EX-99.1 3 dex991.htm PRESS RELEASE Press Release

EXHIBIT 99.1

LOGO

 

Contact:   

Richard A. Lechleiter

  

Executive Vice President and

  

Chief Financial Officer

  

(502) 596-7734

KINDRED HEALTHCARE ANNOUNCES FOURTH QUARTER RESULTS

 


Fourth Quarter Net Income from Continuing Operations – $24.3 million or $0.56 per Diluted Share

Fiscal Year Net Income from Continuing Operations – $128.6 million or $2.84 per Diluted Share

LOUISVILLE, Ky. (February 27, 2006) – Kindred Healthcare, Inc. (the “Company”) (NYSE:KND) today announced its operating results for the fourth quarter and year ended December 31, 2005. 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.

Fourth Quarter Results

Continuing Operations

Consolidated revenues for the fourth quarter ended December 31, 2005 increased 11% to $989 million from $893 million in the same period last year. Net income from continuing operations for the fourth quarter of 2005 totaled $24.3 million or $0.56 per diluted share compared to $26.6 million or $0.63 per diluted share in the fourth quarter last year.

Operating results for the fourth quarter of 2005 included certain items that, in the aggregate, increased net income by approximately $2.2 million or $0.05 per diluted share. These items included pretax income of $2.8 million related to a favorable bad debt adjustment in the Company’s pharmacy business, pretax income of $1.7 million related to favorable settlements of prior year hospital Medicare cost reports, pretax income of $0.5 million from the dissolution of a pharmacy partnership interest, pretax income of $0.5 million from insurance recoveries related to hurricane losses, a pretax charge of $2.6 million for investment banking services and consulting fees, and a $0.2 million favorable pretax adjustment related to accrued reorganization costs.

Operating results for the fourth quarter of 2004 included certain items that, in the aggregate, increased net income by approximately $1.5 million or $0.04 per diluted share. These items included pretax income of $5.7 million for professional liability costs and a pretax charge of $3.3 million related to the write-off of a clinical information systems project.

Discontinued Operations

During 2004 and 2005, the Company completed several transactions related to the divestiture of unprofitable businesses, including the divestiture of three nursing centers in the fourth quarter of 2005. 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 condensed consolidated statement of operations for all historical periods.


For the fourth quarter of 2005, the Company reported net income from discontinued operations totaling $2.2 million or $0.05 per diluted share compared to breakeven results in the fourth quarter of 2004. Operating results for discontinued operations in both periods included favorable pretax adjustments resulting from a change in estimate for professional liability reserves related primarily to the Company’s Florida and Texas nursing centers that were substantially divested in 2003. These pretax adjustments aggregated $5.6 million ($3.4 million net of income taxes or $0.08 per diluted share) in the fourth quarter of 2005 and $7.0 million ($4.3 million net of income taxes or $0.10 per diluted share) in the fourth quarter of 2004.

The Company reported a net loss of $0.9 million or $0.02 per diluted share related to the divestiture of discontinued operations in the fourth quarter of 2005 compared to a net loss of $7.2 million or $0.17 per diluted share in the fourth quarter of 2004.

At December 31, 2005, the Company held for sale two hospitals and one nursing center. Assets not sold at December 31, 2005 have been measured at the lower of carrying value or estimated fair value less costs of disposal and have been classified as held for sale in the Company’s condensed consolidated balance sheet. The Company expects sales proceeds from these divestitures to approximate $12 million in 2006.

Other Fourth Quarter Information

The Company announced in December 2005 that it had obtained lender approval to increase the amount of available credit under its revolving credit agreement from $300 million to $400 million and to increase the amount of permitted acquisitions from $400 million to $500 million, among other things. The Company obtained lender commitments for the increased credit capacity and closed the transaction in February 2006. At December 31, 2005, the remaining permitted acquisition amount aggregated $352 million.

During the fourth quarter of 2005, the Company repurchased approximately 1,753,000 shares of its common stock at an aggregate cost of approximately $48 million.

Fiscal Year Results

Continuing Operations

Consolidated revenues for the year ended December 31, 2005 increased 12% to $3.9 billion from $3.5 billion in 2004. Net income from continuing operations totaled $128.6 million or $2.84 per diluted share in 2005 compared to $87.3 million or $2.06 per diluted share in 2004.

Operating results for 2005 included certain items that, in the aggregate, increased net income by approximately $37.8 million or $0.83 per diluted share. In addition to the items reported in the fourth quarter, these items related primarily to favorable settlements of prior year hospital Medicare cost reports, a special employee recognition payment to non-executive caregivers and employees, a charitable donation, a retroactive nursing center Medicaid rate increase related to a prior year, hurricane related costs and a favorable adjustment related to accrued reorganization costs.

Operating results for 2004 included certain items that, in the aggregate, increased net income by approximately $2.3 million or $0.06 per diluted share.


Discontinued Operations

In 2005, the Company reported net income from discontinued operations totaling $17.7 million or $0.39 per diluted share compared to a net loss of $0.9 million or $0.02 per diluted share in 2004. Favorable pretax adjustments related to changes in estimates for professional liability reserves totaled $42.3 million ($26.0 million net of income taxes or $0.58 per diluted share) for the year ended December 31, 2005 and $18.0 million ($11.1 million net of income taxes or $0.26 per diluted share) for the same period of 2004.

Net losses related to the divestiture of discontinued operations for the year ended December 31, 2005 aggregated $1.4 million or $0.03 per diluted share compared to $15.8 million or $0.37 per diluted share for the same period of 2004.

