-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, T8Vd+Ht9ZhqqVFqNWk52WFbfG+F0Ldk3CpuaohcKEfy0iNy/muFY0b5X9dY3Hppk c22zE5/jatTdAHx7RwLqxw== 0000950144-00-003837.txt : 20000329 0000950144-00-003837.hdr.sgml : 20000329 ACCESSION NUMBER: 0000950144-00-003837 CONFORMED SUBMISSION TYPE: 10-K405 PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 19991231 FILED AS OF DATE: 20000328 FILER: COMPANY DATA: COMPANY CONFORMED NAME: LINCARE HOLDINGS INC CENTRAL INDEX KEY: 0000882235 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOME HEALTH CARE SERVICES [8082] IRS NUMBER: 510331330 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-K405 SEC ACT: SEC FILE NUMBER: 000-19946 FILM NUMBER: 580720 BUSINESS ADDRESS: STREET 1: 19337 US 19 N STE 500 CITY: CLEARWATER STATE: FL ZIP: 34624 BUSINESS PHONE: 8135307700 MAIL ADDRESS: STREET 1: 19337 US 19 NORTH STE 500 CITY: CLEARWATER STATE: FL ZIP: 34624 10-K405 1 LINCARE HOLDINGS, INC. 1 - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 10-K (MARK ONE) [X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED DECEMBER 31, 1999 OR [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 (NO FEE REQUIRED) COMMISSION FILE NUMBER 0-19946 LINCARE HOLDINGS INC. (Exact name of registrant as specified in its charter) DELAWARE 51-0331330 (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification Number) 19337 US 19 NORTH, SUITE 500 33764 CLEARWATER, FLORIDA (Zip Code) (Address of principal executive office) Registrant's telephone number, including area code: (727) 530-7700 SECURITIES REGISTERED PURSUANT TO SECTION 12(b) OF THE ACT: None SECURITIES REGISTERED PURSUANT TO SECTION 12(g) OF THE ACT: Common Stock, $.01 par value per share Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. [X] Yes [ ] No Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. [X] The aggregate market value of the registrant's common stock, $.01 par value, held by non-affiliates of the registrant, based on the closing sale price of the common stock on March 3, 2000, as reported in the NASDAQ National Market System, was approximately $1,245,207,125. As of March 3, 2000, there were 53,271,202 outstanding shares of the registrant's common stock, par value $.01, which is the only class of capital stock of the registrant outstanding. DOCUMENTS INCORPORATED BY REFERENCE The information called for by Part III of this Form 10-K is incorporated by reference to the definitive Proxy Statement for the 2000 Annual Meeting of Stockholders of Lincare Holdings Inc. which will be filed with the Securities and Exchange Commission not later than 120 days after December 31, 1999. - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- 2 PART I ITEM 1. BUSINESS GENERAL Lincare Holdings Inc. and subsidiaries ("Lincare" or the "Company") is one of the nation's largest providers of oxygen and other respiratory therapy services to patients in the home. The Company's customers typically suffer from chronic obstructive pulmonary disease ("COPD"), such as emphysema, chronic bronchitis or asthma, and require supplemental oxygen or other respiratory therapy services in order to alleviate the symptoms and discomfort of respiratory dysfunction. Lincare currently serves over 225,000 customers in 42 states through 429 operating centers. THE HOME RESPIRATORY MARKET The Company estimates that the home respiratory therapy market (including home oxygen equipment and respiratory therapy services) represents approximately $4.0 billion in annual sales, with growth in services estimated at approximately 7% per year over the last five years. This growth reflects the significant increase in the number of persons afflicted with COPD, which is largely attributable to the increasing proportion of the population over the age of 65 years. Growth in the home respiratory market is further driven by the continued trend towards treatment of patients in the home as a lower cost alternative to the acute care setting. BUSINESS STRATEGY The Company's strategy is to increase its market share through internal growth and acquisitions. Lincare focuses primarily on growth within its existing geographic markets, which the Company believes is generally more profitable than adding additional operating centers in new markets. In addition, the Company expands into new geographic markets on a selective basis, either through acquisitions or by opening new operating centers, when it believes such expansion will enhance its business. In 1999, Lincare acquired 22 local and regional competitors with combined annual revenues of approximately $61.0 million. These acquisitions expanded the Company's presence in states where the Company had existing locations. Revenue growth will be dependent upon the overall growth rate of the home respiratory care market, as well as on opportunities to increase market share through effective marketing efforts and selective acquisitions of local or regional competitors. The Company believes that the growing cost containment efforts of government and private insurance reimbursement programs have created an increasingly competitive environment, accelerating consolidation trends within the home health care industry. The Company will continue to concentrate on providing oxygen and other respiratory therapy services to patients in the home and to provide home medical equipment and other services where it believes such services will enhance the Company's primary business. In 1999, oxygen and other respiratory therapy services accounted for approximately 90% of the Company's revenues. PRODUCTS AND SERVICES OF LINCARE Lincare primarily provides oxygen and other respiratory therapy services to patients in the home. Lincare also provides a variety of infusion therapies in certain geographic markets. When a patient is referred to one of the Company's operating centers by a physician, hospital discharge planner or other source, the Company's customer representative obtains the necessary medical and insurance coverage information and coordinates the delivery of patient care. The prescribed therapy is administered by one of the Company's representatives in the customer's home, where instructions and training are given to the customer and the customer's family regarding appropriate equipment use and maintenance and the therapy to be administered. Following the initial setup, Company representatives make periodic visits to the customer's home, the frequency of which is dictated by the type of therapy. The Company's services are coordinated with the customer's physician. During the period that the Company performs services for a customer, the customer remains under the physician's care and medical supervision. The Company employs respiratory therapists and nurses to perform 1 3 certain training and other functions in connection with the Company's services. The respiratory therapists and nurses are licensed where required by applicable law. HOME OXYGEN EQUIPMENT. The major types of oxygen delivery equipment are liquid oxygen systems and oxygen concentrators. Each method of delivery has different characteristics that make it more or less suitable to specific patient applications. Oxygen concentrators are stationary units that provide a continuous flow of oxygen by filtering ordinary room air. Concentrators are most commonly used by patients as their primary source of stationary oxygen. These systems are often supplemented with portable gaseous oxygen cylinders, to meet the ambulatory needs of the patient. Liquid oxygen systems are thermally insulated containers of liquid oxygen, consisting of a stationary unit and a portable unit, which are most commonly used by patients with significant ambulatory requirements. OTHER RESPIRATORY THERAPY SERVICES. Other respiratory therapy services offered by the Company include the following: Nebulizers and associated respiratory medications provide aerosol therapy for patients suffering from COPD and asthma; Non-invasive ventilation provides nocturnal ventilatory support for neuromuscular and COPD patients. This therapy improves daytime function and decreases incidents of acute illness; Apnea monitors provide respiratory alarm systems for infants at risk for sudden infant death syndrome; Ventilators support respiratory function in severe cases of respiratory failure where the patient can no longer sustain the mechanics of breathing without the assistance of a machine; and Continuous positive airway pressure devices maintain open airways in patients suffering from obstructive sleep apnea by providing airflow at prescribed pressures during sleep; INFUSION THERAPY. Lincare provides a variety of infusion therapies including the following: Parenteral nutrition involves the intravenous feeding of life-sustaining nutrients to patients with impaired or altered digestive tracts or conditions that prohibit adequate oral nutritional support; Intravenous antibiotic therapy is the infusion of anti-infective medications into the patient's bloodstream for the treatment of a variety of infectious diseases; Enteral nutrition is administered to patients who cannot eat as a result of an obstruction to the upper gastrointestinal tract or other medical condition; Chemotherapy is the administration of cytotoxic drugs to patients suffering from various types of cancer; Dobutamine infusions are provided to patients to treat chronic end-stage congestive heart failure that has not responded to standard drug therapy. These patients require a long-term venous access device and frequent blood chemistry monitoring; Immune globulin (IVIG) therapy is utilized for a variety of immune disorders such as B-cell and T-cell immune deficiency, acute infections, post transplant immunodeficiency and burns; Continuous pain management is the administration of analgesic drugs to patients suffering from acute or chronic pain; and Central catheter management provides monitoring and supplies to patients requiring access via a peripherally inserted line into the superior vena cava. 2 4 Lincare also supplies home medical equipment, such as hospital beds, wheelchairs and other supplies that may be required by patients. COMPANY OPERATIONS Management. The Company is managed at the executive level as a portfolio of local businesses. Decentralization of managerial decision-making enables the Company's operating centers to respond promptly and effectively to local market demands and opportunities. The Company believes that the personalized nature of customer requirements and referral relationships characteristic of the home health care business mandate the Company's localized operating structure. Each of the Company's 429 operating centers is managed by a center manager who has responsibility and accountability for the operating and financial performance of the center. Service and marketing functions are performed at the local operating level, while strategic development, financial control and operating policies are administered at the executive level. Reporting mechanisms are in place at the operating center level to monitor performance and ensure field accountability. A team of area managers directly supervises individual operating center managers, serving as an additional mechanism for assessing and improving performance of the Company's operations. The Company's operating centers are served by 22 billing centers which control all of the Company's billing and reimbursement functions. MIS Systems. The Company believes that the proprietary management information systems developed by the Company are one of its key competitive advantages. These systems provide management with a critical asset in measuring and evaluating performance levels throughout the Company. Management reviews monthly reports containing information critical to the evaluation process, including revenues and profitability by individual center, accounts receivable and cash collection management, equipment controls and utilization, customer activity, and manpower trends. The Company has a staff of 23 full-time computer programmers which permits the Company to continually enhance its computer systems in order to provide timely financial and operational information and to respond promptly to changes in reimbursement regulations and policies. Accounts Receivable Management. The Company derives a majority of its revenues from reimbursement by third party payors. The Company accepts assignment of insurance benefits from customers and, in most instances, invoices and collects payments directly from Medicare, Medicaid and private insurance carriers, as well as directly from customers under co-insurance provisions. The following table sets forth, for the periods indicated, the Company's payor mix.
