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): August 4, 2004

 


 

KINDRED HEALTHCARE, INC.

(Exact name of registrant as specified in its charter)

 


 

Delaware   001-14057   61-1323993

(State or other jurisdiction of

incorporation or organization)

  (Commission File Number)  

(IRS Employer

Identification No.)

 

680 South Fourth Street

Louisville, Kentucky

(Address of principal executive offices)

 

40202-2412

(Zip Code)

 

Registrant’s telephone number, including area code: (502) 596-7300

 

Not Applicable

(Former name or former address, if changed since last report)

 



Item 9. Regulation FD Disclosure.

 

Kindred Healthcare, Inc. (the “Company”) has announced revised earnings expectations for its continuing operations for fiscal 2004. Revenues for 2004 are expected to approximate $3.6 billion. Operating income, or earnings before interest, income taxes, depreciation and rents, is expected to range from $503 million to $508 million. Professional liability costs for 2004 are expected to range from $85 million to $90 million, while depreciation and net interest costs for 2004 are expected to approximate $100 million. Net income from continuing operations is expected between $80 million and $83 million, or $1.88 to $1.95 per diluted share (based upon diluted shares of 42.6 million). For 2003, the Company reported revenues of $3.3 billion, operating income of $426 million and net income from continuing operations of $49.5 million or $1.41 per diluted share (based upon diluted shares of 35 million).

 

The Company’s previous 2004 earnings guidance for continuing operations indicated a revenue range of $3.5 billion to $3.6 billion, operating income between $484 million and $494 million, and net income ranging from $68 million to $75 million or $1.58 to $1.74 per diluted share (based on diluted shares of 43 million). The prior 2004 guidance also included a range of professional liability costs of $90 million to $100 million and a depreciation and net interest cost estimate of $100 million.

 

In addition to the risk factors set forth under “Forward Looking Statements,” the Company’s 2004 earnings guidance assumes the continued stabilization of professional liability costs and the successful completion of its development plans for additional hospitals and institutional pharmacy locations and the related start-up losses associated with these new projects. Fiscal 2004 earnings estimates also assume continued progress in the Company’s transition of its long-term acute care hospitals to the new Medicare prospective payment system and include the revised Medicare payment rates issued in May 2004 that became effective for patient discharges after July 1, 2004. Management also expects that there will be continued pressure on non-government hospital payment rates as it continues to implement its care management programs for all patients and length of stay declines.

 

Recent Developments

 

The Company has contracts with non-Kindred short-term acute care hospitals to operate long-term acute care hospitals within the host hospital. Under these arrangements, the Company leases space and purchases a limited amount of ancillary services from the host hospital and provides it with the option to discharge a portion of its clinically appropriate patients into the care of the Company’s hospital. These hospitals-in-hospitals (“HIHs”) also receive patients from general short-term acute care hospitals other than the host hospital. At June 30, 2004, the Company operated 59 free-standing hospitals (5,019 licensed beds) and 11 HIHs (455 licensed beds).

 

On August 2, 2004, the Centers for Medicare and Medicaid Services (“CMS”) announced regulatory changes applicable to long-term acute care hospitals that are operated as an HIH. Once fully phased in, the new rules generally limit Medicare payments to the HIH if the admissions to the HIH from the host hospital exceed 25% of the total Medicare discharges for the HIH’s cost reporting period. There are limited exceptions for admissions from rural and urban medical centers.

 

The Company is continuing to evaluate the impact of the final regulations on its operations and is awaiting additional payment instructions to be issued by CMS. At this time, the Company does not believe that the new rules will significantly impact its ongoing operations since only 8% of its existing hospital licensed beds would be subject to the new rules. For the second quarter of 2004, the Company’s HIHs generated revenues of approximately $23 million, operating income of approximately $5 million and pretax income of approximately $2 million. The Company also is considering the impact of the final regulations on its HIH development activities.

 

Forward Looking Statements

 

This Form 8-K includes 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. All statements regarding the Company’s expected future financial position, results of operations, cash flows, financing plans, business strategy, budgets, capital expenditures, competitive positions, growth opportunities, plans and objectives of management and statements containing the words such as “anticipate,” “approximate,” “believe,” “plan,” “estimate,” “expect,” “project,” “could,” “should,” “will,” “intend,” “may” and other similar expressions, are forward-looking statements.

 

Such forward-looking statements are inherently uncertain, and stockholders and other potential investors must recognize that actual results may differ materially from the Company’s expectations as a result of a variety of factors, including, without limitation, those discussed below. Such forward-looking statements are based on management’s current expectations and include known and unknown risks, uncertainties and other factors, many of which the Company

 

2


is unable to predict or control, that may cause the Company’s actual results or performance to differ materially from any future results or performance expressed or implied by such forward-looking statements. These statements involve risks, uncertainties and other factors discussed below and detailed from time to time in the Company’s filings with the Securities and Exchange Commission.