Management Commentary

“We are pleased with our fourth quarter results, with each of our operating divisions contributing to our success,” remarked Paul J. Diaz, President and Chief Executive Officer of the Company. “Our hospitals reported 7% same-store admissions growth compared to last year, while continued growth in commercial and managed care revenues and improved operating efficiencies contributed to a solid quarter for this division. Our nursing centers rebounded well in the quarter, with stronger Medicare volumes and reduced contract labor costs from third quarter levels. Our KPS pharmacy business completed its third acquisition of 2005 during the fourth quarter while also reporting organic customer growth in its same-store operations. We also gained momentum in Peoplefirst rehabilitation through enhanced recruiting and reduced contract labor from the third quarter.”

Commenting on the Company’s full-year results, Mr. Diaz remarked, “Our results for fiscal 2005 reflect solid performance on a number of fronts. Our overall revenue growth of 12% reflected continued growth in each of our four divisions. In our hospital division, 5% growth in same-store admissions, along with improvements in our clinical, customer service and quality measures, led the way to another successful year. Fiscal 2005 also marked an exciting year of growth and expansion in our KPS pharmacy business. The successful integration of three acquisitions, organic customer growth at our existing pharmacies and significant investments in preparation for the new Medicare prescription drug benefit in 2006 all made for a highly productive year for our KPS team. While our nursing center financial results were somewhat disappointing in 2005, we significantly improved the quality of care delivered to our residents as we continue to reposition this business to care for more Medicare and managed care patients in the future. Our Peoplefirst rehabilitation business also made progress in building its recruiting capabilities, filling open positions, reducing contract labor and positioning itself for anticipated future external customer growth.”

Mr. Diaz commented on the Company’s acquisition and development activities, noting, “In addition to our pharmacy acquisitions, we opened two pharmacies and added two hospitals to our portfolio in 2005. We are continuing to make progress toward the completion of the Commonwealth acquisition, a transaction that will provide growth opportunities in each of our four business lines. In addition, we recently expanded both our revolving credit capacity and acquisition capabilities by $100 million. As in the past, we will continue to seek acquisition and strategic opportunities to enhance shareholder value.”

Mr. Diaz also commented on the Company’s overall financial position and cash flows, noting, “As a result of a strong fourth quarter, we reported cash flows from operations totaling $263 million for all of 2005. Our cash balances at the end of the year increased to $83 million and there were no outstanding borrowings under our revolving credit facility at the end of the year. Our operating cash flows during 2005 were primarily used to finance $126 million in capital expenditures to maintain and improve our existing facilities, $115 million in acquisitions and $48 million toward the fourth quarter repurchase of our common stock.”


Mr. Diaz further commented, “Fiscal 2005 also was a year highlighted by the remarkable commitment of our employees to our patients and their families. Among the many accomplishments across the Company, the examples of selfless acts of heroism by our people during the Hurricane Katrina and Hurricane Rita disasters made us all feel proud to be part of Kindred.”

Proposed Regulatory Changes

On January 19, 2006, the Centers for Medicare and Medicaid Services (“CMS”) issued proposed regulatory changes regarding Medicare reimbursement to long-term acute care hospitals (the “Proposed Hospital Rule”). As previously disclosed, based upon the Company’s historical Medicare patient volumes, the Company expects that the Proposed Hospital Rule would reduce Medicare revenues to the Company’s hospitals associated with short stay outliers and high cost outliers between $115 million and $120 million on an annual basis. This estimate does not include the negative impact resulting from the elimination of the annual market basket adjustment to the Medicare payment rates that also is contained in the Proposed Hospital Rule. The annual market basket adjustment has typically ranged between 3% and 4%, or approximately $25 million to $30 million in annual revenues. The Proposed Hospital Rule would be effective for discharges occurring on or after July 1, 2006 through June 30, 2007. The Proposed Hospital Rule is subject to a 60-day public comment period, and as such, is subject to change.

Mr. Diaz commented, “We are working in consultation with our trade associations and other advocacy groups during the 60-day public comment period to demonstrate the significant negative impact that the Proposed Hospital Rule would have on our shared goal with CMS of ensuring that Medicare beneficiaries who need long-term acute care hospital services receive high quality care in the most appropriate setting. We believe this goal is best achieved by developing certification criteria to ensure that the most medically complex patients are treated in long-term acute care hospitals and that these facilities have the resources and capabilities to treat those patients.”

Nursing Center Divestitures

In December 2005, the Company announced an agreement to acquire ten unprofitable leased nursing centers for resale in exchange for two owned hospitals. The agreement provided for the Company to lease the two hospitals for approximately the same annual rents that are currently paid for the ten nursing centers.

As a result of the Proposed Hospital Rule, the parties have agreed to postpone the proposed transaction pending the final outcome of the Proposed Hospital Rule. This transaction is subject to certain approvals and other conditions to closing. There can be no assurance that the transaction will close or will not be modified based upon the final outcome of the Proposed Hospital Rule.

No Earnings Guidance for 2006

As a result of uncertainties related to a number of regulatory changes that will impact each of its four operating divisions in 2006, the Company is not providing 2006 earnings guidance at this time. In addition to the Proposed Hospital Rule, a revised Medicare patient classification system for nursing centers known as “RUGs refinement” will impact the operating results for both the Company’s nursing centers and Peoplefirst rehabilitation businesses in 2006. The implementation of Medicare Part B therapy caps in 2006 also is expected to affect the operating results of the Company’s nursing center and Peoplefirst rehabilitation services divisions. In addition, the implementation of the Medicare Part D drug benefit that became effective January 1, 2006 will impact a significant portion of the Company’s KPS pharmacy business. There is also uncertainty with respect to the previously disclosed rent reset option available to the Company’s primary landlord, Ventas, Inc. (“Ventas”) (NYSE:VTR).


