
Contact: | Bob Kneeley |
Vice President, Investor Relations | |
303-495-1245 | |
bob.kneeley@evhc.net | |
• | Net revenue of $2.07 billion; |
• | Net loss attributable to common stockholders of $1.84 billion, or $15.21 per share; |
• | Adjusted net earnings of $113.1 million, or $0.92 per diluted share; and |
• | Adjusted EBITDA of $246.7 million. |
Envision Healthcare Reports 2018 Second Quarter Financial Results | ||
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Envision Healthcare Reports 2018 Second Quarter Financial Results | ||
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Envision Healthcare Reports 2018 Second Quarter Financial Results | ||
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Envision Healthcare Reports 2018 Second Quarter Financial Results | ||
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Envision Healthcare Corporation Unaudited Selected Consolidated Financial and Operating Data (In millions, except earnings per share) | |||||||||||||||
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||
Statement of Operations Data: | 2018 | 2017 | 2018 | 2017 | |||||||||||
Net revenue | $ | 2,072.8 | $ | 1,947.0 | $ | 4,149.8 | $ | 3,825.6 | |||||||
Operating expenses: | |||||||||||||||
Salaries and benefits | 1,484.1 | 1,375.1 | 3,023.0 | 2,734.1 | |||||||||||
Supply cost | 56.0 | 57.1 | 110.4 | 111.2 | |||||||||||
Insurance expense | 52.6 | 30.8 | 100.2 | 68.4 | |||||||||||
Other operating expenses | 190.0 | 189.6 | 380.8 | 373.7 | |||||||||||
Transaction and integration costs | 57.4 | 27.4 | 78.8 | 48.9 | |||||||||||
Impairment charges | 1,979.9 | — | 1,980.6 | 0.3 | |||||||||||
Depreciation and amortization | 70.3 | 71.6 | 140.9 | 142.9 | |||||||||||
Total operating expenses | 3,890.3 | 1,751.6 | 5,814.7 | 3,479.5 | |||||||||||
Net loss on disposals and deconsolidations | (0.8 | ) | (5.8 | ) | (1.8 | ) | (5.5 | ) | |||||||
Equity in earnings of unconsolidated affiliates | 7.5 | 5.7 | 13.3 | 10.6 | |||||||||||
Operating income (loss) | (1,810.8 | ) | 195.3 | (1,653.4 | ) | 351.2 | |||||||||
Interest expense, net | 67.4 | 56.1 | 131.0 | 108.5 | |||||||||||
Other income, net | 0.4 | 0.4 | 0.2 | 1.5 | |||||||||||
Earnings (loss) from continuing operations before income taxes | (1,877.8 | ) | 139.6 | (1,784.2 | ) | 244.2 | |||||||||
Income tax expense (benefit) | (100.8 | ) | 35.6 | (95.3 | ) | 53.1 | |||||||||
Net earnings (loss) from continuing operations | (1,777.0 | ) | 104.0 | (1,688.9 | ) | 191.1 | |||||||||
Discontinued operations: | |||||||||||||||
Earnings from discontinued operations | — | 6.7 | 3.5 | 16.7 | |||||||||||
Income tax expense from discontinued operations | — | (2.8 | ) | (126.8 | ) | (491.0 | ) | ||||||||
Net earnings (loss) from discontinued operations | — | 3.9 | (123.3 | ) | (474.3 | ) | |||||||||
Net earnings (loss) | (1,777.0 | ) | 107.9 | (1,812.2 | ) | (283.2 | ) | ||||||||
Less net earnings attributable to noncontrolling interests | 60.7 | 51.6 | 111.9 | 105.7 | |||||||||||
Net earnings (loss) attributable to Envision Healthcare Corporation stockholders | (1,837.7 | ) | 56.3 | (1,924.1 | ) | (388.9 | ) | ||||||||
Preferred stock dividends | — | (2.2 | ) | — | (4.5 | ) | |||||||||
Net earnings (loss) attributable to Envision Healthcare Corporation common stockholders | $ | (1,837.7 | ) | $ | 54.1 | $ | (1,924.1 | ) | $ | (393.4 | ) | ||||
Amounts attributable to Envision Healthcare Corporation common stockholders: | |||||||||||||||
Earnings (loss) from continuing operations, net of income tax | $ | (1,837.7 | ) | $ | 50.2 | $ | (1,800.8 | ) | $ | 80.9 | |||||