 

Factors that may affect the Company’s plans or results include, without limitation, (a) the Company’s ability to operate pursuant to the terms of its debt obligations and its master lease agreements with Ventas, Inc.; (b) the Company’s ability to meet its rental and debt service obligations; (c) adverse developments with respect to the Company’s results of operations or liquidity; (d) the Company’s ability to attract and retain key executives and other healthcare personnel; (e) increased operating costs due to shortages in qualified nurses and other healthcare personnel; (f) the effects of healthcare reform and government regulations, interpretation of regulations and changes in the nature and enforcement of regulations governing the healthcare industry; (g) changes in the reimbursement rates or methods of payment from third party payors, including the Medicare and Medicaid programs, and changes arising from the Medicare prospective payment system for long-term acute care hospitals and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, and potential changes in nursing center Medicare reimbursement resulting from revised resource utilization grouping payments; (h) national and regional economic conditions, including their effect on the availability and cost of labor, materials and other services; (i) the Company’s ability to control costs, including labor and employee benefit costs; (j) the Company’s ability to comply with the terms of its Corporate Integrity Agreement; (k) the Company’s ability to successfully pursue its development activities and integrate operations of new facilities; (l) the increase in the costs of defending and insuring against alleged professional liability claims and the Company’s ability to predict the estimated costs related to such claims; (m) the Company’s ability to successfully reduce (by divestiture of operations or otherwise) its exposure to professional liability claims; and (n) the Company’s ability to successfully dispose of unprofitable facilities. Many of these factors are beyond the Company’s control. The Company cautions investors that any forward-looking statements made by the Company are not guarantees of future performance. The Company disclaims any obligation to update any such factors or to announce publicly the results of any revisions to any of the forward-looking statements to reflect future events or developments.

 

Item 12. Results of Operations and Financial Condition.

 

On August 4, 2004, the Company issued a press release announcing its financial results for the quarter ended June 30, 2004. The press release, dated August 4, 2004, is attached as Annex A to this Form 8-K. On August 4, 2004, the Company also included the press release on its website at www.kindredhealthcare.com.

 

Annex A is incorporated herein by reference and has been furnished, not filed.

 

3


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 hereto duly authorized.

 

Date: August 5, 2004   By:  

/s/ Richard A. Lechleiter


        Richard A. Lechleiter
        Senior Vice President and Chief Financial Officer

 

4


Annex A

 

[Kindred Logo appears here]

 

Contact:

 

Richard A. Lechleiter

   

Senior Vice President and

   

Chief Financial Officer

   

(502) 596-7734

 

KINDRED HEALTHCARE ANNOUNCES SECOND QUARTER RESULTS

 


 

Fiscal 2004 Earnings Guidance Increased

 

Operating Income Range Increased to $503 - $508 Million from $484 - $494 Million

 

Diluted Earnings per Share Range Increased to $1.88 - $1.95 from $1.58 - $1.74

 


 

Company Announces Additional Development Activities in the Quarter

 

LOUISVILLE, Ky. (August 4, 2004) – Kindred Healthcare, Inc. (the “Company”) (NASDAQ:KIND) today announced its operating results for the second quarter ended June 30, 2004. Share and per share data for all periods presented have been adjusted retroactively to reflect the 2-for-1 stock split that took effect in May 2004.

 

Continuing Operations

 

Revenues for the second quarter of 2004 rose 10% to $897 million compared to $814 million in the year-earlier period. Net income from continuing operations totaled $24.3 million or $0.58 per diluted share for the second quarter of 2004 compared to $13.2 million or $0.38 per diluted share in the second quarter last year.

 

Operating results in the second quarter of 2004 included certain items that, in the aggregate, increased net income by approximately $5.8 million or $0.14 per diluted share. Hospital operating results included pretax income of $3.9 million ($2.4 million net of income taxes) related to settlements of prior year Medicare cost reports. Nursing center operating results included pretax income of $5.9 million ($3.6 million net of income taxes) related to retroactive Medicaid rate increases in North Carolina, approximately one-half of which related to the fourth quarter of 2003 and one-half of which related to the first quarter of 2004. As previously announced, interest expense in the second quarter of 2004 included a pretax charge of $1.2 million ($0.7 million net of income taxes) resulting from the refinancing of the Company’s credit facilities in June. Second quarter 2004 pretax income also included $0.6 million of investment income resulting from the recovery of certain surety deposits and a favorable adjustment of $0.3 million related to accrued reorganization costs (in the aggregate, $0.5 million net of income taxes).

 

During the second quarter of 2004, the Company continued to make progress in stabilizing its professional liability costs. These costs aggregated $20.6 million in the second quarter of 2004 compared to $20.9 million in the second quarter of 2003 and $22.9 million in the first quarter of 2004.

 

The Company also reported improved liquidity during the second quarter of 2004. Net positive cash flows aggregated $47 million in the second quarter after the repayment of approximately $39 million of long-term debt.

 

1


For the six months ended June 30, 2004, revenues increased 9% to $1.8 billion from $1.6 billion in the first half of 2003. Net income from continuing operations totaled $40.5 million or $0.96 per diluted share for the first six months of 2004 compared to $15.7 million or $0.45 per diluted share in the same period a year ago.

 

Revised Earnings Guidance for 2004

 

The Company also increased its fiscal 2004 earnings expectations for its continuing operations. Revenues for 2004 are expected to approximate $3.6 billion. Operating income, or earnings before interest, income taxes, depreciation and rents, is expected to range from $503 million to $508 million. Professional liability costs for 2004 are expected to range from $85 million to $90 million, while depreciation and net interest costs for 2004 are expected to approximate $100 million. Net income from continuing operations is expected between $80 million and $83 million, or $1.88 to $1.95 per diluted share (based upon diluted shares of 42.6 million). For 2003, the Company reported revenues of $3.3 billion, operating income of $426 million and net income from continuing operations of $49.5 million or $1.41 per diluted share (based upon diluted shares of 35 million).

 

The Company’s previous 2004 earnings guidance for continuing operations indicated a revenue range of $3.5 billion to $3.6 billion, operating income between $484 million and $494 million, and net income ranging from $68 million to $75 million or $1.58 to $1.74 per diluted share (based on diluted shares of 43 million). The prior 2004 guidance also included a range of professional liability costs of $90 million to $100 million and a depreciation and net interest cost estimate of $100 million.

