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8-K - FORM 8-K - KINDRED HEALTHCARE, INCd56453d8k.htm
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Exhibit 99.1

 

LOGO

 

Contact:    Susan E. Moss
   Investor Relations
   (502) 596-6569

KINDRED HEALTHCARE REPORTS THIRD QUARTER 2015 RESULTS

 

 

Consolidated Revenues of $1,765 million, Core EBITDAR of $236 million(1)

and Core Diluted EPS from Continuing Operations of $0.23(1) in the Third Quarter

GAAP Operating Income of $197 million(1) and Diluted Loss Per Share from Continuing Operations of $0.20

in the Third Quarter Reflect Costs of $39 million and $0.43 Per Share, Respectively,

Related to Litigation, Transaction, Integration and Other Restructuring Initiatives

 

 

Strong Performance from Kindred at Home with Meaningful Progress on Acquisition Integration and Synergy Realization

Significant Core Operating Cash Flows of $128 million(1) in the Third Quarter and $264 million(1) Year to Date;

GAAP Operating Cash Flows of $132 million in the Third Quarter and $93 million Year to Date

 

 

Due to Industry Headwinds Impacting the Hospital Division, Company Revises Full Year Outlook

LOUISVILLE, Ky. (November 4, 2015) – Kindred Healthcare, Inc. (“Kindred” or the “Company”) (NYSE:KND) today announced its operating results for the third quarter ended September 30, 2015.

Benjamin A. Breier, President and Chief Executive Officer of the Company, commented, “During the third quarter our team continued to make great progress on our strategic plan despite industry-wide headwinds for healthcare services companies that created a challenging quarter for our Hospital Division (“HD”). Our Kindred at Home Division (“KAH”) was the highlight of the quarter as it continues to advance its integration efforts and benefit from the accelerating momentum of patient flow into the home care, hospice, and community care settings. Our freestanding inpatient rehabilitation facility (“IRF”) business also continues to grow and, with our new IRFs in Arlington, Texas and Madison, Wisconsin that opened during the third quarter, we now operate 18 freestanding IRFs, most of which are joint-ventures with prominent not-for-profit health systems. In addition, we continue to successfully build broad based hospital, payor and physician relationships across the country as we bring our unique integrated care model to more partners and patients.”

Mr. Breier added, “We are very pleased to report consolidated revenue growth of 43.6%, and consolidated core EBITDAR(1) growth of 50.4% compared to the same period last year. Our recent acquisitions and organic growth efforts have transformed Kindred’s business mix and free cash flow profile, and we continue to execute on our transition into higher growth, lower capital intensity and higher return businesses. We remain confident that Kindred is the best positioned company in the post-acute sector to meet the needs of the changing beneficiary landscape and emerge successfully in the movement to pay for value. As always, I thank the many stakeholders in Kindred, and in particular our 102,000 teammates, for the excellent care they deliver every day to patients in need.”

 

(1) See reconciliation of core results to generally accepted accounting principles (“GAAP”) results beginning on page 12.

 

– MORE –

680 South Fourth Street      Louisville, Kentucky 40202

502.596.7300        www.kindredhealthcare.com


Kindred Healthcare Reports Third Quarter 2015 Results

Page 2

November 4, 2015

 

 

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. The acquisitions of Gentiva Health Services, Inc. (“Gentiva”) and Centerre Healthcare Corporation (“Centerre”) have been included in the operating results presented since the date of acquisition.

Third Quarter Consolidated Highlights(1):

 

    Consolidated revenues increased 43.6% to $1.76 billion and earnings before interest, income taxes, depreciation, amortization, rent and certain charges (“core EBITDAR”) increased 50.4% to $236 million, each as compared to the same period last year

 

    Core diluted earnings per share (“EPS”) from continuing operations was $0.23 and adjusted core diluted EPS from continuing operations was $0.33 based upon 86.9 million weighted average diluted shares, an improvement as compared to core diluted EPS of $0.13 and adjusted core diluted EPS of $0.20 for the same period a year ago based upon 62.9 million weighted average diluted shares

 

    The Company generated significant core operating cash flows of $128 million compared to $88 million for the same period a year ago, and core free cash flows were $93 million compared to $66 million in the same period of 2014. Year to date core operating cash flows were $264 million compared to $102 million for the same period a year ago, and year to date core free cash flows were $183 million compared to $35 million in the same period of 2014

 

    The Kindred Board of Directors declared a cash dividend of $0.12 per share on the Company’s common stock payable on December 11, 2015 to shareholders of record as of the close of business on November 18, 2015

Third Quarter Segment Highlights(1)(2):

Kindred’s Hospital Division third quarter same-hospital revenues declined 1.4% over the prior year period to $577 million, with a decline in same-hospital admissions of 3.8% compared to the same period last year. HD third quarter same-hospital patient days increased 0.3% and same-hospital revenues per patient day declined 1.7% compared to the same period last year as a result of shifts in payor mix and an increase in same-hospital average lengths of stay of 3.9%. HD’s core EBITDAR declined to $97 million from $117 million a year ago primarily as a result of these factors and certain increases in labor expense, bad debt and costs associated with longer average lengths of stay.

Kindred at Home Division revenues and core EBITDAR increased to $605 million and $102 million, respectively, for the quarter. The home health segment achieved solid growth during the third quarter of 2015, with episodic admissions increasing 2.6% and revenues increasing 7.3% to $357 million, both over the prior year period on a combined basis. The hospice segment generated $181 million of revenues, a 1% sequential growth in average daily census and an improved sequential operating margin from 15.7% to 18.8%.

Kindred Rehabilitation Services Division revenues increased 8.6% to $369 million and core EBITDAR contribution increased 35.1% to $57 million for the quarter. The Kindred Hospital Rehabilitation Services segment, which includes Kindred’s IRF business, experienced strong revenue growth of $56 million or 60.4% over the prior year period, due to the successful Centerre acquisition, and achieved core EBITDAR margin improvement from 26.7% to 28.2%. The RehabCare segment (“RHB”) experienced an 11.0% revenue reduction from the prior year period primarily due to contract losses. These contract losses occurred primarily in the first quarter of 2015 and began to moderate in the second quarter of 2015. In fact, RHB added 32 net new sites of service during the third quarter of 2015, its first positive net sites of service growth quarter in 2015.

Kindred’s Nursing Center Division (“NCD”) revenues grew 2.5% to $271 million due to an improvement of 4.3% in revenue per patient day. NCD core EBITDAR margins declined 2.2% due to a 1.9% decline in admissions. NCD continues to deliver stable performance despite continuing pressure on length of stay.

 

(1) See reconciliation of core results to GAAP results beginning on page 12.
(2) See same-hospital and full segment data on page 9.

 

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Kindred Healthcare Reports Third Quarter 2015 Results

Page 3

November 4, 2015

 

 

Significantly Improved Cash Flow Profile(1)

Stephen D. Farber, Executive Vice President and Chief Financial Officer of Kindred, noted “Our acquisition of Gentiva early in 2015 and the recent disposition of more than 150 nursing centers and long-term acute care (“LTAC”) hospitals have dramatically changed our cash flow profile, as evidenced by our strong cash flow performance through the first nine months of the year. While we do not typically provide annual cash flow guidance, looking beyond 2015, Kindred is now positioned going forward to generate roughly $300 million per year in core operating cash flow when adjusted to reflect the current composition of our businesses and before net changes in working capital, with roughly half that amount in core free cash flow after funding routine capital expenditures and growth-related investment in working capital. In addition, the Company has significant tax loss carryforwards and carrybacks, which have resulted in net cash inflows from federal income taxes in 2015, and which we expect will offset more than half of Kindred’s expected book tax liability in 2016.”

Revised 2015 Outlook

Due to the third quarter challenges in its Hospital Division, and based on updated expectations for LTAC operations in the fourth quarter, Kindred is revising its previously provided financial estimates for 2015(2) as follows:

 

    2015 annual revenues of approximately $7.1 billion (previously $7.2 billion)

 

    Core EBITDAR of approximately $970 million to $990 million(3) (previously $1.0 billion to $1.05 billion)

 

    Core earnings of $1.15 to $1.30 per diluted share(4) (previously $1.25 to $1.45)

 

    Adjusted core earnings of $1.55 to $1.70 per diluted share(4)(5) (previously $1.70 to $1.90)

Mr. Breier concluded, “As we methodically work our way through the macro and industry headwinds confronting our Hospital Division, including its forthcoming transition through LTAC criteria starting later next year, we expect some choppiness in that division’s performance and our consolidated results. We remain confident in the steps we are taking to address these challenges and in the strength of our cash flows, which enable us to continue to invest aggressively to evolve our platform to drive continued growth. The strength of our diversified service offerings, particularly the strong performance we are achieving at KAH, continues to produce growth and advances our strategy of delivering a coordinated continuum of care.”

This revised outlook excludes transaction costs, pre-closing financing costs and post-closing integration costs associated with the acquisitions of Gentiva and Centerre, the effect of reimbursement changes, debt refinancing costs, severance, retirement, retention and restructuring costs, litigation and related contingency expense (including the $125 million loss contingency reserve accrued during the nine months ended September 30, 2015 related to the previously disclosed investigation into a therapy services company acquired by Kindred in 2011), other transaction costs, any further acquisitions or divestitures, any impairment charges, any further issuances of common stock or any repurchases of common stock.

