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LifePoint Health Reports Fourth Quarter and Year-End 2017 ResultsLifePoint Health, Inc. (NASDAQ: LPNT) today announced results for the fourth quarter and year ended December 31, 2017. Fourth Quarter 2017 The following highlights the Company's results of operations as presented in accordance with U.S. generally accepted accounting principles ("GAAP") for the fourth quarter ended December 31, 2017:
Included in the Company's results of operations for the fourth quarter ended December 31, 2017, were the following non-operational adjustments:
When adjusted to exclude the four non-operational adjustments listed above, highlights of the Company's normalized results of operations on a non-GAAP basis for the fourth quarter ended December 31, 2017, were as follows:
Additional information regarding normalized net income, normalized diluted earnings per share attributable to LifePoint Health, Inc. stockholders, Adjusted EBITDA and Normalized EBITDA, including uses by management and others, and a reconciliation to comparable GAAP measures of financial performance, is set forth under the section titled "Unaudited Supplemental Information." A supplemental presentation providing additional commentary on the Company's normalized results of operations for the fourth quarter ended December 31, 2017 and years ended December 31, 2017 and 2016, can be found on the Company's website at www.lifepointhealth.net/investor-relations. For the fourth quarter ended December 31, 2017, the Company's normalized same-hospital revenues decreased $9.6 million, or 0.6%, to $1,562.9 million, compared to $1,572.5 million for the same period last year. The decrease in the Company's normalized same-hospital revenues was primarily attributable to the transfer of its home health and hospice service lines to In-Home Healthcare Partnership ("IHHP"), a joint venture with LHC Group, Inc., which the Company does not consolidate. When adjusted to exclude the impact of the transfer of its home health and hospice service lines to IHHP, the Company's normalized same-hospital revenues increased $6.4 million, or 0.4%, for the fourth quarter ended December 31, 2017, compared to the same period last year. When adjusted to exclude the four aforementioned fourth quarter 2017 non-operational adjustments, normalized net income for the fourth quarter ended December 31, 2017, was $31.3 million, compared to net income of $46.6 million for the same period last year, and normalized diluted earnings per share attributable to LifePoint Health, Inc. stockholders for the fourth quarter ended December 31, 2017, were $0.77, compared to diluted earnings per share attributable to LifePoint Health, Inc. stockholders of $1.07 for the same period last year. Normalized EBITDA for the fourth quarter ended December 31, 2017, was $181.9 million, or 11.6% of normalized revenues, compared to $196.8 million, or 12.3% of revenues, for the same period last year. This decrease was primarily the result of the recognition of $8.8 million less in Medicare and Medicaid electronic health record ("EHR") incentive payments during the current quarter compared to the same period last year. Full Year 2017 The following highlights the Company's results of operations as presented in accordance with U.S. GAAP for the year ended December 31, 2017:
In addition to the four aforementioned fourth quarter 2017 non-operational adjustments, the Company's results of operations for the full years ended December 31, 2017 and 2016, included the following additional non-operational adjustments:
When adjusted to exclude all full year 2017 non-operational adjustments, highlights of the Company's normalized results of operations on a non-GAAP basis for the year ended December 31, 2017, were as follows:
For the year ended December 31, 2017, the Company's normalized same-hospital revenues increased $21.7 million, or 0.4%, to $6,013.9 million, compared to $5,992.2 million for the prior year. When adjusted to exclude the impact of the transfer of its home health and hospice service lines to IHHP, the Company's normalized same-hospital revenues increased $71.8 million, or 1.2%, for the year ended December 31, 2017, compared to the prior year. When adjusted to exclude all non-operational adjustments impacting the years ended December 31, 2017 and 2016, normalized net income for the years ended December 31, 2017 and 2016, was $158.6 million and $161.8 million, respectively, and normalized diluted earnings per share attributable to LifePoint Health, Inc. stockholders for the years ended December 31, 2017 and 2016, were $3.63 and $3.52, respectively. Normalized EBITDA for the year ended December 31, 2017, was $745.7 million compared to $746.5 million for the prior year. This decrease was primarily the result of the recognition of $19.2 million less in Medicare and Medicaid EHR incentive payments for the current year compared to the prior year, partially offset by effective cost management. Commenting on the results, William F. Carpenter III, Chairman and Chief Executive Officer of LifePoint Health, said, "In 2017, we continued to focus on our strategic priorities and took a number of steps to support LifePoint Health's position as a leader in the delivery of healthcare. Our fourth quarter financial performance, on a normalized basis, was in line with our expectations. Looking ahead to 2018, we are focused on driving margin improvement across all hospitals, particularly in those recently acquired where we have significant opportunity, maintaining our operating discipline and effectively managing costs and utilizing our financial strength to return capital to shareholders." 2018 Guidance The Company also issued the following estimated guidance for 2018:
The Company's 2018 guidance contains a number of assumptions, including:
