EX-99.1 2 eightk4q09release.htm RHB 4Q09 EARNINGS RELEASE eightk4q09release.htm
EXHIBIT 99.1

FOR IMMEDIATE RELEASE
Tuesday, March 2, 2010
 
 
REHABCARE REPORTS RESULTS FOR FOURTH QUARTER
AND FISCAL YEAR 2009


·  
Consolidated revenue and earnings per diluted share increase 18.2% and 16.2%, respectively, year over year

·  
Earnings per diluted share of $0.03 in the 2009 fourth quarter reflects transaction related charges of $7.2 million after tax, or $0.34 per diluted share

·  
Fourth quarter includes $1.2 million after tax, or $0.06 per diluted share, in increased health insurance claim costs over the third quarter, which is not expected to impact 2010 outlook

·  
Skilled Nursing and Hospital Rehabilitation Services divisions achieve 2009 outlook for operating earnings margins; legacy Hospital division improves same store operating performance by $4.2 million in 2009 compared to 2008

·  
2010 outlook reaffirmed for legacy RehabCare businesses and updated to include Triumph HealthCare


ST. LOUIS, MO, March 2, 2010--RehabCare Group, Inc. (NYSE:RHB) today reported financial results for the quarter and year ended December 31, 2009.  Comparative results for the quarter and year follow.

 
 

REHABCARE REPORTS FOURTH QUARTER
AND FULL YEAR 2009 RESULTS                                                Page 2
 
 
Fourth
Third
Fourth
 
Year Ended
 
Quarter
Quarter
Quarter
 
December 31,
Amounts in millions, except per share data
2009
2009
2008
   
2009
   
2008
 
                                 
Consolidated Operating Revenues
$
254.7
 
$
208.0
 
$
192.1
   
$
869.4
 
$
735.4
 
Consolidated Operating Earnings (a) (b) (c)
 
6.9
   
10.5
   
9.5
     
44.5
   
32.9
 
Consolidated Net Earnings from Continuing Operations
 
0.3
   
5.7
   
5.4
     
21.8
   
17.6
 
Loss from Discontinued Operations, Net of Tax  (d)
 
   
   
(0.3
)
   
(0.8
)
 
(0.9
)
Consolidated Net Earnings
 
0.3
   
5.7
   
5.1
     
21.0
   
16.7
 
Net Losses Attributable to Noncontrolling Interests
 
0.4
   
1.1
   
0.6
     
2.0
   
2.0
 
Net Earnings Attributable to RehabCare
 
0.7
   
6.8
   
5.7
     
23.0
   
18.7
 
Diluted Earnings per Share Attributable to RehabCare:
                               
Earnings from Continuing Operations, Net of Tax
 
0.03
   
0.37
   
0.34
     
1.26
   
1.10
 
Net Earnings
 
0.03
   
0.37
   
0.32
     
1.22
   
1.05
 
                                 
SRS Operating Revenues
 
126.0
   
123.4
   
118.1
     
496.3
   
457.2
 
SRS Operating Earnings (a)
 
8.4
   
9.8
   
8.6
     
37.8
   
25.5
 
SRS EBITDA
 
9.8
   
11.4
   
10.3
     
44.0
   
32.4
 
                                 
HRS Inpatient Operating Revenues
 
33.3
   
32.9
   
32.4
     
130.9
   
122.8
 
HRS Outpatient Operating Revenues
 
11.7
   
12.1
   
11.3
     
47.3
   
42.9
 
HRS Operating Revenues
 
45.0
   
45.0
   
43.7
     
178.2
   
165.7
 
HRS Operating Earnings (a) (b)
 
7.3
   
8.2
   
5.8
     
29.5
   
22.0
 
HRS EBITDA
 
7.9
   
8.8
   
6.5
     
31.9
   
24.6
 
                                 
Hospital Operating Revenues
 
83.8
   
39.7
   
30.3
     
195.0
   
112.5
 
Hospital Operating Loss (a) (c)
 
(8.8
)
 
(7.6
)
 
(4.8
)
   
(22.5
)
 
(13.9
)
Hospital EBITDA
 
(5.8
)
 
(5.9
)
 
(3.4
)
   
(14.7
)
 
(8.8
)
                                 

