0000704415-13-000035.txt : 20131024 0000704415-13-000035.hdr.sgml : 20131024 20131024161451 ACCESSION NUMBER: 0000704415-13-000035 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20131024 ITEM INFORMATION: Results of Operations and Financial Condition ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20131024 DATE AS OF CHANGE: 20131024 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HEALTHWAYS, INC CENTRAL INDEX KEY: 0000704415 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 621117144 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-19364 FILM NUMBER: 131168310 BUSINESS ADDRESS: STREET 1: 701 COOL SPRINGS BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 6156144929 MAIL ADDRESS: STREET 1: 701 COOL SPRINGS BOULEVARD CITY: FRANKLIN STATE: TN ZIP: 37067 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN HEALTHWAYS INC DATE OF NAME CHANGE: 20000322 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN HEALTHCORP INC /DE DATE OF NAME CHANGE: 19940211 8-K 1 form8-k_102413.htm HEALTHWAYS, INC. FORM 8-K


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
___________________
FORM 8‑K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of report (Date of earliest event reported): October 24, 2013
HEALTHWAYS, INC.
(Exact name of registrant as specified in its charter)
Delaware
 
000-19364
 
62-1117144
(State or other jurisdiction of incorporation)
 
(Commission
File Number)
 
(IRS Employer
Identification No.)
701 Cool Springs Boulevard
Franklin, Tennessee
 
 
37067
(Address of principal executive offices)
 
(Zip Code)

(615) 614-4929
(Registrant's telephone number, including area code)
Not Applicable
(Former name or former address, if changed since last report)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):
o       Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o       Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o       Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o       Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Item 2.02 Results of Operations and Financial Condition.
       On October 24, 2013, Healthways, Inc. issued a press release announcing earnings results for the quarter ended September 30, 2013, the text of which is attached hereto as Exhibit 99.1.  This information furnished pursuant to this Item 2.02 and Exhibit 99.1 shall not be deemed "filed" for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and shall not be deemed to be incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act except as shall be expressly set forth by specific reference in such filing.
Item 9.01 Financial Statements and Exhibits.

(d) Exhibits:
Exhibit 99.1
 
Press Release.
 
 
 



SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
 
HEALTHWAYS, INC.
 
 
 
 
 
By:
/s/ Alfred Lumsdaine
 
 
Alfred Lumsdaine
 
 
Chief Financial Officer

Date:  October 24, 2013



 

EXHIBIT INDEX

Exhibit 99.1
 
Press Release dated October 24, 2013


 
EX-99.1 2 ex991_102413.htm EX-99.1, PRESS RELEASE


Exhibit 99.1

 
Investor Relations Contact:
Chip Wochomurka
(615) 614-4493
chip.wochomurka@healthways.com


HEALTHWAYS REPORTS THIRD-QUARTER FINANCIAL RESULTS
¾¾¾¾¾¾¾¾¾¾¾
2013 Financial Guidance Reduced to Reflect Slower Pace in Market Transition of
Risk-Based Lives to ACOs
¾¾¾¾¾¾¾¾¾¾¾
Establishes Initial Financial Guidance for 2014


NASHVILLE, Tenn. (October 24, 2013) – Ben R. Leedle, Jr., president and chief executive officer of Healthways, Inc. (NASDAQ: HWAY), today announced financial results for the third quarter ended September 30, 2013.  Total revenues for the quarter were $166.6 million, equal to revenues for the third quarter of 2012.  Net income for the third quarter of 2013 was $1.8 million, or $0.05 per diluted share, compared with $5.0 million, or $0.15 per diluted share, for the third quarter of 2012.

Leedle commented, "Healthways' financial results for the third quarter of 2013 were below our expectations, and we are lowering our financial guidance for 2013 for two primary reasons.  The majority of the guidance change results from a much lower number of risk lives available in 2013 for our total population management services to health systems than was forecast in our previous guidance.  A smaller but still important impact came from the normal fluctuations in the memberships of our commercial health plan customers, where we experienced a net reduction in lives compared with our expectations.

"The rapid movement in 2012 and early 2013 toward value-based models of care has slowed as both payers and providers confront the magnitude and complexity of the change required across their enterprises for operating success. Our previous expectations reflected the momentum we experienced in signing six health system contracts and building an active pipeline of new potential health system customers, but did not incorporate the impact of the slowdown.  For Healthways this slowdown has affected the ramp of lives at risk for quality and financial outcomes management.

