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8-K - FORM 8-K - KINDRED HEALTHCARE, INCd723215d8k.htm
EX-99.2 - EX-99.2 - KINDRED HEALTHCARE, INCd723215dex992.htm

EXHIBIT 99.1

 

LOGO

 

Contact: Hank Robinson
     Senior Vice President, Tax and Treasurer
     (502) 596-7732

KINDRED HEALTHCARE ANNOUNCES FIRST QUARTER RESULTS

 

 

First Quarter Continuing Operations Diluted EPS Totaled $0.32, Excluding Certain Items

Solid Start to the Year with Sequential Margin Improvement in Each Operating Segment

First Quarter GAAP Continuing Operations Diluted EPS Totaled $0.31

 

 

Company Reaffirms Fiscal 2014 Guidance for Core Earnings of $1.05 to $1.25 and Free Cash Flow

Guidance of $125 Million to $145 Million before $26 Million of Estimated Full-Year Cash Dividends

LOUISVILLE, Ky. (May 7, 2014) – Kindred Healthcare, Inc. (“Kindred” or the “Company”) (NYSE:KND) today announced its operating results for the first quarter ended March 31, 2014. The Company has reclassified as discontinued for all periods presented the operations of a transitional care (“TC”) hospital that was divested through the expiration of a lease. All financial and statistical information included in this press release reflects the continuing operations of the Company’s businesses for all periods presented unless otherwise indicated.

Highlights:

 

    Consolidated revenues, operating income and operating margin rose sequentially from last quarter on improvements in each operating segment

 

    Hospital division performed well despite a challenging backdrop, as strong cost controls partially mitigated the impact of a 2% decline in net revenues from volume softness, sequestration and commercial rate pressures

 

    RehabCare operating income increased 1% and operating margins improved to 11.4% from 11.1% in the first quarter last year despite regulatory headwinds that became effective April 1, 2013

 

    Nursing center division revenue growth and solid cost controls drove a 13% increase in operating income, a solid improvement in operating margins and in March, the first profitable month of operations in two years

 

    Investments in our Care Management division and Kindred at Home led to revenue growth over prior year of 70% and operating income growth of 30%; platform for future growth established

 

    Kindred repositioning strategy almost complete

 

    Divestiture of 59 nursing centers leased from Ventas, Inc. (“Ventas”) (NYSE:VTR) on schedule; 26 nursing centers transferred as of May 1 and all but one facility scheduled to transfer by end of Q3

 

    The real estate of two previously leased nursing centers was acquired for $22 million reducing annual rents by approximately $2 million

 

    The refinancing of the Company’s existing secured and unsecured debt on April 9 lowers borrowing costs, extends debt maturities and reduces interest rate risk

 

    Kindred is well positioned operationally and financially to grow in 2014 and beyond

 

    Available borrowing capacity under the Company’s revolving credit facility approximated $377 million after the April 9 refinancing

 

    Board of Directors declared regular quarterly cash dividend of $0.12 per share payable on June 11, 2014

 

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680 South Fourth Street     Louisville, Kentucky 40202

502.596.7300     www.kindredhealthcare.com


Kindred Healthcare Announces First Quarter Results

Page 2

May 7, 2014

 

First Quarter Results

Continuing Operations

Consolidated revenues for the first quarter ended March 31, 2014 increased 2% to $1.30 billion compared to $1.28 billion in the same period in 2013. The Company reported income from continuing operations for the first quarter of 2014 of $16.8 million or $0.31 per diluted share compared to $10.4 million or $0.20 per diluted share in the first quarter of 2013. First quarter 2014 operating results included pretax charges of $0.7 million ($0.4 million net of income taxes) or $0.01 per diluted share related to transaction-related costs. Operating results for the first quarter of 2013 included a one-time bonus paid to employees who did not participate in the Company’s incentive compensation program and transaction-related costs, which reduced income from continuing operations in aggregate by $12.6 million or $0.23 per diluted share.

Management Commentary

Paul J. Diaz, Chief Executive Officer of the Company, commented, “We are very pleased to report a solid start to 2014. As we expected, hospital volumes improved sequentially in the first quarter, which historically has been our seasonally strongest quarter. That said, we continued to experience the same volume and utilization challenges experienced recently by many healthcare providers and successfully managed costs to mitigate the impact.”

Mr. Diaz further noted, “Our RehabCare division continues to make great progress, as evidenced by our operating income increase and margin improvement, notwithstanding Medicare reimbursement reductions. In addition, we added 45 net new skilled nursing rehabilitation sites of service during the quarter. The efforts we have made to reshape our nursing center division are continuing to pay off as we saw a significant improvement in operating margins in the first quarter. We are developing three additional transitional care centers in Indianapolis, Phoenix and Las Vegas, which will add to the momentum in this division.”

“Our Care Management division continues to make operating improvements in our home health and hospice operations as we assimilate numerous acquisitions and execute on a more standardized operating model. Our recent acquisitions of Senior Home Care and Kindred Home Based Primary Care (formerly Western Reserve Senior Care) have performed well and strengthen our commitment to further expand our Care Management division. We have made significant improvements in our management, processes and technology and hope to apply those tools across a larger platform over time.”

Benjamin A. Breier, President and Chief Operating Officer of the Company, commented, “Our recently announced acquisition of the Silver State Accountable Care Organization (“ACO”) in Las Vegas, Nevada, is a very exciting transaction for Kindred, and the partnership marks our first ownership and direct management of an ACO anywhere in the country. We are always identifying opportunities to learn and grow, and Silver State, along with our home-based primary care physician strategy, and our care transitions programs in many of our integrated markets are all examples of our efforts to develop, test and deploy new care delivery and payment models across our platform. Our stated goal of advancing value-based care models in multiple markets over the next few years remains on track.”

Commenting on the Company’s strategic initiatives, Mr. Diaz commented, “We continue to make great strides in completing our efforts to reposition our business with the ongoing transfer of the 59 Ventas nursing centers. We also closed the previously announced acquisition of two leased nursing centers and terminated the lease of an unprofitable hospital.”

“Our recent $2.25 billion debt refinancing reinforces our capabilities to expand our continuum of post-acute care services in our Integrated Care Markets and provides the flexibility to return capital to our shareholders through a recurring quarterly dividend. We remain committed to improving our long-term growth, profitability and financial position and enhancing our Integrated Care Market capabilities, particularly in home health and hospice services. We also continue to evaluate various opportunities to redeploy our management capabilities, industry leading infrastructure and financial resources as we move forward with the growth phase of our strategic plan.”

 

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Kindred Healthcare Announces First Quarter Results

Page 3

May 7, 2014

 

Earnings Guidance – Continuing Operations

The Company reaffirmed its previous earnings guidance for 2014 and expects to report income from continuing operations for 2014 between $58 million and $68 million or $1.05 to $1.25 per diluted share (based upon diluted shares of 53.2 million).

The Company also reaffirmed its operating cash flow guidance for 2014 at a range between $245 million and $275 million. Estimated routine capital expenditures for 2014 are expected to range from $100 million to $105 million and estimated costs to develop new or replacement TC hospitals, transitional care nursing centers, and inpatient rehabilitation facilities (“IRFs”) will approximate $20 million to $25 million in 2014. Operating cash flows in excess of the Company’s routine and development capital spending programs are expected to approximate $125 million to $145 million for 2014 and will be available to pay dividends, repay debt and fund acquisitions. Estimated dividend payments for 2014 are expected to approximate $26 million.

