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EX-99.2 - EX-99.2 - KINDRED HEALTHCARE, INCd470345dex992.htm
8-K - FORM 8-K - KINDRED HEALTHCARE, INCd470345d8k.htm

EXHIBIT 99.1

 

 

LOGO

 

Contact:     Todd Flowers
            Investor Relations
            (502) 596-6569

KINDRED HEALTHCARE UPDATES STRATEGY AND REPORTS THIRD QUARTER 2016 RESULTS

Announces Plan to Exit the Skilled Nursing Facility Business;

Announces Associated $70 Million to $100 Million Cost Realignment Initiative(1)

Enterprise Strategy Focused on Stronger Cash Flow, Higher Margin, Lower Capital Intensity Businesses

Third Quarter Consolidated Revenues of $1.8 Billion, GAAP Loss from Continuing Operations of $671 Million, GAAP Diluted Loss Per Share from Continuing Operations of $7.89 and EBITDAR Loss of $134 Million(2)

Results Reflect After-Tax Costs of $690 Million Primarily Including Non-Cash Impairments of $266 Million(3), Non-Cash Deferred Tax Asset Valuation Allowance of $366 Million, and Hospital Divestiture Costs of $47 Million(3)(4)

Core EBITDAR of $220 Million(2) and Core Diluted EPS from Continuing Operations of $0.05(2) in the Third Quarter

Third Quarter GAAP Operating Cash Flows of $36 million; Core Operating Cash Flows of $30 Million(2)

Updates Full Year 2016 Outlook

LOUISVILLE, Ky. (November 7, 2016) – Kindred Healthcare, Inc. (“Kindred” or the “Company”) (NYSE:KND) today announced its operating results for the third quarter ended September 30, 2016.

Benjamin A. Breier, President and Chief Executive Officer of the Company, commented, “We are taking proactive strategic steps to position Kindred for long-term success against the backdrop of dynamic changes in the healthcare services industry. Our plan to exit the skilled nursing facility business, together with the significant cost realignment initiative we are undertaking in connection with the exit, are substantial steps forward in our continuing effort to transform Kindred’s strategy and growth profile to enhance shareholder value.”

Mr. Breier added, “Over the past few years we have dramatically transformed the composition of Kindred, and our drivers of profitability and growth. Following our exit of the skilled nursing facility business and the associated cost realignment initiative, Kindred’s earnings stream, cash flow generation and leverage profile will be substantially improved, including significant reductions of fixed costs such as rent and capital expenditures. Over time, when complete, we expect approximately half of Kindred’s earnings before interest and income taxes (“EBIT”) to come from Kindred at Home, the nation’s largest home health, hospice and community care provider, roughly one-quarter of Kindred’s EBIT to come from our Long-Term Acute Care (“LTAC”) Hospital Division, and the remaining approximately one-quarter of EBIT from Kindred’s Rehabilitation Services Division, which includes one of the fastest growing inpatient rehabilitation facilities (“IRF”) businesses in the country.”

Plan to Exit the Skilled Nursing Facility Business

Mr. Breier continued, “Our strategic decision to exit the skilled nursing facility business as an owner and operator is the final step in a process that began years ago when Kindred operated approximately 300 skilled nursing facilities. This decision will reduce annual rent obligations by approximately $90 million and annual capital expenditures by approximately $30 million. In addition, Kindred will optimize its overhead structure by eliminating approximately $70 million to $100 million(1) of divisional and corporate overhead above the facility level, much of which is associated with supporting our skilled nursing facilities.”

 

 

(1) See Forward-Looking Statements beginning on page 14.
(2) See reconciliation of generally accepted accounting principles (“GAAP”) results to non-GAAP results beginning on page 14. As used herein, “EBITDAR” means earnings before interest, income taxes, depreciation, amortization and rent.
(3) The income tax benefit used to compute after-tax cost is before the deferred tax valuation allowance is applied.
(4) In connection with the previously announced sale of twelve hospitals to a group of entities under the name “Curahealth”, which are affiliates of a private investment fund sponsored by Nautic Partners, LLC, on October 1, 2016 (the “Curahealth Disposal”), the Company recorded a lease termination fee of $51.8 million ($31.4 million net of income taxes) and loss on sale of $8.1 million ($4.9 million net of income taxes) in the third quarter of 2016. In addition, the Company closed three LTAC hospitals in the third quarter and incurred facility closing and other costs totaling $17.6 million ($10.7 million net of income taxes).

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680 South Fourth Street     Louisville, Kentucky 40202

502.596.7300     www.kindredhealthcare.com

 


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 2

November 7, 2016

 

 

 

LTAC Criteria

Mr. Breier continued, “In preparation for LTAC patient criteria, during recent months we completed the strategic sale, swap or closure of 20 LTAC hospitals, executing a critical component of our multi-faceted criteria mitigation strategy. These actions leave Kindred with a meaningfully reshaped portfolio of 82 LTAC hospitals, with strategically reduced unused bed capacity in many of the markets we serve.

“Effective September 1, 2016, all of our ongoing LTAC hospitals were being reimbursed under the new criteria model. For the month of September, approximately 86% of our ongoing Hospital Division revenue came from Medicare compliant patients, managed care and commercial patients, and patients from other payors such as Medicaid. The remaining 14% of revenue was from Medicare site-neutral patients. The unmitigated revenue impact of LTAC criteria for the ongoing hospital portfolio in September was approximately $8 million.

“After two years of preparation, and based on early feedback, we are confident in our ability to successfully navigate through this transition. We continue to expect that by the end of 2017, on a run rate basis, we will mitigate roughly half of the impact of this reimbursement change. We expect to have many more insights on these trends and our experience with criteria once we complete our first full quarter,” remarked Mr. Breier.

Continued Growth in other Business Lines

Mr. Breier continued, “We remain optimistic about the growth opportunities in our home health, hospice, community care and IRF businesses. During the quarter, we acquired a large home health, hospice and community care business in Arkansas and continued to work through integration activities in our Kindred at Home (“KAH”) Division. We are pleased with the strong volume and revenue growth in KAH as well as our Kindred Hospital Rehabilitation Services (“KHRS”) business and will continue our efforts to expand these businesses through organic growth, acquisitions and joint venture arrangements.

“We also continue to make great progress in developing our post-acute benefits management capabilities. Our future will be driven by our ability to not only care for patients, but to manage populations through a unique bundle of technology-enabled care management capabilities. We believe these combined actions are setting the foundation for a stronger Kindred as we drive effective patient-centered care solutions and proactively address the changing healthcare marketplace,” remarked Mr. Breier.

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.

Third Quarter Consolidated Results(1):

 

    Consolidated revenues were $1.8 billion, a 1.6% year-over-year increase, while the GAAP loss from continuing operations was $671.3 million compared to a loss of $7.0 million in the same period in 2015. The increase in the GAAP loss from continuing operations was primarily attributable to non-cash goodwill and property impairment charges totaling $324.3 million ($266.1 million(2) net of income taxes), a non-cash deferred tax valuation allowance of $366.5 million and restructuring charges related to the sale or closure of 15 LTAC hospitals of $77.5 million ($47.0 million(2) net of income taxes). Core EBITDAR declined 6.9% to $220.1 million compared to $236.5 million in the same period in 2015, primarily due to declines in average daily census in both the Nursing Center and RehabCare business segments, lower Medicare revenue rates under LTAC patient criteria, and Hospital Division closing costs and labor pressures.

 

    GAAP operating cash flows were $36.0 million compared to $132.3 million for the same period a year ago. Core operating cash flows were $30.3 million compared to $128.4 million for the same period a year ago. Core free cash flows were $3.7 million compared to $82.3 million in the same period a year ago. The decline in both GAAP and core operating and free cash flows in the third quarter of 2016 was primarily attributable to certain timing differences and other items increasing cash required to fund working capital, much of which is expected to be transitional in nature and recouped over the balance of 2016 and into early 2017. Both GAAP and core operating and free cash flow were also impacted in the third quarter by lower earnings.

 

 

(1) See reconciliation of GAAP results to non-GAAP results beginning on page 14.
(2) The income tax benefit used to compute after-tax cost is before the deferred tax valuation allowance is applied.

 

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Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 3

November 7, 2016

 

 

 

Third Quarter Consolidated Results(1)(Continued):

 

    GAAP diluted loss per share from continuing operations was $7.89 as compared to $0.20 a year ago. The increase in GAAP diluted loss per share from continuing operations was primarily attributable to an increase in certain charges in the third quarter of 2016. GAAP diluted loss per share in the third quarter of 2016 includes after-tax costs of $689.9 million or $7.94 per diluted share of charges related to impairments, deferred tax asset valuation allowance, restructuring, transaction, integration, and research and development costs. GAAP diluted loss per share in the third quarter of 2015 includes $40.2 million ($37.4 million net of income taxes) or $0.43 per diluted share of charges related to restructuring, transaction, integration and litigation costs. Core diluted earnings per share (“EPS”) from continuing operations was $0.05 as compared to $0.23 a year ago. The decline in core diluted EPS was attributable to the same factors discussed above that contributed to a decline in core EBITDAR, plus a 3% increase in aggregate rent, depreciation and amortization, and net interest expense.

 

    The Company recorded a $261.1 million non-cash goodwill impairment charge in the third quarter to reflect an adjustment to the carrying value of its Hospital Division reporting unit. The Company also recorded a $24.9 million non-cash property and equipment impairment charge primarily related to the Nursing Center Division.

 

    The Company recorded a $366.5 million non-cash deferred tax valuation allowance in the third quarter based upon current expectations of GAAP and taxable losses in 2016 combined with cumulative years of historical GAAP and taxable losses incurred primarily from restructuring and transactional activities, refinancing fees and litigation settlements. This non-cash charge is included in the third quarter income tax provision and will have no impact on the Company’s ability to utilize its net operating loss (“NOL”) carryforwards on a cash basis as Kindred earns taxable income in future periods.

Third Quarter Segment Results(1)(2):

KAH, which comprises our home health, hospice, community care and home-based primary care businesses, recorded third quarter revenues that increased 5.5% over the prior year period to $638.5 million with home health episodic admissions growing 3.7% and hospice average daily census growing 5.4% compared to the same period last year. Segment EBITDAR (GAAP) increased 4.6% to $106.4 million as compared to $101.7 million and core EBITDAR increased 4.1% to $106.4 million compared to $102.2 million, both compared to the prior year period. On a same-store basis, home health episodes grew 6.9% and hospice admissions grew 8.3% over the prior year period.

Kindred’s Hospital Division third quarter revenues declined 0.7% from the prior year period to $575.3 million due to its full entrance into LTAC patient criteria, and the closure of three LTAC hospitals within the period. These declines were offset partially by a 1% increase in same-hospital admissions and a 3.3% increase in same-hospital commercial revenue rates. Segment EBITDAR (GAAP) in the Hospital Division for the third quarter declined 13.9% to $82.8 million from $96.1 million a year ago, and core EBITDAR for the third quarter declined 14.8% to $82.8 million from $97.1 million a year ago, both due primarily to LTAC patient criteria and increases in labor costs. These results also reflect an unbudgeted EBITDAR decline compared to expectations in the third quarter of 2016 of $3.2 million related to the operations of LTAC hospitals acquired in a facility swap transaction in the second quarter of 2016, and $3.9 million related to the operations of three LTAC hospitals closed in the third quarter of 2016.

