EX-99.2 4 d707682dex992.htm EX-99.2 EX-99.2
Supplemental Information
Health Management Associates, Inc.
(“HMA”)
December 31, 2013
Exhibit 99.2


Forward-Looking Statements
This
presentation
contains
forward-looking
statements
within
the
meaning
of
Section
27A
of
the
Securities
Act,
Section
21E
of
the
Exchange
Act
and
the
Private
Securities
Litigation
Reform
Act
of
1995
that
involve
risk
and
uncertainties.
All
statements
in
this
presentation
other
than
statements
of
historical
fact,
including
statements
regarding
projections,
expected
operating
results,
and
other
events
that
depend
upon
or
refer
to
future
events
or
conditions
or
that
include
words
such
as
“expects,”
anticipates,”
“intends,”
“plans,”
“believes,”
“estimates,”
“thinks,”
and
similar
expressions,
are
forward-looking
statements.
Although
Community
Health
Systems,
Inc.
(the
“Company”)
believes
that
these
forward-looking
statements
are
based
on
reasonable
assumptions,
these
assumptions
are
inherently
subject
to
significant
economic
and
competitive
uncertainties
and
contingencies,
which
are
difficult
or
impossible
to
predict
accurately
and
are
beyond
the
control
of
the
Company.
Accordingly,
the
Company
cannot
give
any
assurance
that
its
expectations
will
in
fact
occur
and
cautions
that
actual
results
may
differ
materially
from
those
in
the
forward-looking
statements.
A
number
of
factors
could
affect
the
future
results
of
the
Company
or
the
healthcare
industry
generally
and
could
cause
the
Company’s
expected
results
to
differ
materially
from
those
expressed
in
this
presentation.
The
consolidated
operating
results
for
the
year
ended
December
31,
2013,
are
not
necessarily
indicative
of
the
results
that
may
be
experienced
for
any
such
future
period
or
for
any
future
year.
The
Company
cautions
that
the
projections
for
calendar
year
2014
set
forth
in
this
presentation
are
given
as
of
the
date
hereof
based
on
currently
available
information.
The
Company
undertakes
no
obligation
to
revise
or
update
any
forward-looking
statements,
or
to
make
any
other
forward-looking
statements,
whether
as
a
result
of
new
information,
future
events
or
otherwise.
2


HMA’s Change in Estimates and Fourth Quarter Adjustments
Change in Estimate to
Allowance for Doubtful
Accounts and Contractual
Allowances
Centralizing business offices
Changes in key management personnel
Estimated deterioration in net realizable value in A/R
Analysis on historical write-offs and subsequent cash
collections
Additional Legal Contingencies
Write-offs of Discontinued
Construction Projects,
Recovery Audit Contractor
Adjustments and Other
Change in estimates based on additional facts and
circumstances
Recovery Audit Contractor adjustments
Change in construction project priorities
Change in Estimates to
Amounts Due to Third Party
Payors and Other Government
Receivables
Review of certain claims by CHS
3
$5.9
$37.0
$246.3
$34.0
Area of Impact
*        HMA’s Financial Impact
*
Triggering Events
*
($ in millions)
* Please note statement on slide 4. 


Change in Estimate Adjustments of
HMA’s 2013 Financials
The adjustments for the change in estimate to the allowance for
doubtful accounts and contractual allowances were $246 million.
In previous acquisitions, adjustments to the allowance for doubtful
accounts and contractual allowances have typically occurred in
periods following the acquisition. Since these changes in estimate
were recorded in 2013, material conforming changes are not
expected in the first quarter of 2014.
In the case of our acquisition
of Triad, in the third quarter of 2007, adjustments related to
conforming accounting policies and estimation processes totaled
$166 million in the fourth quarter of 2007 and affected the run rate
by approximately $20 million, as previously stated.
4


HMA’s Reconciliation of Loss from Continuing Operations
to Adjusted EBITDA Prior to Change in Estimate Adjustments
Year Ended
12/31/2013
Loss from continuing operations
(235,990)
Depreciation and amortization
390,993
     