"The shortfall in risk lives with some of our health system customers has resulted in delays in the advancement and/or the launch of certain components of our total population management solution, thus accounting for a significantly lower than anticipated ramp of these contracts for 2013.  This delay, which we believe is simply a timing issue, is not related to any operating issues or achievement of critical outcomes performance on the part of Healthways.  In fact, we continue to expect to add new health system clients through an array of well-being improvement solutions.

"We have responded to the evolving needs of both our health system and health plan customers by focusing on products and services to drive meaningful revenues before, during and after the transition to value-based reimbursement.  For example, our exclusive agreement in July 2013 to operate and license Dr. Dean Ornish's Lifestyle Management Programs (Ornish Program) enables us to provide
 
 
 
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HWAY Reports Third-Quarter Results
Page 2
October 24, 2013
 
 
immediate value to our customers.  The Ornish Program affords revenue growth for providers while creating strong medical savings for payers.  These characteristics make the Ornish Program valuable for all the stakeholders in both fee for service and value-based reimbursement models."
 
Solid Core Business Performance

"We have already renewed two of the three largest contracts up for renewal in 2013, and we expect to renew the third contract by year end," said Leedle. "Our third quarter results and reduced guidance for 2013 were not the result of new contract terminations. Due to the continued solid operating performance and revenue growth in our health plan, employer and fitness (primarily SilverSneakers®) markets, our third-quarter revenue growth offset the termination at the end of 2012 of the Cigna contract and one other health plan contract (the "two terminated contracts").   Excluding the two terminated contracts, revenues for the third quarter of 2013 increased $20.7 million, or 14.2%, over the third quarter last year (see page 8 for a reconciliation of non GAAP financial measures). We also produced net cash flow from operations for the third quarter of $12.5 million.

"In addition, we expect the growth across our markets for full-year 2013 to offset the $80 million 2013 impact of the two terminated contracts. We expect this underlying growth for 2013 and the continuing strength of our business development momentum, will lead to profitable growth for 2014."

Business Development Momentum

"Supporting our outlook for the balance of 2013 and into 2014, the pace of our business development remains intense," continued Leedle.  "During the third quarter, we signed 23 contracts, including seven contracts with new customers, five contract expansions and 11 contract extensions.  These contracts covered all of our markets: for example, the health systems market through our new contract with Beacon Health Systems; international markets through a long-term contract extension with Hospitals Contributions Fund in Australia; the large employer market through our new contract with the Georgia Department of Community Health's State Health Benefit Plan; the commercial health plan market through an extended contract with BlueCross BlueShield of Tennessee; the Medicare Advantage market with new and extended contacts with Premera Blue Cross and with Highmark Health Services, respectively; and the Medicaid risk market through a contract extension with L.A. Care Health Plan.

"We have already signed additional new and renewed contracts in the fourth quarter to date for large employers and commercial and Medicare health plans, and we expect to sign further significant contracts before year end. In addition, we have continued to expand our well-being value proposition. As previously mentioned, in the third quarter we announced an exclusive partnership with Dr. Dean Ornish to operate and license the Ornish Program. We expect that our capability to scale the delivery of these programs will accelerate the adoption of our well-being platform with health systems across geographic markets and lead to a series of meaningful new commitments from health plans and physician groups.  The first commitments, listed in the table below, are expected to be operational in either the fourth quarter of 2013 or the first quarter of 2014.  These are market leading organizations and are indicative of the breadth and depth of demand for these solutions."
 
 
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HWAY Reports Third-Quarter Results
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October 24, 2013

 
ORNISH PROGRAM COMMITMENTS

Organization
Region
Status
Beacon Health System
Indiana
Expanded
Beebe Medical Center
Delaware
New
Beth Israel Medical Center
New York
New
Cleveland Clinic
Ohio
New
Hackensack University Medical Center
New Jersey
New
Hawaii Medical Service Association (BCBS)
Hawaii
Expanded
Texas Health Resources
Texas
Expanded
UCLA Health System
California
New
Wellmont Health System
Tennessee
Expanded

Well-Being Improvement: Adoption, Endorsement and Expansion

Woodson Merrell, M.D., Chairman of the Department of Integrative Medicine and Executive Director, Center for Health and Healing at Beth Israel Medical Center said, "We are thrilled and honored to be offering Dr. Ornish's Program for Reversing Heart Disease at the Center for Health and Healing of the Beth Israel Medical Center (part of the Mt. Sinai Health System).  It is the leading program in this space; there is not even a close second."