 

In addition to the risk factors set forth under “Forward Looking Statements,” the Company’s 2004 earnings guidance assumes the continued stabilization of professional liability costs and the successful completion of its development plans for additional hospitals and institutional pharmacy locations and the related start-up losses associated with these new projects. Fiscal 2004 earnings estimates also assume continued progress in the Company’s transition of its long-term acute care hospitals to the new Medicare prospective payment system and include the revised Medicare payment rates issued in May 2004 that became effective for patient discharges after July 1, 2004. Management also expects that there will be continued pressure on non-government hospital payment rates as it continues to implement its care management programs for all patients and length of stay declines.

 

Management Commentary

 

Kindred President and Chief Executive Officer Paul J. Diaz commented, “We’re pleased with the execution of our strategic operating plan in each of our divisions through the first half of this year as we continue to focus on our patients and employees. This quarter’s solid performance represents another step toward our goal of delivering more consistent and predictable operating results for our shareholders.”

 

Mr. Diaz further commented, “We made progress on several fronts during the second quarter. In our hospital division, we reported same-store admissions growth of 5% compared to the second quarter of last year while also continuing to improve our operating efficiencies and reduce length of stay. Additionally, the new payment rates applicable to our in-house Medicare patients at June 30, 2004 increased our second quarter hospital revenues by approximately $5 million. In our health services division, continued focus on quality and customer service contributed to more stable operating results and improving professional liability cost trends. Our Peoplefirst Rehabilitation business, in only its second quarter of operation as a separate division, reported solid results as we continue to make strides toward improved therapist recruitment and retention. Finally, our KPS Pharmacy customer base continues to grow, with total licensed customer beds at June 30 up over 14% from a year ago and revenues in the quarter increasing 30% compared to last year.”

 

2


Mr. Diaz also commented on the Company’s development activities. “Over the past twelve months, we have added seven hospitals with 370 licensed beds, including two hospitals in the second quarter through the acquisition of a free-standing 100-bed hospital in Modesto, California and the opening of a new 45-bed hospital-in-hospital in Dover, New Jersey. In the second half of 2004, we expect to open two to three additional hospitals. We also will spend approximately $20 million to build a new free-standing 58-bed hospital in Sacramento, California that will replace our existing 39-bed facility.”

 

The Company also announced that it will open five new institutional pharmacies in the second half of 2004. Mr. Diaz commented, “Continued improvement in our KPS Pharmacy operations and an expanding customer base will allow us to open these sites in new markets with an average of 800 to 900 beds per site. In addition, we also are excited about a new arrangement in which KPS Pharmacy and Peoplefirst Rehabilitation began providing services to 65 of our hospitals on July 1, 2004. This reorganization will provide our hospital rehabilitation and pharmacy departments the additional resources necessary to support our admissions growth and better manage costs under the Medicare prospective payment system. The establishment of this infrastructure also will allow KPS Pharmacy and Peoplefirst Rehabilitation, over time, to service additional third party hospital customers and expand these businesses.”

 

With respect to the Company’s liquidity and financial position, Mr. Diaz noted, “We made outstanding progress in improving our overall cash flows during the second quarter. In addition, the completion of our new $300 million revolving credit facility in June will provide the financial flexibility to look more aggressively at acquisitions and execute our strategic growth plan of adding new hospitals and institutional pharmacies to our portfolio.”

 

Discontinued Operations

 

Net losses from discontinued operations totaled $1.4 million or $0.03 per diluted share in the second quarter of 2004 compared to net losses of $20.6 million or $0.59 per diluted share in the second quarter of 2003. For the six months ended June 30, 2004, net losses from discontinued operations totaled $3.8 million or $0.09 per diluted share compared to $36.2 million or $1.04 per diluted share in the first half of 2003.

 

Net losses on the divestiture of discontinued operations totaled $1.1 million or $0.03 per diluted share for both the second quarter and six months ended June 30, 2004 compared to $36.0 million or $1.04 per diluted share for both the second quarter and six months ended June 30, 2003.

 

Recent Developments

 

The Company has contracts with non-Kindred short-term acute care hospitals to operate long-term acute care hospitals within the host hospital. Under these arrangements, the Company leases space and purchases a limited amount of ancillary services from the host hospital and provides it with the option to discharge a portion of its clinically appropriate patients into the care of the Company’s hospital. These hospitals-in-hospitals (“HIHs”) also receive patients from general short-term acute care hospitals other than the host hospital. At June 30, 2004, the Company operated 59 free-standing hospitals (5,019 licensed beds) and 11 HIHs (455 licensed beds).

 

On August 2, 2004, the Centers for Medicare and Medicaid Services (“CMS”) announced regulatory changes applicable to long-term acute care hospitals that are operated as an HIH. Once fully phased in, the new rules generally limit Medicare payments to the HIH if the admissions to the HIH from the host hospital exceed 25% of the total Medicare discharges for the HIH’s cost reporting period. There are limited exceptions for admissions from rural and urban medical centers.

 

The Company is continuing to evaluate the impact of the final regulations on its operations and is awaiting additional payment instructions to be issued by CMS. At this time, the Company does not believe that the new rules will significantly impact its ongoing operations since only 8% of its existing hospital licensed beds would be subject to the new rules. For the second quarter of 2004, the Company’s HIHs generated revenues of approximately $23 million, operating income of approximately $5 million and pretax income of approximately $2 million. The Company also is considering the impact of the final regulations on its HIH development activities.