 

(1) See reconciliation of core results to GAAP results beginning on page 12.
(2) Guidance includes Gentiva for eleven months and Centerre for the full year.
(3) Includes $45 million from Gentiva synergies expected to be realized in 2015.
(4) The earnings per share estimate is based upon an estimated weighted average annual diluted share count for 2015 of 86 million shares. The estimated annual diluted share count for 2015 includes approximately 3.7 million shares of common stock issued in February, May and July to holders of 85,121 tangible equity units that elected early conversion settlements.
(5) Adjusted core earnings per diluted share is calculated by excluding non-cash expenses, net of the income tax benefit, related to amortization of intangible assets, stock-based compensation and deferred financing costs, from core income from continuing operations. The estimated non-cash expenses for 2015 total approximately $58 million ($35 million net of income taxes) or approximately $0.40 per diluted share.

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 4

November 4, 2015

 

 

RehabCare Loss Contingency Reserve Adjustment

The Company is engaged in active discussions with the United States Department of Justice in an effort to find a mutually acceptable resolution to the investigation of RehabCare Group, Inc., a therapy services company acquired by the Company on June 1, 2011. Based on the progress of continuing settlement discussions through October 2015, the Company, in accordance with GAAP, recorded an additional $30 million loss provision in the third quarter of 2015 (for a total loss reserve of $125 million) related to this matter. The Company recorded a $95 million loss reserve for this matter in the first quarter of 2015 and disclosed an estimated settlement range of $95 million to $125 million. The Company accrued the estimated loss contingency in the first quarter of 2015 at the minimum of the estimated range in accordance with GAAP as no amount within that range was a better estimate than any other amount. These continuing settlement discussions also indicate that a corporate integrity agreement will likely be required as part of any final settlement related to this matter. The discussions are ongoing, and until they are concluded, there can be no certainty about the timing or likelihood of a definitive resolution, the scope of any potential restrictions that may be agreed upon in connection with a settlement or the cost of a final settlement.

Cash Dividend

The Company announced that its Board of Directors has approved the payment of a cash dividend of $0.12 per share of common stock to be paid on December 11, 2015 to shareholders of record as of the close of business on November 18, 2015.

Conference Call

As previously announced, investors and the general public may access a live webcast of the third quarter 2015 conference call through a link on the Company’s website at http://investors.kindredhealthcare.com. The conference call will be held on November 5 at 10:00 a.m. (Eastern Time).

A telephone replay of the conference call will become available at approximately 1:00 p.m. on November 5 by dialing (719) 457-0820, access code: 8169570. The replay will be available through November 15.

Forward-Looking Statements and Non-GAAP Reconciliations

See page 11 for important disclosures regarding our forward-looking statements and the non-GAAP financial reconciliations that follow.

About Kindred Healthcare

Kindred Healthcare, Inc., a top-95 private employer in the United States, is a FORTUNE 500 healthcare services company based in Louisville, Kentucky with annual revenues of approximately $7.2 billion(1). At September 30, 2015, Kindred through its subsidiaries had approximately 102,200 employees providing healthcare services in 2,723 locations in 47 states, including 95 transitional care hospitals, 18 inpatient rehabilitation hospitals, 90 nursing centers, 20 sub-acute units, 626 Kindred at Home home health, hospice and non-medical home care sites of service, 101 inpatient rehabilitation units (hospital-based) and a contract rehabilitation services business, RehabCare, which served 1,773 non-affiliated sites of service. Ranked as one of Fortune magazine’s Most Admired Healthcare Companies for six years, 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.

 

(1) Revenues were computed by combining the twelve months ended December 31, 2014 data for Kindred, Gentiva and Centerre.

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 5

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Operations

(Unaudited)

(In thousands, except per share amounts)

 

     Three months ended
September 30,
    Nine months ended
September 30,
 
     2015     2014     2015     2014  

Revenues

   $ 1,764,516      $ 1,228,918      $ 5,273,958      $ 3,762,925   
  

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

     922,140        601,813        2,704,920        1,826,602   

Supplies

     96,551        70,719        288,059        215,269   

Rent

     96,244        77,643        284,786        233,872   

Other operating expenses

     207,837        169,582        617,681        511,786   

General and administrative expenses

     310,041        237,503        1,050,948        713,521   

Other income

     (650     (260     (1,699     (594

Litigation contingency expense

     31,462        —          130,387        4,600   

Impairment charges

     —          —          6,726        —     

Depreciation and amortization

     39,329        38,748        116,889        117,012   

Interest expense

     56,440        22,515        176,128        128,844   

Investment income

     (432     (344     (2,203     (2,975
  

 

 

   

 

 

   

 

 

   

 

 

 
     1,758,962        1,217,919        5,372,622        3,747,937   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

     5,554        10,999        (98,664     14,988   

Provision for income taxes

     12,523        3,777        9,183        5,289   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations

     (6,969     7,222        (107,847     9,699   

Discontinued operations, net of income taxes:

        

Income (loss) from operations

     2,269        (8,677     (1,744     (24,887

Gain (loss) on divestiture of operations

     —          1,387        983        (3,637
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from discontinued operations

     2,269        (7,290     (761     (28,524
  

 

 

   

 

 

   

 

 

   

 

 

 

Net loss

     (4,700     (68     (108,608     (18,825

(Earnings) loss attributable to noncontrolling interests:

        

Continuing operations

     (9,900     (4,372     (30,482     (13,729

Discontinued operations

     1        78        32        401   
  

 

 

   

 

 

   

 

 

   

 

 

 
     (9,899     (4,294     (30,450     (13,328
  

 

 

   

 

 

   

 

 

   

 

 

 

Loss attributable to Kindred

   $ (14,599   $ (4,362   $ (139,058   $ (32,153
  

 

 

   

 

 

   

 

 

   

 

 

 

Amounts attributable to Kindred stockholders:

        

Income (loss) from continuing operations

   $ (16,869   $ 2,850      $ (138,329   $ (4,030

Income (loss) from discontinued operations

     2,270        (7,212     (729     (28,123
  

 

 

   

 

 

   

 

 

   

 

 

 

Net loss

   $ (14,599   $ (4,362   $ (139,058   $ (32,153
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings (loss) per common share:

        

Basic:

        

Income (loss) from continuing operations

   $ (0.20   $ 0.04      $ (1.65   $ (0.07

Discontinued operations:

        

Income (loss) from operations

     0.03        (0.13     (0.02     (0.44

Gain (loss) on divestiture of operations

     —          0.02        0.01        (0.06
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from discontinued operations

     0.03        (0.11     (0.01     (0.50
  

 

 

   

 

 

   

 

 

   

 

 

 

Net loss

   $ (0.17   $ (0.07   $ (1.66   $ (0.57
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted:

        

Income (loss) from continuing operations

   $ (0.20   $ 0.04      $ (1.65   $ (0.07

Discontinued operations:

        

Income (loss) from operations

     0.03        (0.13     (0.02     (0.44

Gain (loss) on divestiture of operations

     —          0.02        0.01        (0.06
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from discontinued operations

     0.03        (0.11     (0.01     (0.50
  

 

 

   

 

 

   

 

 

   

 

 

 

Net loss

   $ (0.17   $ (0.07   $ (1.66   $ (0.57
  

 

 

   

 

 

   

 

 

   

 

 

 

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

        

Basic

     86,184        62,863        83,960        56,443   

Diluted

     86,184        62,902        83,960        56,443   

Cash dividends declared and paid per common share

   $ 0.12      $ 0.12      $ 0.36      $ 0.36   

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 6

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Balance Sheet

(Unaudited)

(In thousands, except per share amounts)

 

     September 30,
2015
    December 31,
2014
 
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 120,891      $ 164,188   

Insurance subsidiary investments

     103,856        99,951   

Accounts receivable less allowance for loss

     1,216,214        944,219   

Inventories

     27,252        25,702   

Deferred tax assets

     74,221        82,391   

Income taxes

     10,571        8,575   

Interest deposit on senior unsecured notes held in escrow

     —          23,438   

Other

     66,891        41,598   
  

 

 

   

 

 

 
     1,619,896        1,390,062   

Property and equipment

     2,120,809        1,978,153   

Accumulated depreciation

     (1,164,969     (1,076,049
  

 

 

   

 

 

 
     955,840        902,104   

Goodwill

     2,646,766        997,597   

Intangible assets less accumulated amortization

     783,774        400,700   

Assets held for sale

     1,526        3,475   

Insurance subsidiary investments

     201,026        166,045   

Deferred tax assets

     —          11,174   

Proceeds from senior unsecured notes held in escrow

     —          1,350,000   

Acquisition deposit

     —          195,000   

Other

     295,168        236,807   
  

 

 

   

 

 

 

Total assets

   $ 6,503,996      $ 5,652,964   
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Current liabilities:

    

Accounts payable

   $ 182,154      $ 175,725   

Salaries, wages and other compensation

     442,730        358,857   

Due to third party payors

     59,498        43,957   

Professional liability risks

     62,020        64,137   

Other accrued liabilities

     346,309        189,980   

Long-term debt due within one year

     32,527        24,607   
  

 

 

   

 

 

 
     1,125,238        857,263   

Long-term debt

     3,126,359        2,852,531   

Professional liability risks

     273,874        243,614   

Deferred tax liabilities

     20,850        —     

Deferred credits and other liabilities

     307,164        213,584   

Equity:

    

Stockholders’ equity:

    

Common stock, $0.25 par value; authorized 175,000 shares; issued 83,759 shares - September 30, 2015 and 69,977 shares - December 31, 2014

     20,940        17,494   

Capital in excess of par value

     1,741,736        1,586,692   

Accumulated other comprehensive loss

     (4,328     (2,551

Accumulated deficit

     (301,878     (159,768
  

 

 

   

 

 

 
     1,456,470        1,441,867   

Noncontrolling interests

     194,041        44,105   
  

 

 

   

 

 

 

Total equity

     1,650,511        1,485,972   
  

 

 

   

 