Kindred Rehabilitation Services (“KRS”) Division, which comprises our hospital-based rehabilitation segment, recorded third quarter revenues that declined 2.0% from the prior year period to $361.5 million. Segment EBITDAR (GAAP) for KRS increased 3.6% to $58.7 million as compared to $56.7 million in the prior year period and core EBITDAR increased 4.9% to $59.5 million compared to $56.7 million a year ago. Strong performance in the third quarter from KHRS IRFs was offset by the continuing impact of previously reported contract losses in RehabCare, which occurred primarily in 2015. The KHRS segment achieved strong revenue growth of 13.1%, and segment EBITDAR (GAAP) and core EBITDAR grew 17.4% and 19.2%, respectively, compared to the same period a year ago, with IRF same-hospital discharges growing 5.9% during the quarter. RehabCare revenues declined 12.3% to $192.5 million. RehabCare third quarter segment EBITDAR (GAAP) and core EBITDAR both declined 36.4% to $9.3 million from $14.5 million a year ago.

 

 

(1) See reconciliation of GAAP results to non-GAAP results beginning on page 14.
(2) See same-hospital and full segment data on pages 9 through 13.

 

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Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 4

November 7, 2016

 

 

 

Third Quarter Segment Results(1)(2)(Continued):

Kindred’s Nursing Center Division third quarter revenues declined 0.1% to $270.3 million compared to the same period last year. Segment EBITDAR (GAAP) and core EBITDAR both declined 16.7% to $29.9 million compared to $35.9 million a year ago, as a result of a 0.7% decline in average daily census, patient mix deterioration and higher labor costs.

2016 Outlook

All forward-looking non-GAAP financial measures contained in this section “2016 Outlook” are provided only on a non-GAAP basis. This is due to the inherent difficulty of forecasting the timing or amount of items that would be included in the most directly comparable forward-looking GAAP financial measures. As a result, reconciliation of the forward-looking non-GAAP financial measures to GAAP financial measures is not available without unreasonable effort and the Company is unable to address the probable significance of the unavailable information.

The Company’s outlook excludes transaction costs, the effect of any reimbursement changes, debt refinancing costs, severance, retirement, retention, restructuring costs, litigation and related contingency expense, integration costs, business interruption settlements, research and development, any further acquisitions or divestitures, any impairment charges, deferred tax asset valuation allowance, any further issuances of common stock or any repurchases of common stock.

Kindred today updated its outlook for 2016. Kindred expects:

 

    Annual revenues of approximately $7.2 billion (previously $7.2 billion to $7.3 billion).

 

    Core EBITDAR of $950 million to $970 million (previously $970 million to $1.010 billion). Please note that approximately $10 million of this adjustment was due to items previously excluded from guidance.(3)

 

    Core diluted EPS from continuing operations of $0.70 to $0.80 per share (previously $0.80 to $1.00 per share). Please note that approximately $0.03 per share of this adjustment was due to items previously excluded from guidance.(3)(4)

Mr. Breier concluded, “While our results for the third quarter were within our guidance range, we are reducing our financial outlook for the balance of 2016. Our change in expectations is primarily impacted by significant headwinds facing the skilled nursing facility business and labor cost challenges impacting both the Company and the healthcare industry in general. Our exposure to the challenges facing the nursing center industry is expected to amount to between $40 million to $50 million of EBITDAR compared to our operating plan for the year upon which our guidance was based. Our decision to reduce guidance for the balance of 2016, exit the skilled nursing facility business and substantially reduce our overhead is directly related to these challenges.”

The Company will update its outlook for 2017 with its fourth quarter earnings release in February 2017, which will reflect the planned exit from the skilled nursing facility business and associated cost realignment initiative.

Stephen D. Farber, Executive Vice President and Chief Financial Officer of Kindred, noted, “We expect our full exit from the skilled nursing facility business, upon completion, to be positive for future cash flows. In the near term, we have previously discussed our expectation that Kindred will generate roughly $300 million per year in core operating cash flows and approximately half of that amount in core free cash flows. With our revised earnings outlook for 2016, we would expect a relatively proportionate adjustment to cash flows. We also expect a number of timing-related working capital items to modestly impact Kindred’s cash flows over the balance of the year and into early 2017. ”

 

 

(1) See reconciliation of GAAP results to non-GAAP results beginning on page 14.
(2) See same-hospital and full segment data on pages 9 through 13.
(3) Contributing to the reduction of 2016 outlook are two events (a) the Curahealth Disposal and reduced hospital earnings, compared to the budget upon which previous guidance was based, and (b) reimbursement rate reductions announced by the Center for Medicare and Medicaid Services on August 2, 2016. Each of these required a $5 million reduction in core EBITDAR guidance and the latter required a $0.03 reduction in core diluted EPS guidance.
(4) The EPS estimate is based upon an estimated weighted average annual diluted share count for 2016 of 87.5 million shares.

 

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Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 5

November 7, 2016

 

 

 

2016 Outlook (Continued)

Mr. Farber continued, “Every quarter we experience routine working capital and initiative-related timing differences with cash flows that should be expected as a matter of course by those that follow and model the Company. In the third quarter these items accounted for much of the difference in year-over-year cash flow performance. For example, during the third quarter licensure transfers related to recent acquisitions had a $16 million temporary negative impact. These transfers are now complete and we expect to process the billing backlog before the end of the year. There are also frequent calendar-driven timing issues, such as an extra payroll cycle in the third quarter compared to prior year, which had a negative $30 million impact on cash flows this period, and one less Medicare payment cycle during the third quarter compared to the prior year, which had a negative impact on reported LTAC collections of approximately $35 million. Additionally, during the quarter two of our payors, one large commercial payor and one state Medicaid payor, both had systems problems that slowed down payment processing and increased accounts receivable in the third quarter by approximately $13 million.”

Mr. Farber concluded, “Cash flow remains a core focus for Kindred, and the non-cash deferred tax asset valuation allowance charge this quarter will have no impact on our ability to utilize our NOLs going forward as Kindred earns taxable income. Finally, we ended the quarter with excellent liquidity, with approximately $160 million drawn on our $900 million asset-based revolving credit facility.”

The Kindred Board of Directors declared a cash dividend of $0.12 per share on the Company’s common stock payable on December 9, 2016 to shareholders of record as of the close of business on November 21, 2016.

Conference Call

As previously announced, investors and the general public may access a live webcast of the third quarter 2016 conference call through a link on the Company’s website at http://investors.kindredhealthcare.com. The conference call will be held on November 8 at 9:00 a.m. (Eastern Time).

A telephone replay of the conference call will become available at approximately 12:00 p.m. on November 8 by dialing (719) 457-0820, access code: 6877746. The replay will be available through November 18.

Forward-Looking Statements and Non-GAAP Reconciliations

See page 14 for important disclosures regarding the Company’s forward-looking statements and the non-GAAP financial reconciliations that follow.

About Kindred Healthcare

Kindred Healthcare, Inc., a top-90 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). As of October 1, 2016, Kindred through its subsidiaries had approximately 102,200 employees providing healthcare services in 2,702 locations in 46 states, including 82 LTAC hospitals, 19 inpatient rehabilitation hospitals, 91 nursing centers, 19 sub-acute units, 647 Kindred at Home home health, hospice and non-medical home care sites of service, 104 inpatient rehabilitation units (hospital-based) and contract rehabilitation service businesses which served 1,740 non-affiliated sites of service. Ranked as one of Fortune magazine’s Most Admired Healthcare Companies for seven 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 based upon Kindred consolidated revenues for the twelve months ended September 30, 2016.

 

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Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 6

November 7, 2016

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Operations

(Unaudited)

(In thousands, except per share amounts)

 

     Three months ended     Nine months ended  
     September 30,     September 30,  
     2016     2015     2016     2015  

Revenues

   $ 1,793,527      $ 1,764,516      $ 5,473,568      $ 5,273,958   
  

 

 

   

 

 

   

 

 

   

 

 

 

Salaries, wages and benefits

     957,644        922,140        2,812,812        2,704,920   

Supplies

     95,500        96,551        294,326        288,059   

Rent

     98,415        95,436        296,025        282,955   

Other operating expenses

     217,364        207,837        649,915        617,681   

General and administrative expenses

     310,407        307,500        998,559        1,043,986   

Other income

     (446     (650     (1,909     (1,699

Litigation contingency expense

     —          31,462        2,840        130,387   

Impairment charges

     324,289        —          338,208        6,726   

Restructuring charges

     81,463        3,349        88,223        8,793   

Depreciation and amortization

     40,382        39,329        121,320        116,889   

Interest expense

     59,862        56,440        175,417        176,128   

Investment income

     (1,810     (432     (2,561     (2,203
  

 

 

   

 

 

   

 

 

   

 

 

 
     2,183,070        1,758,962        5,773,175        5,372,622   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

     (389,543     5,554        (299,607     (98,664

Provision for income taxes

     281,752        12,523        311,470        9,183   
  

 

 

   

 

 

   

 

 

   

 

 

 

Loss from continuing operations

     (671,295     (6,969     (611,077     (107,847

Discontinued operations, net of income taxes:

        

Income (loss) from operations

     (12     2,269        2,422        (1,744

Gain on divestiture of operations

     —          —          179        983   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from discontinued operations

     (12     2,269        2,601        (761
  

 

 

   

 

 

   

 

 

   

 

 

 

Net loss

     (671,307     (4,700     (608,476     (108,608

(Earnings) loss attributable to noncontrolling interests:

        

Continuing operations

     (14,305     (9,900     (40,341     (30,482

Discontinued operations

     (1     1        (6     32   
  

 

 

   

 

 

   

 

 

   

 

 

 
     (14,306     (9,899     (40,347     (30,450
  

 

 

   

 

 

   

 

 

   

 

 

 

Loss attributable to Kindred

   $ (685,613   $ (14,599   $ (648,823   $ (139,058
  

 

 

   

 

 

   

 

 

   

 

 

 

Amounts attributable to Kindred stockholders:

        

Loss from continuing operations

   $ (685,600   $ (16,869   $ (651,418   $ (138,329

Income (loss) from discontinued operations

     (13     2,270        2,595        (729
  

 

 

   

 

 

   

 

 

   

 

 

 

Net loss

   $ (685,613   $ (14,599   $ (648,823   $ (139,058
  

 

 

   

 

 

   

 

 

   

 

 

 

Loss per common share:

        

Basic:

        

Loss from continuing operations

   $ (7.89   $ (0.20   $ (7.51   $ (1.65

Discontinued operations:

        

Income (loss) from operations

     —          0.03        0.03        (0.02

Gain on divestiture of operations

     —          —          —          0.01   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from discontinued operations

     —          0.03        0.03        (0.01
  

 

 

   

 

 

   

 

 

   

 

 

 

Net loss

   $ (7.89   $ (0.17   $ (7.48   $ (1.66
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted:

        