Issues Associated with Outstanding Warrants

The Company’s Series A warrants (NASDAQ:KINDW) and Series B warrants (NASDAQ:KINDZ) will expire on April 20, 2006. Each Series A warrant allows the holder to purchase two shares of the Company’s common stock at an aggregate price of $30.00, while each Series B warrant allows the holder to purchase two shares of common stock at an aggregate price of $33.33. At December 31, 2005, there were outstanding 1,859,534 Series A warrants and 4,630,343 Series B warrants.

Effective February 27, 2006, the Company successfully amended the warrant agreement governing its Series A warrants and its Series B warrants. The amendment implements a cashless exercise procedure offering warrants holders the option to pay the exercise price for the warrants in the form of shares of the Company’s common stock acquired upon the exercise of such warrants. The cashless exercise procedure will be available to current and subsequent warrant holders beginning February 27, 2006. The warrant agreement did not previously provide for a cashless exercise procedure.

To the extent warrant holders do not avail themselves of the cashless exercise procedure, the Company intends to repurchase shares of its common stock in the open market with the cash proceeds from the exercise of the warrants over time and subject to market conditions. The Company’s diluted earnings per share is derived by use of the treasury stock method of accounting, which assumes that warrants are converted and shares of common stock are repurchased simultaneously. Since the Company’s repurchase of its common stock in the open market is subject to certain daily trading volume limitations, the actual dilution resulting from the exercise of the warrants in 2006 may be higher than the levels reported in its historical financial statements.

Forward Looking Statements

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

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

In addition to the factors set forth above, other factors that may affect the Company’s plans or results include, without limitation, (a) the Company’s ability to operate pursuant to the terms of its debt obligations and its Master Lease Agreements with Ventas; (b) the Company’s ability to meet its rental and debt service obligations; (c) adverse developments with respect to the Company’s results of operations or liquidity; (d) the Company’s ability to attract and retain key executives and other healthcare personnel; (e) increased operating costs due to shortages in qualified nurses and other healthcare personnel; (f) the effects of healthcare reform and government regulations, interpretation of regulations and changes in the nature and enforcement of regulations governing the healthcare industry; (g) changes in the reimbursement rates or methods of payment from third party payors, including the Medicare and Medicaid programs, and changes arising from the Medicare


prospective payment system for long-term acute care hospitals, including the Proposed Hospital Rule, and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, and changes in Medicare and Medicaid reimbursements for the Company’s nursing centers; (h) national and regional economic conditions, particularly their effect on the availability and cost of labor, materials and other services; (i) the Company’s ability to control costs, particularly labor and employee benefit costs; (j) the Company’s ability to comply with the terms of its Corporate Integrity Agreement; (k) the Company’s ability to successfully pursue its development activities and successfully integrate new operations, including the realization of anticipated revenues, economies of scale, cost savings and productivity gains associated with such operations; (l) the 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; (m) the Company’s ability to successfully reduce (by divestiture of operations or otherwise) its exposure to professional liability claims; (n) the Company’s ability to successfully dispose of unprofitable facilities; and (o) the Company’s ability to ensure and maintain an effective system of internal controls over financial reporting. Many of these factors are beyond the Company’s control. The Company cautions investors that any forward-looking statements made by the Company are not guarantees of future performance. The Company disclaims any obligation to update any such factors or to announce publicly the results of any revisions to any of the forward-looking statements to reflect future events or developments.

Kindred Healthcare, Inc. through its subsidiaries operates hospitals, nursing centers, institutional pharmacies and a contract rehabilitation services business across the United States.


KINDRED HEALTHCARE, INC.

Financial Summary

(In thousands, except per share amounts)

 

     Three months ended
December 31,
   

Year ended

December 31,

 
     2005     2004     2005     2004  

Revenues

   $ 989,042     $ 893,216     $ 3,923,999     $ 3,490,276  
                                

Income from continuing operations

   $ 24,313     $ 26,633     $ 128,630     $ 87,257  

Discontinued operations, net of income taxes:

        

Income (loss) from operations

     2,166       (28 )     17,660       (855 )

Loss on divestiture of operations

     (881 )     (7,202 )     (1,381 )     (15,822 )
                                

Net income

   $ 25,598     $ 19,403     $ 144,909     $ 70,580  
                                

Earnings per common share:

        

Basic:

        

Income from continuing operations

   $ 0.65     $ 0.73     $ 3.45     $ 2.44  

Discontinued operations:

        

Income (loss) from operations

     0.06             0.47       (0.03 )

Loss on divestiture of operations

     (0.03 )     (0.20 )     (0.04 )     (0.44 )
                                

Net income

   $ 0.68     $ 0.53     $ 3.88     $ 1.97  
                                

Diluted:

        

Income from continuing operations

   $ 0.56     $ 0.63     $ 2.84     $ 2.06  

Discontinued operations:

        

Income (loss) from operations

     0.05             0.39       (0.02 )

Loss on divestiture of operations

     (0.02 )     (0.17 )     (0.03 )     (0.37 )
                                

Net income

   $ 0.59     $ 0.46     $ 3.20     $ 1.67  
                                

Shares used in computing earnings per common share:

        