(a)
The fourth quarter and year ended December 31, 2009 includes certain transaction related pretax charges of $9.4 million, or $0.34 per diluted share (see table on page 11).
(b)
The fourth quarter and year ended December 31, 2008 includes a pretax charge arising from a bad debt write-down related to an outpatient transaction of $1.2 million, or $0.04 per diluted share after tax (see table on page 11).
(c)
Includes a pretax charge related to the cancellation of a planned acquisition in Providence, RI, and a long-term acute care hospital development project in Kokomo, IN, of $1.5 million, or $0.05 per diluted share after tax, in the quarter and year ended December 31, 2008 (see table on page 11).
(d)
The $0.8 million after-tax loss from discontinued operations in the year ended December 31, 2009 includes a $0.7 million after-tax loss on the sale of the Company’s Phase 2 Consulting business on June 1, 2009.
 
“Capping off a successful year of top and bottom line growth was our merger with Triumph HealthCare in November, which has rebalanced our business portfolio between managed and owned operations and given us extensive expertise across the post-acute continuum,” said John H. Short, Ph.D, RehabCare President and Chief Executive Officer.  “The addition of Triumph has provided a new foundation for our Hospital operations to deliver strong, sustainable returns.
“Our outlook for the Skilled Nursing and Hospital Rehabilitation Services divisions underscores the strength of our contract services management team and effectiveness of our mitigation strategies in the face of challenging economic and regulatory conditions.  In addition, our application of new technologies continues to differentiate our products and drive greater clinical and operational results.”

Financial Overview of Fourth Quarter
Consolidated operating revenues for the fourth quarter of 2009, including $39.7 million generated by Triumph HealthCare, were $254.7 million, a 32.6% increase compared to $192.1 million in the 2008 fourth quarter.

 - MORE -
 

 
REHABCARE REPORTS FOURTH QUARTER
AND FULL YEAR 2009 RESULTS                                                                                                                  Page 3
 
Consolidated net earnings attributable to RehabCare, including Triumph, were $0.7 million in the fourth quarter of 2009 compared to $5.7 million in the prior year quarter. Diluted earnings per share attributable to RehabCare for the fourth quarter of 2009 was $0.03, which included $7.2 million of certain after-tax charges, substantially all of which related to the Triumph merger (see table on page 11).  Diluted earnings per share attributable to RehabCare for the 2008 fourth quarter was $0.32, including $1.7 million of after-tax charges.  Excluding these charges, diluted earnings per share attributable to RehabCare was $0.37 in the fourth quarter of 2009 compared to $0.41 in the fourth quarter of 2008.
The 2009 fourth quarter also included $1.2 million after tax, or $0.06 per diluted share, in increased health insurance claim costs over the 2009 third quarter.  As a result of being fully self-insured, the Company experiences quarter to quarter volatility in healthcare claim costs, but does not believe the increase in the fourth quarter represents a long-term trend.
Operating revenues in the Skilled Nursing Rehabilitation Services (SRS) division increased 6.7% from $118.1 million in the fourth quarter of 2008 to $126.0 million in the fourth quarter of 2009, driven by an increase in the average number of units operated and a contract therapy same store revenue increase of 4.6%.  The division had a net gain of 50 units over year end 2008 and a net gain of 20 from the third quarter of 2009.  On December 31, 2009, SRS operated in 1,118 locations compared to 1,068 locations at the end of the fourth quarter of 2008 and 1,098 locations at the end of the third quarter of 2009.  
The SRS division’s operating earnings were $8.4 million, or 6.6% of revenue, compared to $8.6 million, or 7.3% of revenue, in the fourth quarter of 2008.  Quarterly operating earnings margin was lower than the prior year primarily due to higher health insurance claim costs.
The Hospital Rehabilitation Services (HRS) division’s fourth quarter 2009 operating revenues increased 3.0% to $45.0 million, compared to $43.7 million in the fourth quarter of 2008.  Inpatient operating revenues improved 2.8% and inpatient rehabilitation facility (IRF) same store revenues increased 2.1% compared to fourth quarter 2008.  IRF same store discharges declined 0.8% over the prior year quarter, but increased 1.2% for the full year.  The average number of inpatient programs declined by 4.2% while revenue per inpatient program increased 7.3% due to an improvement in contract mix compared to the year ago quarter.  Outpatient operating revenues increased 3.5% in the 2009 fourth quarter versus the 2008 fourth quarter as same store revenues increased 5.6% and the average number of programs remained flat.
At December 31, 2009, HRS operated 145 programs compared to 157 at the end of the fourth quarter of 2008 and 154 at the end of the third quarter of 2009.  The division operated 106 IRF programs at the end of the 2009 fourth quarter compared to 110 at the beginning of the quarter and 113 a year ago. The division had three IRF openings and seven IRF closings during the fourth quarter, including one related to a hospital closing and one contract terminated by RehabCare due to non-payment of services.  HRS signed contracts for one subacute unit and one outpatient unit in the fourth quarter.  At year end, the number of signed but unopened HRS contracts was seven, two of which were IRFs, compared to a backlog of five IRFs at the end of the third quarter.  In response to lower contract signings, the Company is realigning its business development function and broadening its HRS product offerings to better serve the needs of the market.

