EX-99.2 3 exhibit992supplementalsl.htm EXHIBIT 99.2 exhibit992supplementalsl
Second Quarter 2012 Earnings Call Supplemental Slides


 
The information contained in this presentation includes certain estimates, projections and other forward- looking information that reflect our current outlook, views and plans with respect to future events, including legislative and regulatory developments, strategy, capital expenditures, development activities, dividend strategies, effective tax rates, financial performance, and business model. These estimates, projections and other forward-looking information are based on assumptions that HealthSouth believes, as of the date hereof, are reasonable. Inevitably, there will be differences between such estimates and actual events or results, and those differences may be material. There can be no assurance that any estimates, projections or forward-looking information will be realized. All such estimates, projections and forward-looking information speak only as of the date hereof. HealthSouth undertakes no duty to publicly update or revise the information contained herein. You are cautioned not to place undue reliance on the estimates, projections and other forward-looking information in this presentation as they are based on current expectations and general assumptions and are subject to various risks, uncertainties and other factors, including those set forth in the Form 10-K for the year ended December 31, 2011, our Form 10-Q for the quarters ended March 31, 2012, and June 30, 2012, when filed, and in other documents we previously filed with the SEC, many of which are beyond our control, that may cause actual events or results to differ materially from the views, beliefs and estimates expressed herein. Note Regarding Presentation of Non-GAAP Financial Measures The following presentation includes certain “non-GAAP financial measures” as defined in Regulation G under the Securities Exchange Act of 1934. Schedules are attached that reconcile the non-GAAP financial measures included in the following presentation to the most directly comparable financial measures calculated and presented in accordance with Generally Accepted Accounting Principles in the United States. Our Form 8-K, dated July 26, 2012, to which the following supplemental slides are attached as Exhibit 99.2, provides further explanation and disclosure regarding our use of non-GAAP financial measures and should be read in conjunction with these supplemental slides. Forward-Looking Statements 2


 
Table of Contents 3 4-8 9 10 11 12 13-14 2012 Revised Guidance - Adjusted EBITDA ……………………………………………………………………………………………………………………………………………………………15 2012 Revised Guidance - EPS ……………………………………………………………………………………………………………………………………….16 Income Tax Considerations…………………………………………………………………………………………………………………………………………17 Adjusted Free Cash Flow Considerations…………………………………………………………………………………………………………………………………………18 19 20 21 Business Outlook: 2012 to 2014…………………………………………………………………………………………………………………….….22-24 25 26 27 28 29 30 Outstanding Share Summary and Warrant Information……………………………………………………………………………….31 Adjusted EBITDA History……………………………………………………………………………………………………………………………………………….32 33 Reconciliations to GAAP…………………………………………………………………………………………………………………………………………………………34-38 Adjusted Free Cash Flow ……………………………………………………………………………………………………………………………………… Appendix………………………………………………………………………………………………………………………………………… Historic Discharge Growth vs. Industry……………………………………………………………………………………………………………………………………… Priorities for Reinvesting Free Cash Flows………………………………………………………………………………………………………………………………………… Revenues & Expenses (Sequential)………………………………………………………………………………………………………………………………………… Payment Sources (Percent of Revenues) ……………………………………………………………………………………………………………………………………… Operational and Labor Metrics………………………………………………………………………………………………………………………………………… Debt Schedule……………………………………………………………………………………………………………………………………………………………. Portfolio Growth………………………………………………………………………………………………………………………………………… Revenues & Expenses (6 Months)………………………………………………………………………………………………………………………………………… Adjusted Free Cash Flow ……………………………………………………………………………………………………………………………………… Q2 2012 Summary………………………………………………………………………………………………………………………. Revenues (Q2 2012 vs. Q2 2011)…………………………………………………………………………………………………………………………………………. Expenses (Q2 2012 vs. Q2 2011)…………………………………………………………………………………………………………………………………………. Adjusted EBITDA……………………………………………………………………………………………………………………………………………………………….. Earnings per Share…………………………………………………………………………………………………………………………………………


 
Q2 2012 Summary (Q2 2012 vs. Q2 2011)  Revenue growth of 5.6% ― Inpatient revenue growth of 6.4%  Discharge growth of 3.0%; same-store discharge growth of 1.9%  Revenue per discharge increase of 3.2% ― Outpatient and other revenue decline of 3.3% ($1.3 million)  Improved operating leverage and labor productivity  Adjusted EBITDA (3) for the quarter of $125.1 million reflects growth of 8.5%. 4 0% 40% 80% Q2 2012 Q2 2011 General & Administrative Hospital-related Expenses Salaries, Wages & Benefits 73.5% 74.7% 3.41 3.47 3.20 3.60 Q2 2012 Q2 2011 Employees per Occupied Bed (EPOB) % o f R e v enu e (1) General & Administrative excludes stock-based compensation. (2) Hospital-related expenses include other operating expenses, supplies, and occupancy costs. (3) Reconciliation to GAAP provided on slides 34, 35, 37, and 38. (1) (2)


 
Q2 2012 Summary (Q2 2012 vs. Q2 2011) (cont.)  Adjusted free cash flow (1) for the quarter of $70.0 million and $115.2 million for first six months of 2012 ― Adjusted free cash flow reflected the planned investment in the clinical information system and hospital refresh projects, the anticipated increase in net working capital, and other items, as illustrated on slide 14.  Diluted earnings (2) per share of $0.39 reflected strong operating results, lower interest expense, and an effective tax rate of approx. 39% (3) for the quarter (see table on slide 12) ― Q2 2011 diluted earnings per share of $0.14 were impacted by two items having net after tax value of ($0.11) per share:  $26.1 million loss on early extinguishment of debt  $10.6 million gain in government, class action, and related settlements (1) Reconciliation to GAAP provided on slide 33 (2) Income from continuing operations attributable to HealthSouth (3) Estimated effective tax rate using pre-tax income from continuing operations attributable to HealthSouth 5


 
Q2 2012 Summary (cont.) Growth:  Signed letter of intent to acquire 34-bed inpatient rehabilitation unit in San Antonio, TX (CHRISTUS Santa Rosa Hospital) ―Consolidate the unit into existing inpatient rehabilitation hospital, HealthSouth Rehabilitation Hospital of San Antonio ―Completed acquisition on July 16, 2012  Received CON approval to build a 50-bed inpatient rehabilitation hospital in the greater Orlando, FL market ―Operational by Q1 2014  Began construction on 40-bed inpatient rehabilitation hospital in Littleton, CO (South Denver) ―Operational in Q2 2013  Began construction on 34-bed inpatient rehabilitation hospital in Stuart, FL (a joint venture with Martin Health Systems) ―Operational in Q2 2013 6


 
Q2 2012 Summary (cont.) 7 Cash Deployment:  Repurchased 21,645 additional shares of our preferred stock for approx. $22 million (46,645 shares repurchased in first six months of 2012). ― The Q2 2012 repurchase reduces annual preferred stock dividend payments by $1.4 million and diluted share count by 0.7 million shares. ― The cumulative six months 2012 repurchases reduce annual preferred stock dividend payments by $3.0 million and diluted share count by 1.5 million shares.  Our joint venture in Fayetteville, AR purchased the land and building associated with its hospital previously subject to an operating lease. Balance Sheet:  Moody’s upgraded our corporate debt rating to Ba3 on May 2, 2012.  S&P upgraded our corporate debt rating to BB- on May 30, 2012.