YEAR ENDED DECEMBER 31, ------------------------- 1999 1998 1997 PAYORS ----- ----- ----- Medicare and Medicaid programs.............................. 62% 62% 63% Private insurance........................................... 29 29 25 Direct payment.............................................. 9 9 12 --- --- --- 100% 100% 100% === === ===
Reimbursement is a complicated process which involves submission of claims to multiple payors, each having its own claims requirements. To operate effectively in this environment, the Company has designed and implemented proprietary computer systems to decrease the time required for the submission and processing of third party payor claims. The Company's systems are capable of tailoring the submission of claims to the specifications of the individual payors. The Company's in-house MIS capability also enables it to adjust quickly to any regulatory or reimbursement changes. These features serve to decrease the processing time of claims by payors, resulting in a more rapid turnover of accounts receivable. In addition, the Company is capable of submitting claims electronically to any Medicare carrier or other third party payor that can receive electronic claims submissions. 3 5 SALES AND MARKETING Favorable trends affecting the U.S. population and home health care have created an environment which should produce increasing demand for the services provided by Lincare. The average age of the American population is increasing and, as a person ages, more health care services are generally required. Further, well-documented changes occurring in the health care industry show a trend toward home care rather than institutional care as a matter of patient preference and cost containment. Sales activities are generally carried out by the Company's full-time sales representatives located at the Company's operating centers with assistance from the center managers. In addition to promoting the high quality of the Company's services, the sales representatives are trained to provide information concerning the advantages of home respiratory care. Sales representatives are often licensed respiratory therapists who are highly knowledgeable in the provision of supplemental oxygen and other respiratory therapies. The Company primarily acquires new customers through referrals. The Company's principal sources of referrals are physicians, hospital discharge planners, prepaid health plans, clinical case managers and nursing agencies. The Company's sales representatives maintain continual contact with these medical professionals in order to strengthen these relationships. The Company's current base of referral sources recognizes the Company's reputation for providing high-quality service to patients and provides a steady flow of customers. While the Company views its referral sources as fundamental to its business, no single referral source accounts for more than 1.0% of the Company's revenues. The Company has more than 225,000 active customers, and the loss of any single customer or group of customers would not materially impact the Company's business. Joint Commission on Accreditation of Healthcare Organizations, ("JCAHO"). The Company has received accreditation from the JCAHO, a private not-for-profit organization that has established voluntary standards for the provision of home health care services, for all of its operating centers. Accreditation by the JCAHO represents a marketing benefit to the Company's operating centers and provides for a recognized quality assurance program throughout the Company. Several proposals have been made to require health care providers to be accredited or licensed by independent agencies in order to participate in government reimbursement programs. Many private payors already require such accreditation. ACQUISITIONS In 1999, the Company acquired, in unrelated acquisitions, certain operating assets of 18 local and regional competitors and the common stock of 4 other local and regional competitors. The operations acquired in 1999 had aggregate annualized revenues of approximately $61.0 million at the time of acquisition. These acquisitions resulted in the addition of 21 new operating centers. In 1998, the Company acquired, in unrelated acquisitions, certain operating assets of 12 local and regional competitors and the common stock of 12 companies. The operations acquired in 1998 had aggregate annualized revenues of approximately $58.0 million at the time of acquisition. These acquisitions resulted in the addition of 31 new operating centers. QUALITY CONTROL The Company is committed to providing consistently high quality products and services. The Company's quality control procedures and training programs are designed to promote greater responsiveness and sensitivity to individual customer needs and to provide the highest level of quality assurance and convenience to the customer and the referring physician. Licensed respiratory therapists and registered nurses provide professional health care support and assist in the Company's sales and marketing efforts. 4 6 SUPPLIERS The Company purchases its oxygen and equipment from a variety of suppliers. The Company is not dependent upon any single supplier and believes that its oxygen and equipment needs can be provided by several manufacturers. COMPETITION The home respiratory care market is a fragmented and highly competitive industry that is served by the Company, other national providers and, by Company estimates, over 2,000 regional and local providers. Quality of service is the single most important competitive factor within the home respiratory care market. The relationships between a home respiratory care company and its customers and referral sources are highly personal. There is no incentive for either the physician or the patient to alter this relationship so long as the home respiratory care company is providing responsive, professional and high-quality service. Other key competitive factors are strength of local ties to the referral community and efficiency of reimbursement and accounts receivable management systems. Home respiratory care companies compete based on service since reimbursement levels are established by the fee schedules promulgated by Medicare, Medicaid or by the individual determinations of private insurance companies. Furthermore, marketing efforts by home respiratory care companies are directed toward referral sources which generally do not share financial responsibility for the payment of services provided to customers. MEDICARE REIMBURSEMENT As a supplier of home oxygen and other respiratory therapy services for the home health care market, the Company participates in Medicare Part B, the Supplementary Medical Insurance Program, which was established by the Social Security Act of 1965. Suppliers of home oxygen and other respiratory therapy services have historically been heavily dependent on Medicare reimbursement due to the high proportion of elderly suffering from respiratory disease. On November 29, 1999, the Balanced Budget Refinement Act of 1999 ("BBA Refinement Act") was signed into law. This legislation was designed to mitigate the effects of the Balanced Budget Act of 1997 ("BBA") on health care providers. The BBA Refinement Act restores approximately $1.2 billion in funding in 2000 and $16 billion over five years, and affects a wide range of health care providers. With respect to the services provided by the Company, the BBA Refinement Act provides for temporary increases in Medicare payment rates for durable medical equipment (including oxygen equipment) of 0.3% in 2001 and 0.6% in 2002. Furthermore, the BBA Refinement Act temporarily prohibits the Department of Health and Human Services from exercising its inherent reasonableness authority to reduce payments for non-physician Part B services, including durable medical equipment, and excludes durable medical equipment from the home health consolidated billing requirements established in the BBA. On August 5, 1997, the Balanced Budget Act of 1997 ("BBA") was signed into law. The legislation, among other things, was intended to reduce Medicare expenditures by $115 billion over five years. The BBA reduced Medicare reimbursement amounts for oxygen and oxygen equipment furnished after January 1, 1998, to 75 percent of the fee schedule amounts in effect during 1997. Reimbursement amounts for oxygen and oxygen equipment furnished after January 1, 1999, and each subsequent year thereafter, were reduced to 70 percent of the fee schedule amounts in effect during 1997. The BBA also reduced payment amounts for covered drugs and biologicals furnished after January 1, 1998 to 95 percent of the average wholesale price of such covered items. The BBA authorizes the Department of Health and Human Services to conduct up to five competitive bidding demonstration projects for the acquisition of durable medical equipment and requires that one such project be established for oxygen and oxygen equipment. Each demonstration project is to be operated over a three-year period and is to be conducted in not more than three competitive acquisition areas. The first demonstration project became effective in Polk County, Florida on October 1, 1999. The BBA also includes provisions designated to reduce health care fraud and abuse including a surety bond requirement, which has not yet been implemented, for durable medical equipment providers. 5 7 Federal and state budgetary and other cost-containment pressures will continue to impact the home respiratory care industry. The Company cannot predict whether new federal and state budgetary proposals will be adopted or the effect, if any, such proposals would have on the Company's business. GOVERNMENT REGULATION The federal government and all states in which the Company currently operates regulate various aspects of its business. In particular, the Company's operating centers are subject to federal laws covering the repackaging of drugs (including oxygen) and regulating interstate motor-carrier transportation. The Company's locations also are subject to state laws governing, among other things, pharmacies, nursing services, distribution of medical equipment and certain types of home health activities. Certain of the Company's employees are subject to state laws and regulations governing the ethics and professional practice of respiratory therapy, pharmacy and nursing. As a supplier of services under the Medicare and Medicaid programs, the Company is subject to the Medicare and Medicaid fraud and abuse laws. These laws, among other things, prohibit any payment, kickback or rebate in return for the referral of patients receiving benefits from Medicare, Medicaid or other federally funded health care programs. Violations of these provisions may result in civil and criminal penalties and exclusion from participation in such programs. Health care is an area of rapid regulatory change. Changes in the law and new interpretations of existing laws may affect permissible activities, the relative costs associated with doing business, and reimbursement amounts paid by federal, state and other third party payors. The Company cannot predict the future of federal, state and local regulation or legislation, including Medicare and Medicaid statutes and regulations, or possible changes in national health care policies. Future legislative and regulatory changes could have an adverse impact on the Company. INSURANCE The Company currently has in force general liability and product liability insurance, each with a coverage limit of $10.0 million. In addition, the Company has professional liability insurance with a coverage limit of $1.0 million per occurrence and $3.0 million in the aggregate. The Company's product liability insurance provides coverage on a claims-made basis, while its general and professional liability insurance are on an occurrence basis. All policies are subject to annual renewal and the Company anticipates adequate amounts of insurance coverage to be available at such renewal dates. EMPLOYEES As of February 29, 2000, the Company had approximately 4,700 employees. None of the Company's employees are covered by collective bargaining agreements. The Company believes that the relations between the Company's management and its employees are good. ENVIRONMENTAL MATTERS Management believes that the Company is currently in compliance, in all material respects, with applicable federal, state and local statutes and ordinances regulating the discharge of hazardous materials into the environment. Management does not believe it will be required to expend any material amounts in order to remain in compliance with these laws and regulations or that such compliance will materially affect its capital expenditures, earnings or competitive position. ITEM 2. PROPERTIES All but one of the Company's 429 operating center locations are leased from unrelated third parties. Each operating center is a combination warehouse and office, with warehouse space generally comprising approximately 50% of the facility. Warehouse space is used for storage of adequate supplies of equipment necessary to conduct the Company's business. The Company also currently leases its headquarters facility and 22 separate billing centers from unrelated third parties. 6 8 ITEM 3. LEGAL PROCEEDINGS As a health care provider, the Company is subject to extensive government regulation, including numerous laws directed at preventing fraud and abuse and laws regulating reimbursement under various government programs. To ensure compliance with Medicare and other regulations, government agencies and regional carriers often open investigations and request patient records and other documents to support claims submitted by the Company for payment of services rendered to its patients. The marketing, billing, documentation and other practices of health care companies are also the subject of government scrutiny, from time to time. In actions known as qui tam suits, private litigants may also make claims against the Company for violations of health care laws and the government may intervene in, and take control of such actions. Violations of federal and state regulations can result in severe criminal, civil and administrative penalties and sanctions, including disqualification from Medicare and other reimbursement programs. In this regard, the Company has received inquiries from various government agencies requesting patient records and other documents. The Company is cooperating with the government's requests for information. The government has not served the Company with any complaints nor has it disclosed the basis for its inquiries. The Company is also a defendant in a qui tam proceeding pending in the U.S. District Court in the Northern District of Georgia. The government has declined to intervene in this action. The Company intends to vigorously defend this suit. The duration or outcome of these matters cannot be predicted with any degree of certainty. The Company is also involved in certain other claims and legal actions arising in the ordinary course of its business. The ultimate disposition of all such matters is not expected to have a material adverse impact on the Company's financial position, results of operations or liquidity. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS No matters were submitted to a vote of the Company's stockholders during the fourth quarter of 1999. PART II ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS The Company's Common Stock is traded on the NASDAQ National Market System under the symbol LNCR. The following table sets forth the high and low closing sale prices as reported by NASDAQ for the periods indicated.
HIGH LOW ------ ------ 1999 First quarter............................................... $39.94 $19.38 Second quarter.............................................. 31.44 23.25 Third quarter............................................... 32.94 23.50 Fourth quarter.............................................. 34.69 24.44 1998 First quarter............................................... $35.41 $26.88 Second quarter.............................................. 44.00 35.25 Third quarter............................................... 44.38 32.50 Fourth quarter.............................................. 41.13 31.63
There were approximately 219 holders of record of the common stock as of February 29, 2000. The Company has not paid any cash dividends on its capital stock and does not anticipate paying cash dividends in the foreseeable future. It is the present intention of the Company's Board of Directors to retain all earnings in the Company in order to support the future growth of the Company's business. 7 9 ITEM 6. SELECTED FINANCIAL DATA The selected consolidated financial data presented below under the caption "Statements of Operations Data" for the years ended December 31, 1999, 1998, 1997, 1996 and 1995, are derived from the consolidated financial statements of the Company audited by KPMG LLP, independent certified public accountants. The data set forth below is qualified by reference to, and should be read in conjunction with, the consolidated financial statements, accompanying notes and Management's Discussion and Analysis of Financial Condition and Results of Operations included in this report.