  - MORE -
 

 
REHABCARE REPORTS FOURTH QUARTER
AND FULL YEAR 2009 RESULTS                                                                                                                  Page 4
 
HRS operating earnings were $7.3 million, or 16.3% of revenue, flat year over year when excluding a bad debt write-down in the 2008 fourth quarter.
Operating revenues in the legacy Hospital division for the fourth quarter of 2009 increased $4.4 million, or 11.1%, sequentially to $44.1 million.  On a sequential basis, same store revenues and discharges increased 8.5% and 5.3%, respectively.
In 2009, the legacy Hospital division’s same store operating performance improved by $4.2 million, primarily a result of improved performance by the legacy long-term acute care hospitals (LTACHs).  The legacy hospitals incurred a fourth quarter operating loss of $12.5 million, which included $8.4 million in transaction and severance expenses primarily related to the Triumph merger, $1.2 million in start-up losses for Greater Peoria Specialty Hospital and a $1.8 million operating loss at Dallas LTAC Hospital, where the operational turnaround has been slower than expected.  The Company expects Dallas to be accretive by the end of the 2010 second quarter.  Total year operating losses were $26.2 million for the legacy Hospital division, which included $11.8 million in transaction and severance related expenses and $4.8 million in start-up and ramp-up losses.
Triumph HealthCare, which was acquired on November 24, 2009, generated revenues of $39.7 million, operating earnings of $3.7 million and EBITDA (earnings before interest, taxes, depreciation and amortization) of $5.1 million during the first 37 days it was part of the Hospital division.  November and December operating results for Triumph were impacted by softer acute care volumes, six hospitals achieving compliance with the 25-day length of stay requirement for LTACHs, the assimilation of the seven legacy RehabCare LTACHs into Triumph operations and the acquisition of St. Agnes Long-Term Care Hospital in Philadelphia, which was completed on December 16.  The Company expects some continued impact from these issues through at least the first quarter of 2010.
With the acquisition of Triumph’s 20 LTACHs in November and St. Agnes in December, the combined division currently operates a total of 34 hospitals, including 28 LTACHs and six IRFs.

Balance Sheet and Liquidity
At December 31, 2009, the Company had $24.7 million in cash and cash equivalents and $464.2 million in outstanding debt excluding the impact of original issue discounts.  Excluding Triumph, days sales outstanding decreased to 59.8 days at December 31, 2009 from 66.0 days at December 31, 2008.
For the year ended December 31, 2009, the Company generated cash from operations of $48.1 million and expended $13.2 million for capital expenditures, principally related to companywide information systems, equipment for the start-up of Greater Peoria Specialty Hospital, hospital facility maintenance capital and Triumph-related projects.
 
Legislative Update
With healthcare reform stalled in Congress, the Company is focused on securing extensions for both the Medicare Part B therapy cap exceptions process, which expired December 31, 2009, and the LTACH provisions contained in the 2007 Medicare, Medicaid and SCHIP Extension Act that are set to expire at the end of this year.  The Company also is seeking resolution to a 21% cut in the Medicare physician fee schedule that occurred on March 1, 2010, and is optimistic that Congress will act on these issues in the near term.  The Company remains engaged in the legislative process on these immediate concerns and other impending measures that could have adverse effects on Medicare beneficiaries, such as RUGs IV reimbursement and concurrent therapy rules slated to take effect October 1, 2010.