Basic

     37,472       36,200       37,328       35,774  

Diluted

     43,736       42,639       45,239       42,403  


KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Operations

(In thousands, except per share amounts)

 

     Three months ended
December 31,
   

Year ended

December 31,

 
     2005     2004     2005     2004  

Revenues

   $ 989,042     $ 893,216     $ 3,923,999     $ 3,490,276  
                                

Salaries, wages and benefits

     537,129       488,479       2,112,736       1,937,054  

Supplies

     155,855       122,164       574,911       476,359  

Rent

     69,596       65,930       274,524       258,703  

Other operating expenses

     160,409       148,406       648,496       575,426  

Depreciation and amortization

     27,709       23,156       103,156       89,093  

Interest expense

     1,728       1,912       8,098       12,814  

Investment income

     (3,210 )     (1,786 )     (11,060 )     (6,425 )
                                
     949,216       848,261       3,710,861       3,343,024  
                                

Income from continuing operations before reorganization items and income taxes

     39,826       44,955       213,138       147,252  

Reorganization items

     (268 )           (1,639 )     (304 )
                                

Income from continuing operations before income taxes

     40,094       44,955       214,777       147,556  

Provision for income taxes

     15,781       18,322       86,147       60,299  
                                

Income from continuing operations

     24,313       26,633       128,630       87,257  

Discontinued operations, net of income taxes:

        

Income (loss) from operations

     2,166       (28 )     17,660       (855 )

Loss on divestiture of operations

     (881 )     (7,202 )     (1,381 )     (15,822 )
                                

Net income

   $ 25,598     $ 19,403     $ 144,909     $ 70,580  
                                

Earnings per common share:

        

Basic:

        

Income from continuing operations

   $ 0.65     $ 0.73     $ 3.45     $ 2.44  

Discontinued operations:

        

Income (loss) from operations

     0.06             0.47       (0.03 )

Loss on divestiture of operations

     (0.03 )     (0.20 )     (0.04 )     (0.44 )
                                

Net income

   $ 0.68     $ 0.53     $ 3.88     $ 1.97  
                                

Diluted:

        

Income from continuing operations

   $ 0.56     $ 0.63     $ 2.84     $ 2.06  

Discontinued operations:

        

Income (loss) from operations

     0.05             0.39       (0.02 )

Loss on divestiture of operations

     (0.02 )     (0.17 )     (0.03 )     (0.37 )
                                

Net income

   $ 0.59     $ 0.46     $ 3.20     $ 1.67  
                                

Shares used in computing earnings per common share:

        

Basic

     37,472       36,200       37,328       35,774  

Diluted

     43,736       42,639       45,239       42,403  


KINDRED HEALTHCARE, INC.

Condensed Consolidated Balance Sheet

(In thousands, except per share amounts)

 

     December 31,
2005
    December 31,
2004
 
ASSETS     

Current assets:

    

Cash and cash equivalents

   $ 83,420     $ 69,128  

Cash – restricted

     5,135       6,054  

Insurance subsidiary investments

     231,134       238,856  

Accounts receivable less allowance for loss

     479,605       400,517  

Inventories

     43,731       35,025  

Deferred tax assets

     61,078       70,137  

Assets held for sale

     12,056       22,672  

Other

     28,805       31,954  
                
     944,964       874,343  

Property and equipment

     891,009       765,586  

Accumulated depreciation

     (369,393 )     (273,880 )
                
     521,616       491,706  

Goodwill

     69,879       31,582  

Insurance subsidiary investments

     48,796       41,651  

Deferred tax assets

     73,750       91,180  

Other

     101,556       62,831  
                
   $ 1,760,561     $ 1,593,293  
                
LIABILITIES AND STOCKHOLDERS’ EQUITY     

Current liabilities:

    

Accounts payable

   $ 134,547     $ 122,176  

Salaries, wages and other compensation

     244,851       230,056  

Due to third party payors

     26,642       33,910  

Professional liability risks

     70,090       82,609  

Other accrued liabilities

     79,704       76,985  

Income taxes

     58,572       26,748  

Long-term debt due within one year

     6,221       5,282  
                
     620,627       577,766  

Long-term debt

     26,323       32,544  

Professional liability risks

     182,113       204,713  

Deferred credits and other liabilities

     60,962       58,485  

Stockholders’ equity:

    

Common stock, $0.25 par value; authorized 175,000 shares; issued 37,331 shares – December 31, 2005 and 37,189 shares – December 31, 2004

     9,333       9,297  

Capital in excess of par value

     673,358       636,015  

Deferred compensation

     (14,228 )     (7,353 )

Accumulated other comprehensive income (loss)

     (60 )     468  

Retained earnings

     202,133       81,358  
                
     870,536       719,785  
                
   $ 1,760,561     $ 1,593,293  
                


KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Cash Flows

(In thousands)

 

     Three months ended
December 31,
   

Year ended

December 31,

 
     2005     2004     2005     2004  

Cash flows from operating activities:

        

Net income

   $ 25,598     $ 19,403     $ 144,909     $ 70,580  

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

        

Depreciation and amortization

     27,980       23,623       104,506       91,474  

Amortization of deferred compensation costs

     2,809       2,020       9,470       7,217  

Provision for doubtful accounts

     1,668       5,418       14,867       23,222  

Deferred income taxes

     50,286       45,981       50,286       45,981  

Loss on divestiture of discontinued operations

     881       7,202       1,381       15,822  

Reorganization items

     (268 )           (1,639 )     (304 )

Other

     (232 )     2,753       (2,687 )     7,632  

Change in operating assets and liabilities:

        

