortization
45.2 
42.4 
Gain (loss) on disposal or impairment of assets
0.5 
(0.2)
Professional fees - accounting, tax, and legal
0.2 
Loss on early extinguishment of debt
(2.4)
Interest expense and amortization of debt discounts and fees
41.3 
44.6 
Net income attributable to noncontrolling interests
$ 17.6 
$ 18.7 
Segment Reporting - Table 4 (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended 12 Months Ended
Mar. 31, 2017
Dec. 31, 2016
Segment Reporting, Asset Reconciling Item [Line Items]
 
 
Total assets for reportable segments
$ 4,703.8 1
$ 4,681.9 
Reclassification of noncurrent deferred income tax liabilities to net noncurrent deferred income tax assets
(70.4)
(71.4)
Total assets
4,703.8 1
4,681.9 
Operating Segments [Member]
 
 
Segment Reporting, Asset Reconciling Item [Line Items]
 
 
Total assets for reportable segments
4,774.2 
4,753.3 
Total assets
$ 4,774.2 
$ 4,753.3 
Segment Reporting - Table 5 (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Segment Reporting, Revenue Reconciling Item [Line Items]
 
 
Net operating revenues
$ 974.8 
$ 909.8 
Inpatient Rehabilitation Segment [Member]
 
 
Segment Reporting, Revenue Reconciling Item [Line Items]
 
 
Net operating revenues
792.5 
749.2 
Inpatient Rehabilitation Segment [Member] |
Inpatient [Member]
 
 
Segment Reporting, Revenue Reconciling Item [Line Items]
 
 
Net operating revenues
766.2 
719.4 
Inpatient Rehabilitation Segment [Member] |
Outpatient and other [Member]
 
 
Segment Reporting, Revenue Reconciling Item [Line Items]
 
 
Net operating revenues
26.3 
29.8 
Home Health and Hospice Segment [Member]
 
 
Segment Reporting, Revenue Reconciling Item [Line Items]
 
 
Net operating revenues
182.3 
160.6 
Home Health and Hospice Segment [Member] |
Home health [Member]
 
 
Segment Reporting, Revenue Reconciling Item [Line Items]
 
 
Net operating revenues
165.3 
150.9 
Home Health and Hospice Segment [Member] |
Hospice [Member]
 
 
Segment Reporting, Revenue Reconciling Item [Line Items]
 
 
Net operating revenues
$ 17.0 
$ 9.7 
Condensed Consolidating Financial Information - Narrative (Details)
Mar. 31, 2017
Condensed Financial Information of Parent Company Only Disclosure [Abstract]
 
Senior secured leverage ratio maximum
1.75 
Consolidated coverage ratio minimum
Condensed Consolidating Financial Information - Income Statement Tables (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Condensed Consolidating Statements of Operations
 
 
Net operating revenues
$ 974.8 
$ 909.8 
Less: Provision for doubtful accounts
(16.4)
(16.5)
Net operating revenues less provision for doubtful accounts
958.4 
893.3 
Operating expenses:
 
 
Salaries and benefits
530.1 
486.1 
Other operating expenses
129.1 
119.2 
Occupancy costs
17.9 
18.0 
Supplies
37.0 
35.0 
General and administrative expenses
36.5 
31.9 
Depreciation and amortization
45.2 
42.4 
Professional fees - accounting, tax, and legal
0.2 
Total operating expenses
795.8 
732.8 
Loss on early extinguishment of debt
2.4 
Interest expense and amortization of debt discounts and fees
41.3 
44.6 
Other income
(1.0)
(0.6)
Equity in net income of nonconsolidated affiliates
(2.1)
(2.4)
Equity in net income of consolidated affiliates
Management fees
Income from continuing operations before income tax expense
124.4 
116.5 
Provision for income tax (benefit) expense
39.7 
39.7 
Income from continuing operations
84.7 
76.8 
Loss from discontinued operations, net of tax
(0.3)
(0.1)
Net income
84.4 
76.7 
Less: Net income attributable to noncontrolling interests
(17.6)
(18.7)
Net income attributable to HealthSouth
66.8 
58.0 
Comprehensive income
84.7 
76.8 
Comprehensive income attributable to HealthSouth
67.1 
58.1 
HealthSouth Corporation [Member]
 