 

 

Total liabilities and equity

   $ 6,503,996      $ 5,652,964   
  

 

 

   

 

 

 

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 7

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Cash Flows

(Unaudited)

(In thousands)

 

     Three months ended
September 30,
    Nine months ended
September 30,
 
     2015     2014     2015     2014  

Cash flows from operating activities:

        

Net loss

   $ (4,700   $ (68   $ (108,608   $ (18,825

Adjustments to reconcile net loss to net cash provided by operating activities:

        

Depreciation and amortization

     39,595        39,579        117,521        121,805   

Amortization of stock-based compensation costs

     3,194        694        15,764        9,657   

Amortization of deferred financing costs

     3,554        1,982        10,155        21,211   

Payment of capitalized lender fees related to debt issuance

     —          —          (28,012     (19,125

Provision for doubtful accounts

     11,014        14,695        29,817        35,588   

Deferred income taxes

     3,556        (32,777     (894     (11,274

Impairment charges

     —          9        6,726        673   

(Gain) loss on divestiture of discontinued operations

     —          (1,387     (983     3,637   

Other

     3,485        175        10,457        2,289   

Change in operating assets and liabilities:

        

Accounts receivable

     25,990        10,392        (13,399     (102,503

Inventories and other assets

     8,767        (2,899     44,181        (12,886

Accounts payable

     (353     (3,592     (12,788     (22,469

Income taxes

     37,491        29,832        33,646        18,769   

Due to third party payors

     15,008        28,907        (3,965     14,540   

Other accrued liabilities

     (14,311     4,497        (6,551     (16,765
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by operating activities

     132,290        90,039        93,067        24,322   
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from investing activities:

        

Routine capital expenditures

     (35,422     (21,263     (80,691     (67,425

Development capital expenditures

     (5,760     (1,570     (12,066     (2,693

Acquisitions, net of cash acquired

     (2,002     (38     (663,757     (24,136

Acquisition deposit

     —          —          195,000        —     

Sale of assets

     3,884        8,948        7,061        22,909   

Proceeds from senior unsecured notes offering held in escrow

     —          —          1,350,000        —     

Interest in escrow for senior unsecured notes

     —          —          23,438        —     

Purchase of insurance subsidiary investments

     (16,357     (74,101     (59,186     (97,394

Sale of insurance subsidiary investments

     15,987        8,447        50,780        34,967   

Net change in insurance subsidiary cash and cash equivalents

     (2,633     65,928        (8,396     54,372   

Proceeds from note receivable

     25,000        —          25,000        —     

Change in other investments

     176        317        375        1,027   

Other

     1,383        (3     590        (537
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) investing activities

     (15,744     (13,335     828,148        (78,910
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from financing activities:

        

Proceeds from borrowings under revolving credit

     259,700        311,500        1,414,850        1,468,515   

Repayment of borrowings under revolving credit

     (349,700     (355,100     (1,319,850     (1,724,615

Proceeds from issuance of term loan, net of discount

     —          —          199,000        997,500   

Proceeds from issuance of senior unsecured notes

     —          —          —          500,000   

Repayment of Gentiva debt

     —          —          (1,177,363     —     

Repayment of senior unsecured notes

     —          —          —          (550,000

Repayment of term loan

     (3,003     (2,500     (9,008     (786,063

Repayment of other long-term debt

     (500     (58     (1,400     (215

Payment of deferred financing costs

     (301     (504     (3,284     (3,152

Equity offering, net of offering costs

     —          16,376        —          220,353   

Issuance of common stock in connection with employee benefit plans

     329        1,530        534        6,217   

Payment of costs associated with issuance of common stock and tangible equity units

     —          —          (915     —     

Payment of dividend for mandatory redeemable preferred stock

     (2,703     —          (8,135     —     

Dividends paid

     (10,065     (7,754     (30,067     (20,840

Contributions made by noncontrolling interests

     1,492        —          1,492        —     

Distributions to noncontrolling interests

     (10,685     (4,009     (31,823     (9,604

Other

     245        183        1,457        2,304   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     (115,191     (40,336     (964,512     100,400   
  

 

 

   

 

 

   

 

 

   

 

 

 

Change in cash and cash equivalents

     1,355        36,368        (43,297     45,812   

Cash and cash equivalents at beginning of period

     119,536        45,416        164,188        35,972   
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 120,891      $ 81,784      $ 120,891      $ 81,784   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 8

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated and Business Segment Data (a)

(Unaudited)

(In thousands, except per share amounts)

 

                                              Third quarter  
    2014 Quarters     2015 Quarters     % change v.  
    First     Second     Third     Fourth     First     Second     Third     prior year  

Consolidated income statement data:

               

Revenues

  $ 1,272,610      $ 1,261,397      $ 1,228,918      $ 1,264,674      $ 1,675,967      $ 1,833,475      $ 1,764,516        43.6   

Core EBITDAR

  $ 181,044      $ 175,865      $ 157,218      $ 170,088      $ 234,211      $ 261,800      $ 236,477        50.4   

Rent

    78,530        77,452        77,643        79,167        91,199        95,528        95,436        22.9   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Core EBITDA

    102,514        98,413        79,575        90,921        143,012        166,272        141,041        77.2   

Depreciation and amortization

    39,092        39,172        38,748        38,558        38,935        38,625        39,329        1.5   

Interest, net

    25,617        21,438        22,171        21,857        44,346        56,140        56,008        152.6   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Income from continuing operations before income taxes

    37,805        37,803        18,656        30,506        59,731        71,507        45,704        145.0   

Provision for income taxes

    14,445        13,612        6,168        8,471        22,466        25,721        15,298        148.0   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Income from continuing operations

    23,360        24,191        12,488        22,035        37,265        45,786        30,406        143.5   

Noncontrolling interests

    (4,529     (4,828     (4,372     (5,143     (8,847     (11,735     (9,900     126.4   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Net income attributable to Kindred

  $ 18,831      $ 19,363      $ 8,116      $ 16,892      $ 28,418      $ 34,051      $ 20,506        152.7   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Core EPS

  $ 0.35      $ 0.35      $ 0.13      $ 0.26      $ 0.34      $ 0.39      $ 0.23        76.9   

Adjusted Core EPS

  $ 0.46      $ 0.50      $ 0.20      $ 0.38      $ 0.43      $ 0.51      $ 0.33        65.0   

Diluted shares

    52,711        53,792        62,902        63,163        82,422        86,402        86,892        38.1   

Revenues by segment:

               

Hospital division

  $ 627,245      $ 612,517      $ 591,121      $ 619,185      $ 640,483      $ 627,206      $ 579,497        (2.0

Kindred at Home:

               

Home health

    74,791        75,502        74,026        74,588        300,867        427,820        424,054        472.8   

Hospice

    12,913        12,484        12,160        12,538        119,057        178,005        181,140        1,389.6   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
    87,704        87,986        86,186        87,126        419,924        605,825        605,194        602.2   

Kindred Rehabilitation Services:

               

Kindred Hospital Rehabilitation Services

    93,177        94,963        93,139        92,922        151,564        152,544        149,435        60.4   

RehabCare

    253,943        253,694        246,732        252,667        252,595        236,791        219,518        (11.0
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
    347,120        348,657        339,871        345,589        404,159        389,335        368,953        8.6   

Nursing center division

    262,590        264,437        263,897        271,625        274,308        273,870        270,510        2.5   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
    1,324,659        1,313,597        1,281,075        1,323,525        1,738,874        1,896,236        1,824,154        42.4   

Eliminations

    (52,049     (52,200     (52,157     (58,851     (62,907     (62,761     (59,638     14.3   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
  $ 1,272,610      $ 1,261,397      $ 1,228,918      $ 1,264,674      $ 1,675,967      $ 1,833,475      $ 1,764,516        43.6   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Core EBITDAR by segment:

               

Hospital division

  $ 139,505      $ 131,990      $ 117,604      $ 134,791      $ 134,786      $ 131,532      $ 97,128        (17.4

Kindred at Home:

               

Home health

    2,845        5,769        5,961        7,398        46,798        72,917        68,155        1,043.3   

Hospice

    1,852        2,139        1,149        524        16,996        27,887        34,025        2,861.3   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
    4,697        7,908        7,110        7,922        63,794        100,804        102,180        1,337.1   

Kindred Rehabilitation Services:

               

Kindred Hospital Rehabilitation Services

    25,710        25,742        24,887        23,884        44,564        44,531        42,141        69.3   

RehabCare

    18,016        19,863        17,080        16,029        16,493        14,681        14,544        (14.8
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
    43,726        45,605        41,967        39,913        61,057        59,212        56,685        35.1   

Nursing center division

    37,572        38,614        35,920        38,810        36,963        40,461        35,923        —     

Support center

    (44,456     (48,252     (45,383     (51,348     (62,389     (70,209     (55,439 )(b)      22.2   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
  $ 181,044      $ 175,865      $ 157,218      $ 170,088      $ 234,211      $ 261,800      $ 236,477        50.4   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Core EBITDAR margin by segment:

               

Hospital division

    22.2        21.5        19.9        21.8        21.0        21.0        16.8        (15.6

Kindred at Home:

               

Home health

    3.8        7.6        8.1        9.9        15.6        17.0        16.1        98.8   

Hospice

    14.3        17.1        9.4        4.2        14.3        15.7        18.8        100.0   

Kindred at Home

    5.4        9.0        8.2        9.1        15.2        16.6        16.9        106.1   

Kindred Rehabilitation Services:

               

Kindred Hospital Rehabilitation Services

    27.6        27.1        26.7        25.7        29.4        29.2        28.2        5.6   

RehabCare

    7.1        7.8        6.9        6.3        6.5        6.2        6.6        (4.3

Kindred Rehabilitation Services

    12.6        13.1        12.3        11.5        15.1        15.2        15.4        25.2   

Nursing center division

    14.3        14.6        13.6        14.3        13.5        14.8        13.3        (2.2

Consolidated

    14.2        13.9        12.8        13.4        14.0        14.3        13.4        4.7   

 

(a) See reconciliation of core and adjusted results to GAAP results beginning on page 12.
(b) Includes a $9 million change in estimate to lower incentive compensation costs recorded in prior periods.

