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8-K - 8-K - KINDRED HEALTHCARE, INCd305858d8k.htm

EXHIBIT 99.1

 

LOGO

 

Contact:    Richard A. Lechleiter
   Executive Vice President and
   Chief Financial Officer
   (502) 596-7734

KINDRED HEALTHCARE ANNOUNCES FOURTH QUARTER RESULTS

AND PLANS FOR VENTAS LEASE RENEWALS

 

 

Excluding Certain Items, Company Reports Fourth Quarter Continuing Operations Diluted EPS of $0.27

Compared to $0.54 in 2010; Full Year EPS of $1.80 Up 17% from Last Year’s $1.54

Company Reports GAAP Continuing Operations Loss of $1.42 per Diluted Share in the

Fourth Quarter and $1.21 for the Year

 

 

Company Reduces Fiscal 2012 Earnings Guidance to $1.35 to $1.55

 

 

Company Intends to Allow Ventas Leases for 54 Nursing Centers and 10 Hospitals to Expire in 2013

LOUISVILLE, Ky. (February 23, 2012) – Kindred Healthcare, Inc. (“Kindred” or the “Company”) (NYSE:KND) today announced its operating results for the fourth quarter and year ended December 31, 2011 as well as its intentions with respect to the renewal of facility leases with its primary landlord, Ventas, Inc. (“Ventas”) (NYSE:VTR). The Company’s consolidated financial statements include the operating results of RehabCare Group, Inc. (“RehabCare”) since the closing of the acquisition on June 1, 2011.

Highlights (operating data adjusted to exclude certain items):

 

   

Favorable impact of RehabCare acquisition negated by fourth quarter regulatory changes

 

   

Initial quarter under new RUGs IV and rehabilitation therapy rule changes more challenging than expected

 

   

Annual impact of new Medicare rules now estimated at $150 million

 

   

Fourth quarter consolidated continuing operations key metrics compared to last year

 

   

Revenues grew 34% to $1.5 billion

 

   

Operating income rose 25% to $200 million

 

   

Income from continuing operations fell 35% to $14 million

 

   

Diluted earnings per share declined 50% to $0.27

 

   

Fourth quarter operating summary

 

   

Hospital revenues rose 40%; same-store revenues increased 5% while admissions rose 4%

 

   

Medicare cuts materially hampered nursing center and rehabilitation therapy results

 

   

Home health and hospice business reported strong results

 

   

Company continues to generate significant operating cash flows

 

   

Excluding transaction-related payments, full year operating cash flows grew 11% to $238 million

 

   

Company reduces 2012 earnings guidance

 

   

RehabCare synergy estimate rises to $70 million from $62 million

 

   

Company expects to implement $50 million to $55 million of additional cost reductions

 

   

Company expects non-renewal of seven Ventas bundles containing 64 facilities in April 2013

 

   

Future growth prospects for these facilities considered limited

 

   

Many of the facilities do not align with the Company’s operating plan and cluster market strategy

 

   

Expected 2013 EPS dilution of $0.10 to $0.15 from these divestitures considered manageable

 

   

Divestitures will improve the Company’s capital structure over the long term

680 South Fourth Street     Louisville, Kentucky 40202

502.596.7300     www.kindredhealthcare.com

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Kindred Healthcare Announces Fourth Quarter Results

Page 2

February 23, 2012

 

Fourth Quarter Results

Continuing Operations

Consolidated revenues for the fourth quarter ended December 31, 2011 increased 34% to $1.5 billion compared to $1.1 billion in the same period in 2010. The Company reported a loss from continuing operations for the fourth quarter of 2011 of $72.8 million or $1.42 per diluted share compared to income of $19.7 million or $0.50 per diluted share in the fourth quarter of 2010. Operating results for the fourth quarter of 2011 included asset impairment charges, transaction-related costs and a loss on a hospital divestiture that reduced income from continuing operations by $86.7 million or $1.69 per diluted share. Operating results for the fourth quarter of 2010 included transaction-related costs that reduced income from continuing operations by $1.6 million or $0.04 per diluted share.

During the fourth quarter of 2011, the Company recorded approximately $102 million of pretax asset impairment charges to reflect circumstances in which the carrying value of certain assets exceeded their fair value. Goodwill impairment charges of approximately $46 million resulted primarily from the worse than expected decline in operating results in the Company’s rehabilitation division related to Medicare reimbursement changes that became effective on October 1, 2011. The Company also wrote off approximately $54 million of certain hospital and nursing and rehabilitation center intangible assets as part of its regular annual asset impairment testing. In addition, the Company wrote off approximately $2 million of leasehold improvements expended in the quarter at facilities that were considered impaired in a prior period.

Fiscal Year Results

Continuing Operations

Consolidated revenues for the year ended December 31, 2011 increased 27% to $5.5 billion compared to $4.4 billion in the previous year. The Company reported a loss from continuing operations of $56.0 million or $1.21 per diluted share in 2011 compared to income of $56.1 million or $1.42 per diluted share in 2010.

Operating results in 2011 included asset impairment charges, transaction-related costs and a loss on a hospital divestiture that reduced income from continuing operations by $141.1 million or $3.05 per diluted share. Operating results in 2010 included certain items that reduced income from continuing operations by $4.9 million or $0.12 per diluted share.

Management Commentary

Paul J. Diaz, President and Chief Executive Officer of the Company, commented, “Despite a very difficult fourth quarter brought on by significant Medicare cuts in both our nursing center and our rehabilitation therapy businesses, fiscal 2011 was an exceptional year for Kindred. Our acquisition of RehabCare in June added meaningful depth and strength to our core hospital and rehabilitation divisions and I am pleased with the highly successful integration of the organizations and the realization of significant cost synergies. Excluding asset impairment charges, transaction-related items and a loss on a hospital divestiture, our full-year diluted earnings per share from continuing operations of $1.80 were 17% higher than the adjusted $1.54 per share in 2010.”

Mr. Diaz further noted, “In addition to the RehabCare acquisition, we successfully completed a number of transactions to expand our growing home health and hospice business. We expect these acquisitions to continue, primarily in our cluster markets, and we are excited that this business will contribute meaningfully to our earnings going forward.”

 

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Kindred Healthcare Announces Fourth Quarter Results

Page 3

February 23, 2012

 

Commenting on the Company’s liquidity and capital resources, Mr. Diaz noted, “Excluding transaction-related payments, our operating cash flows in 2011 grew 11% to $238 million. These results allow us to fund our routine capital spending internally, with the balance available to fund our ongoing acquisition and cluster market development activities. In addition, our $343 million of unused revolving credit capacity at December 31, 2011 provides significant capital for future growth.”

Mr. Diaz also commented on the Company’s recently issued 2011 Quality and Social Responsibility Report, “Kindred is proud to issue its fifth annual Quality and Social Responsibility Report to fulfill our commitment to be transparent about our quality results and our ongoing efforts to improve the care and services for our patients and residents.” Mr. Diaz noted that the report links the Company’s quality initiatives with its Continue the Care and cluster market strategies. “Both policymakers and the marketplace are demanding that healthcare providers participate in coordinated care strategies to improve quality, reduce avoidable hospitalizations and lower costs. Kindred’s cluster market strategy is designed to leverage Kindred’s national scale to build a continuum of post-acute services in local healthcare delivery markets to achieve these shared goals. Kindred is aggressively developing a post-acute continuum of service lines in local markets, including long-term acute care (“LTAC”) hospitals, inpatient rehabilitation facilities, sub-acute or transitional care, and home health and hospice services, in order to partner with physician groups, hospitals, health systems and payors to better manage episodes of care while at the same time improving quality and lowering costs.”

Earnings Guidance – Continuing Operations

The Company updated its earnings guidance for 2012. The earnings guidance provided by the Company excludes the effect of (i) any transaction-related charges, (ii) any other reimbursement changes, (iii) any acquisitions or divestitures, (iv) any impairment charges, or (v) any repurchases of common stock.

The Company expects consolidated revenues for 2012 to approximate $6.3 billion. Operating income, or earnings before interest, income taxes, depreciation, amortization and rent, is expected to range from $868 million to $884 million. Rent expense is expected to approximate $434 million, while depreciation and amortization should approximate $197 million. Net interest expense is expected to approximate $107 million. The Company expects to report income from continuing operations for 2012 between $73 million to $83 million or $1.35 to $1.55 per diluted share (based upon diluted shares of 52.5 million). The Company’s previous earnings per diluted share range for 2012 was $1.65 to $1.85.

As a result of the significant volatility in its earnings in connection with recent changes in Medicare reimbursements, the Company is suspending its practice of providing quarterly earnings guidance at this time.

The Company also indicated that it expects cash flows from operations in 2012 to range from $240 million to $260 million. Routine capital expenditures in 2012 are expected to range from $130 million to $140 million, including approximately $16 million of expenditures to complete the information systems integration of RehabCare. The Company’s expected routine capital expenditures also include approximately $11 million to upgrade the clinical information systems in its hospital, nursing center and home health businesses.

In addition, the Company continues its ongoing development of several previously announced projects. At December 31, 2011, projects related to the replacement, expansion and upgrade of its hospitals in Dayton, Ohio and Charleston, South Carolina, as well as the development of two new inpatient rehabilitation hospitals in Texas will be completed at an aggregate additional cost of approximately $23 million through 2013 (these expenditures are not included in the routine capital spending estimates discussed above).

 

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Kindred Healthcare Announces Fourth Quarter Results

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February 23, 2012

 

Mr. Diaz remarked, “Our 2012 operating plan includes several initiatives to improve our operating results. These plans relate primarily to synergies associated with the RehabCare acquisition, changes in compensation and employee benefit programs and continued reductions in overhead costs.”