 
Condensed Consolidating Statements of Operations
 
 
Net operating revenues
5.3 
4.9 
Less: Provision for doubtful accounts
Net operating revenues less provision for doubtful accounts
5.3 
4.9 
Operating expenses:
 
 
Salaries and benefits
11.2 
11.3 
Other operating expenses
8.2 
5.4 
Occupancy costs
0.5 
0.9 
Supplies
General and administrative expenses
31.6 
33.2 
Depreciation and amortization
2.4 
2.4 
Professional fees - accounting, tax, and legal
 
0.2 
Total operating expenses
53.9 
53.4 
Loss on early extinguishment of debt
 
2.4 
Interest expense and amortization of debt discounts and fees
35.2 
38.9 
Other income
(5.4)
(4.7)
Equity in net income of nonconsolidated affiliates
Equity in net income of consolidated affiliates
(86.3)
(86.2)
Management fees
(35.9)
(34.2)
Income from continuing operations before income tax expense
43.8 
35.3 
Provision for income tax (benefit) expense
(23.3)
(22.8)
Income from continuing operations
67.1 
58.1 
Loss from discontinued operations, net of tax
(0.3)
(0.1)
Net income
66.8 
58.0 
Less: Net income attributable to noncontrolling interests
Net income attributable to HealthSouth
66.8 
58.0 
Comprehensive income
67.1 
58.1 
Comprehensive income attributable to HealthSouth
67.1 
58.1 
Guarantor Subsidiaries [Member]
 
 
Condensed Consolidating Statements of Operations
 
 
Net operating revenues
576.2 
550.7 
Less: Provision for doubtful accounts
(10.8)
(11.9)
Net operating revenues less provision for doubtful accounts
565.4 
538.8 
Operating expenses:
 
 
Salaries and benefits
272.3 
255.0 
Other operating expenses
77.7 
77.1 
Occupancy costs
23.3 
23.0 
Supplies
23.7 
23.2 
General and administrative expenses
Depreciation and amortization
26.6 
25.7 
Professional fees - accounting, tax, and legal
 
Total operating expenses
423.6 
404.0 
Loss on early extinguishment of debt
 
Interest expense and amortization of debt discounts and fees
5.4 
5.2 
Other income
(0.1)
(0.1)
Equity in net income of nonconsolidated affiliates
(1.9)
(2.1)
Equity in net income of consolidated affiliates
(9.5)
(8.2)
Management fees
27.4 
26.2 
Income from continuing operations before income tax expense
120.5 
113.8 
Provision for income tax (benefit) expense
48.1 
45.4 
Income from continuing operations
72.4 
68.4 
Loss from discontinued operations, net of tax
Net income
72.4 
68.4 
Less: Net income attributable to noncontrolling interests
Net income attributable to HealthSouth
72.4 
68.4 
Comprehensive income
72.4 
68.4 
Comprehensive income attributable to HealthSouth
72.4 
68.4 
Nonguarantor Subsidiaries [Member]
 
 
Condensed Consolidating Statements of Operations
 
 
Net operating revenues
424.5 
383.2 
Less: Provision for doubtful accounts
(5.6)
(4.6)
Net operating revenues less provision for doubtful accounts
418.9 
378.6 
Operating expenses:
 
 
Salaries and benefits
251.9 
224.4 
Other operating expenses
55.1 
47.8 
Occupancy costs
8.1 
7.4 
Supplies
13.3 
11.8 
General and administrative expenses
4.9 
(1.3)
Depreciation and amortization
16.2 
14.3 
Professional fees - accounting, tax, and legal
 
Total operating expenses
349.5 
304.4 
Loss on early extinguishment of debt
 
Interest expense and amortization of debt discounts and fees
5.8 
5.3 
Other income
(0.6)
(0.6)
Equity in net income of nonconsolidated affiliates
(0.2)
(0.3)
Equity in net income of consolidated affiliates
Management fees
8.5 
8.0 
Income from continuing operations before income tax expense
55.9 
61.8 
Provision for income tax (benefit) expense
14.9 
17.1 
Income from continuing operations
41.0 
44.7 
Loss from discontinued operations, net of tax
Net income
41.0 
44.7 
Less: Net income attributable to noncontrolling interests
(17.6)
(18.7)
Net income attributable to HealthSouth
23.4 
26.0 
Comprehensive income
41.0 
44.7 
Comprehensive income attributable to HealthSouth
23.4 
26.0 
Consolidation, Eliminations [Member]
 