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 9

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data (Continued)

(Unaudited)

(In thousands, except statistics)

 

                                                      Third quarter  
     2014 Quarters      2015 Quarters      % change v.  
     First      Second      Third      Fourth      First      Second      Third      prior year  

Hospital division:

                       

End of period data:

                       

Number of transitional care hospitals

     97         97         97         97         97         96         95      

Number of licensed beds

     7,145         7,145         7,145         7,147         7,147         7,124         7,094      

Revenue mix %:

                       

Medicare

     59.8         58.2         57.0         57.0         56.8         55.2         57.1      

Medicaid

     6.6         6.8         6.9         6.0         5.5         5.3         5.3      

Medicare Advantage

     11.4         11.2         10.5         10.5         11.9         11.6         10.8      

Medicaid Managed

     2.4         3.0         3.8         4.5         4.7         5.6         6.1      

Commercial insurance and other

     19.8         20.8         21.8         22.0         21.1         22.3         20.7      

Admissions:

                       

Medicare

     9,038         8,555         8,460         8,525         8,775         8,267         7,976         (5.7

Medicaid

     819         896         805         750         610         610         556         (30.9

Medicare Advantage

     1,435         1,389         1,250         1,359         1,555         1,352         1,212         (3.0

Medicaid Managed

     317         381         511         572         643         675         646         26.4   

Commercial insurance and other

     1,914         1,885         1,703         1,696         1,868         1,815         1,763         3.5   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
     13,523         13,106         12,729         12,902         13,451         12,719         12,153         (4.5
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Patient days:

                       

Medicare

     230,350         220,035         213,170         220,548         228,483         218,577         210,870         (1.1

Medicaid

     32,712         32,619         30,480         30,454         28,663         25,213         23,167         (24.0

Medicare Advantage

     44,025         43,027         39,938         41,260         48,448         44,740         39,585         (0.9

Medicaid Managed

     10,733         13,191         16,556         20,000         22,013         24,833         24,412         47.5   

Commercial insurance and other

     59,567         59,293         57,486         59,295         62,241         62,922         58,631         2.0   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
     377,387         368,165         357,630         371,557         389,848         376,285         356,665         (0.3
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Average length of stay:

                       

Medicare

     25.5         25.7         25.2         25.9         26.0         26.4         26.4         4.8   

Medicaid

     39.9         36.4         37.9         40.6         47.0         41.3         41.7         10.0   

Medicare Advantage

     30.7         31.0         32.0         30.4         31.2         33.1         32.7         2.2   

Medicaid Managed

     33.9         34.6         32.4         35.0         34.2         36.8         37.8         16.7   

Commercial insurance and other

     31.1         31.5         33.8         35.0         33.3         34.7         33.3         (1.5

Weighted average

     27.9         28.1         28.1         28.8         29.0         29.6         29.3         4.3   

Revenues per admission:

                       

Medicare

   $ 41,492       $ 41,670       $ 39,828       $ 41,425       $ 41,483       $ 41,892       $ 41,451         4.1   

Medicaid

     50,894         46,106         50,344         49,760         57,594         54,795         55,415         10.1   

Medicare Advantage

     49,666         49,352         49,814         47,756         48,908         53,578         51,495         3.4   

Medicaid Managed

     47,803         48,814         44,321         48,691         46,740         51,950         54,976         24.0   

Commercial insurance and other

     64,858         67,679         75,591         80,167         72,395         77,110         68,151         (9.8

Weighted average

     46,384         46,736         46,439         47,991         47,616         49,312         47,683         2.7   

Revenues per patient day:

                       

Medicare

   $ 1,628       $ 1,620       $ 1,581       $ 1,601       $ 1,593       $ 1,584       $ 1,568         (0.8

Medicaid

     1,274         1,266         1,330         1,225         1,226         1,326         1,330         —     

Medicare Advantage

     1,619         1,593         1,559         1,573         1,570         1,619         1,577         1.2   

Medicaid Managed

     1,412         1,410         1,368         1,393         1,365         1,412         1,455         6.4   

Commercial insurance and other

     2,084         2,152         2,239         2,293         2,173         2,224         2,049         (8.5

Weighted average

     1,662         1,664         1,653         1,666         1,643         1,667         1,625         (1.7

Medicare case mix index (discharged patients only)

     1.173         1.182         1.157         1.139         1.166         1.163         1.150         (0.6

Average daily census

     4,193         4,046         3,887         4,039         4,332         4,135         3,877         (0.3

Occupancy %

     67.3         64.6         62.1         64.5         69.2         66.1         62.2         0.2   

Same-hospital data:

                       

Revenues (a)

   $ 620,866       $ 606,408       $ 585,553       $ 614,207       $ 634,975       $ 622,018       $ 577,337         (1.4

Admissions:

                       

Medicare

     8,910         8,423         8,342         8,403         8,652         8,172         7,932         (4.9

Medicaid

     812         885         794         739         602         608         556         (30.0

Medicare Advantage

     1,429         1,376         1,244         1,351         1,546         1,348         1,212         (2.6

Medicaid Managed

     315         377         511         568         640         670         644         26.0   

Commercial insurance and other

     1,895         1,863         1,688         1,669         1,840         1,797         1,762         4.4   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
     13,361         12,924         12,579         12,730         13,280         12,595         12,106         (3.8
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Patient days:

                       

Medicare

     227,635         217,074         210,386         218,127         225,992         216,230         209,662         (0.3

Medicaid

     32,303         32,260         30,254         30,207         28,458         25,060         23,141         (23.5

Medicare Advantage

     43,906         42,802         39,859         41,153         48,276         44,548         39,585         (0.7

Medicaid Managed

     10,714         13,143         16,515         19,906         21,933         24,673         24,280         47.0   

Commercial insurance and other

     59,059         58,968         57,185         58,833         61,715         62,462         58,625         2.5   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
     373,617         364,247         354,199         368,226         386,374         372,973         355,293         0.3   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Total average length of stay

     28.0         28.2         28.2         28.9         29.1         29.6         29.3         3.9   

Total revenues per patient day

   $ 1,662       $ 1,665       $ 1,653       $ 1,668       $ 1,643       $ 1,668       $ 1,625         (1.7

 

(a) See reconciliation of same-hospital revenues to reported revenues for the Hospital Division on page 14.

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 10

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data (Continued)

(Unaudited)

(In thousands, except statistics)

 

                                                      Third quarter  
     2014 Quarters      2015 Quarters      % change v.  
     First      Second      Third      Fourth      First      Second      Third      prior year  

Kindred at Home (data combined to include Kindred and Gentiva for each historical period):

                       

Home Health:

                       

Sites of service (at end of period)

     447         440         439         427         415         411         388      

Revenue mix %:

                       

Medicare

     81.8         81.5         80.7         80.7         80.9         80.4         80.0      

Medicaid

     2.7         2.6         2.4         2.2         2.1         2.1         2.1      

Commercial and other

     9.1         9.0         8.9         6.7         7.3         7.9         8.2      

Commercial paid at episodic rates

     6.4         6.9         8.0         10.4         9.7         9.6         9.7      

Episodic revenues ($ 000s)

   $ 281,226       $ 294,208       $ 292,675       $ 305,668       $ 308,317       $ 324,027       $ 319,820         9.3   

Total episodic admissions

     65,077         63,676         65,049         65,183         69,936         67,808         66,753         2.6   

Medicare episodic admissions

     59,248         58,140         57,921         57,372         61,186         59,394         58,479         1.0   

Total episodes

     103,758         103,689         105,906         106,708         110,980         109,599         108,519         2.5   

Episodes per admission

     1.59         1.63         1.63         1.64         1.59         1.62         1.63         —     

Revenue per episode

   $ 2,710       $ 2,837       $ 2,764       $ 2,865       $ 2,778       $ 2,956       $ 2,947         6.6   

Hospice:

                       

Sites of service (at end of period)

     216         200         199         193         190         185         181      

Admissions

     13,807         12,751         12,088         12,151         13,164         12,574         12,091         —     

Average length of stay

     103         106         103         103         95         93         101         (1.9

Patient days

     1,252,787         1,251,301         1,236,792         1,215,209         1,150,841         1,190,604         1,211,291         (2.1

Revenue per patient day

   $ 150       $ 148       $ 149       $ 154       $ 151       $ 150       $ 150         0.7   

Average daily census

     13,920         13,751         13,443         13,209         12,787         13,084         13,166         (2.1

Community Care and other revenues (included in Home Health business segment)

   $ 66,732       $ 66,372       $ 67,390       $ 67,621       $ 65,530       $ 67,647       $ 67,338         (0.1

Kindred Rehabilitation Services:

                       

Kindred Hospital Rehabilitation Services:

                       

Freestanding IRFs:

                       

End of period data:

                       

Number of IRFs

     5         5         5         5         16         16         18      

Number of licensed beds

     215         215         215         215         829         829         919      

Discharges (a)

     1,053         1,121         1,004         1,046         3,806         3,927         3,941         292.5   

Occupancy % (a)

     71.6         71.6         68.5         69.6         73.2         71.5         68.7         0.3   

Average length of stay (a)