 

Forward Looking Statements

 

This press release includes 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. All statements regarding the Company’s expected future financial position, results of operations, cash flows, financing plans, business strategy, budgets, capital expenditures, competitive positions, growth opportunities, plans and objectives of management and statements containing the words such as “anticipate,” “approximate,” “believe,” “plan,” “estimate,” “expect,” “project,” “could,” “should,” “will,” “intend,” “may” and other similar expressions, are forward-looking statements.

 

Such forward-looking statements are inherently uncertain, and stockholders and other potential investors must recognize that actual results may differ materially from the Company’s expectations as a

 

3


result of a variety of factors, including, without limitation, those discussed below. Such forward-looking statements are based on management’s current expectations and include known and unknown risks, uncertainties and other factors, many of which the Company is unable to predict or control, that may cause the Company’s actual results or performance to differ materially from any future results or performance expressed or implied by such forward-looking statements. These statements involve risks, uncertainties and other factors discussed below and detailed from time to time in the Company’s filings with the Securities and Exchange Commission.

 

Factors that may affect the Company’s plans or results include, without limitation, (a) the Company’s ability to operate pursuant to the terms of its debt obligations and its master lease agreements with Ventas, Inc. (NYSE:VTR); (b) the Company’s ability to meet its rental and debt service obligations; (c) adverse developments with respect to the Company’s results of operations or liquidity; (d) the Company’s ability to attract and retain key executives and other healthcare personnel; (e) increased operating costs due to shortages in qualified nurses and other healthcare personnel; (f) the effects of healthcare reform and government regulations, interpretation of regulations and changes in the nature and enforcement of regulations governing the healthcare industry; (g) changes in the reimbursement rates or methods of payment from third party payors, including the Medicare and Medicaid programs, and changes arising from the Medicare prospective payment system for long-term acute care hospitals and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, and potential changes in nursing center Medicare reimbursement resulting from revised resource utilization grouping payments; (h) national and regional economic conditions, including their effect on the availability and cost of labor, materials and other services; (i) the Company’s ability to control costs, including labor and employee benefit costs; (j) the Company’s ability to comply with the terms of its Corporate Integrity Agreement; (k) the Company’s ability to successfully pursue its development activities and integrate operations of new facilities; (l) the increase in the costs of defending and insuring against alleged professional liability claims and the Company’s ability to predict the estimated costs related to such claims; (m) the Company’s ability to successfully reduce (by divestiture of operations or otherwise) its exposure to professional liability claims; and (n) the Company’s ability to successfully dispose of unprofitable facilities. Many of these factors are beyond the Company’s control. The Company cautions investors that any forward-looking statements made by the Company are not guarantees of future performance. The Company disclaims any obligation to update any such factors or to announce publicly the results of any revisions to any of the forward-looking statements to reflect future events or developments.

 

Kindred Healthcare, Inc. is a national healthcare services company operating hospitals, nursing centers, institutional pharmacies and a contract rehabilitation services business.

 

4


KINDRED HEALTHCARE, INC.

Financial Summary

(Unaudited)

(In thousands, except per share amounts)

 

    

Three months ended

June 30,


   

Six months ended

June 30,


 
     2004

    2003

    2004

    2003

 

Revenues

   $ 897,461     $ 813,848     $ 1,768,723     $ 1,616,006  
    


 


 


 


Income from continuing operations

   $ 24,220     $ 13,144     $ 40,495     $ 15,655  

Discontinued operations, net of income taxes:

                                

Loss from operations

     (1,388 )     (20,555 )     (3,823 )     (36,190 )

Loss on divestiture of operations

     (1,063 )     (36,019 )     (1,063 )     (36,019 )
    


 


 


 


Net income (loss)

   $ 21,769     $ (43,430 )   $ 35,609     $ (56,554 )
    


 


 


 


Earnings (loss) per common share:

                                

Basic:

                                

Income from continuing operations

   $ 0.68     $ 0.38     $ 1.14     $ 0.45  

Discontinued operations:

                                

Loss from operations

     (0.04 )     (0.59 )     (0.11 )     (1.04 )

Loss on divestiture of operations

     (0.03 )     (1.04 )     (0.03 )     (1.04 )
    


 


 


 


Net income (loss)

   $ 0.61     $ (1.25 )   $ 1.00     $ (1.63 )
    


 


 


 


Diluted:

                                

Income from continuing operations

   $ 0.58     $ 0.38     $ 0.96     $ 0.45  

Discontinued operations:

                                

Loss from operations

     (0.03 )     (0.59 )     (0.09 )     (1.04 )

Loss on divestiture of operations

     (0.03 )     (1.04 )     (0.03 )     (1.04 )
    


 


 


 


Net income (loss)

   $ 0.52     $ (1.25 )   $ 0.84     $ (1.63 )
    


 


 


 


Shares used in computing earnings (loss) per common share:

                                

Basic

     35,536       34,813       35,475       34,784  

Diluted

     41,913       34,828       42,333       34,798  

 

5


KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Operations

(Unaudited)

(In thousands, except per share amounts)

 

    

Three months ended

June 30,


   

Six months ended

June 30,


 
     2004

    2003

    2004

    2003

 

Revenues

   $ 897,461     $ 813,848     $ 1,768,723     $ 1,616,006  
    


 


 


 


Salaries, wages and benefits

     494,154       462,320       986,225       923,072  

Supplies

     120,563       104,440       237,296       208,622  

Rent

     65,958       64,215       130,417       127,293  

Other operating expenses

     150,358       140,776       295,764       287,615  

Depreciation

     22,612       19,927       44,658       39,122  

Interest expense

     4,714       2,992       8,370       5,880  

Investment income

     (1,826 )     (1,676 )     (3,044 )     (3,311 )
    


 


 


 


       856,533       792,994       1,699,686       1,588,293  
    


 