 
34.6 29.8 15.0 20.0 25.0 30.0 35.0 3.09 2.59 1.5 2.0 2.5 3.0 3.5  HealthSouth Functional Outcomes Continue to Outpace Industry Average HealthSouth Average UDS Average* FIM Gain LOS Efficiency * Average = Expected, Risk-adjusted Source: UDSmr Database – On Demand Report: Q2 2012 Report Q2 2012 Summary (cont.) 8


 
Q2 Q2 Increase/ (Millions) 2012 2011 (Decrease) Inpatient 495.0$ 465.4$ 6.4% Outpatient and other 38.4 39.7 (3.3%) Consolidated net operating 533.4$ 505.1$ 5.6% (Actual Amounts) Discharges 30,719 29,811 3.0% Net patient revenue / discharge 16,114$ 15,612$ 3.2% Revenues (Q2 2012 vs. Q2 2011)  Revenue growth of 5.6% ― Inpatient revenue growth of 6.4%  Discharge growth of 3.0%; same-store discharge growth of 1.9%  Revenue per discharge increase of 3.2% • Price adjustments (Medicare and managed care) • Higher average acuity (CMI) for the patients we served ― Outpatient and other revenue declined by 3.3% ($1.3 million)  Three fewer outpatient rehabilitation satellite clinics in Q2 2012 9


 
Expenses (Q2 2012 vs. Q2 2011) 10 Q2 Q2 Increase/ (Millions) 2012 2011 (Decrease) Salaries and benefits 257.4$ 241.6$ 6.5% Percent of net operating revenues 48.3% 47.8% 50 bps EPOB (employees per occupied bed) 3.41 3.47 (1.7%) Hospital-related expenses 112.6$ 113.7$ (1.0%) (other operating, supplies, occupancy) Percent of net operating revenues 21.1% 22.5% (140 bps) General and administrative 22.1$ 22.1$ 0.0% (excludes stock-based compensation) Percent of net operating revenues 4.1% 4.4% (30 bps) Provision for doubtful accounts 6.5$ 5.0$ 30.0% Percent of net operating revenues 1.2% 1.0% 20 bps  Continued improvement in operating leverage from 74.7% to 73.5% as a percent of revenue ― SWB as a percent of revenue increased as a result of:  Higher SWB as a result of a higher skills mix and increased workers’ compensation expense ― Continued improvement in labor productivity (EPOB) ― Hospital-related expenses as a percent of revenue declined as a result of:  A decrease in the general and professional liability insurance reserve partially offset by higher clinical information system implementation costs and other expenses


 
Adjusted EBITDA Change 6 Months Q2 2012 __2012__ +$9.8M +$19.3 +8.5% +8.3% Q2 2012 and 6 Months 2012 reflect: • Revenue growth • Improved operating leverage and labor productivity • Higher bad debt expense • Higher expenses for noncontrolling interests Adjusted EBITDA (1) 11 (Millions) 2012 2011 2012 2011 Net operating revenues 533.4$ 505.1$ 1,072.0$ 1,011.1$ Less: Provision for doubtful accounts (6.5) (5.0) (12.8) (9.8) Net operating revenues less provision for doubtful accounts 526.9 500.1 1,059.2 1,001.3 Operating expenses: Salaries and benefits (257.4) (241.6) (518.4) (485.6) Hospital-related expenses: Other operating expenses (74.4) (75.4) (147.4) (146.3) Supplies (25.9) (26.2) (52.4) (52.0) Occupancy costs (12.3) (12.1) (24.8) (23.7) (112.6) (113.7) (224.6) (222.0) General and administrative expenses (2) (22.1) (22.1) (46.0) (44.8) Equity in nonconsolidated affiliates 3.1 3.2 6.4 5.7 Other income 0.4 0.7 1.3 1.3 Noncontrolling interests (3) (13.2) (11.3) (25.8) (23.1) Adjusted EBITDA 125.1$ 115.3$ 252.1$ 232.8$ (1) Reconciliation to GAAP provided on slides 34, 35, 37, and 38. 2012 2011 2012 2011 In arriving at Adjusted EBITDA, the following were excluded: (2) Stock-based compensation expense 5.9 5.3 12.0 9.5 (3) Noncontrolling interests related to - 0.9 - 1.0 discontinued operations Q2 Q2 6 Months 6 Months


 
Earnings per Share from Continuing Operations (3) Q2 2012 and 6 Months 2012 reflect: • Higher Adjusted EBITDA • Decreased interest expense • Lower professional fees • Approx. 39%(6) effective tax rate Q2 2011 and 6 Months 2011 reflect: • A $26.1 million loss on early extinguishment of debt • A $10.6 million gain in government, class action, and related settlements Earnings per Share 12 (1) Cash income tax expense was $2.2 million, $1.7 million, $4.3 million, and $4.2 million for three months 2012 and 2011 and six months 2012 and 2011, respectively. (2) Includes a $0.27 per diluted share benefit primarily related to the Company’s settlement with the IRS for tax years 2007 and 2008 and a reduction in unrecognized tax benefits due to the lapse of the statute of limitations for certain federal and state claims (3) Income from continuing operations attributable to HealthSouth (4) The dividends related to our convertible perpetual preferred stock must be subtracted from income from continuing operations when calculating basic earnings per share. (5) Diluted earnings per share on a GAAP basis are the same as basic earnings per share due to the antidilutive impact in the period. (6) Estimated effective tax rate using pre-tax income from continuing operations attributable to HealthSouth (In Millions, Except Per Share Data) 2012 2011 2012 2011 Adjusted EBITDA 125.1$ 115.3$ 252.1$ 232.8$ Interest expense and amortization of debt discounts and fees (23.0) (34.9) (46.3) (70.0) Depreciation and amortization (20.0) (19.6) (39.5) (39.1) Stock-based compensation expense (5.9) (5.3) (12.0) (9.5) Other, including non-cash loss on disposal of assets (0.6) (1.0) (1.4) (1.1) 75.6 54.5 152.9 113.1 Certain nonrecurring expenses: Government, class action, and related settlements - 10.6 - 10.6 Professional fees - accounting, tax, and legal (5.5) (8.4) (9.1) (12.2) Loss on early extinguishment of debt - (26.1) - (26.1) Pre-tax income 70.1 30.6 143.8 85.4 Income tax expense (1) (26.9) (11.2) (56.0) (3.8) (2) Income from continuing operations (3) 43.2$ 19.4$ 87.8$ 81.6$ Basic shares 94.6 93.3 94.5 93.2 Diluted shares 108.0 109.5 108.3 109.3 Basic earnings per share (3) (4) 0.39$ 0.14$ 0.79$ 0.74$ Diluted earnings per share (3)(5) 0.39$ 0.14$ 0.79$ 0.74$ Q2 6 Months