Earnings (loss) from discontinued operations, net of income tax | — | 3.9 | (123.3 | ) | (474.3 | ) | |||||||||
Net earnings (loss) attributable to Envision Healthcare Corporation common stockholders | $ | (1,837.7 | ) | $ | 54.1 | $ | (1,924.1 | ) | $ | (393.4 | ) | ||||
Basic earnings (loss) per share attributable to common stockholders: | |||||||||||||||
Net earnings (loss) from continuing operations | $ | (15.21 | ) | $ | 0.43 | $ | (14.92 | ) | $ | 0.69 | |||||
Net earnings (loss) from discontinued operations | — | 0.03 | (1.02 | ) | (4.06 | ) | |||||||||
Net earnings (loss) | $ | (15.21 | ) | $ | 0.46 | $ | (15.94 | ) | $ | (3.37 | ) | ||||
Diluted earnings (loss) per share attributable to common stockholders: | |||||||||||||||
Net earnings (loss) from continuing operations | $ | (15.21 | ) | $ | 0.42 | $ | (14.92 | ) | $ | 0.68 | |||||
Net earnings (loss) from discontinued operations | — | 0.03 | (1.02 | ) | (4.06 | ) | |||||||||
Net earnings (loss) | $ | (15.21 | ) | $ | 0.45 | $ | (15.94 | ) | $ | (3.37 | ) | ||||
Weighted average number of shares and share equivalents outstanding: | |||||||||||||||
Basic | 120,843 | 116,852 | 120,697 | 116,708 | |||||||||||
Diluted | 122,630 | 119,581 | 122,600 | 119,528 | |||||||||||
Envision Healthcare Reports 2018 Second Quarter Financial Results | ||
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Envision Healthcare Corporation Unaudited Selected Consolidated Financial and Operating Data, continued (In millions, except earnings per share) | |||||||||||||||
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||
2018 | 2017 | 2018 | 2017 | ||||||||||||
Reconciliation of net loss to adjusted net earnings: | |||||||||||||||
Net earnings (loss) attributable to Envision stockholders | $ | (1,837.7 | ) | $ | 56.3 | $ | (1,924.1 | ) | $ | (388.9 | ) | ||||
(Earnings) loss from discontinued operations, net of tax | — | (3.9 | ) | 123.3 | 474.3 | ||||||||||
Income tax benefit related to tax reform | — | — | (10.3 | ) | — | ||||||||||
Amortization of purchased intangibles | 44.2 | 47.5 | 88.2 | 95.2 | |||||||||||
Share-based compensation | 8.8 | 10.7 | 16.2 | 25.3 | |||||||||||
Transaction and integration costs | 57.4 | 27.4 | 78.8 | 48.9 | |||||||||||
Net (gain) loss on disposals and deconsolidations, net of noncontrolling interests | — | — | 0.6 | (0.3 | ) | ||||||||||
Impairment charges | 1,979.9 | — | 1,980.6 | 0.3 | |||||||||||
Net unrealized loss on equity securities | 0.8 | — | 1.7 | — | |||||||||||
Total adjustments | 2,091.1 | 81.7 | 2,279.1 | 643.7 | |||||||||||
Tax effect | 140.3 | 34.3 | 155.3 | 70.7 | |||||||||||
Total adjustments, net | 1,950.8 | 47.4 | 2,123.8 | 573.0 | |||||||||||
Adjusted net earnings | $ | 113.1 | $ | 103.7 | $ | 199.7 | $ | 184.1 | |||||||
Basic shares outstanding | 120,843 | 116,852 | 120,697 | 116,708 | |||||||||||
Effect of dilutive securities, options and non-vested shares | 1,787 | 5,793 | 1,903 | 5,917 | |||||||||||
Diluted shares outstanding, if converted | 122,630 | 122,645 | 122,600 | 122,625 | |||||||||||
Adjusted net earnings per share | $ | 0.92 | $ | 0.85 | $ | 1.63 | $ | 1.50 | |||||||
Reconciliation of net earnings to Adjusted EBITDA: | |||||||||||||||
Net earnings (loss) attributable to Envision stockholders | $ | (1,837.7 | ) | $ | 56.3 | $ | (1,924.1 | ) | $ | (388.9 | ) | ||||
(Earnings) loss from discontinued operations, net of tax | — | (3.9 | ) | 123.3 | 474.3 | ||||||||||
Interest expense, net | 67.4 | 56.1 | 131.0 | 108.5 | |||||||||||
Income tax expense (benefit) | (100.8 | ) | 35.6 | (95.3 | ) | 53.1 | |||||||||
Depreciation and amortization | 70.3 | 71.6 | 140.9 | 142.9 | |||||||||||