  - MORE -
 

 
REHABCARE REPORTS FOURTH QUARTER
AND FULL YEAR 2009 RESULTS                                                                                                                  Page 5

Outlook
The Company does not provide revenue and earnings per share guidance, but provides the following outlook for the total year 2010:
·  
The Company anticipates strong consolidated revenue and net earnings growth for the full year, with progressively improving operating results throughout the year following softer performance in the first quarter.
·  
The Skilled Nursing Rehabilitation Services division expects 6.5% to 7.5% operating earnings margins for the full year 2010, which will be driven by mid-single digit year-over-year same store revenue growth and which reflects an estimated impact of RUGs IV and concurrent therapy rules that go into effect October 1, 2010.  First quarter 2010 results are expected to be impacted by Part B therapy caps, for which the Company has implemented an aggressive mitigation plan.  The division also expects 50 to 75 net new units in 2010.
·  
The Hospital Rehabilitation Services division expects 15% to 17% operating earnings margins and 2% to 4% year-over-year growth in IRF same store discharges for the full year 2010.  Unit count is anticipated to decrease in the first half of the year and recover in the second half, resulting in flat unit growth for the total year 2010.
·  
The Hospital division expects total year revenue of $650.0 to $675.0 million and EBITDA of $90.0 to $100.0 million.  As previously stated, the Company expects a breakeven operating earnings run rate for its 13 legacy hospitals by the end of the second quarter of 2010 and to achieve breakeven operating earnings for the full year 2010.
·  
The effective tax rate is anticipated to approximate 39% for 2010 after consideration of noncontrolling interests.
·  
The Company expects continued strong operating cash flow with DSO in the range of 60 to 65 days.
·  
Capital expenditures are anticipated to be $32.0 million in 2010, consisting of $12.5 million of information systems investments, $12.5 million in expansion projects and $7.0 million related to maintenance.

Closing Remarks
Dr. Short concluded, “While we expect implementation of the Part B therapy caps, lower HRS unit count and integration efforts to impact our performance in the first quarter, we are optimistic about the full year 2010 as we look to build on our strengths, fully integrate Triumph operations and continue to explore opportunities to expand our continuum of care.”

  - MORE -
 

 
REHABCARE REPORTS FOURTH QUARTER
AND FULL YEAR 2009 RESULTS                                                                                                                  Page 6


Conference Call Information
RehabCare will host a conference call on March 3, 2010, beginning at 10:00 AM Eastern time.  Listeners may access the call by dialing (800) 640-9765, confirmation number 26277547, or in a listen-only mode through the Company’s website at http://www.rehabcare.com/about/investors/webcast.html.  A replay of the call will be available beginning at approximately 2:00 PM Eastern Time on March 3 by dialing (877) 213-9653, confirmation number 26277547.  An online archive of the conference call will remain on the Company’s website through April 2, 2010.

About RehabCare Group
Established in 1982 and headquartered in St. Louis, MO, RehabCare (www.rehabcare.com) is a leading provider of rehabilitation program management services in partnership with over 1,260 hospitals and skilled nursing facilities in 41 states.  The Company also operates 34 freestanding long-term acute care and rehabilitation hospitals across the country.  RehabCare is included in the Russell 2000 and Standard and Poor’s Small Cap 600 Indices.
This press release contains forward-looking statements that are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Such statements are based on the Company’s current expectations and could be affected by numerous factors, risks and uncertainties discussed in the Company’s filings with the Securities and Exchange Commission, including its most recent annual report on Form 10-K, subsequent quarterly reports on Form 10-Q and current reports on Form 8-K. Do not rely on forward-looking statements as the Company cannot predict or control many factors that affect its ability to achieve the results estimated.  The Company makes no promise to update any forward- looking statements because of changes in underlying factors, new information, future events or otherwise.