"UCLA is fully committed to offering the Ornish program, and we are actively developing our first site for the program," said David T. Feinberg, M.D., M.B.A., President, UCLA Health System and CEO UCLA Hospital System.

Michael F. Roisen, M.D., Chief Wellness Officer, and Chair, Wellness Institute of the Cleveland Clinic commented, "The Cleveland Clinic will feature the Ornish program for reversing heart disease in its armamentarium for treating heart and vascular disease."

Dr. Jerry Blackwell, President of Wellmont CVA Heart Institute said, "Dr. Ornish's program is the only program scientifically proven to reverse heart disease without drugs or surgery in randomized clinical trials.  We are thrilled to be offering this state of the art lifestyle program for our patients. Medicare and other major insurance companies are covering Dr. Ornish's program so we can make it available to those who most need it."

Leedle added, "In addition to the growing demand for the Ornish Program, earlier this week we announced an exclusive agreement to deliver Dave Ramsey's CORETM Financial Wellness program as an integrated component of the Healthways Well-Being Improvement Solution. We also extended and expanded our strategic relationship with Dan Buettner and Blue Zones, announcing two new Blue Zones projects, one in Fort Worth Texas with Texas Health Resources and the other in Hawaii with Hawaii Medical Service Association (HMSA).  These new and expanded relationships represent additional growth opportunities and further illustrate our strongly differentiated market position, built on our unique ability to provide scaled and proven well-being improvement solutions that quantifiably lower healthcare costs and enhance productivity.
 
 
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October 24, 2013

 
 
"Our strong market position and the opportunities related to the transition to value-based reimbursement have been further validated by two additional recent announcements. Earlier this week we announced that Renaissance Health Network, a leading clinically integrated primary care organization will use our physician integration model, Well-Being Direct, to optimize population health management for its 32,000 Medicare patients in its Pioneer ACO contract with the Centers for Medicare and Medicaid Innovation. Renaissance already provides value-based population health management to 150,000 lives, and their selection of Well-Being Direct to deepen their population health capabilities and expand their historic success as a value-based provider speaks to the significance of our ability to partner with physician organizations.

"In addition, we recently announced a $20 million investment in Healthways by CareFirst BlueCross BlueShield, a large, long-term customer.  Our population health management capabilities are an integral part of CareFirst's Patient Centered Medical Home program, which equips primary care physicians with the resources to provide higher quality, lower cost care to over one million CareFirst members. The structure of the investment incentivizes both parties to grow our relationship and expand it to third-party payors and providers.  Given our deep, long-term integration with CareFirst, their investment represents a strong validation of our value proposition and growth potential."

Financial Guidance

Healthways has reduced its financial guidance for 2013, based on the Company's financial and operating results for the first nine months of 2013 and expectations for a continued slower than expected ramping of fourth-quarter revenues under certain contracts.  The Company's guidance for 2013 revenues includes a sequential-quarter increase in fourth-quarter revenue, to a range of $171 million to $181 million, and total 2013 revenues in a range of $665 million to $675 million. Further, the Company expects fourth-quarter 2013 net income per diluted share in a range of $0.00 to $0.06 and total 2013 net loss per share in a range of $0.10 to $0.04.

Healthways also has initially established its guidance for 2014 revenues in a range of $725 million to $760 million.  Healthways continues to expect EBITDA margins to expand sequentially in 2014 and beyond.

Summary

Leedle concluded, "Although our reduction in 2013 guidance was driven predominately by a shortfall in risk-life aggregation with certain health systems, we fully expect the risk-life volume to accelerate over time and for health system total population management to be a significant growth opportunity. In addition to expected growth in our health systems market, we continue to expect solid performance from our core markets with resulting growth in revenues and margins for 2014 and beyond."

Conference Call

Healthways will hold a conference call to discuss this release today at 5:00 p.m. Eastern Time. Investors will have the opportunity to listen to the conference call live over the Internet by going to www.healthways.com and clicking Investor Relations, or by going to www.earnings.com, at least 15 minutes early to register, download and install any necessary audio software.  For those who cannot
 
 
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HWAY Reports Third-Quarter Results
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October 24, 2013
 

listen to the live broadcast, a telephonic replay will be available for one week at 719-457-0820, code 6885653, and the replay will also be available on the Company's web site for the next 12 months.
 
