04.05.2010 22:48:00

Kindred Healthcare Reports Solid First Quarter Results of $0.44 Per Diluted Share Excluding Certain Charges

Kindred Healthcare, Inc. (the "Company”) (NYSE:KND) today announced its operating results for the first quarter ended March 31, 2010. 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.

First Quarter Highlights:

  • Consolidated revenues rose 2% to $1.1 billion
    • Each operating division reported revenue growth compared to last year
  • Reported diluted earnings per share totaled $0.38, including $0.06 of certain charges
    • Excluding the charges, first quarter earnings were at the high end of the Company’s guidance range of $0.35 to $0.45 per diluted share
  • Hospital volumes continued to improve
    • Reported admissions grew 3% from last year
    • Same-facility aggregate admissions grew 3%; same-facility commercial admissions grew 12%
    • Volume growth in the quarter was partially offset by softer Medicare and commercial pricing
  • Nursing and rehabilitation center admissions grew 5% in the first quarter compared to last year
    • Reimbursement rates were generally in line with expectations
  • Peoplefirst Rehabilitation continued to demonstrate consistent operating results
    • Division signed 28 net additional unaffiliated contracts compared to a loss of three contracts in the first quarter last year

First Quarter Results

Continuing Operations

Consolidated revenues for the first quarter ended March 31, 2010 rose 2% to $1.1 billion. Income from continuing operations for the first quarter of 2010 totaled $15.2 million or $0.38 per diluted share compared to $23.3 million or $0.60 per diluted share in the first quarter last year.

First quarter 2010 operating results included certain pretax charges related to severance and retirement costs of $2.9 million and transaction costs of $0.8 million. The combined effect of these costs reduced income from continuing operations by $2.3 million or $0.06 per diluted share.

Discontinued Operations

During the past few years, the Company has entered into transactions related to the divestiture of unprofitable businesses. For accounting purposes, the historical operating results of these businesses and losses associated with these operations have been classified as discontinued operations in the Company’s consolidated statement of operations for all historical periods.

Other Quarterly Information

During the first quarter of 2010, the Company received a distribution of $22 million from its limited purpose insurance subsidiary to be used for general corporate purposes. The distribution, which had no impact on earnings, resulted primarily from the insurance subsidiary’s improved professional liability underwriting results. These funds were used to repay borrowings under the Company’s revolving credit facility.

Management Commentary

Paul J. Diaz, President and Chief Executive Officer of the Company, remarked, "We are pleased to report a good start to the year. Our hospital and nursing center admissions growth was solid and we generally did a good job of controlling our costs. However, the softness in reimbursement rates in both of these businesses presents a challenging environment.”

Commenting on the Company’s financial position, Mr. Diaz noted, "Our first quarter 2010 operating cash flows were in line with our expectations as we continued to focus on our accounts receivable collections. As a result, our accounts receivable balance at March 31, 2010 declined approximately $27 million from a year ago while our revenues continued to grow. As we have previously indicated to investors, we believe that our operating cash flows in 2010 will fund a significant portion of our routine and development capital spending.”

With respect to the Company’s ongoing development activities, Mr. Diaz remarked, "We are continuing to construct four additional hospitals that will open over the next couple of years, and we acquired a combined 241-bed nursing center/assisted living facility to further expand our presence in the Cleveland market. In other cluster markets, we recently opened a new 74-bed replacement hospital in Houston and began construction of a new 120-bed transitional care center in Indianapolis. We also acquired two hospitals and two nursing centers that were previously leased during the first quarter of 2010. Finally, the ongoing development of our 5 hospital-based subacute units, 32 transitional care centers and 102 transitional care units is on track.”

2010 Earnings Guidance – Continuing Operations

The Company maintained its 2010 earnings guidance for continuing operations. The Company expects consolidated revenues for 2010 to approximate $4.5 billion. Operating income, or earnings before interest, income taxes, depreciation, amortization and rent, is expected to range from $571 million to $579 million. Rent expense is expected to approximate $360 million, while depreciation, amortization and net interest expense are expected to approximate $128 million. The Company expects to report income from continuing operations for 2010 between $48 million to $54 million or $1.20 to $1.35 per diluted share (based upon diluted shares of 39 million).

The Company also provided its earnings outlook for the second quarter of 2010, estimating income from continuing operations to range from $12 million to $15 million or $0.30 to $0.40 per diluted share (based upon diluted shares of 39 million).

As previously indicated to investors, the Company continues to believe that the typical seasonal weakness in the third quarter will likely result in earnings per diluted share between break-even and $0.10 for the period.