     13.2         12.5         13.5         13.2         13.7         13.1         13.2         (2.2

Revenue per discharge (a)

   $ 18,246       $ 17,519       $ 18,259       $ 17,039       $ 19,517       $ 19,325       $ 18,992         4.0   

Contract services:

                       

Sites of service (at end of period):

                       

Inpatient rehabilitation units

     105         104         102         100         100         99         101      

LTAC hospitals

     121         118         117         117         120         120         119      

Sub-acute units

     10         9         10         10         8         8         7      

Outpatient units

     143         143         139         138         138         139         135      
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
     379         374         368         365         366         366         362      
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Revenue per site

   $ 195,157       $ 201,400       $ 203,284       $ 205,749       $ 211,151       $ 209,436       $ 206,041         1.4   

RehabCare:

                       

Sites of service (at end of period)

     1,851         1,863         1,896         1,935         1,829         1,789         1,821      

Revenue per site

   $ 137,193       $ 136,175       $ 130,133       $ 130,576       $ 138,106       $ 132,359       $ 120,548         (7.4

Nursing center division:

                       

End of period data:

                       

Number of nursing centers

     89         89         90         90         90         90         90      

Number of licensed beds

     11,503         11,491         11,575         11,535         11,535         11,535         11,535      

Admissions (b)

     9,789         9,621         9,746         9,616         10,376         9,831         9,558         (1.9

Medicare average length of stay (b)

     29.6         29.8         29.9         29.0         28.9         28.9         28.5         (4.7

Patient days (b)

     861,340         858,772         865,415         871,976         861,278         852,691         851,332         (1.6

Revenues per patient day (b)

   $ 305       $ 308       $ 305       $ 312       $ 319       $ 321       $ 318         4.3   

Average daily census (b)

     9,570         9,437         9,407         9,478         9,570         9,370         9,254         (1.6

Occupancy % (b)

     81.7         80.7         80.1         80.5         81.3         79.6         78.6         (1.9

 

(a) Excludes non-consolidating IRF.
(b) Excludes managed facilities.

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 11

November 4, 2015

 

 

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. These forward-looking statements include, but are not limited to, statements regarding the Company’s acquisitions of Gentiva and Centerre (including the benefits, results and effects of such acquisitions), all statements regarding the Company’s expected future financial position, results of operations, cash flows, dividends, 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,” “would,” “should,” “will,” “intend,” “may,” “potential,” “upside,” and other similar expressions. Statements in this press release concerning the Company’s business outlook or future economic performance, anticipated profitability, revenues, expenses, dividends 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, performance or plans to differ materially from any future results, performance or plans 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.

Risks and uncertainties related to the Company’s acquisitions of Gentiva and Centerre include, but are not limited to, uncertainties as to whether the acquisitions will have the accretive effect on the Company’s earnings or cash flows that it expects, the inability to obtain, or delays in obtaining, cost savings and synergies from the acquisitions, costs and difficulties related to the integration of Gentiva’s and Centerre’s businesses and operations with the Company’s businesses and operations, unexpected costs, liabilities, charges or expenses resulting from the acquisitions, adverse effects on the Company’s stock price resulting from the acquisitions, the inability to retain key personnel, and potential adverse reactions, changes to business relationships or competitive responses resulting from the acquisitions.

In addition to the factors set forth above, other factors that may affect the Company’s plans, results or stock price are set forth in the Company’s Annual Report on Form 10-K, Quarterly Reports on Form 10-Q and Current Reports on Form 8-K.

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.

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 12

November 4, 2015

 

 

Non-GAAP Measurements

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 quarters in 2015, four quarters in 2014 and nine months ended September 30, 2015 and 2014 before certain charges or on a core and adjusted core basis, and on a same-hospital basis. The use of these non-GAAP measures 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 that are not representative of its ongoing operations due to the materiality and nature of the charges. The Company believes the presentation of adjusted core operating results, which excludes non-cash expenses related to amortization of intangible assets, stock-based compensation and deferred financing costs from core operating results, is a useful performance measure used by some investors, equity analysts and others to make informed investment decisions and for comparability to other companies that use similar measures. The Company believes the presentation of same-hospital revenues, which excludes the results from two hospitals that closed during 2015, provides investors, equity analysts and others with useful information regarding the performance of the Company’s hospital operations that are comparable for the periods presented. The Company believes that reported hospital segment revenues is the most comparable GAAP measure. Readers of the Company’s financial information should consider reported hospital segment revenues as an important measure of the Company’s Hospital Division financial performance because it provides the most complete measure of its revenues. The Company’s earnings release also includes financial measures referred to as operating income, or EBITDAR or core EBITDAR, and earnings before interest, income taxes, depreciation and amortization (“EBITDA”). The Company’s management uses core EBITDAR or core EBITDA as meaningful measures of operational performance in addition to other measures. The Company uses core EBITDAR or core EBITDA to assess the relative performance of its operating divisions as well as the employees that operate these businesses. In addition, the Company believes these measurements are important because securities analysts and investors use these measurements 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 results presented on a core and adjusted core basis and core EBITDAR or core EBITDA, as well as a same-hospital basis, 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. Reconciliations of the non-GAAP measurements to the GAAP measurements are included in the following pages of this press release.

Also in this press release, the Company provides the financial measures of operating cash flows and free cash flows excluding certain items, which the Company refers to as core operating cash flows and core free cash flows. The Company recognizes that operating cash flows and free cash flows excluding certain items are non-GAAP measurements and are not intended to replace the presentation of the Company’s cash flows in accordance with GAAP. The Company believes that these non-GAAP measurements provide important information to investors for comparability to other companies that use similar measures. In addition, management uses operating cash flows and 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 provided by operating activities as an important measure of the Company’s financial performance because it provides the most complete measure of its performance. Operating cash flows and 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. Reconciliations of net cash flows provided by operating activities to operating cash flows and free cash flows excluding certain items are included in this press release.

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 13

November 4, 2015

 

 

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 and nine months ended September 30, 2015 and 2014 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 6.9% and 31.2% for the three months ended September 30, 2015 and 2014, respectively, and 19.7% and 36.5% for the nine months ended September 30, 2015 and 2014, respectively. The difference in the effective income tax rate for both periods compared to the same prior year periods is attributable to the composition of charges that are non-deductible or the deductibility is uncertain for income tax purposes, including the litigation contingency expense.

The use of these non-GAAP measures 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 and nine months ended September 30, 2015 and 2014 that are not representative of its ongoing operations due to the materiality and the nature of the charges. The Company’s core operating results also represent a key performance measure for the purpose of evaluating performance internally. The Company believes the presentation of adjusted core operating results, which excludes non-cash expenses related to amortization of intangible assets, stock-based compensation and deferred financing costs from core operating results, is a performance measure used by some investors, equity analysts and others to make informed investment decisions and for comparability to other companies that use similar measures.

 

     Three months ended     Nine months ended  
     September 30,     September 30,  
     2015     2014     2015     2014  

Detail of charges:

        

Litigation contingency expense

   ($ 31,462   $ —        ($ 130,387   ($ 4,600

Retirement and severance costs

     (666     (1,686     (5,627     (6,636

Hospital and home health/hospice closings

     (3,368     —          (7,789     —     

Development project cancellation and other restructuring costs

     —          —          (1,259     —     

Customer bankruptcy

     —          (1,857     —          (1,857

Gentiva transaction and integration costs:

        

Professional and consulting fees

     (1,113     (3,200     (35,178     (5,279

Severance and retention

     (1,956     —          (58,831     —     

Lease termination (charged to rent expense)

     —          —          (792     —     

Pre-closing financing charges (charged to general and administrative expenses)

     —          —          (6,005     —     

Pre-closing financing charges (charged to interest expense)

     —          —          (17,431     —     

Trade name impairment charges

     —          —          (6,726     —     

Lease termination (charged to rent expense)

     (808     —          (1,831     (247

Debt refinancing costs (charged to interest expense)

     —          —          —          (56,643

Other transaction costs

     (777     (914     (3,750     (4,014
  

 

 

   

 

 

   

 

 

   

 

 

 
     (40,150     (7,657     (275,606     (79,276

Income tax benefit

     2,775        2,391        54,302        28,936   
  

 

 

   

 

 

   

 

 

   

 

 

 

Charges net of income taxes

     (37,375     (5,266     (221,304     (50,340

Allocation to participating unvested restricted stockholders

     —          133        —          —     
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   ($ 37,375   ($ 5,133   ($ 221,304   ($ 50,340
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average diluted shares outstanding

     86,184        62,902        83,960        56,443   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted loss per common share related to charges

   ($ 0.43   ($ 0.08   ($ 2.64   ($ 0.89
  

 

 

   

 

 

   

 

 

   

 

 

 

Reconciliation of income from continuing operations before charges:

        

Amounts attributable to Kindred stockholders:

        

Income from continuing operations before charges

   $ 20,506      $ 8,116      $ 82,975      $ 46,310   

Charges net of income taxes

     (37,375     (5,266     (221,304     (50,340
  

 

 

   

 

 

   

 

 

   

 

 

 

Reported income (loss) from continuing operations

   ($ 16,869   $ 2,850      ($ 138,329   ($ 4,030
  

 

 

   

 

 

   

 

 

   

 

 

 

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

        

Diluted earnings per common share before charges (a)

   $ 0.23      $ 0.13      $ 0.95      $ 0.80   

Charges net of income taxes

     (0.43     (0.08     (2.64     (0.89

Other

     —          (0.01     0.04        0.02   
  

 

 

   

 

 

   

 

 

   

 

 

 

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

   ($ 0.20   $ 0.04      ($ 1.65   ($ 0.07
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average diluted shares used to compute earnings per common share from continuing operations before charges

     86,892        62,902        85,691        56,506   
  

 

 

   

 

 

   

 

 

   

 

 

 

Reconciliation of effective income tax rate before charges:

        

Effective income tax rate before charges

     33.5     33.1     35.9     36.3

Impact of charges on effective income tax rate

     192.0     1.2     -26.6     -1.0
  

 

 

   

 

 

   

 

 

   

 

 

 

Reported effective income tax rate

     225.5     34.3     9.3     35.3
  

 

 

   

 

 

   

 

 

   

 

 

 

 

(a) For purposes of computing diluted earnings per common share before charges, income from continuing operations before charges was reduced by $0.3 million and $0.2 million for the three months ended September 30, 2015 and 2014, respectively, and by $1.5 million and $1.3 million for the nine months ended September 30, 2015 and 2014, respectively, for the allocation of income to participating unvested restricted stockholders.