 


 


Income from continuing operations before reorganization items and income taxes

     40,928       20,854       69,037       27,713  

Reorganization items

     (304 )     —         (304 )     —    
    


 


 


 


Income from continuing operations before income taxes

     41,232       20,854       69,341       27,713  

Provision for income taxes

     17,012       7,710       28,846       12,058  
    


 


 


 


Income from continuing operations

     24,220       13,144       40,495       15,655  

Discontinued operations, net of income taxes:

                                

Loss from operations

     (1,388 )     (20,555 )     (3,823 )     (36,190 )

Loss on divestiture of operations

     (1,063 )     (36,019 )     (1,063 )     (36,019 )
    


 


 


 


Net income (loss)

   $ 21,769     $ (43,430 )   $ 35,609     $ (56,554 )
    


 


 


 


Earnings (loss) per common share:

                                

Basic:

                                

Income from continuing operations

   $ 0.68     $ 0.38     $ 1.14     $ 0.45  

Discontinued operations:

                                

Loss from operations

     (0.04 )     (0.59 )     (0.11 )     (1.04 )

Loss on divestiture of operations

     (0.03 )     (1.04 )     (0.03 )     (1.04 )
    


 


 


 


Net income (loss)

   $ 0.61     $ (1.25 )   $ 1.00     $ (1.63 )
    


 


 


 


Diluted:

                                

Income from continuing operations

   $ 0.58     $ 0.38     $ 0.96     $ 0.45  

Discontinued operations:

                                

Loss from operations

     (0.03 )     (0.59 )     (0.09 )     (1.04 )

Loss on divestiture of operations

     (0.03 )     (1.04 )     (0.03 )     (1.04 )
    


 


 


 


Net income (loss)

   $ 0.52     $ (1.25 )   $ 0.84     $ (1.63 )
    


 


 


 


Shares used in computing earnings (loss) per common share:

                                

Basic

     35,536       34,813       35,475       34,784  

Diluted

     41,913       34,828       42,333       34,798  

 

6


KINDRED HEALTHCARE, INC.

Condensed Consolidated Balance Sheet

(Unaudited)

(In thousands, except per share amounts)

 

    

June 30,

2004


   

December 31,

2003


 
ASSETS                 

Current assets:

                

Cash and cash equivalents

   $ 65,069     $ 66,524  

Cash – restricted

     6,152       7,339  

Insurance subsidiary investments

     200,889       146,325  

Accounts receivable less allowance for loss

     430,804       429,304  

Inventories

     32,497       29,984  

Deferred tax assets

     89,836       89,836  

Assets held for sale

     19,023       27,400  

Other

     42,160       46,375  
    


 


       886,430       843,087  

Property and equipment

     713,020       671,850  

Accumulated depreciation

     (234,305 )     (193,310 )
    


 


       478,715       478,540  

Goodwill

     31,417       31,417  

Insurance subsidiary investments

     55,931       74,618  

Deferred tax assets

     92,335       92,093  

Other

     63,307       65,659  
    


 


     $ 1,608,135     $ 1,585,414  
    


 


LIABILITIES AND STOCKHOLDERS’ EQUITY                 

Current liabilities:

                

Accounts payable

   $ 114,157     $ 119,087  

Salaries, wages and other compensation

     219,509       214,113  

Due to third party payors

     15,872       31,406  

Professional liability risks

     72,729       83,725  

Other accrued liabilities

     82,730       88,333  

Income taxes

     59,560       36,684  

Long-term debt due within one year

     4,938       4,532  
    


 


       569,495       577,880  

Long-term debt

     115,984       139,397  

Professional liability risks

     226,872       212,013  

Deferred credits and other liabilities

     56,307       58,559  

Stockholders’ equity:

                

Common stock, $0.25 par value; authorized 175,000 shares; issued 36,560 shares – June 30, 2004 and 36,340 shares – December 31, 2003

     9,140       9,085  

Capital in excess of par value

     588,780       585,394  

Deferred compensation

     (4,688 )     (8,040 )

Accumulated other comprehensive income (loss)

     (142 )     348  

Retained earnings

     46,387       10,778  
    


 


       639,477       597,565  
    


 


     $ 1,608,135     $ 1,585,414  
    


 


 

7


KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Cash Flows

(Unaudited)

(In thousands)

 

     Three months ended
June 30,


   

Six months ended

June 30,


 
     2004

    2003

    2004

    2003

 

Cash flows from operating activities:

                                

Net income (loss)

   $ 21,769     $ (43,430 )   $ 35,609     $ (56,554 )

Adjustments to reconcile net income (loss) to net cash provided by operating activities:

                                

Depreciation

     22,613       20,526       44,659       40,609  

Amortization of deferred compensation costs

     1,535       984       3,278       2,237  

Provision for doubtful accounts

     5,134       6,678       13,250       12,966  

Loss on divestiture of discontinued operations

     1,063       36,019       1,063       36,019  

Reorganization items

     (304 )     —         (304 )     —    

Other

     5,040       910       4,938       1,416  

Change in operating assets and liabilities:

                                

Accounts receivable

     39,247       64,373       (15,057 )     11,057  

Inventories and other assets

     4,221       13,193       (5,247 )     6,806  

Accounts payable

     (1,625 )     1,202       (4,809 )     (1,796 )

Income taxes

     13,823       (7,259 )     23,735       (12,716 )

Due to third party payors

     (11,797 )     3,104       (15,534 )     6,655  

Other accrued liabilities

     15,543       48,231       6,481       76,166  
    


 


 


 


Net cash provided by operating activities

     116,262       144,531       92,062       122,865  
    


 