 
Condensed Consolidating Statements of Operations
 
 
Net operating revenues
(31.2)
(29.0)
Less: Provision for doubtful accounts
Net operating revenues less provision for doubtful accounts
(31.2)
(29.0)
Operating expenses:
 
 
Salaries and benefits
(5.3)
(4.6)
Other operating expenses
(11.9)
(11.1)
Occupancy costs
(14.0)
(13.3)
Supplies
General and administrative expenses
Depreciation and amortization
Professional fees - accounting, tax, and legal
 
Total operating expenses
(31.2)
(29.0)
Loss on early extinguishment of debt
 
Interest expense and amortization of debt discounts and fees
(5.1)
(4.8)
Other income
5.1 
4.8 
Equity in net income of nonconsolidated affiliates
Equity in net income of consolidated affiliates
95.8 
94.4 
Management fees
Income from continuing operations before income tax expense
(95.8)
(94.4)
Provision for income tax (benefit) expense
Income from continuing operations
(95.8)
(94.4)
Loss from discontinued operations, net of tax
Net income
(95.8)
(94.4)
Less: Net income attributable to noncontrolling interests
Net income attributable to HealthSouth
(95.8)
(94.4)
Comprehensive income
(95.8)
(94.4)
Comprehensive income attributable to HealthSouth
$ (95.8)
$ (94.4)
Condensed Consolidating Financial Information - Balance Sheet Tables (Details) (USD $)
In Millions, unless otherwise specified
Mar. 31, 2017
Dec. 31, 2016
Mar. 31, 2016
Dec. 31, 2015
Current assets:
 
 
 
 
Cash and cash equivalents
$ 61.2 
$ 40.5 
$ 73.2 
$ 61.6 
Accounts receivable, net
438.0 
443.8 
 
 
Other current assets
183.1 
170.2 
 
 
Total current assets
682.3 
654.5 
 
 
Property and equipment, net
1,406.1 
1,391.8 
 
 
Goodwill
1,931.4 
1,927.2 
 
 
Intangible assets, net
404.4 
411.3 
 
 
Deferred income tax assets
35.3 
75.8 
 
 
Other long-term assets
244.3 
221.3 
 
 
Intercompany notes receivable
 
 
Intercompany receivable and investments in consolidated affiliates
 
 
Total assets
4,703.8 1
4,681.9 
 
 
Current liabilities:
 
 
 
 
Current portion of long-term debt
37.9 
37.1 
 
 
Accounts payable
68.9 
68.3 
 
 
Accrued expenses and other current liabilities
380.5 
370.2 
 
 
Total current liabilities
487.3 
475.6 
 
 
Long-term debt, net of current portion
2,915.5 
2,979.3 
 
 
Intercompany notes payable
 
 
Other long-term liabilities
168.5 
160.0 
 
 
Intercompany payable
 
 
Total Liabilities
3,571.3 
3,614.9 
 
 
Commitments and contingencies
   
   
 
 
Redeemable noncontrolling interests
153.4 
138.3 
 
 
Shareholders' equity:
 
 
 
 
HealthSouth shareholders’ equity
779.7 
735.9 
 
 
Noncontrolling interests
199.4 
192.8 
 
 
Total shareholders’ equity
979.1 
928.7 
823.9 
779.3 
Total liabilities and shareholders' equity
4,703.8 1
4,681.9 
 
 
HealthSouth Corporation [Member]
 
 
 
 
Current assets:
 
 
 
 
Cash and cash equivalents
42.4 
20.6 
47.8 
41.2 
Accounts receivable, net
 
 
Other current assets
97.2 
49.9 
 
 
Total current assets
139.6 
70.5 
 
 
Property and equipment, net
49.8 
41.6 
 
 
Goodwill
 
 
Intangible assets, net
10.9 
12.0 
 
 
Deferred income tax assets
50.3 
90.9 
 
 
Other long-term assets
47.5 
49.0 
 
 
Intercompany notes receivable
521.8 
528.8 
 
 
Intercompany receivable and investments in consolidated affiliates
2,859.9 
2,855.5 
 
 
Total assets
3,679.8 
3,648.3 
 
 
Current liabilities:
 
 
 