Mr. Breier commented, “We have a higher level of confidence in our 2014 earnings and free cash flow guidance after a solid start to the year. We look forward to continued improvements in our hospital business and continuing the solid first quarter performance from our other divisions. We also expect additional cost savings from initiatives across the enterprise, and growth over time from a broad range of internal and external development efforts. Our strategy is continually focused on being the post-acute provider and partner of choice.”

The Company’s earnings and cash flow guidance for 2014 excludes the effect of reimbursement changes, severance, retirement and retention costs, litigation costs, transaction-related costs, any further acquisitions or divestitures, any impairment charges, and any repurchases of common stock.

Quarterly Cash Dividend

The Company also announced that its Board of Directors has approved the payment of the regular quarterly cash dividend to its shareholders of $0.12 per common share to be paid on June 11, 2014 to shareholders of record as of the close of business on May 21, 2014. Future declarations of quarterly dividends will be subject to the approval of Kindred’s Board of Directors.

Conference Call

As previously announced, investors and the general public may access a live webcast of the first quarter 2014 conference call through a link on the Company’s website at http://investors.kindredhealthcare.com. The conference call will be held on May 8 at 10:00 a.m. (Eastern Time).

A telephone replay of the conference call will become available at approximately 1:00 p.m. on May 8 by dialing (719) 457-0820, access code: 5576523. The replay will be available through May 18.

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

 

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Kindred Healthcare Announces First Quarter Results

Page 4

May 7, 2014

 

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. Statements in this press release concerning the Company’s business outlook or future economic performance, anticipated profitability, revenues, expenses or other financial items, and product or services line growth, together with other statements that are not historical facts, are forward-looking statements that are estimates reflecting the best judgment of the Company based upon currently available information.

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, results or stock price include, without limitation, (a) the impact of healthcare reform, which will initiate significant changes 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, including reforms resulting from the Patient Protection and Affordable Care Act and the Healthcare Education and Reconciliation Act (collectively, the “ACA”) or future deficit reduction measures adopted at the federal or state level. Healthcare reform is affecting each of the Company’s businesses in some manner. Potential future efforts in the U.S. Congress to repeal, amend, modify or retract funding for various aspects of the ACA create additional uncertainty about the ultimate impact of the ACA on the Company and the healthcare industry. 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 the final rules issued by CMS on August 1, 2012 which, among other things, will reduce Medicare reimbursement to the Company’s TC hospitals in 2013 and beyond by imposing a budget neutrality adjustment and modifying the short-stay outlier rules, (c) the impact of the final rules issued by CMS on July 29, 2011 which significantly reduced Medicare reimbursement to the Company’s nursing centers and changed payments for the provision of group therapy services effective October 1, 2011, (d) the impact of the Budget Control Act of 2011 (as amended by the American Taxpayer Relief Act of 2012 (the “Taxpayer Relief Act”)) which instituted an automatic 2% reduction on each claim submitted to Medicare beginning April 1, 2013, (e) the Company’s ability to adjust to the new patient criteria for long-term acute care (“LTAC”) hospitals under the Pathway for SGR Reform Act of 2013, which will reduce the population of patients eligible for the Company’s hospital services and change the basis upon which the Company is paid, (f) the impact of the Taxpayer Relief Act which, among other things, reduces Medicare payments by an additional 25% for subsequent procedures when multiple therapy services are provided on the same day. At this time, the Company believes that the rules related to multiple therapy services will reduce its Medicare revenues by $25 million to $30 million on an annual basis, (g) 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 reimbursement for the Company’s TC hospitals, nursing centers, IRFs and home health and hospice operations, and the expiration of the Medicare Part B therapy cap exception process, (h) 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, (i) the ability of the Company’s hospitals and nursing centers to adjust to medical necessity reviews, (j) the costs of defending and insuring against alleged

 

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Kindred Healthcare Announces First Quarter Results

Page 5

May 7, 2014

 

professional liability and other claims (including those related to pending whistleblower and wage and hour class action lawsuits against the Company) and the Company’s ability to predict the estimated costs and reserves related to such claims, including the impact of differences in actuarial assumptions and estimates compared to eventual outcomes, (k) the impact of the Company’s significant level of indebtedness on the Company’s funding costs, operating flexibility and ability to fund ongoing operations, development capital expenditures or other strategic acquisitions with additional borrowings, (l) the Company’s ability to successfully redeploy its capital and proceeds of asset sales in pursuit of its business strategy and 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, as and when planned, including the potential impact of unanticipated issues, expenses and liabilities associated with those activities, (m) the Company’s ability to pay a dividend as, when and if declared by the Board of Directors, in compliance with applicable laws and the Company’s debt and other contractual arrangements, (n) the failure of the Company’s facilities to meet applicable licensure and certification requirements, (o) the further consolidation and cost containment efforts of managed care organizations and other third party payors, (p) the Company’s ability to meet its rental and debt service obligations, (q) the Company’s ability to operate pursuant to the terms of its debt obligations, and comply with its covenants thereunder, and the Company’s ability to operate pursuant to its master lease agreements with Ventas, (r) 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, (s) the Company’s ability to control costs, particularly labor and employee benefit costs, (t) the Company’s ability to successfully reduce (by divestiture of operations or otherwise) its exposure to professional liability and other claims, (u) the Company’s obligations under various laws to self-report suspected violations of law by the Company to various government agencies, including any associated obligation to refund overpayments to government payors, fines and other sanctions, (v) national and regional economic, financial, business and political conditions, including their effect on the availability and cost of labor, credit, materials and other services, (w) increased operating costs due to shortages in qualified nurses, therapists and other healthcare personnel, (x) the Company’s ability to attract and retain key executives and other healthcare personnel, (y) the Company’s ability to successfully dispose of unprofitable facilities, (z) events or circumstances which could result in the impairment of an asset or other charges, such as the impact of the Medicare reimbursement regulations that resulted in the Company recording significant impairment charges in the last three fiscal years, (aa) 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 (bb) 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 information in this release to compute certain non-GAAP measurements for the three months ended March 31, 2014 and 2013 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.

Also in this release, the Company provides the financial measure of free cash flows excluding certain items. The Company recognizes that free cash flows excluding certain items is a non-GAAP measurement and is not intended to replace the presentation of the Company’s cash flows in accordance with GAAP. The Company believes that this non-GAAP measurement provides important information to investors related to the amount of discretionary cash flows that are available for other investing and financing activities. In addition, management uses free cash flows excluding certain items in making decisions related to acquisitions, development capital expenditures, dividends, long-term debt repayments and other uses. The Company believes net cash flows provided by operating activities is the most comparable GAAP measure. Readers of the Company’s financial information should consider net cash flows

 

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Kindred Healthcare Announces First Quarter Results

Page 6

May 7, 2014

 

provided by operating activities as an important measure of the Company’s financial performance because it provides the most complete measure of its performance. Free cash flows excluding certain items 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 net cash flows provided by operating activities to free cash flows excluding certain items is included in this press release.