CONTACT: RehabCare Group, Inc.
Financial: Jay W. Shreiner, Chief Financial Officer
(314) 659-2189
Press: Donna Lee, Office of the CEO
(314) 659-2287

  - MORE -
 

 
REHABCARE REPORTS FOURTH QUARTER
AND FULL YEAR 2009 RESULTS                                                                                                                  Page 7



I. Condensed Consolidated Statements of Earnings
 
(Unaudited; amounts in thousands, except per share data)
 
                                 
 
Three Months Ended
 
Year Ended
 
Dec. 31,
Sept. 30,
Dec. 31,
 
Dec. 31,
Dec. 31,
   
2009
   
2009
   
2008
     
2009
   
2008
 
                                 
Operating revenues
$
254,692
 
$
208,040
 
$
192,059
   
$
869,427
 
$
735,412
 
Costs and expenses:
                               
Operating
 
209,562
   
170,020
   
155,554
     
704,394
   
597,879
 
Selling, general and administrative
 
33,138
   
23,813
   
23,284
     
104,060
   
90,056
 
Depreciation and amortization
 
5,120
   
3,727
   
3,710
     
16,499
   
14,570
 
Total costs and expenses
 
247,820
   
197,560
   
182,548
     
824,953
   
702,505
 
                                 
Operating earnings
 
6,872
   
10,480
   
9,511
     
44,474
   
32,907
 
                                 
Interest income
 
79
   
   
39
     
98
   
143
 
Interest expense
 
(3,927
)
 
(498
)
 
(745
)
   
(5,546
)
 
(3,897
)
Other income (expense), net
 
8
   
3
   
(3
)
   
12
   
21
 
Equity in net income of affiliates
 
105
   
52
   
30
     
431
   
471
 
                                 
Earnings from continuing operations before income taxes
 
3,137
   
10,037
   
8,832
     
39,469
   
29,645
 
Income tax expense
 
2,842
   
4,331
   
3,424
     
17,641
   
12,063
 
Earnings from continuing operations
 
295
   
5,706
   
5,408
     
21,828
   
17,582
 
Gain (loss) from discontinued operations
 
8
   
(16
)
 
(352
)
   
(839
)
 
(863
)
Net earnings
 
303
   
5,690
   
5,056
     
20,989
   
16,719
 
Net loss attributable to noncontrolling interests
 
352
   
1,067
   
647
     
1,966
   
1,986
 
Net earnings attributable to RehabCare
$
655
 
$
6,757
 
$
5,703
   
$
22,955
 
$
18,705
 
                                 
Amounts attributable to RehabCare:
                               
Earnings from continuing operations
$
647
 
$
6,773
 
$
6,055
   
$
23,794
 
$
19,568
 
Gain (loss) from discontinued operations
 
8
   
(16
)
 
(352
)
   
(839
)
 
(863
)
Net earnings
$
655
 
$
6,757
 
$
5,703
   
$
22,955
 
$
18,705
 
                                 
Diluted EPS attributable to RehabCare:
                               
Earnings from continuing operations
$
0.03
 
$
0.37
 
$
0.34
   
$
1.26
 
$
1.10
 
Gain (loss) from discontinued operations
 
   
   
(0.02
)
   
(0.04
)
 
(0.05
)
Net earnings
$
0.03
 
$
0.37
 
$
0.32
   
$
1.22
 
$
1.05
 
                                 
Weighted average diluted shares
 
21,284
   
18,282
   
17,855
     
18,862
   
17,798
 
 
  - MORE -
 

 
REHABCARE REPORTS FOURTH QUARTER
AND FULL YEAR 2009 RESULTS                                                                                                                  Page 8