Accounts receivable

     100,853       25,627       (70,555 )     2,541  

Inventories and other assets

     3,390       1,927       (3,509 )     5,368  

Accounts payable

     5,417       (598 )     4,413       (5,136 )

Income taxes

     (37,414 )     (28,203 )     37,254       10,347  

Due to third party payors

     2,809       13,041       (7,268 )     2,504  

Other accrued liabilities

     (27,807 )     (23,928 )     (18,295 )     (9,119 )
                                

Net cash provided by operating activities

     155,970       94,266       263,133       268,129  
                                

Cash flows from investing activities:

        

Purchase of property and equipment

     (45,950 )     (34,460 )     (126,063 )     (92,388 )

Acquisition of healthcare facilities

     (40,899 )     (38,052 )     (114,818 )     (58,212 )

Sale of assets

     6,003       5,268       17,199       29,826  

Purchase of insurance subsidiary investments

     (69,575 )     (74,254 )     (336,391 )     (113,033 )

Sale of insurance subsidiary investments

     91,663       46,740       334,820       75,918  

Net change in insurance subsidiary cash and cash equivalents

     (19,053 )     16,431       1,899       (23,511 )

Net change in other investments

     (125 )           3,344       4,405  

Other

     (2,009 )     155       (215 )     4,591  
                                

Net cash used in investing activities

     (79,945 )     (78,172 )     (220,225 )     (172,404 )
                                

Cash flows from financing activities:

        

Repayment of long-term debt

     (1,401 )     (1,209 )     (5,282 )     (105,023 )

Payment of deferred financing costs

     (331 )     (1,072 )     (702 )     (5,120 )

Issuance of common stock

     1,162       1,415       24,873       8,778  

Repurchase of common stock

     (47,964 )           (47,964 )      

Other

     17,819       24,161       459       8,244  
                                

Net cash provided by (used in)financing activities

     (30,715 )     23,295       (28,616 )     (93,121 )
                                

Change in cash and cash equivalents

     45,310       39,389       14,292       2,604  

Cash and cash equivalents at beginning of period

     38,110       29,739       69,128       66,524  
                                

Cash and cash equivalents at end of period

   $ 83,420     $ 69,128     $ 83,420     $ 69,128  
                                


KINDRED HEALTHCARE, INC.

Condensed Consolidated Statement of Operations

(In thousands, except per share amounts)

 

     2004 Quarters           2005 Quarters        
     First     Second     Third     Fourth     Year     First     Second     Third     Fourth     Year  

Revenues

   $ 847,846     $ 875,271     $ 873,943     $ 893,216     $ 3,490,276     $ 930,473     $ 1,035,865     $ 968,619     $ 989,042     $ 3,923,999  
                                                                                

Salaries, wages and benefits

     477,924       480,251       490,400       488,479       1,937,054       508,680       535,605       531,322       537,129       2,112,736  

Supplies

     114,794       118,722       120,679       122,164       476,359       127,615       145,329       146,112       155,855       574,911  

Rent

     62,834       64,310       65,629       65,930       258,703       67,184       68,783       68,961       69,596       274,524  

Other operating expenses

     139,893       144,361       142,766       148,406       575,426       149,000       175,603       163,484       160,409       648,496  

Depreciation and amortization

     21,303       21,963       22,671       23,156       89,093       23,768       25,213       26,466       27,709       103,156  

Interest expense

     3,654       4,713       2,535       1,912       12,814       2,000       2,439       1,931       1,728       8,098  

Investment income

     (1,213 )     (1,823 )     (1,603 )     (1,786 )     (6,425 )     (2,347 )     (3,031 )     (2,472 )     (3,210 )     (11,060 )
                                                                                
     819,189       832,497       843,077       848,261       3,343,024       875,900       949,941       935,804       949,216       3,710,861  
                                                                                

Income from continuing operations before reorganization items and income taxes

     28,657       42,774       30,866       44,955       147,252       54,573       85,924       32,815       39,826       213,138  

Reorganization items

           (304 )                 (304 )     (1,371 )                 (268 )     (1,639 )
                                                                                

Income from continuing operations before income taxes

     28,657       43,078       30,866       44,955       147,556       55,944       85,924       32,815       40,094       214,777  

Provision for income taxes

     12,045       17,722       12,210       18,322       60,299       22,567       34,533       13,266       15,781       86,147  
                                                                                

Income from continuing operations

     16,612       25,356       18,656       26,633       87,257       33,377       51,391       19,549       24,313       128,630  

Discontinued operations, net of income taxes:

                    

Income (loss) from operations

     (2,772 )     (2,524 )     4,469       (28 )     (855 )     3,513       12,029       (48 )     2,166       17,660  

Gain (loss) on divestiture of operations

           (1,063 )     (7,557 )     (7,202 )     (15,822 )           2,647       (3,147 )     (881 )     (1,381 )
                                                                                

Net income

   $ 13,840     $ 21,769     $ 15,568     $ 19,403     $ 70,580     $ 36,890     $ 66,067     $ 16,354     $ 25,598     $ 144,909  
                                                                                

Earnings per common share:

                    

Basic:

                    

Income from continuing operations

   $ 0.47     $ 0.71     $ 0.52     $ 0.73     $ 2.44     $ 0.92     $ 1.37     $ 0.51     $ 0.65     $ 3.45  

Discontinued operations:

                    

Income (loss) from operations

     (0.08 )     (0.07 )     0.12             (0.03 )     0.10       0.32             0.06       0.47  