“Our fourth quarter operating results included the realization of approximately $40 million of annualized RehabCare integration synergies. For 2012, we expect these synergies to approach $70 million, up from our previous estimate of $62 million. In addition, we are implementing plans to reduce compensation, employee benefit and overhead costs by approximately $50 million to $55 million over the balance of 2012. These cost reductions should be fully implemented by the end of the third quarter.”

Mr. Diaz commented further, “Our 2012 earnings outlook reflects a more difficult than expected operating environment under the recent RUGs IV and rehabilitation therapy Medicare rule changes. While we continue to believe that federal policymakers have over-reached in their attempt to adjust the RUGs IV rules, we must intensify our efforts to adjust our operations while still maintaining the quality of our services. Nevertheless, our strategic goals to expand our cluster market development and accelerate growth in areas like home health and contract therapy have not changed in light of current reimbursement pressures.”

Ventas Lease Renewals

Under its master lease agreements with Ventas, the Company has 73 nursing and rehabilitation centers and 16 LTAC hospitals within ten separate renewal bundles currently subject to lease renewals. The Company has until April 30, 2012 to exercise these renewals for an additional five-year term. Each renewal bundle contains both nursing and rehabilitation centers and LTAC hospitals. The master lease agreements require that the Company renew all or none of the facilities within a renewal bundle.

The Company intends to renew three renewal bundles containing 19 nursing and rehabilitation centers and six LTAC hospitals (collectively, the “Renewal Facilities”). The Renewal Facilities contain 2,178 licensed nursing and rehabilitation center beds and 616 licensed hospital beds and generated revenues of approximately $434 million for the year ended December 31, 2011. The current annual rent for the Renewal Facilities approximates $46 million.

The Company also announced that it does not intend to renew seven renewal bundles containing 54 nursing and rehabilitation centers and ten LTAC hospitals (collectively, the “Expiring Facilities”). The Expiring Facilities contain 6,140 licensed nursing and rehabilitation center beds and 1,066 licensed hospital beds and generated revenues of approximately $790 million for the year ended December 31, 2011. The current annual rent for the Expiring Facilities approximates $77 million. The Company will continue to operate the Expiring Facilities and include the Expiring Facilities in its results from continuing operations through the expiration of the lease term in April 2013.

Management believes that the divestiture of the Expiring Facilities could reduce the Company’s consolidated earnings per diluted share by $0.10 to $0.15 in 2013, but will not otherwise materially impact the Company’s cash flows or financial position. This estimate is based upon a number of assumptions, including the Company’s estimated impact of the recent and impending Medicare reimbursement reductions for nursing centers and LTAC hospitals and its ability to achieve overhead savings in connection with these divestitures.

Mr. Diaz remarked, “At this time, we believe it is important to give investors our views on the Ventas renewals. We have evaluated the lease renewals as we would any acquisition. The Renewal Facilities generally meet our targeted investment returns and rent coverage ratios after capital expenditures and otherwise fit within our strategic operating plan.”

Mr. Diaz continued, “While in general the individual Expiring Facilities are good assets, these bundles as a whole do not satisfy our targeted investment returns or fit within our strategic operating plan. The majority of the Expiring Facilities are outside our cluster markets and many of the nursing and rehabilitation centers that are predominantly chronic care and Medicaid dependent are not well suited for our higher acuity, transitional care

 

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Kindred Healthcare Announces Fourth Quarter Results

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February 23, 2012

 

strategy. Under our operating model, these facilities also have limited growth opportunities and our expected earnings from these operations do not support the allocation of capital, risk or management time over the renewal period. Given the current reimbursement environment, particularly around nursing centers, we believe that our capital investments and management efforts are best focused in other areas of growth including home health, acute rehabilitation units, newer owned LTAC and inpatient rehabilitation hospitals, as well as investments in new integrated care models. In addition, we believe that, over time, these divestitures will substantially improve our capital structure by reducing our lease obligations and related leverage and the earnings leakage associated with rent escalators.”

“As we have stated previously, we are focused on five key business strategies. First, we must be successful in our core operations by providing quality care and efficiently managing our costs. Second, we remain focused on accelerating our cluster market strategy both from an operational and capital investment perspective. In addition, we will continue to expand our home health and hospice operations. We also are active in developing new integrated care and payment models with other healthcare providers and payors that will be responsive to changes in the marketplace. Finally, we remain focused on re-deploying assets and management time to higher margin businesses. Exiting the Expiring Facilities is another significant step in our re-deployment strategy.”

Mr. Diaz concluded, “Over the next year, we will cooperate with Ventas as it finds suitable tenants for the Expiring Facilities and effectuate an orderly transition of our patients, employees and operations to the new tenants.”

The effectiveness of the renewals is contingent upon there being no event of default under the master lease agreements upon the renewal effective date in April 2013. Additional information regarding the master lease agreements is contained in the Company’s Form 10-K for the year ended December 31, 2010 and copies of the master lease agreements filed with the Securities and Exchange Commission.

Conference Call

As previously announced, investors and the general public may access a live webcast of the fourth quarter 2011 conference call through a link on the Company’s website at http://investors.kindredhealthcare.com or at www.earnings.com. The conference call will be held February 24 at 11:00 a.m. (Eastern Time).

A telephone replay of the conference call will become available at approximately 2:00 p.m. on February 24 by dialing 888-203-1112, access code: 8694041. The replay will be available through March 4.

 

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Kindred Healthcare Announces Fourth Quarter Results

Page 6

February 23, 2012

 

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 result of a variety of factors, including, without limitation, those discussed below. Such forward-looking statements are based upon 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.

In addition to the factors set forth above, other factors that may affect the Company’s plans or results include, without limitation, (a) the impact of healthcare reform, which will initiate significant reforms to the United States healthcare system, including potential material changes to the delivery of healthcare services and the reimbursement paid for such services by the government or other third party payors. Healthcare reform will impact each of the Company’s businesses in some manner. Due to the substantial regulatory changes that will need to be implemented by the Centers for Medicare and Medicaid Services (“CMS”) and others, and the numerous processes required to implement these reforms, the Company cannot predict which healthcare initiatives will be implemented at the federal or state level, the timing of any such reforms, or the effect such reforms or any other future legislation or regulation will have on the Company’s business, financial position, results of operations and liquidity, (b) the impact of final rules issued by CMS on July 29, 2011 which significantly reduced Medicare reimbursement to nursing centers and changed payments for the provision of group therapy services effective October 1, 2011, (c) the impact of the Budget Control Act of 2011 which will automatically reduce federal spending by approximately $1.2 trillion split evenly between domestic and defense spending. At this time, the Company believes this will result in an automatic 2% reduction on each claim submitted to Medicare beginning February 1, 2013, (d) changes in the reimbursement rates or the methods or timing of payment from third party payors, including commercial payors and the Medicare and Medicaid programs, changes arising from and related to the Medicare prospective payment system for LTAC hospitals, including potential changes in the Medicare payment rules, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, and changes in Medicare and Medicaid reimbursements for the Company’s nursing and rehabilitation centers, inpatient rehabilitation hospitals and home health and hospice operations, and the expiration of the Medicare Part B therapy cap exception process, (e) the effects of additional legislative changes and government regulations, interpretation of regulations and changes in the nature and enforcement of regulations governing the healthcare industry, (f) the impact of the Medicare, Medicaid and SCHIP Extension Act of 2007 (the “SCHIP Extension Act”), including the ability of the Company’s hospitals to adjust to potential LTAC certification, medical necessity reviews and the moratorium on future hospital development, (g) the impact of the expiration of several moratoriums in 2012 under the SCHIP Extension Act which could impact the short stay rules, the budget neutrality adjustment as well as implement the “25 Percent Rule,” which would limit certain patient admissions, (h) the Company’s ability to integrate the operations of the acquired hospitals and rehabilitation services operations and realize the anticipated revenues, economies of scale, cost synergies and productivity gains in connection with the RehabCare acquisition and any other acquisitions undertaken, as and when planned, including the potential for unanticipated issues, expenses and liabilities associated with those acquisitions, (i) the potential for diversion of management time and resources in seeking to integrate RehabCare’s operations, (j) the impact of the Company’s significantly increased levels of indebtedness as a result of the RehabCare acquisition on the Company’s funding

 

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Kindred Healthcare Announces Fourth Quarter Results

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February 23, 2012

 

costs, operating flexibility and ability to fund ongoing operations, development capital expenditures or other strategic acquisitions with additional borrowings, particularly in light of ongoing volatility in the credit and capital markets, (k) the Company’s ability to successfully pursue its development activities, including through acquisitions, and successfully integrate new operations, including the realization of anticipated revenues, economies of scale, cost savings and productivity gains associated with such operations, (l) the potential failure to retain key employees of RehabCare, (m) failure of the Company’s facilities to meet applicable licensure and certification requirements, (n) the further consolidation and cost containment efforts of managed care organizations and other third party payors, (o) the Company’s ability to meet its rental and debt service obligations, (p) the Company’s ability to operate pursuant to the terms of its debt obligations, including its obligations under financings undertaken to complete the RehabCare acquisition, and the Company’s ability to operate pursuant to its master lease agreements with Ventas, (q) the condition of the financial markets, including volatility and weakness in the equity, capital and credit markets, which could limit the availability and terms of debt and equity financing sources to fund the requirements of the Company’s businesses, or which could negatively impact the Company’s investment portfolio, (r) national and regional economic, financial, business and political conditions, including their effect on the availability and cost of labor, credit, materials and other services, (s) the Company’s ability to control costs, particularly labor and employee benefit costs, (t) increased operating costs due to shortages in qualified nurses, therapists and other healthcare personnel, (u) the Company’s ability to attract and retain key executives and other healthcare personnel, (v) the increase in the costs of defending and insuring against alleged professional liability and other claims and the Company’s ability to predict the estimated costs related to such claims, including the impact of differences in actuarial assumptions and estimates compared to eventual outcomes, (w) the Company’s ability to successfully reduce (by divestiture of operations or otherwise) its exposure to professional liability and other claims, (x) the Company’s ability to successfully dispose of unprofitable facilities, (y) events or circumstances which could result in the impairment of an asset or other charges, (z) changes in generally accepted accounting principles (“GAAP”) or practices, and changes in tax accounting or tax laws (or authoritative interpretations relating to any of these matters), and (aa) the Company’s ability to maintain an effective system of internal control over financial reporting. 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.