Loss from continuing operations

   $ (7.89   $ (0.20   $ (7.51   $ (1.65

Discontinued operations:

        

Income (loss) from operations

     —          0.03        0.03        (0.02

Gain on divestiture of operations

     —          —          —          0.01   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from discontinued operations

     —          0.03        0.03        (0.01
  

 

 

   

 

 

   

 

 

   

 

 

 

Net loss

   $ (7.89   $ (0.17   $ (7.48   $ (1.66
  

 

 

   

 

 

   

 

 

   

 

 

 

Shares used in computing loss per common share:

        

Basic

     86,869        86,184        86,766        83,960   

Diluted

     86,869        86,184        86,766        83,960   

Cash dividends declared and paid per common share

   $ 0.12      $ 0.12      $ 0.36      $ 0.36   

 

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Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 7

November 7, 2016

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Balance Sheet

(Unaudited)

(In thousands, except per share amounts)

 

     September 30,     December 31,  
     2016     2015  
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 139,430      $ 98,758   

Insurance subsidiary investments

     105,346        106,638   

Accounts receivable less allowance for loss

     1,266,545        1,194,868   

Inventories

     25,262        27,791   

Income taxes

     12,416        11,790   

Other

     94,876        61,054   
  

 

 

   

 

 

 
     1,643,875        1,500,899   

Property and equipment

     2,070,421        2,162,398   

Accumulated depreciation

     (1,192,870     (1,190,402
  

 

 

   

 

 

 
     877,551        971,996   

Goodwill

     2,422,473        2,669,810   

Intangible assets less accumulated amortization

     804,602        755,655   

Insurance subsidiary investments

     195,517        204,498   

Deferred tax assets

     —          104,130   

Acquisition deposit

     —          18,489   

Other

     283,322        242,782   
  

 

 

   

 

 

 

Total assets

   $ 6,227,340      $ 6,468,259   
  

 

 

   

 

 

 
LIABILITIES AND EQUITY     

Current liabilities:

    

Accounts payable

   $ 203,426      $ 187,061   

Salaries, wages and other compensation

     390,743        404,925   

Due to third party payors

     57,945        36,251   

Professional liability risks

     61,036        64,099   

Other accrued liabilities

     280,305        394,246   

Long-term debt due within one year

     27,889        24,630   
  

 

 

   

 

 

 
     1,021,344        1,111,212   

Long-term debt

     3,316,174        3,086,348   

Professional liability risks

     283,048        263,273   

Deferred tax liabilities

     200,334        —     

Deferred credits and other liabilities

     354,246        301,379   

Equity:

    

Stockholders’ equity:

    

Common stock, $0.25 par value; authorized 175,000 shares; issued 85,187 shares - September 30, 2016 and 83,792 shares - December 31, 2015

     21,297        20,948   

Capital in excess of par value

     1,717,165        1,737,747   

Accumulated other comprehensive loss

     (4,334     (2,632

Accumulated deficit

     (905,137     (256,209
  

 

 

   

 

 

 
     828,991        1,499,854   

Noncontrolling interests

     223,203        206,193   
  

 

 

   

 

 

 

Total equity

     1,052,194        1,706,047   
  

 

 

   

 

 

 

Total liabilities and equity

   $ 6,227,340      $ 6,468,259   
  

 

 

   

 

 

 

 

- MORE -


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 8

November 7, 2016

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Cash Flows

(Unaudited)

(In thousands)

 

     Three months ended     Nine months ended  
     September 30,     September 30,  
     2016     2015     2016     2015  

Cash flows from operating activities:

        

Net loss

     $    (671,307   $ (4,700   $ (608,476   $ (108,608

Adjustments to reconcile net loss to net cash provided by

        

operating activities:

        

Depreciation expense

     34,914        31,867        103,306        95,325   

Amortization of intangible assets

     5,468        7,728        18,251        22,196   

Amortization of stock-based compensation costs

     3,015        3,194        13,058        15,764   

Amortization of deferred financing costs

     3,987        3,554        11,262        10,155   

Payment of capitalized lender fees related to debt issuance

     (42     —          (7,375     (28,012

Provision for doubtful accounts

     10,009        11,014        30,955        29,817   

Deferred income taxes

     (84,173     3,556        (54,875     (894

Impairment charges

     324,289        —          338,208        6,726   

Gain on divestiture of discontinued operations

     —          —          (179     (983

Other

     6,303        3,485        7,262        10,457   

Change in operating assets and liabilities:

        

Accounts receivable

     (42,832     25,990        (143,953     (13,399

Inventories and other assets

     11,871        8,767        (3,522     44,181   

Accounts payable

     11,995        (353     24,451        (12,788

Income taxes

     364,925        37,491        365,705        33,646   

Due to third party payors

     24,809        15,008        20,317        (3,965

Other accrued liabilities

     32,851        (14,311     (76,347     (6,551
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by operating activities

     36,082        132,290        38,048        93,067   
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from investing activities:

        

Routine capital expenditures

     (21,873     (35,422     (68,703     (80,691

Development capital expenditures

     (8,386     (5,760     (27,112     (12,066

Acquisitions, net of cash acquired

     (49,329     (2,002     (77,040     (663,757

Acquisition deposits

     —          —          18,489        195,000   

Sale of assets

     3,739        3,884        4,962        7,061   

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

     (22,427     (16,357     (75,422     (59,186

Sale of insurance subsidiary investments

     31,875        15,987        78,478        50,780   

Net change in insurance subsidiary cash and cash equivalents

     (14,680     (2,633     8,479        (8,396

Proceeds from note receivable

     —          25,000        —          25,000   

Net change in other investments

     51        176        (33,347     375   

Other

     (150     1,383        (1,277     590   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) investing activities

     (81,180     (15,744     (172,493     828,148   
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash flows from financing activities:

        

Proceeds from borrowings under revolving credit

     489,200        259,700        1,267,200        1,414,850   

Repayment of borrowings under revolving credit

     (388,100     (349,700     (1,215,800     (1,319,850

Proceeds from issuance of term loan, net of discount

     —          —          198,100        199,000   

Proceeds from other long-term debt

     —          —          750        —     

Repayment of Gentiva debt

     —          —          —          (1,177,363

Repayment of term loan

     (3,508     (3,003     (10,019     (9,008

Repayment of other long-term debt

     (276     (500     (826     (1,400

Payment of deferred financing costs

     (50     (301     (342     (3,284

Issuance of common stock in connection with employee benefit plans

     —          329        —          534   

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

     —          —          —          (915

Payment of dividend for mandatory redeemable preferred stock

     (2,904     (2,703     (8,558     (8,135

Dividends paid

     (10,224     (10,065     (30,517     (30,067

Contributions made by noncontrolling interests

     4,993        1,492        11,261        1,492   

Distributions to noncontrolling interests

     (4,694     (10,685     (35,240     (31,823

Purchase of noncontrolling interests

     —          —          (1,000     —     

Other

     35        245        108        1,457   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     84,472        (115,191     175,117        (964,512
  

 

 

   

 

 

   

 

 

   

 

 

 

Change in cash and cash equivalents

     39,374        1,355        40,672        (43,297

Cash and cash equivalents at beginning of period

     100,056        119,536        98,758        164,188   
  

 

 

   

 

 

   

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 139,430      $ 120,891      $ 139,430      $ 120,891   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

- MORE -


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 9

November 7, 2016

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated and Business Segment Data

(Unaudited)

(In thousands, except per share amounts)

 

                                               Third quarter  
     2015 Quarters     2016 Quarters     % change v.  
     First     Second     Third     Fourth     First     Second     Third     prior year  

Condensed consolidated income statement data:

                

GAAP presentation:

                

Revenues

   $ 1,675,967      $ 1,833,475      $ 1,764,516      $ 1,780,949      $ 1,837,971      $ 1,842,070      $ 1,793,527        1.6   

Operating expenses

     1,645,791        1,584,873        1,568,189        1,583,985        1,604,855        1,591,898        1,986,221        26.7   

Rent

     91,788        95,731        95,436        96,934        97,517        100,093        98,415        3.1   

Depreciation and amortization

     38,935        38,625        39,329        40,362        40,681        40,257        40,382        2.7   

Interest, net

     61,777        56,140        56,008        55,664        57,245        57,559        58,052        3.6   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Income (loss) from continuing operations before income taxes

     (162,324     58,106        5,554        4,004        37,673        52,263        (389,543     NM   

Provision (benefit) for income taxes

     (27,736     24,396        12,523        (51,980     11,836        17,882        281,752        NM   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Income (loss) from continuing operations

     (134,588     33,710        (6,969     55,984        25,837        34,381        (671,295     NM   

Noncontrolling interests

     (8,847     (11,735     (9,900     (12,082     (12,514     (13,522     (14,305     44.5   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Net income (loss) attributable to Kindred

   $ (143,435   $ 21,975      $ (16,869   $ 43,902      $ 13,323      $ 20,859      $ (685,600     NM   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Diluted EPS

   $ (1.80   $ 0.25      $ (0.20   $ 0.50      $ 0.15      $ 0.23      $ (7.89     NM   

Diluted shares

     79,575        86,402        86,184        87,232        87,249        87,500        86,869        0.8   

Core presentation (a):

                

EBITDAR

   $ 234,211      $ 261,800      $ 236,477      $ 247,839      $ 246,834      $ 267,895      $ 220,075        (6.9

Rent

     91,199        95,528        95,436        96,934        97,517        100,093        98,069        2.8   

Interest, net

     44,346        56,140        56,008        55,664        57,245        57,559        58,052        3.6   

Provision for income taxes

     22,466        25,721        15,298        13,758        16,546        21,417        4,639        (69.7

Net income attributable to Kindred

     28,418        34,051        20,506        29,039        22,331        34,031        4,340        (78.8

Core diluted EPS

   $ 0.34      $ 0.39      $ 0.23      $ 0.33      $ 0.25      $ 0.38      $ 0.05        (78.3

Diluted shares

     82,422        86,402        86,892        87,232        87,249        87,500        87,529        0.7   

Revenues by segment:

                

Hospital division

   $ 640,483      $ 627,206      $ 579,497      $ 593,593      $ 643,299      $ 633,695      $ 575,323        (0.7

Kindred at Home:

                

Home health

     300,867        427,820        424,054        425,759        430,035        438,556        449,958        6.1   

Hospice

     119,057        178,005        181,140        178,325        176,426        185,641        188,575        4.1   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
     419,924        605,825        605,194        604,084        606,461        624,197        638,533        5.5   

Kindred Rehabilitation Services:

                

Kindred Hospital Rehabilitation Services

     151,564        152,544        149,435        155,579        165,774        169,815        169,018        13.1   

RehabCare

     252,595        236,791        219,518        206,582        204,248        196,075        192,480        (12.3
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
     404,159        389,335        368,953        362,161        370,022        365,890        361,498        (2.0

Nursing center division

     274,308        273,870        270,510        273,387        272,227        272,395        270,259        (0.1
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
     1,738,874        1,896,236        1,824,154        1,833,225        1,892,009        1,896,177        1,845,613        1.2   

Eliminations

     (62,907     (62,761     (59,638     (52,276     (54,038     (54,107     (52,086     (12.7
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
   $ 1,675,967      $ 1,833,475      $ 1,764,516      $ 1,780,949      $ 1,837,971      $ 1,842,070      $ 1,793,527        1.6   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

NM = not meaningful

(a) See reconciliation of GAAP results to non-GAAP results beginning on page 14.