The Company indicated that the earnings guidance for continuing operations reflects the operating results of $0.38 per diluted share reported in the first quarter as well as the anticipated impact of proposed rules issued by the Centers for Medicare and Medicaid Services ("CMS”) in April 2010 related to payment rates for long-term acute care ("LTAC”) hospitals effective October 1, 2010. The Company also indicated that the earnings guidance does not reflect any other reimbursement changes, any material acquisitions or divestitures, or any repurchases of common stock.

Mr. Diaz noted, "We look forward to continued progress in each of our operating divisions as we focus on the execution of our strategic operating plan. As in the past, high satisfaction levels from our patients, residents, customers, employees and physicians will continue to drive our operating results and business success.”

Webcast of Conference Call

As previously announced, investors and the general public can access a live webcast of the first quarter 2010 conference call through a link on the Company’s website at www.kindredhealthcare.com. The conference call will be held May 5, 2010 at 10:00 a.m. (Eastern Time).

A telephone replay of the conference call will be available at approximately 1:00 p.m. on May 5 by dialing (719) 457-0820, access code: 2183814. The replay will be available through May 13.

Investor Day

As previously announced, the Company will host its annual Investor Day in New York City on Thursday, May 6, 2010. The event will be webcast live beginning at 10:00 a.m. (Eastern Time) and conclude at approximately 1:00 p.m.

The webcast of this presentation may be accessed via the Company’s website, http://investors.kindredhealthcare.com, or at http://phx.corporate-ir.net/phoenix.zhtml?c=129959&p=irol-EventDetails&EventId=2767632.

Any written materials accompanying the Investor Day presentation will be available on the Company’s website at the time of the presentation and the webcast and written materials will be archived at http://investors.kindredhealthcare.com following the event.

Investors interested in attending the event should contact Ms. Teresa Kappner by email: teresa.kappner@kindredhealthcare.com or phone: (502) 596-7276.

Forward-Looking Statements

This press release includes forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. All statements regarding the Company’s expected future financial position, results of operations, cash flows, financing plans, business strategy, budgets, capital expenditures, competitive positions, growth opportunities, plans and objectives of management and statements containing the words such as "anticipate,” "approximate,” "believe,” "plan,” "estimate,” "expect,” "project,” "could,” "should,” "will,” "intend,” "may” and other similar expressions, are forward-looking statements.

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

In addition to the factors set forth above, other factors that may affect the Company’s plans or results include, without limitation, (a) the impact of healthcare reform, which will initiate significant reforms to the United States healthcare system, including potential material changes to the delivery of healthcare services and the reimbursement paid for such services by the government or other third party payors. Healthcare reform will impact each of the Company’s businesses in some manner. Due to the substantial regulatory changes that will need to be implemented by CMS and others, and the numerous processes required to implement these reforms, the Company cannot predict which healthcare initiatives will be implemented at the federal or state level, the timing of any such reforms, or the effect such reforms or any other future legislation or regulation will have on the Company’s business, financial position, results of operations and liquidity, (b) changes in the reimbursement rates or the methods or timing of payment from third party payors, including the Medicare and Medicaid programs, changes arising from and related to the Medicare prospective payment system for LTAC hospitals, including potential changes in the Medicare payment rules, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, and changes in Medicare and Medicaid reimbursements for the Company’s nursing centers, and the expiration of the Medicare Part B therapy cap exception process, (c) the effects of additional legislative changes and government regulations, interpretation of regulations and changes in the nature and enforcement of regulations governing the healthcare industry, (d) the impact of the Medicare, Medicaid and SCHIP Extension Act of 2007 (the "SCHIP Extension Act”), including the ability of the Company’s hospitals to adjust to potential LTAC certification, medical necessity reviews and the moratorium on future hospital development, (e) the impact of the expiration of several moratoriums under the SCHIP Extension Act which could impact the short stay rules, the budget neutrality adjustment as well as implement the policy known as the "25 Percent Rule,” which would limit certain patient admissions, (f) failure of the Company’s facilities to meet applicable licensure and certification requirements, (g) the further consolidation and cost containment efforts of managed care organizations and other third party payors, (h) the Company’s ability to meet its rental and debt service obligations, (i) the Company’s ability to operate pursuant to the terms of its debt obligations and its master lease agreements with Ventas, Inc. (NYSE:VTR), (j) the condition of the financial markets, including volatility and deterioration in the equity, capital and credit markets, which could limit the availability and terms of debt and equity financing sources to fund the requirements of the Company’s businesses, or which could negatively impact the Company’s investment portfolio, (k) national and regional economic, financial, business and political conditions, including their effect on the availability and cost of labor, credit, materials and other services, (l) the Company’s ability to control costs, particularly labor and employee benefit costs, (m) increased operating costs due to shortages in qualified nurses, therapists and other healthcare personnel, (n) the Company’s ability to attract and retain key executives and other healthcare personnel, (o) the increase in the costs of defending and insuring against alleged professional liability claims and the Company’s ability to predict the estimated costs related to such claims, including the impact of differences in actuarial assumptions and estimates compared to eventual outcomes, (p) the Company’s ability to successfully reduce (by divestiture of operations or otherwise) its exposure to professional liability claims, (q) the Company’s ability to successfully pursue its development activities, including through acquisitions, and successfully integrate new operations, including the realization of anticipated revenues, economies of scale, cost savings and productivity gains associated with such operations, (r) the Company’s ability to successfully dispose of unprofitable facilities, (s) events or circumstances which could result in impairment of an asset or other charges, (t) changes in generally accepted accounting principles or practices, and (u) the Company’s ability to maintain an effective system of internal control over financial reporting.