In addition to the results provided in accordance with GAAP, the Company has provided non-GAAP measurements which present operating results and cash flows from operations for the fourth quarters and years ended December 31, 2011 and 2010 before certain charges or on a core basis. A reconciliation of the non-GAAP measurements to the GAAP measurements is included in this press release.

As noted above, the Company’s earnings release includes a financial measure referred to as operating income, or earnings before interest, income taxes, depreciation, amortization and rent. The Company’s management uses operating income as a meaningful measure of operational performance in addition to other measures. The Company uses operating income to assess the relative performance of its operating divisions as well as the employees that operate these businesses. In addition, the Company believes this measurement is important because securities analysts and investors use this measurement to compare the Company’s performance to other companies in the healthcare industry. The Company believes that income from continuing operations is the most comparable GAAP measure. Readers of the Company’s financial information should consider income from continuing operations as an important measure of the Company’s financial performance because it provides the most complete measure of its performance. Operating income should be considered in addition to, not as a substitute for, or superior to, financial measures based upon GAAP as an indicator of operating performance. A reconciliation of operating income to income from continuing operations provided in the Condensed Business Segment Data is included in this press release.

About Kindred Healthcare

Kindred Healthcare, Inc., a top-150 private employer in the United States, is a healthcare services company based in Louisville, Kentucky with annual revenues of $6 billion and approximately 77,800 employees in 46 states. At December 31, 2011, Kindred through its subsidiaries provided healthcare services in 2,200 locations, including 121 long-term acute care hospitals, five inpatient rehabilitation hospitals, 224 nursing and rehabilitation centers, 25 sub-acute units, 51 hospice and home care locations, 102 inpatient rehabilitation units (hospital-based) and a contract rehabilitation services business, RehabCare, which served approximately 1,670 non-affiliated facilities. Ranked as one of Fortune magazine’s Most Admired Healthcare Companies for three years in a row, Kindred’s mission is to promote healing, provide hope, preserve dignity and produce value for each patient, resident, family member, customer, employee and shareholder we serve. For more information, go to www.kindredhealthcare.com.

 

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Kindred Healthcare Announces Fourth Quarter Results

Page 8

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Financial Summary

(In thousands, except per share amounts)

 

     Three months ended     Year ended  
     December 31,     December 31,  
     2011     2010     2011     2010  

Revenues

   $ 1,522,688      $ 1,135,484      $ 5,521,763      $ 4,359,697   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations

   $ (72,914   $ 19,755      $ (56,271   $ 56,146   

Discontinued operations, net of income taxes:

        

Income from operations

     1,025        1,125        2,552        798   

Loss on divestiture of operations

     —          (456     —          (453
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from discontinued operations

     1,025        669        2,552        345   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

     (71,889     20,424        (53,719     56,491   

Loss attributable to noncontrolling interests

     58        —          238        —     
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) attributable to Kindred

   $ (71,831   $ 20,424      $ (53,481   $ 56,491   
  

 

 

   

 

 

   

 

 

   

 

 

 

Amounts attributable to Kindred stockholders:

        

Income (loss) from continuing operations

   $ (72,856   $ 19,755      $ (56,033   $ 56,146   

Income from discontinued operations

     1,025        669        2,552        345   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ (71,831   $ 20,424      $ (53,481   $ 56,491   
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings (loss) per common share:

        

Basic:

        

Income (loss) from continuing operations

   $ (1.42   $ 0.50      $ (1.21   $ 1.42   

Discontinued operations:

        

Income from operations

     0.02        0.03        0.05        0.02   

Loss on divestiture of operations

     —          (0.01     —          (0.01
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ (1.40   $ 0.52      $ (1.16   $ 1.43   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted:

        

Income (loss) from continuing operations

   $ (1.42   $ 0.50      $ (1.21   $ 1.42   

Discontinued operations:

        

Income from operations

     0.02        0.03        0.05        0.02   

Loss on divestiture of operations

     —          (0.01     —          (0.01
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ (1.40   $ 0.52      $ (1.16   $ 1.43   
  

 

 

   

 

 

   

 

 

   

 

 

 

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

        

Basic

     51,335        38,790        46,280        38,738   

Diluted

     51,335        39,089        46,280        38,954   

 

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Kindred Healthcare Announces Fourth Quarter Results

Page 9

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Operations

(In thousands, except per share amounts)

 

     Three months ended     Year ended  
     December 31,     December 31,  
     2011     2010     2011     2010  

Revenues

   $ 1,522,688      $ 1,135,484      $ 5,521,763      $ 4,359,697   
  

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

     911,417        652,703        3,255,815        2,505,690   

Supplies

     107,760        87,103        402,014        342,197   

Rent

     106,616        90,777        399,257        357,372   

Other operating expenses

     312,674        240,750        1,164,480        948,609   

Other income

     (2,711     (2,687     (11,191     (11,422

Impairment charges

     102,569        —          129,281        —     

Depreciation and amortization

     48,227        31,412        165,594        121,552   

Interest expense

     26,244        2,843        80,919        7,090   

Investment income

     (242     (342     (1,031     (1,245
  

 

 

   

 

 

   

 

 

   

 

 

 
     1,612,554        1,102,559        5,585,138        4,269,843   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

     (89,866     32,925        (63,375     89,854   

Provision (benefit) for income taxes

     (16,952     13,170        (7,104     33,708   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations

     (72,914     19,755        (56,271     56,146   

Discontinued operations, net of income taxes:

        

Income from operations

     1,025        1,125        2,552        798   

Loss on divestiture of operations

     —          (456     —          (453
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from discontinued operations

     1,025        669        2,552        345   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

     (71,889     20,424        (53,719     56,491   

Loss attributable to noncontrolling interests

     58        —          238        —     
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) attributable to Kindred

   $ (71,831   $ 20,424      $ (53,481   $ 56,491   
  

 

 

   

 

 

   

 

 

   

 

 

 

Amounts attributable to Kindred stockholders:

        

Income (loss) from continuing operations

   $ (72,856   $ 19,755      $ (56,033   $ 56,146   

Income from discontinued operations

     1,025        669        2,552        345   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ (71,831   $ 20,424      $ (53,481   $ 56,491   
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings (loss) per common share:

        

Basic:

        

Income (loss) from continuing operations

   $ (1.42   $ 0.50      $ (1.21   $ 1.42   

Discontinued operations:

        

Income from operations

     0.02        0.03        0.05        0.02   

Loss on divestiture of operations

     —          (0.01     —          (0.01
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ (1.40   $ 0.52      $ (1.16   $ 1.43   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted:

        

Income (loss) from continuing operations

   $ (1.42   $ 0.50      $ (1.21   $ 1.42   

Discontinued operations:

        

Income from operations

     0.02        0.03        0.05        0.02   

Loss on divestiture of operations

     —          (0.01     —          (0.01
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ (1.40   $ 0.52      $ (1.16   $ 1.43   
  

 

 

   

 

 

   

 

 

   

 

 

 

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

        

Basic

     51,335        38,790        46,280        38,738   

Diluted

     51,335        39,089        46,280        38,954   

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 10

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Balance Sheet

(In thousands, except per share amounts)

 

     December 31,     December 31,  
     2011     2010  

ASSETS

    

Current assets:

    

Cash and cash equivalents

   $ 41,561      $ 17,168   

Cash—restricted

     5,551        5,494   

Insurance subsidiary investments

     70,425        76,753   

Accounts receivable less allowance for loss

     994,700        631,877   

Inventories

     31,060        24,327   

Deferred tax assets

     17,785        13,439   

Income taxes

     39,513        42,118   

Other

     32,687        24,862   
  

 

 

   

 

 

 
     1,233,282        836,038   

Property and equipment

     1,975,063        1,754,170   

Accumulated depreciation

     (916,022     (857,623
  

 

 

   

 

 

 
     1,059,041        896,547   

Goodwill

     1,084,655        242,420   

Intangible assets less accumulated amortization

     447,207        92,883   

Assets held for sale

     5,612        7,167   

Insurance subsidiary investments

     110,227        101,210   

Deferred tax assets

     —          88,816   

Other

     198,469        72,334   
  

 

 

   

 

 

 

Total assets

   $ 4,138,493      $ 2,337,415   
  

 

 

   

 

 

 

LIABILITIES AND EQUITY

    

Current liabilities:

    

Accounts payable

   $ 216,801      $ 174,495   

Salaries, wages and other compensation

     407,493        291,116   

Due to third party payors

     37,306        27,115   

Professional liability risks

     46,010        41,555   

Other accrued liabilities

     130,693        87,012   

Long-term debt due within one year

     10,620        91   
  

 