 
Current portion of long-term debt
40.0 
40.0 
 
 
Accounts payable
7.1 
7.0 
 
 
Accrued expenses and other current liabilities
198.8 
150.7 
 
 
Total current liabilities
245.9 
197.7 
 
 
Long-term debt, net of current portion
2,617.7 
2,679.2 
 
 
Intercompany notes payable
 
 
Other long-term liabilities
36.5 
35.5 
 
 
Intercompany payable
 
 
Total Liabilities
2,900.1 
2,912.4 
 
 
Commitments and contingencies
   
   
 
 
Redeemable noncontrolling interests
 
 
Shareholders' equity:
 
 
 
 
HealthSouth shareholders’ equity
779.7 
735.9 
 
 
Noncontrolling interests
 
 
Total shareholders’ equity
779.7 
735.9 
 
 
Total liabilities and shareholders' equity
3,679.8 
3,648.3 
 
 
Guarantor Subsidiaries [Member]
 
 
 
 
Current assets:
 
 
 
 
Cash and cash equivalents
2.6 
1.6 
2.8 
1.2 
Accounts receivable, net
277.7 
276.5 
 
 
Other current assets
24.0 
24.2 
 
 
Total current assets
304.3 
302.3 
 
 
Property and equipment, net
974.7 
987.3 
 
 
Goodwill
860.6 
860.6 
 
 
Intangible assets, net
114.3 
115.6 
 
 
Deferred income tax assets
57.7 
57.6 
 
 
Other long-term assets
115.1 
95.1 
 
 
Intercompany notes receivable
 
 
Intercompany receivable and investments in consolidated affiliates
208.8 
96.3 
 
 
Total assets
2,635.5 
2,514.8 
 
 
Current liabilities:
 
 
 
 
Current portion of long-term debt
6.8 
6.4 
 
 
Accounts payable
37.2 
37.4 
 
 
Accrued expenses and other current liabilities
79.0 
82.3 
 
 
Total current liabilities
123.0 
126.1 
 
 
Long-term debt, net of current portion
248.0 
248.9 
 
 
Intercompany notes payable
 
 
Other long-term liabilities
15.8 
15.2 
 
 
Intercompany payable
 
 
Total Liabilities
386.8 
390.2 
 
 
Commitments and contingencies
   
   
 
 
Redeemable noncontrolling interests
 
 
Shareholders' equity:
 
 
 
 
HealthSouth shareholders’ equity
2,248.7 
2,124.6 
 
 
Noncontrolling interests
 
 
Total shareholders’ equity
2,248.7 
2,124.6 
 
 
Total liabilities and shareholders' equity
2,635.5 
2,514.8 
 
 
Nonguarantor Subsidiaries [Member]
 
 
 
 
Current assets:
 
 
 
 
Cash and cash equivalents
16.2 
18.3 
22.6 
19.2 
Accounts receivable, net
160.3 
167.3 
 
 
Other current assets
146.5 
114.7 
 
 
Total current assets
323.0 
300.3 
 
 
Property and equipment, net
381.6 
362.9 
 
 
Goodwill
1,070.8 
1,066.6 
 
 
Intangible assets, net
279.2 
283.7 
 
 
Deferred income tax assets
 
 
Other long-term assets
81.7 
77.2 
 
 
Intercompany notes receivable
 
 
Intercompany receivable and investments in consolidated affiliates
 
 
Total assets
2,136.3 
2,090.7 
 
 
Current liabilities:
 
 
 
 
Current portion of long-term debt
8.6 
8.2 
 
 
Accounts payable
24.6 
23.9 
 
 
Accrued expenses and other current liabilities
169.8 
138.3 
 
 
Total current liabilities
203.0 
170.4 
 
 
Long-term debt, net of current portion
49.8 
51.2 
 
 
Intercompany notes payable
521.8 
528.8 
 
 
Other long-term liabilities
188.6 
181.6 
 
 
Intercompany payable
148.2 
168.2 
 
 
Total Liabilities
1,111.4 
1,100.2 
 
 
Commitments and contingencies
   
   
 
 
Redeemable noncontrolling interests
153.4 
138.3 
 
 
Shareholders' equity:
 
 
 
 
HealthSouth shareholders’ equity
672.1 
659.4 
 
 
Noncontrolling interests
199.4 
192.8 
 
 
Total shareholders’ equity
871.5 
852.2 
 
 
Total liabilities and shareholders' equity
2,136.3 
2,090.7 
 
 
Consolidation, Eliminations [Member]
 