In addition to the results provided in accordance with generally accepted accounting principles ("GAAP”), the Company has provided a non-GAAP measurement which presents operating results for the three months ended March 31, 2010 before certain charges or on a core basis. A reconciliation of the non-GAAP measurement to the GAAP operating results is included in this press release.

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

About Kindred Healthcare

Kindred Healthcare, Inc., a top-200 private employer in the United States, is a FORTUNE 500 healthcare services company based in Louisville, Kentucky with annual revenues of over $4.2 billion and approximately 53,800 employees in 40 states. At March 31, 2010, Kindred through its subsidiaries provided healthcare services in 619 locations, including 83 long-term acute care hospitals, 222 nursing and rehabilitation centers and a contract rehabilitation services business, Peoplefirst rehabilitation services, which served 314 non-affiliated facilities. Ranked one of Fortune magazine’s Most Admired Healthcare Companies in 2009 and 2010, 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.

         
KINDRED HEALTHCARE, INC.
Financial Summary
(Unaudited)
(In thousands, except per share amounts)
 
Three months ended
March 31,
2010 2009
 
Revenues $ 1,089,837   $ 1,069,474  
 
Income from continuing operations $ 15,155 $ 23,341
Discontinued operations, net of income taxes:
Loss from operations (154 ) (581 )
Loss on divestiture of operations   (137 )   -  
Net income $ 14,864   $ 22,760  
 
Earnings per common share:
Basic:
Income from continuing operations $ 0.38 $ 0.60
Discontinued operations:
Loss from operations - (0.02 )
Loss on divestiture of operations   -     -  
Net income $ 0.38   $ 0.58  
 
Diluted:
Income from continuing operations $ 0.38 $ 0.60
Discontinued operations:
Loss from operations - (0.02 )
Loss on divestiture of operations   -     -  
Net income $ 0.38   $ 0.58  
 
Shares used in computing earnings per
common share:
Basic 38,626 38,184
Diluted 38,859 38,315
 
       
KINDRED HEALTHCARE, INC.
Condensed Consolidated Statement of Operations
(Unaudited)
(In thousands, except per share amounts)
 
Three months ended
March 31,
2010 2009
 
Revenues $ 1,089,837   $ 1,069,474  
 
Salaries, wages and benefits 627,175 615,218
Supplies 85,886 80,336
Rent 88,319 85,201
Other operating expenses 234,204 220,405
Other income (3,084 ) (2,872 )
Depreciation and amortization 31,121 30,490
Interest expense 1,307 2,478
Investment income   (877 )   (1,475 )
  1,064,051     1,029,781  
Income from continuing operations before income taxes 25,786 39,693
Provision for income taxes   10,631     16,352  
Income from continuing operations 15,155 23,341
Discontinued operations, net of income taxes:
Loss from operations (154 ) (581 )
Loss on divestiture of operations   (137 )   -  
Net income $ 14,864   $ 22,760  
 
Earnings per common share:
Basic:
Income from continuing operations $ 0.38 $ 0.60
Discontinued operations:
Loss from operations - (0.02 )
Loss on divestiture of operations   -     -  
Net income $ 0.38   $ 0.58  
 
Diluted:
Income from continuing operations $ 0.38 $ 0.60
Discontinued operations:
Loss from operations - (0.02 )
Loss on divestiture of operations   -     -  
Net income $ 0.38   $ 0.58  
 
Shares used in computing earnings per
common share:
Basic 38,626 38,184
Diluted 38,859 38,315
 
       
KINDRED HEALTHCARE, INC.
Condensed Consolidated Balance Sheet
(Unaudited)
(In thousands, except per share amounts)
 