 

   

 

 

 
     848,923        621,384   

Long-term debt

     1,531,882        365,556   

Professional liability risks

     217,717        207,669   

Deferred tax liabilities

     17,955        —     

Deferred credits and other liabilities

     191,771        111,047   

Noncontrolling interests-redeemable

     9,704        —     

Equity:

    

Stockholders’ equity:

    

Common stock, $0.25 par value; authorized 175,000 shares; issued 52,116
shares—December 31, 2011 and 39,495 shares—December 31, 2010

     13,029        9,874   

Capital in excess of par value

     1,138,189        828,593   

Accumulated other comprehensive income (loss)

     (1,469     135   

Retained earnings

     139,172        193,157   
  

 

 

   

 

 

 
     1,288,921        1,031,759   

Noncontrolling interests-nonredeemable

     31,620        —     
  

 

 

   

 

 

 

Total equity

     1,320,541        1,031,759   
  

 

 

   

 

 

 

Total liabilities and equity

   $ 4,138,493      $ 2,337,415   
  

 

 

   

 

 

 

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 11

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Cash Flows

(In thousands)

 

     Three months ended     Year ended  
     December 31,     December 31,  
     2011     2010     2011     2010  

Cash flows from operating activities:

        

Net income (loss)

   $ (71,889   $ 20,424      $ (53,719   $ 56,491   

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

        

Depreciation and amortization

     48,227        31,412        165,594        121,552   

Amortization of stock-based compensation costs

     3,208        2,600        12,819        10,714   

Payment of lender fees related to debt issuance

     —          —          (46,232     —     

Provision for doubtful accounts

     13,084        6,010        35,133        24,397   

Deferred income taxes

     5,170        35,190        195        21,446   

Impairment charges

     102,569        —          129,281        —     

Loss on divestiture of discontinued operations

     —          456        —          453   

Other

     4,053        2,118        5,518        252   

Change in operating assets and liabilities:

        

Accounts receivable

     (36,758     (23,853     (144,830     (45,232

Inventories and other assets

     (4,451     (6,720     (802     (14,294

Accounts payable

     299        25,139        685        9,446   

Income taxes

     (25,537     (22,272     (4,745     3,462   

Due to third party payors

     (4,130     (8,886     568        1,213   

Other accrued liabilities

     2,055        (2,485     54,241        20,088   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by operating activities

     35,900        59,133        153,706        209,988   
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from investing activities:

        

Routine capital expenditures

     (37,640     (39,788     (132,903     (108,896

Development capital expenditures

     (18,085     (27,622     (87,655     (67,841

Acquisitions, net of cash acquired

     (4,551     (191,925     (715,458     (279,794

Sale of assets

     —          649        1,714        649   

Purchase of insurance subsidiary investments

     (9,719     (9,229     (35,623     (43,913

Sale of insurance subsidiary investments

     8,720        9,765        46,307        82,736   

Net change in insurance subsidiary cash and cash equivalents

     (9,343     2,091        (14,213     (8,521

Change in other investments

     3        —          1,003        2   

Other

     180        (317     (512     962   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

     (70,435     (256,376     (937,340     (424,616
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from financing activities:

        

Proceeds from borrowings under revolving credit

     493,500        920,900        2,126,800        2,030,800   

Repayment of borrowings under revolving credit

     (448,500     (720,400     (2,198,300     (1,812,800

Proceeds from issuance of senior unsecured notes

     —          —          550,000        —     

Proceeds from issuance of term loan, net of discount

     —          —          693,000        —     

Repayment of other long-term debt

     (2,645     (22     (350,878     (86

Payment of deferred financing costs

     (383     (1,417     (9,098     (2,831

Issuance of common stock

     —          14        3,019        49   

Purchase of noncontrolling interests in subsidiaries

     —          —          (7,292     —     

Other

     29        15        776        361   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by financing activities

     42,001        199,090        808,027        215,493   
  

 

 

   

 

 

   

 

 

   

 

 

 

Change in cash and cash equivalents

     7,466        1,847        24,393        865   

Cash and cash equivalents at beginning of period

     34,095        15,321        17,168        16,303   
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 41,561      $ 17,168      $ 41,561      $ 17,168   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 12

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Operations

(In thousands, except per share amounts)

 

     2010 Quarters           2011 Quarters        
     First     Second     Third     Fourth     Year     First     Second     Third     Fourth     Year  

Revenues

   $ 1,089,837      $ 1,081,364      $ 1,053,012      $ 1,135,484      $ 4,359,697      $ 1,192,421      $ 1,292,592      $ 1,514,062      $ 1,522,688      $ 5,521,763   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

     627,175        612,205        613,607        652,703        2,505,690        678,695        765,133        900,570        911,417        3,255,815   

Supplies

     85,886        85,455        83,753        87,103        342,197        90,022        96,718        107,514        107,760        402,014   

Rent

     88,319        88,981        89,295        90,777        357,372        91,453        95,677        105,511        106,616        399,257   

Other operating expenses

     234,204        238,687        234,968        240,750        948,609        259,369        287,132        305,305        312,674        1,164,480   

Other income

     (3,084     (2,857     (2,794     (2,687     (11,422     (2,785     (2,880     (2,815     (2,711     (11,191

Impairment charges

     —          —          —          —          —          —          —          26,712        102,569        129,281   

Depreciation and amortization

     31,121        29,852        29,167        31,412        121,552        32,549        37,871        46,947        48,227        165,594   

Interest expense

     1,307        1,298        1,642        2,843        7,090        5,728        23,157        25,790        26,244        80,919   

Investment (income) loss

     (877     377        (403     (342     (1,245     (495     (257     (37     (242     (1,031
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     1,064,051        1,053,998        1,049,235        1,102,559        4,269,843        1,154,536        1,302,551        1,515,497        1,612,554        5,585,138   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

     25,786        27,366        3,777        32,925        89,854        37,885        (9,959     (1,435     (89,866     (63,375

Provision (benefit) for income taxes

     10,631        11,230        (1,323     13,170        33,708        15,609        (3,419     (2,342     (16,952     (7,104
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations

     15,155        16,136        5,100        19,755        56,146        22,276        (6,540     907        (72,914     (56,271

Discontinued operations, net of income taxes:

                    

Income (loss) from operations

     (154     87        (260     1,125        798        (179     587        1,119        1,025        2,552   

Gain (loss) on divestiture of operations

     (137     54        86        (456     (453     —          —          —          —          —     
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from discontinued operations

     (291     141        (174     669        345        (179     587        1,119        1,025        2,552   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

     14,864        16,277        4,926        20,424        56,491        22,097        (5,953     2,026        (71,889     (53,719

(Earnings ) loss attributable to noncontrolling interests

     —          —          —          —          —          —          421        (241     58        238   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) attributable to Kindred

   $ 14,864      $ 16,277      $ 4,926      $ 20,424      $ 56,491      $ 22,097      $ (5,532   $ 1,785      $ (71,831   $ (53,481
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Amounts attributable to Kindred stockholders:

                    

Income (loss) from continuing operations

   $ 15,155      $ 16,136      $ 5,100      $ 19,755      $ 56,146      $ 22,276      $ (6,119   $ 666      $ (72,856   $ (56,033

Income (loss) from discontinued operations

     (291     141        (174     669        345        (179     587        1,119        1,025        2,552   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ 14,864      $ 16,277      $ 4,926      $ 20,424      $ 56,491      $ 22,097      $ (5,532   $ 1,785      $ (71,831   $ (53,481
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Earnings (loss) per common share:

                    

Basic:

                    

Income (loss) from continuing operations

   $ 0.38      $ 0.41      $ 0.13      $ 0.50      $ 1.42      $ 0.56      $ (0.14   $ 0.01      $ (1.42   $ (1.21

Discontinued operations:

                    

Income (loss) from operations

     —          —          (0.01     0.03        0.02        —          0.01        0.02        0.02        0.05   

Gain (loss) on divestiture of operations

     —          —          —          (0.01     (0.01     —          —          —          —          —     
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ 0.38      $ 0.41      $ 0.12      $ 0.52      $ 1.43      $ 0.56      $ (0.13   $ 0.03      $ (1.40   $ (1.16
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Diluted:

                    

Income (loss) from continuing operations

   $ 0.38      $ 0.41      $ 0.13      $ 0.50      $ 1.42      $ 0.55      $ (0.14   $ 0.01      $ (1.42   $ (1.21

Discontinued operations:

                    

Income (loss) from operations

     —          —          (0.01     0.03        0.02        —          0.01        0.02        0.02        0.05   

Gain (loss) on divestiture of operations

     —          —          —          (0.01     (0.01     —          —          —          —          —     
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ 0.38      $ 0.41      $ 0.12      $ 0.52      $ 1.43      $ 0.55      $ (0.13   $ 0.03      $ (1.40   $ (1.16
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

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

                    

Basic

     38,626        38,756        38,778        38,790        38,738        39,035        43,231        51,329        51,335        46,280   

Diluted

     38,859        38,914        38,838        39,089        38,954        39,543        43,231        51,406        51,335        46,280   

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 13

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data

(In thousands)

 

     2010 Quarters           2011 Quarters        
     First     Second     Third     Fourth     Year     First     Second     Third     Fourth     Year  

Revenues:

                    

Hospital division

   $ 507,062      $ 493,401      $ 465,198      $ 507,660      $ 1,973,321      $ 558,974      $ 593,425      $ 684,781      $ 712,812      $ 2,549,992   

Nursing center division

     539,321        542,215        539,914        566,435        2,187,885        567,472        568,199        571,226        547,202        2,254,099   