 

 

- MORE -


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 10

November 7, 2016

 

KINDRED HEALTHCARE, INC.

Condensed Consolidated and Business Segment Data (Continued)

(Unaudited)

(In thousands, except statistics)

 

     2015 Quarters     2016 Quarters    

Third quarter

% change v.

 
     First     Second     Third     Fourth     First     Second     Third     prior year  

Segment EBITDAR (GAAP) (a):

                

Hospital division

   $ 134,111      $ 131,532      $ 96,108      $ 116,454      $ 135,495      $ 125,932      $ 82,752        (13.9

Kindred at Home:

                

Home health

     46,798        72,917        67,682        68,776        66,941        76,030        75,073        10.9   

Hospice

     16,996        27,887        34,025        30,212        24,866        31,329        31,326        (7.9
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
     63,794        100,804        101,707        98,988        91,807        107,359        106,399        4.6   

Kindred Rehabilitation Services:

                

Kindred Hospital Rehabilitation Services

     44,564        44,531        42,141        44,891        47,870        50,469        49,470        17.4   

RehabCare

     15,708        14,681        14,544        (1,118     11,987        13,269        9,248        (36.4
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
     60,272        59,212        56,685        43,773        59,857        63,738        58,718        3.6   

Nursing center division

     36,963        39,877        35,923        36,601        30,100        33,662        29,922        (16.7

Core EBITDAR by segment (b):

                

Hospital division

   $ 134,786      $ 131,532      $ 97,128      $ 117,675      $ 135,495      $ 125,932      $ 82,752        (14.8

Kindred at Home:

                

Home health

     46,798        72,917        68,155        68,826        65,803        75,859        75,073        10.2   

Hospice

     16,996        27,887        34,025        30,212        24,866        31,329        31,326        (7.9
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
     63,794        100,804        102,180        99,038        90,669        107,188        106,399        4.1   

Kindred Rehabilitation Services:

                

Kindred Hospital Rehabilitation Services

     44,564        44,531        42,141        45,098        47,870        50,469        50,217        19.2   

RehabCare

     16,493        14,681        14,544        11,858        11,987        13,269        9,248        (36.4
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
     61,057        59,212        56,685        56,956        59,857        63,738        59,465        4.9   

Nursing center division

     36,963        40,461        35,923        36,601        30,100        33,662        29,922        (16.7

Support center

     (62,389     (70,209     (55,439 ) (c)      (62,431     (69,287     (62,625     (58,463 ) (c)      5.5   
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
   $ 234,211      $ 261,800      $ 236,477      $ 247,839      $ 246,834      $ 267,895      $ 220,075        (6.9
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

EBITDAR margin by segment:

                

Hospital division

     20.9        21.0        16.6        19.6        21.1        19.9        14.4        (2.2

Kindred at Home:

                

Home health

     15.6        17.0        16.0        16.2        15.6        17.3        16.7        0.7   

Hospice

     14.3        15.7        18.8        16.9        14.1        16.9        16.6        (2.2

Kindred at Home

     15.2        16.6        16.8        16.4        15.1        17.2        16.7        (0.1

Kindred Rehabilitation Services:

                

Kindred Hospital Rehabilitation Services

     29.4        29.2        28.2        28.9        28.9        29.7        29.3        1.1   

RehabCare

     6.2        6.2        6.6        (0.5     5.9        6.8        4.8        (1.8

Kindred Rehabilitation Services

     14.9        15.2        15.4        12.1        16.2        17.4        16.2        0.8   

Nursing center division

     13.5        14.6        13.3        13.4        11.1        12.4        11.1        (2.2

Core EBITDAR margin by segment:

                

Hospital division

     21.0        21.0        16.8        19.8        21.1        19.9        14.4        (2.4

Kindred at Home:

                

Home health

     15.6        17.0        16.1        16.2        15.3        17.3        16.7        0.6   

Hospice

     14.3        15.7        18.8        16.9        14.1        16.9        16.6        (2.2

Kindred at Home

     15.2        16.6        16.9        16.4        15.0        17.2        16.7        (0.2

Kindred Rehabilitation Services:

                

Kindred Hospital Rehabilitation Services

     29.4        29.2        28.2        29.0        28.9        29.7        29.7        1.5   

RehabCare

     6.5        6.2        6.6        5.7        5.9        6.8        4.8        (1.8

Kindred Rehabilitation Services

     15.1        15.2        15.4        15.7        16.2        17.4        16.4        1.0   

Nursing center division

     13.5        14.8        13.3        13.4        11.1        12.4        11.1        (2.2

Consolidated

     14.0        14.3        13.4        13.9        13.4        14.5        12.3        (1.1

 

(a) Segment EBITDAR includes reclassification of restructuring charges from segment EBITDAR to the new consolidated statement of operations caption, Restructuring charges, for all historical periods.
(b) See reconciliation of GAAP results to non-GAAP results beginning on page 14.
(c) Includes changes in estimate of $9 million and $4 million for the third quarters of 2015 and 2016, respectively, to lower incentive compensation costs recorded in prior periods.

 

- MORE -


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 11

November 7, 2016

 

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data (Continued)

(Unaudited)

 

                                                      Third quarter  
     2015 Quarters      2016 Quarters      % change v.  
     First      Second      Third      Fourth      First      Second      Third      prior year  

Hospital division:

                       

End of period data:

                       

Number of transitional care hospitals

     97         96         95         95         95         97         94      

Number of licensed beds

     7,147         7,124         7,094         7,094         7,089         7,067         6,890      

Revenue mix %:

                       

Medicare

     56.8         55.2         57.1         57.3         57.8         55.5         54.6      

Medicaid

     5.5         5.3         5.3         5.1         4.2         4.2         4.0      

Medicare Advantage

     11.9         11.6         10.8         11.1         11.5         12.0         12.1      

Medicaid Managed

     4.7         5.6         6.1         6.2         5.6         6.3         7.3      

Commercial insurance and other

     21.1         22.3         20.7         20.3         20.9         22.0         22.0      

Admissions:

                       

Medicare

     8,775         8,267         7,976         8,169         8,919         8,253         7,861         (1.4

Medicaid

     610         610         556         520         463         386         375         (32.6

Medicare Advantage

     1,555         1,352         1,212         1,304         1,453         1,382         1,327         9.5   

Medicaid Managed

     643         675         646         612         733         768         861         33.3   

Commercial insurance and other

     1,868         1,815         1,763         1,701         1,871         1,807         1,727         (2.0
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
     13,451         12,719         12,153         12,306         13,439         12,596         12,151         —     
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Patient days:

                       

Medicare

     228,483         218,577         210,870         210,409         229,004         219,013         202,482         (4.0

Medicaid

     28,663         25,213         23,167         21,795         21,134         19,409         16,781         (27.6

Medicare Advantage

     48,448         44,740         39,585         41,079         45,760         47,697         43,241         9.2   

Medicaid Managed

     22,013         24,833         24,412         24,802         25,341         27,267         28,534         16.9   

Commercial insurance and other

     62,241         62,922         58,631         57,321         62,769         63,009         59,856         2.1   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
     389,848         376,285         356,665         355,406         384,008         376,395         350,894         (1.6
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Average length of stay:

                       

Medicare

     26.0         26.4         26.4         25.8         25.7         26.5         25.8         (2.3

Medicaid

     47.0         41.3         41.7         41.9         45.6         50.3         44.7         7.2   

Medicare Advantage

     31.2         33.1         32.7         31.5         31.5         34.5         32.6         (0.3

Medicaid Managed

     34.2         36.8         37.8         40.5         34.6         35.5         33.1         (12.4

Commercial insurance and other

     33.3         34.7         33.3         33.7         33.5         34.9         34.7         4.2   

Weighted average

     29.0         29.6         29.3         28.9         28.6         29.9         28.9         (1.4

Revenues per admission:

                       

Medicare

   $ 41,483       $ 41,892       $ 41,451       $ 41,656       $ 41,717       $ 42,579       $ 39,945         (3.6

Medicaid

     57,594         54,795         55,415         57,724         57,928         69,797         61,338         10.7   

Medicare Advantage

     48,908         53,578         51,495         50,680         51,080         55,105         52,363         1.7   

Medicaid Managed

     46,740         51,950         54,976         60,263         49,287         51,696         48,631         (11.5

Commercial insurance and other

     72,395         77,110         68,151         70,735         71,651         77,193         73,515         7.9   

Weighted average

     47,616         49,312         47,683         48,236         47,868         50,309         47,348         (0.7

Revenues per patient day:

                       

Medicare

   $ 1,593       $ 1,584       $ 1,568       $ 1,617       $ 1,625       $ 1,605       $ 1,551         (1.1

Medicaid

     1,226         1,326         1,330         1,377         1,269         1,388         1,371         3.1   

Medicare Advantage

     1,570         1,619         1,577         1,609         1,622         1,597         1,607         1.9   

Medicaid Managed

     1,365         1,412         1,455         1,487         1,426         1,456         1,467         0.8   

Commercial insurance and other

     2,173         2,224         2,049         2,099         2,136         2,214         2,121         3.5   

Weighted average

     1,643         1,667         1,625         1,670         1,675         1,684         1,640         0.9   

Medicare case mix index (discharged patients only)

     1.166         1.163         1.150         1.164         1.163         1.179         1.172         1.9   

Average daily census

     4,332         4,135         3,877         3,863         4,220         4,136         3,814         (1.6

Occupancy %

     69.2         66.1         62.2         62.2         68.0         67.5         61.6         (1.0

Same-hospital data:

                       

Revenues ($ 000s) (a)

   $ 634,975       $ 605,410       $ 555,282       $ 571,925       $ 643,413       $ 619,427       $ 556,091         0.1   

Admissions:

                       

Medicare

     8,652         8,031         7,659         7,933         8,919         8,083         7,571         (1.1

Medicaid

     602         557         508         454         463         371         371         (27.0

Medicare Advantage

     1,546         1,299         1,166         1,238         1,453         1,339         1,292         10.8   

Medicaid Managed

     640         640         619         590         733         761         861         39.1   

Commercial insurance and other

     1,840         1,746         1,680         1,624         1,871         1,751         1,658         (1.3
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
     13,280         12,273         11,632         11,839         13,439         12,305         11,753         1.0   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Patient days:

                       

Medicare

     225,992         212,221         202,690         204,128         229,004         214,629         194,857         (3.9

Medicaid

     28,458         22,999         21,203         19,481         21,134         18,340         16,467         (22.3

Medicare Advantage

     48,276         42,863         37,272         39,122         45,760         46,522         41,955         12.6   

Medicaid Managed

     21,933         23,722         23,329         24,136         25,341         26,795         28,526         22.3   

Commercial insurance and other

     61,715         60,559         56,377         54,899         62,769         60,984         57,168         1.4   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
     386,374         362,364         340,871         341,766         384,008         367,270         338,973         (0.6
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Total average length of stay

     29.1         29.5         29.3         28.9         28.6         29.8         28.8         (1.7

Total revenues per patient day

   $ 1,643       $ 1,671       $ 1,629       $ 1,673       $ 1,676       $ 1,687       $ 1,641         0.7   

 

(a) See reconciliation of same-hospital revenues to reported revenues for the Hospital Division on page 17.