EBITDA | (1,800.8 | ) | 215.7 | (1,624.2 | ) | 389.9 | |||||||||
Adjustments: | |||||||||||||||
Transaction and integration costs | 57.4 | 27.4 | 78.8 | 48.9 | |||||||||||
Share-based compensation | 8.8 | 10.7 | 16.2 | 25.3 | |||||||||||
Impairment charges | 1,979.9 | — | 1,980.6 | 0.3 | |||||||||||
Net (gain) loss on disposals and deconsolidations, net of noncontrolling interests | — | — | 0.6 | (0.3 | ) | ||||||||||
Net unrealized loss on equity securities | 0.8 | — | 1.7 | — | |||||||||||
Net change in deferred taxes due to tax reform attributable to noncontrolling interests | 0.6 | — | 0.6 | — | |||||||||||
Total adjustments | 2,047.5 | 38.1 | 2,078.5 | 74.2 | |||||||||||
Adjusted EBITDA | $ | 246.7 | $ | 253.8 | $ | 454.3 | $ | 464.1 | |||||||
Envision Healthcare Reports 2018 Second Quarter Financial Results | ||
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Envision Healthcare Corporation Unaudited Selected Consolidated Financial and Operating Data, continued (In millions, except earnings per share) | |||||||||||||||
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||
2018 | 2017 | 2018 | 2017 | ||||||||||||
Segment Information: | |||||||||||||||
Physician Services net revenue | $ | 1,744.8 | $ | 1,628.5 | $ | 3,514.2 | $ | 3,191.2 | |||||||
Ambulatory Services net revenue | 328.0 | 318.5 | 635.6 | 634.4 | |||||||||||
Total net revenue | $ | 2,072.8 | $ | 1,947.0 | $ | 4,149.8 | $ | 3,825.6 | |||||||
Physician Services Adjusted EBITDA | $ | 182.4 | $ | 193.3 | $ | 332.5 | $ | 343.4 | |||||||
Ambulatory Services Adjusted EBITDA | 64.3 | 60.5 | 121.8 | 120.7 | |||||||||||
Adjusted EBITDA | $ | 246.7 | $ | 253.8 | $ | 454.3 | $ | 464.1 | |||||||
Physician Services Adjusted EBITDA margin | 10.5 | % | 11.9 | % | 9.5 | % | 10.8 | % | |||||||
Ambulatory Services Adjusted EBITDA margin | 19.6 | 19.0 | 19.2 | 19.0 | |||||||||||
Adjusted EBITDA margin | 11.9 | % | 13.0 | % | 10.9 | % | 12.1 | % | |||||||
Envision Healthcare Reports 2018 Second Quarter Financial Results | ||
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Envision Healthcare Corporation Unaudited Selected Consolidated Financial and Operating Data, continued | |||||||||||
Operating Data - Physician Services: | |||||||||||
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||
2018 | 2017 | 2018 | 2017 | ||||||||
Contribution to Net Revenue Growth: | |||||||||||
Same contract | 1.2 | % | 2.5 | % | 1.9 | % | 3.1 | % | |||
New contracts | 7.9 | 5.6 | 7.9 | 5.9 | |||||||
Terminations | (6.7 | ) | (9.4 | ) | (6.1 | ) | (9.7 | ) | |||
Acquired contract and other | 4.7 | 10.6 | 6.4 | 10.0 | |||||||
Total net revenue growth | 7.1 | % | 9.3 | % | 10.1 | % | 9.3 | % | |||
Patient encounters per day, day adjusted | 1.1 | % | 1.1 | % | 1.9 | % | 2.0 | % | |||
Net revenue per encounter | 0.4 | 2.1 | 0.4 | 2.5 | |||||||
Same contract revenue growth | 1.5 | % | 3.2 | % | 2.3 | % | 4.5 | % | |||
Operating Data - Ambulatory Services: | |||||||||||||||
Three Months Ended June 30, | Six Months Ended June 30, | ||||||||||||||
2018 | 2017 | 2018 | 2017 | ||||||||||||
Procedures performed during the period at consolidated centers | 442,118 | 434,694 | 847,826 | 855,181 | |||||||||||
Centers in operation, end of period (consolidated) | 229 | 237 | 229 | 237 | |||||||||||
Centers in operation, end of period (unconsolidated) | 32 | 26 | 32 | 26 | |||||||||||
Average number of continuing centers in operation (consolidated) | 230 | 236 | 231 | 237 | |||||||||||
New centers added, during period | 2 | 2 | 2 | 6 | |||||||||||
Centers disposed, during period | 2 | 3 | 5 | 3 | |||||||||||