Rehabilitation division:

                    

Skilled nursing rehabilitation services

     95,563        97,273        99,860        111,059        403,755        114,618        161,246        252,574        246,720        775,158   

Hospital rehabilitation services

     21,147        20,913        20,436        21,182        83,678        22,490        38,291        69,811        70,232        200,824   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     116,710        118,186        120,296        132,241        487,433        137,108        199,537        322,385        316,952        975,982   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Home health and hospice division

     3,434        3,875        3,947        6,266        17,522        8,038        10,828        15,419        26,451        60,736   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     1,166,527        1,157,677        1,129,355        1,212,602        4,666,161        1,271,592        1,371,989        1,593,811        1,603,417        5,840,809   

Eliminations:

                    

Skilled nursing rehabilitation services

     (56,127     (55,809     (56,323     (56,365     (224,624     (57,081     (57,587     (57,922     (57,087     (229,677

Hospital rehabilitation services

     (20,226     (20,034     (19,502     (20,034     (79,796     (21,225     (20,706     (20,528     (22,167     (84,626

Home health and hospice

     (337     (470     (518     (719     (2,044     (865     (1,104     (1,299     (1,475     (4,743
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     (76,690     (76,313     (76,343     (77,118     (306,464     (79,171     (79,397     (79,749     (80,729     (319,046
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
   $ 1,089,837      $ 1,081,364      $ 1,053,012      $ 1,135,484      $ 4,359,697      $ 1,192,421      $ 1,292,592      $ 1,514,062      $ 1,522,688      $ 5,521,763   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations:

                    

Operating income (loss):

                    

Hospital division

   $ 95,440      $ 91,790      $ 75,784      $ 97,343      $ 360,357      $ 108,385      $ 108,465      $ 125,701      $ 144,891 (a)    $ 487,442   

Nursing center division

     70,614        76,529        69,363        86,912        303,418        87,350        93,532        89,592        67,791        338,265   

Rehabilitation division:

                    

Skilled nursing rehabilitation services

     9,575        9,325        9,580        5,223        33,703        9,159        15,978        27,575        13,204        65,916   

Hospital rehabilitation services

     5,146        4,793        4,728        4,302        18,969        5,332        8,033        15,606        14,760        43,731   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     14,721        14,118        14,308        9,525        52,672        14,491        24,011        43,181        27,964        109,647   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Home health and hospice division

     (38     (18     (94     84        (66     (10     (447     1,107        2,453        3,103   

Corporate:

                    

Overhead

     (33,831     (32,799     (34,329     (33,002     (133,961     (38,315     (43,801     (48,806     (43,878     (174,800

Insurance subsidiary

     (480     (791     (783     (1,099     (3,153     (602     (420     (750     (534     (2,306
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     (34,311     (33,590     (35,112     (34,101     (137,114     (38,917     (44,221     (49,556     (44,412     (177,106

Impairment charges (b)

     —          —          —          —          —          —          —          (26,712     (102,569     (129,281

Transaction costs (c)

     (770     (955     (771     (2,148     (4,644     (4,179     (34,851     (6,537     (5,139     (50,706
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     145,656        147,874        123,478        157,615        574,623        167,120        146,489        176,776        90,979        581,364   

Rent

     (88,319     (88,981     (89,295     (90,777     (357,372     (91,453     (95,677     (105,511     (106,616 )(d)      (399,257

Depreciation and amortization

     (31,121     (29,852     (29,167     (31,412     (121,552     (32,549     (37,871     (46,947     (48,227     (165,594

Interest, net

     (430     (1,675     (1,239     (2,501     (5,845     (5,233     (22,900     (25,753     (26,002     (79,888
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

     25,786        27,366        3,777        32,925        89,854        37,885        (9,959     (1,435     (89,866     (63,375

Provision (benefit) for income taxes

     10,631        11,230        (1,323     13,170        33,708        15,609        (3,419     (2,342     (16,952     (7,104
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
   $ 15,155      $ 16,136      $ 5,100      $ 19,755      $ 56,146      $ 22,276      $ (6,540   $ 907      $ (72,914   $ (56,271
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

 

(a) Includes loss on divestiture of a hospital of $1.5 million.
(b) Impairment charges for the third quarter of 2011 have been reclassified to conform with the current period presentation.
(c) Transaction costs for the 2010 periods have been reclassified to conform with the current period presentation.
(d) Includes lease cancellation charge of $1.8 million in connection with the RehabCare acquisition.

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 14

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Condensed Consolidating Statement of Operations

(In thousands)

 

     Three months ended December 31, 2011  
           Nursing     Rehabilitation division     Home           Transaction-              
     Hospital     center     Skilled nursing     Hospital            health and           related              
     division (a)     division     services     services      Total     hospice     Corporate     costs     Eliminations     Consolidated  

Revenues

   $ 712,812      $ 547,202      $ 246,720      $ 70,232       $ 316,952      $ 26,451      $ —        $ —        $ (80,729   $ 1,522,688   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

     321,657        269,454        221,404        50,151         271,555        19,155        28,976        647        (27     911,417   

Supplies

     77,124        28,450        843        67         910        1,025        251        —          —          107,760   

Rent

     52,299        49,748        1,415        72         1,487        568        695        1,819        —          106,616   

Other operating expenses

     169,140        181,507        11,269        5,254         16,523        3,818        17,896        4,492        (80,702     312,674   

Other income

     —          —          —          —           —          —          (2,711     —          —          (2,711

Impairment charges

     54,325        2,245        45,999        —           45,999        —          —              102,569   

Depreciation and amortization

     22,448        12,554        2,617        2,349         4,966        902        7,357        —          —          48,227   

Interest expense

     228        26        —          —           —          1        25,989        —          —          26,244   

Investment income

     (3     (28     —          —           —          (1     (210     —          —          (242
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     697,218        543,956        283,547        57,893         341,440        25,468        78,243        6,958        (80,729     1,612,554   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

   $ 15,594      $ 3,246      $ (36,827   $ 12,339       $ (24,488   $ 983      $ (78,243   $ (6,958   $ —          (89,866
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Income tax benefit

                        (16,952
                     

 

 

 

Loss from continuing operations

                      $ (72,914
                     

 

 

 

Capital expenditures, excluding acquisitions
(including discontinued operations):

                     

Routine

   $ 9,521      $ 7,577      $ 1,031      $ 60       $ 1,091      $ 65      $ 19,386      $ —        $ —        $ 37,640   

Development

     13,157        4,027        —          —           —          901        —          —          —          18,085   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
   $ 22,678      $ 11,604      $ 1,031      $ 60       $ 1,091      $ 966      $ 19,386      $ —        $ —        $ 55,725   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     Three months ended December 31, 2010  
           Nursing     Rehabilitation division     Home           Transaction-              
     Hospital     center     Skilled nursing     Hospital            health and           related              
     division     division     services     services      Total     hospice     Corporate     costs     Eliminations     Consolidated  

Revenues

   $ 507,660      $ 566,435      $ 111,059      $ 21,182       $ 132,241      $ 6,266      $ —        $ —        $ (77,118   $ 1,135,484   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

     230,028        274,784        102,835        16,213         119,048        4,719        23,813        357        (46     652,703   

Supplies

     57,884        28,131        573        39         612        332        144        —          —          87,103   

Rent

     39,406        49,647        1,540        27         1,567        122        35        —          —          90,777   

Other operating expenses

     122,405        176,608        2,428        628         3,056        1,131        12,831        1,791        (77,072     240,750   

Other income

     —          —          —          —           —          —          (2,687     —          —          (2,687

Depreciation and amortization

     13,421        11,646        646        99         745        85        5,515        —          —          31,412   

Interest expense

     2        35        —          —           —          —          2,806        —          —          2,843   

Investment income

     (2     (14     (2     —           (2     —          (324     —          —          (342
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     463,144        540,837        108,020        17,006         125,026        6,389        42,133        2,148        (77,118     1,102,559   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

   $ 44,516      $ 25,598      $ 3,039      $ 4,176       $ 7,215      $ (123   $ (42,133   $ (2,148   $ —          32,925   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Provision for income taxes

                        13,170   
                     

 

 

 

Income from continuing operations

                      $ 19,755   
                     

 

 

 

Capital expenditures, excluding acquisitions
(including discontinued operations):

                     

Routine

   $ 13,835      $ 12,292      $ 1,547      $ 208       $ 1,755      $ 61      $ 11,845      $ —        $ —        $ 39,788   

Development

     12,257        15,365        —          —           —          —          —          —          —          27,622   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
   $ 26,092      $ 27,657      $ 1,547      $ 208       $ 1,755      $ 61      $ 11,845      $ —        $ —        $ 67,410   
  

 

 

   

 

 

   

 

 

   

 

 

    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

 

(a) Includes loss on divestiture of a hospital of $1.5 million in other operating expenses.