 

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Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 12

November 7, 2016

 

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data (Continued)

(Unaudited)

 

                                                      Third quarter  
     2015 Quarters      2016 Quarters      % change v.  
     First      Second      Third      Fourth      First      Second      Third      prior year  

Pro forma hospital data (a):

  

                 

End of period data:

                       

Number of transitional care hospitals

     82         82         82         82         82         82         82      

Number of licensed beds

     6,112         6,112         6,112         6,112         6,107         6,107         6,107      

Revenue mix %:

                       

Medicare

     57.3         55.5         57.7         57.7         57.9         55.3         54.2      

Medicaid

     4.9         4.7         4.8         4.5         3.9         3.9         3.6      

Medicare Advantage

     11.6         11.4         10.4         11.1         11.4         11.9         12.4      

Medicaid Managed

     4.7         5.6         6.1         6.2         5.6         6.4         7.6      

Commercial insurance and other

     21.5         22.8         21.0         20.5         21.2         22.5         22.2      

Admissions:

                       

Medicare

     7,813         7,382         7,192         7,385         7,989         7,372         7,084         (1.5

Medicaid

     530         548         511         447         430         358         343         (32.9

Medicare Advantage

     1,330         1,143         1,065         1,123         1,261         1,198         1,188         11.5   

Medicaid Managed

     562         609         572         547         632         702         792         38.5   

Commercial insurance and other

     1,625         1,576         1,524         1,474         1,642         1,604         1,504         (1.3
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
     11,860         11,258         10,864         10,976         11,954         11,234         10,911         0.4   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Patient days:

                       

Medicare

     204,423         195,427         190,223         190,718         204,796         194,955         181,518         (4.6

Medicaid

     21,489         18,559         17,272         15,357         15,470         14,053         12,085         (30.0

Medicare Advantage

     41,908         38,440         33,795         36,305         39,995         42,045         39,646         17.3   

Medicaid Managed

     19,537         22,351         21,700         22,063         22,421         24,893         26,698         23.0   

Commercial insurance and other

     54,988         54,697         51,485         50,779         55,455         55,653         53,015         3.0   
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
     342,345         329,474         314,475         315,222         338,137         331,599         312,962         (0.5
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Average length of stay:

                       

Medicare

     26.2         26.5         26.4         25.8         25.6         26.4         25.6         (3.0

Medicaid

     40.5         33.9         33.8         34.4         36.0         39.3         35.2         4.1   

Medicare Advantage

     31.5         33.6         31.7         32.3         31.7         35.1         33.4         5.4   

Medicaid Managed

     34.8         36.7         37.9         40.3         35.5         35.5         33.7         (11.1

Commercial insurance and other

     33.8         34.7         33.8         34.4         33.8         34.7         35.2         4.1   

Weighted average

     28.9         29.3         28.9         28.7         28.3         29.5         28.7         (0.7

Revenues per admission:

                       

Medicare

   $ 41,885       $ 42,228       $ 41,877       $ 41,948       $ 41,912       $ 42,845       $ 39,694         (5.2

Medicaid

     52,950         48,186         49,075         53,935         51,710         62,187         54,801         11.7   

Medicare Advantage

     49,940         56,232         51,048         53,235         52,084         56,517         54,072         5.9   

Medicaid Managed

     48,002         52,017         55,653         61,296         51,511         52,419         50,027         (10.1

Commercial insurance and other

     75,632         81,332         71,996         74,530         74,752         80,026         76,737         6.6   

Weighted average

     48,197         49,944         48,065         48,931         48,356         50,827         47,591         (1.0

Revenues per patient day:

                       

Medicare

   $ 1,601       $ 1,595       $ 1,583       $ 1,624       $ 1,635       $ 1,620       $ 1,549         (2.1

Medicaid

     1,306         1,423         1,452         1,570         1,437         1,584         1,555         7.1   

Medicare Advantage

     1,585         1,672         1,609         1,647         1,642         1,610         1,620         0.7   

Medicaid Managed

     1,381         1,417         1,467         1,520         1,452         1,478         1,484         1.2   

Commercial insurance and other

     2,235         2,343         2,131         2,163         2,213         2,306         2,177         2.2   

Weighted average

     1,670         1,707         1,660         1,704         1,709         1,722         1,659         (0.1

Average daily census

     3,804         3,621         3,418         3,426         3,716         3,644         3,402         (0.5

 

(a) All historical statistics have been adjusted to present the ongoing hospital division portfolio.

 

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Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 13

November 7, 2016

 

KINDRED HEALTHCARE, INC.

Condensed Business Segment Data (Continued)

(Unaudited)

 

                                                      Third quarter  
     2015 Quarters      2016 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)

     415         411         388         373         384         384         395      

Revenue mix %:

                       

Medicare

     80.9         80.4         80.0         80.0         79.8         79.3         78.1      

Medicaid

     2.1         2.1         2.1         2.1         2.1         2.1         2.5      

Commercial and other

     7.3         7.9         8.2         8.5         8.4         8.2         8.6      

Commercial paid at episodic rates

     9.7         9.6         9.7         9.4         9.7         10.4         10.8      

Episodic revenues ($ 000s)

   $ 308,317       $ 324,027       $ 319,820       $ 320,698       $ 325,821       $ 332,193       $ 332,562         4.0   

Total episodic admissions

     69,936         67,808         66,753         66,157         71,426         70,212         69,219         3.7   

Medicare episodic admissions

     61,186         59,394         58,479         57,804         62,011         60,730         59,823         2.3   

Total episodes

     110,980         109,599         108,519         108,300         113,887         113,278         113,256         4.4   

Episodes per admission

     1.59         1.62         1.63         1.64         1.59         1.61         1.64         0.6   

Revenue per episode

   $ 2,778       $ 2,956       $ 2,947       $ 2,961       $ 2,861       $ 2,933       $ 2,936         (0.4

Hospice:

                       

Sites of service (at end of period)

     190         185         181         175         177         177         185      

Admissions

     13,164         12,574         12,091         12,129         13,234         13,149         12,916         6.8   

Average length of stay

     95         93         101         100         92         91         98         (3.0

Patient days

     1,150,841         1,190,604         1,211,291         1,185,330         1,183,908         1,238,584         1,277,125         5.4   

Revenue per patient day

   $ 151       $ 150       $ 150       $ 150       $ 149       $ 150       $ 148         (1.3

Average daily census

     12,787         13,084         13,166         12,884         13,010         13,611         13,882         5.4   

Community Care and other revenues (included in Home Health business segment) ($ 000s)

   $ 65,530       $ 67,647       $ 67,338       $ 67,684       $ 66,305       $ 68,229       $ 75,978         12.8   

Kindred Rehabilitation Services:

                       

Kindred Hospital Rehabilitation Services:

                       

Freestanding IRFs:

                       

End of period data:

                       

Number of IRFs

     16         16         18         18         19         19         19      

Number of licensed beds

     829         829         919         919         969         969         969      

Discharges (a)

     3,806         3,927         3,941         4,317         4,448         4,646         4,644         17.8   

Same-hospital discharges (a)

     3,806         3,927         3,842         4,040         4,016         4,089         4,069         5.9   

Occupancy % (a)

     73.2         71.5         68.7         68.0         70.6         70.6         68.8         0.1   

Average length of stay (a)

     13.7         13.1         13.2         12.7         13.2         12.9         12.7         (3.8

Revenue per discharge (a)

   $ 19,517       $ 19,325       $ 18,992       $ 18,640       $ 19,731       $ 19,318       $ 19,599         3.2   

Contract services:

                       

Sites of service (at end of period):

                       

Inpatient rehabilitation units

     100         99         101         100         104         105         104      

LTAC hospitals

     120         120         119         119         119         121         120      

Sub-acute units

     8         8         7         7         7         7         7      

Outpatient units

     138         139         135         130         139         138         139      
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    
     366         366         362         356         369         371         370      
  

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

 

 

    

Revenue per site

   $ 211,151       $ 209,436       $ 206,041       $ 210,978       $ 211,417       $ 215,798       $ 210,810         2.3   

RehabCare:

                       

Sites of service (at end of period)

     1,829         1,789         1,821         1,798         1,767         1,759         1,754      

Revenue per site

   $ 138,106       $ 132,359       $ 120,548       $ 114,896       $ 115,590       $ 111,470       $ 109,738         (9.0

Nursing center division:

                       

End of period data:

                       

Number of nursing centers

     90         90         90         90         92         92         91      

Number of licensed beds

     11,535         11,535         11,535         11,535         11,815         11,815         11,568      

Admissions (b)

     10,376         9,831         9,558         9,237         9,815         9,480         9,698         1.5   

Medicare average length of stay (b)

     28.9         28.9         28.5         28.4         28.2         28.4         27.4         (3.9

Patient days (b)

     861,278         852,691         851,332         845,924         846,578         842,681         845,037         (0.7

Revenues per patient day (b)

   $ 319       $ 321       $ 318       $ 323       $ 322       $ 323       $ 320         0.6   

Average daily census (b)

     9,570         9,370         9,254         9,195         9,303         9,260         9,185         (0.7

Occupancy % (b)

     81.3         79.6         78.6         78.1         77.3         76.7         77.5         (1.4

 

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

 

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Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 14

November 7, 2016

 

Forward-Looking Statements

This earnings 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, all statements regarding the Company’s ability to exit the skilled nursing facility business discussed herein, as well as the Company’s ability to realize the anticipated benefits, cost savings and strategic gains from this initiative, 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, government investigations, regulatory matters, 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 earnings release concerning the Company’s business outlook or future economic performance, anticipated profitability, revenues, expenses, dividends or other financial items, product or services line growth, and expected outcome of government investigations and other regulatory matters, 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. 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 detailed from time to time in the Company’s Annual Report on Form 10-K, Quarterly Reports on Form 10-Q and Current Reports on Form 8-K filed with the Securities and Exchange Commission.

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.

Non-GAAP Measurements

In addition to the results provided in accordance with GAAP, the Company has provided information in this earnings release to compute certain non-GAAP measures. The use of these non-GAAP measures are not intended to replace the presentation of the Company’s financial results in accordance with GAAP. Reconciliations of these non-GAAP measures to the most directly comparable GAAP measures are included in the following pages of this earnings release.

EBITDAR: The Company defines EBITDAR as earnings before interest, income taxes, depreciation, amortization and rent, and believes that the presentation of EBITDAR is useful to the investors because creditors, securities analysts and investors use EBITDAR as a measure of earnings used to compare the performance of companies in the healthcare industry before consideration of the capital structure of fixed assets and financing costs, which can vary significantly among companies.