 


 


Cash flows from investing activities:

                                

Purchase of property and equipment

     (17,657 )     (17,477 )     (35,538 )     (28,042 )

Acquisition of healthcare facilities

     (8,346 )     (63,795 )     (8,346 )     (63,795 )

Sale of assets

     6,514       7,659       6,884       7,659  

Surety bond deposits

     4,402       —         4,402       —    

Purchase of insurance subsidiary investments

     (4,767 )     (88,626 )     (14,543 )     (119,021 )

Sale of insurance subsidiary investments

     8,209       24,177       13,881       26,510  

Net change in insurance subsidiary cash and cash equivalents

     (18,395 )     63,755       (35,215 )     (8,156 )

Net change in other investments

     2,628       2,645       4,405       (2,040 )

Other

     236       (1,702 )     374       (2,035 )
    


 


 


 


Net cash used in investing activities

     (27,176 )     (73,364 )     (63,696 )     (188,920 )
    


 


 


 


Cash flows from financing activities:

                                

Net change in revolving credit borrowings

     63,100       —         80,000       —    

Repayment of long-term debt

     (101,615 )     (116 )     (102,647 )     (228 )

Payment of deferred financing costs

     (3,355 )     (1,276 )     (3,355 )     (2,872 )

Issuance of common stock

     3,049       —         3,516       —    

Other

     (3,023 )     189       (7,335 )     (4,778 )
    


 


 


 


Net cash used in financing activities

     (41,844 )     (1,203 )     (29,821 )     (7,878 )
    


 


 


 


Change in cash and cash equivalents

     47,242       69,964       (1,455 )     (73,933 )

Cash and cash equivalents at beginning of period

     17,827       100,173       66,524       244,070  
    


 


 


 


Cash and cash equivalents at end of period

   $ 65,069     $ 170,137     $ 65,069     $ 170,137  
    


 


 


 


 

8


KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Operations

(Unaudited)

(In thousands, except per share amounts)

 

     2003 Quarters

    2004 Quarters

 
     First

    Second

    Third

    Fourth

    First

    Second

 

Revenues

   $ 802,158     $ 813,848     $ 837,035     $ 830,978     $ 871,262     $ 897,461  
    


 


 


 


 


 


Salaries, wages and benefits

     460,752       462,320       469,112       473,263       492,071       494,154  

Supplies

     104,182       104,440       107,701       113,293       116,733       120,563  

Rent

     63,078       64,215       64,783       64,230       64,459       65,958  

Other operating expenses

     146,839       140,776       144,368       131,524       145,406       150,358  

Depreciation

     19,195       19,927       20,407       21,328       22,046       22,612  

Interest expense

     2,888       2,992       1,054       3,388       3,656       4,714  

Investment income

     (1,635 )     (1,676 )     (1,333 )     (1,491 )     (1,218 )     (1,826 )
    


 


 


 


 


 


       795,299       792,994       806,092       805,535       843,153       856,533  
    


 


 


 


 


 


Income from continuing operations before reorganization items and income taxes

     6,859       20,854       30,943       25,443       28,109       40,928  

Reorganization items

     —         —         —         (1,010 )     —         (304 )
    


 


 


 


 


 


Income from continuing operations before income taxes

     6,859       20,854       30,943       26,453       28,109       41,232  

Provision for income taxes

     4,348       7,710       12,629       10,968       11,834       17,012  
    


 


 


 


 


 


Income from continuing operations

     2,511       13,144       18,314       15,485       16,275       24,220  

Discontinued operations, net of income taxes:

                                                

Loss from operations

     (15,635 )     (20,555 )     (5,780 )     (3,407 )     (2,435 )     (1,388 )

Loss on divestiture of operations

     —         (36,019 )     (827 )     (42,567 )     —         (1,063 )
    


 


 


 


 


 


Net income (loss)

   $ (13,124 )   $ (43,430 )   $ 11,707     $ (30,489 )   $ 13,840     $ 21,769  
    


 


 


 


 


 


Earnings (loss) per common share:

                                                

Basic:

                                                

Income from continuing operations

   $ 0.07     $ 0.38     $ 0.53     $ 0.44     $ 0.46     $ 0.68  

Discontinued operations:

                                                

Loss from operations

     (0.45 )     (0.59 )     (0.17 )     (0.10 )     (0.07 )     (0.04 )

Loss on divestiture of operations

     —         (1.04 )     (0.02 )     (1.21 )     —         (0.03 )
    


 


 


 


 


 


Net income (loss)

   $ (0.38 )   $ (1.25 )   $ 0.34     $ (0.87 )   $ 0.39     $ 0.61  
    


 


 


 


 


 


Diluted:

                                                

Income from continuing operations

   $ 0.07     $ 0.38     $ 0.52     $ 0.38     $ 0.38     $ 0.58  

Discontinued operations:

                                                

Loss from operations

     (0.45 )     (0.59 )     (0.17 )     (0.08 )     (0.06 )     (0.03 )

Loss on divestiture of operations

     —         (1.04 )     (0.02 )     (1.05 )     —         (0.03 )
    


 


 


 


 


 


Net income (loss)

   $ (0.38 )   $ (1.25 )   $ 0.33     $ (0.75 )   $ 0.32     $ 0.52  
    


 


 


 


 


 


Shares used in computing earnings (loss) per common share:

                                                

Basic

     34,755       34,813       34,885       35,062       35,414       35,536  

Diluted

     34,767       34,828       35,143       40,685       42,721       41,913  

 

9


KINDRED HEALTHCARE, INC.