Surgical hospitals in operation, end of period (unconsolidated) | 1 | 1 | 1 | 1 | |||||||||||
Centers under letter of intent, end of period | 1 | — | 1 | — | |||||||||||
Average revenue per consolidated center (in thousands) | $ | 1,426 | $ | 1,350 | $ | 2,757 | $ | 2,673 | |||||||
Same center revenues increase, day adjusted (consolidated) | 2.9 | % | 0.6 | % | 1.2 | % | 1.3 | % | |||||||
Envision Healthcare Reports 2018 Second Quarter Financial Results | ||
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Envision Healthcare Corporation Unaudited Selected Consolidated Financial and Operating Data, continued (Dollars in millions, shares in thousands) | |||||||
June 30, | December 31, | ||||||
Balance Sheet Data: | 2018 | 2017 | |||||
Assets | |||||||
Current assets: | |||||||
Cash and cash equivalents | $ | 593.5 | $ | 312.2 | |||
Insurance collateral | 110.2 | 86.2 | |||||
Accounts receivable, net of allowance of $2,554.5 at December 31, 2017 | 1,543.5 | 1,405.8 | |||||
Supplies inventory | 22.1 | 22.7 | |||||
Prepaid and other current assets | 96.0 | 165.6 | |||||
Current assets held for sale | — | 2,751.8 | |||||
Total current assets | 2,365.3 | 4,744.3 | |||||
Property and equipment, net | 288.4 | 302.7 | |||||
Investments in unconsolidated affiliates | 170.3 | 156.7 | |||||
Goodwill | 5,662.3 | 7,536.1 | |||||
Intangible assets, net | 3,632.0 | 3,665.5 | |||||
Other assets | 194.8 | 167.3 | |||||
Total assets | $ | 12,313.1 | $ | 16,572.6 | |||
Liabilities and Equity | |||||||
Current liabilities: | |||||||
Current portion of long-term debt | $ | 13.0 | $ | 52.1 | |||
Accounts payable | 60.8 | 62.2 | |||||
Accrued salaries and benefits | 516.0 | 548.0 | |||||
Accrued interest | 51.3 | 52.1 | |||||
Other accrued liabilities | 327.3 | 281.6 | |||||
Current liabilities held for sale | — | 399.1 | |||||
Total current liabilities | 968.4 | 1,395.1 | |||||
Long-term debt, net of deferred financing costs of $88.7 and $97.3, respectively | 4,613.6 | 6,263.3 | |||||
Deferred income taxes | 772.8 | 1,089.3 | |||||
Insurance reserves | 326.5 | 318.5 | |||||
Other long-term liabilities | 164.4 | 149.9 | |||||
Commitments and contingencies | |||||||
Noncontrolling interests – redeemable | 186.8 | 187.1 | |||||
Equity: | |||||||
Common stock, $0.01 par value, 1,000,000 shares authorized, 121,402 and 121,021 shares issued and outstanding, respectively | 1.2 | 1.2 | |||||
Additional paid-in capital | 6,025.6 | 6,008.9 | |||||
Retained earnings (deficit) | (1,400.8 | ) | 521.2 | ||||
Accumulated other comprehensive loss | (0.2 | ) | (4.2 | ) | |||
Total Envision Healthcare Corporation equity | 4,625.8 | 6,527.1 | |||||
Noncontrolling interests – non-redeemable | 654.8 | 642.3 | |||||
Total equity | 5,280.6 | 7,169.4 | |||||
Total liabilities and equity | $ | 12,313.1 | $ | 16,572.6 | |||
Envision Healthcare Reports 2018 Second Quarter Financial Results | ||
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Envision Healthcare Corporation Unaudited Selected Consolidated Financial and Operating Data, continued (In millions) | ||||||||||||||||
Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||
Statement of Cash Flow Data: | 2018 | 2017 | 2018 | 2017 | ||||||||||||
Cash flows from operating activities: | ||||||||||||||||
Net earnings (loss) | $ | (1,777.0 | ) | $ | 107.9 | $ | (1,812.2 | ) | $ | (283.2 | ) | |||||
Adjustments to reconcile net earnings (loss) to net cash flows provided by (used in) operating activities: | ||||||||||||||||
Depreciation and amortization | 70.3 | 106.3 | 170.3 | 211.8 | ||||||||||||
Amortization of deferred loan costs | 4.4 | 4.2 | 8.7 | 8.4 | ||||||||||||