 
Adjusted Free Cash Flow 13 (Millions) 2012 2011 2012 2011 114.0$ 68.6$ 195.0$ 158.1$ (1.3) (5.1) (1.7) (7.2) Capital expenditures for maintenance (31.0) (13.2) (50.1) (22.3) Net settlements on interest rate swaps - - - (10.9) Dividends paid on convertible perpetual preferred stock (6.3) (6.5) (13.1) (13.0) Distributions paid to noncontrolling interests of consolidated affiliates Non-recurring items: Cash paid for professional fees - accounting, tax, and legal 5.5 8.4 9.1 12.2 Net premium on bond issuance/repayment - 18.0 - 13.9 Cash paid for government, class action and related settlements - 3.4 - 7.7 - (0.4) - (3.4) Adjusted free cash flow 70.0$ 63.6$ 115.2$ 111.8$ Income tax refunds related to prior periods Net cash provided by operating activities Net cash provided by operating activities of continuing operations Impact of discontinued operations (24.0) (10.9) (9.6) 193.3 Q2 112.7 63.5 6 Months 150.9 (23.3)  Adjusted free cash flow for Q2 2012 and 6 months 2012 reflect the planned investment in the clinical information system and hospital refresh projects, the anticipated increase in net working capital, and other items, as illustrated on slide 14.


 
$111.8 $115.2 $19.3 Adjusted Free Cash Flow 6 Mos. 2011 Adjusted EBITDA Cash Interest Expense Working Capital and Other Swap-Related Payments Maintenance Capital Expenditures Adjusted Free Cash Flow 6 Mos. 2012 $23.1 (2) Adjusted Free Cash Flow (1) (Millions) 2012 2011 $ % Adjusted free cash flow (1) 6 Months Change 115.2$ 111.8$ 3.4$ 3.0% (1) Reconciliation to GAAP provided on slide 33 (2) Reflects lower average borrowings and lower average interest rate (3) Includes an increase in payroll tax withholdings related to the vesting of restricted stock awards to employees (4) Final swap payment was made in March 2011. (5) Planned investment in clinical information system and hospital refresh projects 14 Operating Cash Flows ($22.1) (3) Investing Cash Flows $10.9 (4) ($27.8) (5)


 
2012 Revised Guidance – Adjusted EBITDA (1) 2012 Adjusted EBITDA $487 million to $495 million (previous guidance $475 million to $485 million) (1) Reconciliation to GAAP provided on slides 34, 35, 37, and 38. Considerations:  Revenue growth of 3.7% to 5.3% (July through December 2012) ― Discharge growth between 2.5% and 3.5% (July through December 2012) ― Revenue per discharge growth between 2.0% and 2.5% (July through December 2012) ― Home health revenues subject to approx. $1.0 million reduction related to the 2012 Medicare Home Health rule  Higher bad debt expense of approx. 1.3% of revenues (approx. $3 million more in second half of 2012)  Installation of new clinical information system in twelve existing hospitals expected to increase operating expenses by approx. $3 million in second half 2012  Higher workers’ compensation expense of approx. $2 million in second half of 2012  Q4 2011 Adjusted EBITDA benefited by $2.4 million from a nonrecurring franchise tax recovery Based on results for the first 6 months of 2012, HealthSouth is raising it expectations for full- year 2012 results. 15


 
2012 Revised Guidance - EPS Earnings per Share from Continuing Operations Attributable to HealthSouth (1) $1.45 to $1.50 (previous guidance $1.32 to $1.39) Considerations:  Assumes provision for income tax of approx. 39% in 2012 vs. approx. 19% in 2011 (2)  Cash taxes expected to be $8 to $12 million  Basic share count of 94.6 million shares Based on results for the first 6 months of 2012, HealthSouth is raising it expectations for full- year 2012 results. (1) Income from continuing operations attributable to HealthSouth (2) Estimated effective tax rate using pre-tax income from continuing operations attributable to HealthSouth (3) Includes an approx. $46 million, or $0.49 per share, benefit primarily related to the Company’s settlement with the IRS for tax years 2007 and 2008, a decrease in the valuation allowance, and a reduction in unrecognized tax benefits due to the lapse of the statute of limitations for certain federal and state claims (4) The dividends related to our convertible perpetual preferred stock must be subtracted from income from continuing operations when calculating basic earnings per share. 16 Actual Low High (In Millions, Except Per Share Data) 2011 Adjusted EBITDA 466.2$ 487$ 495$ Interest expense and amortization of debt discounts and fees (119.4) Depreciation and amortization (78.8) Stock-based compensation expense (20.3) Other, including non-cash loss on disposal of assets (4.3) 243.4 282 290 Certain Nonrecurring Expenses: Government, class action and related settlements 12.3 Professional fees - accounting, tax and legal (21.0) Loss on early extinguishment of debt (38.8) Pre-tax income 195.9 267 275 Income tax (assumes 39% in 2012) (37.1) (3) (105) (108) Income from continuing operations (1) 158.8$ 162$ 167$ Basic shares 93.3 94.6 94.6 Earnings per share (1)(4) 1.42$ 1.45$ 1.50$ - - (15) (7) EPS Guidance 2012 (93) (82) (23)