March 31, December 31,
2010 2009
ASSETS
Current assets:
Cash and cash equivalents $ 14,675 $ 16,303
Cash - restricted 6,421 5,820
Insurance subsidiary investments 64,253 106,834
Accounts receivable less allowance for loss 663,654 610,959
Inventories 22,228 22,303
Deferred tax assets 46,391 42,791
Income taxes - 17,447
Other   28,252     21,194  
845,874 843,651
 
Property and equipment 1,580,194 1,515,700
Accumulated depreciation   (790,577 )   (765,602 )
789,617 750,098
 
Goodwill 81,382 81,223
Intangible assets less accumulated amortization 66,489 64,491
Assets held for sale 8,773 8,806
Insurance subsidiary investments 110,028 100,223
Deferred tax assets 114,966 110,930
Other   64,266     62,802  
$ 2,081,395   $ 2,022,224  
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
Accounts payable $ 153,969 $ 161,066
Salaries, wages and other compensation 266,548 287,772
Due to third party payors 26,589 28,261
Professional liability risks 43,742 47,076
Other accrued liabilities 77,279 78,358
Income taxes 12,189 -
Long-term debt due within one year   87     86  
580,403 602,619
 
Long-term debt 196,625 147,647
Professional liability risks 207,259 195,126
Deferred credits and other liabilities 114,278 110,238
 
Stockholders' equity:

Common stock, $0.25 par value; authorized 175,000 shares; issued
39,514 shares - March 31, 2010 and 39,104 shares - December 31, 2009

9,878 9,776
Capital in excess of par value 821,638 820,407
Accumulated other comprehensive loss (224 ) (423 )
Retained earnings   151,538     136,834  
  982,830     966,594  
$ 2,081,395   $ 2,022,224  
 
         
KINDRED HEALTHCARE, INC.
Condensed Consolidated Statement of Cash Flows
(Unaudited)
(In thousands)
 
Three months ended
March 31,
2010 2009
 
Cash flows from operating activities:
Net income $ 14,864 $ 22,760
Adjustments to reconcile net income to net cash
provided by (used in) operating activities:
Depreciation and amortization 31,121 30,805
Amortization of stock-based compensation costs 2,775 2,439
Provision for doubtful accounts 6,431 7,016
Deferred income taxes (7,463 ) (2,179 )
Loss on divestiture of discontinued operations 137 -
Other (163 ) 204
Change in operating assets and liabilities:
Accounts receivable (59,126 ) (86,415 )
Inventories and other assets (11,245 ) (7,535 )
Accounts payable (7,582 ) (12,264 )
Income taxes 29,286 43,223
Due to third party payors (1,894 ) 9,401
Other accrued liabilities   (11,137 )   (5,535 )
Net cash provided by (used in) operating activities   (13,996 )   1,920  
 
Cash flows from investing activities:
Routine capital expenditures (14,815 ) (26,924 )
Development capital expenditures (7,567 ) (13,062 )
Acquisitions (47,696 ) (15,604 )
Purchase of insurance subsidiary investments (14,278 ) (36,257 )
Sale of insurance subsidiary investments 53,211 54,092
Net change in insurance subsidiary cash and cash equivalents (5,575 ) 20,458
Other   (28 )   (953 )
Net cash used in investing activities   (36,748 )   (18,250 )
 
Cash flows from financing activities:
Proceeds from borrowings under revolving credit 389,600 390,800
Repayment of borrowings under revolving credit (340,600 ) (371,600 )
Payment of deferred financing costs (22 ) (309 )
Issuance of common stock 35 -
Other   103     94  
Net cash provided by financing activities   49,116     18,985  
Change in cash and cash equivalents (1,628 ) 2,655
Cash and cash equivalents at beginning of period   16,303     140,795  
Cash and cash equivalents at end of period $ 14,675   $ 143,450  
 
               
KINDRED HEALTHCARE, INC.
Condensed Consolidated Statement of Operations
(Unaudited)
(In thousands, except per share amounts)
 
First
2009 Quarters Quarter
First Second Third Fourth Year 2010
 
Revenues $ 1,069,474   $ 1,073,054   $ 1,057,488   $ 1,069,991   $ 4,270,007   $ 1,089,837  
 