YEAR ENDED DECEMBER 31, ---------------------------------------------------- 1999 1998 1997 1996 1995 -------- -------- -------- -------- -------- (IN THOUSANDS, EXCEPT PER SHARE DATA) STATEMENTS OF OPERATIONS DATA: Net revenues................................ $581,786 $487,407 $443,181 $348,870 $274,800 Cost of goods and services.................. 89,592 76,367 65,932 53,711 41,329 Operating expenses.......................... 131,240 111,222 93,830 75,158 60,272 Selling, general and administrative expenses.................................. 128,345 107,691 90,225 71,259 57,275 Bad debt expense............................ 6,981 5,849 4,432 3,472 2,190 Depreciation expense........................ 41,178 34,430 27,603 20,790 16,511 Amortization expense........................ 15,954 12,745 14,229 13,128 11,099 Non-recurring expense(1).................... -- -- 15,557 3,932 1,921 -------- -------- -------- -------- -------- Operating income............................ 168,496 139,103 131,373 107,420 84,203 Interest income............................. 468 447 202 153 294 Interest expense............................ 5,940 1,177 1,161 497 892 Gain (loss) on disposal of property and equipment................................. (277) (113) (93) (80) 68 -------- -------- -------- -------- -------- Income before income taxes.................. 162,747 138,260 130,321 106,996 83,673 Income tax expense.......................... 62,007 52,954 50,173 40,422 32,634 -------- -------- -------- -------- -------- Net income.................................. $100,740 $ 85,306 $ 80,148 $ 66,574 $ 51,039 ======== ======== ======== ======== ======== Income per common share: Basic..................................... $ 1.77 $ 1.47 $ 1.41 $ 1.19 $ .93 ======== ======== ======== ======== ======== Diluted................................... $ 1.74 $ 1.44 $ 1.37 $ 1.15 $ .90 ======== ======== ======== ======== ======== Weighted average number of common shares outstanding............................... 56,942 57,992 56,837 55,999 55,021 ======== ======== ======== ======== ======== Weighted average number of common shares and common share equivalents outstanding...... 57,989 59,435 58,655 57,726 56,744 ======== ======== ======== ======== ========
- --------------- (1) In 1997, the Company recorded a non-recurring expense of $15,557,000, of which $11,849,000 was related to the write down of impaired capital equipment and $3,708,000 was related to the write down of impaired intangible assets (see Note 11 to the consolidated financial statements). In 1996, the Company recorded a non-recurring expense of $3,932,000, of which $2,682,000 was related to the restructuring of certain senior management employment agreements and $1,250,000 was related to the resolution of an investigation and associated legal expenses. In 1995, the Company recorded a non-recurring expense of $1,921,000 related to the abandoned merger between the Company and Coram Healthcare Corporation. Such non-recurring expense was comprised of (a) $1,448,000 of professional fees, (b) $199,000 of printing and mailing expenses, (c) $153,000 of filing fees, and (d) $121,000 of other direct costs. 8 10
AT DECEMBER 31, ---------------------------------------------------- 1999 1998 1997 1996 1995 -------- -------- -------- -------- -------- (IN THOUSANDS) BALANCE SHEET DATA: Working capital............................. $ 70,179 $ 49,078 $ 42,106 $ 23,633 $ 16,510 Total assets................................ 716,824 582,639 440,388 347,408 260,206 Long-term obligations, excluding current installments.............................. 159,000 22,258 4,602 8,234 7,383 Stockholders' equity........................ 486,111 495,656 393,067 299,248 221,383
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS GENERAL The Company continues to pursue its strategy of increasing market share within its existing geographical markets through internal growth and selective acquisitions of local and regional competitors. In addition, the Company will continue to expand into new geographical markets on a selective basis, either through acquisitions or by opening new operating centers, when the Company believes it will enhance its business. The Company's focus remains primarily on oxygen and other respiratory therapy services, which represent approximately 90% of the Company's revenues. NET REVENUES The following table sets forth for the periods indicated a summary of the Company's net revenues by source:
YEAR ENDED DECEMBER 31, -------------------------------- 1999 1998 1997 -------- -------- -------- (IN THOUSANDS) Oxygen and other respiratory therapy............... $521,870 $433,594 $397,390 Home medical equipment and other................... 59,916 53,813 45,791 -------- -------- -------- Total.................................... $581,786 $487,407 $443,181 ======== ======== ========
Net revenues for the year ended December 31, 1999 increased by $94,379,000 (or 19.4%) over 1998. The Company's revenues were impacted in 1999 and 1998 by provisions contained in the Balanced Budget Act of 1997 (the "BBA") which reduced Medicare payment amounts for certain equipment and supplies provided by the Company. The BBA provisions resulted in a reduction of the Company's revenues by approximately $19,343,000 (or 3.9%) and $73,221,000 (or 16.5%) for the years ended December 31, 1999 and 1998, respectively. (See table below)
YEAR ENDED DECEMBER 31, -------------------------------- 1999 1998 1997 -------- -------- -------- (IN THOUSANDS) Revenues -- before reimbursement reductions........ $601,129 $560,628 $443,181 Effect of reimbursement reductions................. (19,343) (73,221) -- -------- -------- -------- Actual revenues.................................... $581,786 $487,407 $443,181 ======== ======== ========
Excluding the effect on the Company's 1999 revenues from the Medicare reimbursement reductions, internally generated growth increased revenues by approximately $57,813,000 (or 11.8%) for the year ended December 31, 1999. Growth due to acquisitions increased revenues by approximately $55,909,000 (or 11.5%) for the year ended December 31, 1999. In addition, revenues for the year ended December 31, 1999 were negatively impacted by changes in Medicare coverage guidelines for respiratory assist devices. The net effect of these changes was a $2,100,000 reduction in revenues from these devices in the fourth quarter of 1999. 9 11 The Company experienced a price increase in 1997 as a result of Medicare consumer price index updates for durable medical equipment of 2.8%. The company estimates that price increases from Medicare and other third party payors increased revenue by $6,800,000 in 1997. The Balanced Budget Act of 1997 was signed into law on August 5, 1997. The BBA was expected to reduce Medicare payment amounts for oxygen and oxygen equipment furnished after January 1, 1998, to 75 percent of the fee schedule amounts in effect during 1997. Payment amounts for oxygen and oxygen equipment furnished after January 1, 1999 were reduced to 70 percent of the fee schedule amounts in effect during 1997. The BBA also reduced payment amounts for covered drugs and biologicals furnished after January 1, 1998 to 95 percent of the average wholesale price of such covered items. On November 29, 1999, the Balanced Budget Refinement Act of 1999 ("BBA Refinement Act") was signed into law. With respect to the services provided by the Company, the BBA Refinement Act provides for temporary increases in Medicare payment rates for durable medical equipment (including oxygen equipment) of 0.3% in 2001 and 0.6% in 2002. The revenue reductions attributed to the BBA impacted the relationship of costs and expenses expressed as a percentage of net revenues for the years 1999 and 1998 as compared to prior years. (See table below)
EXPRESSED AS A PERCENTAGE OF NET REVENUES ---------------------------------------------------------------------------- FOR THE YEAR ENDED ---------------------------------------------------------------------------- RESULTS RESULTS EXCLUDING EXCLUDING IMPACT OF IMPACT OF ACTUAL BBA ACTUAL BBA ACTUAL RESULTS PRICE CUTS RESULTS PRICE CUTS RESULTS DECEMBER 31, DECEMBER 31, DECEMBER 31, DECEMBER 31, DECEMBER 31, 1999 1999 1998 1998 1997 -------------- ------------ ------------ ------------ -------------- Costs of goods and services... 15.4% 14.9% 15.7% 13.6% 14.9% Operating expenses............ 22.6% 21.8% 22.8% 19.8% 21.2% Selling, general and administrative expenses..... 22.1% 21.4% 22.1% 19.2% 20.4%
COST OF GOODS AND SERVICES Cost of goods and services as a percentage of net revenues was 15.4% for the year ended December 31, 1999 and was 15.7% and 14.9% for the years ended December 31, 1998 and 1997, respectively. Eliminating the effect of the BBA reimbursement reductions in 1999, cost of goods and services as a percentage of net revenues would have been 14.9%, a decrease of 80 basis points when compared with the actual results of the prior year period. Excluding the reimbursement reduction effect of the BBA in 1998, cost of goods sold and services as a percentage of net revenues would have been 13.6%, a decrease of 130 basis points when compared with the actual results of the prior year period. OPERATING AND OTHER EXPENSES Operating expenses, expressed as a percentage of net revenues, were 22.6% for the year ended December 31, 1999 and were 22.8% and 21.2% for the years ended December 31, 1998 and 1997, respectively. Adjusted to remove the effect of the BBA reimbursement reductions in 1999, operating expenses as a percentage of net revenues would have been 21.8%, a decrease of 100 basis points when compared with the actual results of the prior year period. Excluding the reimbursement reduction effect of the BBA in 1998, operating expenses as a percentage of net revenues would have been 19.8%, a decrease of 140 basis points over the prior year period. Selling, general and administrative expenses, expressed as a percentage of net revenues, for the years ended December 31, 1999, 1998, and 1997, were 22.1%, 22.1% and 20.4%, respectively. Expressed as a percentage of net revenues before the reimbursement reductions attributed to the BBA in 1999, selling, general and administrative expenses would have been 21.4%, a decrease of 70 basis points when compared with the actual results of the prior year period. Excluding the reimbursement reduction effect of the BBA in 1998, selling, general and administrative expenses as a percentage of net revenues would have been 19.2%, a decrease of 120 basis points over the prior year period. The Company has been able to maintain a cost 10 12 structure that, with increases in net revenues, allows the Company to spread its overhead across a larger base of revenue, resulting in improvements in operating income. Bad debt expense as a percentage of net revenues was 1.2% for the year ended December 31, 1999 and 1.2% and 1.0% for the years ended December 31, 1998 and 1997, respectively. The anticipated increase in bad debt expense is due to the continued growth in the pace of the Company's acquisition program. The integration of these acquired companies into the Company's regional billing and collections offices can adversely impact the accounts receivable written off as uncollectable. Depreciation expense as a percentage of net revenues was 7.1% for the year ended December 31, 1999 compared with 7.1% and 6.2% for the years ended December 31, 1998 and 1997, respectively. The increase in depreciation expense as a percentage of net revenues in 1999 and 1998 is attributable to the effects of the BBA reimbursement reductions on the Company's revenues in those years. AMORTIZATION EXPENSE The Company's net intangible assets were $423,384,000 as of December 31, 1999. Of this total, $8,577,000 (consisting of the value assigned to customer lists) is being amortized over a period of three years, $951,000 (consisting of various covenants not to compete) over a period of one to five years and $413,856,000 (consisting of goodwill) over a period of 40 years. During 1999, the Company amortized $15,954,000 of its intangible assets compared to $12,745,000 in 1998 and $14,229,000 in 1997. The increase in amortization expense in 1999 is attributed to the amortization of intangible assets associated with business combinations in 1999. OPERATING INCOME As shown in the table below, operating income before non-recurring expense for the year ended December 31, 1999 increased by $29,393,000 from 1998. The reduction in operating income before non-recurring expense as a percentage of net revenues in 1999 and 1998 is attributed to the BBA reimbursement reductions, which reduced net revenues and operating income by $19,343,000 and $73,221,000 each year, respectively, during the periods. In 1997, the Company recorded a non-recurring expense of $15,557,000, of which $11,849,000 was related to the write down of impaired oxygen rental equipment and $3,708,000 was related to an impairment write down of certain customer list intangible assets. The charges adjusted the carrying value of certain assets affected by provisions of the BBA. This legislation reduced Medicare reimbursement for home oxygen equipment and services by 30 percent over the two year period commencing January 1, 1998. The fair values of the oxygen rental equipment and customer lists were determined based on discounted cash flows taking into account the reduced reimbursement rates.