For each of the Company’s segments, EBITDAR is a measure of performance used by the Company’s chief operating decision makers in accordance with “Accounting Standard Codification 280—Segment Reporting.” In this context, the Company defines segment EBITDAR as earnings before interest, income taxes, depreciation, amortization, and rent, excluding litigation contingency expense, impairment charges, restructuring charges, transaction costs, and the allocation of support center overhead.

Core Operating Results: The Company calculates core operating results, including core net income attributable to Kindred, core EBITDAR and core diluted EPS, by excluding charges related to transaction, integration, severance, retirement, retention, impairments, business interruption settlements, research and development, restructuring, debt amendment costs, and litigation. 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’s management uses core net income attributable to Kindred, core EBITDAR and core diluted EPS as meaningful measures of operational performance, and for the attainment of internal incentive compensation goals, in addition to other measures. The Company uses these measures to assess the relative performance and attainment of internal incentive compensation goals of its operating divisions, as well as the employees that operate these businesses. In addition, the Company believes these measures are important, because securities analysts and investors use these measures to compare the Company’s performance to other companies in the healthcare industry.

 

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Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 15

November 7, 2016

 

Non-GAAP Measurements (Continued)

 

Same-Hospital Revenues: The same-hospital revenues are calculated by excluding from the Company’s Hospital Division revenues the results from five hospitals acquired in 2016, three hospitals sold in 2016, three hospitals that closed during 2016, and two hospitals that closed during 2015. The Company believes the presentation of same-hospital revenues 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.

For EBITDAR, core net income attributable to Kindred, and core EBITDAR, the Company believes that income (loss) from continuing operations is the most comparable GAAP measure. For core diluted EPS, the Company believes that GAAP diluted earnings (loss) per share from continuing operations is the most comparable GAAP measure. Readers of the Company’s financial information should consider income (loss) from continuing operations and diluted earnings (loss) per share from continuing operations as important measures of the Company’s financial performance, because they provide the most complete measures of its performance. For same-hospital revenues, 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 performance. Operating results presented on a core basis, 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.

Also in this earnings 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, respectively.

Core Operating Cash Flows: The Company defines core operating cash flows as operating cash flows excluding payments related to transaction, severance, retirement, retention, business interruption settlements, research and development, restructuring charges, debt amendment costs, and litigation, net of income tax benefits. The Company believes that core operating cash flows provide important information to investors for comparability to other companies that use similar measures. Management uses core operating cash flows to evaluate consolidated operating performance and in making decisions related to acquisitions, development capital expenditures, dividends, long-term debt repayments and other uses.

Core Free Cash Flows: The Company defines core free cash flows as operating cash flows excluding payments related to transaction, severance, retirement, retention, business interruption settlements, research and development, restructuring charges, debt amendment costs, and litigation, net of income tax benefits but including routine capital expenditures and distributions to noncontrolling interests. The Company believes that core free cash flows provide important information to investors for comparability to other companies that use similar measures. Management uses core free cash flows in making decisions related to acquisitions, development capital expenditures, dividends, long-term debt repayments and other uses.

The Company recognizes that core operating cash flows and core free cash flows are non-GAAP measures and are not intended to replace the presentation of the Company’s cash flows in accordance with GAAP. For core operating cash flows and core free cash flows, 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 because it provides the most complete measure of cash provided by operating activities. Core operating cash flows and core free cash flows should be considered in addition to, not as a substitute for, or superior to, financial measures based upon GAAP as an indicator of the Company’s cash flows provided by operating activities.

 

- MORE -


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 16

November 7, 2016

 

KINDRED HEALTHCARE, INC.

Reconciliation of GAAP Results to Non-GAAP Measurements

(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 earnings release to compute certain non-GAAP measurements for the three months and nine months ended September 30, 2016 and 2015 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 67.1% and 6.9% for the three months ended September 30, 2016 and 2015, respectively, and 60.5% and 19.7% for the nine months ended September 30, 2016 and 2015, respectively. The difference in the effective income tax rate for both periods compared to the same prior year periods is attributable to the deferred tax valuation allowance and the composition of charges that are non-deductible for income tax purposes, including the impairment charges and litigation contingency expense.

 

     Three months ended     Nine months ended  
     September 30,     September 30,  
     2016     2015     2016     2015  

Reconciliation of income from continuing operations before charges:

        

As reported:

        

Loss from continuing operations attributable to Kindred

   ($ 685,600   ($ 16,869   ($ 651,418   ($ 138,329

Diluted loss per common share from continuing operations

   ($ 7.89   ($ 0.20   ($ 7.51   ($ 1.65

Weighted average diluted shares outstanding

     86,869        86,184        86,766        83,960   

Detail of charges:

        

Restructuring charges:

        

Facility/branch divestitures and closings

   ($ 20,212   ($ 2,416   ($ 22,234   ($ 6,439

Severance costs

     (2,109     (125     (5,049     (523

Transaction costs

     (492     —          (1,577     —     
  

 

 

   

 

 

   

 

 

   

 

 

 
     (22,813     (2,541     (28,860     (6,962

Lease termination costs (charged to rent expense)

     (58,650     (808     (59,363     (1,831

Impairment charges

     (324,289     —          (338,208     —     

Research and development

     (3,288     —          (7,227     —     

Litigation contingency expense

     —          (31,462     (2,840     (130,387

Other retirement and severance costs

     —          (666     (658     (5,627

Other facility/branch sales/closings/consolidations

     (821     (827     (821     (2,086

Business interruption settlements

     —          —          1,309        —     

Debt amendment fees not capitalized

     —          —          (1,103     —     

Gentiva transaction costs:

        

Professional and consulting fees

     (1,464     (1,113     (3,831     (35,178

Severance and retention

     214        (1,956     (696     (58,831

Lease termination (charged to rent expense)

     (272     —          (272     (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

Other transaction costs

     (1,732     (777     (1,986     (3,750
  

 

 

   

 

 

   

 

 

   

 

 

 
     (413,115     (40,150     (444,556     (275,606

Income tax benefit

     (277,113     2,775        (268,868     54,302   
  

 

 

   

 

 

   

 

 

   

 

 

 

Charges net of income taxes

     (690,228     (37,375     (713,424     (221,304

Noncontrolling interest adjustment related to impairment charges

     288        —          1,304        —     
  

 

 

   

 

 

   

 

 

   

 

 

 
     (689,940     (37,375     (712,120     (221,304

Allocation to participating unvested restricted stockholders

     —          —          —          —     
  

 

 

   

 

 

   

 

 

   

 

 

 

Available to common stockholders

   ($ 689,940   ($ 37,375   ($ 712,120   ($ 221,304
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted loss per common share related to charges

   ($ 7.94   ($ 0.43   ($ 8.21   ($ 2.64

Weighted average diluted shares outstanding

     86,869        86,184        86,766        83,960   

Core:

        

Income from continuing operations before charges

   $ 4,340      $ 20,506      $ 60,702      $ 82,975   

Diluted earnings per common share from continuing operations before charges (a)

   $ 0.05      $ 0.23      $ 0.68      $ 0.95   

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

     87,529        86,892        87,426        85,691   

Reconciliation of effective income tax rate before charges:

        

Effective income tax rate before charges

     19.7     33.5     29.4     35.9

Impact of charges on effective income tax rate

     52.6     192.0     74.6     -26.6
  

 

 

   

 

 

   

 

 

   

 

 

 

Reported effective income tax rate

     72.3     225.5     104.0     9.3
  

 

 

   

 

 

   

 

 

   

 

 

 

 

(a) For purposes of computing diluted earnings per common share before charges, income from continuing operations before charges was reduced by $0.1 million and $0.3 million for the three months ended September 30, 2016 and 2015, respectively, and by $1.3 million and $1.5 million for the nine months ended September 30, 2016 and 2015, respectively, for the allocation of income to participating unvested restricted stockholders.

 

 

- MORE -


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 17

November 7, 2016

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands)

 

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

 

    2015 Quarters     2016 Quarters     Third quarter
% change v.
 
    First     Second     Third     Fourth     First     Second     Third     prior year  

Kindred

  $ 254,965      $ 360,173      $ 356,716      $ 358,075      $ 363,730      $ 370,327      $ 373,980     

Gentiva

    87,520        —          —          —          —          —          —       
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
  $ 342,485      $ 360,173      $ 356,716      $ 358,075      $ 363,730      $ 370,327      $ 373,980        4.8   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

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

 

                                              Third quarter  
    2015 Quarters     2016 Quarters     % change v.  
    First     Second     Third     Fourth     First     Second     Third     prior year  

Reported revenues

  $ 640,483      $ 627,206      $ 579,497      $ 593,593      $ 643,299      $ 633,695      $ 575,323        (0.7

Hospitals acquired and sold during 2016 (a)

    —          (16,608     (14,679     (14,695     —          (14,346     (13,731  

Hospitals closed during 2016 (b)

    —          —          (7,376     (7,471     —          —          (5,447  

Hospitals closed during 2015 (c)

    (5,508     (5,188     (2,160     498        114        78        (54  
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Same-hospital revenues

  $ 634,975      $ 605,410      $ 555,282      $ 571,925      $ 643,413      $ 619,427      $ 556,091        0.1   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

(a) Five hospitals acquired and three hospitals sold during the second quarter of 2016.
(b) Three hospitals closed during the third quarter of 2016.
(c)

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

 

- MORE -


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 18

November 7, 2016

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands, except per share amounts)

 

    Three months ended September 30, 2016  
          Charges        
                                  Gentiva           Deferred              
          Facility/                       transaction           tax           Before  
    As     branch     Impairment     Research and     Restructuring     and     Other     valuation           charges  
    reported     closings     charges     development     charges     integration     transaction     allowance     Total     (“core”)  

Income (loss) from continuing operations:

                   

Segment EBITDAR:

                   

Hospital division

  $ 82,752      $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ 82,752   

Kindred at Home:

                   

Home health

    75,073        —          —          —          —          —          —          —          —          75,073   

Hospice

    31,326        —          —          —          —          —          —          —          —          31,326   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    106,399        —          —          —          —          —          —          —          —          106,399   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

                   

Kindred Hospital Rehabilitation Services

    49,470        747        —          —          —          —          —          —          747        50,217   

RehabCare

    9,248        —          —          —          —          —          —          —          —          9,248   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    58,718        747        —          —          —          —          —          —          747        59,465   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

    29,922        —          —          —          —          —          —          —          —          29,922   

Support center

    (61,751     —          —          3,288        —          —          —          —          3,288        (58,463

Impairment charges

    (324,289     —          324,289        —          —          —          —          —          324,289        —     

Restructuring charges

    (22,813     —          —          —          22,813        —          —          —          22,813        —     

Transaction costs

    (2,982     —          —          —          —          1,250        1,732        —          2,982        —     
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDAR

    (134,044     747        324,289        3,288        22,813        1,250        1,732        —          354,119        220,075   

Rent

    (98,415     74        —          —          —          272        —          —          346        (98,069

Restructuring charges - rent

    (58,650     —          —          —          58,650        —          —          —          58,650        —     

Depreciation and amortization

    (40,382     —          —          —          —          —          —          —          —          (40,382

Interest, net

    (58,052     —          —          —          —          —          —          —          —          (58,052
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

    (389,543     821        324,289        3,288        81,463        1,522        1,732        —          413,115        23,572   