Salaries, wages and benefits 615,218 620,830 629,077 617,961 2,483,086 627,175
Supplies 80,336 83,912 82,400 86,408 333,056 85,886
Rent 85,201 86,882 88,081 88,084 348,248 88,319
Other operating expenses 220,405 221,755 221,524 222,521 886,205 234,204
Other income (2,872 ) (2,823 ) (2,870 ) (2,947 ) (11,512 ) (3,084 )
Depreciation and amortization 30,490 31,355 31,992 31,893 125,730 31,121
Interest expense 2,478 2,229 1,741 1,432 7,880 1,307
Investment income   (1,475 )   (1,033 )   (746 )   (1,159 )   (4,413 )   (877 )
  1,029,781     1,043,107     1,051,199     1,044,193     4,168,280     1,064,051  
Income from continuing operations
before income taxes 39,693 29,947 6,289 25,798 101,727 25,786
Provision for income taxes   16,352     12,409     901     9,453     39,115     10,631  
Income from continuing operations 23,341 17,538 5,388 16,345 62,612 15,155
Discontinued operations, net of income taxes:
Income (loss) from operations (581 ) (897 ) 13 2,396 931 (154 )
Gain (loss) on divestiture of operations   -     (24,051 )   52     567     (23,432 )   (137 )
Net income (loss) $ 22,760   $ (7,410 ) $ 5,453   $ 19,308   $ 40,111   $ 14,864  
 
Earnings (loss) per common share:
Basic:
Income from continuing operations $ 0.60 $ 0.45 $ 0.14 $ 0.42 $ 1.61 $ 0.38
Discontinued operations:
Income (loss) from operations (0.02 ) (0.02 ) - 0.06 0.02 -
Gain (loss) on divestiture of operations   -     (0.62 )   -     0.01     (0.60 )   -  
Net income (loss) $ 0.58   $ (0.19 ) $ 0.14   $ 0.49   $ 1.03   $ 0.38  
 
Diluted:
Income from continuing operations $ 0.60 $ 0.45 $ 0.14 $ 0.42 $ 1.60 $ 0.38
Discontinued operations:
Income (loss) from operations (0.02 ) (0.02 ) - 0.06 0.02 -
Gain (loss) on divestiture of operations   -     (0.62 )   -     0.01     (0.60 )   -  
Net income (loss) $ 0.58   $ (0.19 ) $ 0.14   $ 0.49   $ 1.02   $ 0.38  
 
Shares used in computing earnings (loss)
per common share:
Basic 38,184 38,307 38,398 38,465 38,339 38,626
Diluted 38,315 38,415 38,524 38,693 38,502 38,859
 
             
KINDRED HEALTHCARE, INC.
Condensed Business Segment Data
(Unaudited)
(In thousands)
 
First
2009 Quarters Quarter
First Second Third Fourth Year 2010
Revenues:
Hospital division $ 492,509 $ 487,145 $ 468,069 $ 485,169 $ 1,932,892 $ 507,062
 
Nursing center division 529,942 537,545 539,217 543,638 2,150,342 539,321
 
Rehabilitation division   117,647     120,450     122,625     114,316     475,038     120,144  
1,140,098 1,145,140 1,129,911 1,143,123 4,558,272 1,166,527
 
Eliminations   (70,624 )   (72,086 )   (72,423 )   (73,132 )   (288,265 )   (76,690 )
$ 1,069,474   $ 1,073,054   $ 1,057,488   $ 1,069,991   $ 4,270,007   $ 1,089,837  
 
Income from continuing operations:
Operating income (loss):
Hospital division $ 100,899 $ 91,027 $ 78,674 $ 93,211 $ 363,811 $ 95,033 (a,b)
 
Nursing center division 75,574 79,522 73,383 77,111 305,590 70,249 (a,b)
 
Rehabilitation division 15,453 13,599 10,912 10,628 50,592 14,635
 
Corporate:
Overhead (34,087 ) (33,586 ) (33,843 ) (33,120 ) (134,636 ) (33,781 ) (a)
Insurance subsidiary   (1,452 )   (1,182 )   (1,769 )   (1,782 )   (6,185 )   (480 )
  (35,539 )   (34,768 )   (35,612 )   (34,902 )   (140,821 )   (34,261 )
Operating income 156,387 149,380 127,357 146,048 579,172 145,656
Rent (85,201 ) (86,882 ) (88,081 ) (88,084 ) (348,248 ) (88,319 )
Depreciation and amortization (30,490 ) (31,355 ) (31,992 ) (31,893 ) (125,730 ) (31,121 )
Interest, net   (1,003 )   (1,196 )   (995 )   (273 )   (3,467 )   (430 )
Income from continuing operations
before income taxes 39,693 29,947 6,289 25,798 101,727 25,786
Provision for income taxes   16,352     12,409     901     9,453     39,115     10,631  
$ 23,341   $ 17,538   $ 5,388   $ 16,345   $ 62,612   $ 15,155  
           
(a) Includes severance and retirement costs approximating $1.1 million for the hospital division, $0.5 million for the nursing center division and $1.3 million for corporate.
 
(b) Includes transaction costs approximating $0.4 million for the hospital division and $0.4 million for the nursing center division.
 