Condensed Business Segment Data

(Unaudited)

(In thousands)

 

     2003 Quarters

    2004 Quarters

 
     First

    Second

    Third

    Fourth

    First

    Second

 

Revenues:

                                                

Hospital division

   $ 331,862     $ 338,360     $ 341,368     $ 325,619     $ 348,648     $ 355,312  

Health services division (a)

     410,832       416,768       431,978       433,532       444,994       460,078  

Rehabilitation division (a)

     8,502       8,795       12,065       14,121       52,699       52,588  

Pharmacy division

     66,126       64,850       67,075       74,382       79,746       84,346  
    


 


 


 


 


 


       817,322       828,773       852,486       847,654       926,087       952,324  

Eliminations:

                                                

Pharmacy

     (15,164 )     (14,925 )     (15,451 )     (16,676 )     (18,136 )     (17,717 )

Rehabilitation (a)

     —         —         —         —         (36,689 )     (37,146 )
    


 


 


 


 


 


       (15,164)       (14,925 )     (15,451 )     (16,676 )     (54,825 )     (54,863 )
    


 


 


 


 


 


     $ 802,158     $ 813,848     $ 837,035     $ 830,978     $ 871,262     $ 897,461  
    


 


 


 


 


 


Income from continuing operations:

                                                

Operating income (loss):

                                                

Hospital division

   $ 70,538     $ 75,455     $ 87,171     $ 73,702     $ 80,066     $ 86,483  

Health services division (a)

     43,424       57,235       54,944       64,436       49,469       62,489  

Rehabilitation division (a)

     (959 )     (750 )     261       (315 )     8,519       7,265  

Pharmacy division

     6,702       6,133       6,150       7,508       7,609       7,729  

Corporate:

                                                

Overhead

     (26,713 )     (28,354 )     (28,670 )     (28,898 )     (26,834 )     (30,356 )

Insurance subsidiary

     (2,607 )     (3,407 )     (4,002 )     (3,535 )     (1,777 )     (1,224 )
    


 


 


 


 


 


       (29,320)       (31,761 )     (32,672 )     (32,433 )     (28,611 )     (31,580 )
    


 


 


 


 


 


       90,385       106,312       115,854       112,898       117,052       132,386  

Reorganization items

     —         —         —         1,010       —         304  
    


 


 


 


 


 


Operating income

     90,385       106,312       115,854       113,908       117,052       132,690  

Rent

     (63,078 )     (64,215 )     (64,783 )     (64,230 )     (64,459 )     (65,958 )

Depreciation

     (19,195 )     (19,927 )     (20,407 )     (21,328 )     (22,046 )     (22,612 )

Interest, net

     (1,253 )     (1,316 )     279       (1,897 )     (2,438 )     (2,888 )
    


 


 


 


 


 


Income from continuing operations before income taxes

     6,859       20,854       30,943       26,453       28,109       41,232  

Provision for income taxes

     4,348       7,710       12,629       10,968       11,834       17,012  
    


 


 


 


 


 


     $ 2,511     $ 13,144     $ 18,314     $ 15,485     $ 16,275     $ 24,220  
    


 


 


 


 


 



(a) Financial data presented for periods prior to January 1, 2004 have not been restated to reflect the new rehabilitation business alignment.

 

10


KINDRED HEALTHCARE, INC.

Condensed Business Segment Data (Continued)

(Unaudited)

(In thousands)

 

     2003 Quarters

   2004 Quarters

     First

   Second

   Third

   Fourth

   First

   Second

Rent:

                                         

Hospital division

   $ 23,284    $ 23,706    $ 23,441    $ 22,753    $ 22,844    $ 23,529

Health services division (a)

     39,031      39,808      40,459      40,530      40,283      40,874

Rehabilitation division (a)

     69      95      123      185      611      708

Pharmacy division

     630      547      698      703      662      790

Corporate

     64      59      62      59      59      57
    

  

  

  

  

  

     $ 63,078    $ 64,215    $ 64,783    $ 64,230    $ 64,459    $ 65,958
    

  

  

  

  

  

Depreciation:

                                         

Hospital division

   $ 7,054    $ 7,450    $ 7,684    $ 8,257    $ 8,464    $ 8,712

Health services division (a)

     6,373      6,569      6,688      6,740      6,893      6,951

Rehabilitation division (a)

     16      20      22      25      33      37

Pharmacy division

     517      539      561      560      530      583

Corporate

     5,235      5,349      5,452      5,746      6,126      6,329
    

  

  

  

  

  

       $19,195    $ 19,927    $ 20,407    $ 21,328    $ 22,046    $ 22,612
    

  

  

  

  

  

Capital expenditures, excluding acquisitions (including discontinued operations):

                                         

Hospital division

   $ 2,822    $ 4,133    $ 5,773    $ 13,388    $ 5,406    $ 5,177

Health services division (a)

     3,222      6,375      9,768      9,804      8,450      6,487

Rehabilitation division (a)

     51      47      35      11      47      56

Pharmacy division

     616      522      815      2,254      773      1,075

Corporate:

                                         

Information systems

     3,207      5,992      4,071      8,223      2,651      4,033

Other

     647      408      361      1,551      554      829
    

  

  

  

  

  

     $ 10,565    $ 17,477    $ 20,823    $ 35,231    $ 17,881    $ 17,657
    

  

  

  

  

  


(a) Financial data presented for periods prior to January 1, 2004 have not been restated to reflect the new rehabilitation business alignment.

 

11


KINDRED HEALTHCARE, INC.