 
 
 
Current assets:
 
 
 
 
Cash and cash equivalents
Accounts receivable, net
 
 
Other current assets
(84.6)
(18.6)
 
 
Total current assets
(84.6)
(18.6)
 
 
Property and equipment, net
 
 
Goodwill
 
 
Intangible assets, net
 
 
Deferred income tax assets
(72.7)
(72.7)
 
 
Other long-term assets
 
 
Intercompany notes receivable
(521.8)
(528.8)
 
 
Intercompany receivable and investments in consolidated affiliates
(3,068.7)
(2,951.8)
 
 
Total assets
(3,747.8)
(3,571.9)
 
 
Current liabilities:
 
 
 
 
Current portion of long-term debt
(17.5)
(17.5)
 
 
Accounts payable
 
 
Accrued expenses and other current liabilities
(67.1)
(1.1)
 
 
Total current liabilities
(84.6)
(18.6)
 
 
Long-term debt, net of current portion
 
 
Intercompany notes payable
(521.8)
(528.8)
 
 
Other long-term liabilities
(72.4)
(72.3)
 
 
Intercompany payable
(148.2)
(168.2)
 
 
Total Liabilities
(827.0)
(787.9)
 
 
Commitments and contingencies
   
   
 
 
Redeemable noncontrolling interests
 
 
Shareholders' equity:
 
 
 
 
HealthSouth shareholders’ equity
(2,920.8)
(2,784.0)
 
 
Noncontrolling interests
 
 
Total shareholders’ equity
(2,920.8)
(2,784.0)
 
 
Total liabilities and shareholders' equity
$ (3,747.8)
$ (3,571.9)
 
 
Condensed Consolidating Financial Information - Cash Flow Statement Tables (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Condensed Consolidating Statements of Cash Flows
 
 
Net cash provided by operating activities
$ 180.8 
$ 169.6 
Cash flows from investing activities:
 
 
Purchases of property and equipment
(41.2)
(31.4)
Additions to capitalized software costs
(3.6)
(7.7)
Acquisitions of businesses, net of cash acquired
(16.4)
Net change in restricted cash
(4.7)
(3.2)
Proceeds from repayment of intercompany notes receivable
Other, net
12.1 
2.8 
Net cash used in investing activities
(53.8)
(39.5)
Cash flows from financing activities:
 
 
Principal payments on debt, including pre-payments
(6.4)
(56.3)
Principal payments on intercompany note payable
Borrowings on revolving credit facility
55.0 
60.0 
Payments on revolving credit facility
(122.0)
(60.0)
Repurchases of common stock, including fees and expenses
(18.1)
(12.9)
Dividends paid on common stock
(22.2)
(21.3)
Proceeds from exercising stock warrants
26.6 
Distributions paid to noncontrolling interests of consolidated affiliates
(11.5)
(15.6)
Taxes paid on behalf of employees for shares withheld
(6.9)
(9.9)
Other, net
(0.8)
(2.5)
Change in intercompany advances
Net cash used in financing activities
(106.3)
(118.5)
Increase (decrease) in cash and cash equivalents
20.7 
11.6 
Cash and cash equivalents at beginning of period
40.5 
61.6 
Cash and cash equivalents at end of period
61.2 
73.2 
HealthSouth Corporation [Member]
 
 
Condensed Consolidating Statements of Cash Flows
 
 
Net cash provided by operating activities
45.1 
18.8 
Cash flows from investing activities:
 
 
Purchases of property and equipment
(5.2)
(3.2)
Additions to capitalized software costs
(3.0)
(7.7)
Acquisitions of businesses, net of cash acquired
(10.9)
 
Net change in restricted cash
Proceeds from repayment of intercompany notes receivable
7.0 
5.0 
Other, net
(0.8)
Net cash used in investing activities
(12.9)
(5.9)
Cash flows from financing activities:
 
 
Principal payments on debt, including pre-payments
(5.6)
(55.6)
Principal payments on intercompany note payable
Borrowings on revolving credit facility
55.0 
60.0 
Payments on revolving credit facility
(122.0)
(60.0)
Repurchases of common stock, including fees and expenses
(18.1)
(12.9)
Dividends paid on common stock
(22.2)
(21.3)
Proceeds from exercising stock warrants
26.6 
 