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 (loss) from continuing operations is the most comparable GAAP measure. Readers of the Company’s financial information should consider income (loss) 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 (loss) 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 FORTUNE 500 healthcare services company based in Louisville, Kentucky with annual revenues of $5 billion and approximately 63,000 employees in 47 states. At March 31, 2014, Kindred through its subsidiaries provided healthcare services in 2,313 locations, including 100 transitional care hospitals, five inpatient rehabilitation hospitals, 99 nursing centers, 22 sub-acute units, 157 Kindred at Home hospice, home health and non-medical home care locations, 105 inpatient rehabilitation units (hospital-based) and a contract rehabilitation services business, RehabCare, which served 1,825 non-affiliated facilities. Ranked as one of Fortune magazine’s Most Admired Healthcare Companies for six 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. You can also follow us on Twitter and Facebook.

 

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Kindred Healthcare Announces First Quarter Results

Page 7

May 7, 2014

 

KINDRED HEALTHCARE, INC.

Financial Summary

(Unaudited)

(In thousands, except per share amounts)

 

     Three months ended  
     March 31,  
     2014     2013  

Revenues

   $ 1,299,557      $ 1,275,659   
  

 

 

   

 

 

 

Income from continuing operations

   $ 21,242      $ 10,837   

Discontinued operations, net of income taxes:

    

Loss from operations

     (5,757     (5,339

Loss on divestiture of operations

     (3,006     (2,025
  

 

 

   

 

 

 

Loss from discontinued operations

     (8,763     (7,364
  

 

 

   

 

 

 

Net income

     12,479        3,473   

Earnings attributable to noncontrolling interests

     (4,459     (416
  

 

 

   

 

 

 

Income attributable to Kindred

   $ 8,020      $ 3,057   
  

 

 

   

 

 

 

Amounts attributable to Kindred stockholders:

    

Income from continuing operations

   $ 16,783      $ 10,421   

Loss from discontinued operations

     (8,763     (7,364
  

 

 

   

 

 

 

Net income

   $ 8,020      $ 3,057   
  

 

 

   

 

 

 

Earnings per common share:

    

Basic:

    

Income from continuing operations

   $ 0.31      $ 0.20   

Discontinued operations:

    

Loss from operations

     (0.10     (0.10

Loss on divestiture of operations

     (0.06     (0.04
  

 

 

   

 

 

 

Loss from discontinued operations

     (0.16     (0.14
  

 

 

   

 

 

 

Net income

   $ 0.15      $ 0.06   
  

 

 

   

 

 

 

Diluted:

    

Income from continuing operations

   $ 0.31      $ 0.20   

Discontinued operations:

    

Loss from operations

     (0.10     (0.10

Loss on divestiture of operations

     (0.06     (0.04
  

 

 

   

 

 

 

Loss from discontinued operations

     (0.16     (0.14
  

 

 

   

 

 

 

Net income

   $ 0.15      $ 0.06   
  

 

 

   

 

 

 

Shares used in computing earnings per common share:

    

Basic

     52,641        52,062   

Diluted

     52,711        52,083   

Cash dividends declared and paid per common share

   $ 0.12      $ —     

 

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Kindred Healthcare Announces First Quarter Results

Page 8

May 7, 2014

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Operations

(Unaudited)

(In thousands, except per share amounts)

 

     Three months ended  
     March 31,  
     2014     2013  

Revenues

   $ 1,299,557      $ 1,275,659   
  

 

 

   

 

 

 

Salaries, wages and benefits

     780,294        790,091   

Supplies

     83,294        85,682   

Rent

     82,474        77,957   

Other operating expenses

     253,480        235,100   

Other income

     (237     (1,009

Impairment charges

     74        187   

Depreciation and amortization

     40,210        42,249   

Interest expense

     25,808        28,171   

Investment income

     (184     (87
  

 

 

   

 

 

 
     1,265,213        1,258,341   
  

 

 

   

 

 

 

Income from continuing operations before income taxes

     34,344        17,318   

Provision for income taxes

     13,102        6,481   
  

 

 

   

 

 

 

Income from continuing operations

     21,242        10,837   

Discontinued operations, net of income taxes:

    

Loss from operations

     (5,757     (5,339

Loss on divestiture of operations

     (3,006     (2,025
  

 

 

   

 

 

 

Loss from discontinued operations

     (8,763     (7,364
  

 

 

   

 

 

 

Net income

     12,479        3,473   

Earnings attributable to noncontrolling interests

     (4,459     (416
  

 

 

   

 

 

 

Income attributable to Kindred

   $ 8,020      $ 3,057   
  

 

 

   

 

 

 

Amounts attributable to Kindred stockholders:

    

Income from continuing operations

   $ 16,783      $ 10,421   

Loss from discontinued operations

     (8,763     (7,364
  

 

 

   

 

 

 

Net income

   $ 8,020      $ 3,057   
  

 

 

   

 

 

 

Earnings per common share:

    

Basic:

    

Income from continuing operations

   $ 0.31      $ 0.20   

Discontinued operations:

    

Loss from operations

     (0.10     (0.10

Loss on divestiture of operations

     (0.06     (0.04
  

 

 

   

 

 

 

Loss from discontinued operations

     (0.16     (0.14
  

 

 

   

 

 

 

Net income

   $ 0.15      $ 0.06   
  

 

 

   

 

 

 

Diluted:

    

Income from continuing operations

   $ 0.31      $ 0.20   

Discontinued operations:

    

Loss from operations

     (0.10     (0.10

Loss on divestiture of operations

     (0.06     (0.04
  

 

 

   

 

 

 

Loss from discontinued operations

     (0.16     (0.14
  

 

 

   

 

 

 

Net income

   $ 0.15      $ 0.06   
  

 

 

   

 

 

 

Shares used in computing earnings per common share:

    

Basic

     52,641        52,062   

Diluted

     52,711        52,083   

Cash dividends declared and paid per common share

   $ 0.12      $ —     

 

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Kindred Healthcare Announces First Quarter Results

Page 9

May 7, 2014

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Balance Sheet

(Unaudited)

(In thousands, except per share amounts)

 

     March 31,     December 31,  
     2014     2013  
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 49,048      $ 35,972   

Cash—restricted

     3,689        3,713   

Insurance subsidiary investments

     95,855        96,295   

Accounts receivable less allowance for loss

     979,598        916,529   

Inventories

     25,633        25,780   

Deferred tax assets

     32,258        37,920   

Income taxes

     9,090        36,846   

Other

     46,554        43,673   
  

 

 

   

 

 

 
     1,241,725        1,196,728   

Property and equipment

     1,937,826        1,906,366   

Accumulated depreciation

     (1,007,623     (979,791
  

 

 

   

 

 

 
     930,203        926,575   

Goodwill

     992,214        992,102   

Intangible assets less accumulated amortization

     417,182        423,303   

Assets held for sale

     17,555        20,978   

Insurance subsidiary investments

     157,567        149,094   

Deferred tax assets

     18,659        17,043   

Other

     221,201        220,046   
  

 

 

   

 

 

 

Total assets

   $ 3,996,306      $ 3,945,869   
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Current liabilities:

    