Condensed Business Segment Data (Continued)

(Unaudited)

 

     2003 Quarters

   2004 Quarters

     First

   Second

   Third

   Fourth

   First

   Second

Hospital data:

                                         

End of period data:

                                         

Number of hospitals

     63      63      64      66      68      70

Number of licensed beds

     5,076      5,098      5,129      5,219      5,323      5,474

Revenue mix % (a):

                                         

Medicare

     60      59      62      63      66      64

Medicaid

     8      8      7      8      7      8

Private and other

     32      33      31      29      27      28

Admissions:

                                         

Medicare

     6,612      6,346      6,053      6,681      6,900      6,816

Medicaid

     648      604      670      661      715      820

Private and other

     1,281      1,322      1,333      1,359      1,460      1,588
    

  

  

  

  

  

       8,541      8,272      8,056      8,701      9,075      9,224
    

  

  

  

  

  

Admissions mix %:

                                         

Medicare

     77      77      75      77      76      74

Medicaid

     8      7      8      7      8      9

Private and other

     15      16      17      16      16      17

Patient days:

                                         

Medicare

     216,266      214,116      193,069      191,904      207,052      201,580

Medicaid

     31,764      32,470      31,362      29,488      27,754      29,293

Private and other

     56,225      59,339      54,080      52,725      52,391      53,031
    

  

  

  

  

  

       304,255      305,925      278,511      274,117      287,197      283,904
    

  

  

  

  

  

Average length of stay:

                                         

Medicare

     32.7      33.7      31.9      28.7      30.0      29.6

Medicaid

     49.0      53.8      46.8      44.6      38.8      35.7

Private and other

     43.9      44.9      40.6      38.8      35.9      33.4

Weighted average

     35.6      37.0      34.6      31.5      31.6      30.8

Revenues per admission (a):

                                         

Medicare

   $ 30,050    $ 31,594    $ 35,157    $ 30,987    $ 33,321    $ 33,397

Medicaid

     40,547      44,766      36,974      37,825      33,228      32,952

Private and other

     83,449      83,830      77,860      68,870      65,054      63,384

Weighted average

     38,855      40,904      42,374      37,423      38,419      38,520

Revenues per patient day (a):

                                         

Medicare

   $ 919    $ 936    $ 1,102    $ 1,079    $ 1,110    $ 1,129

Medicaid

     827      833      790      848      856      922

Private and other

     1,901      1,868      1,919      1,775      1,813      1,898

Weighted average

     1,091      1,106      1,226      1,188      1,214      1,252

Medicare case mix index (discharged patients only)

     N/A      N/A      N/A      1.20      1.26      1.25

Average daily census

     3,381      3,362      3,027      2,980      3,156      3,120

Occupancy %

     69.8      69.0      61.9      59.9      62.4      60.1

(a) Includes income of $14 million in the third quarter of 2003, $2 million in the first quarter of 2004 and $4 million in the second quarter of 2004 related to certain Medicare reimbursement issues.

N/A – not available.

 

12


KINDRED HEALTHCARE, INC.

Condensed Business Segment Data (Continued)

(Unaudited)

 

     2003 Quarters

   2004 Quarters

 
     First

   Second

   Third

   Fourth

   First

   Second

 

Nursing center data:

                                           

End of period data:

                                           

Number of nursing centers:

                                           

Owned or leased

     248      248      248      248      247      245  

Managed

     7      7      7      7      7      7  
    

  

  

  

  

  


       255      255      255      255      254      252  
    

  

  

  

  

  


Number of licensed beds:

                                           

Owned or leased

     32,293      32,124      32,118      32,124      32,009      31,786  

Managed

     803      803      803      803      803      803  
    

  

  

  

  

  


       33,096      32,927      32,921      32,927      32,812      32,589  
    

  

  

  

  

  


Revenue mix %:

                                           

Medicare

     33      33      32      33      36      33  

Medicaid

     48      48      50      48      46      49 (a)

Private and other

     19      19      18      19      18      18  

Patient days (excludes managed facilities):

                                           

Medicare

     398,646      399,150      394,957      397,254      433,162      407,285  

Medicaid

     1,699,726      1,707,907      1,757,580      1,737,615      1,675,706      1,689,795  

Private and other

     410,378      418,824      422,529      426,890      407,684      409,346  
    

  

  

  

  

  


       2,508,750      2,525,881      2,575,066      2,561,759      2,516,552      2,506,426  
    

  

  

  

  

  


Patient day mix %:

                                           

Medicare

     16      16      15      15      17      16  

Medicaid

     68      68      68      68      67      68  

Private and other

     16      16      17      17      16      16  

Revenues per patient day:

                                           

Medicare

   $ 338    $ 342    $ 344    $ 364    $ 372    $ 375  

Medicaid

     117      118      123      120      121      134 (a)

Private and other

     188      189      188      190      197      197  

Weighted average

     164      165      168      169      177      184  

Average daily census

     27,875      27,757      27,990      27,845      27,654      27,543  

Occupancy %

     86.0      85.6      86.8      86.4      86.0      85.8  

Rehabilitation data:

                                           

Revenue mix %:

                                           

Company-operated

     N/A      N/A      N/A      N/A      70      71  

Non-affiliated

     N/A      N/A      N/A      N/A      30      29  

Pharmacy data:

                                           

Number of customer licensed beds at end of period:

                                           

Company-operated

     29,804      27,566      27,886      28,280      28,188      28,164  

Non-affiliated

     28,365      28,848      29,507      33,127      35,102      36,385  
    

  

  

  

  

  


       58,169      56,414      57,393      61,407      63,290      64,549  
    

  

  

  

  

  



(a) Includes income of $9 million related to prior period North Carolina provider tax program revenues. Prior period provider tax expense of $3 million related to this program was recorded in other operating expenses.

N/A – not available.

 

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