A listen-only simulcast, as well as a 30-day replay, of LifePoint Health's fourth quarter and year-end 2017 conference call will be available on line at www.lifepointhealth.net/investor-relations today, Friday, February 23, 2018, beginning at 10:00 a.m. Eastern Time. LifePoint Health (NASDAQ: LPNT) is a leading healthcare company dedicated to Making Communities Healthier®. Through its subsidiaries, it provides quality inpatient, outpatient and post-acute services close to home. LifePoint owns and operates community hospitals, regional health systems, physician practices, outpatient centers, and post-acute facilities in 22 states. It is the sole community healthcare provider in the majority of the non-urban communities it serves. More information about the Company can be found at www.LifePointHealth.net. All references to "LifePoint," "LifePoint Health" or the "Company" used in this release refer to affiliates or subsidiaries of LifePoint Health, Inc. Important Legal Information. Certain statements contained in this release, including LifePoint's guidance for the year ended December 31, 2018, are based on current management expectations and are "forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and are intended to qualify for the safe harbor protections from liability provided by the Private Securities Litigation Reform Act of 1995. Numerous factors exist which may cause results to differ from these expectations. Many of the factors that will determine our future results are beyond our ability to control or predict with accuracy. Such forward-looking statements reflect the current expectations and beliefs of the management of LifePoint, are not guarantees of performance and are subject to a number of risks, uncertainties, assumptions and other factors that could cause actual results to differ from those described in the forward-looking statements. These forward-looking statements may also be subject to other risk factors and uncertainties, including without limitation: (i) the effects of actions to amend or impede the implementation of, or repeal and replace, the Affordable Care Act, the possible enactment of additional federal or state healthcare reforms and possible changes in healthcare reform laws and other federal, state or local laws or regulations affecting the healthcare industry including the timing of the implementation of reform; (ii) the extent to which states support increases, decreases or changes in Medicaid programs, or alter the provision of healthcare to state residents through regulation or otherwise; (iii) reductions in, or delays in receiving, Medicare or Medicaid payments (including increased recoveries made by Recovery Audit Contractors (RACs) and similar governmental agents); (iv) payer mix pressures as a result of aging populations in non-urban communities; (v) reductions in reimbursements from commercial payers and risks associated with consolidation among commercial insurance companies and shifts to insurance plans with narrow networks, high deductibles or high co-payments; (vi) the continued viability of our operations through joint venture entities, the largest of which is Duke LifePoint Healthcare, our partnership with a wholly controlled affiliate of Duke University Health Systems, Inc.; (vii) our ability to successfully integrate acquired facilities into our ongoing operations and to achieve the anticipated financial results and synergies from such acquisitions, individually or in the aggregate; (viii) the deterioration in the collectability of "bad debt" and "patient due" accounts, and the number of individuals without insurance coverage (or who are underinsured) who seek care at our facilities; (ix) industry emphasis on value-based purchasing and bundled payment arrangements; (x) whether our efforts to reduce the cost of providing healthcare while increasing the quality of care are successful; (xi) the ability to attract, recruit or employ and retain qualified physicians, nurses, medical technicians and other healthcare professionals and the increasing costs associated with doing so, including the direct and indirect costs associated with employing physicians and other healthcare professionals; (xii) the loss of certain physicians in markets where such a loss can have a disproportionate impact on our facilities in such market; (xiii) the application and enforcement of increasingly stringent and complex laws and regulations governing our operations and healthcare generally (and changing interpretations of applicable laws and regulations), related enforcement activity and the potentially adverse impact of known and unknown government investigations, litigation and other claims that may be made against us; (xiv) risks due to cybersecurity attack or security breach and our access to personal information of patients and employees; (xv) our ability to successfully implement standardized systems throughout the company; (xvi) payer controls designed to reduce inpatient services; (xvii) our ability to generate sufficient cash flow to fund all of our capital expenditure programs and commitments; (xviii) adverse events in states where a large portion of our revenues are concentrated; (xix) liabilities resulting from potential malpractice and related legal claims brought against our facilities or the healthcare providers associated with, or employed by, such facilities or affiliated entities; (xx) our increased dependence on third parties to provide purchasing, revenue cycle and payroll services and information technology and their ability to do so effectively; (xxi) our ability to acquire healthcare facilities on favorable terms and the business risks, unknown or contingent liabilities and other costs associated therewith; (xxii) changes in interpretations, assumptions, and expectations regarding the Tax Cuts and Jobs Act, including additional guidance that may be issued by federal and state taxing authorities; and (xxiii) those other risks and uncertainties described from time to time in our filings with the Securities and Exchange Commission. Therefore, our future results may differ materially from those described in this release. LifePoint undertakes no obligation to update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.