 
Income Tax Considerations GAAP Considerations: •As of 6/30/12, the Company’s federal NOL had a balance of approx. $1.1 billion. • The Company has a remaining valuation allowance of approx. $50 million, primarily related to state NOLs. • 2011 effective tax rate was approx. 19%. (1)(2) • Expect effective tax rate of approx. 40% (1) going forward Future Cash Tax Payments: • The Company expects to pay approx. $8 million to $12 million per year of income tax. •HealthSouth is not currently subject to an annual use limitation (“AUL”) under Internal Revenue Code Section 382 (“Section 382”). A “change of ownership,” as defined by Section 382, would subject the Company to an AUL, which is equal to the market capitalization of the Company at the time of the “change of ownership” multiplied by the long-term tax exempt rate. 17 (1) Estimated effective tax rate using pre-tax income from continuing operations attributable to HealthSouth (2) Includes an approx. $46 million, or $0.49 per share, benefit primarily related to the Company’s settlement with the IRS for tax years 2007 and 2008, a decrease in the valuation allowance, and a reduction in unrecognized tax benefits due to the lapse of the statute of limitations for certain federal and state claims


 
Adjusted Free Cash Flow (1) Considerations (1) Reconciliation to GAAP provided on slide 33 (2) Definition of adjusted free cash flow is net cash provided by operating activities of continuing operations minus capital expenditures for maintenance, net settlements on interest rate swaps, dividends paid on preferred stock, distributions to noncontrolling interests, and nonrecurring items. (3) Net of amortization of debt and discounts and fees (4) Six months 2012 includes cash dividend payments of $12.6 million for dividends declared in Q4 2011 and Q1 2012 and paid in the first 6 months of 2012 plus $0.5 million for cumulative dividends paid for the shares repurchased in the first 6 months of 2012. Assumptions for 2012 include the $13.1 million for first six months 2012 dividends paid plus expected cash dividends of $11.5 million for the second half of 2012. 18 Certain Cash Flow Items (2) (millions) 2011 Actual 6 Months 2012 Actual 2012 Assumptions  Cash interest expense (3) $115.2 $44.6 $92  Cash payments for taxes $9.1 $7.7 $8 to $12  Working capital and other $10.6 $21.4 $30 to $40  Maintenance CAPEX $50.8 $50.1 $75 to $85  Net cash swap-related settlements $10.9 - -  Dividends paid on preferred stock (4) $26 $13.1 $24.6 The increase in 2012 maintenance CAPEX is driven by the clinical information system roll-out, two major hospital renovations, and increased hospital refresh projects.  2012 adjusted free cash flow growth reflects increased maintenance capital expenditures and working capital.  Multi-year adjusted free cash flow CAGR of 12% to 17%


 
Priorities for Reinvesting Free Cash Flows 19 •Growth in core business  Bed expansions (80-100 beds)  De novo hospitals (complete Ocala; start 4 others)  Acquisitions (target 2/year) (1) − Free standing IRFs − Hospital unit Growth Prioritie s A lt e rn a te O p p o rt u n it ie s Debt Reduction • Debt prepayment • Purchase leased properties (2) Shareholder Distribution • Convertible preferred stock repurchase ($125 million authorization) • Common share repurchase ($125 million authorization) • Cash dividends (one time or regular) 6 Months 2012 - $9.0 $46.5 - - $55.5 2012 Assumptions 6 Months 2012 $20 to $25 $10.7 $50 to $70 $17.0 TBD $2.1 $70 to $95, excluding acquisit ions $29.8 (millions) (1) Acquired 12 inpatient rehabilitation beds from a hospital in Andalusia, AL in order to add beds at our Dothan, AL hospital. (2) Includes the purchase of the real estate (previously subject to an operating lease) associated with our joint venture hospital in Fayetteville, AR for approx. $15 million, half of which was reimbursed to us by our joint venture partner through a capital contribution; also includes an initial investment for a replacement hospital for our currently leased hospital in Ludlow, MA.


 
Portfolio Growth 20 • All projects have minimum IRR target of 15% (pre-tax). De novos Acquisitions • Cash Payback (1) = 5 to 7 years • Longer payback period due to: − Design and construction period − Initial ramp-up of operations • Target 4 openings/Year • Cash Payback (1) = 4 to 6 years • Target: 2 acquisitions/Year Location Installed Beds Operational Date Location Beds Operational Date 2014 Orlando, FL 50 Q1 2014 TBD TBD TBD 2013 (2) Stuart, FL 34 Q2 2013 TBD TBD TBD Littleton, CO 40 Q2 2013 Southwest Phoenix, AZ 40 Q3 2013 2012 Ocala, FL 40 Q4 2012 San Antonio, TX (unit) 34 Q3 2012 2011 Cypress, TX 40 Q4 2011 Cincinnati, OH 40 Q4 2011 2010 Bristol, VA 25 Q3 2010 Ft. Smith, AR (unit) 30 Q3 2010 Sugarland, TX (IRF) 50 Q3 2010 Loudoun County, VA 40 Q2 2010 Las Vegas, NV (IRF) 50 Q2 2010 Little Rock, AR (unit) 23 Q1 2010 2009 Mesa, AZ 40 Q3 2009 Altoona, PA (JV, unit) 18 Q4 2009 (1) Future cash payback periods may increase when the Company exhausts its significant NOLs (slide 17). (2) Does not include Middletown, DE or Williamson Co., TN where CON awards are under appeal


 
Appendix


 
Business Outlook: 2012 to 2014 Business Model • Adjusted EBITDA CAGR: 5-8% (1)(2) • Adjusted Free Cash Flow CAGR: 12-17% (1)(2) Strategy 2011 2012 2013 2014 Delevering (3) Achieved < 3.0x Debt to Adj. EBITDA < 3.0x Debt to Adj. EBITDA (subject to operating environment) Core Growth Same-store Growth (Includes bed expansions and unit consolidations) De novos (target of 4/year) IRF Acquisitions (target of 2/year) Consider opportunistic, disciplined acquisitions of complementary post- acute services (1) Reconciliation to GAAP provided on slides 33 - 35, 37, and 38. (2) These are multi-year CAGRs; annual results may fall outside the range. (3) Exclusive of any E&Y recovery. 22 De novos 1- Cypress, TX • Clinical Information System (CIS) Pilot Key Operational Initiatives • Beacon (Management Reporting Software) = Labor / outcomes / quality optimization • TeamWorks = Care Management • “CPR” (Comfort, Professionalism, Respect) Initiative • CIS Company-wide Implementation Key Considerations: • Regulatory clarity • Market conditions • Purchase price and terms and conditions IRF Acquisitions 1- Drake, OH De novos 1- Ocala, FL Opportunistic Growth