YEAR ENDED DECEMBER 31, -------------------------------- 1999 1998 1997 -------- -------- -------- (IN THOUSANDS) Operating income before non-recurring expense.............. $168,496 $139,103 $146,930 Percentage of net revenues................................. 29.0% 28.5% 33.2%
INTEREST EXPENSE Interest expense for the year ended December 31, 1999 was $5,940,000, compared to $1,177,000 and $1,161,000 for the years ended December 31, 1998 and 1997, respectively. The increase in interest expense in 1999 is primarily attributable to additional borrowings utilized for the Company's open market repurchase of $118,260,000 of its outstanding common stock. INCOME TAXES The Company's effective income tax rate was 38.1% for the year ended December 31, 1999, 38.3% for 1998 and 38.5% for 1997. 11 13 ACQUISITIONS In 1999, the Company acquired, in unrelated acquisitions, certain operating assets of 18 local and regional competitors and the common stock of 4 other companies. The operations acquired in 1999 had aggregate annualized revenues of approximately $61,000,000 at the time of acquisition. The cost of these acquisitions was $103,356,000 and was allocated to acquired assets as follows: $2,969,000 to current assets, $6,097,000 to property and equipment, $7,132,000 to intangible assets and $87,158,000 to goodwill. These acquisitions resulted in the addition of 21 new operating centers. In 1998, the Company acquired, in unrelated acquisitions, certain operating assets of 12 local and regional competitors and the common stock of 12 other companies. The operations acquired in 1998 had aggregate annualized revenues of approximately $58,000,000 at the time of acquisition. The cost of these acquisitions was $113,979,000 and was allocated to acquired assets as follows: $6,708,000 to current assets, $4,459,000 to property and equipment, $4,753,000 to intangible assets, and $98,059,000 to goodwill. These acquisitions resulted in the addition of 31 new operating centers. LIQUIDITY AND CAPITAL RESOURCES At December 31, 1999, the Company's working capital was $70,179,000, as compared to $49,078,000 at December 31, 1998, and $42,106,000 at December 31, 1997. Net cash provided by operating activities was $149,155,000 for the year ended December 31, 1999, compared with $145,442,000 for the year ended December 31, 1998, and $126,550,000 for the year ended December 31, 1997. A significant portion of the Company's assets consists of accounts receivables from third party payors that are responsible for payment for the services provided by the Company. The Company's net accounts receivable in terms of days sales outstanding was 62 days as of December 31, 1999 and 59 days as of December 31, 1998. The increase in DSO is attributable primarily to the integration of acquired companies and the continued volume growth in the Company's business. Because of the Company's ability to collect its accounts receivable on a timely basis, the Company has not been required to obtain interim financing of its accounts receivable to satisfy operating needs. Net cash used in investing and financing activities was $150,556,000, $144,420,000 and $124,013,000 for the years ended December 31, 1999, 1998 and 1997, respectively. Activity in the year ended December 31, 1999 included the Company's investment of $73,426,000 in business acquisitions, investment in capital equipment of $66,882,000, proceeds of $273,000,000 from its revolving credit loan and other long-term obligations, and payments of $170,879,000 related to long-term obligations. The Company anticipates that capital expenditures for 2000 will be approximately $70,000,000 to $80,000,000 which includes construction costs of a headquarters building on the land purchased in 1999. As of December 31, 1999, the Company's principal sources of liquidity consisted of $70,179,000 of working capital and $103,000,000 available under its bank credit facilities. During 1999, the Company increased its bank credit facility borrowing capacity from $100,000,000 to $265,000,000. The Company believes that internally generated funds, together with funds that may be borrowed under such credit facility, will be sufficient to meet the Company's anticipated capital requirements and financial obligations for the foreseeable future. On June 11, 1999, the Company's Board of Directors authorized the Company to repurchase up to $200,000,000 of its outstanding common stock. Purchases are made through open market or privately negotiated transactions, subject to market conditions and trading restrictions. As of December 31, 1999, $118,260,000 of common stock had been repurchased under this program. The total common stock held in treasury was $118,039,000 as of December 31, 1999. The Company's future liquidity will continue to be dependent upon its operating cash flow and management of accounts receivable. The Company does not expect any impact on liquidity due to pending litigation. 12 14 YEAR 2000 REMEDIATION Certain risks may exist with respect to potential malfunctions of computer hardware and software and embedded microprocessors due to the change in the century (the "Year 2000 problem"). Malfunctions may arise due to the design of microchips and microprocessors and computer systems that are programmed to use two rather than four digits to define the applicable year. The Company has completed an extensive program to identify and remediate issues arising from the Year 2000 problem. The Company uses a proprietary and internally developed management information system (MIS) which serves as the platform for the operating and financial activities of the Company. The MIS system processes billings to, and collections from, third party payors for services provided by the Company and supports all of the Company's accounting, finance and general ledger functions. The system provides management with information used to measure and evaluate performance levels throughout the Company, including revenues and profitability, accounts receivable and collections, equipment controls and utilization, customer activity and manpower trends. The Company completed, in all material respects, the conversion of its mission-critical MIS software thereby mitigating the risk of Year 2000 problems. To date, the Company has not experienced any material MIS issues as a result of the change in century. The costs associated with the conversion were immaterial and fully expensed in the current and prior fiscal years. The Company has assessed its use of ancillary, third party computer software used to electronically submit medical claims to certain payors. None of this software was materially impacted by the Year 2000 problem. As such, the Company has not been required to implement its contingency plan with respect to this software. Certain medical devices and equipment provided by the Company to its customers contain embedded technology such as microprocessors. The Company identified those categories of devices and equipment that were sensitive to the change in century. The devices and equipment were removed from service and replaced with therapeutically comparable, Year 2000 compliant equipment prior to the change in the century. The scope and cost of exchanging non-compliant devices and equipment did not have a material impact on the Company's financial position. The Company is highly dependent upon certain government and private payors for payment of claims for services and equipment provided by the Company. The Company has not experienced a significant interruption in payment of claims by its primary payor sources due to the Year 2000 problem. The Company continues to monitor claims payments by individual third party payors to determine whether any Year 2000 problems have developed. NEW ACCOUNTING STANDARDS In June 1999, the Financial Accounting Standards Board issued Statement of Financial Accounting Standards ("SFAS") No. 137, "Accounting for Derivative Instruments and Hedging Activities -- Deferral of the Effective Date of SFAS No. 133," which deferred, for one year, the effective date for the implementation of SFAS No. 133, "Accounting for Derivative Instruments and Hedging Activities". SFAS No. 133 establishes accounting and reporting standards for derivative instruments and for hedging activities and requires that an entity recognize all derivative instruments as either assets or liabilities on the balance sheet and measure those instruments at fair values. The Company will be required to adopt this standard for financial statements issued beginning the first quarter of fiscal year 2001. The Company is currently evaluating the effect this standard will have on its financial statements. INFLATION The Company has not experienced large increases in either the cost of supplies or operating expenses due to inflation. Because of reductions in reimbursement by government and private medical insurance programs and pressure to contain the costs of such programs, the Company bears the risk that reimbursement rates set by such programs will not keep pace with inflation. 13 15 QUANTITATIVE AND QUALITATIVE DISCLOSURE REGARDING MARKET RISK During September 1999 as part of the Company's stock repurchase program, the Company sold European Put Options ("Puts") on underlying shares of the Company's common stock. The Puts have a six-month maturity period and the Company was paid a $4,454,000 premium in advance which was accounted for as additional paid-in capital. The Company has the option to settle the Puts in cash or in shares of common stock. If the market price of the Company's common stock is less than the strike price of the Puts at maturity, the Company would be required to either purchase 1,000,000 shares of its common stock for $28,282,000 or settle the Puts in cash based on the difference between the market price of the Company's common stock and the strike price of the Puts. As of December 31, 1999, the market price of the Company's common stock was $34.69 and the average strike price of the Puts was $28.28. On March 3, 2000, the Company amended the terms of the Puts to extend the maturity date of the Puts by two months. In connection with extending the maturity period of the Puts, the Company was paid an additional cash premium of $280,000. The Company is exposed to changes in interest rates as a result of its bank credit agreement which is based on the London Interbank Offered Rate. A 10% increase in interest rates related to the Company's bank credit facility would not have a material effect on the Company's earnings over the next fiscal year or the bank credit agreement's fair value. FORWARD LOOKING STATEMENTS Statements contained in this Form 10-K that are not based on historical facts are forward looking statements, subject to uncertainties and risks, including, but not limited to, the constantly changing health care environment, potential reductions in reimbursement by government and third party payors for the Company's products and services, the demand for the Company's products and services, economic and competitive conditions, the availability of appropriate acquisition candidates and the successful completion of acquisitions, access to borrowed and/or equity capital on favorable terms, and other risks detailed in the Company's Securities and Exchange Commission filings. ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA The financial statements required by this item are listed in Item 14(a)(1) and are submitted at the end of this Annual Report on Form 10-K. The supplementary data required by this Item is included on page S-1. The financial statements and supplementary data are herein incorporated by reference. ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE None. PART III ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT The response to this item will be included in the definitive proxy statement for the Annual Meeting of Stockholders to be held May 8, 2000, under "Information Regarding the Board of Directors and Executive Officers" and is herein incorporated by reference. ITEM 11. EXECUTIVE COMPENSATION The response to this item will be included in the definitive proxy statement for the Annual Meeting of Stockholders to be held May 8, 2000, under "Executive Compensation" and is herein incorporated by reference. 14 16 ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT The response to this item will be included in the definitive proxy statement for the Annual Meeting of Stockholders to be held May 8, 2000, under "Security Ownership of Principal Stockholders and Management" and is herein incorporated by reference. ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS None. PART IV ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULE, AND REPORTS ON FORM 8-K (a) (1) The following consolidated financial statements of Lincare Holdings Inc. and subsidiaries are filed as part of this Form 10-K starting at page F-1: Independent Auditors' Report Consolidated Balance Sheets -- December 31, 1999 and 1998 Consolidated Statements of Operations -- Years ended December 31, 1999, 1998 and 1997. Consolidated Statements of Stockholders' Equity -- Years ended December 31, 1999, 1998 and 1997 Consolidated Statements of Cash Flows -- Years ended December 31, 1999, 1998 and 1997 Notes to Consolidated Financial Statements (2) The following consolidated financial statement schedule of Lincare Holdings Inc. and subsidiaries is included in this Form 10-K at page S-1: Schedule VIII -- Valuation and Qualifying Accounts All other schedules for which provision is made in the applicable accounting regulation of the Securities and Exchange Commission are not required under the related instructions or are inapplicable, and therefore have been omitted. (3) Exhibits included or incorporated herein: See Exhibit Index. (b) The Company did not file a Current Report on Form 8-K during the three months ended December 31, 1999. 15 17 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. LINCARE HOLDINGS INC. /s/ PAUL G. GABOS -------------------------------------- Paul G. Gabos Secretary, Chief Financial and Principal Accounting Officer Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant in the capacities and on the dates indicated.
SIGNATURE POSITION DATE --------- -------- ---- /s/ JOHN P. BYRNES Director, President, Chief Executive March 28, 2000 - ------------------------------------------------ Officer and Principal Executive John P. Byrnes Officer /s/ PAUL G. GABOS Secretary, Chief Financial and March 28, 2000 - ------------------------------------------------ Principal Accounting Officer Paul G. Gabos * Director March 28, 2000 - ------------------------------------------------ Chester B. Black * Director March 28, 2000 - ------------------------------------------------ Frank T. Cary * Director March 28, 2000 - ------------------------------------------------ William F. Miller, III * Director March 28, 2000 - ------------------------------------------------ Thomas O. Pyle
*By: /s/ JOHN P. BYRNES -------------------------- Attorney in fact 16 18 INDEPENDENT AUDITORS' REPORT The Board of Directors and Stockholders Lincare Holdings Inc.: We have audited the consolidated financial statements of Lincare Holdings Inc. and subsidiaries as listed in the index on page 15. In connection with our audits of the consolidated financial statements, we also have audited the consolidated financial statement schedule listed in the index on page 15. These consolidated financial statements and financial statement schedule are the responsibility of the Company's management. Our responsibility is to express an opinion on these consolidated financial statements and financial statement schedule based on our audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used, and significant estimates made, by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Lincare Holdings Inc. and subsidiaries as of December 31, 1999 and 1998, and the results of their operations and their cash flows for each of the years in the three-year period ended December 31, 1999, in conformity with generally accepted accounting principles. Also, in our opinion, the related consolidated financial statement schedule, when considered in relation to the basic consolidated financial statements taken as a whole, presents fairly, in all material respects, the information set forth therein. KPMG LLP St. Petersburg, Florida February 4, 2000 F-1 19 LINCARE HOLDINGS INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS DECEMBER 31, 1999 AND 1998