Provision (benefit) for income taxes

    281,752        288        58,173        1,154        28,599        535        608        (366,470     (277,113     4,639   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (671,295     533        266,116        2,134        52,864        987        1,124        366,470        690,228        18,933   

Noncontrolling interests

    (14,305     —          (288     —          —          —          —          —          (288     (14,593
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) attributable to Kindred

  $ (685,600   $ 533      $ 265,828      $ 2,134      $ 52,864      $ 987      $ 1,124      $ 366,470      $ 689,940      $ 4,340   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings (loss) per common share

  $ (7.89                   $ 0.05   

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

    86,869                        87,529   
    Three months ended September 30, 2015        
          Charges              
                                  Gentiva                          
          Retirement     Facility/                 transaction                 Before        
    As     and     branch     Litigation     Restructuring     and     Other           charges        
    reported     severance     closings     contingency     charges     integration     transaction     Total     (“core”)        

Income from continuing operations:

                   

Segment EBITDAR:

                   

Hospital division

  $ 96,108      $ 666      $ 354      $ —        $ —        $ —        $ —        $ 1,020      $ 97,128     

Kindred at Home:

                   

Home health

    67,682        —          473        —          —          —          —          473        68,155     

Hospice

    34,025        —          —          —          —          —          —          —          34,025     
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
    101,707        —          473        —          —          —          —          473        102,180     
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

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        —       

Restructuring charges

    (2,541     —          —          —          2,541        —          —          2,541        —       

Transaction costs

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

EBITDAR

    197,135        666        827        31,462        2,541        3,069        777        39,342        236,477     

Rent

    (95,436     —          —          —          —          —          —          —          (95,436  

Restructuring charges - rent

    (808     —          —          —          808        —          —          808        —       

Depreciation and amortization

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

Interest, net

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Income from continuing operations before income taxes

    5,554        666        827        31,462        3,349        3,069        777        40,150        45,704     

Provision for income taxes

    12,523        196        243        429        982        697        228        2,775        15,298     
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   
    (6,969   $ 470      $ 584      $ 31,033      $ 2,367      $ 2,372      $ 549      $ 37,375        30,406     
   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

     

Noncontrolling interests

    (9,900                   (9,900  
 

 

 

                 

 

 

   

Income (loss) attributable to Kindred

  $ (16,869                 $ 20,506     
 

 

 

                 

 

 

   

Diluted earnings (loss) per common share

  $ (0.20                 $ 0.23     

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

    86,184                      86,892     

 

- MORE -


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 19

November 7, 2016

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands, except per share amounts)

 

    Nine months ended September 30, 2016  
          Charges        
                                                          Gentiva           Deferred              
          Retirement     Facility/     Business                                   transaction           tax           Before  
    As     and     branch     interruption     Litigation     Impairment     Research and     Debt     Restructuring     and     Other     valuation           charges  
    reported     severance     closings     settlements     contingency     charges     development     amendment     charges     integration     transaction     allowance     Total     (“core”)  

Income (loss) from continuing operations:

                           

Segment EBITDAR:

                           

Hospital division

  $ 344,179      $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ 344,179   

Kindred at Home:

                           

Home health

    218,044        —          —          (1,309     —          —          —          —          —          —          —          —          (1,309     216,735   

Hospice

    87,521        —          —          —          —          —          —          —          —          —          —          —          —          87,521   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    305,565        —          —          (1,309     —          —          —          —          —          —          —          —          (1,309     304,256   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

                           

Kindred Hospital Rehabilitation Services

    147,809        —          747        —          —          —          —          —          —          —          —          —          747        148,556   

RehabCare

    34,504        —          —          —          —          —          —          —          —          —          —          —          —          34,504   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    182,313        —          747        —          —          —          —          —          —          —          —          —          747        183,060   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

    93,684        —          —          —          —          —          —          —          —          —          —          —          —          93,684   

Support center

    (199,363     658        —          —          —          —          7,227        1,103        —          —          —          —          8,988        (190,375

Litigation contingency expense

    (2,840     —          —          —          2,840        —          —          —          —          —          —          —          2,840        —     

Impairment charges

    (338,208     —          —          —          —          338,208        —          —          —          —          —          —          338,208        —     

Restructuring charges

    (28,860     —          —          —          —          —          —          —          28,860        —          —          —          28,860        —     

Transaction costs

    (6,513     —          —          —          —          —          —          —          —          4,527        1,986        —          6,513        —     
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDAR

    349,957        658        747        (1,309     2,840        338,208        7,227        1,103        28,860        4,527        1,986        —          384,847        734,804   

Rent

    (296,025     —          74        —          —          —          —          —          —          272        —          —          346        (295,679

Restructuring charges - rent

    (59,363     —          —          —          —          —          —          —          59,363        —          —          —          59,363        —     

Depreciation and amortization

    (121,320     —          —          —          —          —          —          —          —          —          —          —          —          (121,320

Interest, net

    (172,856     —          —          —          —          —          —          —          —          —          —          —          —          (172,856
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

    (299,607     658        821        (1,309     2,840        338,208        7,227        1,103        88,223        4,799        1,986        —          444,556        144,949   

Provision (benefit) for income taxes

    311,470        235        293        (468     32        64,179        2,582        394        27,930        1,715        710        (366,470     (268,868     42,602   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (611,077     423        528        (841     2,808        274,029        4,645        709        60,293        3,084        1,276        366,470        713,424        102,347   

Noncontrolling interests

    (40,341     —          —          —          —          (1,304     —          —          —          —          —          —          (1,304     (41,645
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) attributable to Kindred

  $ (651,418   $ 423      $ 528      $ (841   $ 2,808      $ 272,725      $ 4,645      $ 709      $ 60,293      $ 3,084      $ 1,276      $ 366,470      $ 712,120      $ 60,702   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings (loss) per common share

  $ (7.51                           $ 0.68   

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

    86,766                                87,426   
    Nine months ended September 30, 2015                    
          Charges                          
                                        Gentiva     Gentiva                                      
          Retirement     Facility/                       pre-closing     transaction                 Before                    
    As     and     branch     Litigation     Impairment     Restructuring     financing     and     Other           charges                    
    reported     severance     closings     contingency     charges     charges     costs     integration     transaction     Total     (“core”)                    

Income (loss) from continuing operations:

                           

Segment EBITDAR:

                           

Hospital division

  $ 361,751      $ 666      $ 1,029      $ —        $ —        $ —        $ —        $ —        $ —        $ 1,695      $ 363,446         

Kindred at Home:

                           

Home health

    187,397        —          473        —          —          —          —          —          —          473        187,870         

Hospice

    78,908        —          —          —          —          —          —          —          —          —          78,908         
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

       
    266,305        —          473        —          —          —          —          —          —          473        266,778         
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

       

Kindred Rehabilitation Services:

                           

Kindred Hospital Rehabilitation Services

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

RehabCare

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

       

Nursing center division

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

Support center

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

Litigation contingency expense

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

Impairment charges

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

Restructuring charges

    (6,962     —          —          —          —          6,962        —          —          —          6,962        —           

Transaction costs

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

       

EBITDAR

    476,936        5,627        2,086        130,387        6,726        6,962        6,005        94,009        3,750        255,552        732,488         

Rent

    (282,955     —          —          —          —          —          —          792        —          792        (282,163      

Restructuring charges - rent

    (1,831     —          —          —          —          1,831        —          —          —          1,831        —           

Depreciation and amortization

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

Interest, net

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

       

Income (loss) from continuing operations before income taxes

    (98,664     5,627        2,086        130,387        6,726        8,793        23,436        94,801        3,750        275,606        176,942         

Provision (benefit) for income taxes

    9,183        2,202        816        2,108        2,633        3,442        9,173        32,460        1,468        54,302        63,485         
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

       
    (107,847   $ 3,425      $ 1,270      $ 128,279      $ 4,093      $ 5,351      $ 14,263      $ 62,341      $ 2,282      $ 221,304        113,457         
   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

         

Noncontrolling interests

    (30,482                       (30,482      
 

 

 

                     

 

 

       

Income (loss) attributable to Kindred

  $ (138,329                     $ 82,975         
 

 

 

                     

 

 

       

Diluted earnings (loss) per common share

  $ (1.65                     $ 0.95         

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

    83,960                          85,691         

 

- MORE -


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 20

November 7, 2016

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands, except per share amounts)

 

    Three months ended March 31, 2016  
          Charges        
                                              Gentiva                    
          Retirement     Business                             transaction                 Before  
    As     and     interruption     Litigation     Impairment     Research and     Restructuring     and     Other           charges  
    reported     severance     settlements     contingency     charges     development     charges     integration     transaction     Total     (“core”)  

Income from continuing operations:

                     

Segment EBITDAR:

                     

Hospital division

  $ 135,495      $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ 135,495   

Kindred at Home:

                     

Home health

    66,941        —          (1,138     —          —          —          —          —          —          (1,138     65,803   

Hospice

    24,866        —          —          —          —          —          —          —          —          —          24,866   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    91,807        —          (1,138     —          —          —          —          —          —          (1,138     90,669   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

                     

Kindred Hospital Rehabilitation Services

    47,870        —          —          —          —          —          —          —          —          —          47,870   

RehabCare

    11,987        —          —          —          —          —          —          —          —          —          11,987   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    59,857        —          —          —          —          —          —          —          —          —          59,857   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

    30,100        —          —          —          —          —          —          —          —          —          30,100   

Support center

    (70,808     658        —          —          —          863        —          —          —          1,521        (69,287

Litigation contingency expense

    (1,910     —          —          1,910        —          —          —          —          —          1,910        —     

Impairment charges

    (7,788     —          —          —          7,788        —          —          —          —          7,788        —     

Restructuring charges

    (1,701     —          —          —          —          —          1,701        —          —          1,701        —     

Transaction costs

    (1,685     —          —          —          —          —          —          1,603        82        1,685        —     
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDAR

    233,367        658        (1,138     1,910        7,788        863        1,701        1,603        82        13,467        246,834   

Rent

    (97,517     —          —          —          —          —          —          —          —          —          (97,517

Restructuring charges - rent

    (251     —          —          —          —          —          251        —          —          251        —     

Depreciation and amortization

    (40,681     —          —          —          —          —          —          —          —          —          (40,681

Interest, net

    (57,245     —          —          —          —          —          —          —          —          —          (57,245
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

    37,673        658        (1,138     1,910        7,788        863        1,952        1,603        82        13,718        51,391   

Provision for income taxes

    11,836        226        (391     656        2,674        296        670        551        28        4,710        16,546   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    25,837      $ 432      $ (747   $ 1,254      $ 5,114      $ 567      $ 1,282      $ 1,052      $ 54      $ 9,008        34,845   
   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Noncontrolling interests

    (12,514                       (12,514
 

 

 

                     

 

 

 

Income attributable to Kindred

  $ 13,323                        $ 22,331   
 

 

 

                     

 

 

 