Accounts payable

   $ 167,552      $ 181,772   

Salaries, wages and other compensation

     351,581        361,192   

Due to third party payors

     31,734        33,747   

Professional liability risks

     65,439        60,993   

Other accrued liabilities

     129,478        146,495   

Long-term debt due within one year

     8,218        8,222   
  

 

 

   

 

 

 
     754,002        792,421   

Long-term debt

     1,660,596        1,579,391   

Professional liability risks

     248,740        246,230   

Deferred credits and other liabilities

     207,067        206,611   

Equity:

    

Stockholders’ equity:

    

Common stock, $0.25 par value; authorized 175,000 shares; issued 54,777 shares—March 31, 2014 and 54,165 shares—December 31, 2013

     13,694        13,541   

Capital in excess of par value

     1,144,204        1,146,193   

Accumulated other comprehensive loss

     (797     (252

Retained deficit

     (71,285     (76,825
  

 

 

   

 

 

 
     1,085,816        1,082,657   

Noncontrolling interests

     40,085        38,559   
  

 

 

   

 

 

 

Total equity

     1,125,901        1,121,216   
  

 

 

   

 

 

 

Total liabilities and equity

   $ 3,996,306      $ 3,945,869   
  

 

 

   

 

 

 

 

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Kindred Healthcare Announces First Quarter Results

Page 10

May 7, 2014

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Cash Flows

(Unaudited)

(In thousands)

 

     Three months ended  
     March 31,  
     2014     2013  

Cash flows from operating activities:

    

Net income

   $ 12,479      $ 3,473   

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

    

Depreciation and amortization

     41,304        52,954   

Amortization of stock-based compensation costs

     2,585        2,248   

Amortization of deferred financing costs

     2,397        2,613   

Provision for doubtful accounts

     8,760        11,266   

Deferred income taxes

     3,975        (344

Impairment charges

     518        436   

Loss on divestiture of discontinued operations

     3,006        2,025   

Other

     2,044        420   

Change in operating assets and liabilities:

    

Accounts receivable

     (71,829     (67,411

Inventories and other assets

     (6,218     (8,147

Accounts payable

     (13,526     (15,790

Income taxes

     29,413        12,675   

Due to third party payors

     (2,013     (1,028

Other accrued liabilities

     (28,649     29,443   
  

 

 

   

 

 

 

Net cash provided by (used in) operating activities

     (15,754     24,833   
  

 

 

   

 

 

 

Cash flows from investing activities:

    

Routine capital expenditures

     (21,677     (22,370

Development capital expenditures

     (751     (2,388

Acquisitions, net of cash acquired

     (22,715     —     

Sale of assets

     5,034        5,060   

Purchase of insurance subsidiary investments

     (10,114     (10,836

Sale of insurance subsidiary investments

     8,762        10,002   

Net change in insurance subsidiary cash and cash equivalents

     (6,599     (33,096

Change in other investments

     640        319   

Other

     (551     (144
  

 

 

   

 

 

 

Net cash used in investing activities

     (47,971     (53,453
  

 

 

   

 

 

 

Cash flows from financing activities:

    

Proceeds from borrowings under revolving credit

     508,700        483,500   

Repayment of borrowings under revolving credit

     (425,800     (459,200

Repayment of other long-term debt

     (2,059     (2,666

Payment of deferred financing costs

     (270     (202

Distribution made to noncontrolling interests

     (2,933     (491

Issuance of common stock

     3,804        4   

Dividends paid

     (6,514     —     

Other

     1,873        332   
  

 

 

   

 

 

 

Net cash provided by financing activities

     76,801        21,277   
  

 

 

   

 

 

 

Change in cash and cash equivalents

     13,076        (7,343

Cash and cash equivalents at beginning of period

     35,972        50,007   
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 49,048      $ 42,664   
  

 

 

   

 

 

 

 

- MORE -


Kindred Healthcare Announces First Quarter Results

Page 11

May 7, 2014

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Operations

(Unaudited)

(In thousands, except per share amounts)

 

          First  
    2013 Quarters           Quarter  
    First     Second     Third     Fourth     Year     2014  

Revenues

  $ 1,275,659      $ 1,205,661      $ 1,188,057      $ 1,222,332      $ 4,891,709      $ 1,299,557   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

    790,091        722,710        725,007        745,153        2,982,961        780,294   

Supplies

    85,682        81,862        80,714        79,954        328,212        83,294   

Rent

    77,957        78,796        78,228        82,381        317,362        82,474   

Other operating expenses

    235,100        232,229        266,098        249,141        982,568        253,480   

Other (income) expense

    (1,009     (26     52        (457     (1,440     (237

Impairment charges

    187        438        441        76,127        77,193        74   

Depreciation and amortization

    42,249        39,228        37,190        38,361        157,028        40,210   

Interest expense

    28,171        29,084        25,633        25,161        108,049        25,808   

Investment income

    (87     (1,475     (1,234     (1,255     (4,051     (184
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    1,258,341        1,182,846        1,212,129        1,294,566        4,947,882        1,265,213   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

    17,318        22,815        (24,072     (72,234     (56,173     34,344   

Provision (benefit) for income taxes

    6,481        9,160        (7,217     (20,903     (12,479     13,102   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations

    10,837        13,655        (16,855     (51,331     (43,694     21,242   

Discontinued operations, net of income taxes:

           

Loss from operations

    (5,339     (976     (24,373     (6,566     (37,254     (5,757

Loss on divestiture of operations

    (2,025     (10,852     (65,016     (5,994     (83,887     (3,006
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Loss from discontinued operations

    (7,364     (11,828     (89,389     (12,560     (121,141     (8,763
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

    3,473        1,827        (106,244     (63,891     (164,835     12,479   

Earnings attributable to noncontrolling interests

    (416     (82     (754     (2,405     (3,657     (4,459
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) attributable to Kindred

  $ 3,057      $ 1,745      $ (106,998   $ (66,296   $ (168,492   $ 8,020   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Amounts attributable to Kindred stockholders:

           

Income (loss) from continuing operations

  $ 10,421      $ 13,573      $ (17,609   $ (53,736   $ (47,351   $ 16,783   

Loss from discontinued operations

    (7,364     (11,828     (89,389     (12,560     (121,141     (8,763
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

  $ 3,057      $ 1,745      $ (106,998   $ (66,296   $ (168,492   $ 8,020   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Earnings (loss) per common share:

           

Basic:

           

Income (loss) from continuing operations

  $ 0.20      $ 0.25      $ (0.33   $ (1.03   $ (0.91   $ 0.31   

Discontinued operations:

           

Loss from operations

    (0.10     (0.02     (0.47     (0.13     (0.71     (0.10

Loss on divestiture of operations

    (0.04     (0.20     (1.24     (0.11     (1.61     (0.06
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Loss from discontinued operations

    (0.14     (0.22     (1.71     (0.24     (2.32     (0.16
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

  $ 0.06      $ 0.03      $ (2.04   $ (1.27   $ (3.23   $ 0.15   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Diluted:

           

Income (loss) from continuing operations

  $ 0.20      $ 0.25      $ (0.33   $ (1.03   $ (0.91   $ 0.31   

Discontinued operations:

           