 
Business Outlook: Revenue Assumptions Revenue Volume • 2.5% to 3.5% annual growth (excludes acquisitions) • Includes bed expansions, de novos and unit consolidations Pricing 72% 8% 20% FY 2012 (3) FY 2013 (4) FY 2014 Q4 11 - Q3 12 Q4 12 - Q3 13 Q4 13 - Q3 14 Market basket update (1) 2.9% 2.7% 2.9% Healthcare reform reduction 10 bps 10 bps 30 bps Productiv ity adjustment (1) 100 bps 70 bps ~ 110 bps Medicare Pricing 2012 2013 2014 3-5% 2-4% 2-4% Expected Price Increases Managed Care Medicare Managed Care Other (1) Medicare IRF-PPS Rule for 2012, Medicare IRF-PPS Notice for FY 2013, and management’s estimates for FY 2014. (2) The Budget Control Act of 2011 includes a reduction of up to 2% to Medicare payments for all providers upon executive order of the President in January 2013. The reduction would be made from whatever level of payment would otherwise be provided under Medicare law and regulation. We currently estimate this automatic reduction, known as “sequestration,” will result in a net decrease to our net operating revenues of approx. $32 million annually in 2013. (3) We believe based on the Medicare IRF-PPS Rule for FY 2012, HealthSouth should realize a net increase of approx.1.6% in FY 2012. (4) We believe based on the Medicare IRF-PPS Notice for FY 2013, HealthSouth should realize a net increase of approx. 2.1% in FY 2013 before applying the effect of sequestration. 23 2% Sequestration (2)


 
Business Outlook: Expense Assumptions Expense Salaries & Benefits (1) Hospital Expenses • Other operating expenses and supply costs tracking with inflation • Occupancy costs relatively constant as percent of revenue • Bad debt expense of approx. 1.3% to1.5% 2012 2013 2014 Merit increases (2) 2.25-2.5% 2.25-2.5% 2.25-2.5% Benefit costs in reases 5-8% 5-8% 5-8% General and Administrative ~4.5% of revenue (excludes stock-based compensation) Salaries & Benefits Hospital Expenses (1) Salaries, Wages and Benefits: ~ 90% Salaries and Wages; ~10% Benefits. (2) May be adjusted to offset the Budget Control Act of 2011 or other Medicare reduction legislation 24


 
HealthSouth’s volume growth has outpaced competitors’ (1) Data provided by UDSMR, a data gathering and analysis organization for the rehabilitation industry; represents ~ 65-70% of industry, including HealthSouth sites. (2) Includes consolidated HealthSouth inpatient rehabilitation hospitals classified as same store during that time period. Historic Discharge Growth vs. Industry - 30,000 60,000 90,000 120,000 2008 2009 2010 2011 2012 Q4 Q3 Q2 Q1 3.0% 6.0% 4.7% 5.9% 5.9% 5.8% 5.9% 2.7% 2.5% 1.3% 25 4.2% 5.0% 1.2% 3.5% 1.4% 4.0% -0.5% 1.7% 2.0% 5.0% TBD 1.9% Quarterly • TeamWorks = standardized and enhanced sales & marketing • Bed additions will help facilitate continued organic growth 2.1% 5.1% 6.1% 7.8% Yearly Discharge 6.9% 5.6% 3.1% 5.2% Growth Q111 vs. Q211 vs. Q311vs. Q411 vs. Q112 vs. Q212 vs. Q110 Q210 Q310 Q410 Q111 Q211 Quarterly Discharge Growth Same Store HealthSouth vs. Industry UDS Industry Sites (1) HLS Same Store (2) 1.8% 6.5% 1.0% 5.0% 1.4% 1.9% 3.3% Yearly 2011 2012 2008 2009 2010 2011 -1.4%


 
Debt Schedule (1) Based on 4 Qtr trailing and 2011 Adjusted EBITDA of $485.5 million and $466.2 million, respectively; reconciliation to GAAP provided on slides 34, 35, 37, and 38. 26 Change S&P Moody June 30, Dec. 31, in Debt (Millions) Corporate BB- Ba3 2012 2011 vs. YE 2011 Advances under $500 million revolving credit facility, May 2016 - 3 Month LIBOR +225bps BB+ Baa3 100.0$ 110.0$ (10.0)$ Term loan facility, May 2016 - 3 Month LIBOR +225bps BB+ Baa3 95.0 97.5 (2.5) Bonds Payable: 7.25% Senior Notes due 2018 BB- B1 336.6 336.7 (0.1) 8.125% Senior Notes due 2020 BB- B1 286.0 285.8 0.2 7.75% Senior Notes due 2022 BB- B1 311.9 312.0 (0.1) Other bonds payable - 1.5 (1.5) Other notes payable 38.9 35.3 3.6 Capital lease obligations 70.2 75.9 (5.7) Long-term debt 1,238.6$ 1,254.7$ (16.1)$ Debt to Adjusted EBITDA (1) 2.6x 2.7x Credit Rating


 
Revenues & Expenses (Sequential) Q2 Q1 Increase/ Revenues (millions) 2012 2012 (Decrease) Inpatient 495.0$ 500.6$ (1.1%) Outpatient and other 38.4 38.0 1.1% Consolidated net operating 533.4$ 538.6$ (1.0%) (Actual Amounts) Discharges 30,719 30,871 (0.5%) Net patient revenue / discharge 16,114$ 16,216$ (0.6%) Expenses (millions) Salaries and benefits 257.4$ 261.0$ (1.4%) Percent of net operating revenues 48.3% 48.5% (20 bps) EPOB (employees per occupied bed) 3.41 3.34 2.1% Hospital-related expenses 112.6$ 112.0$ 0.5% (other operating, supplies, occupancy, bad debts) Percent of net operating revenues 21.1% 20.8% 30 bps General and administrative 22.1$ 23.9$ (7.5%) (excludes stock-based compensation) Percent of net operating revenues 4.1% 4.4% (30 bps) Provision for doubtful acounts 6.5$ 6.3$ 3.2% Percent of net operating revenues 1.2% 1.2% 0 bps 27