Gain (loss) on divestiture of operations

           (0.03 )     (0.21 )     (0.20 )     (0.44 )           0.07       (0.08 )     (0.03 )     (0.04 )
                                                                                

Net income

   $ 0.39     $ 0.61     $ 0.43     $ 0.53     $ 1.97     $ 1.02     $ 1.76     $ 0.43     $ 0.68     $ 3.88  
                                                                                

Diluted:

                    

Income from continuing operations

   $ 0.39     $ 0.61     $ 0.44     $ 0.63     $ 2.06     $ 0.75     $ 1.11     $ 0.43     $ 0.56     $ 2.84  

Discontinued operations:

                    

Income (loss) from operations

     (0.07 )     (0.06 )     0.11             (0.02 )     0.08       0.26             0.05       0.39  

Gain (loss) on divestiture of operations

           (0.03 )     (0.18 )     (0.17 )     (0.37 )           0.06       (0.07 )     (0.02 )     (0.03 )
                                                                                

Net income

   $ 0.32     $ 0.52     $ 0.37     $ 0.46     $ 1.67     $ 0.83     $ 1.43     $ 0.36     $ 0.59     $ 3.20  
                                                                                

Shares used in computing earnings per common share:

                    

Basic

     35,414       35,536       35,939       36,200       35,774       36,312       37,495       38,013       37,472       37,328  

Diluted

     42,721       41,913       42,293       42,639       42,403       44,410       46,367       46,033       43,736       45,239  


KINDRED HEALTHCARE, INC.

Business Segment Data

(In thousands)

 

     2004 Quarters           2005 Quarters        
     First     Second     Third     Fourth     Year     First     Second     Third     Fourth     Year  

Revenues:

                    

Hospital division

   $ 343,349     $ 350,097     $ 350,852     $ 354,360     $ 1,398,658     $ 393,040     $ 434,562     $ 389,776     $ 390,742     $ 1,608,120  

Health services division

     424,422       440,935       438,035       451,703       1,755,095       443,144       484,581       461,272       470,501       1,859,498  

Rehabilitation division

     52,699       52,588       61,157       61,982       228,426       64,947       65,365       65,553       66,908       262,773  

Pharmacy division

     79,746       84,346       96,591       99,352       360,035       107,957       131,849       135,165       147,254       522,225  
                                                                                
     900,216       927,966       946,635       967,397       3,742,214       1,009,088       1,116,357       1,051,766       1,075,405       4,252,616  

Eliminations:

                    

Rehabilitation

     (34,830 )     (35,470 )     (45,545 )     (45,675 )     (161,520 )     (48,497 )     (49,139 )     (50,932 )     (51,619 )     (200,187 )

Pharmacy

     (17,540 )     (17,225 )     (27,147 )     (28,506 )     (90,418 )     (30,118 )     (31,353 )     (32,215 )     (34,744 )     (128,430 )
                                                                                
     (52,370 )     (52,695 )     (72,692 )     (74,181 )     (251,938 )     (78,615 )     (80,492 )     (83,147 )     (86,363 )     (328,617 )
                                                                                
   $ 847,846     $ 875,271     $ 873,943     $ 893,216     $ 3,490,276     $ 930,473     $ 1,035,865     $ 968,619     $ 989,042     $ 3,923,999  
                                                                                

Income from continuing operations:

                    

Operating income (loss):

                    

Hospital division

   $ 79,687     $ 86,120     $ 79,210     $ 83,933     $ 328,950     $ 101,801     $ 134,263     $ 90,728     $ 92,754     $ 419,546  

Health services division

     48,031       62,403       57,086       67,265       234,785       53,680       65,447       49,928       55,035       224,090  

Rehabilitation division

     8,519       7,265       7,737       7,910       31,431       9,711       6,989       7,913       7,439       32,052  

Pharmacy division

     7,609       7,729       10,853       10,871       37,062       11,454       13,298       14,455       17,630       56,837  

Corporate:

                    

Overhead

     (26,834 )     (30,356 )     (33,028 )     (33,531 )     (123,749 )     (29,115 )     (38,052 )     (32,631 )     (34,716 )     (134,514 )

Insurance subsidiary

     (1,777 )     (1,224 )     (1,760 )     (2,281 )     (7,042 )     (2,353 )     (2,617 )     (2,692 )     (2,493 )     (10,155 )
                                                                                
     (28,611 )     (31,580 )     (34,788 )     (35,812 )     (130,791 )     (31,468 )     (40,669 )     (35,323 )     (37,209 )     (144,669 )
                                                                                
     115,235       131,937       120,098       134,167       501,437       145,178       179,328       127,701       135,649       587,856  

Reorganization items

           304                   304       1,371                   268       1,639  
                                                                                

Operating income

     115,235       132,241       120,098       134,167       501,741       146,549       179,328       127,701       135,917       589,495  

Rent

     (62,834 )     (64,310 )     (65,629 )     (65,930 )     (258,703 )     (67,184 )     (68,783 )     (68,961 )     (69,596 )     (274,524 )

Depreciation and amortization

     (21,303 )     (21,963 )     (22,671 )     (23,156 )     (89,093 )     (23,768 )     (25,213 )     (26,466 )     (27,709 )     (103,156 )

Interest, net

     (2,441 )     (2,890 )     (932 )     (126 )     (6,389 )     347       592       541       1,482       2,962  
                                                                                

Income from continuing operations before income taxes

     28,657       43,078       30,866       44,955       147,556       55,944       85,924       32,815       40,094       214,777  

Provision for income taxes

     12,045       17,722       12,210       18,322       60,299       22,567       34,533       13,266       15,781       86,147  
                                                                                
   $ 16,612     $ 25,356     $ 18,656     $ 26,633     $ 87,257     $ 33,377     $ 51,391     $ 19,549     $ 24,313     $ 128,630  
                                                                                


KINDRED HEALTHCARE, INC.