Safe Harbor Provisions

This press release contains forward-looking statements, including our guidance and financial expectations for future periods, which are based upon current expectations, involve a number of risks and uncertainties and are subject to the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995.  Those forward-looking statements include all statements that are not historical statements of fact and those regarding the intent, belief or expectations of the Company, including, without limitation, all statements regarding the Company's future earnings and results of operations. Those forward-looking statements are subject to the finalization of the Company's quarterly financial accounting procedures and may be affected by certain risks and uncertainties, including, but not limited to:

the effectiveness of management's strategies and decisions;
the Company's ability to sign and implement new contracts for our solutions;
the Company's ability to accurately forecast the costs required to successfully implement new contracts;
the Company's ability to accurately forecast the costs necessary to integrate new or acquired businesses, services (including outsourced services) or technologies into the Company's business;
the Company's ability to achieve estimated annualized revenue in backlog in the manner and within the timeframe we expect, which is based on certain estimates regarding the implementation of our services;
the Company's ability to anticipate change and respond to emerging trends in the domestic and international markets for healthcare and the impact of the same on demand for the Company's services;
the Company's ability to implement its integrated data and technology solutions platform within the required time frame and expected cost estimates and to develop and enhance this platform and/or other technologies to meet evolving customer and market needs;
the Company's ability to renew and/or maintain contracts with its customers under existing terms or restructure these contracts on terms that would not have a material negative impact on the Company's results of operations;
the Company's ability to accurately forecast the Company's revenues, margins, earnings and net income, as well as any potential charges that the Company may incur as a result of changes in its business;
the Company's ability to accurately forecast performance and the timing of revenue recognition under the terms of its customer contracts ahead of data collection and reconciliation;
the Company's ability to accurately forecast enrollment and participation rates in services and programs offered within the Company's contracts;
the risks associated with deriving a significant concentration of revenues from a limited number of customers;
the risks associated with foreign currency exchange rate fluctuations;
the ability of the Company's customers to provide timely and accurate data that is essential to the operation and measurement of the Company's performance;
 
 
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October 24, 2013

 
 
the Company's ability to achieve the contractually required cost savings and clinical outcomes improvements and reach mutual agreement with customers with respect to cost savings, or to achieve such savings and improvements within the time frames it contemplates;
the risks associated with changes in macroeconomic conditions;
the risks associated with data privacy or security breaches, computer hacking, network penetration and other illegal intrusions;
the Company's ability to effectively compete against other entities, whose financial, research, staff, and marketing resources may exceed our resources;
the Company's ability to service its debt and remain in compliance with its debt covenants;
counterparty risk associated with our interest rate swap agreements and foreign currency exchanged contracts;
the impact of litigation involving the Company and/or its subsidiaries;
the impact of future state, federal and international legislation and regulations applicable to the Company's business, including the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 on the Company's operations and/or demand for its services; and
other risks detailed in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2012, and other filings with the Securities and Exchange Commission.

The Company undertakes no obligation to update or revise any such forward-looking statements.

About Healthways

Healthways is the largest independent global provider of well-being improvement solutions. Dedicated to creating a healthier world one person at a time, the Company uses the science of behavior change to produce and measure positive change in well-being for our customers, which include employers, integrated health systems, hospitals, physicians, health plans, communities and government entities.  We provide highly specific and personalized support for each individual and their team of experts to optimize each participant's health and productivity and to reduce health-related costs.  Results are achieved by addressing longitudinal health risks and care needs of everyone in a given population. The Company has scaled its proprietary technology infrastructure and delivery capabilities developed over 30 years and now serves approximately 45 million people on four continents.  Learn more at www.healthways.com.