Loss from operations

    (0.10     (0.02     (0.47     (0.13     (0.71     (0.10

Loss on divestiture of operations

    (0.04     (0.20     (1.24     (0.11     (1.61     (0.06
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Loss from discontinued operations

    (0.14     (0.22     (1.71     (0.24     (2.32     (0.16
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Net income (loss)

  $ 0.06      $ 0.03      $ (2.04   $ (1.27   $ (3.23   $ 0.15   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

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

           

Basic

    52,062        52,265        52,323        52,344        52,249        52,641   

Diluted

    52,083        52,284        52,323        52,344        52,249        52,711   

 

- MORE -


Kindred Healthcare Announces First Quarter Results

Page 12

May 7, 2014

 

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data

(Unaudited)

(In thousands)

 

                                  First  
    2013 Quarters           Quarter  
    First     Second     Third     Fourth     Year     2014  

Revenues:

           

Hospital division

  $ 671,206      $ 618,598      $ 604,169      $ 616,721      $ 2,510,694      $ 657,453   

Nursing center division

    275,141        269,501        270,210        274,908        1,089,760        281,572   

Rehabilitation division:

           

Skilled nursing rehabilitation services

    257,884        248,710        244,384        242,376        993,354        253,285   

Hospital rehabilitation services

    74,523        69,777        68,296        74,017        286,613        73,964   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    332,407        318,487        312,680        316,393        1,279,967        327,249   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Care management division

    51,621        53,039        53,801        66,466        224,927        87,704   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    1,330,375        1,259,625        1,240,860        1,274,488        5,105,348        1,353,978   

Eliminations:

           

Skilled nursing rehabilitation services

    (29,303     (29,257     (28,698     (28,728     (115,986     (30,070

Hospital rehabilitation services

    (24,200     (23,706     (22,944     (22,553     (93,403     (23,689

Nursing centers

    (1,213     (1,001     (1,161     (875     (4,250     (662
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (54,716     (53,964     (52,803     (52,156     (213,639     (54,421
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
  $ 1,275,659      $ 1,205,661      $ 1,188,057      $ 1,222,332      $ 4,891,709      $ 1,299,557   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations:

           

Operating income (loss):

           

Hospital division

  $ 149,698      $ 131,676      $ 113,147      $ 127,898      $ 522,419      $ 146,895   

Nursing center division

    29,844        36,678        32,146        36,694        135,362        39,095   

Rehabilitation division:

           

Skilled nursing rehabilitation services

    12,373        20,686        (8,155     13,356        38,260        17,358   

Hospital rehabilitation services

    18,132        19,573        18,215        18,005        73,925        19,820   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    30,505        40,259        10,060        31,361        112,185        37,178   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Care management division

    2,786        3,961        1,085        2,131        9,963        4,697   

Corporate:

           

Overhead

    (45,585     (43,196     (39,157     (48,557     (176,495     (44,050

Insurance subsidiary

    (509     (384     (482     (539     (1,914     (406
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (46,094     (43,580     (39,639     (49,096     (178,409     (44,456

Impairment charges

    (187     (438     (441     (76,127     (77,193     (74

Transaction costs

    (944     (108     (613     (447     (2,112     (683
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

    165,608        168,448        115,745        72,414        522,215        182,652   

Rent

    (77,957     (78,796     (78,228     (82,381     (317,362     (82,474

Depreciation and amortization

    (42,249     (39,228     (37,190     (38,361     (157,028     (40,210

Interest, net

    (28,084     (27,609     (24,399     (23,906     (103,998     (25,624
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

    17,318        22,815        (24,072     (72,234     (56,173     34,344   

Provision (benefit) for income taxes

    6,481        9,160        (7,217     (20,903     (12,479     13,102   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
  $ 10,837      $ 13,655      $ (16,855   $ (51,331   $ (43,694   $ 21,242   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

- MORE -


Kindred Healthcare Announces First Quarter Results

Page 13

May 7, 2014

 

KINDRED HEALTHCARE, INC.

Condensed Consolidating Statement of Operations

(Unaudited)

(In thousands)

 

    First Quarter 2014  
          Nursing     Rehabilitation division     Care           Transaction-              
    Hospital     center     Skilled nursing     Hospital           management           related              
    division     division     services     services     Total     division     Corporate     costs     Eliminations     Consolidated  

Revenues

  $ 657,453      $ 281,572      $ 253,285      $ 73,964      $ 327,249      $ 87,704      $ —        $ —        $ (54,421   $ 1,299,557   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

    279,782        129,290        224,607        49,999        274,606        68,689        27,838        339        (250     780,294   

Supplies

    68,282        10,961        736        35        771        3,099        181        —          —          83,294   

Rent

    54,233        24,280        1,089        51        1,140        2,256        565        —          —          82,474   

Other operating expenses

    162,527        102,430        10,589        4,105        14,694        11,219        16,437        344        (54,171     253,480   

Other (income) expense

    (33     (204     (5     5        —          —          —          —          —          (237

Impairment charges

    —          74        —          —          —          —          —          —          —          74   

Depreciation and amortization

    17,453        7,947        2,695        2,564        5,259        2,125        7,426        —          —          40,210   

Interest expense

    185        14        58        —          58        10        25,541        —          —          25,808   

Investment income

    (3     (11     (59     —          (59     —          (111     —          —          (184
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    582,426        274,781        239,710        56,759        296,469        87,398        77,877        683        (54,421     1,265,213   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

  $ 75,027      $ 6,791      $ 13,575      $ 17,205      $ 30,780      $ 306      $ (77,877   $ (683   $ —          34,344   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Provision for income taxes

                      13,102   
                   

 

 

 

Income from continuing operations

                    $ 21,242   
                   

 

 

 

Capital expenditures, excluding acquisitions

                   

(including discontinued operations):

                   

Routine

  $ 8,402      $ 5,055      $ 849      $ 56      $ 905      $ 308      $ 7,007      $ —        $ —        $ 21,677   

Development

    511        240        —          —          —          —          —          —          —          751   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
  $ 8,913      $ 5,295      $ 849      $ 56      $ 905      $ 308      $ 7,007      $ —        $ —        $ 22,428   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    First Quarter 2013  
          Nursing     Rehabilitation division     Care           Transaction-              
    Hospital     center     Skilled nursing     Hospital           management           related              
    division (a)     division (a)     services (a)     services (a)     Total     division (a)     Corporate (a)     costs     Eliminations     Consolidated  

Revenues

  $ 671,206      $ 275,141      $ 257,884      $ 74,523      $ 332,407      $ 51,621      $ —        $ —        $ (54,716   $ 1,275,659   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

    295,761        137,305        234,844        52,420        287,264        40,314        29,688        —          (241     790,091   

Supplies

    69,449        12,947        811        32        843        2,238        205        —          —          85,682   

Rent

    50,609        24,287        1,235        17        1,252        1,186        623        —          —          77,957   

Other operating expenses

    156,403        95,446        9,856        3,919        13,775        6,283        16,724        944        (54,475     235,100   

Other (income) expense

    (105     (401     —          20        20        —          (523     —          —          (1,009

Impairment charges

    176        11        —          —          —          —          —          —          —          187   

Depreciation and amortization

    20,168        7,546        3,112        2,331        5,443        1,526        7,566        —          —          42,249   

Interest expense

    182        17        96        —          96        —          27,876        —          —          28,171   