LIFEPOINT HEALTH, INC. From time to time, the Company incurs certain non-recurring gains or losses that are non-operational in nature and that it does not consider relevant in assessing its ongoing operating performance. When significant, LifePoint's management and Board of Directors typically exclude these gains or losses when evaluating the Company's operating performance and in certain instances when evaluating performance for incentive compensation purposes. Additionally, the Company believes that some investors and equity analysts exclude these or similar items when evaluating the Company's current or future operating performance and in making informed investment decisions regarding the Company. Accordingly, the Company provides normalized net income and normalized diluted earnings per share attributable to LifePoint Health, Inc. stockholders as a supplement to the comparable GAAP measures of net (loss) income and diluted (loss) earnings per share attributable to LifePoint Health, Inc. stockholders, respectively. Normalized net income and normalized diluted earnings per share attributable to LifePoint Health, Inc. stockholders should not be considered measures of financial performance in accordance with GAAP, and the items excluded from normalized net income and normalized diluted earnings per share attributable to LifePoint Health, Inc. stockholders are significant components in understanding and assessing financial performance. Normalized net income and normalized diluted earnings per share attributable to LifePoint Health, Inc. stockholders should not be considered in isolation or as an alternative to net (loss) income or diluted (loss) earnings per share attributable to LifePoint Health, Inc. stockholders as presented in the condensed consolidated financial statements. The following table reconciles net (loss) income as reflected in the unaudited condensed consolidated statements of income to normalized net income (in millions):
The following table reconciles diluted (loss) earnings per share attributable to LifePoint Health, Inc. stockholders as reflected in the unaudited condensed consolidated statements of income to normalized diluted earnings per share attributable to LifePoint Health, Inc. stockholders:
LIFEPOINT HEALTH, INC. Adjusted EBITDA is defined by the Company as earnings before depreciation and amortization; interest expense, net; other non-operating losses, net; (benefit) provision for income taxes; and net income attributable to noncontrolling interests and redeemable noncontrolling interests (when applicable for the periods presented). Additionally, Normalized EBITDA excludes the impact of the $72.6 million increase recorded to the provision for doubtful accounts during the fourth quarter of 2017 as a result of a change in the Company's accounting estimate of the collectability of accounts receivable, $4.8 million in severance costs recognized during the fourth quarter of 2017, and $24.7 million in charges related to cardiology-related lawsuits recognized during the year ended December 31, 2016. LifePoint's management and Board of Directors use Adjusted EBITDA and Normalized EBITDA to evaluate the Company's operating performance and as a measure of performance for incentive compensation purposes. LifePoint's credit facilities use Adjusted EBITDA, subject to further permitted adjustments, for certain financial covenants. The Company believes Adjusted EBITDA and Normalized EBITDA are measures of performance used by some investors, equity analysts, rating agencies and lenders to make informed decisions as to, among other things, the Company's ability to incur and service debt and make capital expenditures. In addition, multiples of current or projected Adjusted EBITDA and Normalized EBITDA are used by some investors and equity analysts to estimate current or prospective enterprise value. Adjusted EBITDA and Normalized EBITDA should not be considered as measures of financial performance in accordance with GAAP, and the items excluded from Adjusted EBITDA and Normalized EBITDA are significant components in understanding and assessing financial performance. Adjusted EBITDA and Normalized EBITDA should not be considered in isolation or as an alternative to net income, cash flows generated by operating, investing or financing activities or other financial statement data presented in the condensed consolidated financial statements as an indicator of financial performance. Because Adjusted EBITDA and Normalized EBITDA are not measurements determined in accordance with GAAP and are susceptible to varying calculations, Adjusted EBITDA and Normalized EBITDA as presented may not be comparable to other similarly titled measures of other companies. The following table reconciles net (loss) income as reflected in the unaudited condensed consolidated statements of income to Adjusted EBITDA and Normalized EBITDA (in millions):
LIFEPOINT HEALTH, INC. The following table reconciles net income to Estimated Adjusted EBITDA as presented for the Company's 2018 guidance ranges (in millions):
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