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 14

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands, except per share amounts and statistics)

 

A reconciliation of adjusted core earnings follows:

 

     2014 Quarters      2015 Quarters  
     First      Second      Third      Fourth      First      Second      Third  

Reconciliation of adjusted core earnings:

                    

Income from continuing operations before charges (as calculated and reconciled to GAAP measurement on the following pages)

   $ 18,831       $ 19,363       $ 8,116       $ 16,892       $ 28,418       $ 34,051       $ 20,506   

Add back non-cash expenses:

                    

Amortization of intangible assets

     5,560         5,513         5,378         5,215         6,932         7,536         7,728   

Amortization of stock-based compensation costs

     2,585         5,924         748         5,073         3,141         6,687         3,194   

Amortization of deferred financing costs

     2,397         1,950         1,982         2,044         3,062         3,539         3,554   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 
     10,542         13,387         8,108         12,332         13,135         17,762         14,476   

Income tax benefit related to non-cash expenses

     4,148         5,268         3,190         4,853         5,169         6,989         5,696   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Non-cash expenses, net of income taxes

     6,394         8,119         4,918         7,479         7,966         10,773         8,780   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Adjusted core earnings

   $ 25,225       $ 27,482       $ 13,034       $ 24,371       $ 36,384       $ 44,824       $ 29,286   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Reconciliation of diluted adjusted core earnings from continuing operations:

                    

Diluted income per common share before charges (as calculated on the following pages)

   $ 0.35       $ 0.35       $ 0.13       $ 0.26       $ 0.34       $ 0.39       $ 0.23   

Non-cash expenses, net of income taxes

     0.11         0.15         0.07         0.12         0.09         0.12         0.10   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Diluted adjusted core earnings per common share from continuing operations

   $ 0.46       $ 0.50       $ 0.20       $ 0.38       $ 0.43       $ 0.51       $ 0.33   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

Weighted average diluted shares used to compute adjusted core earnings per common share

     52,711         53,792         62,902         63,163         82,422         86,402         86,892   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

 

A reconciliation of combined Kindred and Gentiva home health revenues (excluding community care) for each historical period follows:

 

                                                      Third quarter  
     2014 Quarters      2015 Quarters      % change v.  
     First      Second      Third      Fourth      First      Second      Third      prior year  

Kindred

   $ 67,266       $ 67,830       $ 65,954       $ 66,491       $ 254,965       $ 360,173       $ 356,716      

Gentiva

     253,895         267,018         266,340         275,342         87,520         —           —        
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
   $ 321,161       $ 334,848       $ 332,294       $ 341,833       $ 342,485       $ 360,173       $ 356,716         7.3   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

A reconciliation of same-hospital revenues to reported revenues for the Hospital Division for each historical period follows:

 

                                                      Third quarter  
     2014 Quarters      2015 Quarters      % change v.  
     First      Second      Third      Fourth      First      Second      Third      prior year  

Same-hospital revenues

   $ 620,866       $ 606,408       $ 585,553       $ 614,207       $ 634,975       $ 622,018       $ 577,337         (1.4

Two hospitals that closed during 2015 (a)

     6,379         6,109         5,568         4,978         5,508         5,188         2,160      
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Reported revenues

   $ 627,245       $ 612,517       $ 591,121       $ 619,185       $ 640,483       $ 627,206       $ 579,497         (2.0
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

(a) One hospital closed during the second quarter of 2015 and one hospital closed during the third quarter of 2015.

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 15

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands, except per share amounts)

 

    Three months ended September 30, 2015  
          Charges        
                Hospital           Gentiva                    
          Retirement     and home           transaction                    
    Before     and     health/hospice     Litigation     and     Other           As  
    charges     severance     closings     contingency     integration     transaction     Total     reported  

Income (loss) from continuing operations:

               

Operating income (loss) (EBITDAR):

               

Hospital division

  $ 97,128      $ (666   $ (479   $ —        $ —        $ —        $ (1,145   $ 95,983   

Kindred at Home:

               

Home health

    68,155        —          (2,571     —          —          —          (2,571     65,584   

Hospice

    34,025        —          (318     —          —          —          (318     33,707   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    102,180        —          (2,889     —          —          —          (2,889     99,291   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

               

Kindred Hospital Rehabilitation Services

    42,141        —          —          —          —          —          —          42,141   

RehabCare

    14,544        —          —          —          —          —          —          14,544   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    56,685        —          —          —          —          —          —          56,685   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

    35,923        —          —          —          —          —          —          35,923   

Support center

    (55,439     —          —          —          —          —          —          (55,439

Litigation contingency expense

    —          —          —          (31,462     —          —          (31,462     (31,462

Transaction costs

    —          —          —          —          (3,069     (777     (3,846     (3,846
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income (EBITDAR)

    236,477        (666     (3,368     (31,462     (3,069     (777     (39,342     197,135   

Rent

    (95,436     —          (808     —          —          —          (808     (96,244
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDA

    141,041        (666     (4,176     (31,462     (3,069     (777     (40,150     100,891   

Depreciation and amortization

    (39,329     —          —          —          —          —          —          (39,329

Interest, net

    (56,008     —          —          —          —          —          —          (56,008
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

    45,704        (666     (4,176     (31,462     (3,069     (777     (40,150     5,554   

Provision for income taxes

    15,298        (196     (1,225     (429     (697     (228     (2,775     12,523   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    30,406      $ (470   $ (2,951   $ (31,033   $ (2,372   $ (549   $ (37,375     (6,969
   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Noncontrolling interests

    (9,900                 (9,900
 

 

 

               

 

 

 

Income (loss) attributable to Kindred

  $ 20,506                  $ (16,869
 

 

 

               

 

 

 

Diluted earnings (loss) per common share

  $ 0.23                  $ (0.20

Diluted shares used in computing earnings (loss) per common share

    86,892                    86,184   

 

     Three months ended September 30, 2014  
           Charges        
           Severance                                
     Before     and other     Customer     Gentiva     Other           As  
     charges     restructuring     bankruptcy     transaction     transaction     Total     reported  

Income from continuing operations:

              

Operating income (loss) (EBITDAR):

              

Hospital division

   $ 117,604      $ (617   $ —        $ —        $ —        $ (617   $ 116,987   

Kindred at Home:

              

Home health

     5,961        (275     —          —          —          (275     5,686   

Hospice

     1,149        (46     —          —          —          (46     1,103   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     7,110        (321     —          —          —          (321     6,789   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

              

Kindred Hospital Rehabilitation Services

     24,887        —          (1,857     —          —          (1,857     23,030   

RehabCare

     17,080        162        —          —          —          162        17,242   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     41,967        162        (1,857     —          —          (1,695     40,272   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

     35,920        (483     —          —          —          (483     35,437   

Support center

     (45,383     (427     —          —          —          (427     (45,810

Transaction costs

     —          —          —          (3,200     (914     (4,114     (4,114
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income (EBITDAR)

     157,218        (1,686     (1,857     (3,200     (914     (7,657     149,561   

Rent

     (77,643     —          —          —          —          —          (77,643
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDA

     79,575        (1,686     (1,857     (3,200     (914     (7,657     71,918   

Depreciation and amortization

     (38,748     —          —          —          —          —          (38,748

Interest, net

     (22,171     —          —          —          —          —          (22,171
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

     18,656        (1,686     (1,857     (3,200     (914     (7,657     10,999   

Provision for income taxes

     6,168        (923     (1,017     (69     (382     (2,391     3,777   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     12,488      $ (763   $ (840   $ (3,131   $ (532   $ (5,266     7,222   
    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Noncontrolling interests

     (4,372               (4,372
  

 

 

             

 

 

 

Income attributable to Kindred

   $ 8,116                $ 2,850   
  

 

 

             

 

 

 

Diluted earnings per common share

   $ 0.13                $ 0.04   

Diluted shares used in computing earnings per common share

     62,902                  62,902   

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 16

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands, except per share amounts)

 

    Nine months ended September 30, 2015  
          Charges        
                Hospital     Development                 Gentiva     Gentiva                    
          Retirement     and home     project                 pre-closing     transaction                    
    Before     and     health/hospice     cancellation     Litigation     Impairment     financing     and     Other           As  
    charges     severance     closings     and other     contingency     charges     costs     integration     transaction     Total     reported  

Income (loss) from continuing operations:

                     

Operating income (loss) (EBITDAR):

                     

Hospital division

  $ 363,446      $ (666   $ (1,044   $ (675   $ —        $ —        $ —        $ —        $ —        $ (2,385   $ 361,061   

Kindred at Home:

                     

Home health

    187,870        —          (4,261     —          —          —          —          —          —          (4,261     183,609   

Hospice

    78,908        —          (2,484     —          —          —          —          —          —          (2,484     76,424   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    266,778        —          (6,745     —          —          —          —          —          —          (6,745     260,033   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