1999 1998 ---------- ---------- (DOLLARS IN THOUSANDS) ASSETS Current assets: Cash and cash equivalents................................. $ 3,699 $ 5,100 Accounts and notes receivable (note 2).................... 104,762 85,187 Income taxes receivable................................... 5,837 3,553 Inventories............................................... 3,612 2,908 Prepaid expenses.......................................... 1,700 478 -------- -------- Total current assets.............................. 119,610 97,226 -------- -------- Property and equipment (notes 3 and 4)...................... 305,168 246,033 Less accumulated depreciation............................... 134,041 105,799 -------- -------- Net property and equipment........................ 171,127 140,234 -------- -------- Other assets: Goodwill, less accumulated amortization of $35,166 in 1999 and $24,690 in 1998.................................... 413,856 336,485 Intangible assets, less accumulated amortization of $44,491 in 1999 and $40,035 in 1998.................................... 8,577 6,102 Covenants not to compete, less accumulated amortization of $11,984 in 1999 and $10,963 in 1998.................................... 951 1,772 Other..................................................... 2,703 820 -------- -------- Total other assets................................ 426,087 345,179 -------- -------- $716,824 $582,639 ======== ======== LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities: Current installments of long-term obligations (note 5).... $ 12,436 $ 12,923 Accounts payable.......................................... 20,598 19,169 Accrued expenses: Compensation and benefits.............................. 10,859 10,679 Other.................................................. 5,538 5,377 -------- -------- Total current liabilities......................... 49,431 48,148 -------- -------- Long-term obligations, excluding current installments (note 5)........................................................ 159,000 22,258 Deferred income taxes (note 6).............................. 21,493 15,651 Minority interest........................................... 789 926 Stockholders' equity (notes 6, 7, and 8): Common stock, $.01 par value. Authorized 200,000,000 shares; issued and outstanding: 58,397,702 and 54,069,202 in 1999, 58,379,054 and 58,354,266 in 1998................................................... 584 583 Additional paid-in capital................................ 135,741 128,828 Retained earnings......................................... 467,825 367,085 Less treasury stock, at cost: 4,328,500 shares in 1999 and 24,788 shares in 1998.................................. 118,039 840 -------- -------- Total stockholders' equity........................ 486,111 495,656 Commitments and contingencies (notes 4 and 14).............. -------- -------- $716,824 $582,639 ======== ========
See accompanying notes to consolidated financial statements. F-2 20 LINCARE HOLDINGS INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS YEARS ENDED DECEMBER 31, 1999, 1998, AND 1997
1999 1998 1997 --------- -------- -------- (IN THOUSANDS, EXCEPT PER SHARE DATA) Net revenues (note 9)................................. $ 581,786 $487,407 $443,181 --------- -------- -------- Costs and expenses: Cost of goods and services.......................... 89,592 76,367 65,932 Operating expenses.................................. 131,240 111,222 93,830 Selling, general and administrative expenses........ 128,345 107,691 90,225 Bad debt expense.................................... 6,981 5,849 4,432 Depreciation expense................................ 41,178 34,430 27,603 Amortization expense................................ 15,954 12,745 14,229 Non-recurring expense (note 11)..................... -- -- 15,557 --------- -------- -------- 413,290 348,304 311,808 --------- -------- -------- Operating income............................ 168,496 139,103 131,373 --------- -------- -------- Other income (expenses): Interest income..................................... 468 447 202 Interest expense.................................... (5,940) (1,177) (1,161) Net loss on disposal of property and equipment...... (277) (113) (93) --------- -------- -------- (5,749) (843) (1,052) --------- -------- -------- Income before income taxes.................. 162,747 138,260 130,321 Income tax expense (note 6)........................... 62,007 52,954 50,173 --------- -------- -------- Net income.................................. $ 100,740 $ 85,306 $ 80,148 ========= ======== ======== Income per common share (note 10): Basic............................................... $ 1.77 $ 1.47 $ 1.41 ========= ======== ======== Diluted............................................. $ 1.74 $ 1.44 $ 1.37 ========= ======== ======== Weighted average number of common shares outstanding......................................... 56,942 57,992 56,837 ========= ======== ======== Weighted average number of common shares and common share equivalents outstanding....................... 57,989 59,435 58,655 ========= ======== ========
See accompanying notes to consolidated financial statements. F-3 21 LINCARE HOLDINGS INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY YEARS ENDED DECEMBER 31, 1999, 1998, AND 1997
ADDITIONAL TOTAL COMMON PAID-IN RETAINED TREASURY STOCKHOLDERS' STOCK CAPITAL EARNINGS STOCK EQUITY ------ ---------- -------- -------- ------------- (DOLLARS IN THOUSANDS) Balances at December 31, 1996............... $564 $ 97,053 $201,631 -- $299,248 Exercise of stock options (note 8).......... 10 7,108 -- -- 7,118 Tax benefit related to exercise of employee stock options (notes 6 and 8)............. -- 6,553 -- -- 6,553 Net income.................................. -- -- 80,148 -- 80,148 ---- -------- -------- -------- -------- Balances at December 31, 1997............... 574 110,714 281,779 -- 393,067 Exercise of stock options (note 8).......... 9 9,412 -- -- 9,421 Tax benefit related to exercise of employee stock options (notes 6 and 8)............. -- 8,702 -- -- 8,702 Net income.................................. -- -- 85,306 -- 85,306 Treasury stock issued....................... -- -- -- 891 891 Treasury stock acquired..................... -- -- -- 1,731 1,731 ---- -------- -------- -------- -------- Balances at December 31, 1998............... 583 128,828 367,085 840 495,656 Exercise of stock options (note 8).......... 1 1,847 -- -- 1,848 Proceeds from sale of put options (note 7)........................................ -- 4,454 -- -- 4,454 Tax benefit related to exercise of employee stock options (notes 6 and 8)............. -- 612 -- -- 612 Net income.................................. -- -- 100,740 -- 100,740 Treasury stock issued -- -- -- 1,061 1,061 Treasury stock acquired..................... -- -- -- 118,260 118,260 ---- -------- -------- -------- -------- Balances at December 31, 1999............... $584 $135,741 $467,825 $118,039 $486,111 ==== ======== ======== ======== ========
See accompanying notes to consolidated financial statements. F-4 22 LINCARE HOLDINGS INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS YEARS ENDED DECEMBER 31, 1999, 1998, AND 1997
1999 1998 1997 --------- --------- --------- (DOLLARS IN THOUSANDS) Cash flows from operating activities: Net income................................................ $ 100,740 $ 85,306 $ 80,148 Adjustments to reconcile net income to net cash provided by operating activities: Increase in provision for losses on accounts and notes receivable........................................... (6,260) (2,080) (750) Depreciation expense................................... 41,178 34,430 27,603 Loss on disposal of property and equipment............. 277 113 93 Amortization expense................................... 15,954 12,745 14,229 Amortization of imputed interest....................... 15 67 22 Deferred income taxes.................................. 8,539 8,790 (1,549) Minority interest in net earnings of subsidiary........ 83 264 254 Non-recurring expense (note 11)........................ -- -- 15,557 Change in operating assets and liabilities: Increase in accounts and notes receivable............ (9,302) (8,377) (13,698) (Increase) decrease in inventories................... (225) (1,103) 441 Increase in prepaid expenses......................... (1,435) (113) (118) Increase (decrease) in accounts payable.............. 1,430 4,779 (2,568) Increase (decrease) in accrued expenses.............. (167) 2,942 2,676 (Increase) decrease in income taxes.................. (1,672) 7,679 4,210 --------- --------- --------- Net cash provided by operating activities......... 149,155 145,442 126,550 --------- --------- --------- Cash flows from investing activities: Proceeds from sale of property and equipment.............. 632 158 127 Capital expenditures...................................... (66,882) (62,188) (50,676) (Increase) decrease in other assets....................... (1,884) 498 (575) Business acquisitions, net of cash acquired (note 13)..... (73,426) (95,704) (66,249) --------- --------- --------- Net cash used by investing activities............. (141,560) (157,236) (117,373) --------- --------- --------- Cash flows from financing activities: Proceeds from long-term obligations....................... 273,000 64,000 101,559 Payment of long-term obligations.......................... (170,879) (59,512) (115,073) Decrease in minority interest............................. (220) (253) (244) Proceeds from issuance of common stock.................... 1,848 9,421 7,118 Proceeds from put options 4,454 -- -- Proceeds from issuance of treasury stock 1,061 891 -- Payment to acquire treasury stock......................... (118,260) (1,731) -- --------- --------- --------- Net cash provided (used) by financing activities...................................... (8,996) 12,816 (6,640) --------- --------- --------- Net increase (decrease) in cash and cash equivalents..................................... (1,401) 1,022 2,537 Cash and cash equivalents, beginning of year................ 5,100 4,078 1,541 --------- --------- --------- Cash and cash equivalents, end of year...................... $ 3,699 $ 5,100 $ 4,078 ========= ========= =========
See accompanying notes to consolidated financial statements. F-5 23 LINCARE HOLDINGS INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS DECEMBER 31, 1999, 1998, AND 1997 (1) DESCRIPTION OF BUSINESS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (a) Description of Business Lincare Holdings Inc. and subsidiaries (the "Company") provides oxygen, respiratory therapy services, and infusion therapy services to the home health care market and also supplies home medical equipment, such as hospital beds, wheelchairs and other medical supplies. The Company's customers are located in 42 states. The Company's supplies are readily available and the Company is not dependent on a single supplier or even a few suppliers. (b) Use of Estimates Management of the Company has made a number of estimates and assumptions relating to the reporting of assets and liabilities and the disclosure of contingent assets and liabilities to prepare these financial statements in conformity with generally accepted accounting principles. Actual results could differ from those estimates. (c) Principles of Consolidation The consolidated financial statements include the accounts of Lincare Holdings Inc. and its subsidiaries. All significant intercompany balances and transactions have been eliminated in consolidation. (d) Revenue Recognition Revenues are recognized on an accrual basis in the period in which services and related products are provided to patients and are recorded at net realizable amounts estimated to be received from patients and third party payors. (e) Financial Instruments The Company believes the book value of its cash equivalents, accounts and notes receivable, income taxes receivable, accounts payable and accrued expenses approximate fair value due to their short-term nature. The book value of the Company's bank credit facilities and long-term obligations approximate their fair value as the current interest rates approximate rates at which similar types of borrowing arrangements could be currently obtained by the Company. During September 1999 as part of the Company's stock repurchase program, the Company sold European Put Options ("Puts") on underlying shares of the Company's common stock. The Puts have a six-month maturity period and the Company was paid a $4,454,000 premium in advance which was accounted for as additional paid in capital. The Company has the option to settle the Puts in cash or in shares of common stock. If the market price of the Company's common stock is less than the strike price of the Puts at maturity, the Company would be required to either purchase 1,000,000 shares of its common stock for $28,282,000 or settle the Puts in cash based on the difference between the market price of the Company's common stock and the strike price of the Puts. As of December 31, 1999, the market price of the Company's common stock was $34.69 and the average strike price of the Puts was $28.28. The Company had no derivative financial instruments at December 31, 1998. (f) Inventories Inventories, consisting of equipment, supplies and replacement parts, are stated at the lower of cost or market. Cost is determined using the first-in, first-out (FIFO) method. F-6 24 LINCARE HOLDINGS INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) (g) Property and Equipment Property and equipment is stated at cost. Depreciation on property and equipment is calculated on the straight-line method over the estimated useful lives of the assets as set forth in the table below. Land improvements........................................... 15 years Building and improvements................................... 5 to 40 years Equipment and furniture..................................... 3 to 25 years