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 15

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Condensed Consolidating Statement of Operations

(In thousands)

 

     Year ended December 31, 2011  
     Hospital
division (a)
    Nursing
center
division
    Rehabilitation division     Home
health and
hospice
    Corporate     Transaction-
related

costs
    Eliminations     Consolidated  
         Skilled nursing
services
    Hospital
services
    Total            

Revenues

   $ 2,549,992      $ 2,254,099      $ 775,158      $ 200,824      $ 975,982      $ 60,736      $ —        $ —        $ (319,046   $ 5,521,763   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

     1,164,486        1,085,476        679,177        144,147        823,324        45,378        120,478        16,769        (96     3,255,815   

Supplies

     283,628        112,095        2,826        189        3,015        2,438        838        —          —          402,014   

Rent

     189,332        198,556        6,275        228        6,503        1,366        1,681        1,819        —          399,257   

Other operating expenses

     614,436        718,263        27,239        12,757        39,996        9,817        66,981        33,937        (318,950     1,164,480   

Other income

     —          —          —          —          —          —          (11,191     —          —          (11,191

Impairment charges

     57,427        25,855        45,999        —          45,999        —          —              129,281   

Depreciation and amortization

     74,910        50,040        7,191        5,637        12,828        1,449        26,367        —          —          165,594   

Interest expense

     500        102        —          —          —          1        66,514        13,802        —          80,919   

Investment income

     (7     (86     (3     (1     (4     (1     (933     —          —          (1,031
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     2,384,712        2,190,301        768,704        162,957        931,661        60,448        270,735        66,327        (319,046     5,585,138   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

   $ 165,280      $ 63,798      $ 6,454      $ 37,867      $ 44,321      $ 288      $ (270,735   $ (66,327   $ —          (63,375
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Income tax benefit

                       (7,104
                    

 

 

 

Loss from continuing operations

                     $ (56,271
                    

 

 

 

Capital expenditures, excluding acquisitions (including discontinued operations):

                    

Routine

   $ 46,393      $ 34,304      $ 1,700      $ 238      $ 1,938      $ 164      $ 50,104      $ —        $ —        $ 132,903   

Development

     67,321        19,167        —          —          —          1,167        —          —          —          87,655   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
   $ 113,714      $ 53,471      $ 1,700      $ 238      $ 1,938      $ 1,331      $ 50,104      $ —        $ —        $ 220,558   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

     Year ended December 31, 2010  
     Hospital
division (b)
    Nursing
center
division (b)
    Rehabilitation division     Home
health  and
hospice
    Corporate (b)     Transaction-
related
costs
    Eliminations     Consolidated  
         Skilled nursing
services
    Hospital
services
    Total            

Revenues

   $ 1,973,321      $ 2,187,885      $ 403,755      $ 83,678      $ 487,433      $ 17,522      $ —        $ —        $ (306,464   $ 4,359,697   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

     894,345        1,080,344        356,171        62,173        418,344        12,880        99,480        357        (60     2,505,690   

Supplies

     228,157        110,266        2,003        106        2,109        1,108        557        —          —          342,197   

Rent

     152,986        198,105        5,644        106        5,750        386        145        —          —          357,372   

Other operating expenses

     490,462        693,857        11,878        2,430        14,308        3,600        48,499        4,287        (306,404     948,609   

Other income

     —          —          —          —          —          —          (11,422     —          —          (11,422

Depreciation and amortization

     51,639        45,471        2,169        306        2,475        234        21,733        —          —          121,552   

Interest expense

     5        131        —          —          —          —          6,954        —          —          7,090   

Investment income

     (3     (70     (5     (1     (6     —          (1,166     —          —          (1,245
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     1,817,591        2,128,104        377,860        65,120        442,980        18,208        164,780        4,644        (306,464     4,269,843   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

   $ 155,730      $ 59,781      $ 25,895      $ 18,558      $ 44,453      $ (686   $ (164,780   $ (4,644   $ —          89,854   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Provision for income taxes

                       33,708   
                    

 

 

 

Income from continuing operations

                     $ 56,146   
                    

 

 

 

Capital expenditures, excluding acquisitions (including discontinued operations):

                    

Routine

   $ 36,967      $ 37,024      $ 2,356      $ 293      $ 2,649      $ 66      $ 32,190      $ —        $ —        $ 108,896   

Development

     41,140        26,701        —          —          —          —          —          —          —          67,841   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
   $ 78,107      $ 63,725      $ 2,356      $ 293      $ 2,649      $ 66      $ 32,190      $ —        $ —        $ 176,737   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

(a) Includes loss on divestiture of a hospital of $1.5 million in other operating expenses.
(b) Includes $2.9 million in aggregate of severance and retirement costs in salaries, wages and benefits (hospital division—$ 1.1 million, nursing center division—$0.5 million and corporate—$1.3 million).

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 16

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data

(Unaudited)

 

     2010 Quarters             2011 Quarters         
     First      Second      Third      Fourth      Year      First      Second      Third      Fourth      Year  

Hospital division data:

                             

End of period data:

                             

Number of hospitals:

                             

Long-term acute care

     83         83         83         89            89         120         120         121      

Inpatient rehabilitation

     —           —           —           —              —           5         5         5      
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

    

 

 

    

 

 

    

 

 

    
     83         83         83         89            89         125         125         126      
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

    

 

 

    

 

 

    

 

 

    

Number of licensed beds:

                             

Long-term acute care

     6,580         6,576         6,563         6,887            6,889         8,609         8,597         8,597      

Inpatient rehabilitation

     —           —           —           —              —           183         183         183      
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

    

 

 

    

 

 

    

 

 

    
     6,580         6,576         6,563         6,887            6,889         8,792         8,780         8,780      
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

    

 

 

    

 

 

    

 

 

    

Revenue mix %:

                             

Medicare

     56         56         55         58         56         60         60         60         62         60   

Medicaid

     9         9         9         9         9         8         8         8         7         8   

Medicare Advantage

     10         10         10         9         10         10         10         10         10         10   

Commercial insurance and other

     25         25         26         24         25         22         22         22         21         22   

Admissions:

                             

Medicare

     7,432         7,125         6,769         7,640         28,966         8,504         8,913         11,002         11,682         40,101   

Medicaid

     997         990         1,022         1,034         4,043         1,085         1,163         1,236         1,163         4,647   

Medicare Advantage

     1,129         1,106         936         1,071         4,242         1,172         1,348         1,609         1,549         5,678   

Commercial insurance and other

     2,262         2,048         1,978         2,020         8,308         2,282         2,290         2,669         2,853         10,094   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
     11,820         11,269         10,705         11,765         45,559         13,043         13,714         16,516         17,247         60,520   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Admissions mix %:

                             

Medicare

     63         63         63         65         64         65         65         67         68         66   

Medicaid

     8         9         10         9         9         8         8         7         7         8   

Medicare Advantage

     10         10         9         9         9         9         10         10         9         9   

Commercial insurance and other

     19         18         18         17         18         18         17         16         16         17   

Patient days:

                             

Medicare

     202,882         195,964         179,324         198,129         776,299         219,213         237,257         275,561         285,358         1,017,389   

Medicaid

     47,813         45,952         48,514         46,596         188,875         45,650         45,746         48,911         48,648         188,955   

Medicare Advantage

     34,524         36,000         31,186         32,868         134,578         35,639         39,503         47,819         47,738         170,699   

Commercial insurance and other

     75,483         70,651         70,198         69,585         285,917         70,522         72,759         83,375         84,677         311,333   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
     360,702         348,567         329,222         347,178         1,385,669         371,024         395,265         455,666         466,421         1,688,376   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Average length of stay:

                             

Medicare

     27.3         27.5         26.5         25.9         26.8         25.8         26.6         25.0         24.4         25.4   

Medicaid

     48.0         46.4         47.5         45.1         46.7         42.1         39.3         39.6         41.8         40.7   

Medicare Advantage

     30.6         32.5         33.3         30.7         31.7         30.4         29.3         29.7         30.8         30.1   

Commercial insurance and other

     33.4         34.5         35.5         34.4         34.4         30.9         31.8         31.2         29.7         30.8   

Weighted average

     30.5         30.9         30.8         29.5         30.4         28.4         28.8         27.6         27.0         27.9   

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 17

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data (Continued)

(Unaudited)

 

     2010 Quarters             2011 Quarters         
     First      Second      Third      Fourth      Year      First      Second      Third      Fourth      Year  

Hospital division data (continued):

                             

Revenues per admission:

                             

Medicare

   $ 38,078       $ 38,938       $ 37,675       $ 38,368       $ 38,272       $ 39,439       $ 40,089       $ 37,408       $ 37,643       $ 38,503   

Medicaid

     45,738         42,774         42,910         41,704         43,266         42,432         41,576         40,720         44,618         42,309   

Medicare Advantage

     45,187         46,169         48,122         44,744         45,979         46,217         42,708         43,616         46,154         44,630   

Commercial insurance and other

     56,344         59,842         61,314         61,131         59,553         54,065         56,850         57,216         52,465         55,078   

Weighted average

     42,899         43,784         43,456         43,150         43,313         42,856         43,271         41,462         41,330         42,135   

Revenues per patient day:

                             

Medicare

   $ 1,395       $ 1,416       $ 1,422       $ 1,479       $ 1,428       $ 1,530       $ 1,506       $ 1,494       $ 1,541       $ 1,518   

Medicaid

     954         922         904         925         926         1,009         1,057         1,029         1,067         1,041   

Medicare Advantage

     1,478         1,418         1,444         1,458         1,449         1,520         1,457         1,468         1,498         1,485   

Commercial insurance and other

     1,688         1,735         1,728         1,775         1,730         1,749         1,789         1,832         1,768         1,786   

Weighted average

     1,406         1,416         1,413         1,462         1,424         1,507         1,501         1,503         1,528         1,510   

Medicare case mix index (discharged patients only)

     1.21         1.21         1.19         1.17         1.19         1.21         1.22         1.17         1.14         1.18   

Average daily census

     4,008         3,830         3,579         3,774         3,796         4,122         4,344         4,953         5,070         4,626   

Occupancy %

     68.2         66.1         62.0         64.0         65.1         68.7         65.5         62.6         63.5         64.8   