 
 
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HWAY Reports Third-Quarter Results
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October 24, 2013
 

HEALTHWAYS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(In thousands, except per share data)

 
 
Three Months Ended
   
Nine Months Ended
 
 
 
September 30,
   
September 30,
 
 
 
2013
   
2012
   
2013
   
2012
 
 
 
   
   
   
 
Revenues
 
$
166,615
   
$
166,559
   
$
494,049
   
$
501,990
 
Cost of services (exclusive of depreciation and amortization of $9,115, $9,158, $26,826, and $26,689, respectively, included below)
   
131,109
     
126,782
     
405,835
     
396,321
 
Selling, general and administrative expenses
   
16,440
     
14,727
     
43,816
     
43,455
 
Depreciation and amortization
   
12,952
     
13,259
     
39,499
     
38,233
 
 
                               
Operating income
   
6,114
     
11,791
     
4,899
     
23,981
 
 Interest expense
   
5,006
     
3,249
     
11,486
     
10,822
 
 
                               
Income (loss) before income taxes
   
1,108
     
8,542
     
(6,587
)
   
13,159
 
Income tax expense (benefit)
   
(691
)
   
3,514
     
(3,336
)
   
5,739
 
 
                               
Net income (loss)
 
$
1,799
   
$
5,028
   
$
(3,251
)
 
$
7,420
 
 
                               
Earnings (loss) per share:
                               
  Basic
 
$
0.05
   
$
0.15
   
$
(0.09
)
 
$
0.22
 
 
                               
  Diluted
 
$
0.05
   
$
0.15
   
$
(0.09
)
 
$
0.22
 
 
                               
Comprehensive income (loss)
 
$
2,444
   
$
4,909
   
$
(2,444
)
 
$
7,688
 
 
                               
Weighted average common shares
                               
and equivalents:
                               
Basic
   
34,682
     
33,683
     
34,288
     
33,485
 
Diluted (1)
   
35,834
     
34,068
     
34,288
     
33,706
 
 
                               
(1)The assumed exercise of stock-based compensation awards for the nine months ended September 30, 2013 was not considered because the impact would be anti-dilutive.
 

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October 24, 2013

 
 
Healthways, Inc.
Reconciliation of Non-GAAP Measures to GAAP Measures
(Unaudited)

Reconciliation of Revenues Excluding the Two Terminated Contracts
 to Revenues, GAAP Basis


 
Three Months Ended
 
Three Months Ended
 
 
September 30, 2013
 
September 30, 2012
 
Revenues excluding the two terminated contracts (1)
 
$
166.0
   
$
145.3
 
Revenues attributable to the two terminated contracts (2)
   
0.6
     
21.3
 
Revenues, GAAP basis
 
$
166.6
   
$
166.6
 

(1) Revenues excluding the two terminated contracts is a non-GAAP financial measure.  The Company excludes revenues attributable to the two terminated contracts from this measure because of the significance of these terminated contracts.  The Company believes it is useful to investors to provide disclosures of its operating results and guidance on the same basis as that used by management.  You should not consider revenues excluding the two terminated contracts in isolation or as a substitute for revenues determined in accordance with accounting principles generally accepted in the United States.

(2) Revenues attributable to the two terminated contracts consist of pre-tax revenues of $0.6 million and $21.3 million for the three months ended September 30, 2013 and 2012, respectively.
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October 24, 2013
 

HEALTHWAYS, INC.
CONSOLIDATED BALANCE SHEETS
(Unaudited)
(In thousands)

ASSETS

 
 
September 30,
   
December 31,
 
 
 
2013
   
2012
 
Current assets:
 
   
 
Cash and cash equivalents
 
$
2,815
   
$
1,759
 
Accounts receivable, net
   
85,731
     
108,337
 
Prepaid expenses
   
13,283
     
9,727
 
Other current assets
   
6,648
     
7,227
 
Income taxes receivable
   
5,653
     
5,920
 
Deferred tax asset
   
8,169
     
8,839
 
  Total current assets
   
122,299
     
141,809
 
 
               
Property and equipment:
               
Leasehold improvements
   
38,406
     
40,679
 
Computer equipment and related software
   
283,707
     
267,902
 
Furniture and office equipment
   
23,591
     
23,552
 
Capital projects in process
   
23,612
     
11,799
 
 
   
369,316
     
343,932
 
Less accumulated depreciation
   
(211,355
)
   
(187,438
)
 
   
157,961
     
156,494
 
 
               
Other assets
   
69,546
     
21,042
 
Intangible assets, net
   
81,809
     
90,228
 
Goodwill, net
   
339,132
     
338,695
 
 
               
Total assets
 
$
770,747
   
$
748,268
 
 
 
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HEALTHWAYS, INC.
CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share data)
(Unaudited)