Leasehold improvements are amortized on the straight-line method over the lesser of the lease term or estimated useful life of the asset. Amortization is included with depreciation expense. (h) Other Assets Goodwill results from the excess of cost over net assets of acquired businesses and is amortized on a straight-line basis over 40 years. Intangible assets (customer base) are amortized on a straight-line basis over the estimated life of three years. Covenants not to compete are amortized on a straight-line basis over the life of the respective covenants, one to five years. The Company periodically evaluates the ability to recover goodwill and other intangible assets by utilizing a cash flow from operating income test. In addition, the Company considers the effects of external changes to the Company's business environment, including competitive pressures, market changes and technological and regulatory changes. (i) Income Taxes Deferred income taxes are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to be recovered or settled. The effect on deferred taxes of a change in tax rate is recognized in income in the period that includes the enactment date. (j) Pension Plan The Company has a defined contribution pension plan covering substantially all employees. The Company makes monthly contributions to the plan equal to the amount accrued for pension expense. Employer contributions (net of applied forfeitures) were approximately $3,537,000 in 1999, $2,248,000 in 1998, and $1,895,000 in 1997. (k) Statements of Cash Flows For purposes of the statements of cash flows, the Company considers all short-term investments with a purchased maturity of three months or less to be cash equivalents. (l) Stock Options The Company applies the intrinsic value-based method of accounting prescribed by Accounting Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees," and related interpretations, in accounting for its fixed plan stock options. As such, compensation expense would be recorded on the date of grant only if the current market price of the underlying stock exceeded the exercise F-7 25 LINCARE HOLDINGS INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) price. Statement of Financial Accounting Standards ("SFAS") No. 123 "Accounting for Stock-Based Compensation", established accounting and disclosure requirements using a fair value-based method of accounting for stock-based employee compensation plans. As allowed by SFAS No. 123, the Company has elected to continue to apply the intrinsic value-based method of accounting described above, and has adopted the disclosure requirements of SFAS No. 123. (m) Segment Information The Company follows Financial Accounting Standards Board Statement of Financial Accounting Standards ("SFAS") No. 131, "Disclosures about Segments of an Enterprise and Related Information". SFAS No. 131 utilizes the "management" approach for determining reportable segments. The management approach designates the internal organization that is used by management for making operating decisions and assessing performance as the source of the Company's reportable segments. The Company is managed at the executive level as a portfolio of local businesses. As a result, the Company has one reportable segment. (n) New Accounting Standards In June 1999, the Financial Accounting Standards Board issued Statement of Financial Accounting Standards ("SFAS") No. 137, "Accounting for Derivative Instruments and Hedging Activities -- Deferral of the Effective Date of SFAS No. 133," which deferred, for one year, the effective date for the implementation of SFAS No. 133, "Accounting for Derivative Instruments and Hedging Activities". SFAS No. 133 establishes accounting and reporting standards for derivative instruments and for hedging activities and requires that an entity recognize all derivative instruments as either assets or liabilities on the balance sheet and measure those instruments at fair values. The Company will be required to adopt this standard for financial statements issued beginning the first quarter of fiscal year 2001. The Company is currently evaluating the effect this standard will have on its financial statements. (2) ACCOUNTS AND NOTES RECEIVABLE Accounts and notes receivable at December 31, 1999 and 1998 consist of:
1999 1998 -------- ------- (IN THOUSANDS) Trade....................................................... $109,519 $94,284 Other....................................................... 140 256 -------- ------- 109,659 94,540 Less allowance for uncollectible accounts................... 4,897 9,353 -------- ------- $104,762 $85,187 ======== =======
(3) PROPERTY AND EQUIPMENT Property and equipment at December 31, 1999 and 1998 consist of:
1999 1998 -------- -------- (IN THOUSANDS) Land and improvements....................................... $ 3,182 $ 85 Building and improvements................................... 1,889 1,393 Equipment and furniture..................................... 300,097 244,555 -------- -------- $305,168 $246,033 ======== ========
Rental equipment of approximately $227,928,000 in 1999 and $187,806,000 in 1998 are included with equipment and furniture. F-8 26 LINCARE HOLDINGS INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) (4) LEASES The Company has several noncancelable operating leases, primarily for buildings, office equipment and vehicles, that expire over the next five years and provide for purchase or renewal options. Operating lease expense was approximately $24,118,000 in 1999, $18,739,000 in 1998, and $16,012,000 in 1997. Future minimum lease payments under noncancelable operating leases as of December 31, 1999 are as follows:
(IN THOUSANDS) 2000........................................................ $20,529 2001........................................................ 14,799 2002........................................................ 5,404 2003........................................................ 1,641 2004........................................................ 509 ------- Total minimum lease payments...................... $42,882 =======
(5) LONG-TERM OBLIGATIONS Long-term obligations at December 31, 1999 and 1998 consist of:
1999 1998 -------- ------- (IN THOUSANDS) Borrowings under revolving credit portion of bank credit agreement bearing interest (6.49% at December 31, 1999) at the Interbank Offered Rate, adjusted for changes in reserve requirements, plus an applicable margin based upon the Company's consolidated leverage ratio (consolidated funded indebtedness to consolidated earnings before interest, taxes, depreciation and amortization) payable in 2002...................................................... $159,000 $22,000 Unsecured, deferred acquisition obligations net of imputed interest, payable in various installments through 2000.... 12,201 12,566 Computer equipment purchases financed through installment loans; interest (4.17% to 4.52%) and principal are payable monthly through 2000...................................... 235 615 -------- ------- Total long-term obligations....................... 171,436 35,181 Less: current installments........................ 12,436 12,923 -------- ------- Long-term debt, excluding current installments.... $159,000 $22,258 ======== =======
The bank credit facilities with several lenders and Bank of America N.A. as agent dated August 23, 1999 permits the Company to borrow amounts up to $215,000,000 on a three year revolving credit facility and $50,000,000 on a 364 day revolving credit facility. The three year revolving credit facility contains a $20,000,000 letter of credit sub facility which reduces the principal amount available under the three year credit facility by the amount of outstanding letters of credit. As of December 31, 1999, $3,000,000 was outstanding under the letter of credit sub facility. The three year revolving credit facility has a termination date of August 22, 2002 and the 364 day revolving credit facility has a termination date of August 22, 2000. Outstanding borrowings under the 364 day revolving credit facility at the termination date of the facility may be converted to a term loan at the option of the Company and shall mature on the three year revolving credit facility termination date. At December 31, 1999, there were $159,000,000 borrowings outstanding on the three year revolving credit facility. Upon entering into the credit agreement, an origination fee of $1,840,000 was paid and is being amortized over three years. Commitment fees on the unused portion of the facilities (.35% on the three year revolving credit facility and .30% on the 364 day revolving credit facility at December 31, F-9 27 LINCARE HOLDINGS INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) 1999) are based upon the Company's consolidated leverage ratio for the most recent four fiscal quarters. Interest accrued on the outstanding principal balance that is not termed for repayment is payable monthly. The credit agreement contains several financial and other covenants and is secured by a pledge of the stock of the wholly-owned subsidiaries of Lincare Holdings Inc. Unamortized imputed interest on the deferred acquisition obligations and installment loans at 4.17% to 6.0% was $35,000 in 1999 and $38,000 in 1998. The aggregate maturities of long-term obligations for each of the five years subsequent to December 31, 1999 are as follows:
(IN THOUSANDS) 2000........................................................ $ 12,436 2001........................................................ -- 2002........................................................ 159,000 2003........................................................ -- 2004........................................................ -- -------- $171,436 ========
(6) INCOME TAXES The tax effects of temporary differences that account for significant portions of the deferred tax assets and deferred tax liabilities at December 31, 1999 and 1998 are presented below:
1999 1998 -------- -------- (IN THOUSANDS) Deferred tax assets: Accrued expenses, principally due to deferral for income tax reporting purposes................................. $ (4,516) $ (4,113) Intangible assets and covenants not to compete, principally due to differences in amortization......... (7,587) (7,575) Net operating loss carryforward........................... (145) (113) -------- -------- Total gross deferred tax assets................... (12,248) (11,801) -------- -------- Deferred tax liabilities: Accounts receivable, principally due to valuation adjustment............................................. 4 1,688 Property and equipment, principally due to differences in depreciation........................................... 18,308 14,473 Goodwill, principally due to differences in amortization........................................... 12,615 8,350 Other..................................................... 2,814 2,941 -------- -------- Total gross deferred tax liabilities.............. 33,741 27,452 -------- -------- Net deferred tax liability........................ $ 21,493 $ 15,651 ======== ========
There is no valuation allowance for deferred tax assets. The Company expects that the results of future operations will generate sufficient taxable income to allow for the utilization of deferred tax assets. F-10 28 LINCARE HOLDINGS INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) Income tax expense attributable to operations consists of:
YEAR ENDED DECEMBER 31, --------------------------- 1999 1998 1997 ------- ------- ------- (IN THOUSANDS) Current: Federal................................................. $47,574 $36,423 $44,641 State................................................... 4,215 3,850 7,081 ------- ------- ------- Total current................................... 51,789 40,273 51,722 ------- ------- ------- Deferred: Federal................................................. 9,387 11,535 (1,347) State................................................... 831 1,146 (202) ------- ------- ------- Total deferred.................................. 10,218 12,681 (1,549) ------- ------- ------- Total income tax expense........................ $62,007 $52,954 $50,173 ======= ======= ======= Total income tax expense was allocated: Income from operations.................................. $62,007 $52,954 $50,173 Stockholders' equity for compensation expense for tax purposes............................................. (612) (8,702) (6,553) ------- ------- ------- $61,395 $44,252 $43,620 ======= ======= =======
Total income tax expense differs from the amounts computed by applying a U.S. federal income tax rate of 35% to income before income taxes as a result of the following:
YEAR ENDED DECEMBER 31, --------------------------- 1999 1998 1997 ------- ------- ------- (IN THOUSANDS) Computed "expected" tax expense........................... $56,961 $48,391 $45,612 State income taxes, net of federal income tax benefit..... 3,280 3,247 4,471 Other..................................................... 1,766 1,316 90 ------- ------- ------- Total income tax expense........................ $62,007 $52,954 $50,173 ======= ======= =======
(7) STOCKHOLDERS' EQUITY The Company has 5,000,000 authorized shares of preferred stock, all of which are unissued. The Board of Directors has the authority to issue up to such number of shares of preferred stock in one or more series and to fix the rights, preferences, privileges, qualifications, limitations and restrictions thereof without any further vote or action by the stockholders. During September 1999 as part of the Company's stock repurchase program, the Company sold European Put Options ("Puts") on underlying shares of the Company's common stock. The Puts have a six-month maturity period and the Company was paid a $4,454,000 premium in advance which was accounted for as additional paid in capital. The Company has the option to settle the Puts in cash or in shares of common stock. If the market price of the Company's common stock is less than the strike price of the Puts at maturity, the Company would be required to either purchase 1,000,000 shares of its common stock for $28,282,000 or settle the Puts in cash based on the difference between the market price of the Company's common stock and the strike price of the Puts. As of December 31, 1999, the market price of the Company's common stock was $34.69 and the average strike price of the Puts was $28.28. F-11 29 LINCARE HOLDINGS INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) (8) STOCK OPTIONS The Company has five stock option plans that provide for the grant of options to directors, officers and employees. To date, stock options have been granted with an exercise price equal to the stock's fair value at the date of grant. Stock options generally have ten-year terms and generally vest over four years. The Company has reserved a total of 5,947,536 shares of common stock for issuance under its Non-Qualified Stock Option Plan (the "Plan"). At December 31, 1999, there were options for 112,000 shares outstanding and no options available for issuance under the Plan. The Company has reserved a total of 3,200,000 shares of common stock for issuance under its 1991 Stock Plan (the "1991 Plan"). At December 31, 1999, there were options for 592,500 shares outstanding and no options available for issuance under the 1991 Plan. The Company has reserved a total of 1,000,000 shares of common stock for issuance under its 1994 Stock Plan (the "1994 Plan"). At December 31, 1999, there were options for 754,900 shares outstanding and no options available for issuance under the 1994 Plan. The Company has reserved a total of 2,000,000 shares of common stock for issuance under its 1996 Stock Plan (the "1996 Plan"). At December 31, 1999, there were options for 1,721,600 shares outstanding and options for 104,000 shares available for issue under the 1996 Plan. The Company has reserved a total of 1,500,000 shares of common stock for issuance under its 1998 stock plan (the "1998 Plan"). At December 31, 1999, there were options for 1,370,500 shares outstanding and options for 129,500 shares available for issue under the 1998 Plan. The per share weighted average fair value of stock options granted during 1999, 1998, and 1997 was $17.61, $23.61 and $11.35 on the date of grant using the Black Scholes option pricing model with the following weighted average assumptions: 1999 -- expected dividend yield 0%, risk-free interest rate of 6.9%, expected life of 8 years, and volatility of 60.6%; 1998 -- expected dividend yield 0%, risk-free interest rate of 5.3%, expected life of 9 years, and volatility of 59.0%; 1997 -- expected dividend yield 0%, risk-free interest rate of 5.7%, expected life of 9 years, and volatility of 39.9%. The Company applies Accounting Principles Board Opinion No. 25 in accounting for its stock plans and, accordingly, no compensation cost has been recognized for its stock options in the financial statements. Had the Company determined compensation cost based on the fair value at the grant date for its stock options under Statement of Financial Accounting Standards No. 123, the Company's net income would have been reduced to the pro forma amounts indicated below:
1999 1998 1997 -------- ------- ------- (IN THOUSANDS, EXCEPT PER SHARE DATA) Net income: As reported.................................... $100,740 $85,306 $80,148 ======== ======= ======= Pro forma...................................... $ 93,103 $78,689 $75,843 ======== ======= ======= Income per common share: Basic -- as reported........................... $ 1.77 $ 1.47 $ 1.41 ======== ======= ======= Diluted -- as reported......................... $ 1.74 $ 1.44 $ 1.37 ======== ======= ======= Basic -- pro forma............................. $ 1.64 $ 1.36 $ 1.33 ======== ======= ======= Diluted -- pro forma........................... $ 1.61 $ 1.32 $ 1.29 ======== ======= =======
Pro forma net income reflects only options granted in 1999, 1998, and 1997. Therefore, the full impact of calculating compensation cost for stock options under Statement of Financial Accounting Standards No. 123 is not reflected in the pro forma net income or per share amounts presented above because compensation cost F-12 30 LINCARE HOLDINGS INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) is reflected over the options vesting period of four years and compensation cost for options granted prior to January 1, 1995 is not considered. Information related to the plans is as follows:
WEIGHTED NUMBER OF AVERAGE OPTIONS EXERCISE PRICE ---------- ---------------- Outstanding at December 31, 1996.......................... 3,950,840 $11.33 Exercised in 1997......................................... (931,098) 7.57 Canceled in 1997.......................................... (32,000) 15.43 Options issued in 1997.................................... 948,000 19.36 ---------- Outstanding at December 31, 1997.......................... 3,935,742 14.22 Exercised in 1998......................................... (903,942) 10.42 Canceled in 1998.......................................... (83,000) 21.34 Options issued in 1998.................................... 1,090,000 33.83 ---------- Outstanding at December 31, 1998.......................... 4,038,800 19.88 Exercised in 1999......................................... (114,800) 16.40 Canceled in 1999.......................................... (53,500) 28.79 Options issued in 1999.................................... 681,000 24.50 ---------- Outstanding at December 31, 1999.......................... 4,551,500 $20.56 ==========
At December 31, 1999, the range of exercise prices and weighted average remaining contractual life of outstanding options were as follows:
OPTIONS WEIGHTED OUTSTANDING AVERAGE AS OF REMAINING RANGE OF DECEMBER 31, CONTRACTUAL EXERCISE PRICES 1999 LIFE --------------- ------------ ---------------- $ 6.06 -$12.50 ........................................... 1,154,400 3.7 years $12.63 -$18.91 ........................................... 1,354,600 4.9 years $19.50 -$29.38 ........................................... 1,353,000 7.6 years $35.63 -$35.63 ........................................... 689,500 7.4 years --------- $ 6.06 -$35.63 ........................................... 4,551,500 5.8 years =========
At December 31, 1999, 1998 and 1997, the number of options exercisable was 2,074,000, 1,535,800 and 1,400,742, respectively, and the weighted average exercise price of those options was $14.09, $12.61 and $9.86, respectively. In connection with the exercise of certain stock options, the Company receives a tax deduction for the difference between the fair value of the common stock at the date of exercise and the exercise price. The related income tax benefit of approximately $612,000 in 1999, $8,702,000 in 1998 and $6,553,000 in 1997 has been recorded as a reduction of income taxes payable and an increase to additional paid-in capital. (9) NET REVENUES Included in the Company's net revenues is reimbursement from the federal government under Medicare, Medicaid and other federally funded programs, which aggregated approximately 62% in 1999, 62% in 1998, and 63% in 1997 of such net revenues. F-13 31 LINCARE HOLDINGS INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) (10) INCOME PER COMMON SHARE Basic income per common share is computed by dividing earnings available to common stockholders by the weighted average number of common shares outstanding for the period. Diluted income per common share reflects the potential dilution of securities that could share in earnings, including stock options. When the exercise of stock options is antidilutive, they are excluded from the calculation. A reconciliation of the numerators and the denominators of the basic and diluted per common share computations is as follows:
INCOME SHARES PER SHARE (NUMERATOR) (DENOMINATOR) AMOUNT ----------- ------------- --------- (IN THOUSANDS, EXCEPT PER SHARE DATA) YEAR ENDED DECEMBER 31, 1999 Basic: Income available to common stockholders.... $100,740 56,942 $1.77 ===== Effect of dilutive securities: Stock options.............................. -- 1,047 -------- ------ Diluted: Income available to common stockholders and holders of dilutive securities........... $100,740 57,989 $1.74 ======== ====== ===== YEAR ENDED DECEMBER 31, 1998 Basic: Income available to common stockholders.... $ 85,306 57,992 $1.47 ===== Effect of dilutive securities: Stock options.............................. -- 1,443 -------- ------ Diluted: Income available to common stockholders and holders of dilutive securities........... $ 85,306 59,435 $1.44 ======== ====== ===== YEAR ENDED DECEMBER 31, 1997 Basic: Income available to common stockholders.... $ 80,148 56,837 $1.41 ===== Effect of dilutive securities: Stock options.............................. -- 1,818 -------- ------ Diluted: Income available to common stockholders and holders of dilutive securities........... $ 80,148 58,655 $1.37 ======== ====== =====
(11) NON-RECURRING EXPENSE In 1997, the Company recorded a non-recurring expense of $15,557,000, of which $11,849,000 was related to the write down of impaired oxygen rental equipment and $3,708,000 was related to the write down of impaired intangible assets (customer list). The charges adjusted the carrying value of certain assets affected by provisions of the Balanced Budget Act of 1997. This legislation reduced Medicare reimbursement for home oxygen equipment and services by 30 percent over the two year period commencing January 1, 1998. The fair values of the oxygen rental equipment and customer lists were determined based on discounted cash flows taking into account the reduced reimbursement rates. F-14 32 LINCARE HOLDINGS INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) (12) SUPPLEMENTAL STATEMENTS OF CASH FLOWS INFORMATION
YEAR ENDED DECEMBER 31, --------------------------- 1999 1998 1997 ------- ------- ------- (IN THOUSANDS) Cash paid for: Interest.................................................. $ 5,823 $ 1,106 $ 1,139 ======= ======= ======= Income taxes.............................................. $53,461 $37,699 $47,512 ======= ======= =======
(13) BUSINESS COMBINATIONS During 1999, the Company acquired the outstanding stock or certain assets of 22 businesses in 22 separate transactions. During 1998, the Company acquired the outstanding stock or certain assets of 24 businesses in 24 separate transactions. Consideration for the acquisitions generally included cash, unsecured non-interest bearing obligations and the assumption of certain liabilities. None of the businesses acquired were related to the Company prior to acquisition. Each acquisition during 1999 and 1998 was accounted for as a purchase. The results of operations of the acquired companies are included in the accompanying consolidated statement of operations since the respective dates of acquisition. Each of the acquired companies conducted operations similar to that of the Company. The aggregate cost of the acquisitions described above was as follows:
1999 1998 -------- -------- (IN THOUSANDS) Cash........................................................ $ 73,426 $ 96,250 Deferred acquisition obligations............................ 11,988 16,510 Assumption of liabilities................................... 17,942 1,219 -------- -------- $103,356 $113,979 ======== ========
The aggregate purchase price of the acquisitions described above was allocated as follows:
1999 1998 -------- -------- (IN THOUSANDS) Current assets (including cash acquired of $546 in 1998).... $ 2,969 $ 6,708 Property and equipment...................................... 6,097 4,459 Intangible assets........................................... 7,132 4,753 Goodwill.................................................... 87,158 98,059 -------- -------- $103,356 $113,979 ======== ========
The following unaudited pro forma supplemental information on the results of operations for the years ended December 31, 1999 and 1998 include the acquisitions as if they had been combined at the beginning of the respective years.
1999 1998 ---------- ---------- (IN THOUSANDS, EXCEPT PER SHARE DATA) Net revenues................................................ $607,195 $548,407 ======== ======== Net income.................................................. $104,230 $ 94,815 ======== ======== Basic -- income per common share............................ $ 1.83 $ 1.63 ======== ======== Diluted -- income per common share.......................... $ 1.80 $ 1.60 ======== ========
F-15 33 LINCARE HOLDINGS INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS -- (CONTINUED) This unaudited pro forma financial information is not necessarily indicative of either the results of operations that would have occurred had the transactions been effected at the beginning of the respective years or of future results of operations of the combined companies. (14) CONTINGENCIES As a health care provider, the Company is subject to extensive government regulation, including numerous laws directed at preventing fraud and abuse and laws regulating reimbursement under various government programs. To ensure compliance with Medicare and other regulations, government agencies and regional carriers often open investigations and request patient records and other documents to support claims submitted by the Company for payment of services rendered to its patients. The marketing, billing, documentation and other practices of health care companies are also the subject of government scrutiny, from time to time. In actions known as qui tam suits, private litigants may also make claims against the Company for violations of health care laws and the government may intervene in, and take control of such actions. Violations of federal and state regulations can result in severe criminal, civil and administrative penalties and sanctions, including disqualification from Medicare and other reimbursement programs. In this regard, the Company has received inquiries from various government agencies requesting patient records and other documents. The Company is cooperating with the government's requests for information. The government has not served the Company with any complaints nor has it disclosed the basis for its inquiries. The Company is also a defendant in a qui tam proceeding pending in the U.S. District Court in the Northern District of Georgia. The government has declined to intervene in this action. The Company intends to vigorously defend this suit. The duration or outcome of these matters cannot be predicted with any degree of certainty. The Company is also involved in certain other claims and legal actions arising in the ordinary course of its business. The ultimate disposition of all such matters is not expected to have a material adverse impact on the Company's financial position, results of operations or liquidity. (15) QUARTERLY FINANCIAL DATA (UNAUDITED) The following is a summary of quarterly financial results for the years ended December 31, 1999 and 1998:
FIRST SECOND THIRD FOURTH QUARTER QUARTER QUARTER QUARTER -------- -------- -------- -------- (IN THOUSANDS, EXCEPT PER SHARE DATA) 1999: Net revenues................................ $136,081 $143,025 $150,247 $152,433 ======== ======== ======== ======== Operating income............................ $ 38,579 $ 40,806 $ 43,500 $ 45,611 ======== ======== ======== ======== Net income.................................. $ 23,503 $ 24,810 $ 26,021 $ 26,406 ======== ======== ======== ======== Income per common share: Basic....................................... $ .40 $ .43 $ .46 $ .49 ======== ======== ======== ======== Diluted..................................... $ .40 $ .42 $ .45 $ .47 ======== ======== ======== ======== 1998: Net revenues................................ $111,904 $119,518 $125,691 $130,294 ======== ======== ======== ======== Operating income............................ $ 29,435 $ 33,582 $ 37,284 $ 38,802 ======== ======== ======== ======== Net income.................................. $ 18,178 $ 20,724 $ 22,733 $ 23,671 ======== ======== ======== ======== Income per common share: Basic....................................... $ .32 $ .36 $ .39 $ .41 ======== ======== ======== ======== Diluted..................................... $ .31 $ .35 $ .38 $ .40 ======== ======== ======== ========
F-16 34 SCHEDULE VIII LINCARE HOLDINGS INC. AND SUBSIDIARIES VALUATION AND QUALIFYING ACCOUNTS
BALANCE AT CHARGED TO CHARGED TO BALANCE AT BEGINNING COSTS AND OTHER END OF DESCRIPTION OF PERIOD EXPENSES ACCOUNTS DEDUCTIONS PERIOD ----------- ---------- ---------- ---------- ---------- ------------- (IN THOUSANDS) YEAR ENDED DECEMBER 31, 1999 Deducted from asset accounts Allowance for uncollectible accounts......................... $9,353 $6,981 $1,891(1) $13,328(2) $4,897 ====== ====== ====== ======= ====== YEAR ENDED DECEMBER 31, 1998 Deducted from asset accounts: Allowance for uncollectible accounts......................... $7,951 $5,849 $2,632(1) $ 7,079(2) $9,353 ====== ====== ====== ======= ====== YEAR ENDED DECEMBER 31, 1997 Deducted from asset accounts: Allowance for uncollectible accounts......................... $5,917 $4,432 $3,724(1) $ 6,122(2) $7,951 ====== ====== ====== ======= ======
- --------------- (1) To record allowance on business combinations (2) To record write-offs S-1 35 INDEX OF EXHIBITS
Sequentially Exhibit Numbered Number Exhibit Page - ------ ------- ---- +3.1- Amended and Restated Certificate of Incorporation of Lincare Holdings Inc. . . . . *****3.1.1- Certificate of Amendment to the Amended and Restated Certificate of Incorporation of Lincare Holdings Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +3.2- Amended and Restated By-Laws of Lincare Holdings Inc. . . . . . . . . . . . . . . . +10.6- Purchase Agreement dated as of September 25, 1991 among the Registrant and the several purchasers named therein . . . . . . . . . . . . . . . . . . . . . . . . . +10.10- Non-Qualified Stock Option Plan of Registrant . . . . . . . . . . . . . . . . . . . +10.11- Lincare Holdings Inc. 1991 Stock Plan . . . . . . . . . . . . . . . . . . . . . . . +10.15- Lincare Inc. 401(k) Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +++10.21- Amendment to Non-Qualified Stock Option Agreement dated December 2, 1992, between the Registrant and James T. Kelly . . . . . . . . . . . . . . . . . . . . . . . . . +++10.22- Amendment to Non-Qualified Stock Option Agreement dated December 2, 1992, between the Registrant and Howard R. Deutsch . . . . . . . . . . . . . . . . . . . . . . .