                     

Kindred Hospital Rehabilitation Services

    131,236        —          —          —          —          —          —          —          —          —          131,236   

RehabCare

    45,718        (785     —          —          —          —          —          —          —          (785     44,933   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    176,954        (785     —          —          —          —          —          —          —          (785     176,169   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

    113,347        —          —          (584     —          —          —          —          —          (584     112,763   

Support center

    (188,037     (4,176     —          —          —          —          —          —          —          (4,176     (192,213

Litigation contingency expense

    —          —          —          —          (130,387     —          —          —          —          (130,387     (130,387

Transaction costs

    —          —          —          —          —          —          (6,005     (94,009     (3,750     (103,764     (103,764

Impairment charges

    —          —          —          —          —          (6,726     —          —          —          (6,726     (6,726
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income (EBITDAR)

    732,488        (5,627     (7,789     (1,259     (130,387     (6,726     (6,005     (94,009     (3,750     (255,552     476,936   

Rent

    (282,163     —          (1,479     (352     —          —          —          (792     —          (2,623     (284,786
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDA

    450,325        (5,627     (9,268     (1,611     (130,387     (6,726     (6,005     (94,801     (3,750     (258,175     192,150   

Depreciation and amortization

    (116,889     —          —          —          —          —          —          —          —          —          (116,889

Interest, net

    (156,494     —          —          —          —          —          (17,431     —          —          (17,431     (173,925
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

    176,942        (5,627     (9,268     (1,611     (130,387     (6,726     (23,436     (94,801     (3,750     (275,606     (98,664

Provision for income taxes

    63,485        (2,202     (3,627     (631     (2,108     (2,633     (9,173     (32,460     (1,468     (54,302     9,183   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    113,457      $ (3,425   $ (5,641   $ (980   $ (128,279   $ (4,093   $ (14,263   $ (62,341   $ (2,282   $ (221,304     (107,847
   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Noncontrolling interests

    (30,482                       (30,482
 

 

 

                     

 

 

 

Income (loss) attributable to Kindred

  $ 82,975                        $ (138,329
 

 

 

                     

 

 

 

Diluted earnings (loss) per common share

  $ 0.95                        $ (1.65

Diluted shares used in computing earnings (loss) per common share

    85,691                          83,960   

 

     Nine months ended September 30, 2014  
           Charges        
           Severance                                            
     Before     and other     Customer     Litigation     Debt     Gentiva     Other           As  
     charges     restructuring     bankruptcy     contingency     refinancing     transaction     transaction     Total     reported  

Income from continuing operations:

                  

Operating income (loss) (EBITDAR):

                  

Hospital division

   $ 389,099      $ (617   $ —        $ —        $ —        $ —        $ —        $ (617   $ 388,482   

Kindred at Home:

                  

Home health

     14,575        (996     —          —          —          —          —          (996     13,579   

Hospice

     5,140        (168     —          —          —          —          —          (168     4,972   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     19,715        (1,164     —          —          —          —          —          (1,164     18,551   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

                  

Kindred Hospital Rehabilitation Services

     76,339        (170     (1,857     —          —          —          —          (2,027     74,312   

RehabCare

     54,959        (14     —          —          —          —          —          (14     54,945   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     131,298        (184     (1,857     —          —          —          —          (2,041     129,257   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

     112,106        (3,688     —          —          —          —          —          (3,688     108,418   

Support center

     (138,091     (983     —          —          —          —          —          (983     (139,074

Litigation contingency expense

     —          —          —          (4,600           (4,600     (4,600

Transaction costs

     —          —          —          —          —          (5,279     (4,014     (9,293     (9,293
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income (EBITDAR)

     514,127        (6,636     (1,857     (4,600     —          (5,279     (4,014     (22,386     491,741   

Rent

     (233,625     (247     —          —          —          —          —          (247     (233,872
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDA

     280,502        (6,883     (1,857     (4,600     —          (5,279     (4,014     (22,633     257,869   

Depreciation and amortization

     (117,012     —          —          —          —          —          —          —          (117,012

Interest, net

     (69,226     —          —          —          (56,643     —          —          (56,643     (125,869
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

     94,264        (6,883     (1,857     (4,600     (56,643     (5,279     (4,014     (79,276     14,988   

Provision for income taxes

     34,225        (2,700     (729     (1,805     (22,223     (49     (1,430     (28,936     5,289   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
     60,039      $ (4,183   $ (1,128   $ (2,795   $ (34,420   $ (5,230   $ (2,584   $ (50,340     9,699   
    

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Noncontrolling interests

     (13,729                   (13,729
  

 

 

                 

 

 

 

Income (loss) attributable to Kindred

   $ 46,310                    $ (4,030
  

 

 

                 

 

 

 

Diluted earnings (loss) per common share

   $ 0.80                    $ (0.07

Diluted shares used in computing earnings (loss) per common share

     56,506                      56,443   

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 17

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands, except per share amounts)

 

    Three months ended March 31, 2015  
          Charges        
                Home health     Development                 Gentiva     Gentiva                    
          Retirement     and     project                 pre-closing     transaction                    
    Before     and     hospice     cancellation     Litigation     Impairment     financing     and     Other           As  
    charges     severance     closings     and other     contingency     charges     costs     integration     transaction     Total     reported  

Income (loss) from continuing operations:

                     

Operating income (loss) (EBITDAR):

                     

Hospital division

  $ 134,786      $ —        $ —        $ (675   $ —        $ —        $ —        $ —        $ —        $ (675   $ 134,111   

Kindred at Home:

                     

Home health

    46,798        —          (1,102     —          —          —          —          —          —          (1,102     45,696   

Hospice

    16,996        —          (517     —          —          —          —          —          —          (517     16,479   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    63,794        —          (1,619     —          —          —          —          —          —          (1,619     62,175   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

                     

Kindred Hospital Rehabilitation Services

    44,564        —          —          —          —          —          —          —          —          —          44,564   

RehabCare

    16,493        (785     —          —          —          —          —          —          —          (785     15,708   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    61,057        (785     —          —          —          —          —          —          —          (785     60,272   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

    36,963        —          —          —          —          —          —          —          —          —          36,963   

Support center

    (62,389     (4,176     —          —          —          —          —          —          —          (4,176     (66,565

Litigation contingency expense

    —          —          —          —          (95,000     —          —          —          —          (95,000     (95,000

Transaction costs

    —          —          —          —          —          —          (6,005     (86,598     (2,099     (94,702     (94,702

Impairment charges

    —          —          —          —          —          (6,726     —          —          —          (6,726     (6,726
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income (EBITDAR)

    234,211        (4,961     (1,619     (675     (95,000     (6,726     (6,005     (86,598     (2,099     (203,683     30,528   

Rent

    (91,199     —          —          (352     —          —          —          (589     —          (941     (92,140
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDA

    143,012        (4,961     (1,619     (1,027     (95,000     (6,726     (6,005     (87,187     (2,099     (204,624     (61,612

Depreciation and amortization

    (38,935     —          —          —          —          —          —          —          —          —          (38,935

Interest, net

    (44,346     —          —          —          —          —          (17,431     —          —          (17,431     (61,777
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

    59,731        (4,961     (1,619     (1,027     (95,000     (6,726     (23,436     (87,187     (2,099     (222,055     (162,324

Provision (benefit) for income taxes

    22,466        (2,133     (696     (442     —          (2,891     (10,075     (33,063     (902     (50,202     (27,736
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    37,265      $ (2,828   $ (923   $ (585   $ (95,000   $ (3,835   $ (13,361   $ (54,124   $ (1,197   $ (171,853     (134,588
   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Noncontrolling interests

    (8,847                       (8,847
 

 

 

                     

 

 

 

Income (loss) attributable to Kindred

  $ 28,418                        $ (143,435
 

 

 

                     

 

 

 

Diluted earnings (loss) per common share

  $ 0.34                        $ (1.80

Diluted shares used in computing earnings (loss) per common share

    82,422                          79,575   

 

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

Income from continuing operations:

        

Operating income (loss) (EBITDAR):

        

Hospital division

   $ 139,505       $ —         $ 139,505   

Kindred at Home:

        

Home health

     2,845         —           2,845   

Hospice

     1,852         —           1,852   
  

 

 

    

 

 

    

 

 

 
     4,697         —           4,697   
  

 

 

    

 

 

    

 

 

 

Kindred Rehabilitation Services:

        

Kindred Hospital Rehabilitation Services

     25,710         —           25,710   

RehabCare

     18,016         —           18,016   
  

 

 

    

 

 

    

 

 

 
     43,726         —           43,726   
  

 

 

    

 

 

    

 

 

 

Nursing center division

     37,572         —           37,572   

Support center

     (44,456      —           (44,456

Transaction costs

     —           (683      (683
  

 

 

    

 

 

    

 

 

 

Operating income (EBITDAR)

     181,044         (683      180,361   

Rent

     (78,530      —           (78,530
  

 

 

    

 

 

    

 

 

 

EBITDA

     102,514         (683      101,831   

Depreciation and amortization

     (39,092      —           (39,092

Interest, net

     (25,617      —           (25,617
  

 

 

    

 

 

    

 

 

 

Income from continuing operations before income taxes

     37,805         (683      37,122   

Provision for income taxes

     14,445         (250      14,195   
  

 

 

    

 

 

    

 

 

 
     23,360       $ (433      22,927   
     

 

 

    

Noncontrolling interests

     (4,529         (4,529
  

 

 

       

 

 

 

Income attributable to Kindred

   $ 18,831          $ 18,398   
  

 

 

       

 

 

 