Net loss on disposals and deconsolidations | 0.8 | 5.8 | 1.8 | 5.5 | ||||||||||||
Share-based compensation | 8.8 | 13.2 | 16.2 | 29.3 | ||||||||||||
Deferred income taxes | (2.5 | ) | 25.1 | 25.4 | 529.3 | |||||||||||
Equity in earnings of unconsolidated affiliates | (7.5 | ) | (5.8 | ) | (13.3 | ) | (10.9 | ) | ||||||||
Impairment charges | 1,979.9 | — | 1,980.6 | 0.3 | ||||||||||||
Gain on held for sale assets | — | — | (14.7 | ) | — | |||||||||||
Increases (decreases) in cash, cash equivalents, restricted cash, and restricted cash equivalents net of acquisitions and dispositions: | ||||||||||||||||
Accounts receivable | (8.3 | ) | (20.0 | ) | (48.8 | ) | (67.0 | ) | ||||||||
Supplies inventory | — | — | 0.2 | (0.7 | ) | |||||||||||
Prepaid and other current assets | (7.7 | ) | (7.0 | ) | (10.0 | ) | (5.1 | ) | ||||||||
Accounts payable | 8.7 | 2.8 | (13.9 | ) | (6.1 | ) | ||||||||||
Accrued expenses and other liabilities | (287.6 | ) | 39.3 | (264.6 | ) | (45.4 | ) | |||||||||
Other, net | 5.1 | 8.8 | (1.0 | ) | 12.5 | |||||||||||
Net cash flows provided by (used in) operating activities | (12.6 | ) | 280.6 | 24.7 | 378.7 | |||||||||||
Cash flows from investing activities: | ||||||||||||||||
Acquisitions and related expenses, net of cash acquired | (56.9 | ) | (412.6 | ) | (128.5 | ) | (485.7 | ) | ||||||||
Acquisition of property and equipment | (33.5 | ) | (50.0 | ) | (78.8 | ) | (90.7 | ) | ||||||||
Net proceeds from sale of medical transportation business | — | — | 2,279.7 | — | ||||||||||||
Purchases of marketable securities | (8.6 | ) | (12.5 | ) | (65.9 | ) | (15.9 | ) | ||||||||
Maturities of marketable securities | 9.1 | 6.5 | 26.3 | 7.0 | ||||||||||||
Other, net | (12.4 | ) | (6.0 | ) | (11.3 | ) | 11.3 | |||||||||
Net cash flows provided by (used in) investing activities | (102.3 | ) | (474.6 | ) | 2,021.5 | (574.0 | ) | |||||||||
Cash flows from financing activities: | ||||||||||||||||
Proceeds from long-term borrowings | 3.9 | 794.6 | 129.4 | 798.3 | ||||||||||||
Repayment on long-term borrowings | (3.5 | ) | (302.4 | ) | (1,827.7 | ) | (314.3 | ) | ||||||||
Distributions to noncontrolling interests | (60.0 | ) | (58.5 | ) | (113.1 | ) | (119.0 | ) | ||||||||
Other, net | (1.7 | ) | (11.8 | ) | (8.0 | ) | (20.2 | ) | ||||||||
Net cash flows provided by (used in) financing activities | (61.3 | ) | 421.9 | (1,819.4 | ) | 344.8 | ||||||||||
Net increase (decrease) in cash, cash equivalents, restricted cash and restricted cash equivalents | (176.2 | ) | 227.9 | 226.8 | 149.5 | |||||||||||
Cash, cash equivalents, restricted cash and restricted cash equivalents, beginning of period (1) | 786.0 | 282.0 | 383.0 | 360.4 | ||||||||||||
Less cash, cash equivalents, restricted cash and restricted cash equivalents of held for sale assets, end of period | — | 23.3 | — | 23.3 | ||||||||||||
Cash, cash equivalents, restricted cash and restricted cash equivalents, end of period (2) | $ | 609.8 | $ | 486.6 | $ | 609.8 | $ | 486.6 | ||||||||
(1) | Includes restricted cash and restricted cash equivalents of $18.7 million and $39.0 million for the three months ended June 30, 2018 and 2017, respectively, and $30.8 million and $43.5 million for the six months ended June 30, 2018 and 2017, respectively. |
(2) | Includes restricted cash and restricted cash equivalents of $16.3 million for both the three and six months ended June 30, 2018 and $45.3 million for both the three and six months ended June 30, 2017. |
Envision Healthcare Reports 2018 Second Quarter Financial Results | ||
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August 6, 2018 | ||