                           
KINDRED HEALTHCARE, INC.
Condensed Consolidating Statement of Operations
(Unaudited)
(In thousands)
 
 
First Quarter 2009 First Quarter 2010
Nursing Nursing
Hospital center Rehabilitation Hospital center Rehabilitation
division division division Corporate Eliminations Consolidated division division division Corporate Eliminations Consolidated
 
Revenues $ 492,509   $ 529,942   $ 117,647   $ -   $ (70,624 ) $ 1,069,474   $ 507,062   $ 539,321   $ 120,144   $ -   $ (76,690 ) $ 1,089,837  
 
Salaries, wages and benefits 218,245 272,482 98,196 26,295 - 615,218 227,641 273,242 100,512 25,780 - 627,175
Supplies 54,145 25,552 487 152 - 80,336 57,934 27,128 687 137 - 85,886
Rent 36,445 47,274 1,451 31 - 85,201 37,415 49,392 1,475 37 - 88,319
Other operating expenses 119,220 156,334 3,511 11,964 (70,624 ) 220,405 126,454 168,702 4,310 11,428 (76,690 ) 234,204
Other income - - - (2,872 ) - (2,872 ) - - - (3,084 ) - (3,084 )
Depreciation and amortization 12,512 11,685 547 5,746 - 30,490 13,014 12,113 585 5,409 - 31,121
Interest expense - 40 - 2,438 - 2,478 2 31 - 1,274 - 1,307
Investment income   (7 )   (58 )   (2 )   (1,408 )   -     (1,475 )   (1 )   (18 )   (1 )   (857 )   -     (877 )
  440,560     513,309     104,190     42,346     (70,624 )   1,029,781     462,459     530,590     107,568     40,124     (76,690 )   1,064,051  
Income from continuing operations
before income taxes $ 51,949   $ 16,633   $ 13,457   $ (42,346 ) $ -   39,693 $ 44,603   $ 8,731   $ 12,576   $ (40,124 ) $ -   25,786
Provision for income taxes   16,352     10,631  
Income from continuing operations $ 23,341   $ 15,155  
 
Capital expenditures, excluding
acquisitions (including
discontinued operations):
Routine $ 4,844 $ 18,264 $ 190 $ 3,626 $ - $ 26,924 $ 6,065 $ 4,049 $ 267 $ 4,434 $ - $ 14,815
Development   9,486     3,576     -     -     -     13,062     5,774     1,793     -     -     -     7,567  
$ 14,330   $ 21,840   $ 190   $ 3,626   $ -   $ 39,986   $ 11,839   $ 5,842   $ 267   $ 4,434   $ -   $ 22,382  
 
                   
KINDRED HEALTHCARE, INC.
Condensed Business Segment Data (Continued)
(Unaudited)
First
2009 Quarters Quarter
First Second Third Fourth Year 2010
Hospital data:
End of period data:
Number of hospitals 82 82 82 83 83
Number of licensed beds 6,520 6,520 6,520 6,580 6,580
 
Revenue mix %:
Medicare 56 55 55 56 55 56
Medicaid 10 10 11 9 10 9
Medicare Advantage 10 11 9 9 10 10
Commercial insurance and other 24 24 25 26 25 25
 
Admissions:
Medicare 7,421 7,117 6,875 7,283 28,696 7,432
Medicaid 1,052 1,053 1,165 984 4,254 997
Medicare Advantage 1,094 1,091 926 919 4,030 1,129
Commercial insurance and other 1,921 1,869 1,969 2,280 8,039 2,262
11,488 11,130 10,935 11,466 45,019 11,820
Admissions mix %:
Medicare 65 64 63 63 64 63
Medicaid 9 9 11 9 9 8
Medicare Advantage 9 10 8 8 9 10
Commercial insurance and other 17 17 18 20 18 19
 
Patient days:
Medicare 197,377 197,203 188,712 196,067 779,359 202,882
Medicaid 50,868 50,485 53,585 47,352 202,290 47,813
Medicare Advantage 35,229 36,806 29,912 30,315 132,262 34,524
Commercial insurance and other 65,509 61,960 65,717 74,253 267,439 75,483
348,983 346,454 337,926 347,987 1,381,350 360,702
Average length of stay:
Medicare 26.6 27.7 27.4 26.9 27.2 27.3
Medicaid 48.4 47.9 46.0 48.1 47.6 48.0
Medicare Advantage 32.2 33.7 32.3 33.0 32.8 30.6
Commercial insurance and other 34.1 33.2 33.4 32.6 33.3 33.4
Weighted average 30.4 31.1 30.9 30.3 30.7 30.5
 