 
Revenues & Expenses (6 months) 6 Months 6 Months Increase/ Revenues (millions) 2012 2011 (Decrease) Inpatient 995.6$ 927.5$ 7.3% Outpatient and other 76.4 83.6 (8.6%) Consolidated net operating 1,072.0$ 1,011.1$ 6.0% (Actual Amounts) Discharges 61,590 58,938 4.5% Net patient revenue / discharge 16,165$ 15,737$ 2.7% Expenses (millions) Salaries and benefits 518.4$ 485.6$ 6.8% Percent of net operating revenues 48.4% 48.0% 40 bps EPOB (employees per occupied bed) 3.38 3.43 (1.5%) Hospital-related expenses 224.6$ 222.0$ 1.2% (other operating, supplies, occupancy, bad debts) Percent of net operating revenues 21.0% 22.0% (100 bps) General and administrative 46.0$ 44.8$ 2.7% (excludes stock-based compensation) Percent of net operating revenues 4.3% 4.4% (10 bps) Provision for doubtful acounts 12.8$ 9.8$ 30.6% Percent of net operating revenues 1.2% 1.0% 20 bps 28


 
Payment Sources (Percent of Revenues) 2012 2011 2012 2011 2011 Medicare 72.9% 72.0% 73.3% 71.7% 72.0% Medicaid 1.3% 1.8% 1.2% 1.7% 1.6% Workers' compensation 1.5% 1.7% 1.5% 1.7% 1.6% Managed care and other discount plans (1) 19.6% 19.8% 19.5% 19.8% 19.8% Other third-party payors 1.8% 2.0% 1.7% 2.1% 2.0% Patients 1.3% 1.1% 1.3% 1.1% 1.2% Other income 1.6% 1.6% 1.5% 1.9% 1.8% Total 100.0% 100.0% 100.0% 100.0% 100.0% Q2 Full Year6 Months (1) Managed Medicare revenues represent ~ 7%, 7%, 8%, 7%, and 7% of total revenues for Q2 2012, Q2 2011, 6 months 2012 and 2011, and full-year 2011, respectively, and are included in “Managed care and other discount plans.” 29


 
Operational and Labor Metrics (1) Represents discharges from HealthSouth’s 96 consolidated hospitals in Q2 2012, Q1 2012, and Q4 2011; 94 consolidated hospitals in Q3 2011, Q2 2011, and Q1 2011. (2) Excludes approximately 400 full-time equivalents who are considered part of corporate overhead with their salaries and benefits included in general and administrative expenses in the Company’s consolidated statements of operations. Full-time equivalents included in the above table represent HealthSouth employees who participate in or support the operations of the Company’s hospitals. (3) Employees per occupied bed, or “EPOB,” is calculated by dividing the number of full-time equivalents, including an estimate of full-time equivalents from the utilization of contract labor, by the number of occupied beds during each period. The number of occupied beds is determined by multiplying the number of licensed beds by the Company’s occupancy percentage. Q2 2012 Q1 2012 Q4 2011 Q3 2011 Q2 2011 Q1 2011 6 Months 2012 6 Months 2011 Full Year 2011 (In Millions) Net patient revenue-inpatient 495.0$ 500.6$ 480.1$ 458.8$ 465.4$ 462.1$ 995.6$ 927.5$ 1,866.4$ Net patient revenue-outpatient and other revenues 38.4 38.0 38.0 38.9 39.7 43.9 76.4 83.6 160.5 Net operating revenues 533.4$ 538.6$ 518.1$ 497.7$ 505.1$ 506.0$ 1,072.0$ 1,011.1$ 2,026.9$ (Actual Amounts) Discharges (1) 30,719 30,871 30,066 29,350 29,811 29,127 61,590 58,938 118,354 Outpatient visits 229,152 231,243 225,062 236,969 244,647 236,761 460,395 481,408 943,439 Average length of stay 13.4 13.5 13.4 13.4 13.4 13.8 13.5 13.6 13.5 Occupancy % 69.2% 70.7% 67.7% 67.2% 69.0% 70.2% 69.7% 69.6% 67.7% # of licensed beds 6,538 6,500 6,461 6,376 6,356 6,350 6,538 6,356 6,461 Occupied beds 4,524 4,596 4,374 4,285 4,386 4,458 4,557 4,424 4,374 Full-time equivalents (FTEs) (2) 15,378 15,271 15,079 15,081 15,150 15,045 15,325 15,097 15,089 Contract labor 56 69 56 60 76 89 62 83 70 Total FTE and contract labor 15,434 15,340 15,135 15,141 15,226 15,134 15,387 15,180 15,159 EPOB (3) 3.41 3.34 3.46 3.53 3.47 3.39 3.38 3.43 3.47 30


 
Outstanding Share Summary and Warrant Information (Millions) Q2 Q2 6 Months 6 Months FY FY 2012 2011 2012 2011 2011 2010 Basic shares outstanding (1) (2) 94.6 93.3 94.5 93.2 93.3 92.8 Diluted shares outstanding (1) (2) (3) 108.0 109.5 108.3 109.3 109.2 108.5 Q2 Q2 6 Months 6 Months FY FY 2012 2011 2012 2011 2011 2010 Basic shares outstanding (1) (2) 94.6 93.3 94.6 93.3 93.3 92.8 Convertible perpetual preferred stock 0.353 0.400 0.353 0.400 0.400 0.400 If converted, equivalent common shares 11.6 13.1 11.6 13.1 13.1 13.1 Weighted Average for the Period End of Period 31 Notes: (1) Does not include 2.0 million warrants issued in connection with a January 2004 loan repaid to Credit Suisse First Boston. In connection with this transaction, we issued warrants to the lender to purchase two million shares of our common stock. Each warrant has a term of ten years from the date of issuance (expire January 16, 2014) and an exercise price of $32.50 per share. The warrants were not assumed exercised for dilutive shares outstanding because they were antidilutive in the periods presented. (2) The agreement to settle our class action securities litigation received final court approval in January 2007. These shares of common stock and warrants were issued on September 30, 2009. The 5.0 million of common shares are now included in the outstanding shares. The warrants to purchase approx. 8.2 million shares of common stock at a strike price of $41.40 (expire January 17, 2017) were not assumed exercised for the dilutive shares outstanding because they were antidilutive in the periods presented. (3) The difference between the basic and diluted shares outstanding is primarily related to our convertible perpetual preferred stock (convertible into11.6 million common shares at the end of Q2 2012). The preferred stock is convertible, at the option of the holder, at any time into shares of common stock at an initial conversion price of $30.50 per share, which is equal to an initial conversion rate of approximately 32.7869 shares of common stock per share of preferred stock, subject to a specified adjustment. We may at any time cause the shares of preferred stock to be automatically converted into shares of our common stock at the conversion rate then in effect if the closing price of our common stock for 20 trading days within a period of 30 consecutive trading days ending on the trading day before the date we give the notice of forced conversion exceeds 150% of the conversion price of the preferred stock. In the first 6 months of 2012, the Company repurchased 46,645 shares of its convertible perpetual preferred stock.