II. Condensed Consolidated Balance Sheets
(Amounts in thousands)
   
Unaudited
   
   
December 31,
 
December 31,
   
2009
 
2008
Assets
               
Cash and cash equivalents
 
$
24,690
   
$
27,373
 
Accounts receivable, net
   
199,447
     
139,197
 
Deferred tax assets
   
21,249
     
14,876
 
Other current assets
   
19,530
     
7,165
 
Total current assets
   
264,916
     
188,611
 
                 
Property and equipment, net
   
111,814
     
37,851
 
Goodwill
   
566,078
     
171,365
 
Intangible assets
   
135,406
     
28,944
 
Investment in unconsolidated affiliate
   
4,761
     
4,772
 
Other assets
   
27,005
     
6,863
 
   
$
1,109,980
   
$
438,406
 
Liabilities & Equity
               
Current portion of long-term debt
 
$
7,507
   
$
 
Payables & accruals
   
144,113
     
91,327
 
Total current liabilities
   
151,620
     
91,327
 
                 
Long-term debt, less current portion
   
447,760
     
57,000
 
Other non-current liabilities
   
50,980
     
12,279
 
Stockholders’ equity
   
437,338
     
267,772
 
Noncontrolling interests
   
22,282
     
10,028
 
   
$
1,109,980
   
$
438,406
 
 
III. Condensed Consolidated Statements of Cash Flows
(Unaudited; amounts in thousands)
 
Year Ended
 
December 31,
 
2009
 
2008
               
Net cash provided by operating activities
$
48,090
   
$
48,658
 
Net cash used in investing activities
 
(557,851
)
   
(20,086
)
Net cash provided by (used in) financing activities
 
507,078
     
(11,464
)
               
Net (decrease) increase in cash and cash equivalents
 
(2,683
)
   
17,108
 
Cash and cash equivalents at beginning of period
 
27,373
     
10,265
 
Cash and cash equivalents at end of period
$
24,690
   
$
27,373
 
               
               
Supplemental information:
             
Additions to property and equipment
$
(13,215
)
 
$
(18,502
)
 
  - MORE -
 

 
REHABCARE REPORTS FOURTH QUARTER
AND FULL YEAR 2009 RESULTS                                                                                                                  Page 9

IV. Operating Statistics (Unaudited; dollars in thousands)
 
                                 
   
Fourth
   
Third
   
Fourth
   
Year Ended
   
Quarter
   
Quarter
   
Quarter
   
December 31,
   
2009
   
2009
   
2008
     
2009
   
2008
 
Skilled Nursing Rehabilitation Services
                               
Operating revenues
$
125,965
 
$
123,350
 
$
118,055
   
$
496,250
 
$
457,229
 
Operating expenses
 
103,698
   
99,631
   
95,443
     
402,461
   
373,939
 
Selling, general and administrative
 
12,448
   
12,321
   
12,322
     
49,753
   
50,911
 
Depreciation and amortization
 
1,463
   
1,564
   
1,677
     
6,283
   
6,835
 
Operating earnings
$
8,356
 
$
9,834
 
$
8,613
   
$
37,753
 
$
25,544
 
Operating earnings margin
 
6.6
%
 
8.0
%
 
7.3
%
   
7.6
%
 
5.6
%
                                 
EBITDA
$
9,819
 
$
11,398
 
$
10,290
   
$
44,036
 
$
32,379
 
                                 
Average number of contract therapy locations
 
1,121
   
1,089
   
1,076
     
1,088
   
1,066
 
End of period number of contract therapy locations
 
1,118
   
1,098
   
1,068
     
1,118
   
1,068
 
                                 
Patient visits (in thousands)
 