                   
KINDRED HEALTHCARE, INC.
Condensed Business Segment Data (Continued)
(Unaudited)
First
2009 Quarters Quarter
First Second Third Fourth Year 2010
Hospital data (continued):
Revenues per admission:
Medicare $ 37,262 $ 37,748 $ 37,105 $ 37,620 $ 37,436 $ 38,078
Medicaid 45,160 45,759 43,640 43,314 44,465 45,738
Medicare Advantage 46,387 46,950 47,597 47,807 47,141 45,187
Commercial insurance and other 61,286 63,716 59,957 54,662 59,647 56,344
Weighted average 42,872 43,769 42,805 42,314 42,935 42,899
 
Revenues per patient day:
Medicare $ 1,401 $ 1,362 $ 1,352 $ 1,397 $ 1,378 $ 1,395
Medicaid 934 954 949 900 935 954
Medicare Advantage 1,440 1,392 1,473 1,449 1,436 1,478
Commercial insurance and other 1,797 1,922 1,796 1,678 1,793 1,688
Weighted average 1,411 1,406 1,385 1,394 1,399 1,406
 
Medicare case mix index (discharged patients only) 1.22 1.23 1.19 1.18 1.21 1.21
 
Average daily census 3,878 3,807 3,673 3,782 3,785 4,008
Occupancy % 66.0 64.7 63.6 64.3 64.7 68.2
 
Annualized employee turnover % 21.3 22.1 22.8 22.1 21.8
 
Nursing center data:
End of period data:
Number of nursing centers:
Owned or leased 218 218 218 218 218
Managed   4   4   4   4   4
  222   222   222   222   222
Number of licensed beds:
Owned or leased 27,138 27,138 27,086 27,038 27,038
Managed   485   485   485   485   485
  27,623   27,623   27,571   27,523   27,523
 
Revenue mix %:
Medicare 35 35 34 33 34 35
Medicaid 41 41 42 43 42 41
Medicare Advantage 6 6 6 6 6 6
Private and other 18 18 18 18 18 18
 
                   
KINDRED HEALTHCARE, INC.
Condensed Business Segment Data (Continued)
(Unaudited)
First
2009 Quarters Quarter
First Second Third Fourth Year 2010
Nursing center data (continued):
Patient days (excludes managed facilities):
Medicare 374,853 375,140 360,009 353,443 1,463,445 369,102
Medicaid 1,326,654 1,323,157 1,357,596 1,368,198 5,375,605 1,312,517
Medicare Advantage 80,352 82,652 84,322 86,449 333,775 87,692
Private and other   403,320   415,510   415,467   403,166   1,637,463   397,550
  2,185,179   2,196,459   2,217,394   2,211,256   8,810,288   2,166,861
 
Patient day mix %:
Medicare 17 17 16 16 17 17
Medicaid 61 60 61 62 61 61
Medicare Advantage 4 4 4 4 4 4
Private and other 18 19 19 18 18 18
 
Revenues per patient day:
Medicare Part A $ 457 $ 459 $ 464 $ 466 $ 461 $ 470
Total Medicare (including Part B) 497 500 508 510 503 513
Medicaid 165 167 166 170 167 168
Medicare Advantage 380 392 398 405 394 398
Private and other 235 232 234 239 235 238
Weighted average 243 245 243 246 244 249
 
Average daily census 24,280 24,137 24,102 24,035 24,138 24,076
Admissions (excludes managed facilities) 18,166 18,456 17,803 18,376 72,801 19,026
Occupancy % 89.3 88.9 88.9 88.9 89.0 89.0
Medicare average length of stay 34.8 35.5 36.3 35.1 35.4 33.7
 
Annualized employee turnover % 37.9 39.9 40.2 38.9 36.7
 
Rehabilitation data:
Revenue mix %:
Company-operated 61 60 59 64 61 64
Non-affiliated 39 40 41 36 39 36
 
Sites of service (at end of period) 661 659 660 622 619
Revenue per site $ 177,984 $ 182,775 $ 185,797 $ 183,789 $ 730,345 $ 194,094
 
Therapist productivity % 84.8 84.8 83.5 83.8 84.2 83.8
 
Annualized employee turnover % 10.9 11.6 13.1 12.8 12.6
 
             
KINDRED HEALTHCARE, INC.
Earnings Per Common Share Reconciliation (a)
(Unaudited)
(In thousands, except per share amounts)
 
Three months ended March 31,
2010 2009
Basic Diluted Basic Diluted
Earnings:
Income from continuing operations:
As reported in Statement of Operations $ 15,155 $ 15,155 $ 23,341 $ 23,341
Allocation to participating unvested
restricted stockholders   (277 )   (275 )   (441 )   (440 )
Available to common stockholders $ 14,878   $ 14,880   $ 22,900   $ 22,901  
 