Diluted earnings per common share

  $ 0.15                        $ 0.25   

Diluted shares used in computing earnings per common share

    87,249                          87,249   
    Three months ended March 31, 2015  
          Charges        
                                        Gentiva     Gentiva                    
          Retirement     Facility/                       pre-closing     transaction                 Before  
    As     and     branch     Litigation     Impairment     Restructuring     financing     and     Other           charges  
    reported     severance     closings     contingency     charges     charges     costs     integration     transaction     Total     (“core”)  

Income (loss) from continuing operations:

                     

Segment EBITDAR:

                     

Hospital division

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

Kindred at Home:

                     

Home health

    46,798        —          —          —          —          —          —          —          —          —          46,798   

Hospice

    16,996        —          —          —          —          —          —          —          —          —          16,996   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    63,794        —          —          —          —          —          —          —          —          —          63,794   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

                     

Kindred Hospital Rehabilitation Services

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

RehabCare

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

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

Support center

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

Litigation contingency expense

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

Impairment charges

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

Restructuring charges

    (1,619     —          —          —          —          1,619        —          —          —          1,619        —     

Transaction costs

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDAR

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

Rent

    (91,788     —          —          —          —          —          —          589        —          589        (91,199

Restructuring charges - rent

    (352     —          —          —          —          352        —          —          —          352        —     

Depreciation and amortization

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

Interest, net

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income (loss) from continuing operations before income taxes

    (162,324     4,961        675        95,000        6,726        1,971        23,436        87,187        2,099        222,055        59,731   

Provision (benefit) for income taxes

    (27,736     2,133        290        —          2,891        848        10,075        33,063        902        50,202        22,466   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    (134,588   $ 2,828      $ 385      $ 95,000      $ 3,835      $ 1,123      $ 13,361      $ 54,124      $ 1,197      $ 171,853        37,265   
   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Noncontrolling interests

    (8,847                       (8,847
 

 

 

                     

 

 

 

Income (loss) attributable to Kindred

  $ (143,435                     $ 28,418   
 

 

 

                     

 

 

 

Diluted earnings (loss) per common share

  $ (1.80                     $ 0.34   

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

    79,575                          82,422   

 

- MORE -


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 21

November 7, 2016

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands, except per share amounts)

 

    Three months ended June 30, 2016  
          Charges        
                                              Gentiva                    
          Business                                   transaction                 Before  
    As     interruption     Litigation     Impairment     Research and     Debt     Restructuring     and     Other           charges  
    reported     settlements     contingency     charges     development     amendment     charges     integration     transaction     Total     (“core”)  

Income from continuing operations:

                     

Segment EBITDAR:

                     

Hospital division

  $ 125,932      $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ 125,932   

Kindred at Home:

                     

Home health

    76,030        (171     —          —          —          —          —          —          —          (171     75,859   

Hospice

    31,329        —          —          —          —          —          —          —          —          —          31,329   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    107,359        (171     —          —          —          —          —          —          —          (171     107,188   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

                     

Kindred Hospital Rehabilitation Services

    50,469        —          —          —          —          —          —          —          —          —          50,469   

RehabCare

    13,269        —          —          —          —          —          —          —          —          —          13,269   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    63,738        —          —          —          —          —          —          —          —          —          63,738   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

    33,662        —          —          —          —          —          —          —          —          —          33,662   

Support center

    (66,804     —          —          —          3,076        1,103        —          —          —          4,179        (62,625

Litigation contingency expense

    (930     —          930        —          —          —          —          —          —          930        —     

Impairment charges

    (6,131     —          —          6,131        —          —          —          —          —          6,131        —     

Restructuring charges

    (4,346     —          —          —          —          —          4,346        —          —          4,346        —     

Transaction costs

    (1,846     —          —          —          —          —          —          1,674        172        1,846        —     
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDAR

    250,634        (171     930        6,131        3,076        1,103        4,346        1,674        172        17,261        267,895   

Rent

    (100,093     —          —          —          —          —          —          —          —          —          (100,093

Restructuring charges - rent

    (462     —          —          —          —          —          462        —          —          462        —     

Depreciation and amortization

    (40,257     —          —          —          —          —          —          —          —          —          (40,257

Interest, net

    (57,559     —          —          —          —          —          —          —          —          —          (57,559
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

    52,263        (171     930        6,131        3,076        1,103        4,808        1,674        172        17,723        69,986   

Provision for income taxes

    17,882        (123     (1,307     4,403        2,209        792        (3,765     1,202        124        3,535        21,417   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    34,381        (48     2,237        1,728        867        311        8,573        472        48        14,188        48,569   

Noncontrolling interests

    (13,522     —          —          (1,016     —          —          —          —          —          (1,016     (14,538
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income attributable to Kindred

  $ 20,859      $ (48   $ 2,237      $ 712      $ 867      $ 311      $ 8,573      $ 472      $ 48      $ 13,172      $ 34,031   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per common share

  $ 0.23                        $ 0.38   

Diluted shares used in computing earnings per common share

    87,500                          87,500   
    Three months ended June 30, 2015                    
          Charges                          
                            Gentiva                                      
          Facility/                 transaction                 Before                    
    As     branch     Litigation     Restructuring     and     Other           charges                    
    reported     closings     contingency     charges     integration     transaction     Total     (“core”)                    

Income from continuing operations:

                     

Segment EBITDAR:

                     

Hospital division

  $ 131,532      $ —        $ —        $ —        $ —        $ —        $ —        $ 131,532         

Kindred at Home:

                     

Home health

    72,917        —          —          —          —          —          —          72,917         

Hospice

    27,887        —          —          —          —          —          —          27,887         
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

       
    100,804        —          —          —          —          —          —          100,804         
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

       

Kindred Rehabilitation Services:

                     

Kindred Hospital Rehabilitation Services

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

RehabCare

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

       

Nursing center division

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

Support center

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

Litigation contingency expense

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

Restructuring charges

    (2,802     —          —          2,802        —          —          2,802        —           

Transaction costs

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

       

EBITDAR

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

Rent

    (95,731     —          —          —          203        —          203        (95,528      

Restructuring charges - rent

    (671     —          —          671        —          —          671        —           

Depreciation and amortization

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

Interest, net

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

       

Income from continuing operations before income taxes

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

Provision for income taxes

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

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

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

         

Noncontrolling interests

    (11,735                 (11,735      
 

 

 

               

 

 

       

Income attributable to Kindred

  $ 21,975                  $ 34,051         
 

 

 

               

 

 

       

Diluted earnings per common share

  $ 0.25                  $ 0.39         

Diluted shares used in computing earnings per common share

    86,402                    86,402         

 

- MORE -


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 22

November 7, 2016

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands, except per share amounts)

 

    Three months ended December 31, 2015  
          Charges        
                      RehabCare                       Gentiva                    
          Retirement     Facility/     customer                       transaction                 Before  
    As     and     branch     contract     Litigation     Impairment     Restructuring     and     Other           charges  
    reported     severance     closings     litigation     contingency     charges     charges     integration     transaction     Total     (“core”)  

Income from continuing operations:

                     

Segment EBITDAR:

                     

Hospital division

  $ 116,454      $ 1,221      $ —        $ —        $ —        $ —        $ —        $ —        $ —        $ 1,221      $ 117,675   

Kindred at Home:

                     

Home health

    68,776        —          50        —          —          —          —          —          —          50        68,826   

Hospice

    30,212        —          —          —          —          —          —          —          —          —          30,212   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    98,988        —          50        —          —          —          —          —          —          50        99,038   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Kindred Rehabilitation Services:

                     

Kindred Hospital Rehabilitation Services

    44,891        207        —          —          —          —          —          —          —          207        45,098   

RehabCare

    (1,118     112        —          12,864        —          —          —          —          —          12,976        11,858   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    43,773        319        —          12,864        —          —          —          —          —          13,183        56,956   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Nursing center division

    36,601        —          —          —          —          —          —          —          —          —          36,601   

Support center

    (63,016     585        —          —          —          —          —          —          —          585        (62,431

Litigation contingency expense

    (8,261     —          —          —          8,261            —          —          8,261        —     

Impairment charges

    (18,031     —          —          —          —          18,031        —          —          —          18,031        —     

Restructuring charges

    (3,288     —          —          —          —          —          3,288        —          —          3,288        —     

Transaction costs

    (5,367     —          —          —          —          —          —          4,189        1,178        5,367        —     
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

EBITDAR

    197,853        2,125        50        12,864        8,261        18,031        3,288        4,189        1,178        49,986        247,839   

Rent

    (96,934     —          —          —          —          —          —          —          —          —          (96,934

Restructuring charges - rent

    (889     —          —          —          —          —          889        —          —          889        —     

Depreciation and amortization

    (40,362     —          —          —          —          —          —          —          —          —          (40,362

Interest, net

    (55,664     —          —          —          —          —          —          —          —          —          (55,664
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Income from continuing operations before income taxes

    4,004        2,125        50        12,864        8,261        18,031        4,177        4,189        1,178        50,875        54,879   

Provision (benefit) for income taxes

    (51,980     836        20        5,062        50,329        6,205        1,643        1,487        156        65,738        13,758   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
    55,984      $ 1,289      $ 30      $ 7,802      $ (42,068   $ 11,826      $ 2,534      $ 2,702      $ 1,022      $ (14,863     41,121   
   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

Noncontrolling interests

    (12,082                       (12,082
 

 

 

                     

 

 

 

Income attributable to Kindred

  $ 43,902                        $ 29,039   
 

 

 

                     

 

 

 

Diluted earnings per common share

  $ 0.50                        $ 0.33   

Diluted shares used in computing earnings per common share

    87,232                          87,232   

 

- MORE -


Kindred Healthcare Updates Strategy and Reports Third Quarter 2016 Results

Page 23

November 7, 2016

 

KINDRED HEALTHCARE, INC.

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

(Unaudited)

(In thousands)

 

     Three months ended     Nine months ended  
     September 30,     September 30,  
     2016     2015     2016     2015  

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

        

Net cash flows provided by operating activities

   $ 36,082      $ 132,290      $ 38,048      $ 93,067   

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

     8,898        5,251        20,989        102,100   

Business interruption settlements

     —          —          (1,309     —     

Ventas, Inc. lease termination fee

     —          —          3,500        40,000   

Capitalized lender fees related to debt refinancing

     42        —          7,375        28,012   

Other debt refinancing costs (expensed)

     291        13,438        917        40,439   

Other lease termination fees

     —          —          —          353   

Litigation

     3,074        —          133,523        16,575   
  

 

 

   

 

 

   

 

 

   

 

 

 
     12,305        18,689        164,995        227,479   
  

 

 

   

 

 

   

 

 

   

 

 

 

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

     48,387        150,979        203,043        320,546   

Benefit of reduced income tax payments resulting from certain payments

     (18,048     (22,541     (46,674     (56,295
  

 

 

   

 

 

   

 

 

   

 

 

 

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

     30,339        128,438        156,369        264,251   

Less routine capital expenditures

     (21,873     (35,422     (68,703     (80,691

Less distributions to noncontrolling interests

     (4,694     (10,685     (35,240     (31,823
  

 

 

   

 

 

   

 

 

   

 

 

 

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

   $ 3,772      $ 82,331      $ 52,426      $ 151,737   
  

 

 

   

 

 

   

 

 

   

 

 

 

 

- END -