Business Segment Data (Continued)

(In thousands)

 

     2004 Quarters         2005 Quarters     
     First    Second    Third    Fourth    Year    First    Second    Third    Fourth    Year

Rent:

                             

Hospital division

   $ 22,488    $ 23,168    $ 23,898    $ 24,077    $ 93,631    $ 24,717    $ 25,244    $ 25,366    $ 25,529    $ 100,856

Health services division

     39,014      39,587      40,111      40,245      158,957      40,674      41,429      41,473      41,555      165,131

Rehabilitation division

     611      708      747      773      2,839      800      817      817      809      3,243

Pharmacy division

     662      790      812      780      3,044      926      1,169      1,226      1,614      4,935

Corporate

     59      57      61      55      232      67      124      79      89      359
                                                                     
   $ 62,834    $ 64,310    $ 65,629    $ 65,930    $ 258,703    $ 67,184    $ 68,783    $ 68,961    $ 69,596    $ 274,524
                                                                     

Depreciation and amortization:

                             

Hospital division

   $ 8,257    $ 8,496    $ 8,923    $ 9,401    $ 35,077    $ 9,554    $ 9,836    $ 10,579    $ 10,979    $ 40,948

Health services division

     6,357      6,518      6,612      6,970      26,457      7,476      7,914      8,271      8,975      32,636

Rehabilitation division

     33      37      38      51      159      54      56      57      64      231

Pharmacy division

     530      583      603      718      2,434      926      1,521      1,525      1,779      5,751

Corporate

     6,126      6,329      6,495      6,016      24,966      5,758      5,886      6,034      5,912      23,590
                                                                     
   $ 21,303    $ 21,963    $ 22,671    $ 23,156    $ 89,093    $ 23,768    $ 25,213    $ 26,466    $ 27,709    $ 103,156
                                                                     

Capital expenditures, excluding acquisitions (including discontinued operations):

                             

Hospital division

   $ 5,406    $ 5,177    $ 8,867    $ 10,697    $ 30,147    $ 8,235    $ 11,289    $ 11,634    $ 14,145    $ 45,303

Health services division

     8,450      6,487      7,074      14,692      36,703      6,957      10,986      14,488      17,915      50,346

Rehabilitation division

     47      56      19      246      368      2      96      17      538      653

Pharmacy division

     773      1,075      1,004      1,977      4,829      1,075      1,506      1,562      2,820      6,963

Corporate:

                             

Information systems

     2,651      4,033      4,251      4,892      15,827      1,462      4,171      5,580      9,191      20,404

Other

     554      829      1,175      1,956      4,514      232      550      271      1,341      2,394
                                                                     
   $ 17,881    $ 17,657    $ 22,390    $ 34,460    $ 92,388    $ 17,963    $ 28,598    $ 33,552    $ 45,950    $ 126,063
                                                                     


KINDRED HEALTHCARE, INC.

Business Segment Data (Continued)

(Unaudited)

 

     2004 Quarters         2005 Quarters     
     First    Second    Third    Fourth    Year    First    Second    Third    Fourth    Year

Hospital data:

                             

End of period data:

                             

Number of hospitals

     66      68      72      72         73      73      73      74   

Number of licensed beds

     5,245      5,396      5,569      5,569         5,603      5,603      5,603      5,694   

Revenue mix % (a):

                             

Medicare

     67      64      63      63      65      65      71      65      65      67

Medicaid

     7      8      8      7      7      6      6      7      6      6

Private and other

     26      28      29      30      28      29      23      28      29      27

Admissions:

                             

Medicare

     6,780      6,674      6,550      6,719      26,723      7,397      7,080      7,106      7,287      28,870

Medicaid

     682      789      763      741      2,975      727      823      845      827      3,222

Private and other

     1,243      1,401      1,369      1,495      5,508      1,564      1,528      1,495      1,503      6,090
                                                                     
     8,705      8,864      8,682      8,955      35,206      9,688      9,431      9,446      9,617      38,182
                                                                     

Admissions mix %:

                             

Medicare

     78      75      75      75      76      76      75      75      76      76

Medicaid

     8      9      9      8      8      8      9      9      8      8

Private and other

     14      16      16      17      16      16      16      16      16      16

Patient days:

                             

Medicare

     206,256      200,628      190,466      190,772      788,122      207,670      209,670      197,725      199,857      814,922

Medicaid

     27,670      29,228      30,435      30,200      117,533      26,660      28,361      30,489      29,867      115,377

Private and other

     51,856      52,640      53,571      56,160      214,227      61,052      55,622      53,535      57,633      227,842
                                                                     
     285,782      282,496      274,472      277,132      1,119,882      295,382      293,653      281,749      287,357      1,158,141
                                                                     

Average length of stay:

                             

Medicare

     30.4      30.1      29.1      28.4      29.5      28.1      29.6      27.8      27.4      28.2

Medicaid

     40.6      37.0      39.9      40.8      39.5      36.7      34.5      36.1      36.1      35.8

Private and other

     41.7      37.6      39.1      37.6      38.9      39.0      36.4      35.8      38.3      37.4

Weighted average

     32.8      31.9      31.6      30.9      31.8      30.5      31.1      29.8      29.9      30.3