Discontinued operations, net of income taxes:
Loss from operations:
As reported in Statement of Operations $ (154 ) $ (154 ) $ (581 ) $ (581 )
Allocation to participating unvested
restricted stockholders   3     3     11     11  
Available to common stockholders $ (151 ) $ (151 ) $ (570 ) $ (570 )
 
Loss on divestiture of operations:
As reported in Statement of Operations $ (137 ) $ (137 ) $ - $ -
Allocation to participating unvested
restricted stockholders   2     2     -     -  
Available to common stockholders $ (135 ) $ (135 ) $ -   $ -  
 
Net income:
As reported in Statement of Operations $ 14,864 $ 14,864 $ 22,760 $ 22,760
Allocation to participating unvested
restricted stockholders   (272 )   (270 )   (430 )   (429 )
Available to common stockholders $ 14,592   $ 14,594   $ 22,330   $ 22,331  
 
Shares used in the computation:
Weighted average shares outstanding -
basic computation   38,626   38,626   38,184   38,184
Dilutive effect of employee stock options   233     131  
Adjusted weighted average shares
outstanding - diluted computation   38,859     38,315  
 
Earnings per common share:
Income from continuing operations $ 0.38 $ 0.38 $ 0.60 $ 0.60
Discontinued operations:
Loss from operations - - (0.02 ) (0.02 )
Loss on divestiture of operations   -     -     -     -  
Net income $ 0.38   $ 0.38   $ 0.58   $ 0.58  
 

(a) Earnings per common share are based upon the weighted average number of common shares outstanding during the respective periods. The diluted calculation of earnings per common share includes the dilutive effect of stock options. On January 1, 2009, the Company adopted the provisions of the authoritative guidance for determining whether instruments granted in share-based payment transactions are participating securities, which requires that certain unvested restricted stock be included as a participating security in the basic and diluted earnings per common share calculation pursuant to the two-class method.

 
         
KINDRED HEALTHCARE, INC.
Reconciliation of Non-GAAP Measurements to GAAP Results
(Unaudited)

(In thousands, except per share amounts and statistics)

 
 

In addition to the results provided in accordance with GAAP, the Company has provided a non-GAAP measurement which presents operating results for the three months ended March 31, 2010 before certain charges or on a core basis. The charges that were excluded from core operating results for the three months ended March 31, 2010 relate to severance, retirement and transaction costs.

 

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

 
Three
months ended
March 31, 2010
Detail of charges excluded from core operating results:
Severance and retirement costs ($2,906 )
Transaction costs   (770 )
(3,676 )
Income tax benefit   1,415  
Charges net of income taxes (2,261 )
Allocation to participating unvested restricted stockholders   42  
Available to common stockholders   ($2,219 )
 
Weighted average diluted shares outstanding   38,859  
 

Diluted loss per common share related to charges

  ($0.06 )
 
Reconciliation of income from continuing operations before charges:
Income from continuing operations before charges $ 17,416
Charges   (2,261 )
Reported income from continuing operations $ 15,155  
 
Reconciliation of diluted earnings per common share from continuing operations before charges:
Diluted earnings per common share before charges $ 0.44
Charges   (0.06 )
Reported diluted earnings per common share $ 0.38  
 
Reconciliation of effective income tax rate before charges:
Effective income tax rate before charges 40.9 %
Impact on effective income tax rate as a result of charges   0.3 %
Reported effective income tax rate   41.2 %
 
             
KINDRED HEALTHCARE, INC.
Reconciliation of Earnings Guidance for 2010 - Continuing Operations
(Unaudited)
(In millions, except per share amounts)
 
Earnings Guidance Ranges (a)

As of May 4, 2010

As of February 22, 2010
Low High Low High
 
Operating income $ 571 $ 579 $ 571 $ 579
 
Rent 360 360 360 360
Depreciation and amortization 123 123 123 123
Interest, net   5   5   5   5
Income from continuing operations before income taxes 83 91 83 91
Provision for income taxes   35   37   35   37
Income from continuing operations 48 54 48 54
Allocation to participating unvested restricted stockholders   1   1   1   1
Available to common stockholders $ 47 $ 53 $ 47 $ 53
 
 
Earnings per diluted share $ 1.20 $ 1.35 $ 1.20 $ 1.35
 
Shares used in computing earnings per diluted share 39.0 39.0 39.0 39.0
 
 
       

(a) The Company indicated that the earnings guidance reflects the operating results of $0.38 per diluted share reported in the first quarter as well as the anticipated impact of proposed rules issued by CMS in April 2010 related to payment rates for LTAC hospitals effective October 1, 2010. The Company also indicated that the earnings guidance does not reflect any other reimbursement changes, any material acquisitions or divestitures, or any repurchases of common stock.

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