Annualized employee turnover %

     21.8         22.6         22.3         22.0            21.2         22.1         21.4         20.3      

Nursing center division data:

                             

End of period data:

                             

Number of facilities:

                             

Nursing and rehabilitation centers:

                             

Owned or leased

     218         219         222         222            220         220         220         220      

Managed

     4         4         4         4            4         4         4         4      

Assisted living facilities

     6         7         7         7            6         6         6         6      
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

    

 

 

    

 

 

    

 

 

    
     228         230         233         233            230         230         230         230      
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

    

 

 

    

 

 

    

 

 

    

Number of licensed beds:

                             

Nursing and rehabilitation centers:

                             

Owned or leased

     26,711         26,760         27,030         26,957            26,767         26,687         26,687         26,663      

Managed

     485         485         485         485            485         485         485         485      

Assisted living facilities

     327         463         463         463            413         413         413         413      
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

    

 

 

    

 

 

    

 

 

    
     27,523         27,708         27,978         27,905            27,665         27,585         27,585         27,561      
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

    

 

 

    

 

 

    

 

 

    

Revenue mix %:

                             

Medicare

     35         34         33         36         35         38         37         36         33         36   

Medicaid

     41         41         41         39         40         37         38         38         40         38   

Medicare Advantage

     6         7         7         7         7         7         7         7         7         7   

Private and other

     18         18         19         18         18         18         18         19         20         19   

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 18

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data (Continued)

(Unaudited)

 

     2010 Quarters             2011 Quarters         
     First      Second      Third      Fourth      Year      First      Second      Third      Fourth      Year  

Nursing center division data (continued):

                             

Patient days (excludes managed facilities):

                             

Medicare

     369,102         363,149         346,837         344,018         1,423,106         370,395         358,760         345,362         334,156         1,408,673   

Medicaid

     1,312,517         1,292,246         1,289,643         1,287,739         5,182,145         1,232,620         1,229,517         1,255,418         1,248,442         4,965,997   

Medicare Advantage

     87,692         92,051         91,643         94,336         365,722         97,460         94,483         95,751         95,730         383,424   

Private and other

     397,550         415,921         437,413         453,357         1,704,241         425,414         435,667         436,074         441,362         1,738,517   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
     2,166,861         2,163,367         2,165,536         2,179,450         8,675,214         2,125,889         2,118,427         2,132,605         2,119,690         8,496,611   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Patient day mix %:

                             

Medicare

     17         17         16         16         16         17         17         16         16         17   

Medicaid

     61         60         60         59         60         58         58         59         59         58   

Medicare Advantage

     4         4         4         4         4         5         4         5         4         5   

Private and other

     18         19         20         21         20         20         21         20         21         20   

Revenues per patient day:

                             

Medicare Part A

   $ 470       $ 469       $ 468       $ 534       $ 485       $ 537       $ 544       $ 550       $ 491       $ 531   

Total Medicare (including Part B)

     513         515         519         587         533         579         589         599         544         578   

Medicaid

     168         171         171         171         170         172         173         174         176         174   

Medicare Advantage

     398         400         405         432         409         416         420         421         405         415   

Private and other

     238         234         232         228         233         235         240         243         241         240   

Weighted average

     249         250         249         260         252         267         268         268         258         265   

Average daily census

     24,076         23,773         23,538         23,690         23,768         23,621         23,279         23,180         23,040         23,278   

Admissions (excludes managed facilities)

     19,026         18,924         19,383         19,118         76,451         20,619         20,143         20,118         19,914         80,794   

Occupancy %

     89.0         87.3         86.8         86.4         87.4         86.9         85.9         85.5         85.1         85.9   

Medicare average length of stay

     33.7         35.2         34.3         33.0         34.0         32.9         33.4         33.0         32.1         32.8   

Annualized employee turnover %

     36.7         38.8         39.8         39.6            37.8         39.8         40.2         39.2      

Rehabilitation division data:

                             

Skilled nursing rehabilitation services:

                             

Revenue mix %:

                             

Company-operated

     59         57         56         51         56         50         36         23         23         30   

Non-affiliated

     41         43         44         49         44         50         64         77         77         70   

Sites of service (at end of period)

     554         568         595         635            641         1,848         1,835         1,774      

Revenue per site

   $ 172,498       $ 171,254       $ 167,832       $ 174,896       $ 686,480       $ 178,812       $ 137,316       $ 137,643       $ 139,077       $ 592,848   

Therapist productivity %

     83.8         84.2         82.1         78.6         82.0         80.6         81.6         80.5         80.1         80.4   

Hospital rehabilitation services:

                             

Revenue mix %:

                             

Company-operated

     96         96         95         95         95         94         54         29         32         42   

Non-affiliated

     4         4         5         5         5         6         46         71         68         58   

Sites of service (at end of period):

                             

Inpatient rehabilitation units

     —           —           —           1            1         104         102         102      

LTAC hospitals

     85         85         85         91            93         97         99         115      

Sub-acute units

     7         7         7         7            8         22         23         25      

Outpatient units

     10         11         11         12            12         119         114         115      

Other

     2         2         4         4            5         8         7         8      
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

    

 

 

    

 

 

    

 

 

    
     104         105         107         115            119         350         345         365      
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

    

 

 

    

 

 

    

 

 

    

Revenue per site

   $ 203,337       $ 199,174       $ 190,986       $ 184,193       $ 777,690       $ 188,989       $ 199,661       $ 202,352       $ 192,410       $ 783,412   

Annualized employee turnover %

     12.6         14.2         15.4         14.4            14.5         17.1         16.5         16.5      

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 19

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Earnings (Loss) Per Common Share Reconciliation (a)

(In thousands, except per share amounts)

 

     Three months ended December 31,     Year ended December 31,  
     2011     2010     2011     2010  
     Basic     Diluted     Basic     Diluted     Basic     Diluted     Basic     Diluted  

Earnings (loss):

                

Amounts attributable to Kindred stockholders:

                

Income (loss) from continuing operations:

                

As reported in Statement of Operations

   $ (72,856   $ (72,856   $ 19,755      $ 19,755      $ (56,033   $ (56,033   $ 56,146      $ 56,146   

Allocation to participating unvested restricted stockholders

     —          —          (347     (344     —          —          (1,015     (1,009
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ (72,856   $ (72,856   $ 19,408      $ 19,411      $ (56,033   $ (56,033   $ 55,131      $ 55,137   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Discontinued operations, net of income taxes:

                

Income from operations:

                

As reported in Statement of Operations

   $ 1,025      $ 1,025      $ 1,125      $ 1,125      $ 2,552      $ 2,552      $ 798      $ 798   

Allocation to participating unvested restricted stockholders

     —          —          (20     (20     —          —          (14     (14
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ 1,025      $ 1,025      $ 1,105      $ 1,105      $ 2,552      $ 2,552      $ 784      $ 784   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Loss on divestiture of operations:

                

As reported in Statement of Operations

   $ —        $ —        $ (456   $ (456   $ —        $ —        $ (453   $ (453

Allocation to participating unvested restricted stockholders

     —          —          8        8        —          —          8        8   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ —        $ —        $ (448   $ (448   $ —        $ —        $ (445   $ (445
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss):

                

As reported in Statement of Operations

   $ (71,831   $ (71,831   $ 20,424      $ 20,424      $ (53,481   $ (53,481   $ 56,491      $ 56,491   

Allocation to participating unvested restricted stockholders

     —          —          (359     (356     —          —          (1,021     (1,015
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ (71,831   $ (71,831   $ 20,065      $ 20,068      $ (53,481   $ (53,481   $ 55,470      $ 55,476   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Shares used in the computation:

                

Weighted average shares outstanding—basic computation

     51,335        51,335        38,790        38,790        46,280        46,280        38,738        38,738   
  

 

 

     

 

 

     

 

 

     

 

 

   

Dilutive effect of employee stock options

       —            137          —            135   

Dilutive effect of performance-based restricted shares

       —            162          —            81   
    

 

 

     

 

 

     

 

 

     

 

 

 

Adjusted weighted average shares outstanding—diluted computation

       51,335          39,089          46,280          38,954   
    

 

 

     

 

 

     

 

 

     

 

 

 

Earnings (loss) per common share:

                

Income (loss) from continuing operations

   $ (1.42   $ (1.42   $ 0.50      $ 0.50      $ (1.21   $ (1.21   $ 1.42      $ 1.42   

Discontinued operations:

                

Income from operations

     0.02        0.02        0.03        0.03        0.05        0.05        0.02        0.02   

Loss on divestiture of operations

     —          —          (0.01     (0.01     —          —          (0.01     (0.01
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

   $ (1.40   $ (1.40   $ 0.52      $ 0.52      $ (1.16   $ (1.16   $ 1.43      $ 1.43   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

(a) Earnings (loss) per common share are based upon the weighted average number of common shares outstanding during the respective periods. The diluted calculation of earnings (loss) per common share includes the dilutive effect of stock options. The Company follows the provisions of the authoritative guidance for determining whether instruments granted in share-based payment transactions are participating securities, which requires that certain unvested restricted stock be included as a participating security in the basic and diluted earnings (loss) per common share calculation pursuant to the two-class method.