36
Sequentially Exhibit Numbered Number Exhibit Page - ------ ------- ---- +++10.23- Amendment to Non-Qualified Stock Option Agreement dated December 2, 1992, between the Registrant and James M. Emanuel . . . . . . . . . . . . . . . . . . . ***10.31- Non-Qualified Stock Option Agreements dated as of January 23, 1995, between the Registrant and James T. Kelly . . . . . . . . . . . . . . . . . . . . . . . . ***10.32- Non-Qualified Stock Option Agreements dated as of January 23, 1995, between the Registrant and Howard R. Deutsch . . . . . . . . . . . . . . . . . . . . . . ***10.33- Non-Qualified Stock Option Agreements dated as of January 23, 1995, between the Registrant and James M. Emanuel . . . . . . . . . . . . . . . . . . . . . . . /10.34- Employment Agreement dated as of January 1, 1997 between Lincare Holdings Inc. and John P. Byrnes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ****10.35- Employment Agreement dated as of January 1, 1997 between Lincare Holdings Inc. and James T. Kelly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ****10.38- Non-Qualified Stock Option Agreements dated as of January 26, 1996, between the Registrant and John P. Byrnes . . . . . . . . . . . . . . . . . . . . . . . . ****10.39- Non-Qualified Stock Option Agreements dated as of July 15, 1996 between the Registrant and John P. Byrnes . . . . . . . . . . . . . . . . . . . . . . . . /10.40- Employment Agreement dated as of June 1, 1997 between Lincare Holdings Inc. and Paul G. Gabos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /10.41- Employee Stock Purchase Plan . . . . . . . . . . . . . . . . . . . . . . . . . . /10.42- Credit Agreement dated November 25, 1997 between Registrant and NationsBank of Florida N.A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . //10.42.1- Three-Year Credit Agreement among Lincare Holdings Inc., as Borrower, Certain Subsidiaries of Borrower from time to time party thereto, as Guarantors, the several Lenders from time to time party thereto and Bank of America, N.A. as agent . . . . . . . . . . . . . . . . . . . //10.42.2- 364-Day Credit Agreement among Lincare Holdings Inc., as Borrower, Certain Subsidiaries of Borrower from time to time party thereto, as Guarantors, the several Lenders from time to time party thereto and Bank of America, N.A. as agent . . . . . . . . . . . . . . . . . . . /10.43- Form of Non-employee Director Stock Option Agreement . . . . . . . . . . . . . . /10.44- Form of Non-qualified Stock Option Agreement . . . . . . . . . . . . . . . . . . +++++22.2- List of Subsidiaries of Lincare Holdings Inc. . . . . . . . . . . . . . . . . . . 23.1- Consent of KPMG LLP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27.1- Financial Data Schedule 12/31/99 (for SEC Use Only) . . . . . . . . . . . . . . 99.0 Powers of Attorney . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
- --------------- + Incorporated by reference to the corresponding exhibit to the Registrant's Registration Statement on Form S-1 (No. 33-44672) 37 ++ Incorporated by reference to Exhibit A to the Registrant's Form 8-K dated October 14, 1992. +++ Incorporated by reference to the corresponding exhibit to the Registrant's Registration Statement on Form S-1 (No. 33-55260). ++++ Incorporated by reference to the Registrant's Form 8-K dated April 28, 1993. +++++ Incorporated by reference to the Registrant's Form 10-K dated March 22, 1994. * Incorporated by reference to the Registrant's Form 10-K dated March 22, 1995. ** Incorporated by reference to the Registrant's Form 8-K dated May 24, 1995. *** Incorporated by reference to the Registrant's Form 10-K dated March 27, 1996. **** Incorporated by reference to the Registrant's Form 10-K dated March 25, 1997. ***** Incorporate by reference to the Registrant's Form 10-Q dated August 12, 1998. / Incorporate by reference to the Registrant's Form 10-K dated March 26, 1998. // Incorporate by reference to the Registrant's Form 10-Q dated November 12, 1999. EX-23.1 2 CONSENT OF KPMG LLP 1 EXHIBIT 23.1 INDEPENDENT AUDITORS' CONSENT The Board of Directors Lincare Holdings Inc.: We consent to incorporation by reference in the Registration Statements Nos. 33-55202, 33-595656, 33-90602, 333-46969, 333-71159 and 333-78719 on Form S-8 of Lincare Holdings Inc. of our report dated February 4, 2000, relating to the consolidated balance sheets of Lincare Holdings Inc. and subsidiaries as of December 31, 1999 and 1998, and the related consolidated statements of operations, stockholders' equity and cash flows and related consolidated financial statement schedule for each of the years in the three-year period ended December 31, 1999, which report appears in the December 31, 1999 annual report on Form 10-K of Lincare Holdings Inc. KPMG LLP St. Petersburg, Florida March 29, 2000 EX-27.1 3 FINANCIAL DATA SCHEDULE
5 1,000 YEAR DEC-31-1999 JAN-01-1999 DEC-31-1999 3,699 0 109,659 4,897 3,612 119,610 305,168 134,041 716,824 49,431 0 0 0 584 486,111 716,824 581,786 581,786 89,592 89,592 323,698 6,981 5,940 162,747 62,007 100,740 0 0 0 100,740 1.77 1.74
EX-99.0 4 POWERS OF ATTORNEY 1 Exhibit 99.0 SPECIAL POWER OF ATTORNEY KNOWN ALL MEN BY THESE PRESENTS, that I, CHESTER B. BLACK, a legal resident of the State of Massachusetts, desiring to execute a SPECIAL POWER OF ATTORNEY, have made, constituted and appointed, and by these presents do make, constitute and appoint JOHN P. BYRNES and PAUL G. GABOS, or either of them, with full power of substitution, my Attorney-In-Fact for me and in my name, place and stead to do and perform the following acts, deeds, matters and things as he deems advisable in the judgment of my said Attorney-In-Fact as fully and effectually to all intents and purposes as I could do if personally present and acting: ANNUAL REPORT ON FORM 10-K FOR THE YEAR ENDED DECEMBER 31, 1999 To execute and deliver all documents and to carry out with full power and authority every act whatsoever requisite or necessary to be done by or on behalf of the undersigned, including the execution of the Lincare Holdings Inc. Annual Report on Form 10-K for the year ended December 31, 1999. GENERAL PROVISIONS All business transacted hereunder for me shall be transacted in my name, and all endorsements and instruments executed by my Attorney-In-Fact for the purpose of carrying out any of the foregoing powers, shall contain my name, followed by that of my Attorney-In-Fact and the designation "Attorney-In-Fact." I hereby ratify and confirm all lawful acts done by my said Attorney-In-Fact pursuant to this Special Power of Attorney, and I direct that this Special Power of Attorney shall continue in effect until terminated by me in writing or by operation of law. If the authority contained herein shall be revoked or terminated by operation of law without notice, I hereby agree for myself, executors, administrators, heirs and assigns, in consideration of my Attorney-In-Fact's willingness to act pursuant to this Special Power of Attorney, to save and hold my Attorney-In-Fact harmless from any loss suffered or any liability incurred by him in so acting after such revocation or termination without notice. ------------------------------ CHESTER B. BLACK 2 SPECIAL POWER OF ATTORNEY KNOWN ALL MEN BY THESE PRESENTS, that I, FRANK T. CARY, a legal resident of the State of Connecticut, desiring to execute a SPECIAL POWER OF ATTORNEY, have made, constituted and appointed, and by these presents do make, constitute and appoint JOHN P. BYRNES and PAUL G. GABOS, or either of them, with full power of substitution, my Attorney-In-Fact for me and in my name, place and stead to do and perform the following acts, deeds, matters and things as he deems advisable in the judgment of my said Attorney-In-Fact as fully and effectually to all intents and purposes as I could do if personally present and acting: ANNUAL REPORT ON FORM 10-K FOR THE YEAR ENDED DECEMBER 31, 1999 To execute and deliver all documents and to carry out with full power and authority every act whatsoever requisite or necessary to be done by or on behalf of the undersigned, including the execution of the Lincare Holdings Inc. Annual Report on Form 10-K for the year ended December 31, 1999. GENERAL PROVISIONS All business transacted hereunder for me shall be transacted in my name, all endorsements and instruments executed by my Attorney-In-Fact for the purpose of carrying out any of the foregoing powers, shall contain my name, followed by that of my Attorney-In-Fact and the designation "Attorney-In-Fact." I hereby ratify and confirm all lawful acts done by my said Attorney-In-Fact pursuant to this Special Power of Attorney, and I direct that this Special Power of Attorney shall continue in effect until terminated by me in writing or by operation of law. If the authority contained herein shall be revoked or terminated by operation of law without notice, I hereby agree for myself, executors, administrators, heirs and assigns, in consideration of my Attorney-In-Fact's willingness to act pursuant to this Special Power of Attorney, to save and hold my Attorney-In-Fact harmless from any loss suffered or any liability incurred by him in so acting after such revocation or termination without notice. ------------------------------ FRANK T. CARY 3 SPECIAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, that I, WILLIAM F. MILLER, III, a legal resident of the State of Texas, desiring to execute a SPECIAL POWER OF ATTORNEY, have made, constituted and appointed, and by these presents do make, constitute and appoint JOHN P. BYRNES and PAUL G. GABOS, or either of them, with full power of substitution, my Attorney-In-Fact for me and in my name, place and stead to do and perform the following acts, deeds, matters and things as he deems advisable in the judgment of my said Attorney-In-Fact as fully and effectually to all intents and purposes as I could do if personally present and acting: ANNUAL REPORT ON FORM 10-K FOR THE YEAR ENDED DECEMBER 31, 1999 To execute and deliver all documents and to carry out with full power and authority every act whatsoever requisite or necessary to be done by or on behalf of the undersigned, including the execution of the Lincare Holdings Inc. Annual Report on Form 10-K for the year ended December 31, 1999. GENERAL PROVISIONS All business transacted hereunder for me shall be transacted in my name, and all endorsements and instruments executed by my Attorney-In-Fact for the purpose of carrying out any of the foregoing powers, shall contain my name, followed by that of my Attorney-In-Fact and the designation "Attorney-In-Fact." I hereby ratify and confirm all lawful acts done by my said Attorney-In-Fact pursuant to this Special Power of Attorney, and I direct that this Special Power of Attorney shall continue in effect until terminated by me in writing or by operation of law. If the authority contained herein shall be revoked or terminated by operation of law without notice, I hereby agree for myself, executors, administrators, heirs and assigns, in consideration of my Attorney-In-Fact's willingness to act pursuant to this Special Power of Attorney, to save and hold my Attorney-In-Fact harmless from any loss suffered or any liability incurred by him in so acting after such revocation or termination without notice. --------------------------------- WILLIAM F. MILLER, III 4 SPECIAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, that I, THOMAS O. PYLE, a legal resident of the State of NEW YORK, desiring to execute a SPECIAL POWER OF ATTORNEY, have made, constituted and appointed, and by these presents do make, constitute and appoint JOHN P. BYRNES and PAUL G. GABOS, or either of them, with full power of substitution, my Attorney-In-Fact for me and in my name, place and stead to do and perform the following acts, deeds, matters and things as he deems advisable in the judgment of my said Attorney-In-Fact as fully and effectually to all intents and purposes as I could do if personally present and acting: ANNUAL REPORT ON FORM 10-K FOR THE YEAR ENDED DECEMBER 31, 1999 To execute and deliver all documents and to carry out with full power and authority every act whatsoever requisite or necessary to be done by or on behalf of the undersigned, including the execution of the Lincare Holdings Inc. Annual Report on Form 10-K for the year ended December 31, 1999. GENERAL PROVISIONS All business transacted hereunder for me shall be transacted in my name, and all endorsements and instruments executed by my Attorney-In-Fact for the purpose of carrying out any of the foregoing powers, shall contain my name, followed by that of my Attorney-In-Fact and the designation "Attorney-In-Fact." I hereby ratify and confirm all lawful acts done by my said Attorney-In-Fact pursuant to this Special Power of Attorney, and I direct that this Special Power of Attorney shall continue in effect until terminated by me in writing or by operation of law. If the authority contained herein shall be revoked or terminated by operation of law without notice, I hereby agree for myself, executors, administrators, heirs and assigns, in consideration of my Attorney-In-Fact's willingness to act pursuant to this Special Power of Attorney, to save and hold my Attorney-In-Fact harmless from any loss suffered or any liability incurred by him in so acting after such revocation or termination without notice. --------------------------------- THOMAS O. PYLE -----END PRIVACY-ENHANCED MESSAGE-----