2,023
   
2,011
   
1,931
     
8,056
   
7,618
 
                                 
Hospital Rehabilitation Services
                               
Operating revenues
                               
Inpatient Rehabilitation Facility (IRF)
$
31,294
 
$
31,092
 
$
30,044
   
$
123,661
 
$
113,251
 
Subacute
 
1,981
   
1,834
   
2,327
   
 
7,202
 
 
9,559
 
Total Inpatient
$
33,275
 
$
32,926
 
$
32,371
   
$
130,863
 
$
122,810
 
Outpatient
 
11,691
   
12,113
   
11,291
     
47,305
   
42,848
 
Total HRS
$
44,966
 
$
45,039
 
$
43,662
   
$
178,168
 
$
165,658
 
Operating expenses
 
31,666
   
31,451
   
31,494
     
124,758
   
118,291
 
Selling, general and administrative
 
5,373
   
4,831
   
5,716
     
21,500
   
22,729
 
Depreciation and amortization
 
592
   
561
   
633
     
2,423
   
2,641
 
Operating earnings
$
7,335
 
$
8,196
 
$
5,819
   
$
29,487
 
$
21,997
 
Operating earnings margin
 
16.3
%
 
18.2
%
 
13.3
%
   
16.6
%
 
13.3
%
                                 
EBITDA
$
7,927
 
$
8,757
 
$
6,452
   
$
31,910
 
$
24,638
 
                                 
Average number of programs
                               
IRF
 
110
   
111
   
112
     
112
   
109
 
Subacute
 
9
   
9
   
12
     
9
   
13
 
Total Inpatient
 
119
   
120
   
124
     
121
   
122
 
Outpatient
 
34
   
36
   
34
     
35
   
33
 
Total HRS
 
153
   
156
   
158
     
156
   
155
 
                                 
End of period number of programs
                               
IRF
 
106
   
110
   
113
     
106
   
113
 
Subacute
 
9
   
9
   
9
     
9
   
9
 
Total Inpatient
 
115
   
119
   
122
     
115
   
122
 
Outpatient
 
30
   
35
   
35
     
30
   
35
 
Total HRS
 
145
   
154
   
157
     
145
   
157
 
                                 
IRF discharges
 
10,907
   
10,858
   
11,152
     
44,123
   
42,306
 
Outpatient visits (in thousands)
 
305
   
320
   
263
     
1,264
   
983
 
 
  - MORE -
 

 
REHABCARE REPORTS FOURTH QUARTER
AND FULL YEAR 2009 RESULTS                                                                                                                  Page 10

IV. Operating Statistics Continued (Unaudited; dollars in thousands)
 
                                 
   
Fourth
   
Third
   
Fourth
   
Year Ended
   
Quarter
   
Quarter
   
Quarter
   
December 31,
   
2009
   
2009
   
2008
     
2009
   
2008
 
Hospitals
                               
Operating revenues
$
83,761
 
$
39,651
 
$
30,342
   
$
195,009
 
$
112,525
 
Operating expenses
 
74,198
   
38,938
   
28,617
     
177,175
   
105,649
 
Selling, general and administrative
 
15,317
   
6,661
   
5,098
     
32,553
   
15,685
 
Depreciation and amortization
 
3,065
   
1,602
   
1,400
     
7,793
   
5,094
 
Operating earnings (loss)
$
(8,819
)
$
(7,550
)
$
(4,773
)
 
$
(22,512
)
$
(13,903
)
Operating earnings margin
 
-10.5
%
 
-19.0
%
 
-15.7
%
   
-11.5
%
 
-12.4
%
                                 
EBITDA
$
(5,754
)
$
(5,948
)
$
(3,373
)
 
$
(14,719
)
$
(8,809
)
                                 
RehabCare LTACHs
                               
Number of hospitals – end of period
 
7
   
7
   
5
     
7
   
5
 
Available licensed beds – end of period
 
353
   
353
   
243
     
353
   
243
 
Admissions
 
752
   
775
   
442
     
2,564
   
1,723
 
Patient days
 
20,244
   
18,368
   
12,310
     
67,042
   
45,366
 
Average length of stay (Medicare days only)
 
27
   
24
   
28
     
26
   
26
 
Net inpatient revenue per patient day
$
1,238
 
$
1,157
 
$
1,138
   
$
1,205
 
$
1,097
 
Occupancy rate
 
62
%
 
60
%
 
55
%
   
63
%
 
56
%
Percent patient days - Medicare
 
72
%
 
66
%
 
74
%
   
72
%
 
77
%
                                 
Triumph LTACHs (for period 11/24/09 – 12/31/09)
                               
Number of hospitals – end of period
 
21
   
   
     
21
   
 
Available licensed beds – end of period
 
1,240
   
   
     
1,240
   
 
Admissions
 
1,007
   
   
     
1,007
   
 
Patient days
 
27,221
   
   
     
27,221
   
 
Average length of stay (Medicare days only)
 
27
   
   
     
27
   
 
Net inpatient revenue per patient day
$
1,435
   
   
   
$
1,435
   
 
Occupancy rate
 
59
%
 
   
     
59
%
 
 
Percent patient days - Medicare
 
72
%
 
   
     
72
%
 
 
                                 
Combined LTACHs
                               
Number of hospitals – end of period
 
28
   
7
   
5
     
28
   
5
 
Available licensed beds – end of period
 
1,593
   
353
   
243
     
1,593
   
243
 
Admissions
 
1,759
   
775
   
442
     
3,571
   
1,723
 
Patient days
 
47,465
   
18,368
   
12,310
     
94,263
   
45,366
 
Average length of stay (Medicare days only)
 