Investment income

    (5     (9     (28     —          (28     —          (45     —          —          (87
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    592,638        277,149        249,926        58,739        308,665        51,547        82,114        944        (54,716     1,258,341   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

  $ 78,568      $ (2,008   $ 7,958      $ 15,784      $ 23,742      $ 74      $ (82,114   $ (944   $ —          17,318   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Provision for income taxes

                      6,481   
                   

 

 

 

Income from continuing operations

                    $ 10,837   
                   

 

 

 

Capital expenditures, excluding acquisitions

                   

(including discontinued operations):

                   

Routine

  $ 10,271      $ 5,819      $ 605      $ 32      $ 637      $ 195      $ 5,448      $ —        $ —        $ 22,370   

Development

    2,388        —          —          —          —          —          —          —          —          2,388   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
  $ 12,659      $ 5,819      $ 605      $ 32      $ 637      $ 195      $ 5,448      $ —        $ —        $ 24,758   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

(a) Includes one-time bonus costs of $20.1 million (hospital division—$8.0 million, nursing center division—$4.7 million, rehabilitation division—$6.3 million (skilled nursing rehabilitation services - $5.0 million and hospital rehabilitation services—$1.3 million), care management division—$0.8 million and corporate—$0.3 million).

 

- MORE -


Kindred Healthcare Announces First Quarter Results

Page 14

May 7, 2014

 

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data

(Unaudited)

 

                                        First  
     2013 Quarters             Quarter  
     First      Second      Third      Fourth      Year      2014  

Hospital division data:

                 

End of period data:

                 

Number of hospitals:

                 

Transitional care

     100         100         100         100            100   

Inpatient rehabilitation

     5         5         5         5            5   
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

 
     105         105         105         105            105   
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

 

Number of licensed beds:

                 

Transitional care

     7,238         7,238         7,252         7,284            7,324   

Inpatient rehabilitation

     215         215         215         215            215   
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

 
     7,453         7,453         7,467         7,499            7,539   
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

 

Revenue mix %:

                 

Medicare

     63         61         59         59         61         61   

Medicaid

     5         6         7         6         6         6   

Medicare Advantage

     10         11         11         12         11         11   

Commercial insurance and other

     22         22         23         23         22         22   

Admissions:

                 

Medicare

     10,541         9,652         9,197         9,467         38,857         10,044   

Medicaid

     685         744         788         712         2,929         835   

Medicare Advantage

     1,543         1,512         1,446         1,472         5,973         1,542   

Commercial insurance and other

     2,203         2,106         2,132         2,113         8,554         2,459   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
     14,972         14,014         13,563         13,764         56,313         14,880   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Admissions mix %:

                 

Medicare

     70         69         68         69         69         67   

Medicaid

     5         5         6         5         5         6   

Medicare Advantage

     10         11         10         11         11         10   

Commercial insurance and other

     15         15         16         15         15         17   

Patient days:

                 

Medicare

     258,870         239,574         228,589         231,462         958,495         244,814   

Medicaid

     28,776         30,447         31,569         29,799         120,591         32,909   

Medicare Advantage

     43,805         44,122         42,616         44,381         174,924         45,651   

Commercial insurance and other

     72,926         66,197         68,410         66,257         273,790         74,493   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
     404,377         380,340         371,184         371,899         1,527,800         397,867   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Average length of stay:

                 

Medicare

     24.6         24.8         24.9         24.4         24.7         24.4   

Medicaid

     42.0         40.9         40.1         41.9         41.2         39.4   

Medicare Advantage

     28.4         29.2         29.5         30.2         29.3         29.6   

Commercial insurance and other

     33.1         31.4         32.1         31.4         32.0         30.3   

Weighted average

     27.0         27.1         27.4         27.0         27.1         26.7   

Revenues per admission:

                 

Medicare

   $ 40,020       $ 38,957       $ 39,039       $ 38,729       $ 39,209       $ 39,528   

Medicaid

     51,441         48,142         51,890         52,599         51,005         50,215   

Medicare Advantage

     44,576         45,647         46,537         48,899         46,387         47,639   

Commercial insurance and other

     65,971         65,408         64,232         66,561         65,545         58,987   

Weighted average

     44,831         44,141         44,545         44,807         44,585         44,184   

Revenues per patient day:

                 

Medicare

   $ 1,630       $ 1,570       $ 1,571       $ 1,584       $ 1,590       $ 1,622   

Medicaid

     1,225         1,176         1,295         1,257         1,239         1,274   

Medicare Advantage

     1,570         1,564         1,579         1,622         1,584         1,609   

Commercial insurance and other

     1,993         2,081         2,002         2,123         2,048         1,947   

Weighted average

     1,660         1,626         1,628         1,658         1,643         1,652   

Medicare case mix index (discharged patients only)

     1.18         1.18         1.16         1.15         1.17         1.17   

Average daily census

     4,493         4,180         4,035         4,042         4,186         4,421   

Occupancy %

     67.9         62.9         60.4         60.8         63.0         66.7   

Annualized employee turnover %

     22.1         21.6         21.3         21.2            20.6   

 

- MORE -


Kindred Healthcare Announces First Quarter Results

Page 15

May 7, 2014

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data (Continued)

(Unaudited)

 

                                        First  
     2013 Quarters             Quarter  
     First      Second      Third      Fourth      Year      2014  

Nursing center division data:

                 

End of period data:

                 

Number of facilities:

                 

Nursing centers:

                 

Owned or leased

     96         96         96         96            95   

Managed

     4         4         4         4            4   

Assisted living facilities

     6         6         6         6            6   
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

 
     106         106         106         106            105   
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

 

Number of licensed beds:

                 

Nursing centers:

                 

Owned or leased

     12,153         12,153         12,153         12,153            12,018   

Managed

     485         485         485         485            485   

Assisted living facilities

     341         341         341         341            341   
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

 
     12,979         12,979         12,979         12,979            12,844   
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

 

Revenue mix %:

                 

Medicare

     35         34         33         32         34         32   

Medicaid

     36         37         39         40         37         40   

Medicare Advantage

     8         8         7         8         8         9   

Private and other

     21         21         21         20         21         19   

Patient days (a):

                 

Medicare

     171,881         162,488         158,458         152,185         645,012         152,037   

Medicaid

     515,970         516,103         525,625         532,378         2,090,076         524,417   

Medicare Advantage

     52,460         52,064         45,865         49,319         199,708         54,821   

Private and other

     218,175         217,914         218,845         214,946         869,880         204,848   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
     958,486         948,569         948,793         948,828         3,804,676         936,123   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Patient day mix % (a):

                 

Medicare

     18         17         17         16         17         16   

Medicaid

     54         54         55         56         55         56   

Medicare Advantage

     5         6         5         5         5         6   

Private and other

     23         23         23         23         23         22   

Revenues per patient day (a):

                 

Medicare Part A

   $ 527       $ 526       $ 526       $ 540       $ 530       $ 551   

Total Medicare (including Part B)

     564         566         568         584         570         595   

Medicaid

     190         190         199         205         196         216   

Medicaid (net of provider taxes) (b)

     167         167         177         183         174         194   

Medicare Advantage

     427         430         427         437         431         442   

Private and other

     264         262         256         258         260         261   

Weighted average

     287         284         285         290         287         301   

Average daily census (a)

     10,650         10,424         10,313         10,313         10,424         10,401   

Admissions (a)

     11,044         10,305         10,045         10,048         41,442         10,424   

Occupancy % (a)

     83.3         81.5         80.5         80.3         81.4         81.2   

Medicare average length of stay (a)

     30.2         30.9         31.6         31.4         31.0         29.8   

Annualized employee turnover %

     41.8         44.7         44.8         42.8            38.5   

 

(a)    Excludes managed facilities.