Distributions paid to noncontrolling interests of consolidated affiliates
Taxes paid on behalf of employees for shares withheld
(6.6)
(9.9)
Other, net
0.2 
1.9 
Change in intercompany advances
82.3 
91.5 
Net cash used in financing activities
(10.4)
(6.3)
Increase (decrease) in cash and cash equivalents
21.8 
6.6 
Cash and cash equivalents at beginning of period
20.6 
41.2 
Cash and cash equivalents at end of period
42.4 
47.8 
Guarantor Subsidiaries [Member]
 
 
Condensed Consolidating Statements of Cash Flows
 
 
Net cash provided by operating activities
74.0 
90.9 
Cash flows from investing activities:
 
 
Purchases of property and equipment
(13.1)
(14.3)
Additions to capitalized software costs
(0.2)
Acquisitions of businesses, net of cash acquired
 
Net change in restricted cash
Proceeds from repayment of intercompany notes receivable
Other, net
9.0 
(0.3)
Net cash used in investing activities
(4.3)
(14.6)
Cash flows from financing activities:
 
 
Principal payments on debt, including pre-payments
(0.4)
Principal payments on intercompany note payable
Borrowings on revolving credit facility
Payments on revolving credit facility
Repurchases of common stock, including fees and expenses
Dividends paid on common stock
Proceeds from exercising stock warrants
 
Distributions paid to noncontrolling interests of consolidated affiliates
Taxes paid on behalf of employees for shares withheld
Other, net
(1.6)
(1.4)
Change in intercompany advances
(67.1)
(72.9)
Net cash used in financing activities
(68.7)
(74.7)
Increase (decrease) in cash and cash equivalents
1.0 
1.6 
Cash and cash equivalents at beginning of period
1.6 
1.2 
Cash and cash equivalents at end of period
2.6 
2.8 
Nonguarantor Subsidiaries [Member]
 
 
Condensed Consolidating Statements of Cash Flows
 
 
Net cash provided by operating activities
61.7 
59.9 
Cash flows from investing activities:
 
 
Purchases of property and equipment
(22.9)
(13.9)
Additions to capitalized software costs
(0.4)
Acquisitions of businesses, net of cash acquired
(5.5)
 
Net change in restricted cash
(4.7)
(3.2)
Proceeds from repayment of intercompany notes receivable
Other, net
3.9 
3.1 
Net cash used in investing activities
(29.6)
(14.0)
Cash flows from financing activities:
 
 
Principal payments on debt, including pre-payments
(0.8)
(0.3)
Principal payments on intercompany note payable
(7.0)
(5.0)
Borrowings on revolving credit facility
Payments on revolving credit facility
Repurchases of common stock, including fees and expenses
Dividends paid on common stock
Proceeds from exercising stock warrants
 
Distributions paid to noncontrolling interests of consolidated affiliates
(11.5)
(15.6)
Taxes paid on behalf of employees for shares withheld
(0.3)
Other, net
0.6 
(3.0)
Change in intercompany advances
(15.2)
(18.6)
Net cash used in financing activities
(34.2)
(42.5)
Increase (decrease) in cash and cash equivalents
(2.1)
3.4 
Cash and cash equivalents at beginning of period
18.3 
19.2 
Cash and cash equivalents at end of period
16.2 
22.6 
Consolidation, Eliminations [Member]
 
 
Condensed Consolidating Statements of Cash Flows
 
 
Net cash provided by operating activities
Cash flows from investing activities:
 
 
Purchases of property and equipment
Additions to capitalized software costs
Acquisitions of businesses, net of cash acquired
 
Net change in restricted cash
Proceeds from repayment of intercompany notes receivable
(7.0)
(5.0)
Other, net
Net cash used in investing activities
(7.0)
(5.0)
Cash flows from financing activities:
 
 
Principal payments on debt, including pre-payments
Principal payments on intercompany note payable
7.0 
5.0 
Borrowings on revolving credit facility
Payments on revolving credit facility
Repurchases of common stock, including fees and expenses
Dividends paid on common stock
Proceeds from exercising stock warrants
 
Distributions paid to noncontrolling interests of consolidated affiliates
Taxes paid on behalf of employees for shares withheld
Other, net
Change in intercompany advances
Net cash used in financing activities
7.0 
5.0 
Increase (decrease) in cash and cash equivalents
Cash and cash equivalents at beginning of period
Cash and cash equivalents at end of period
$ 0 
$ 0