 
Adjusted EBITDA (1) History 32 Q2 Q1 Q4 Q3 Q2 Q1 6 Months 6 Months Full Year (Millions) 2012 2012 2011 2011 2011 2011 2012 2011 2011 Net operating revenues 533.4$ 538.6$ 518.1$ 497.7$ 505.1$ 506.0$ 1,072.0$ 1,011.1$ 2,026.9$ Less: Provision for doubtful accounts (6.5) (6.3) (6.1) (5.1) (5.0) (4.8) (12.8) (9.8) (21.0) Net operating revenues less provision for doubtful accounts 526.9 532.3 512.0 492.6 500.1 501.2 1,059.2 1,001.3 2,005.9 Operating expenses: Salaries and benefits (257.4) (261.0) (251.4) (245.0) (241.6) (244.0) (518.4) (485.6) (982.0) Hospital-related expenses: Other operating expenses (74.4) (73.0) (67.4) (70.3) (75.4) (70.9) (147.4) (146.3) (284.0) Supplies (25.9) (26.5) (26.1) (24.7) (26.2) (25.8) (52.4) (52.0) (102.8) Occupancy costs (12.3) (12.5) (12.2) (12.5) (12.1) (11.6) (24.8) (23.7) (48.4) (112.6) (112.0) (105.7) (107.5) (113.7) (108.3) (224.6) (222.0) (435.2) General and administrative expenses (2) (22.1) (23.9) (23.9) (21.5) (22.1) (22.7) (46.0) (44.8) (90.2) Equity in nonconsolidated affiliates 3.1 3.3 3.2 3.1 3.2 2.5 6.4 5.7 12.0 Other income 0.4 0.9 1.2 0.2 0.7 0.6 1.3 1.3 2.7 Noncontrolling interests (3) (13.2) (12.6) (12.5) (11.4) (11.3) (11.8) (25.8) (23.1) (47.0) Adjusted EBITDA 125.1$ 127.0$ 122.9$ 110.5$ 115.3$ 117.5$ 252.1$ 232.8$ 466.2$ (1) Reconciliation to GAAP provided on slides 34, 35, 37, and 38. Q2 Q1 Q4 Q3 Q2 Q1 6 Months 6 Month Full Year 2012 2012 2011 2011 2011 2011 2012 2011 2011 In arriv ing at Adjusted EBITDA, the following were excluded: (2) Stock-based compensation expense 5.9$ 6.1$ 5.9$ 4.9$ 5.3$ 4.2$ 12.0$ 9.5$ 20.3$ (3) Noncontrolling interests related to discontinued operations - - - (0.1) (0.9) (0.1) - (1.0) (1.1)


 
Adjusted Free Cash Flow (Millions) 2012 2011 2012 2011 2011 2010 2009 2008 2007 114.0$ 68.6$ 195.0$ 158.1$ 342.7$ 331.0$ 406.1$ 227.2$ 230.6$ (1.3) (5.1) (1.7) (7.2) (9.1) (13.2) (5.7) (32.5) (3.3) Capital expenditures for maintenance (1) (31.0) (13.2) (50.1) (22.3) (50.8) (37.9) (33.2) (41.5) (22.4) Net sett lements on interest rate swaps (2) - - - (10.9) (10.9) (44.7) (42.2) (20.7) 0.1 Dividends paid on convert ible perpetual (3) (4) preferred stock Distribut ions paid to noncontrolling interests of consolidated affiliates Non-recurring items: UBS Sett lement proceeds, less fees to derivative plaint iffs' attorneys Net premium paid (received) on bond issuance/redemption - 18.0 - 13.9 22.8 - - - - Cash paid for professional fees - accounting, tax and legal Cash paid for government, class action and related sett lements - (0.4) - (3.4) (7.9) (13.5) (63.7) (89.4) (457.7) Adjusted free cash flow 70.0$ 63.6$ 115.2$ 111.8$ 243.3$ 181.4$ 155.4$ 9.3$ (79.1)$ 194.7 (26.0) (33.4) - 18.2 7.4 - - 9.1 12.2 - 7.7 activities of continuing operations Net cash provided by operating Impact of discontinued operations - (73.8) Net cash provided by operating activities 6 Months 193.3 150.9 51.6 5.7 2.9 11.2 17.2 15.3 171.4 21.0 333.6 (26.0) 400.4 (34.4) 317.8 Income tax refunds related to prior periods (13.1) (13.0) (24.0) (23.3) - (44.2) (26.0) (26.0) Full Year 227.3 (26.0) (23.4) - (32.6) Q2 112.7 63.5 (6.3) (6.5) (10.9) (9.6) - - 5.5 8.4 - 3.4 (1) Maintenance capital expenditures are expected to be $75 to $85 million in 2012. (2) Final swap payment of $10.9 million was made in March 2011. (3) Includes cash dividend payments of $6.1 million for dividends declared in Q1 2012 and paid in Q2 2012 plus $0.2 million for cumulative dividends paid for the shares repurchased in Q2 2012 (4) Includes cash dividend payments of $12.6 million for dividends declared in Q4 2011 and Q1 2012 and paid in the first 6 months of 2012 plus $0.5 million for cumulative dividends paid for the shares repurchased in the first 6 months of 2012. 33


 
Reconciliation of Net Income to Adjusted EBITDA (1) (1) (2) – Notes on page 37. (in millions, except per share data) Total Per Share Total Per Share Total Per Share Net income 56.8$ 59.9$ 116.7$ Loss (income) from disc ops, net of tax, attributable to HealthSouth 0.4 (3.5) (3.1) Net income attributable to noncontrolling interests (12.6) (13.2) (25.8) Income from continuing operations attributable to HealthSouth (2) 44.6 0.40$ 43.2 0.39$ 87.8 0.79$ Pro fees - acct, tax, and legal 3.6 5.5 9.1 Provision for income tax expense 29.1 26.9 56.0 Interest expense and amortization of debt discounts and fees 23.3 23.0 46.3 Depreciation and amortization 19.5 20.0 39.5 Net noncash loss on disposal of assets 0.8 0.6 1.4 Stock-based compensation expense 6.1 5.9 12.0 Adjusted EBITDA (1) 127.0$ 125.1$ 252.1$ Weighted average common shares outstanding: Basic 94.5 94.6 94.5 Diluted 108.7 108.0 108.3 2012 Q1 Q2 6 Months 34