(1) | We believe the calculation of adjusted net earnings from continuing operations per diluted share attributable to common stockholders provides a better measure of our ongoing performance and provides better comparability to prior periods because it excludes discontinued operations, the gains or loss from deconsolidations, net of noncontrolling interests, which are non-cash in nature, impairment charges, transaction and integration costs, including associated debt extinguishment costs and deferred financing write-off, and acquisition-related amortization expense, changes in contingent purchase price consideration, purchase accounting adjustments related to mergers and acquisitions, the impact of the Tax Cuts and Jobs Act of 2017, share-based compensation expense, and unrealized gain or loss on equity securities. Adjusted net earnings from continuing operations per diluted share attributable to common stockholders should not be considered as a measure of financial performance under accounting principles generally accepted in the United States, and the items excluded from it is a significant component in understanding and assessing financial performance. Because adjusted net earnings from continuing operations per diluted share attributable to common stockholders is not a measurement determined in accordance with accounting principles generally accepted in the United States and is thus susceptible to varying calculations, it may not be comparable as presented to other similarly titled measures of other companies. For purposes of calculating adjusted earnings per share, we utilize the if-converted method to determine the number of diluted shares outstanding. In periods where utilizing the if-converted method is anti-dilutive, the mandatory convertible preferred stock will not be included in the calculation of diluted shares outstanding. |
(2) | We define Adjusted EBITDA as earnings before interest expense, net, income taxes, depreciation, amortization, transaction and integration costs, share-based compensation, impairment charges, debt extinguishment costs, gain or loss on deconsolidations, net of noncontrolling interests, changes in contingent purchase price consideration, purchase accounting adjustments related to mergers and acquisitions, the impact of the Tax Cuts and Jobs Act of 2017, discontinued operations and unrealized gain or loss on equity securities. Adjusted EBITDA should not be considered a measure of financial performance under generally accepted accounting principles. Items excluded from Adjusted EBITDA are significant components in understanding and assessing financial performance. Adjusted EBITDA is an analytical indicator used by management and the health care industry to evaluate company performance, allocate resources and measure leverage. Adjusted EBITDA should not be considered in isolation or as an alternative to net earnings, cash flows from operations, investing or financing activities, or other financial statement data presented in the consolidated financial statements as indicators of financial performance. Because Adjusted EBITDA is not a measurement determined in accordance with generally accepted accounting principles and is thus susceptible to varying calculations, Adjusted EBITDA as presented may not be comparable to other similarly titled measures of other companies. Net earnings from continuing operations attributable to common stockholders is the financial measure calculated and presented in accordance with generally accepted accounting principles that is most comparable to Adjusted EBITDA, as defined. |