27
   
24
   
28
     
26
   
26
 
Net inpatient revenue per patient day
$
1,351
 
$
1,157
 
$
1,138
   
$
1,272
 
$
1,097
 
Occupancy rate
 
61
%
 
60
%
 
55
%
   
62
%
 
56
%
Percent patient days - Medicare
 
72
%
 
66
%
 
74
%
   
72
%
 
77
%
                                 
IRFs
                               
Number of hospitals – end of period
 
6
   
6
   
6
     
6
   
6
 
Available licensed beds – end of period
 
243
   
243
   
243
     
243
   
243
 
Admissions
 
1,207
   
1,179
   
1,075
     
4,834
   
4,239
 
Patient days
 
15,923
   
15,202
   
14,036
     
61,719
   
52,770
 
Average length of stay (Medicare days only)
 
13
   
13
   
12
     
12
   
12
 
Net inpatient revenue per patient day
$
1,050
 
$
1,020
 
$
981
   
$
1,025
 
$
990
 
Occupancy rate
 
71
%
 
68
%
 
66
%
   
70
%
 
68
%
Percent patient days - Medicare
 
67
%
 
67
%
 
65
%
   
66
%
 
67
%

  - MORE -
 

 
REHABCARE REPORTS FOURTH QUARTER
AND FULL YEAR 2009 RESULTS                                                                                                                  Page 11

                                 
V. Operating Earnings and EBITDA Reconciliation
                                 
   
Fourth
   
Third
   
Fourth
   
Year Ended
   
Quarter
   
Quarter
   
Quarter
   
December 31,
   
2009
   
2009
   
2008
     
2009
   
2008
 
                                 
SRS operating earnings
$
8,356
 
$
9,834
 
$
8,613
   
$
37,753
 
$
25,544
 
HRS operating earnings
 
7,335
   
8,196
   
5,819
     
29,487
   
21,997
 
Hospital operating earnings (loss)
 
(8,819
)
 
(7,550
)
 
(4,773
)
   
(22,512
)
 
(13,903
)
Unallocated items
 
   
   
(148
)
   
(254
)
 
(731
)
Consolidated operating earnings
 
6,872
   
10,480
   
9,511
     
44,474
   
32,907
 
Depreciation and amortization
 
5,120
   
3,727
   
3,710
     
16,499
   
14,570
 
Consolidated EBITDA
$
11,992
 
$
14,207
 
$
13,221
   
$
60,973
 
$
47,477
 

VI. Charges Included in Statement of Earnings
(Amounts in thousands, except per share data)
 
 
Fourth Quarter 2009
 
Fourth Quarter 2008
 
 
Pre-Tax
Impact
 
After-Tax
Impact
 
Diluted
EPS
 
Pre-Tax Impact
 
After-Tax
Impact
 
Diluted
EPS
 
Transaction expenses1
 
$
7,070
 
$
4,313
 
$
0.20
 
$
 
$
 
$
Tax impact of non-deductible transaction expenses2
   
   
1,502
   
0.07
   
   
   
Severance expenses3
   
862
   
526
   
0.03
   
   
   
Long-term incentive plan expense resulting from the transaction2
   
1,443
   
880
   
0.04
   
   
   
Bad debt write-down related to an outpatient transaction
   
   
   
   
1,235
   
753
   
0.04
Cancellation of planned acquisition in Rhode Island and an LTACH development project in Kokomo, IN
   
   
   
   
1,483
   
905
   
0.05
   
$
9,375
 
$
7,221
 
$
0.34
 
$
2,718
 
$
1,658
 
$
0.09
                                     
Breakdown by division
                                   
Skilled Nursing Rehabilitation Services
 
$
648
             
$
           
Hospital Rehabilitation Services
   
322
               
1,235
           
Hospitals
   
8,405
               
1,483
           
   
$
9,375
             
$
2,718
           
                                     
1$6,781 pretax related to the Triumph merger
                                   
2Transaction expenses directly related to the Triumph merger
                                   
3Severance expenses were primarily incurred in an effort to reduce corporate overhead and eliminate redundancies created by the Triumph merger
                                   

-END-