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 20

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Reconciliation of Non-GAAP Measurements to GAAP Results

(Unaudited)

(In thousands, except per share amounts and statistics)

In addition to the results provided in accordance with GAAP, the Company has provided a non-GAAP measurement which presents operating results for the fourth quarters and years ended December 31, 2011 and 2010 before certain charges or on a core basis. The charges that were excluded from core operating results for the fourth quarter ended December 31, 2011 relate to transaction, severance, lease cancellation, loss on hospital divestiture and impairment charges. The charges that were excluded from core operating results for the year ended December 31, 2011 relate to transaction, financing, severance, lease cancellation, loss on hospital divestiture and impairment charges. The charges that were excluded from core operating results for the fourth quarter ended December 31, 2010 relate to transaction costs. The charges that are excluded from core operations results for the year ended December 31, 2010 relate to transaction, severance and retirement costs.

The income tax benefit associated with the excluded charges was calculated using an effective income tax rate of 21.9% and 28.4% for the fourth quarter and year ended December 31, 2011, respectively, and an effective income tax rate of 25.3% and 34.7% for the fourth quarter and year ended December 31, 2010, respectively. Certain of the excluded charges for the fourth quarter and year ended December 31, 2011 are not deductible for income tax purposes thus resulting in a lower effective income tax rate than the comparable prior year periods.

This non-GAAP measurement is not intended to replace the presentation of the Company's financial results in accordance with GAAP. The Company believes that the presentation of core operating results provides additional information to investors to facilitate the comparison between periods by excluding certain charges for the fourth quarter and year ended December 31, 2011 and 2010 that the Company believes are not representative of its ongoing operations due to the materiality and nature of the charges. The Company's core operating results also represent a key performance measure for the purposes of evaluating performance internally.

 

     Three months ended
December 31,
    Year ended
December 31,
 
     2011     2010     2011     2010  

Detail of charges excluded from core operating results:

        

Transaction costs

   ($ 4,492   ($ 2,148   ($ 33,937   ($ 4,644

Financing costs (in connection with the RehabCare acquisition)

     —          —          (13,802     —     

Severance and retirement costs (in connection with the RehabCare acquisition for 2011 periods)

     (647     —          (16,769     (2,906

Lease cancellation charge (in connection with the RehabCare acquisition)

     (1,819     —          (1,819     —     

Loss on hospital divestiture

     (1,490     —          (1,490     —     

Impairment charges

     (102,569     —          (129,281     —     
  

 

 

   

 

 

   

 

 

   

 

 

 
     (111,017     (2,148     (197,098     (7,550

Income tax benefit

     24,313        543        56,021        2,623   
  

 

 

   

 

 

   

 

 

   

 

 

 

Charges net of income taxes

     (86,704     (1,605     (141,077     (4,927

Allocation to participating unvested restricted stockholders

     —          28        —          89   
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   ($ 86,704   ($ 1,577   ($ 141,077   ($ 4,838
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average diluted shares outstanding

     51,335        39,089        46,280        38,954   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted loss per common share related to charges

   ($ 1.69   ($ 0.04   ($ 3.05   ($ 0.12
  

 

 

   

 

 

   

 

 

   

 

 

 

Reconciliation of adjusted operating income before charges:

        

Operating income before charges

   $ 200,177      $ 159,763      $ 762,841      $ 582,173   

Detail of charges excluded from core operating results:

        

Transaction costs

     (4,492     (2,148     (33,937     (4,644

Severance and retirement costs

     (647     —          (16,769     (2,906

Loss on hospital divestiture

     (1,490     —          (1,490     —     

Impairment charges

     (102,569     —          (129,281     —     
  

 

 

   

 

 

   

 

 

   

 

 

 
     (109,198     (2,148     (181,477     (7,550
  

 

 

   

 

 

   

 

 

   

 

 

 

Reported operating income

   $ 90,979      $ 157,615      $ 581,364      $ 574,623   
  

 

 

   

 

 

   

 

 

   

 

 

 

Reconciliation of adjusted income from continuing operations before charges:

        

Amounts attributable to Kindred stockholders:

        

Income from continuing operations before charges

   $ 13,848      $ 21,360      $ 85,044      $ 61,073   

Charges net of income taxes

     (86,704     (1,605     (141,077     (4,927
  

 

 

   

 

 

   

 

 

   

 

 

 

Reported income (loss) from continuing operations

   ($ 72,856   $ 19,755      ($ 56,033   $ 56,146   
  

 

 

   

 

 

   

 

 

   

 

 

 

Reconciliation of diluted income per common share from continuing operations before charges:

        

Diluted income per common share before charges (a)

   $ 0.27      $ 0.54      $ 1.80      $ 1.54   

Charges net of income taxes as computed above

     (1.69     (0.04     (3.05     (0.12

Other

     —          —          0.04        —     
  

 

 

   

 

 

   

 

 

   

 

 

 

Reported diluted income (loss) per common share from continuing operations

   ($ 1.42   $ 0.50      ($ 1.21   $ 1.42   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average diluted shares used to compute diluted income (loss) per common share from continuing operations before charges

     51,371        39,089        46,587        38,954   

Reconciliation of effective income tax rate before charges:

        

Effective income tax rate before charges

     34.8     39.1     36.6     37.3

Impact of charges on effective income tax rate

     -15.9     0.9     -25.4     0.2
  

 

 

   

 

 

   

 

 

   

 

 

 

Reported effective income tax rate

     18.9     40.0     11.2     37.5
  

 

 

   

 

 

   

 

 

   

 

 

 

 

(a) For purposes of computing diluted earnings per common share before charges, income from continuing operations before charges was reduced by $0.2 million and $0.4 million for the fourth quarters ended December 31, 2011 and 2010, respectively, and $1.4 million and $1.1 million for the years ended December 31, 2011 and 2010, respectively, for the allocation of income to participating unvested restricted stockholders.

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 21

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Reconciliation of Non-GAAP Measurements to GAAP Results (Continued)

(Unaudited)

(In thousands)

In addition to the results provided in accordance with GAAP, the Company has provided a non-GAAP measurement which presents operating cash flows for the fourth quarters and years ended December 31, 2011 and 2010 excluding certain payments, net of income tax benefit, or on an adjusted basis. The payments that were excluded from adjusted operating cash flows for the fourth quarter ended December 31, 2011 relate to transaction and severance costs, net of income tax benefit. The payments that were excluded from adjusted operating cash flows for the year ended December 31, 2011 relate to financing, transaction and severance costs, net of income tax benefit. The payments that were excluded from operating cash flows for the fourth quarter ended December 31, 2010 relate to transaction costs, net of income tax benefit. The payments that are excluded from adjusted operating cash flows for the year ended December 31, 2010 relate to transaction, severance and retirement costs, net of income tax benefit.

The income tax benefit associated with the excluded payments was calculated using an effective income tax rate of 38.3% and 30.1% for the fourth quarter and year ended December 31, 2011, respectively, and an effective income tax rate of 25.3% and 34.7% for the fourth quarter and year ended December 31, 2010, respectively. Certain of the excluded payments for the fourth quarters and years ended December 31, 2011 and 2010 are not deductible for income tax purposes resulting in variances in the effective income tax rate compared to prior year periods.

This non-GAAP measurement is not intended to replace the presentation of the Company's operating cash flows in accordance with GAAP. The Company believes that the presentation of adjusted operating cash flows provides additional information to investors to facilitate the comparison between periods by excluding certain payments for the fourth quarters and years ended December 31, 2011 and 2010 that the Company believes are not representative of its ongoing operations due to the materiality and nature of the payments. The Company's adjusted operating cash flows also represent a key cash flow measure for the purposes of evaluating cash flows internally.

 

     Three months ended
December 31,
    Year ended
December 31,
 
     2011     2010     2011     2010  

Reconciliation of net cash flows provided by operating activities to adjusted operating cash flows:

        

Net cash provided by operating activities

   $ 35,900      $ 59,133      $ 153,706      $ 209,988   

Adjustments to remove certain payments:

        

Financing costs:

        

Capitalized as deferred financing costs

     —          —          46,232        —     

Charged to interest expense

     —          —          13,074        —     

Transaction costs

     4,369        2,111        33,827        3,821   

Severance and retirement costs

     1,038        —          11,303        2,689   

Benefit of reduced income tax payments resulting from financing, transaction, severance and retirement costs

     (2,656     (543     (20,502     (2,623
  

 

 

   

 

 

   

 

 

   

 

 

 
     2,751        1,568        83,934        3,887   
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted operating cash flows

   $ 38,651      $ 60,701      $ 237,640      $ 213,875   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

- MORE -


Kindred Healthcare Announces Fourth Quarter Results

Page 22

February 23, 2012

 

KINDRED HEALTHCARE, INC.

Reconciliation of Earnings Guidance for 2012—Continuing Operations

(Unaudited)

(In millions, except per share amounts)

 

     As of February 23, 2012     As of November 2, 2011  
     Low     High     Low     High  

Operating income

   $ 868      $ 884      $ 911      $ 928   
  

 

 

   

 

 

   

 

 

   

 

 

 

Rent

     434        434        445        445   

Depreciation and amortization

     197        197        200        200   

Interest, net

     107        107        110        110   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

     130        146        156        173   

Provision for income taxes

     54        60        63        69   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations

     76        86        93        104   

Earnings attributable to noncontrolling interests

     (3     (3     (4     (4
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations attributable to the Company

     73        83        89        100   

Allocation to participating unvested restricted stockholders

     (2     (2     (2     (2
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ 71      $ 81      $ 87      $ 98   
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings per diluted share

   $ 1.35      $ 1.55      $ 1.65      $ 1.85   

Shares used in computing earnings per diluted share

     52.5        52.5        53.0        53.0   

 

(a) The Company's earnings guidance excludes the effect of (i) any transaction-related charges, (ii) any other reimbursement changes, (iii) any acquisitions or divestitures, (iv) any impairment charges, or (v) any repurchases of common stock.

 

- END-