Revenues per admission (a):

                             

Medicare

   $ 33,722    $ 33,902    $ 33,963    $ 33,466    $ 33,762    $ 34,750    $ 43,798    $ 35,871    $ 34,960    $ 37,298

Medicaid

     34,701      34,102      35,889      33,155      34,462      30,295      30,887      32,385      29,014      30,665

Private and other

     73,248      69,184      73,784      70,188      71,517      72,872      64,824      71,913      74,516      71,023

Weighted average

     39,443      39,497      40,411      39,571      39,728      40,570      46,078      41,264      40,630      42,117

Revenues per patient day (a):

                             

Medicare

   $ 1,109    $ 1,128    $ 1,168    $ 1,179    $ 1,145    $ 1,238    $ 1,479    $ 1,289    $ 1,275    $ 1,321

Medicaid

     855      921      900      814      872      826      896      898      803      856

Private and other

     1,756      1,841      1,886      1,868      1,839      1,867      1,781      2,008      1,943      1,898

Weighted average

     1,202      1,239      1,278      1,279      1,249      1,331      1,480      1,383      1,360      1,388

Medicare case mix index (discharged patients only)

     1.26      1.25      1.21      1.19      1.23      1.22      1.25      1.20      1.11      1.19

Average daily census

     3,140      3,104      2,983      3,012      3,060      3,282      3,227      3,062      3,123      3,173

Occupancy %

     63.1      60.7      57.0      56.3      59.2      61.2      59.9      56.9      58.5      59.1

(a) Includes income of $2.2 million in the first quarter of 2004, $3.9 million in the second quarter of 2004, $1.6 million in the third quarter of 2004, $2.9 million in the first quarter of 2005, $54.6 million in the second quarter of 2005, $5.9 million in the third quarter of 2005 and $1.9 million in the fourth quarter of 2005 related to certain Medicare reimbursement issues.


KINDRED HEALTHCARE, INC.

Business Segment Data (Continued)

(Unaudited)

 

     2004 Quarters         2005 Quarters     
     First    Second     Third    Fourth    Year    First    Second     Third    Fourth    Year

Nursing center data:

                           

End of period data:

                           

Number of nursing centers:

                           

Owned or leased

     236      236       236      236         236      237       237      237   

Managed

     7      7       7      7         7      5       5      5   
                                                               
     243      243       243      243         243      242       242      242   
                                                               

Number of licensed beds:

                           

Owned or leased

     30,184      30,180       30,161      30,161         30,161      30,266       30,264      30,264   

Managed

     803      803       803      803         803      605       605      605   
                                                               
     30,987      30,983       30,964      30,964         30,964      30,871       30,869      30,869   
                                                               

Revenue mix %:

                           

Medicare

     36      33       32      32      33      35      32       32      33      33

Medicaid

     46      49 (a)     50      50      49      47      51 (b)     50      49      49

Private and other

     18      18       18      18      18      18      17       18      18      18

Patient days (excludes managed facilities):

                           

Medicare

     412,746      390,347       367,886      372,205      1,543,184      394,310      396,230       378,714      381,430      1,550,684

Medicaid

     1,585,728      1,600,172       1,645,362      1,630,491      6,461,753      1,564,779      1,568,306       1,601,714      1,591,713      6,326,512

Private and other

     386,815      389,974       395,923      400,985      1,573,697      385,093      383,986       396,053      414,738      1,579,870
                                                                       
     2,385,289      2,380,493       2,409,171      2,403,681      9,578,634      2,344,182      2,348,522       2,376,481      2,387,881      9,457,066
                                                                       

Patient day mix %:

                           

Medicare

     17      17       15      15      16      17      17       16      16      16

Medicaid

     67      67       68      68      68      67      67       67      67      67

Private and other

     16      16       17      17      16      16      16       17      17      17

Revenues per patient day:

                           

Medicare Part A

   $ 331    $ 331     $ 335    $ 347    $ 336    $ 347    $ 346     $ 349    $ 364    $ 352

Total Medicare (including Part B)

     373      375       385      395      381      388      389       395      404      394

Medicaid

     122      135 (a)     133      138      132      134      159 (b)     144      144      145

Private and other

     199      201       198      199      199      207      211       206      211      209

Weighted average

     178      185       182      188      183      189      206       194      197      197

Average daily census

     26,212      26,159       26,187      26,127      26,171      26,046      25,808       25,831      25,955      25,910

Occupancy %

     86.5      86.3       86.3      86.3      86.4      86.0      85.3       85.3      85.8      85.6

Rehabilitation data:

                           

Revenue mix %:

                           

Company-operated

     70      71       76      75      73      76      77       78      77      76

Non-affiliated

     30      29       24      25      27      24      23       22      23      24

Pharmacy data:

                           

Number of customer licensed beds at end of period:

                           

Company-operated

     28,188      28,164       28,476      28,634         29,105      28,649       28,649      28,657   

Non-affiliated

     35,102      36,385       36,671      37,561         46,745      56,112       55,201      64,625   
                                                               
     63,290      64,549       65,147      66,195         75,850      84,761       83,850      93,282   
                                                               

(a) Includes income of $8.7 million for periods prior to April 1, 2004 related to retroactive Medicaid rate increases in the state of North Carolina. Related provider tax expense of $2.8 million under this program was recorded in other operating expenses.

 

(b) Includes income of $31.8 million for periods prior to April 1, 2005 related to retroactive Medicaid rate increases in the state of Indiana. Related provider tax expense of $16.0 million under this program was recorded in other operating expenses.