       

(b)    Provider taxes are recorded in other operating expenses for all periods presented.

       

 

- MORE -


Kindred Healthcare Announces First Quarter Results

Page 16

May 7, 2014

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data (Continued)

(Unaudited)

 

                                        First  
     2013 Quarters             Quarter  
     First      Second      Third      Fourth      Year      2014  

Rehabilitation division data:

                 

Skilled nursing rehabilitation services:

                 

Revenue mix %:

                 

Company-operated

     11         12         12         12         12         12   

Non-affiliated

     89         88         88         88         88         88   

Sites of service (at end of period)

     1,729         1,713         1,768         1,806            1,851   

Revenue per site

   $ 149,152       $ 145,189       $ 138,227       $ 134,206       $ 566,774       $ 136,837   

Therapist productivity %

     81.1         80.4         79.8         79.5         80.2         80.0   

Hospital rehabilitation services:

                 

Revenue mix %:

                 

Company-operated

     32         34         34         30         33         32   

Non-affiliated

     68         66         66         70         67         68   

Sites of service (at end of period):

                 

Inpatient rehabilitation units

     103         103         99         104            105   

LTAC hospitals

     123         123         122         121            121   

Sub-acute units

     8         8         7         10            10   

Outpatient units

     98         104         104         144            143   
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

 
     332         338         332         379            379   
  

 

 

    

 

 

    

 

 

    

 

 

       

 

 

 

Revenue per site

   $ 224,466       $ 206,441       $ 205,711       $ 195,296       $ 831,914       $ 195,157   

Annualized employee turnover %

     10.4         13.2         14.0         13.7            12.5   

 

- MORE -


Kindred Healthcare Announces First Quarter Results

Page 17

May 7, 2014

 

KINDRED HEALTHCARE, INC.

Earnings Per Common Share Reconciliation (a)

(Unaudited)

(In thousands, except per share amounts)

 

     Three months ended March 31,  
     2014     2013  
     Basic     Diluted     Basic     Diluted  

Earnings:

        

Amounts attributable to Kindred stockholders:

        

Income from continuing operations:

        

As reported in Statement of Operations

   $ 16,783      $ 16,783      $ 10,421      $ 10,421   

Allocation to participating unvested restricted stockholders

     (521     (521     (294     (294
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ 16,262      $ 16,262      $ 10,127      $ 10,127   
  

 

 

   

 

 

   

 

 

   

 

 

 

Discontinued operations, net of income taxes:

        

Loss from operations:

        

As reported in Statement of Operations

   $ (5,757   $ (5,757   $ (5,339   $ (5,339

Allocation to participating unvested restricted stockholders

     179        179        151        151   
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ (5,578   $ (5,578   $ (5,188   $ (5,188
  

 

 

   

 

 

   

 

 

   

 

 

 

Loss on divestiture of operations:

        

As reported in Statement of Operations

   $ (3,006   $ (3,006   $ (2,025   $ (2,025

Allocation to participating unvested restricted stockholders

     93        93        57        57   
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ (2,913   $ (2,913   $ (1,968   $ (1,968
  

 

 

   

 

 

   

 

 

   

 

 

 

Loss from discontinued operations:

        

As reported in Statement of Operations

   $ (8,763   $ (8,763   $ (7,364   $ (7,364

Allocation to participating unvested restricted stockholders

     272        272        208        208   
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ (8,491   $ (8,491   $ (7,156   $ (7,156
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income:

        

As reported in Statement of Operations

   $ 8,020      $ 8,020      $ 3,057      $ 3,057   

Allocation to participating unvested restricted stockholders

     (249     (249     (86     (86
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ 7,771      $ 7,771      $ 2,971      $ 2,971   
  

 

 

   

 

 

   

 

 

   

 

 

 

Shares used in the computation:

        

Weighted average shares outstanding—basic computation

     52,641        52,641        52,062        52,062   
  

 

 

     

 

 

   

Dilutive effect of employee stock options

       70          21   
    

 

 

     

 

 

 

Adjusted weighted average shares outstanding—diluted computation

       52,711          52,083   
    

 

 

     

 

 

 

Earnings per common share:

        

Income from continuing operations

   $ 0.31      $ 0.31      $ 0.20      $ 0.20   

Discontinued operations:

        

Loss from operations

     (0.10     (0.10     (0.10     (0.10

Loss on divestiture of operations

     (0.06     (0.06     (0.04     (0.04
  

 

 

   

 

 

   

 

 

   

 

 

 

Loss from discontinued operations

     (0.16     (0.16     (0.14     (0.14
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

   $ 0.15      $ 0.15      $ 0.06      $ 0.06   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

 

(a) Earnings per common share are based upon the weighted average number of common shares outstanding during the respective periods. The diluted calculation of earnings 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 per common share calculation pursuant to the two-class method.

 

 

- MORE -


Kindred Healthcare Announces First Quarter Results

Page 18

May 7, 2014

 

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 information in this release to compute certain non-GAAP measurements for the three months ended March 31, 2014 and 2013 before certain charges or on a core basis. The charges that were excluded from core operating results are denoted in the tables below.

The income tax benefit associated with the excluded charges was calculated using an effective income tax rate of 36.6% and 40.5% for the three months ended March 31, 2014 and 2013, respectively.

The use of these non-GAAP measurements are 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 three months ended March 31, 2014 and 2013 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 purpose of evaluating performance internally.

 

     Three months ended  
     March 31,  
     2014     2013  

Detail of charges:

    

Severance costs

   ($ 339   $ —     

One-time bonus costs

     —          (20,124

Transaction costs

     (344     (944
  

 

 

   

 

 

 
     (683     (21,068

Income tax benefit

     250        8,527   
  

 

 

   

 

 

 

Charges net of income taxes

     (433     (12,541

Allocation to participating unvested restricted stockholders

     13        354   
  

 

 

   

 

 

 

Available to common stockholders

   ($ 420   ($ 12,187
  

 

 

   

 

 

 

Weighted average diluted shares outstanding

     52,711        52,083   
  

 

 

   

 

 

 

Diluted loss per common share related to charges

   ($ 0.01   ($ 0.23
  

 

 

   

 

 

 

Reconciliation of operating income before charges:

    

Operating income before charges

   $ 183,335      $ 186,676   

Detail of charges excluded from core operating results:

    

Severance costs

     (339     —     

One-time bonus costs

     —          (20,124

Transaction costs

     (344     (944
  

 

 

   

 

 

 
     (683     (21,068
  

 

 

   

 

 

 

Reported operating income

   $ 182,652      $ 165,608   
  

 

 

   

 

 

 

Reconciliation of income from continuing operations before charges:

    