Diluted earnings per common share

   $ 0.35          $ 0.34   

Diluted shares used in computing earnings per common share

     52,711            52,711   

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 18

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands, except per share amounts)

 

    Three months ended June 30, 2015  
          Charges        
          Hospital     Development           Gentiva                    
          and home     project           transaction                    
    Before     health/hospice     cancellation     Litigation     and     Other           As  
    charges     closings     and other     contingency     integration     transaction     Total     reported  

Income from continuing operations:

               

Operating income (loss) (EBITDAR):

               

Hospital division

  $ 131,532      $ (565   $ —        $ —        $ —        $ —        $ (565   $ 130,967   

Kindred at Home:

               

Home health

    72,917        (588     —          —          —          —          (588     72,329   

Hospice

    27,887        (1,649     —          —          —          —          (1,649     26,238   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    100,804        (2,237     —          —          —          —          (2,237     98,567   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

               

Kindred Hospital Rehabilitation Services

    44,531        —          —          —          —          —          —          44,531   

RehabCare

    14,681        —          —          —          —          —          —          14,681   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    59,212        —          —          —          —          —          —          59,212   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

    40,461        —          (584     —          —          —          (584     39,877   

Support center

    (70,209     —          —          —          —          —          —          (70,209

Litigation contingency expense

    —          —          —          (3,925     —          —          (3,925     (3,925

Transaction costs

    —          —          —          —          (4,342     (874     (5,216     (5,216
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income (EBITDAR)

    261,800        (2,802     (584     (3,925     (4,342     (874     (12,527     249,273   

Rent

    (95,528     (671     —          —          (203     —          (874     (96,402
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDA

    166,272        (3,473     (584     (3,925     (4,545     (874     (13,401     152,871   

Depreciation and amortization

    (38,625     —          —          —          —          —          —          (38,625

Interest, net

    (56,140     —          —          —          —          —          —          (56,140
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

    71,507        (3,473     (584     (3,925     (4,545     (874     (13,401     58,106   

Provision for income taxes

    25,721        (368     (62     (416     (386     (93     (1,325     24,396   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    45,786      $ (3,105   $ (522   $ (3,509   $ (4,159   $ (781   $ (12,076     33,710   
   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Noncontrolling interests

    (11,735                 (11,735
 

 

 

               

 

 

 

Income attributable to Kindred

  $ 34,051                  $ 21,975   
 

 

 

               

 

 

 

Diluted earnings per common share

  $ 0.39                  $ 0.25   

Diluted shares used in computing earnings per common share

    86,402                    86,402   
    Three months ended June 30, 2014  
          Charges        
          Severance                                      
    Before     and other     Litigation     Debt     Gentiva     Other           As  
    charges     restructuring     contingency     refinancing     transaction     transaction     Total     reported  

Income (loss) from continuing operations:

               

Operating income (loss) (EBITDAR):

               

Hospital division

  $ 131,990      $ —        $ —        $ —        $ —        $ —        $ —        $ 131,990   

Kindred at Home:

               

Home health

    5,769        (721     —          —          —          —          (721     5,048   

Hospice

    2,139        (122     —          —          —          —          (122     2,017   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    7,908        (843     —          —          —          —          (843     7,065   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

               

Kindred Hospital Rehabilitation Services

    25,742        (170     —          —          —          —          (170     25,572   

RehabCare

    19,863        (176     —          —          —          —          (176     19,687   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    45,605        (346     —          —          —          —          (346     45,259   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

    38,614        (3,205     —          —          —          —          (3,205     35,409   

Support center

    (48,252     (556     —          —          —          —          (556     (48,808

Litigation contingency expense

    —          —          (4,600     —          —          —          (4,600     (4,600

Transaction costs

    —          —          —          —          (2,079     (2,417     (4,496     (4,496
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income (EBITDAR)

    175,865        (4,950     (4,600     —          (2,079     (2,417     (14,046     161,819   

Rent

    (77,452     (247     —          —          —          —          (247     (77,699
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDA

    98,413        (5,197     (4,600     —          (2,079     (2,417     (14,293     84,120   

Depreciation and amortization

    (39,172     —          —          —          —          —          —          (39,172

Interest, net

    (21,438     —          —          (56,643     —          —          (56,643     (78,081
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

    37,803        (5,197     (4,600     (56,643     (2,079     (2,417     (70,936     (33,133

Provision (benefit) for income taxes

    13,612        (1,985     (1,757     (21,639     —          (914     (26,295     (12,683
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    24,191      $ (3,212   $ (2,843   $ (35,004   $ (2,079   $ (1,503   $ (44,641     (20,450
   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Noncontrolling interests

    (4,828                 (4,828
 

 

 

               

 

 

 

Income (loss) attributable to Kindred

  $ 19,363                  $ (25,278
 

 

 

               

 

 

 

Diluted earnings (loss) per common share

  $ 0.35                  $ (0.47

Diluted shares used in computing earnings (loss) per common share

    53,792                    53,714   

 

- MORE -


Kindred Healthcare Reports Third Quarter 2015 Results

Page 19

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands, except per share amounts)

 

    Three months ended December 31, 2014  
          Charges        
    Before
charges
    Severance
and other
restructuring
    LTAC
criteria
consulting
    Gentiva
pre-closing
financing
    Gentiva
transaction
    Other
transaction
    Total     As
reported
 

Income (loss) from continuing operations:

               

Operating income (loss) (EBITDAR):

               

Hospital division

  $ 134,791      $ (318   $ —        $ —        $ —        $ —        $ (318   $ 134,473   

Kindred at Home:

               

Home health

    7,398        (828     —          —          —          —          (828     6,570   

Hospice

    524        (106     —          —          —          —          (106     418   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    7,922        (934     —          —          —          —          (934     6,988   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

               

Kindred Hospital Rehabilitation Services

    23,884        —          —          —          —          —          —          23,884   

RehabCare

    16,029        —          —          —          —          —          —          16,029   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    39,913        —          —          —          —          —          —          39,913   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

    38,810        (500     —          —          —          —          (500     38,310   

Support center

    (51,348     (10,193     (2,460     —          —          —          (12,653     (64,001

Transaction costs

    —          —          —          —          (5,545     (3,145     (8,690     (8,690
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Operating income (EBITDAR)

    170,088        (11,945     (2,460     —          (5,545     (3,145     (23,095     146,993   

Rent

    (79,167     —          —          —          —          —          —          (79,167
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDA

    90,921        (11,945     (2,460     —          (5,545     (3,145     (23,095     67,826   

Depreciation and amortization

    (38,558     —          —          —          —          —          —          (38,558

Interest, net

    (21,857     —          —          (17,041     —          —          (17,041     (38,898
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

    30,506        (11,945     (2,460     (17,041     (5,545     (3,145     (40,136     (9,630

Provision (benefit) for income taxes

    8,471        (4,251     (875     (5,975     (1,514     (683     (13,298     (4,827
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    22,035      $ (7,694   $ (1,585   $ (11,066   $ (4,031   $ (2,462   $ (26,838     (4,803
   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Noncontrolling interests

    (5,143                 (5,143
 

 

 

               

 

 

 

Income (loss) attributable to Kindred

  $ 16,892                  $ (9,946
 

 

 

               

 

 

 

Diluted earnings (loss) per common share

  $ 0.26                  $ (0.15

Diluted shares used in computing earnings (loss) per common share

    63,163                    65,135   

 

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Kindred Healthcare Reports Third Quarter 2015 Results

Page 20

November 4, 2015

 

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands)

 

The Company recognizes that operating cash flows and free cash flows excluding certain items, which the Company refers to as core operating cash flows and core free cash flows, are non-GAAP measurements and are not intended to replace the presentation of the Company’s cash flows in accordance with GAAP. The Company believes that these non-GAAP measurements provide 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 operating cash flows and free cash flows excluding certain items in making decisions related to acquisitions, development capital expenditures, dividends, long-term debt repayments and other uses.

 

     Three months ended
September 30,
     Nine months ended
September 30,
 
     2015      2014      2015      2014  

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

           

Net cash flows provided by operating activities

   $ 132,290       $ 90,039       $ 93,067       $ 24,322   

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

           

Transaction, severance, retirement and retention

     5,251         5,836         102,100         15,390   

Ventas, Inc. lease termination fee

     —           —           40,000         —     

Capitalized lender fees related to debt refinancing

     —           —           28,012         19,125   

Other debt refinancing costs (expensed)

     13,438         —           40,439         40,373   

Other lease termination fees

     —           —           353         —     

Litigation

     —           —           16,575         25,850   
  

 

 

    

 

 

    

 

 

    

 

 

 
     18,689         5,836         227,479         100,738   
  

 

 

    

 

 

    

 

 

    

 

 

 

Net cash flows provided by operating activities excluding certain items before income tax benefit of certain payments

     150,979         95,875         320,546         125,060   

Benefit of reduced income tax payments resulting from certain payments

     (22,541      (8,253      (56,295      (22,857
  

 

 

    

 

 

    

 

 

    

 

 

 

Net cash flows provided by operating activities excluding certain items (core operating cash flows) (a)

     128,438         87,622         264,251         102,203   

Less routine capital expenditures

     (35,422      (21,263      (80,691      (67,425
  

 

 

    

 

 

    

 

 

    

 

 

 

Free cash flows excluding certain items (core free cash flows)

   $ 93,016       $ 66,359       $ 183,560       $ 34,778   
  

 

 

    

 

 

    

 

 

    

 

 

 

 

(a) Includes $29 million of federal income tax refunds received in the third quarter of 2015 and $26 million of federal income tax refunds for the nine months ended September 30, 2014. The Company made no federal income tax payments for the nine months ended September 30, 2015 or 2014.

 

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