LIABILITIES AND STOCKHOLDERS' EQUITY

 
 
September 30,
   
December 31,
 
 
 
2013
   
2012
 
Current liabilities:
 
   
 
Accounts payable
 
$
20,547
   
$
26,343
 
Accrued salaries and benefits
   
15,848
     
24,909
 
Accrued liabilities
   
36,095
     
39,234
 
Deferred revenue
   
5,197
     
5,643
 
Contract billings in excess of earned revenue
   
19,263
     
14,793
 
Current portion of long-term debt
   
13,737
     
11,801
 
Current portion of long-term liabilities
   
3,181
     
5,535
 
Total current liabilities
   
113,868
     
128,258
 
 
               
Long-term debt
   
246,926
     
278,534
 
Long-term deferred tax liability
   
35,461
     
36,053
 
Other long-term liabilities
   
67,287
     
26,602
 
 
               
Stockholders' equity:
               
Preferred stock
               
      $.001 par value, 5,000,000 shares
               
authorized, none outstanding
   
     
 
Common stock
               
      $.001 par value, 120,000,000 shares authorized,
               
        35,024,421 and 33,924,464 shares outstanding
   
35
     
34
 
Additional paid-in capital
   
282,184
     
251,357
 
Retained earnings
   
53,290
     
56,541
 
Treasury stock, at cost, 2,254,953 shares in treasury
   
(28,182
)
   
(28,182
)
Accumulated other comprehensive loss
   
(122
)
   
(929
)
  Total stockholders' equity
   
307,205
     
278,821
 
 
               
Total liabilities and stockholders' equity
 
$
770,747
   
$
748,268
 
 
               
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HEALTHWAYS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In thousands)
 
 
Nine Months Ended
 
 
 
September 30,
 
 
 
2013
   
2012
 
Cash flows from operating activities:
 
   
 
Net income (loss)
 
$
(3,251
)
 
$
7,420
 
Adjustments to reconcile net income (loss) to net cash flows provided by
               
operating activities, net of business acquisitions:
               
Depreciation and amortization
   
39,499
     
38,233
 
Amortization and write-off of deferred loan costs
   
1,096
     
2,077
 
Amortization of debt discount
   
1,497
     
 
Share-based employee compensation expense
   
5,207
     
4,652
 
Deferred income taxes
   
45
     
(1,517
)
Excess tax benefits from share-based payment arrangements
   
(572
)
   
(477
)
Decrease (increase) in accounts receivable, net
   
23,185
     
(17,081
)
Decrease in other current assets
   
138
     
779
 
Decrease in accounts payable
   
(4,363
)
   
(6,029
)
Decrease in accrued salaries and benefits
   
(9,777
)
   
(14,454
)
(Decrease) increase in other current liabilities
   
(398
)
   
12,912
 
Other
   
(941
)
   
(3,124
)
Net cash flows provided by operating activities
   
51,365
     
23,391
 
 
               
Cash flows from investing activities:
               
Acquisition of property and equipment
   
(32,833
)
   
(40,735
)
Business acquisitions, net of cash acquired
   
(830
)
   
(4,693
)
Other
   
(5,754
)
   
(6,075
)
Net cash flows used in investing activities
   
(39,417
)
   
(51,503
)
 
               
Cash flows from financing activities:
               
Proceeds from issuance of long-term debt
   
314,800
     
653,874
 
Payments of long-term debt
   
(461,380
)
   
(631,315
)
Deferred loan costs
   
(5,210
)
   
(2,547
)
Excess tax benefits from share-based payment arrangements
   
572
     
477
 
Exercise of stock options
   
12,562
     
2,835
 
Proceeds from cash convertible senior notes
   
150,000
     
 
Proceeds from sale of warrants
   
15,150
     
 
Payments for convertible note hedge transactions
   
(36,750
)
   
 
Change in outstanding checks and other
   
104
     
6,471
 
Net cash flows (used in) provided by financing activities
   
(10,152
)
   
29,795
 
 
               
Effect of exchange rate changes on cash
   
(740
)
   
24
 
 
               
Net increase in cash and cash equivalents
   
1,056
     
1,707
 
 
               
Cash and cash equivalents, beginning of period
   
1,759
     
864
 
 
               
Cash and cash equivalents, end of period
 
$
2,815
   
$
2,571
 

- END -

 
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