Amounts attributable to Kindred stockholders:

    

Income from continuing operations before charges

   $ 17,216      $ 22,962   

Charges net of income taxes

     (433     (12,541
  

 

 

   

 

 

 

Reported income from continuing operations

   $ 16,783      $ 10,421   
  

 

 

   

 

 

 

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

    

Diluted income per common share before charges (a)

   $ 0.32      $ 0.43   

Charges net of income taxes

     (0.01     (0.23
  

 

 

   

 

 

 

Reported diluted income per common share from continuing operations

   $ 0.31      $ 0.20   
  

 

 

   

 

 

 

Reconciliation of effective income tax rate before charges:

    

Effective income tax rate before charges

     38.1     39.1

Impact of charges on effective income tax rate

     —          -1.7
  

 

 

   

 

 

 

Reported effective income tax rate

     38.1     37.4
  

 

 

   

 

 

 

 

 

(a) For purposes of computing diluted earnings per common share before charges, income from continuing operations before charges was reduced by $0.5 million and $0.6 million for the three months ended March 31, 2014 and 2013, respectively, for the allocation of income to participating unvested restricted stockholders.

 

- MORE -


Kindred Healthcare Announces First Quarter Results

Page 19

May 7, 2014

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands)

 

     Three months ended March 31, 2014  
           Charges        
     Before     Transaction     As  
     charges     costs     reported  

Income from continuing operations:

      

Operating income (loss):

      

Hospital division

   $ 146,895      $ —        $ 146,895   

Nursing center division

     39,095        —          39,095   

Rehabilitation division:

      

Skilled nursing rehabilitation services

     17,358        —          17,358   

Hospital rehabilitation services

     19,820        —          19,820   
  

 

 

   

 

 

   

 

 

 
     37,178        —          37,178   
  

 

 

   

 

 

   

 

 

 

Care management division

     4,697        —          4,697   

Corporate:

      

Overhead

     (44,050     —          (44,050

Insurance subsidiary

     (406     —          (406
  

 

 

   

 

 

   

 

 

 
     (44,456     —          (44,456

Impairment charges

     (74     —          (74

Transaction costs

     —          (683     (683
  

 

 

   

 

 

   

 

 

 

Operating income

     183,335        (683     182,652   

Rent

     (82,474     —          (82,474

Depreciation and amortization

     (40,210     —          (40,210

Interest, net

     (25,624     —          (25,624
  

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

     35,027        (683     34,344   

Provision for income taxes

     13,352        (250     13,102   
  

 

 

   

 

 

   

 

 

 
   $ 21,675      $ (433   $ 21,242   
  

 

 

   

 

 

   

 

 

 

 

     Three months ended March 31, 2013  
           Charges        
     Before     One-time     Transaction           As  
     charges     bonus     costs     Total     reported  

Income from continuing operations:

          

Operating income (loss):

          

Hospital division

   $ 157,661      $ (7,963   $ —        $ (7,963   $ 149,698   

Nursing center division

     34,550        (4,706     —          (4,706     29,844   

Rehabilitation division:

          

Skilled nursing rehabilitation services

     17,425        (5,052     —          (5,052     12,373   

Hospital rehabilitation services

     19,387        (1,255     —          (1,255     18,132   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     36,812        (6,307     —          (6,307     30,505   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Care management division

     3,619        (833     —          (833     2,786   

Corporate:

          

Overhead

     (45,270     (315     —          (315     (45,585

Insurance subsidiary

     (509     —          —          —          (509
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     (45,779     (315     —          (315     (46,094

Impairment charges

     (187     —          —          —          (187

Transaction costs

     —          —          (944     (944     (944
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income

     186,676        (20,124     (944     (21,068     165,608   

Rent

     (77,957     —          —          —          (77,957

Depreciation and amortization

     (42,249     —          —          —          (42,249

Interest, net

     (28,084     —          —          —          (28,084
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

     38,386        (20,124     (944     (21,068     17,318   

Provision for income taxes

     15,008        (8,145     (382     (8,527     6,481   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
   $ 23,378      $ (11,979   $ (562   $ (12,541   $ 10,837   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

- MORE -


Kindred Healthcare Announces First Quarter Results

Page 20

May 7, 2014

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands)

The Company recognizes that free cash flows excluding certain items is a non-GAAP measurement and is not intended to replace the presentation of the Company’s cash flows in accordance with GAAP. The Company believes that this non-GAAP measurement provides important information to investors related to the amount of discretionary cash flows that are available for other investing and financing activities. In addition, management uses free cash flows excluding certain items in making decisions related to acquisitions, development capital expenditures, dividends, long-term debt repayments and other uses.

The income tax benefit associated with the excluded payments was calculated using an effective income tax rate of 39.4% and 39.3% for the three months ended March 31, 2014 and 2013.

 

     Three months ended  
     March 31,  
     2014     2013  

Reconciliation of net cash flows provided by (used in) operating activities to free cash flows:

    

Net cash flows provided by (used in) operating activities

   ($ 15,754   $ 24,833   

Less:

    

Routine capital expenditures

     (21,677     (22,370

Development capital expenditures

     (751     (2,388
  

 

 

   

 

 

 
     (22,428     (24,758
  

 

 

   

 

 

 

Free cash flows including certain items

     (38,182     75   

Adjustments to remove certain payments (including payments made for discontinued operations) included in net cash flows provided by (used in) operating activities:

    

Litigation

     25,150        —     

One-time employee bonus

     —          26,345   

Transaction costs

     1,738        1,114   

Severance, retirement and retention

     2,449        1,063   

Benefit of reduced income tax payments resulting from certain payments

     (11,544     (11,195
  

 

 

   

 

 

 
     17,793        17,327   
  

 

 

   

 

 

 

Free cash flows excluding certain items

   ($ 20,389   $ 17,402   
  

 

 

   

 

 

 

 

- MORE -


Kindred Healthcare Announces First Quarter Results

Page 21

May 7, 2014

 

KINDRED HEALTHCARE, INC.

Reconciliation of Earnings Guidance for 2014—Continuing Operations (a)

(Unaudited)

(In millions, except per share amounts)

 

     As of May 7, 2014     As of February 20, 2014  
     Low     High     Low     High  

Operating income

   $ 715      $ 732      $ 725      $ 742   
  

 

 

   

 

 

   

 

 

   

 

 

 

Rent

     335        335        338        338   

Depreciation and amortization

     163        163        165        165   

Interest, net

     98        98        106        106   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

     119        136        116        133   

Provision for income taxes

     46        53        45        52   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations

     73        83        71        81   

Earnings attributable to noncontrolling interests

     (15     (15     (13     (13
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations attributable to the Company

     58        68        58        68   

Allocation to participating unvested restricted stockholders

     (2     (2     (2     (2
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   $ 56      $ 66      $ 56      $ 66   
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings per diluted share

   $ 1.05      $ 1.25      $ 1.05      $ 1.25   

Shares used in computing earnings per diluted share

     53.2        53.2        53.2        53.2   

 

 

(a) The earnings guidance excludes the effect of reimbursement changes, severance, retirement and retention costs, litigation costs, transaction-related costs, any further acquisitions or divestitures, any impairment charges, and any repurchases of common stock.

 

- END -