 
Reconciliation of Net Income to Adjusted EBITDA (1) (1) (2) – Notes on page 37. (in millions, except per share data) Total Per Share Total Per Share Total Per Share Total Per Share Total Per Share Net income 91.5$ 32.3$ 68.3$ 62.5$ 254.6$ (Income) loss from disc ops, net of tax, attributable to HealthSouth (17.6) (2.5) (34.8) 5.0 (49.9) Net income attributable to noncontrolling interests (11.7) (10.4) (11.3) (12.5) (45.9) Income from continuing operations attributable to HealthSouth (2) 62.2 0.57$ 19.4 0.14$ 22.2 0.17$ 55.0 0.50$ 158.8 1.42$ Gov't, class action, and related settlements - (10.6) - (1.7) (12.3) Pro fees - acct, tax, and legal 3.8 8.4 4.0 4.8 21.0 Provision for income tax (benefit) expense (7.4) 11.2 18.1 15.2 37.1 Interest expense and amortization of debt discounts and fees 35.1 34.9 26.3 23.1 119.4 Depreciation and amortization 19.5 19.6 19.5 20.2 78.8 Loss on early extinguishment of debt - 26.1 12.7 - 38.8 Net noncash loss on disposal of assets 0.1 1.0 2.8 0.4 4.3 Stock-based compensation expense 4.2 5.3 4.9 5.9 20.3 Adjusted EBITDA (1) 117.5$ 115.3$ 110.5$ 122.9$ 466.2$ Weighted average common shares outstanding: Basic 93.1 93.3 93.3 93.3 93.3 Diluted 109.0 109.5 109.2 109.1 109.2 2011 Q1 Q2 Full YearQ3 Q4 35


 
Reconciliation of Net Income to Adjusted EBITDA (1) (in millions, except per share data) Total Per Share Total Per Share Total Per Share Total Per Share Net income 718.7$ 281.8$ 128.8$ 939.8$ Income from disc ops, net of tax, attributable to HealthSouth (462.4) (32.5) (17.7) (9.2) Net income attributable to noncontrolling interests (65.3) (29.4) (34.0) (40.8) Income from continuing operations attributable to HealthSouth (2) 191.0 2.08$ 219.9 2.28$ 77.1 0.58$ 889.8 8.20$ Gain on UBS Settlement - (121.3) - - Gov't, class action, and related settlements (2.8) (67.2) 36.7 1.1 Pro fees - acct, tax, and legal 51.6 44.4 8.8 17.2 Loss on interest rate swaps 30.4 55.7 19.6 13.3 Provision for income tax benefit (325.6) (69.1) (2.9) (740.8) Interest expense and amortization of debt discounts and fees 229.2 159.3 125.7 125.6 Depreciation and amortization 71.3 78.9 67.6 73.1 Impairment charges, including investments 15.1 2.4 1.4 - Net noncash loss on disposal of assets 7.3 2.0 3.4 1.4 Loss on early extinguishment of debt 28.2 5.9 12.5 12.3 Stock-based compensation expense 10.6 11.7 13.4 16.4 Other 0.4 - 0.4 0.2 Adjusted EBITDA (1) 306.7$ 322.6$ 363.7$ 409.6$ Weighted average common shares outstanding: Basic 78.7 83.0 88.8 92.8 Diluted 92.0 96.4 103.3 108.5 Full Year 2008 2009 20102007 (1) (2) – Notes on page 37. 36


 
Reconciliation Notes for Slides 34-36 1. Adjusted EBITDA is a non-GAAP financial measure. The Company’s leverage ratio (total consolidated debt to Adjusted EBITDA for the trailing four quarters) is, likewise, a non- GAAP financial measure. Management and some members of the investment community utilize Adjusted EBITDA as a financial measure and the leverage ratio as a liquidity measure on an ongoing basis. These measures are not recognized in accordance with GAAP and should not be viewed as an alternative to GAAP measures of performance or liquidity. In evaluating Adjusted EBITDA, the reader should be aware that in the future HealthSouth may incur expenses similar to the adjustments set forth. 2. Per share amounts for each period presented are based on diluted weighted average shares outstanding unless the amounts are antidilutive, in which case the per share amount is calculated using the basic share count after subtracting the quarterly dividend on the convertible perpetual preferred stock. The difference in shares between the basic and diluted shares outstanding is primarily related to our convertible perpetual preferred stock. 37


 
(Millions) 2012 2011 2012 2011 2011 2010 2009 2008 2007 Net cash provided by operating activities 114.0$ 68.6$ 195.0$ 158.1$ 342.7$ 331.0$ 406.1$ 227.2$ 230.6$ Provision for doubtful accounts (6.5) (5.0) (12.8) (9.8) (21.0) (16.4) (30.7) (23.0) (28.5) Professional fees—accounting, tax, and legal 5.5 8.4 9.1 12.2 21.0 17.2 8.8 44.4 51.6 Interest expense and amortization of 23.0 34.9 46.3 70.0 119.4 125.6 125.7 159.3 229.2 debt discounts and fees UBS Settlement proceeds, gross - - - - - - (100.0) - - Equity in net income of nonconsolidated affiliates 3.1 3.2 6.4 5.7 12.0 10.1 4.6 10.6 10.3 Net income attributable to noncontrolling interests in continuing operations (13.2) (11.3) (25.8) (23.1) (47.0) (40.9) (33.3) (29.8) (31.1) Amortization of debt discounts and fees (0.9) (1.2) (1.8) (2.4) (4.2) (6.3) (6.6) (6.5) (7.8) Distributions from nonconsolidated affiliates (2.2) (2.8) (5.5) (5.5) (13.0) (8.1) (8.6) (10.9) (5.3) Current portion of income tax expense (benefit) 2.2 0.7 4.3 (1.4) 0.6 2.9 (7.0) (72.8) (330.4) Change in assets and liabilit ies 1.5 17.4 38.4 28.3 49.9 2.8 (2.1) 50.6 5.5 Net premium paid on bond issuance/redemption - 18.0 - 13.9 22.8 - - - - Change in government, class action and related settlements liability - (10.8) - (6.5) (8.5) 2.9 11.2 7.4 171.4 Cash provided by operating activ ities of discontinued operations (1.3) (5.1) (1.7) (7.2) (9.1) (13.2) (5.7) (32.5) (3.3) Other (0.1) 0.3 0.2 0.5 0.6 2.0 1.3 (1.4) 14.5 Adjusted EBITDA 125.1$ 115.3$ 252.1$ 232.8$ 466.2$ 409.6$ 363.7$ 322.6$ 306.7$ Q2 Full Year6 Months Adjusted EBITDA Reconciled to Net Cash Provided by Operating Activities 38