Interest expense
281,254
     
Income tax benefit
(135,341)
    
Change in control and other related expenses
133,033
     
Write-offs of deferred debt issuance costs
     and other related expenses
584
              
Other
1,928
          
Adjusted EBITDA prior to change in
     estimate adjustments
436,461
$   
5


HMA’s Year Ended 2013 Adjusted EBITDA
Year Ended
12/31/2013
Adjusted EBITDA prior to add backs of change in
      estimate adjustments
436,461
$   
Change in estimate adjustments
Change in estimate to allowance for doubtful accounts
        and contractual allowances
246,293
     
Additional legal contingencies
36,959
        
Change in estimates to amounts due to third party payors
       and other government receivables
33,973
        
Write-offs of discontinued construction projects, Recovery
       Audit Contractor adjustments and other
5,912
          
Adjusted EBITDA (previously disclosed on February 18, 2014)
759,598
$   
6


EBITDA
consists
of
net
income
attributable
to
Health
Management
Associates,
Inc.
before
interest,
income
taxes,
and
depreciation
and
amortization.
Adjusted
EBITDA
is
EBITDA
adjusted
to
exclude
discontinued
operations,
gain/loss
from
early
extinguishment
of
debt,
change
in
control
and
other
related
expenses
and
net
income
attributable
to
noncontrolling
interests.
HMA
has
from
time
to
time
sold
noncontrolling
interests
in
certain
of
its
subsidiaries
or
acquired
subsidiaries
with
existing
noncontrolling
interest
ownership
positions.
The
Company
believes
that
it
is
useful
to
present
adjusted
EBITDA
because
it
excludes
the
portion
of
EBITDA
attributable
to
these
third
party
interests
and
clarifies
for
investors
HMA’s
portion
of
EBITDA
generated
by
continuing
operations.
The
Company
uses
adjusted
EBITDA
as
a
measure
of
liquidity.
The
Company
has
included
this
measure
because
it
believes
it
provides
investors
with
additional
information
about
the
Company’s
ability
to
incur
and
service
debt
and
make
capital
expenditures.
Adjusted
EBITDA
is
the
basis
for
a
key
component
in
the
determination
of
the
Company’s
compliance
with
some
of
the
covenants
under
the
Company’s
senior
secured
credit
facility,
as
well
as
to
determine
the
interest
rate
and
commitment
fee
payable
under
the
senior
secured
credit
facility.
Adjusted
EBITDA
is
not
a
measurement
of
financial
performance
or
liquidity
under
generally
accepted
accounting
principles.
It
should
not
be
considered
in
isolation
or
as
a
substitute
for
net
income,
operating
income,
cash
flows
from
operating,
investing
or
financing
activities,
or
any
other
measure
calculated
in
accordance
with
generally
accepted
accounting
principles.
The
items
excluded
from
adjusted
EBITDA
are
significant
components
in
understanding
and
evaluating
financial
performance
and
liquidity.
This
calculation
of
adjusted
EBITDA
may
not
be
comparable
to
similarly
titled
measures
reported
by
other
companies.
HMA’s Unaudited Supplemental Information
7


The following table reconciles Adjusted EBITDA, as defined, to net cash provided by operating activities as derived
directly from the condensed consolidated financial statements (in thousands):
HMA’s Unaudited Supplemental Information
Year Ended
December 31,
2013
Adjusted EBITDA
436,461
$           
Interest expense
(281,254)
            
Income tax benefit
135,341
             
Change in control and other related expenses
(133,033)
            
Amortization of debt discounts
11,902
                
Amortization and fair value adjustment of interest rate swap
74,633
                
Deferred income taxes
(36,719)
              
Stock-based compensation expense
58,909
                
Equity compensation excess tax benefits
(19,056)
              
Other non-cash expenses, net
796
                       
Changes in operating assets and liabilities, net
(21,404)
              
Net cash provided by operating activities
226,576
$           
8